Objective:To explore the application effect of TCM multimodal analgesia rapid rehabilitation strategies in perioperative period of hemorrhoids.Methods:A total of 90 patients with mixed hemorrhoid who received traditio...Objective:To explore the application effect of TCM multimodal analgesia rapid rehabilitation strategies in perioperative period of hemorrhoids.Methods:A total of 90 patients with mixed hemorrhoid who received traditional Milligan-Morgan surgical treatment from May 2018 to April 2019 in our hospital were selected.They were randomly divided into the control group and treatment group according to different analgesic strategies,with 45 cases in each group.The control group was given western medicine of analgesia,and the treatment group was given TCM multimodal of analgesia.The visual analogue scale(VAS)in the 2 groups after analgesic strategies were analyzed and compared to explore its effect and evaluate its application value.Results:From the 2^nd day to the 7^th day after the operation,VAS scores in the treatment group were lower than those in the control group,with statistically significant differences(P<0.05).The overall analgesic efficiency in the treatment group was higher than the control group.The incidence of postoperative complications was lower than the control group,and the hospitalization time was significantly shortened,with statistically significant differences(P<0.05).Conclusion:Compared with the western analgesic strategy,the pain of hemorrhoid patients treated by TCM multimodal analgesia was significantly relieved after hemorrhoid surgery.The rapid recovery strategy has fewer postoperative complications,quick recovery,patient satisfaction,and remarkable results.展开更多
Background To explore the effect of single-lumen tube with high-frequency low-tide ventilation mode to optimize nursing measures on patients’rapid recovery.Methods From October 2021 to December 2022,the clinical data...Background To explore the effect of single-lumen tube with high-frequency low-tide ventilation mode to optimize nursing measures on patients’rapid recovery.Methods From October 2021 to December 2022,the clinical data of 115 patients who underwent thoracoscopic mitral or/and tricuspid valve surgery in the Department of Cardiology,Guangdong Provincial People’s Hospital were selected.Patients underwent minimally invasive cardiac surgery with single-lumen tube(SLT)or double-lumen tube(DLT),and both groups adopted nursing measures of relieving anxiety and fear before operation,cooperating with doctors accurately and tacitly during operation,and paying attention to airway management after operation.The surgical variables and postoperative complications were recorded and analyzed.Results Among the 115 patients,57 cases were intubated with single-lumen and 58 cases were intubated with double-lumen.In the single-lumen tube group,the 24-hour thoracic fluid volume,postoperative hospitalization time,sputum aspiration times and intensive care unit(ICU)hospitalization time were significantly reduced(P<0.05).But there was no difference in postoperative complications and mechanical ventilation time between the two groups.Conclusion In minimally invasive cardiac surgery,optimizing perioperative nursing measures and inserting single-lumen tracheal intubation can accelerate the postoperative rehabilitation of patients compared with double-lumen tracheal intubation.展开更多
Objective: To investigate the nursing effects of rapid recovery care measures on lung cancer surgery patients. Methods: 42 cases of lung cancer surgery patients were divided into control group and study group, with 21...Objective: To investigate the nursing effects of rapid recovery care measures on lung cancer surgery patients. Methods: 42 cases of lung cancer surgery patients were divided into control group and study group, with 21 cases in each group. The sleep quality and postoperative recovery indicators were compared between the two groups. Results: The study group showed better results than the control group in terms of PSQI scores, venting time, extubation time, time to getting out of bed, and duration of antibiotic use, with P Conclusion: Rapid recovery nursing has a positive impact on improving sleep quality and promoting postoperative recovery in lung cancer surgery patients.展开更多
