Clinical analysis for acute stroke patients in 66 cases with deep vein thrombosis / 中国基层医药

Objective To investigate the risk factors and clinical characteristics,auxiliary examination char-acteristics,treatment and prognosis for acute stroke patients with deep vein thrombosis (DVT),in the hope of provi-ding the detailed clinical data for hospitalized patients with stroke in early prevention,early diagnosis and early treat-ment of DVT.Methods 160 cases of stroke patients were reviewed including 66 cases of patients with hemiplegia after stroke and ultrasound confirmed DVT data analysis,And compared with the same period of 94 cases of DVT in patients with stroke.The purpose of this study was to evaluate the incidence of DVT,possible risk factors,and clinical characteristics.Results Stroke in patients with DVT spent an average of 16d.DVT occurred in elderly patients (65 years or higher) with 44 cases,accounting for 66.67%;Serious paralytic 42 cases (72.72%),long-term bed 52 cases (78.78%);The most commonly comorbid disease was diabetes mellitus,hypertension and hyperlipidemia;The plasma fibrinogen concentration was (5.02 ±1.38) g/L,which was significantly higher than (2.74 ±1.65) g/L of the control group.Compared with control group,the difference was statistically significant (t=4.78,P<0.01). Conclusion Limb paralysis,long-term lie in bed,older age and high condensation state are DVT risk factors,which should be paid to prevent in advance clinically.

Survey on the Acupuncture Department's Compliance of Hand-washing and the Effectiveness Evaluation after Intervention / 国际中医中药杂志

Objective To increase acupuncture doctors' compliance on hand-washing, with which cross-infection can be avoided and the security level of acupuncture can be raised. Methods To get the information on current situation of hand-washing by direct observation. Aiming at present issues, we adopted such measures as improving hand-cleaning facilities and intensifying training of hand health knowledge and hand health manipulations to prevent them. Such methods as self reporting, indirect measuring, inquiring patients, and tracking surveys were used to evaluate the effects. Results Executive rate of hand-cleaning was 14% and 79% before and after the measures' intervention respectively. Conclusion As needles are inserted into the skin for the treatment, these needles may contaminate the blood or tissue fluid of the patient. The insanitation of hand may increase this contagious risk. Therefore, we must guide the acupuncturists to pay attention to their hands sanitation.