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Objective To summarize the experience in nursing locally preserved skin of female patients for neurosurgical cranioctomy. Method The nursing key points were given to 66 female patients undergoing local preparation of skin for cranioctomy as follous preoperative preparation, observation over incision and head nursing. Results The time for skin preparation ranged between 3 to 6 minutes. Postoperatively, no drain tube was placed. No intracranial infections occurred. The incisions in all patients were healed at the first class. Conclusion The nursing measures of good preoperative preparation, close observation of incisions and care to the head for female patients undergoing local preparation of skin for cranioctomy can enhance their satisfaction and propel development of standardized nursing.
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Objective To explore the curative effect of reteplase and urokinase in treatment of acute ST elevation myocardial infarction.Methods 116 patients with acute ST segment elevation myocardial infarction who were diagnosed and received treatment in our hospital from October 2013 to October 2015,were selected as the study subjects and were randomly divided into two groups with 58 cases in each group according to the single blind method. The control group was treated with urokinase thrombolytic therapy,while the patients in the observation group were treated with reteplase thrombolytic therapy.The thrombolytic recanalization rate,and adverse event incidence were compared in the two groups.Results The clinical judgement thrombosis recanalization rates in the observation group after 0.5h,1h,1.5h,2h of thrombolysis were 27.59%,60.34%,81.03% and 86.21% respectively,which were sig-nificantly higher than 15.52%,29.31%,62.07%,70.69% of the control group,the differences between the two groups were statistically significant(χ2 =3.853,3.907,3.898,3.524,all P 0.05).Conclusion Reteplase for acute ST segment elevation myocardial infarction thrombo-lytic therapy is better than urokinase,has a high patency rate and low incidence of adverse events,it is safe and worthy of clinical popularization and application.
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Objective To study the effect of cortisol and dehydroepiandrosterone sulfate(DHEA S)in fetal umbilical cord blood on term labor. Methods Cortisol and DHEA S concentrations were measured By radioimmunoassay in 100 term fetal umbilical cord blood. They were divided into four groups. Group A selective cesarean section without any birth pain ( n =18),Group B cesarean section in latent phase( n =10),Group C cesarean section in active phase( n =12),Group D spontaneous vaginal deliver( n =60). Results The concentrations of fetal umbilical cord cortisol in spontaneous vaginal deliver group was gradually increased with gestational week. The peak level was in the 39th gestation week,by the 42th gestation week,the concentration of cortisol declined to the 37th gestation week. DHEA S changed paralleled with cortisol ( r =0.46, P