Objective: to treat patients with acute severe asthma by means of respiratory medicine, and to analyze the clinical effect and curative effect. Methods: a total of 70 acute severe asthma patients treated in our hospit...Objective: to treat patients with acute severe asthma by means of respiratory medicine, and to analyze the clinical effect and curative effect. Methods: a total of 70 acute severe asthma patients treated in our hospital were selected and divided into two groups according to the treatment method, 35 in each group, serving as the observation group and the control group respectively. The control group adopted the traditional method, and the observation group received comprehensive respiratory system intervention. The efficacy of the two methods, as well as the data of blood gas and lung function indicators before and after treatment, were compared. Results: after treatment, statistical analysis was used to analyze the data. Compared with the control group (82.86%), the total treatment effective rate of the observation group (97.14%) was at a high level, and the difference was significant (P<0.05). After treatment, the coronary CO2 (PaCO2) of the observation group (57.26±3.19) mmHg (1mmHg0.133kPa) was lower than that of the control group (67.95+6.13) mmHg, and the blood oxygen saturation (SaO2) (81.36±8.95 )mmHg was at a high level compared with the control group (71.63±6.19)mmHg, and the blood oxygen saturation (SaO2) (93.69±5.26)% was at a high level compared with the control group (81.06±3.95)%, and the difference was statistically significant significance (P<0.05). After treatment, the respiratory flow rate (PEF), forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) of the two groups were measured respectively. 0.16)L, (1.49±0.31), and compared with the control data (251.39±69.79)L/min, (2.36±0.11)L, (1.30±0.26)L, the differences were statistically significant (P<0.05). Conclusion: the clinical effect of comprehensive therapy of respiratory department on acute severe asthma patients is ideal, and it can improve their blood gas and lung function.展开更多
Objective: to study the clinical effect of pancreaticoduodenectomy and endoscopic cholangiocarcinoma in the treatment with obstructive jaundice. Methods: from January 2016 to January 2020 in our hospital of advanced m...Objective: to study the clinical effect of pancreaticoduodenectomy and endoscopic cholangiocarcinoma in the treatment with obstructive jaundice. Methods: from January 2016 to January 2020 in our hospital of advanced malignant obstructive jaundice patients selected 35 patients as study subjects, respectively using pancreaticoduodenectomy (with pancreaticoduodenectomy group, 23 cases) and endoscopic stent placement (endoscopic stent placement group, 12 cases). Changes in liver function before and after surgery were compared in group 2. Results: all patients successfully successful human enting and achieved drainage. In the first postoperative week of group 2, serum bilirubin, alanine transaminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (AKP) and glutinyltransferase (GT) were all significantly lower than those in the preoperative pancreaticoduodenectomy group: (211 ± 37) mol/L ratio (321 ± 54) mol / L, (81 ± 16) U / L ratio (113 ± 19) U / L, (46 ± 10) U / L ratio (83 ± 18) U / L, (354 ± 81) U / L ratio (554 ± 115) U / L, (241 ± 47) U / L ratio (486 ± 96) U / L;Endoscopic biliary duct stent implantation group: (254 ± 62) mol/L ratio (385 ± 37) mol / L, (106 ± 17) U / L ratio (146 ± 23) U / L, (82 ± 20) U / L ratio (104 ± 20) U / L, (520 ± 119) U / L ratio (596 ± 134) U / L, (304 ± 64) U / L ratio (536 ± 133) U / L] (P <0.01 or P <0.05);the preoperative serum bilirubin and ALT, AST, A K T and GT were significantly lower than the endoscopic biliary stent implantation group (P <0.05). In 35 patients, the serum bilirubin, ALT, AST, A S T, AKP, GT and postoperative week 2 were significantly lower than the preoperative [(225 ± 46), (179 ± 38) mol/L ratio (343 ± 49) mol / L, (90 ± 16), (73 ± 15) U / L ratio (124 ± 22) U / L, (59 ± 15), (54 ± 12) U / L ratio (90 ± 18) U / L, (411 ± 94), (2974-85) U / L ratio (568 ± 121) U / L, (262 ± 53), (219 ± 48) U / L ratio (503 ± 116) U / L, (39 ± 5) g / L ratio (40 ± 8) g / L];the serum bilirubin in the second postoperative week was lower than in the first postoperative week (all P <0.05;in this study, the main complications of mild cholangitis. With 2 mild pancreatitis and 3 biliary bleeding, including 4 (17.4%) and 3 in pancreaticoduodenectomy (25.0%), there was no significant difference in the incidence of postoperative complications in the 2 groups (P> 0.05). Conclusion: pancreaticoduodenectomy and endoscopic biliary duct stenting for the treatment of cholangiocarcinoma obstructive jaundice can effectively relieve the obstruction, improve liver function and improve the quality of life of patients. Choosing appropriate surgical methods and implementing individualized treatment can improve the safety and efficacy of biliary stent placement.展开更多