Objective: to explore whether active nursing measures during perioperative period can accelerate the recovery of patients with ameloblastoma of the mandible after vascularized fibular flap transplantation. Methods: si...Objective: to explore whether active nursing measures during perioperative period can accelerate the recovery of patients with ameloblastoma of the mandible after vascularized fibular flap transplantation. Methods: sixty-seven patients with mandibular ameloblastoma from January 2015 to May 2019 were selected and randomly divided into the intervention group and the control group. The control group received routine perioperative nursing measures after fibular flap surgery, while the intervention group received auxiliary preoperative and postoperative nursing intervention on the basis of general perioperative routine nursing measures, and received joint and muscle strength function training in the donor bone area, and the explanation of the steps and precautions of rehabilitation function training. The Prism Graphpad 7.01 software was used to analyze the postoperative pain score, the change of postoperative negative pressure drainage flow, the time of indwelling drainage tube at the flap removal and the postoperative hospital stay of the two groups of patients. Results: compared with the control group, the pain degree of the intervention group decreased significantly on the second and third days after surgery, and the negative pressure drainage volume decreased significantly. Compared with the control group, the mean postoperative duration of negative pressure drainage tube in the intervention group was shortened by 3 days, and the mean postoperative hospital stay was decreased by 5.5 days. Conclusion: nursing intervention in patients with ameloblastoma of the mandible during perioperative period can accelerate the recovery of patients.展开更多
Diabetic ketoacidosis(DKA)and hyperglycemic hyperosmolar state(HHS)are acute,life-threatening complications of diabetes.The overlap of these conditions,termed hyperosmolar diabetic ketoacidosis(H-DKA),is associated wi...Diabetic ketoacidosis(DKA)and hyperglycemic hyperosmolar state(HHS)are acute,life-threatening complications of diabetes.The overlap of these conditions,termed hyperosmolar diabetic ketoacidosis(H-DKA),is associated with substantial morbidity due to its complex pathophysiology and high complication rates.Notably,cases of H-DKA with glucose levels exceeding 50 mmol/L are rarely reported in the literature.This study details the clinical course of two H-DKA patients who exhibited extreme hyperglycemia at presentation,despite having no prior diagnosis of diabetes.Both patients underwent aggressive fluid resuscitation and insulin therapy,alongside careful management of acute complications.Vital signs and laboratory parameters demonstrated substantial normalization within 3 days of treatment initiation,and no acute or long-term complications related to the therapeutic interventions were observed.These cases underscore the efficacy of timely and intensive therapeutic interventions in mitigating the risks associated with extreme hyperglycemia in H-DKA and highlight critical strategies for optimal patient outcomes.展开更多
As an excellent room temperature sensing material,polyaniline(PANI)needs to be further investigated in the field of high sensitivity and sustainable gas sensors due to its long recovery time and difficulty to complete...As an excellent room temperature sensing material,polyaniline(PANI)needs to be further investigated in the field of high sensitivity and sustainable gas sensors due to its long recovery time and difficulty to complete recovery.The ZnO/PANI film with p-n heterogeneous energy levels have successfully prepared by spraying Zno nanorod synthesized by hydrothermal method on the PANI film rapidly synthesized at the gas-liquid interface.The presence of p-n heterogeneous energy levels enables the ZnO/PANI film to detect 0.1-100 ppm(1 ppm=10^(-6))NH_(3)at room temperature with the response value to 100 ppm NH_(3)doubled(12.96)and the recovery time shortened to 1/5(31.2s).The ability of high response and fast recovery makes the ZnO/PANI filmto be able to detect NH_(3)at room temperature continuously.It provides a new idea for PANI to prepare sustainable room temperature sensor and promotes the development of room temperature sensor in public safety.展开更多
BACKGROUNDRectal cancer is a common digestive tract malignancy influenced by genetic,dietary,and environmental factors.While traditional open surgery is effective,itoften leads to significant recovery challenges and c...BACKGROUNDRectal cancer is a common digestive tract malignancy influenced by genetic,dietary,and environmental factors.While traditional open surgery is effective,itoften leads to significant recovery challenges and complications.The da Vincirobotic system provides a minimally invasive option,enhancing precision andreducing recovery time.However,the anesthesia recovery phase is critical foreffective patient outcomes,particularly in older individuals.This study exploresthe impact of enhanced recovery after surgery(ERAS)-based anesthesia resuscitationon awakening quality in patients undergoing da Vinci robotic rectalcancer surgery,aiming to improve recovery protocols.AIMTo analyze the impact of anesthesia resuscitation interventions grounded in theprinciples of ERAS on the awakening quality of