Effect of acupuncture on functional delayed gastric emptying after gastric cancer surgery based on enhance recovery after surgery / 中国针灸

OBJECTIVE@#To observe the clinical effect of acupuncture for functional delayed gastric emptying after gastric cancer surgery on the basis of routine treatment.@*METHODS@#A total of 80 patients with functional delayed gastric emptying after gastric cancer surgery were randomly divided into an observation group (40 cases, 3 cases dropped off) and a control group (40 cases, 1 case dropped off). The control group was treated with routine treatment, e.g. continuous gastrointestinal decompression. On the basis of the treatment in the control group, the observation group was treated with acupuncture at Zusanli (ST 36), Shangjuxu (ST 37), Xiajuxu (ST 39), Gongsun (SP 4), Sanyinjiao (SP 6), 30 min each time, once a day, 5 days as a course, 1-3 courses were required. The first exhaust time, remove gastric tube time, liquid food intake time and hospital stay were compared in the two groups, and the clinical effect was evaluated.@*RESULTS@#The first exhaust time, remove gastric tube time, liquid food intake time and hospital stay in the observation group were shorter than the control group (P<0.001).@*CONCLUSION@#On the basis of routine treatment, acupuncture could accelerate the recovery of patients with functional delayed gastric emptying after gastric cancer surgery.

Application of multidisciplinary team in improving the cleanliness of ob-ject surface frequently touched by doctors and nurses / 中国感染控制杂志

Objective To improve the cleanliness of object surface frequently touched by doctors and nurses through collaboration of multidisciplinary team(MDT). Methods In the fourth quarter of 2015,a baseline survey was performed by healthcare-associated infection(HAI)management professionals in a hospital(baseline survey stage),in the first quarter of 2016,HAI management office combined with medical affairs office and nursing de-partment to carry out collaboration of MDT intervention(intervention stage). The second,third,and fourth quar-ters of 2016 were evaluation stages for efficacy of implementation of intervention measures,cleanliness of frequently touched object surface at different stages was compared.Results In the baseline survey,the qualified rates of fluo-rescent labeling in doctor group and nurse group were 44.25% and 61.61% respectively,after MDT joint interven-tion,the qualified rates of fluorescence labeling in doctor group and nurse group increased to 89.83% and 87.50%respectively,difference was statistically significant(both P<0.05). The incidence of HAI in baseline survey stage was 1.22%,at stage three of post-intervention,incidence of HAI was 1.02%,difference was statistically signifi-cant(P<0.05).Conclusion MDT can effectively integrate hospital management resources,make medical affairs office and nursing department give full play to their respective function,and effectively enhance the cleanliness of frequently touched object surface during medical care.