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Objective@#To explore the influence of endoscopic sinus surgery on postoperative cognitive performance, quality of life and psychological status of patients with sinusitis and nasal polyps.@*Methods@#From January 2017 to January 2018, 300 patients with sinusitis and nasal polyps who underwent endoscopic sinus surgery in the Fifth Hospital of Shaoxing were selected.The quality of life, psychological status and cognitive performance of patients before and after surgery were compared.@*Results@#After operation, 190 cases were cured, 90 cases were effective, and 20 cases were ineffective.The total effective rate was 93.33% (280/300 cases). After operation, the patients′ nasal endoscopy score was (3.23±0.34) points, which was significantly lower than before operation [(8.53±1.63)points] (t=43.875, P<0.05). After surgery, the clinical main symptoms such as nasal congestion, nasal secretions, headache, facial pain and olfactory disturbance were significantly improved (t=13.070, 12.252, 6.501, 8.954, 5.503, all P<0.05). After operation, the patients' anxiety scale (HAMA) and depression self-rating scale (SDS) scores were significantly lower (t=115.012, 45.203, all P<0.05). After surgery, the scores of physiological function, social function, physiological role, physical pain, mental health, emotional color and vitality were significantly increased (t=5.231, 5.579, 10.360, 8.580, 9.23, 11.336, 1.993, all P<0.05), and the total score of the Medical Outcome Study Simplified Scale-36 (SF-36) score was also significantly improved (t=8.942, P<0.05). After surgery, the 20 and 5 items of the patient-stomach-sinus test-20 (SNOT-20) entry score gradually decreased from 1 month after surgery (t=16.029, 18.041, all P<0.05). After operation, the cognitive performance of the patients was significantly improved.The awareness of sinusitis and nasal polyps related diseases was (70.94±2.85)points, and the knowledge of nasal endoscopy was (95.23±3.84)points, the differences were statistically significant (t=16.474, 58.484, all P<0.05).@*Conclusion@#Endoscopic sinus surgery can improve the cognitive performance of patients with sinusitis and nasal polyps, reduce negative emotions such as anxiety and depression, and improve the quality of life of patients.It is worthy of widespread promotion in clinic.
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Objective To explore the influence of endoscopic sinus surgery on postoperative cognitive performance,quality of life and psychological status of patients with sinusitis and nasal polyps .Methods From January 2017 to January 2018,300 patients with sinusitis and nasal polyps who underwent endoscopic sinus surgery in the Fifth Hospital of Shaoxing were selected.The quality of life,psychological status and cognitive performance of patients before and after surgery were compared.Results After operation,190 cases were cured,90 cases were effective,and 20 cases were ineffective.The total effective rate was 93.33%(280／300 cases).After operation,the patients′nasal endoscopy score was ( 3.23 ±0.34 ) points, which was significantly lower than before operation [( 8.53 ± 1.63)points] (t＝43.875,P ＜0.05).After surgery,the clinical main symptoms such as nasal congestion ,nasal secretions,headache,facial pain and olfactory disturbance were significantly improved (t＝13.070,12.252,6.501, 8.954,5.503,all P＜0.05).After operation,the patients＇anxiety scale (HAMA) and depression self －rating scale (SDS) scores were significantly lower (t＝115.012,45.203,all P＜0.05).After surgery,the scores of physiological function,social function,physiological role,physical pain,mental health,emotional color and vitality were significantly increased (t＝5.231,5.579,10.360,8.580,9.23,11.336,1.993,all P＜0.05),and the total score of the Medical Outcome Study Simplified Scale －36 (SF－36) score was also significantly improved ( t＝8.942,P＜0.05).After surgery,the 20 and 5 items of the patient－stomach －sinus test －20 ( SNOT－20) entry score gradually decreased from 1 month after surgery ( t ＝16.029,18.041,all P＜0.05).After operation,the cognitive performance of the patients was significantly improved.The awareness of sinusitis and nasal polyps related diseases was ( 70.94 ± 2.85)points,and the knowledge of nasal endoscopy was (95.23 ±3.84) points, the differences were statistically significant (t＝16.474,58.484,all P＜0.05).Conclusion Endoscopic sinus surgery can improve the cognitive performance of patients with sinusitis and nasal polyps ,reduce negative emotions such as anxiety and depression ,and improve the quality of life of patients.It is worthy of widespread promotion in clinic.
