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find Author "刁永书" 36 results
  • 连续性肾脏替代治疗护士交接班特点与方法

    【摘要】 目的 总结连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)专业护士交接班的特点及重要性,以规范交接班制度,完善交接班内容。 方法 针对CRRT治疗地点的分散性、治疗时间及患者人数不确定性等因素,建立起符合CRRT专业护士的交接班内容与方法。 结果 交接班方法推行以来,从未发生过因交接班不规范而导致治疗事故和护理差错,有效的保证了CRRT的护理质量及工作连续性。 结论 严谨细致的CRRT专业护士交接班方法是患者治疗安全的可靠保证。

    Release date:2016-09-08 09:24 Export PDF Favorites Scan
  • 一例肾移植术后并发小腿肌间静脉血栓护理

    Release date:2016-09-08 09:24 Export PDF Favorites Scan
  • SELFRENEWAL SIGNALING PATHWAY AND CULTURE SYSTEM IN VITRO OF EMBRYONIC STEM CELLS

    Objective To review the latest development of the research on the selfrenwal signaling pathway and culture system in vitro of the embryonic stem cells(ESCs). Methods The recent articlesabout the selfrenewal signaling pathway and culture system in vitro of the ESCs were extensively reviewed. Results Understanding of the molecular mechanism of the selfrenewalin vitro and pluripotency of the ESCs was considered important for developing improved methods of deriving, culturing and differentiating these cells into the cells that could be successfully used in the clinical practice. Conclusion A further research is needed to elucidate the selfrenewal signaling pathway and the pluripotency of the ESCs and the culture systemin vitro forthe human ESCs remains to be further improved and developed.

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
  • 血液灌流联合连续性静脉-静脉血液滤过治疗脓毒血症合并急性肾损伤的护理

    目的探讨血液灌流(HP)联合连续性静脉-静脉血液滤过(CVVH)治疗脓毒血症合并急性肾损伤(AKI)的护理。 方法对2011年7月-2013年7月收治的48例脓毒血症合并AKI的患者进行HP联合CVVH治疗。比较治疗前后的血肌酐(Cr)、血尿素氮(BUN)和外围血小板计数(PLT)差异,并分析处理治疗过程中产生的护理问题。 结果48例患者行HP联合CVVH治疗后,Cr由(311.90±183.06)μmol/L降至(108.51±43.93)μmol/L,BUN由(18.21±8.58)mmol/L降至(8.51±2.64)mmol/L,PLT由(94.68±30.40)×109/L降至(131.61±39.79)×109/L,差异均有统计学意义(P<0.05)。5例(10.42%)死亡,33例(68.75%)好转出院,10例(20.83%)肾功能恢复转入普通病房。 结论HP联合CVVH治疗脓毒血症合并AKI,能有效改善患者的肾功能,而高质量的护理有助于治疗的顺利完成。

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  • 溃疡贴粉治疗急性放射性湿性皮炎的护理体会

    观察康惠尔溃疡贴、粉治疗急性放射性湿性皮炎的效果。方法:应用康惠尔溃疡贴、粉治疗急性放射性湿性皮肤炎,按严格无菌原则用消毒液消毒创面周围皮肤,用生理盐水清洗局部损伤创面,彻底清除局部坏死组织和脓性分泌物后,将康惠尔粉末薄薄地均匀地撒在局部创面上,选择大于创面的康惠尔溃疡贴外敷创面,通过观察溃疡贴的颜色决定换药次数。同时加强健康教育和护理。结果:本组病例10 例36 处创面均痊愈,最短时间为3 天,最长时间为21 天,平均愈合时间为13 天。结论:康惠尔溃疡贴、粉用于治疗急性放射性湿性皮炎,体现了伤口湿性愈合新理念,能有效治疗急性放射性湿性皮炎。比传统换药方法更方便,减轻了患者痛苦,缩短了伤口愈合的时间。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • Observation of the Effect of Quality Control Circle Activities on the Management of Ward Drugs

    ObjectiveTo explore the effect of quality control circle (QCC) on the management of hospital medication. MethodsAccording to the existing problems between December 2013 and January 2014, we put forward a series of continuous improvement plans, strengthened the nurses training, and intensified the supervision methods from February to May 2014. ResultsAfter the implementation of QCC, the incidence of leakage from drugs significantly decreased from 15.8% to 0.0%; the nurse-related drug management knowledge rate increased from 64.1% to 92.3%. Withdrawal process execution rate increased from 71.8% to 100.0%, and the difference was statistically significant (P<0.05) from February to May 2014. ConclusionQCC activity improves the hospital medication management, increases the nurses' sense of responsibility, and ensures the medical security of hospitalized patients.

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  • Analysis of Nutritional Status in Patients with Chronic Kidney Disease from Stage 1 to 4

    ObjectiveTo collect the nutrition data in patients with chronic kidney disease (CKD) from stage 1 to 4 and provide the basis for further intervention by analyzing the specific problems of the patients. MethodsA total of 132 CKD patients from stage 1 to 4 were enrolled between December 2012 and December 2013. Nutritionists used inbodyS10ww as a body composition analyzer to test the patients. The data from inbodyS10ww and laboratory indexes were analyzed on marasmus, overweight and obesity, risk of malnutrition, malnutrition, anemia and hypoalbuminemia. ResultsThe percentage of marasmus in those CKD patients was 3.0%, overweight and obesity was 39.4%, the risk of malnutrition was 22.7%, malnutrition was 19.7%, anemia was 34.1%, and hypoalbuminemia was 9.8%. ConclusionOur search shows that combining the application of anthropometry and laboratory indexes can evaluate the nutritional status of patients with CKD. The most common nutritional problems in CKD patients include malnutrition, overweight and obesity, risk of malnutrition, and anemia. As for hypoalbuminemia, it is low in early CKD patients.

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  • 肾脏内科医务人员血源性职业暴露原因分析与对策

    目的探讨肾脏内科医务人员血源性职业暴露的致伤原因及风险因素,提出防护对策和暴露发生后的处理措施,以降低事故发生率。 方法统计分析2011年1月-2012年12月发生的25例血源性职业暴露的人员分布、暴露途径、暴露源的分类、暴露后的处理措施及预后。提出预防职业暴露的对策。 结果25例血源性职业暴露事件,人员以护士为主;暴露的途径以针刺伤、锐器伤为主;乙型肝炎病毒携带者是最主要的暴露源。暴露后处理措施以挤压、冲洗和消毒伤口为主。 结论在日常工作当中,锐器伤是最常见的职业损伤,适当的防护措施和暴露发生后及时的处理措施能有效预防和降低医务人员的职业暴露和暴露后感染的危险。

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  • 肾移植患者术后感染带状疱疹病毒护理1例

    总结1例肾移植患者术后感染带状疱疹病毒的护理。采用以下护理措施:严格消毒隔离措施,密切观察疱疹变化情况以及有无排斥反应,保持皮肤清洁干燥,观察有无其它致命并发症和加强人文关怀等。经过精心的治疗和护理,患者病情好转,安全渡过肾移植术后危险期。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • 内瘘切口脂肪液化致内瘘破裂出血、瘘闭一例

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