文摘Objective: to treat patients with acute severe asthma by means of respiratory medicine, and to analyze the clinical effect and curative effect. Methods: a total of 70 acute severe asthma patients treated in our hospital were selected and divided into two groups according to the treatment method, 35 in each group, serving as the observation group and the control group respectively. The control group adopted the traditional method, and the observation group received comprehensive respiratory system intervention. The efficacy of the two methods, as well as the data of blood gas and lung function indicators before and after treatment, were compared. Results: after treatment, statistical analysis was used to analyze the data. Compared with the control group (82.86%), the total treatment effective rate of the observation group (97.14%) was at a high level, and the difference was significant (P<0.05). After treatment, the coronary CO2 (PaCO2) of the observation group (57.26±3.19) mmHg (1mmHg0.133kPa) was lower than that of the control group (67.95+6.13) mmHg, and the blood oxygen saturation (SaO2) (81.36±8.95 )mmHg was at a high level compared with the control group (71.63±6.19)mmHg, and the blood oxygen saturation (SaO2) (93.69±5.26)% was at a high level compared with the control group (81.06±3.95)%, and the difference was statistically significant significance (P<0.05). After treatment, the respiratory flow rate (PEF), forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) of the two groups were measured respectively. 0.16)L, (1.49±0.31), and compared with the control data (251.39±69.79)L/min, (2.36±0.11)L, (1.30±0.26)L, the differences were statistically significant (P<0.05). Conclusion: the clinical effect of comprehensive therapy of respiratory department on acute severe asthma patients is ideal, and it can improve their blood gas and lung function.
文摘Objective: to study the clinical effect of pancreaticoduodenectomy and endoscopic cholangiocarcinoma in the treatment with obstructive jaundice. Methods: from January 2016 to January 2020 in our hospital of advanced malignant obstructive jaundice patients selected 35 patients as study subjects, respectively using pancreaticoduodenectomy (with pancreaticoduodenectomy group, 23 cases) and endoscopic stent placement (endoscopic stent placement group, 12 cases). Changes in liver function before and after surgery were compared in group 2. Results: all patients successfully successful human enting and achieved drainage. In the first postoperative week of group 2, serum bilirubin, alanine transaminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (AKP) and glutinyltransferase (GT) were all significantly lower than those in the preoperative pancreaticoduodenectomy group: (211 ± 37) mol/L ratio (321 ± 54) mol / L, (81 ± 16) U / L ratio (113 ± 19) U / L, (46 ± 10) U / L ratio (83 ± 18) U / L, (354 ± 81) U / L ratio (554 ± 115) U / L, (241 ± 47) U / L ratio (486 ± 96) U / L;Endoscopic biliary duct stent implantation group: (254 ± 62) mol/L ratio (385 ± 37) mol / L, (106 ± 17) U / L ratio (146 ± 23) U / L, (82 ± 20) U / L ratio (104 ± 20) U / L, (520 ± 119) U / L ratio (596 ± 134) U / L, (304 ± 64) U / L ratio (536 ± 133) U / L] (P <0.01 or P <0.05);the preoperative serum bilirubin and ALT, AST, A K T and GT were significantly lower than the endoscopic biliary stent implantation group (P <0.05). In 35 patients, the serum bilirubin, ALT, AST, A S T, AKP, GT and postoperative week 2 were significantly lower than the preoperative [(225 ± 46), (179 ± 38) mol/L ratio (343 ± 49) mol / L, (90 ± 16), (73 ± 15) U / L ratio (124 ± 22) U / L, (59 ± 15), (54 ± 12) U / L ratio (90 ± 18) U / L, (411 ± 94), (2974-85) U / L ratio (568 ± 121) U / L, (262 ± 53), (219 ± 48) U / L ratio (503 ± 116) U / L, (39 ± 5) g / L ratio (40 ± 8) g / L];the serum bilirubin in the second postoperative week was lower than in the first postoperative week (all P <0.05;in this study, the main complications of mild cholangitis. With 2 mild pancreatitis and 3 biliary bleeding, including 4 (17.4%) and 3 in pancreaticoduodenectomy (25.0%), there was no significant difference in the incidence of postoperative complications in the 2 groups (P> 0.05). Conclusion: pancreaticoduodenectomy and endoscopic biliary duct stenting for the treatment of cholangiocarcinoma obstructive jaundice can effectively relieve the obstruction, improve liver function and improve the quality of life of patients. Choosing appropriate surgical methods and implementing individualized treatment can improve the safety and efficacy of biliary stent placement.