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Objective] To summarize the clinical key points of acupoint sticking therapy in the application of treating disease before its onset. [Method] From the treatment timing, treatment principle, acupoint selection to expound the academic perspective and clinical experience of our department in the application of acupoint sticking therapy by consulting the ancient literature and summarizing clinical practice. [Result] Through the correct selection of treatment timing for acupoint sticking therapy, which is mainly used in summer, secondly used in winter, and focusing on tonifying Yang-qi, and point selection by pattern identification, paying attention to the accumulation of curative effect, this therapy has good curative effect in the treating disease before its onset.[Conclusion] Nowadays, there are more and more sub-health people. Since acupoint sticking therapy has advantages of“easy, convenient, cheap, uesful”and safe, it is a good therapy to apply for treating disease before its onset.
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OBJECTIVE To promote the management of nosocomial infections continuous improvement in the clinical and medical technology department.METHODS According to the regulation of nosocomial infections management,a handbook of nosocomial infections management for clinical and medical technology department was designed,and the monitors of nosocomial infection could perform real time inspection and record according require of the handbook.The department of nosocomial infections management examined the monitoring work of clinical and medical technology department every month and summarized every year,and the results were internalized to the valuation of medical quality management.RESULTS After 3 years of the usage of the handbook,the capability of the monitor groups of nosocomial infection and the quality of the all monitoring items were significantly improved;the qualified rates were all above 96.30%.CONCLUSIONS The handbook of nosocomial infections management is useful to improve the quality of nosocomial infections management in the clinical and medical technology department.
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Objective To study the effect of rhein on the process of tubular epithelial-mesenchymat transformation in kidney of diabetic rats. Methods Wistar male rats were randomly assigned to 3 groups: Control group (N group, n=12),diabetic group(D group, n=12), rhein treatment group(R group, n=12).The rats of rhein treatment group were treated with daily intragastric administration of periment. The excretion of urinary protein and serum creatine were measured. Histological changes of renal tissue were observed by HE and MASSON stain. Immunohistochemistry was performed to investigate the expression of E-cadherin, α-SMA,FN and TGF-β1 in kidney. Results Compared with the control group, the tubulointerstitial injury and the accumulation of extraeellular matrix protein in diabetic models were obvious(P＜0.01).Compared with the control group, the expression of E-cadherin was decreased significantly and the expression of α-SMA,FN and TGF-β1 was increased significantly in diabetic group. E-cadherin was negatively correlated with TGF-β1(rs=-0.60,P＜0.05),α-SMA and FN was positively correlated with TGF-β1(rs=0.88,P＜0.05;rs:0.91,P＜0.01).In comparison with diabetic group,rhein could up-regulate the expression of E-cad and down-regulate the expression of α-SMA and FN in renal tubular epithelial cells(P＜0.01).Conclusion Rhein could protect kidney by ameliorating interstitial fibrosis in diabetic rats. The mechanism may be depend on down-regulating the expression of TGF-β1 and suppressing tubular epithelial-mesenchymal transformation.
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OBJECTIVE To provide scientific basis for the control of hospital infection,and then the effects of nursing quality control were evaluated. METHODS There was significant difference in many targets of hospital infection. RESULTS The nursing quality control was strengthened by the following measures.The administration of hospital infection net be established,the environmental sanitation and sterilization in the medical matter be supervised,and the rules and regulations be enforced in the normal works of nursing against hospital infection. CONCLUSIONS Nursing quality control is very important in the control of hospital infection.
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OBJECTIVE To explore the key and difficult points of nosocomial infection in department of stomatology and propose some effective measures.METHODS All measures for preventing nosocomial infection in our hospital stomatology center were analyzed.RESULTS The key point of nosocomial infection management was to prevent various infections via blood,saliva and tissue of mouth.Meanwhile there were many difficult points in conception change and in diagnosis and treatment technique of nosocomial infection management.CONCLUSIONS It is necessary to pay more attention to the management of nosocomial infection and some effective management measures must be taken in to prevent nosocomial infection of stomatological department.