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    find Keyword "肌肉注射" 3 results
    • 不同排氣方式對肝癌患者醋酸蘭瑞肽肌肉注射成功率的比較

      【摘要】 目的 總結不同排氣方式對肝癌患者醋酸蘭瑞肽肌肉注射成功率的關系,選擇最佳的排氣方法。 方法 2006年11月-2009年9月,將需行醋酸蘭瑞肽肌肉注射的肝癌患者182例隨機分為兩組,常規法92例,改良法90例。兩組均用藥物自帶的注射用水稀釋粉劑,溶解藥液備用,消毒皮膚后抽吸藥液,常規法排氣至針乳頭后,更換針頭后將針頭內空氣排盡行肌肉注射;改良法將藥液抽取在針筒,暫不排氣,更換針頭后快速排氣至針頭行肌肉注射。比較兩種方法的一次肌肉注射成功率。 結果 改良法成功率明顯高于常規法。 結論 將抽吸藥液保留于針筒,更換針頭后快速而連續排氣,能提高醋酸蘭瑞肽肌肉注射成功率。

      Release date:2016-09-08 09:51 Export PDF Favorites Scan
    • 心理干預對注射長效青霉素疼痛的影響

      目的探討心理干預對注射長效青霉素疼痛的影響。 方法選取2012年1月-8月100例肌肉注射長效青霉素的患者,隨機分成對照組和試驗組,每組各50例。對照組采用常規注射法,干預組在常規注射基礎上采用心理干預予以輔助,比較兩組疼痛程度和一次性注射成功率。 結果干預組視覺模擬疼痛評分為0~2、3~5、6~8、>8分的患者分別為22、15、8、5例,對照組分別為5、18、12、15例,干預組疼痛程度輕于對照組,差異有統計學意義(Z=-3.867,P<0.001);干預組一次性注射成功率(70.0%)高于對照組(40.0%),差異有統計學意義(χ2=9.091,P=0.003)。 結論心理干預能有效降低患者疼痛程度,且一次性注射成功率高,值得推廣。

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    • AN EXPERIMENTAL STUDY ON PERIPHERAL NERVE REGENERATION BY CELL-ASSOCIATED THERAPY

      Objective To explore the facilitative effects of different allogenic cells injected into the denervated muscles on the nerve regeneration, the protection of the myoceptor degeneration, and the promotion for rehabilitation of the muscular function. Methods Schwann cells, myoblast cells, and renal endothelial cells were prepared from 400 SD rats aged 7 days and weighing 20.0±2.3 g. Thirty-six adult female SD rats weighing 120-150 g were randomly divided into 4 groups(n=9). Under the asepsis condition, the left ischiadic nerves of all the SD rats were cut off, and the primary suture of the epineurium was performed. After operation, the different corresponding cells were injected into the triceps muscles of the rat calf in each group once per week for 4 times in all. One ml of Schwann cells (1×106/ml) was injected into the rats in Group A; 1 ml of the mixed cells of Schwann cells and myoblast cells (1×106/ml) was injected into the rats in Group B; 1 ml of the extract from the mixed cells of Schwann cells, myoblast cells, and renal endothelial cells (1×106/ml) was injected into the rats in Group C; 1 ml of the culture medium without any serum was injected into the rats in Group D as a control. After operation, observation was made for the general condition of the rats; 3 months after operation, enzymohistochemistry and the CJun expression were performedin the ventricornual motor neuron. At the proximal and the distal ends of the nerve suture, the density of neurilemma cells in the unit area and the area size of the regenerated nerve fibers were observed and measured. Results The affected limbs of the rats in Groups A, B and C improved 13 months after operation. The ulcers and swelling at the ankles gradually relieved and the rats could move normally 3 months after operation. However, the affected limbsof the rats in Group D still had ulcers and swelling, with an obvious contracture of the toes and a difficult movement. Three months after operation, the number of the target muscle myoceptor, the number of the Actin positive cells, the activity of the various enzymes in the denervated muscles, and the histological changes of the regenerated nerves were better in Group C than in Groups A and B (P<0.01); and they were all better in Groups A, B and C than in Group D(Plt;0.01). Conclusion Schwann cells, the mixture of Schwann cells and myoblast cells, and the extract from the mixture of Schwann cells, myoblast cells and renal endothelial cells can all promote neurotization and rehabilitation of the muscular function, and protect against the myoceptor degeneration. However, the effect of the extract is superior to that of Schwann cells or the mixed cells.

      Release date:2016-09-01 09:23 Export PDF Favorites Scan
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  • 松坂南