RESUMO
Objective:To analyze the application effect of a new type of intelligent and portable nursing device for reducing risk in nursing of operating room so as to wholly enhance the nursing quality for risk in nursing of operating room and ensure the nursing safety of operating room in hospital.Methods: 200 patients treated with abdominal surgery were divided into observation group (100cases) and control group (100cases) as the different hospital admission time. The patients of control group received routine nursing measurement, while patients of control group received new type of intelligent and portable nursing device on the basic routine nursing of observation group. The nursing quality and degree of satisfaction of patients for nursing measurement were compared and analyzed.Results: The satisfaction of patients for nursing measurement of observation group was significantly higher than that of control group, and the differences of professional skill in nursing, the interpretation for state of disease and service attitude between the two groups were statistically significant (t=10.366,t=15.350,t=12.671,P<0.05). And the differences of nursing quality score including basic nurse, sterile situation and safety management between the two groups were statistically significant (t=8.6134,t=6.0156,t=3.3048,P<0.05).Conclusion: This utility model nursing device of operative room adds shelf of infusion based on the traditional electrocardiograph monitor, and it is convenient in installation, disassembly, and transportation and carrying. At the same time, it can reduce the covering an area of space and monitor the process of infusion in time so as to remind medical staffs to change fluid. Therefore, it is convenient for medical staffs and is worthy in clinical practice.
RESUMO
[ABSTRACT]OBJECTIVETo investigate the relationship between upper airway MRI parameters and the severity of patients with obstructive sleep apnea hypopnea syndrome (OSAHS). Then the values of upper airway MRI parameters in waking state were assessed.METHODS The MRI upper airway parameters of 37 OSAHS patients and 18 nonsnoring normal subjects were measured and compared. Then data analysis were carried out to find out significant correlations between the MRI upper airway parameters and the severity of patients (the apnea hypopnea index, AHI; the lowest oxygen saturation, LSaO2; the oxygen desaturation index, ODI) with OSAHS.RESULTSThe correlation between cross-sectional areas and left-right diameter in the narrowest retropalatal region, the thickness of lateral pharyngeal wall, the length of the tongue, the length and thickness of the soft palate and the cross-sectional areas of the soft palate on midsagittal planes and severity of OSAHS were found (P<0.05).CONCLUSIONThe MRI upper airway parameters can be used in evaluating the severity of OSAHS in some ways, locating the obstruction sites and choosing the best treatment planning.
RESUMO
OBJECTIVE@#To evaluate the effect of over-under myringoplasty technique on repairing tympanic membrane perforation regarding with the rate of perforation closure, the frequency of postoperative complications occurrence and the level of hearing improvement.@*METHOD@#In this retrospective study, a total of 74 patients (77 ears) underwent myringoplasty and had been followed up for over 6 months, which was performed by means of the underlay technique in 44 patients (45 ears) and over-under technique in 30 patients (32 ears) from Jan 2002 to Jan 2007. In the underlay group, the grafted membrane was placed medial to the remaining drum and the manubrium of the malleus. In the over-under group, the grafted membrane was placed under the remaining drum and over the malleus. Comparatively evaluate the effect of the underlay technique and that of the over-underlay technique on repairing tympanic membrane perforation.@*RESULT@#The rate of perforation closure and hearing improvement in the underlay group of 45 ears was 89.0% and 57.5% respectively, while that in the over-under group of 32 ears were 87.5% and 71.9% respectively. The air-bone gap decreased by 4.9 dB in the underlay group, while it decreased by 9.7 dB in over-under group. After more than 6 months of following-up, the frequency of postoperative atelectasis of the underlay group and the over-under group was 17.8% and 6.25% respectively. Meanwhile, the frequency of postoperative reperforation of these two groups was 5.9% and 6.25% respectively. Blunting of the anterior angle of the tympanic membrane occurred in 3 ears in the over-under group. Lateralization of the graft was not observed in either group.@*CONCLUSION@#Over-under technique could reduce the occurrence of the adhesions between the grafted membrane and promontorium tympani by placing the grafted membrane between the remaining drum and the malleus. Furthermore, the level of hearing improvement in over-under group was higher than that in underlay group. Over-under myringoplasty is a more effective technique as comparison to underlay myringoplasty for repairing middle to large tympanic membrane perforations.