patients undergoing da Vincirobotic rectal cancer surgery.METHODSA total of 84 rectal cancer patients admitted from February 2021 to December 2022were selected and randomized into two groups:The control group(n=42)receivedconventional anesthesia recovery nursing care,while the study group(n=42)underwent anesthesia resuscitation interventions based on the ERAS framework.The quality of awakening,pain levels,vital signs,and complications werecompared between the two groups.RESULTSThe study group showed significantly shorter times for eye opening,extubation,orientation recovery,spontaneousrespiration,and anesthesia recovery room stay than the control group(P<0.05).Visual analog scale scores at 1hours,2 hours,4 hours,and 6 hours post-nursing were lower in the study group(P<0.05).In the control group,systolic blood pressure,diastolic blood pressure,heart rate,and respiratory rate at 10 minutes post-anesthesia werehigher than preoperative values(P<0.05),while no significant differences were found in the study group.Theseparameters were also lower in the study group at 10 minutes(P<0.05).The complication rate was significantlylower in the study group(4.76%)than in the control group(28.56%)(P<0.05).CONCLUSIONThe implementation of ERAS-based anesthesia resuscitation interventions in patients undergoing da Vinci roboticrectal cancer surgery enhances awakening quality,reduces complication rates,and helps stabilize vital signs.展开更多
Objective: To study the establishment and clinical application of multidisciplinary collaborative rapid rehabilitation nursing model in patients with brucellosis spondylitis during the perioperative period. Method: Fr...Objective: To study the establishment and clinical application of multidisciplinary collaborative rapid rehabilitation nursing model in patients with brucellosis spondylitis during the perioperative period. Method: From January 2009 to January 2013, 39 patients diagnosed with brucellosis spondylitis were treated with focal clearance combined with posterior pedicle internal fixation. Nursing was randomly divided into 2 groups: 19 cases of routine nursing as the control group (group A);20 cases of implementation of the nursing path as the intervention group (group B). In the intervention group, analgesic nursing plan, daily activity ability training path, medication compliance and health education path were used to effectively intervene on the evaluation parameters affecting rapid recovery and clinical efficacy (VAS score, daily activity ability mastery, Oswestry disability index and medication Morisky-Green index). The nursing effect and clinical evaluation of the two groups were compared. Results: As time went by, VAS pain score, mastery of daily activity ability, Oswestry disability index and medication compliance between the two groups at the same time point were significantly different (P Conclusions: The nursing path of brucellosis spondylitis is positively correlated with rapid recovery and clinical efficacy. Compared with routine nursing, it has a significant effect on accelerating postoperative rehabilitation and clinical efficacy.展开更多
With the improvement of living standards and cultural quality, people's requirements for nursing are getting higher and higher. The focus of nursing work is no longer traditional treatment as the focus, the scope ...With the improvement of living standards and cultural quality, people's requirements for nursing are getting higher and higher. The focus of nursing work is no longer traditional treatment as the focus, the scope and depth of nursing work gradually shifted to patient-centered. Most surgeons focus on the operation and have little experience in the early rehabilitation of perioperative patients. The concept of rapid rehabilitation nursing refers to the nursing mode of optimizing perioperative nursing methods and taking care of patients undergoing surgery under the guidance of evidence-based medicine.展开更多
Objective:To explore the clinical effect of multimodal nursing intervention on postoperative pain management in patients undergoing gastrointestinal surgery.Methods:A total of 120 patients who underwent gastrointestin...Objective:To explore the clinical effect of multimodal nursing intervention on postoperative pain management in patients undergoing gastrointestinal surgery.Methods:A total of 120 patients who underwent gastrointestinal surgery in our hospital from January 2023 to January 2024 were selected as the research subjects.They were randomly divided into the intervention group and the control group,with 60 cases in each group.The control group received routine postoperative care,while the intervention group received multimodal pain care intervention.The postoperative pain scores,the rate of using analgesic drugs,postoperative recovery indicators,and nursing satisfaction were compared between the two