Subjects: Nursing >> Nursing submitted time 2023-06-12
Abstract： Objective To compare the efficacy of dual-frequency dual-pulse laser lithotripsy under endoscopic retrograde cholangiopancreatography (ERCP) and traditional endoscopic mechanical lithotripsy in the treatment of patients with common bile duct stones, and summarize perioperative nursing measures. Methods From May 2018 to May 2022, the clinical data of 200 patients with common bile duct stones who underwent ERCP treatment and lithotripsy were retrospectively analyzed, of which 69 patients were treated with dual-frequency dual-pulse laser lithotripsy (Laser group) and 131 patients were treated with mechanical lithotripsy (Mechanical group), and the success rate of stone extraction, operation time, postoperative hospital stay time and complications of two groups of patients were compared. Results There was no significant difference in baseline data such as general conditions and preoperative clinical data between two groups (P＞0.05). Neither neither Laser group nor Mechanical group had reported the perioperative death case. There were no significant difference in postoperative bleeding, postoperative pancreatitis and perforation complication rates in the two groups (P＞0.05). The surgical time in the Laser group was significantly longer than that in the Mechanical group (P＜0.05). The postoperative hospital stay was shorter in the Laser group than that in the Mechanical group(P＜0.05), and the total complication rate and stone residue rate were lower in the Laser group than those in the Mechanical group (P＜0.05). Conclusion The treatment of common bile duct stones by dual-frequency dual-pulse laser lithotripsy has better efficacy and lower complication rate than traditional surgical mechanical lithotripsy, but there is still room for improvement in the operation time.
Peer Review Status:
Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-06-12
Abstract： This paper summarizes the nursing experience of a patient who received endoscopic variceal ligation in the treatment of esophageal varices, including preoperative psychological care, instrument preparation, patient preparation, intraoperative care, postoperative general care, complication care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of esophageal variceal ligation was guaranteed, the pain of patients was reduced, the patient''s symptoms were improved.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-01-17
Abstract：
This paper summarizes the nursing experience of a patient with ultrasound endoscopy of a small probe of gastric submucosal mass, including preoperative psychological care, device preparation, patient preparation, intraoperative nursing, postoperative care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of ultrasound endoscopy of the small probe of submucosal tumors in the stomach, reduce the pain of patients, improve patients" symptoms, and promote their recovery.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-01-17
Abstract： This paper summarizes the nursing experience of gastrointestinal endoscopy in an elderly patient without intubation general anesthesia, including the indications and contraindications of painless gastrointestinal endoscopy, preoperative psychological care, instrument preparation, dietary care, intraoperative nursing cooperation, postoperative nursing and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of gastrointestinal endoscopy for elderly patients without intubation under general anesthesia, reduce patient pain, improve patient diseases, and improve the diagnosis and treatment effect and nursing satisfaction of patients with digestive tract diseases.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract： This paper summarizes the nursing experience of a case of endoscopic six-ring lassus in the treatment of patients with esophageal varices, including preoperative psychological care, instrument preparation, patient preparation, intraoperative care, postoperative general care, complication care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of esophageal variceal ligation is guaranteed, the pain of patients is reduced, the patient""s symptoms are improved, and their recovery is promoted.
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract： In this paper, we summarize the nursing experience of a patient with colonic broad-basal adenomatous endoscopic mucosectomy, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative nursing and other targeted nursing measures. Through the comprehensive nursing mode of full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of colon adenomatous polyposis endoscopic mucosectomy is guaranteed, reducing patient pain, improving patient diseases, and promoting their recovery.
