简介：摘要目的评价右美托咪定复合麻醉对急性肠梗阻患者肠道屏障功能的影响。方法选择胃肠外科及肛肠科住院手术治疗的急性肠梗阻患者94例，年龄33～81岁，体重48～80 kg，ASA分级Ⅰ或Ⅱ级。按随机数字表法将患者分为2组(n＝47)：常规麻醉组(R组)和右美托咪定复合麻醉组(D组)。D组在全麻诱导前静脉注射右美托咪定负荷剂量1 μg/kg 15 min，随后以0.5 μg·kg-1·h-1速率静脉输注至术毕前30 min。于右美托咪定负荷剂量输注前(T0)、术后1 d(T1)、术后3 d(T2)和术后7 d(T3)时抽取外周静脉血样，采用ELISA法检测血清二胺氧化酶(DAO)、D-乳酸(D-LAC)、细菌内毒素(BT)、TNF-α及IL-6浓度。记录术后并发症发生情况、肛门排气时间及住院时间。结果与R组比较，D组T1，2时血清DAO、D-LAC、BT、TNF-α及IL-6浓度降低，肛门排气时间及住院时间缩短，需呼吸循环支持发生率和并发症总发生率降低(P<0.05)。结论右美托咪定复合麻醉对急性肠梗阻患者肠道屏障功能有一定保护作用。

简介：摘要目的探讨护理干预对宫颈癌广泛子宫全切加盆腔淋巴清扫术患者膀胱功能恢复的影响。方法将宫颈癌广泛子宫全切加盆腔淋巴清扫术患者76例随机分为观察组（40例）和对照组（36例），对照组给予常规护理；观察组给予常规护理和个性化护理干预，比较两组术后膀胱残余尿量和留置导尿时间。结果观察组患者膀胱残余尿量＞100ml和留置导尿时间较对照组少,（P＜0.05）。结论护理干预可促进宫颈癌广泛子宫全切加盆腔淋巴清扫术患者的膀胱功能恢复，减少膀胱残余尿量，缩短留置导尿时间。

简介：　　 [摘要 ] 目的 研究糖尿病性慢性肾功能衰竭的血液透析护理干预方法，并分析其应用价值。方法 该次研究对象均选自 2018年 9月— 2020年 2月期间在该院接受治疗的糖尿病性慢性肾功能衰竭患者，共抽选 70例，利用单盲组分组法将所有患者分为两组（对照组与研究组），对照组患者进行常规护理，研究组患者给予综合护理，比较两组患者焦虑与抑郁情绪以及血糖水平的变化。结果 研究组患者在 SAS与 SDS评分的数据，均明显低于对照组，差异有统计学意义（ P<0.05） ;同时，研究组患者的空腹血糖水平明显低于对照组，差异有统计学意义（ P<0.05）。结论 糖尿病性慢性肾功能衰竭患者进行血液透析时应用综合护理干预，能够明显改善患者焦虑与抑郁的情绪，控制患者血糖水平，对患者治疗具有积极意义。  　　 [关键词 ] 糖尿病性 ;慢性肾功能衰竭 ;血液透析 ;焦虑 ;抑郁 ;血糖  　 [Abstract] Objective To study the nursing intervention method of hemodialysis in diabetic chronic renal failure and analyze its application value. method The subjects of this study were all selected from the patients with diabetic chronic renal failure who were treated in this hospital from September 2018 to February 2020. A total of 70 patients were selected. All patients were divided into two groups (control group and Study Group) by single blind group grouping method. The patients in the control group were given routine nursing, and the patients in the study group were given comprehensive nursing. The anxiety, depression and blood glucose and water of the two groups were compared Flat change. Results the data of SAS and SDS scores in the study group were significantly lower than that in the control group (P < 0.05), and the fasting blood glucose level in the study group was significantly lower than that in the control group (P < 0.05). Conclusion comprehensive nursing intervention can improve the anxiety and depression of the patients, control the blood glucose level, and have positive significance for the treatment of the patients.