Influencing factors of anxiety and depression in patients with industrial hand injury atadmission / 现代临床护理

Objective To study anxiety and depression status in patients with industrial hand injury at admission and look into the influencing factors. Method A total of 154 patients who had industrial hand injury were enrolled in the investigation by self-rating anxiety scale (SAS)and self-rating depression scale (SDS)into mental status of patients once at admission. Results The incidence rates of anxiety and depression were 40.9%(63/154)and 37.0%(57/154),respectively.21.4%(33/154)of the patients had both anxiety and depression.The data from SPSS22.0 software and multivariate Logistic regression analysis showed that anxiety and depression were closely related to age,hand function and education.Conclusion The incidences of anxiety and depression in patients with hand injury and work-related injury is significantly higher than that of healthy people, which is closely related to their age, education and hand function.

Endoscopic papillary balloon dilation in the treatment of common bile duct stones / 中国微创外科杂志

Objective To explore the indications and efficacy of endoscopic papillary balloon dilation(EPBD) in the management of choledocholithiasis. Methods EPBD combined with a retrieval basket or balloon or both was performed to remove common bile duct stones in 42 cases from April 1999 to August 2001. The length and maximum diameter of the balloon were 5 0cm and 1 2cm respectively. The number of common bile duct stones must be less than 3, and the diameter must be less than or equal to 1 0cm. The balloon was inflated at pressure of (8～12)atm for 2min two times and the corresponding dilated diameter was 1 0cm～1 2cm. Results EPBD was performed successfully in all patients. The common bile duct stones were removed in 40 out of 42 patients, including endoscopic sphincterotomy(EST) in 4 patients, with the success rate being 95 2%(40/42). Stone removal failed in 2 patients. 3 cases had mild pancreatitis postoperatively. No complications such as bleeding or intestinal perforation occurred. Conclusions It is suitable to treat common bile duct stones by EPBD when the number of stones is less than 3 and the diameter is less than or equal to 1.0cm.