ABSTRACT
Objective:To evaluate the practical effects of perioperative diet optimization in pediatric fracture surgery, and explore the clinical efficacy and application value of circular management combined with diet optimization.Methods:Totally 76 children with selective fracture surgery were selected from May 2020 to October 2020 admitted to Wuxi 9th People′s Hospital Affiliated to Soochow University. They were divided into experimental group (38 cases) and control group (38 cases) by random number table method. Experimental group conducted circular management combined with diet optimization for nursing, while control group used only simple diet optimization management. The time and the amount of fasting before and after operation of two groups were recorded, and the compliances of two groups were evaluated according to the total amount of intake. The incidence of subjective adverse feelings, including hunger, thirst, dizziness, fatigue and nausea, were observed. And the satisfactions of patients with nursing management were also evaluated.Results:The preoperative fasting time, preoperative drinking prohibition time, postoperative diet recovery time were (8.25 ± 1.56), (2.76 ± 0.69), (1.17 ± 0.58) h in experimental group, and (9.79 ± 2.51), (3.47 ± 1.18), (1.50 ± 0.80) h in control group, and the differences were statistically significant ( t=-3.21, -3.17, -2.07, all P<0.05). The compliance rates to nursing and fasting before and after operation in control group were 57.9% (22/38), 65.8% (25/38), 76.3% (29/38) and 81.6% (31/38) respectively, which were significantly lower than all 100.0% (38/38) in experimental group ( P<0.05). During preoperative period (hunger), postoperative period when allowing intake (hunger, thirst, dizziness, feebleness) and 6 hours after intake (thirst, feebleness), the incidences of subjective adverse feelings in experimental group were statistically lower than those in control group ( Z values were -3.17- -1.97, all P<0.05). The satisfaction to dietary nursing management in experimental group was (93.82 ± 4.57) scores, which remained higher than (87.24 ± 6.65) scores in control group, and the difference was statistically significant ( t=5.03, P<0.01). Conclusions:Single perioperative diet optimization can easily be affected by the unstable clinical compliance of traumatic children, resulting in a low implementation rate. The combination of circular management and diet optimization can improve the intervention implementation and treatment compliance, shorten the time of diet prohibition, accelerate the postoperative recovery, and reduce the occurrence of perioperative adverse reactions.
ABSTRACT
Objective To discuss the function and advantages of ultrasound technology in various factors in the diagnosis of vertebral artery stenosis lesions.Methods The objective data of ultrasonography were selected in 60 patients (120 vertebral arteries) with paroxysmal,reversible vertigo and headache as the chief complaint,the internal relations were summarized and analyzed.Results In the subjects of study,the vertebral artery stenosis for 38.2％,vertebral artery course tortuosity changer accounted for 33.3％,congenital abnormal development accounted for 9.8％,mixed cause 18.6％,dominant etiology was vertebral artery sclerosis and vertebral artery tortuosity change.Conclusion Ultrasound technology has important value of clinical application in the reasons diagnosis of vertebral artery stenosis disease,it can help extend clinical diagnosis.