ABSTRACT
Objective To investigate the clinical outcome of large decompressive craniectomy in treatment of severe traumatic brain injury combined with herniation of brain.Methods A retrospective analysis was carried out to assess the clinical outcome of large decompressive craniectomy for 98 patients with severe traumatic brain injury combined with herniation of brain enrolled from Jan.2007 to Sep.2010.Results According to the Glasgow outcome scale,there were 27 patients ( GOS 5 points) with good recovery,23 ( GOS 4 points) with moderate deficit,28 (GOS 3 points) with severe deficit,6 (GOS 2 points) under persistent vegetative status and 14 (GOS1 points) deaths at the end of 6 month post injury.We observed a good prognosis rate (good recovery and moderate deficit) of 51％ and a poor prognosis of 49％.Conclusion Large decompressive craniectomy can significanty improve the outcome and reduce complications of patients with severe traumatic brain injury combined with herniation of brain.
ABSTRACT
The perioperative management of blood glucose has been controversial since clinical associations between hyperglycemia and adverse outcomes were fhrst reported.Many studies have demonstrated that hyperglycemia is a universal phenomenon in adults admitted to the ICU and it has been associated with increased morbidity and mortality,additionally,tight glycemic control with intensive insulin therapy in critically ill patients,including cardiac operation patients,significantly improves outcomes.But children's glycometabolism is different from adults',especially the ones who receive open-heart surgery with cardiopulmonary bypass for congenital heart disease,their internal enviroment chang a lot during pedoperative period,and whether hyperglycemia is associated with adverse outcomes after surgery and strict glycemic control is needed are still debatable in critically ill children.Although there are much dispute about perioperative management of glucose during openheart surgery in children,relevant researches are very limited,so further randomized controlled clinical trials are needed.
ABSTRACT
Objective To evaluate the effect between laparoscopic surgery and traditional laparotomy.Methods 70 cases of uterine fibrosis were divided into the laparoscopic surgery group(n=35)and traditional laparotomy group(n=35).Operative complications,operative time,blood loss and postoperative recovery of the situation were observed.Results Laparoscopoic surgery group time(63.0 ±32.0)min was significantly shorter than open surgery group time(86.0 ±29.0)min(t = 2.358 ,P ＜ 0.01);bleeding laparoscopic group(56.0 ±32.0)ml significantly less than the open group(97.0 ±52.0)ml(t =2.398,P ＜0.05);laparoscopic surgery than conventional open surgery foruterine fibroids after time activities get out of bed early,less abdominal pain,indwelling catheter time is short.As early as the exhaust,improve care and efficiency.Conclusion Nursing intervention of uterine fibroids had better effect of two surgical treatment methods.
ABSTRACT
Objective To explore the pathway of clinical nursing care to perioperative nursing care in the treatment of cancer of cervix.Methods 60 patients with cancer of cervix were randomly divided into experiment group(n = 30)and control group (n = 30).Patients were given nursing care in the light of pathway of clinical nursing care in the experiment group while routine nursing care was given in the control group,the occurrence of anxiety,the duration in bed,duration of hsopitalization and satisfaction of patients were compared.Results The score of anxiety rating scale ( SAS),after the intervention (36.58 + 6.50) points, significandy lower than before the intervention (42.73±5.42) points (t = 2.813, P < 0.05 ) ;the socre of self-rating depression scale(SDS),after the intervention (0.46±0.06) points,significantly lower than before the intervention (0.51 ±0.07) points(t =2.358,P <0.05) ;bed time of the experimental group (50.5±10.3) h,the number of hospitalization days (11.5±2.3 )d,satisfaction (96.8±3.2) % were lower than the control group[58.2±12.9)h,( 14.2±2.6)d,(86.5±7.5)% ,t =2.312,t =2.411 ,t = 2.489 ,P < 0.05].Conclusion It is effective to apply the pathway of clinical nursing care for perioperatire nursing care to increase quality of nursing care and satisfaction of patients in the treatment of cancer of cervix.