groups.Results:At 24 hours,48 hours,and 72 hours after surgery,the VAS pain scores of the intervention group were significantly lower than those of the control group(p<0.05);the rate of using analgesic drugs in the intervention group(25.0%)was significantly lower than that in the control group(48.3%)(p<0.05);the first defecation time,first ambulation time,and hospital stay of the intervention group were shorter than those of the control group(p<0.05);the nursing satisfaction of the intervention group(96.7%)was significantly higher than that of the control group(80.0%)(p<0.05).Conclusion:Multimodal pain care intervention can effectively relieve postoperative pain in patients undergoing gastrointestinal surgery,reduce the use of analgesic drugs,promote postoperative recovery,and improve nursing satisfaction.展开更多
BACKGROUND Along with the unceasing progress of medicine,Crohn's disease(CD),especially complex CD,is no longer a taboo for minimally invasive surgery.However,considering its special disease characteristics,more c...BACKGROUND Along with the unceasing progress of medicine,Crohn's disease(CD),especially complex CD,is no longer a taboo for minimally invasive surgery.However,considering its special disease characteristics,more clinical trials are needed to confirm the safety and feasibility of laparoscopic surgery for CD.AIM To investigate the safety and feasibility of laparoscopic enterectomy for CD,assess the advantages of laparoscopy over laparotomy in patients with CD,and discuss comprehensive minimally invasive surgical techniques in complex CD.METHODS This study prospectively collected clinical data from patients with CD who underwent enterectomy from January 2017 to January 2020.It was registered in the Chinese clinical trial database with the registration number ChiCTR-INR-16009321.Patients were divided into a laparoscopy group and a traditional laparotomy group according to the surgical method.The baseline characteristics,operation time,intraoperative blood loss,temporary stoma,levels of abdominal adhesion,pathological characteristics,days to flatus and soft diet,postoperative complications,hospitalization time,readmission rate within 30 d,and hospitalization cost were compared between the two groups.RESULTS A total of 120 eligible patients were enrolled into the pre-standardized groups,including 100 in the laparoscopy group and 20 in the laparotomy group.Compared with the laparotomy group,the postoperative hospitalization time in the laparoscopy group was shorter(9.1±3.9 d vs 11.0±1.6 d,P<0.05),the days to flatus were fewer(2.8±0.8 d vs 3.5±0.7 d,P<0.05),the days to soft diet were fewer(4.2±2.4 d vs 6.2±2.0 d,P<0.05)and the intraoperative blood loss was less(103.3±80.42 mL vs 169.5±100.42 mL,P<0.05).There were no statistically significant differences between the two groups in preoperative clinical data,operation time(149.0±43.8 min vs 159.2±40.0 min),stoma rate,levels of abdominal adhesion,total cost of hospitalization,incidence of postoperative complications[8.0%(8/100)vs 15.0%(3/20)],or readmission rate within 30 days[1.0%(1/100)vs 0.00(0/20)].CONCLUSION Compared with laparotomy,laparoscopic enterectomy promotes the recovery of gastrointestinal function,shortens the postoperative hospitalization time,and does not increase the incidence of postoperative complications.Laparoscopic enterectomy combined with varieties of minimally invasive surgical techniques is a safe and acceptable therapeutic method for CD patients with enteric fistulas.展开更多
With the continuous development of new energy generation technology and the increasingly complex power grid environment,the traditional black start scheme cannot meet the requirements of today’s power grid in order t...With the continuous development of new energy generation technology and the increasingly complex power grid environment,the traditional black start scheme cannot meet the requirements of today’s power grid in order to ensure the stable operation of the power system can be restored quickly in the face of large power outages,so a more complete black start scheme needs to be developed to cope with the new power system.With the development of energy storage technology,the limitations of the traditional black-start scheme can be solved by new energy farms with energy storage configuration.Therefore,this paper investigates the problems faced by black-start,the key technologies of energy storage assisted new energy black-start,and introduces the research related to new energy black-start technology to provide reference for future research and application of new energy black-start.展开更多