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract： This paper summarizes the nursing experience of a patient diagnosed with biliary stenosis under SpyGlass under ERCP, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative general nursing, complication nursing and other targeted nursing measures. Through the comprehensive nursing model, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of SpyGlass diagnosis of biliary stenosis under ERCP, reduce patient pain, improve patient diseases, and promote their recovery.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To investigate the safety and efficacy of assisted abdominal compression during colonoscopy. Methods A total of 50 patients who came to the endoscopy center of our hospital for colonoscopy were randomly divided into 25 patients in the personnel-assisted turning without compression group (group R) and 25 cases in the abdominal group (group D) with assisted compression, and the number of abdominal discomforts and colonoscopy time during the examination of the two groups of patients were recorded in the examination procedure. The effectiveness of abdominal compressions was compared between the two groups of patients. Results There were 25 cases in the assisted turnover group without compressions (group R) and the abdominal group with assisted compressions (group D), and there was a statistically significant difference in the number of abdominal discomforts in the examination procedures (P<0.05). The difference in colonoscopy time was statistically significant (P<0.05). Conclusion The application of assisted compression of the abdomen is to further reduce the pain of colonoscopy patients and the workload of the operator in the clinic, which has a certain effect.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To investigate the care of ERCP+EST+bile duct stenting in the treatment of common bile duct stenosis. Methods A total of 70 patients admitted to our department from January 2020 to December 2021 were treated with ERCP+EST+ bile duct stenting. The nursing research experience is obtained, including preoperative nursing, intraoperative cooperation, postoperative nursing, etc. Results 70 patients improved their preoperative examinations, did a good job in psychological care and intraoperative cooperation between patients and their families, and postoperative specialized nursing improved the success rate of surgery (accounting for 92%), reduced postoperative complications (accounting for 4%), shortened the length of hospitalization (accounting for 96%), and reduced hospitalization costs (accounting for 96%). Conclusion ERCP+EST+bile duct stenting is the best treatment for common bile duct stenosis at present. Strengthening preoperative care, strict aseptic operation, proficiency in ERCP operation technology, tacit cooperation of medical care and postoperative care are the basis for ensuring the success rate of surgery.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To investigate the safety and efficacy of jejunal nutrition tubes inserted into jejunum through therapeutic mirror accessory tubes for enteral nutrition. Methods A retrospective analysis was conducted on the clinical data of 90 patients with endoscopic placement of jejunal nutrition tubes in the Oriental Hospital of Beijing University of Traditional Chinese Medicine from January 2020 to January 2022, of which 60 patients were treated with jejunal nutrition tubes placed through oral biopsy hole forceps to jejunum (referred to as therapeutic lens group), and 30 patients were nasogascopically transnasal transnasal guide filament direct vision foreign body clamp clamping jejunal nutrition tube method (referred