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肌肉活检术术后并发症原因分析及护理

目的　讨论肌肉活检术术后并发症原因及护理方法。 方法　对2009年9月－2010年3月44例接受肌肉活检手术患者中6例发生切口疼痛、感染、肿胀、渗血等并发症因素及护理方法进行回顾分析。 结果　经相应对症治疗和精心护理，其并发症得到有效抑制，于伤口完全愈合后出院，平均住院7.5 d。出院2周后随访，6例患者切口未再出现不良反应，愈合良好。 结论　术前加强营养，术中严格无菌操作，术后24 h内绝对卧床休息可减少并发症的发生。

热带癫痫的诊治现状

热带癫痫已经成为全球一项严重的社会公共健康问题。该文以“热带癫痫”为关键词在 PubMed、Medline、中国期刊全文数据库、维普数据库查阅 1992 年—2015 年关于全球热带地区癫痫的流行病学、病因、诊断和治疗方面的资料，并进行综述，以增进对热带癫痫的了解。热带癫痫发病率高，病因多样，主要为寄生虫感染、细菌感染、病毒感染、头外伤、围生期损伤等。病因诊断主要依据临床表现和脑电图，影像学检查也很关键。在热带地区，癫痫治疗缺口存在广泛，但其病因往往是可以预防的，注重其预防是控制发病率的关键。

抗N-甲基-M-天冬氨酸受体脑炎伴直肠阴道瘘保守治疗期护理一例

Application effect of individualized dietary care based on multidisciplinary collaboration model in stroke patients with abnormal blood glucose levels

Objective To investigate the application effect of ndividualized dietary care based on a multidisciplinary collaboration model on glycemic control, neurological recovery, dietary self-management, and satisfaction in stroke patients with abnormal blood glucose. Methods Patients with stroke and abnormal blood glucose admitted to the Department of Neurology, Shangjin Hospital, West China Hospital, Sichuan University between March and October 2024 were enrolled. Using SPSS 26.0 software, a random allocation sequence was generated to divide participants into an observation group and a control group. The control group received comprehensive nursing interventions, while the observation group received additional multidisciplinary collaboration model based individualized dietary care. Both groups were intervened until discharge. Glycemic indicators [glycated albumin (GA), fasting blood glucose (FBG), 2-hour postprandial blood glucose (2hPG)], neurological recovery, dietary adherence, and patient satisfaction were compared pre-intervention and post-intervention (at discharge). Results A total of 112 patients were included, with 56 patients in each group. At the post-intervention stage, GA, FBG and 2hPG in the observation group were lower than those in the control group (P<0.05), and the scores of the Dietary Compliance Scale for Type 2 Diabetes were higher than those in the control group (P<0.05). Except for admission (3.27±0.86 vs. 3.25±0.90, P＞0.05), the modified Rankin Scale scores of the observation group were lower than those of the control group at discharge (3.14±0.86 vs. 3.17±0.86), 30-days follow-up (2.93±0.76 vs. 3.02±0.84), and 90-days follow-up (1.05±0.80 vs.1.43±1.01) (P<0.05). The comparison results within the group showed that, there were significant differences in GA, FBG, 2hPG, modified Rankin Scale scores and Dietary Compliance Scale for Type 2 Diabetes between admission and discharge (P<0.05). The satisfaction rate of the observation group was higher than that of the control group (97.78% vs. 86.76%; χ2=3.877, P=0.049). Conclusion Multidisciplinary collaboration model based individualized dietary care improves short-term glycemic control, promotes long-term neurological recovery, enhances dietary adherence, and increases patient satisfaction in stroke patients with abnormal blood glucose, demonstrating clinical value for widespread application.