Research progress of internal placement fecal incontinence drainage device / 中国实用护理杂志

Fecal incontinence is a very common problem in critically ill and elderly patients and long-term hospitalized bedridden patients, which can easily cause complications such as perianal dermatitis, pressure ulcers and infections, increase patient suffering, and increase medical expenses. Devices that effectively transfer or drain feces are critical to reducing complications after fecal incontinence. This article uses this as a starting point to summarize the main components, current status of use and evaluation indicators of built-in drainage devices at home and abroad, which provides a reference for the development of more scientific and feasible auxiliary tools for fecal incontinence.

CLINICAL VALUE OF X-RAY EXAMINATION IN THE DIAGNOSIS OF BONE AND JOINT TRAUMA AND SOFT TISSUE CHANGES / 现代医院

Objective To study the clinical value of X -ray examination in the diagnosis of bone and joint trauma and soft tissue changes .Methods 60 patients diagnosed with bone and joint trauma admitted in our hospital from January 2012 to January 2014 were selected and given anterior and posterior X -ray, patients with no definite diseases were given varus -valgus position shooting in order to further determine definite diseases , relative data were then collected .Results X -ray examination could assistthe development of treatment plans .X-ray plain films could not directly demonstrate the soft tissue changes without the auxiliary method of MRI .Conclusion Patients u-sually only pay attention to the severity of fracture but ignore the obvious trauma fractures and soft tissue changes .The application of X-ray examination enables the patients to attach importance to the treatment of traumatic soft tissue changes, and is worthy of promotion .

Risk factors and clinical features on acute hepatic dysfunction induced by sepsis / 中国医师进修杂志

Objective To study the risk factors and clinical features on acute hepatic dysfunction induced by sepsis.Methods One hundred and sixty-eight patients with sepsis were divided into 2 groups according to liver function:simple sepsis group (control group,142 cases) and acute hepatic dysfunction induced by sepsis group (observation group,26 cases).The biochemical indicators,plasma endothelin (ET)-1,sepsis-related organ failure assessment (SOFA) were compared between 2 groups.The risk factors of inducing acute hepatic dysfunction were analyzed.Results The incidence of acute hepatic dysfunction in 168 patients with sepsis was 15.5％ (26/168).The total bilirubin,direct bilirubin,creatinine,range of blood glucose variation,arterial blood lactic acid,plasma ET-1,SOFA,fatality rate in observation group were significantly higher than those in control group [(35.9 ±9.8) μμmol/L vs.(27.8 ±6.7) μmol/L,(17.7 ± 8.0) μ mol/L vs.(12.3 ± 5.9) μ mol/L,(219.6 ± 156.4) μ mol/L vs.(159.4 ± 125.3) μ mol/L,(7.6 ±4.9) mmol/L vs.(3.0 ± 1.6) mmol/L,(3.8 ± 1.3) mmol/L vs.(2.0 ± 1.2) mmol/L,(79.6 ±25.7)μg/L vs.(60.8 ± 12.6) μg/L,(8.8 ±2.6) scores vs.(5.7 ± 1.8) scores,38.5％ (10/26) vs.17.6％(25/142)],there were statistical differences (P ＜ 0.01 or ＜ 0.05).Multifactor Logistic regression analysis results showed that long-term drinking,cardiac insufficiency and hypotension were independent risk factors of acute hepatic dysfunction induced by sepsis.Conclusions The arterial blood lactic acid,plasma ET-1 and SOFA in patients with acute hepatic dysfunction induced by sepsis are higher.Long-term drinking,cardiac insufficiency and hypotension are the risk factors of acute hepatic dysfunction induced by sepsis.