ObjectiveTo investigate the effect of acoustic earplugs combined with sedative drugs on improving the success rate of MRI examinations in children with epilepsy, and to provide an effective clinical evidence for MRI examination in children with epilepsy for the future.MethodsSeventy-four children with epilepsy who came to the Second Affiliated Hospital of Guangzhou Medical University, between July 2016 and February 2018 were included in this research. To test the effectiveness of acoustic earplugs on children with epilepsy in improving MRI success rates, participants were divided into two groups randomly. The control group only took the drug and withont using the acoustic earplugs. The observation group used both the drug and acoustic earplugs. The comparing the success rate of MRI examination between the two groups.ResultsThe observed group (with the acoustic earplugs) showed a success rate of 97.29% (36/37), the control group (without the acoustic earplugs) showed a success rate of 18.91% (7/37). The success rate of the observed group was higher than the control group (P<0.05) significantly.ConclusionsThe use of acoustic earplugs combined with sedative drugs is effective in improving the success rate of MRI examination in children with epilepsy and can be widely used in clinical practice.
ObjectiveTo explore the effect of comfort care on patients undergoing CT enhanced scan. MethodsSixty patients undergoing CT enhanced scan were enrolled in June 2013, who were randomly divided into general care group (n=30) and comfort care group (n=30). General care group was given the routine care, while patients in the comfort care group accepted comfort care as well as routine care. The success rate of examination and excellent or good imaging rate between the two groups were compared. ResultsIn the general care group, the scan was successful in 21 patients and failed in 9, with a successful scan rate of 70.0% (21/30), and the excellent and good imaging rate was 71.4%. For the comfort care group, the scan examination succeeded in 29 patients and failed in 1 with a success rate of 96.7% (29/30), and the excellent and good imaging rate was 96.6% (28/29). The success rate in the two groups had statistical significance (χ2=7.680, P=0.006), and the excellent and good imaging rate was also significantly different (χ2=7.607, P=0.022). ConclusionComfort care for patients undergoing CT enhanced scan has a good effect in alleviating psychological stress, ensuring comfort and safety, and improving the success rate and excellent and good rate of imaging quality, which reflects its real value of nursing service in CT Department.
ObjectiveTo investigate the efficiency and safety of pneumatic retinopexy for rhegmatogenous retinal detachment (RRD). MethodsA prospective case series study. From January 2020 to December 2021, 27 eyes of 27 RRD patients in Joint Shantou International Eye Center were included. Among them, there were 10 males and 17 females; the mean age was 36.0±11.8 years old. There was recurrent retinal detachment in 4 eyes. Best corrected visual acuity (BCVA) and optical coherence tomography were performed. According to whether the retina was successfully reattached after a single intravitreal injection, the patients were divided into a single operation group and a second operation group. All eyes underwent pneumatic retinopexy, the patients received intravitreal injection of 0.3-0.5 ml 100% C3F8. On the next day, laser photocoagulation was performed around the retinal breaks. The mean follow-up time was 15.0±6.0 months. Outcome measures included single operation success rate, the BCVA at the last follow up and complications. The age, gender, extent of retinal detachment, number of retinal breaks, and preoperative and postoperative BCVA of patients in the single operation group and the second operation group were compared using Mann-Whiteney test or Fisher's exact test. ResultsTwenty of the 27 eyes (74.1%, 20/27) had retinal reattachment after single operation, 7 of the 27 eyes (25.9%, 7/27) had retinal reattachment after the second operation. Among the 7 eyes, retinal detachment recurrence after operation, retinal detachment recurrence after tear opening, and retinal detachment recurrence with new tears occurred in 1, 4, and 2 eyes, respectively; retinas were all reattached after scleral buckling or vitrectomy. The BCVA was stable and improved in 14 and 13 eyes, respectively. Compared with the single operation group, the retinal detachment in the second operation group was wider and the BCVA before operation was worse, the differences were statistically significant (Z=－2.842,－2.233; P<0.05). Transient intraocular pressure elevation occurred in 5 eyes; no complications such as infectious endophthalmitis, intraocular hemorrhage and lens damage occurred. ConclusionPneumatic retinopexy is safe and effective in the treatment of RRD.
