ABSTRACT
Objective To investigate the effect of recombinant human endostatin combined with chemotherapy on the expression of vascular endothelial growth factor (VEGF) in patients with advanced cancer.Methods250 patients with advanced malignant tumors were randomly selected from February 2012 to February 2016 the Third Hospital of Jiaxing, with unit control method experiment principle divided into two groups: experimental group (125 cases) and control group (125 cases).The experimental group treated by recombinant human endostatin combined chemotherapy, control group received routine chemotherapy for a week during the period of 21 days, after two cycles of treatment, clinical efficacy and adverse reactions of the two groups of patients were compared, and the expression of VEGF in tumor blood vessels weredetected.ResultsAfter two cycles of treatment, objective response rate, disease control rate in the experimental group patients was significantly higher than that in control group (P<0.05);after treatment, the expression level of VEGF in serum of the experimental group and the control groupwere decreased significantly, but the experimental group was lower than that of control group was more obvious (P<0.05).ConclusionRecombinant human endostatin combined with chemotherapy in the treatment of advanced malignant tumors can enhance the effect of chemotherapy, regulate the level of VEGF.
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Objective We discussed the nursing management measures to improve the qualified rate of sputum culture specimen of patients with pulmonary infection. Methods We monitored the qualified rate of sputum culture specimen, positive rate, pathogen distribution and drug resistance for patients with pulmonary infection in our hospital. Data collected from January 2007 to February 2008 were set as the test group. Data collected from January 2005 to December 2006 were set as the control group. The monitoring effect was compared in the two groups. Results The qualified rate of sputum culture specimen and the distribution of bacteria and fungus in the test group were different from those of the control group (P<0.01). Conclusions To strengthen the quality control of sputum culture specimen, comprehensively improve the cognition of nurses to the significance of qualified rate of sputum culture specimen and the techique of collecting sputum culture specimen could ensure the qualified rate of sputum culture specimen.
ABSTRACT
OBJECTIVE To study the disposition,hospital divisions and risk factors that induce nosocomial infections,and approach utility measure for prevention.METHODS To investigate and analyze the nosocomial infections in the patients who hospitalized from 2004 to 2006,through the way combined with retrospective investigation and the cases report by doctors.RESULTS In our hospital,the nosocomial lower respiratory tract infection was the highest(33.7%).The second was the upper respiratory tract infection(23.0%),and the gastrointestinal tract infection(18.7%).The incidence of nosocomial infection in medical and paediatrics department was higher than other departments,the main infection site in internal medicine department was lower respiratory tract(49.1%),but in pediatrics it was skin soft tissue infection(41.6%).There was significance difference of risk factors in nosocomial infection.CONCLUSIONS To grasp the causes of nosocomial infection,emphasize the monitoring for the high risk factors in departments,strengthen the prevention for nosocomal infection among the staff,standardize the various kinds of nursing operation and reasonably apply antibiotics,all are the effective measures for the prevention of nosocomial infection.