to as nasogastrometry group). Results All 90 patients were successfully placed in the upper section of the jejunum and successfully underwent enteral nutrition. The patient tolerated well during the catheterization process, and all patients were successfully placed at once. Nasogascopic group compared with therapeutic microscope group: the catheterization time is 15-60min compared with 5-30min, and the average 30min is 15min; The average depth of the tube was (100�10)cm ratio (120�10)cm; After catheterization, all patients have a good tolerance to enteral nutrition, the nutritional status of the patient has been significantly improved, and no extubation is required due to discomfort or inability to tolerate indwelling nutritional tubes; None of the complications such as perforation, gastrointestinal bleeding, and abdominal pain occurred. Conclusion The method of placing jejunal nutrition tube under the guidance of the guide wire of the transtherapy mirror accessory pipe has the advantages of short time and deeper catheter than the method of clamping the jejunal nutrition tube under the direct view of the nasogastric lens, and also has the characteristics of small trauma, easy operation, safety and high success rate, and is convenient for nursing, easy to accept patients, and is worthy of promotion and use by clinicians.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To analyze the effect of endoscopic mucosal resection (EMR) and cold snare polypectomy (CSP) in the treatment of colon polyps. Methods A total of 200 patients with colon polyps admitted to the Oriental Hospital of Beijing University of Chinese Medicine from January 2020 to December 2020 were selected as the research objects, and 100 cases (154 polyps) were divided into EMR group (172 polyps) and 100 cases (154 polyps) in the CSP group according to the random number table method. The two groups of polyp resection time, complication rate, polyp complete resection rate, specimen recovery rate, polyp recurrence rate and polyp regeneration rate were compared and analyzed. Results 154 polyps were removed in the CSP group and 172 polyps in the EMR group, and there was no statistical significance in the comparison of the complete resection rate and specimen recovery rate in the two groups (P>0.05). The polyp excision time in the CSP group was shorter than that in the EMR group (P<0.05), and the complication rate difference between the two groups was not statistically significant (P>0.05). Six months after surgery, there was no significant difference in the incidence of polyp recurrence and polyp regeneration in the two groups (P>0.05). Conclusion CSP treatment of colon polyps can shorten the operation time, and the complete resection rate, recurrence rate, polyp regeneration rate and safety of polyps are similar to EMR.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective: To analyze the effect of high-quality nursing on the improvement of outpatient blood collection quality and nursing quality. Methods: A total of 130 patients who received blood collection in the blood collection room from May 2020 to May 2022 were selected as the study objects, and the random number table method was used to divide them into observation group (65 cases) and control group (65 cases), and the quality nursing care and routine nursing were implemented respectively, and the application effects of the two nursing modes were compared. Results: The success rate of blood collection in the observation group (98.5%) was significantly higher than that of the control group (89.2%), the sample pass rate (96.9%) was significantly higher than that of the control group (87.7%), the incidence of nursing disputes (0) was significantly lower than that of the control group (6.2%), the degree of puncture pain was lower than that of the control group, and the satisfaction scores of various care care were higher than those of the control group <0.05)。 