RESUMEN
【Objective】 To investigate the correlation and consistency between the parameters of thromboelastography(TEG) and routine coagulation tests, and to evaluate the application value of the two methods in heparin anticoagulation monitoring and coagulation function monitoring in patients receiving extracorporeal membrane oxygenation(ECMO) therapy. 【Methods】 A total of 138 patients who recieved ECMO in the Department of Critical Care Medicine of the People′s Hospital of Guangxi Zhuang Autonomous Region from October 2021 to December 2022 were selected. A total of 317 pairs of ordinary TEG and heparinase-modified TEG(hmTEG) parameters measured simultaneously were analyzed for correlation and consistency with activated partial thromboplastin time(APTT), fibrinogen(Fib), and platelet count(Plt), and the parameters tested when ECMO was established and 24 hours after ECMO operation were compared. 【Results】 The correlation coefficient between R values and APTT of hmTEG(r=0.441, P0.05), while as for hmTEG, the correlation was 0.359(P0.05). 【Conclusion】 The parameters of hmTEG can better reflect the real level of coagulation factors in patients receiving ECMO. The results of hmTEG and APTT are complementary to assess whether heparin in ECMO patients is overdosed, and hmTEG has unique advantages. Routine coagulation tests and TEG cannot replace each other, and the combination of them can achieve better anticoagulation and coagulation management.
RESUMEN
Objective To discuss the influence of distribution of nursing human resource in maternalinfant wards on patients'satisfaction degree.Methods To analyze the satisfaction degree with nursing quality of all patients and distribution of nursing human resource in maternal-infant wards in our hospital in 2007.Results There was a positive correlation between inpatients'satisfaction of nursing service and distribution of nurses.Theinsufficiency of distribution of nursing human resource in maternal-infant wards caused nurses' sensation of work tiredness,degradation of service quality,bad service attitude,indifference to patients,lack of detail service,insufficiency of basic nursing care,simplistic health education,and unwarranted quality of technique operation.Conclusions The distribution of nursing human resource in maternal-infant wards should be hisher than that in common wards and We should pay attention to the distribution of naming safety in maternal-in-fant wards,increase nurse staffing,rationally utilize human resource,enhance training of comprehensive quality of nurses,strengthen quality awareness,service awareness and safety awareness,ensure the nursing quality and mother-infant safety,and improve patients'satisfaction.