ABSTRACT
OBJECTIVE： To establish the quality standard of Sabina vulgaris， and to provide reference for its quality control. METHODS： Totally 9 batches of S. vulgaris were collected from Inner Mongolia area. The characteristics of S. vulgaris samples were observed and microscopic identification was conducted for the transverse section and powder of its branches and leaves. TLC was used for qualitative analysis of S. vulgaris. The contents of water， total ash， acid-insoluble ash and alcohol-soluble extract in S. vulgaris were determined according to the method stated in 2015 edition of Chinese Pharmacopeia （part Ⅳ）. The contents of quercetin and amentoflavone in S. vulgaris were determined by HPLC. RESULTS： The branchlets of S. vulgaris were cylindrical or rhombic， with varying length of thorns， dark green or yellowish green. The microscopic observation showed that the epidermal cells of scale leaves were arranged orderly； there were larger cavities in the middle of scale leaves， large cells in spongy tissue； epidermal cells were rectangular with more stomata and large guard cells. Results of TLC showed that the spots of the same color were found in the corresponding positions of chromatogram for substance control （dendrooside and rutin）. In the 9 batch of samples， the contents of water were 3.2％-5.6％； the contents of total ash were 3.4％-5.8％； the contents of acid-insoluble ash were lower than 0.8％； the contents of alcohol-soluble extract were 28.0％-33.8％； the contents of quercetin were 0.11％-0.28％； the contents of amentoflavone were 0.15％-0.25％. CONCLUSIONS： It is preliminarily proposed that the content of water in S. vulgaris is not more than 8.0％； the content of total ash is not more than 7.0％； the content of alcohol-soluble extract is not less than 24.0％； the content of quercetin is not less than 0.11％； the content of amentoflavone is not less than 0.15％. Established standard can be used for the quality control of S. vulgaris.
ABSTRACT
Objective To explore the doctor-nurse integrated health care management model in perioperative nursing management of transvaginal natural orifice transluminal endoscopic surgery (NOTES). Methods A total of 70 female patients underwent transvaginal NOTES. All patients were randomly divided into the control and the study groups. The control group adopted the traditional model of care, and the study group implemented a layered panel system of integrated health care nursing mode, which consisted of three lines (leader), second line, front-line doctors, anesthesiologists consisting of the doctor series and secondary responsibility leader, a responsibility of nurses, operating room nurses laparoscopy group traveling together constituted a series of nurses′ health care integration of the health care team. The average length of stay, preoperative waiting days, awareness of the disease, early postoperative activities and reasonable diet, patient satisfaction with care, doctors′ satisfaction with nurses′ operation and overall satisfaction with health care work were compared. Results The preoperative waiting days, average length of stay, surgical satisfaction, patients′ satisfaction, doctors-nurses′overall satisfaction in the study group were (3.95±0.51) d, (11.58±1.83) d, (95.48±3.82)%, (99.26± 0.61)%, (96.33±0.29)%, the control group were (5.50±0.68) d, (15.79±2.14) d, (82.08±7.21)%, (92.18± 3.54)%, (80.03 ± 5.88)%, the differences were statistically significant (t=-4.431-6.172, P 0.05). Conclusions The implementation ofdoctor-nurse integrated health carenew model can optimize the collocation of medical health care integration, enhance the quality of care, improve patient experience, and improve patients′and doctors′satisfaction for nursing work.
ABSTRACT
Objective To explore the measure of the peri-operative care in patients undergoing nephroureterectomy with transvaginal NOTES-assisted hybrid endoscopy.Methods Nursing measures and the effect of 3 patients who underwent transvaginal NOTES-assisted hybrid endoscopy in nephroureterectomy were retrospectively analyzed.Results All procedures were successfully completed.There were no intraoperative or postoperative complications.All patients were cured and discharged.Conclusions For the patients receiving transvnginal NOTES-assisted hybrid endoscopy in nephroureterectomy,good psychological care,adequate preoperative preparation,postoperative care,and health education can reduce postoperative complications and play an important role in the success of the operation.