Conclusion: The application of high-quality nursing services in the outpatient blood collection room can help improve the success rate of blood collection and sample pass rate, and reduce nursing disputes, alleviate patient puncture pain, and improve their nursing satisfaction.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To compare the efficacy of dual-frequency dual-pulse laser lithotripsy under ERCP and traditional endoscopic mechanical lithotripsy in the treatment of patients with common bile duct stones. Methods From May 2018 to May 2022, the clinical data of 200 patients with common bile duct stones who underwent ERCP treatment and lithotripsy at the Digestive Endoscopy Center of Dongfang Hospital of Beijing University of Traditional Chinese Medicine were retrospectively analyzed, of which 69 patients were treated with dual-frequency dual-pulse laser lithotripsy (laser group) and 131 patients were treated with mechanical lithotripsy (mechanical group), and the success rate of stone extraction, operation time, postoperative hospital stay time and complications of 2 groups of patients were compared. Results The baseline data such as general conditions and preoperative clinical data of the two groups were basically the same (P>0.05). There were no significant differences in postoperative bleeding, postoperative pancreatitis and perforation complication rates in the two groups (P>0.05). The surgical time in the laser group was significantly longer than that in the mechanical group (P<0.05), the postoperative hospital stay was shorter (P<0.05), and the total complication rate and stone residue rate were lower (P<0.05). Conclusion The treatment of common bile duct stones by dual-frequency dual-pulse laser lithotripsy has better efficacy and lower complication rate than traditional surgical mechanical lithotripsy, but there is still room for improvement in the operation time.
Subjects: Geosciences >> Geography submitted time 2021-03-03 Cooperative journals: 《干旱区地理》
Abstract： 全球城市化进程加快引起的干旱区绿洲城市热岛效应变化及其生态环境问题已成为当前 国内外城市气候、环境和生态等领域的研究热点之一。基于遥感热红外通道反演的地表温度 （Land surface temperature，LST）是开展城市地表热岛（Surface urban heat island，SUHI）效应监测研 究的关键参数。然而，受热红外遥感数据“时空矛盾”的制约，目前在单一星载卫星传感器下尚不 存在同时具有高时间分辨率和高空间分辨率的热红外遥感数据源，因而制约了在干旱区绿洲城市 范围内开展高精度地表热岛效应监测研究。针对上述问题，以干旱区典型绿洲城市——乌鲁木齐 市为研究区域，以 Landsat 系列影像和 MODIS 地表温度产品为基础数据源，基于 FSDAF（Flexible spatiotemporal data fusion method）时空融合模型分析了 2001—2018 年乌鲁木齐市在城市扩张背景 下夏季地表热岛效应的时空变化特征以及夏季 LST 与城市地表参数之间的关系。研究结果表明：（1）乌鲁木齐市夏季热岛强度（SUHI intensity，SUHII）在不同的郊区范围内均呈现增加的趋势。在较小的郊区范围内，SUHII1 从 2001 年的 1.24 ℃增加到了 2018 年的 2.83 ℃；在较大的郊区范围内，SUHII2 从 2001 年的 1.44 ℃增加到了 2018 年的 2.88 ℃；（2）在研究区各土地利用类型中，裸地的夏 季 LST 最高，水体最低；（3）研究区地表反照率和不透水面的增加与城市夏季 LST 升高呈正相关，而植被指数与植被覆盖度则与 LST 呈负相关关系；（4）在干旱区绿洲城市，城区内部植被面积的增 加有助于缓解城市热岛效应，而仅郊区植被的增加则会导致 SUHII 的进一步增强。
Subjects: Biology >> Zoology submitted time 2018-12-20 Cooperative journals: 《动物营养学报》
Abstract：为促进蛋禽业的健康可持续发展，调控蛋禽的机体健康和产品品质已成为蛋禽业的研究重点和热点。锌作为蛋禽体内的必需微量元素之一，是多种酶和活性蛋白的必需组分和激活因子，广泛参与体内代谢，具有重要的生物学功能，在调控蛋禽机体状态和产品品质方面发挥重要作用。本文主要简述了锌在蛋禽中的生物学功能、在蛋禽生产中应用的研究进展、存在问题及展望，以期为锌在蛋禽生产中的合理应用提供理论参考。
Subjects: Medicine, Pharmacy >> Preclinical Medicine submitted time 2017-12-27 Cooperative journals: 《南方医科大学学报》