Objective To systematically evaluate the influence of PICC (peripherally inserted central catheter) ultrasound guidance on success rates and incidences of complications of elbow catheterization. Methods The Cochrane Library (Issue 3, 2012), Library of JBI evidence-based nursing center, MEDLINE, EMbase, CBM, VIP, CNKI and WanFang Data were searched for relevant studies to influence on success rates of puncture and catheterization and complications from upper arm placement of PICC ultrasound guidance as well as conventional PICC placement from inception to March, 2012. The data were extracted according to the inclusion and exclusion criteria by two reviewers, the quality of included studies was also evaluated. Meta-analysis was conducted using RevMan 5.1, or only descriptive analysis was conducted instead. Results Eleven randomized controlled trials, five clinical controlled trials and four cohort studies were included, involving 4 052 patients. The results of meta-analysis showed that, upper arm placement of PICC ultrasound guidance combined with modified Seldinger technique was associated with significantly higher one-time success rates of puncture and catheterization than conventional PICC placement below the elbow, with significant differences (OR=4.71, 95%CI 1.97 to 11.28, P=0.000 5; OR=8.63, 95%CI 1.92 to 38.82, P=0.005). Conventional elbow catheterization had a significantly higher incidence of phlebitis than catheterization on the elbow that under the guidance of PICC ultrasound and modified Seldinger technique (OR=0.13, 95%CI 0.08 to 0.21, Plt;0.000 01). Conclusion Elbow catheterization under the guidance of PICC ultrasound combined with modified Seldinger technique has an obvious advantage in improving the success rates of puncture and catheterization and reducing the incidence of complications, compared with conventional elbow catheterization.
目的 探討4種輸尿管鏡入鏡方法的成功率及對輸尿管口的損傷。 方法 回顧性分析2008年7月－2011年3月間行輸尿管鏡手術的患者共553例，按其入鏡方法分為4組，分別采用球囊擴張法、灌注泵加壓灌注入鏡法、內旋法及倒入法進行輸尿管鏡操作。分析其成功率及對輸尿管口的損傷。 結果 氣囊擴張法成功率為95%，但對輸尿管口的損傷率為100%；灌注泵加壓法成功率為67.5%，輸尿管口損傷率為87.0%；內旋法的成功率為87.9%，損傷率為50.0%；倒入法成功率91.0%，對輸尿管口損傷率為22.2%。4種方法中，灌注泵加壓法一次性成功率最低，與其余3種方法比較，差異均有統計學意義（P＜0.008）；其余3種方法間一次性成功率差異無統計學意義（P＞0.008）。對輸尿管口的損傷率，4種方法組間兩兩比較的差異均有統計學意義（P＜0.008），其中氣囊擴張法損傷率最高，倒入法最低。 結論 倒入法是4種方法中成功率較高且損傷小的一種方法。
ObjectiveTo evaluate the effect of long-term systemic education management program on intervention of chronic obstructive pulmonary disease (COPD). MethodsTwo hundred forty-six stable patients were interviewed face-to-face from March to August in 2013.They were divided into a systemic education group, a follow-up group and a control group according to different management program.The investigation contained general conditions, commonly used medicines, the effects of smoking cessation, the frequency of acute exacerbation in the year before investigation, COPD Assessment Test (CAT) and modified British Medical Research Council (mMRC). ResultsThe success rate for smoking cessation in the systemic education group was 97.6%, which was higher than 81.0% in the follow-up group and 73.8% in the control group(P < 0.01).97.6% of patients in the systemic education group and 93.7% of patients in the follow-up group used bronchodilator.Whereas only 65.5% of patients in the control group inhaled bronchodilator, significantly lower than other two groups (P < 0.01).Mucolytic agents were taken by 14.5% and 19.0% of patients in the systemic education group and the follow-up group, and by 36.9% of patients in the control group (P < 0.01).The frequency of acute exacerbation was 0.9±0.9 both in the systemic education group and the follow-up group, which was lower than 1.2±1.0 in the control group (P < 0.05).CAT and mMRC in the systemic education group (10.2±5.7 and 1.5±1.0) and the follow-up group (11.1±5.8 and 1.5±0.9) were significantly lower than those in the control group (15.0±6.6 and 1.9±1.1, P < 0.01). ConclusionsLong-term systemic education management program can improve success rate for smoking cessation and bronchodilator use, reduce the frequency of acute exacerbation, and improve quality of life effectively in COPD patients.
目的:探討鼻內窺鏡在淚囊鼻腔吻合術后的應用。方法:343例436眼實施淚囊鼻腔吻合術,術后結合鼻內窺鏡檢查。結果:術后隨訪1～12月,手術治愈好轉率為96.33%。結論:鼻內窺鏡對淚囊鼻腔吻合術后吻合口行檢查及修復,能很好的提高淚囊鼻腔吻合術成功率。