Abstract： Objective To examine the expression patterns of short palate, lung and nasal epithelium clone 1 (SPLUNC1) gene in human tissues. Methods In situ hybridization was used to detect the expression of SPLUNC1 gene in 37 different human tissues. Results We found that SPLUNC1 gene was not expressed in squamous epithelial cells of the palate, epidermis, esophagus, or the esophagus-cardia junction, metaplastic squamous cells in the nasopharynx, trachea, or uterus cervix, or tumor cells of esophageal squamous cell carcinoma or lung squamous cell carcinoma. SPLUNC1 gene was not expressed in the single layer columnar epithelia cells in the stomach, gallbladder, jejunum, colon, endometrium, or uterus cervix. SPLUNC1 expression was detected mainly in pseudostratified columnar epithelial cells in the nasopharynx, trachea and bronchi, and was gradually down-regulated from the upper to lower end of the respiratory tract, but was not detected in the lung tissues. SPLUNC1 expression was detected not only in the duct and serous gland cells in the parotid and submandibular glands, but also in cells of submucosal serous glands in the nasopharynx and lung, but not in the cells of the mucosal glands. The parietal cells of the gastric submucosa and epithelial cells of the lobula and ducts of the mammary glands expressed SPLUNC1. The adenocarcinoma cells in the lung, stomach, colon, mammary gland, uterus endometrium and cervix showed strong expressions of SPLUNC1 gene. Conclusion SPLUNC1 expression is highly cell-specific in association with the cell functions.
Subjects: Biology >> Zoology submitted time 2017-10-11 Cooperative journals: 《动物营养学报》
Abstract：家禽卵巢中颗粒细胞在卵泡发育和闭锁中起着重要作用，包括信号传递、营养供给以及离子平衡等。卵泡颗粒细胞的增殖与分化自身也受到生殖激素和细胞因子的综合调节,其作用机制是当前研究热点。家禽卵泡颗粒细胞的体外培养可作为研究繁殖生理调节的理想细胞模型。本文对家禽卵泡颗粒细胞的体外培养研究现状及颗粒细胞在卵泡生长发育和闭锁中的作用进行简要概述，并总结了原代颗粒细胞体外培养模型的建立方法。
Subjects: Biology >> Zoology submitted time 2017-10-10 Cooperative journals: 《动物营养学报》
Abstract：本试验通过研究饲粮铁水平对山麻鸭产蛋性能、蛋品质及肝脏和血液指标的影响，旨在探讨产蛋期（17~30周龄）蛋鸭对饲粮铁的需要量。选用15周龄的山麻鸭432羽，随机分为6个组，每组6个重复，每个重复12羽，单笼饲养。试验蛋鸭饲喂不添加铁的基础饲粮（含铁52.2 mg/kg）2周后，分别在基础饲粮中添加0、15、30、45、60、75 mg/kg的一水合硫酸亚铁（FeSO4·H2O），试验饲粮铁水平分别为52.2、67.2、82.2、97.2、112.2和127.2 mg/kg。试验期14周。结果表明：1）产蛋初期（17~18周龄），随着饲粮铁水平的提高，平均蛋重先升高后降低，其中饲粮铁水平为67.2、82.2和97.2 mg/kg组的平均蛋重显著高于112.2 mg/kg组（P0.05）。2）随着饲粮铁水平的提高，蛋黄色泽呈先升高后下降趋势，饲粮铁水平为97.2 mg/kg组蛋黄色泽最高。3）肝脏铁含量随饲粮铁水平的提高而呈上升趋势，其中饲粮铁水平为127.2 mg/kg组的铁含量显著高于52.2 mg/kg组（P0.05）。5）血红蛋白浓度和红细胞压积随饲粮铁水平的提高而上升；饲粮铁水平为97.2、112.2和127.2 mg/kg组的血红蛋白浓度显著高于52.2 mg/kg组（P<0.05），饲粮铁水平为112.2和127.2 mg/kg组的红细胞压积显著高于52.2 mg/kg组（P<0.05）。6）以平均蛋重为指标，通过二次曲线模型的回归方程可获得产蛋初期山麻鸭饲粮适宜铁水平为73.9 mg/kg。综合考虑，建议产蛋初期山麻鸭饲粮铁水平为73.9 mg/kg，产蛋高峰期为52.2 mg/kg。
Subjects: Biology >> Zoology submitted time 2017-10-10 Cooperative journals: 《动物营养学报》
Abstract：本试验旨在通过研究饲粮中不同色氨酸水平对蛋鸭产蛋性能、蛋品质、机体抗氧化指标和屠宰指标的影响，拟合出蛋鸭产蛋期色氨酸适宜需要量。选取120日龄山麻鸭900只，随机分为6个组，每个组6个重复，每个重复25只。各组蛋鸭分别饲喂色氨酸水平为0.12%、0.16%、0.20%、0.24%、0.28%、0.32%的试验饲粮，试验期20周。结果表明：1）饲粮色氨酸水平对蛋鸭产蛋率、平均蛋重、日产蛋重、料蛋比等无显著影响（P>0.05），但0.20%组在数值上表现出最高的产蛋率和日产蛋重。饲粮色氨酸水平对蛋壳强度、哈氏单位、蛋黄重、蛋黄比例、蛋壳重量、蛋壳比例、蛋壳厚度等蛋品质指标无显著影响（P>0.05），但显著影响蛋黄色泽（P0.05）。3）饲粮色氨酸水平对蛋鸭血清和肝脏抗氧化指标（除肝脏总超氧化物歧化酶）均无显著影响（P>0.05）。4）饲粮色氨酸水平对输卵管重量、输卵管长度、卵巢重量无显著影响（P>0.05）。根据折线模型拟合得出：饲粮色氨酸水平为0.20%时可满足产蛋高峰期蛋鸭营养需要。
Subjects: Biology >> Zoology submitted time 2017-10-10 Cooperative journals: 《动物营养学报》
Abstract：本试验旨在研究饲粮叶酸添加水平对山麻鸭产蛋性能、蛋品质、生殖器官及血浆生殖激素指标的影响，以确定产蛋期（18~32周龄）山麻鸭FA的需要量。试验选用16周龄的山麻鸭360只，随机分成6个组，每个组5个重复，每个重复12只，单笼饲养。试验蛋鸭饲喂不添加FA的基础饲粮2周后，分别饲喂在基础饲粮中添加0、0.5、1.0、2.0、4.0、8.0 mg/kg FA的试验饲粮，试验期15周。结果表明：1）饲粮FA添加水平对产蛋初期、产蛋高峰期和试验全期的蛋鸭产蛋性能指标无显著影响（P>0.05）。2）随着饲粮FA添加水平的提高，蛋壳相对重和蛋壳厚度先升高后下降，1.0 mg/kg FA添加组的蛋壳相对重显著高于其他组（P<0.05）。3）随着饲粮FA添加水平的提高，优势卵泡重、优势卵泡重/卵巢重先升高后降低，饲粮FA添加水平对优势卵泡重和优势卵泡重/卵巢重有显著影响（P<0.05），以4.0mg/kg叶酸添加组最高。4）随着饲粮FA添加水平的提高，血浆孕酮浓度先升高后下降，其中2.0 mg/kg FA添加组血浆孕酮浓度最高；8.0 mg/kg FA添加组血浆促黄体生成素浓度显著高于其他各组（P<0.05）。由此可见，在玉米-豆粕型饲粮中添加FA在一定程度上有利于促进优势卵泡的发育，但未能显著影响山麻鸭的产蛋性能。仅考虑产蛋性能，玉米-豆粕型饲粮中不需添加叶酸；以蛋壳相对重和蛋壳厚度为评价指标，建议玉米-豆粕型饲粮叶酸适宜添加水平为1.0 mg/kg。
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