BACKGROUND Inflammatory bowel disease(IBD)is rare in patients with glycogen storage disease(GSD).In GSD patients,a decrease in the number of neutrophils leads to prolonged intestinal infection,leading to the formation...BACKGROUND Inflammatory bowel disease(IBD)is rare in patients with glycogen storage disease(GSD).In GSD patients,a decrease in the number of neutrophils leads to prolonged intestinal infection,leading to the formation of chronic inflammation and eventually the development of IBD.Minimally invasive surgery for patients with IBD has been proven to reduce inflammatory responses and postoperative risks and ultimately promote rapid recovery.Herein we discuss minimally invasive surgery and the perioperative management in a patient with GSD and IBD.CASE SUMMARY A 23-year-old male had GSD Ib associated with IBD-like disease for 10 years.Despite standard treatments,such as mesalazine,prednisone and adalimumab,the patient eventually developed colonic stenosis with incomplete ileus.After adequate assessment,the patient was treated with minimally invasive surgery and discharged in stable condition.CONCLUSION Minimally invasive surgery for patients with IBD and GSD is safe,feasible and effective.展开更多
基金Shenzhen Longgang District Medical and Health Technology Plan Support Project,project number LGKCYLWS2018000118project name Clinical Research on the Application of Multimodal Analgesia of Traditional Chinese Medicine Based on the Concept of Rapid Rehabilitation Surgery in Mixed Hemorrhoid Postoperative。
文摘Objective:To explore the application effect of TCM multimodal analgesia rapid rehabilitation strategies in perioperative period of hemorrhoids.Methods:A total of 90 patients with mixed hemorrhoid who received traditional Milligan-Morgan surgical treatment from May 2018 to April 2019 in our hospital were selected.They were randomly divided into the control group and treatment group according to different analgesic strategies,with 45 cases in each group.The control group was given western medicine of analgesia,and the treatment group was given TCM multimodal of analgesia.The visual analogue scale(VAS)in the 2 groups after analgesic strategies were analyzed and compared to explore its effect and evaluate its application value.Results:From the 2^nd day to the 7^th day after the operation,VAS scores in the treatment group were lower than those in the control group,with statistically significant differences(P<0.05).The overall analgesic efficiency in the treatment group was higher than the control group.The incidence of postoperative complications was lower than the control group,and the hospitalization time was significantly shortened,with statistically significant differences(P<0.05).Conclusion:Compared with the western analgesic strategy,the pain of hemorrhoid patients treated by TCM multimodal analgesia was significantly relieved after hemorrhoid surgery.The rapid recovery strategy has fewer postoperative complications,quick recovery,patient satisfaction,and remarkable results.
文摘Background To explore the effect of single-lumen tube with high-frequency low-tide ventilation mode to optimize nursing measures on patients’rapid recovery.Methods From October 2021 to December 2022,the clinical data of 115 patients who underwent thoracoscopic mitral or/and tricuspid valve surgery in the Department of Cardiology,Guangdong Provincial People’s Hospital were selected.Patients underwent minimally invasive cardiac surgery with single-lumen tube(SLT)or double-lumen tube(DLT),and both groups adopted nursing measures of relieving anxiety and fear before operation,cooperating with doctors accurately and tacitly during operation,and paying attention to airway management after operation.The surgical variables and postoperative complications were recorded and analyzed.Results Among the 115 patients,57 cases were intubated with single-lumen and 58 cases were intubated with double-lumen.In the single-lumen tube group,the 24-hour thoracic fluid volume,postoperative hospitalization time,sputum aspiration times and intensive care unit(ICU)hospitalization time were significantly reduced(P<0.05).But there was no difference in postoperative complications and mechanical ventilation time between the two groups.Conclusion In minimally invasive cardiac surgery,optimizing perioperative nursing measures and inserting single-lumen tracheal intubation can accelerate the postoperative rehabilitation of patients compared with double-lumen tracheal intubation.
文摘Objective: To investigate the nursing effects of rapid recovery care measures on lung cancer surgery patients. Methods: 42 cases of lung cancer surgery patients were divided into control group and study group, with 21 cases in each group. The sleep quality and postoperative recovery indicators were compared between the two groups. Results: The study group showed better results than the control group in terms of PSQI scores, venting time, extubation time, time to getting out of bed, and duration of antibiotic use, with P Conclusion: Rapid recovery nursing has a positive impact on improving sleep quality and promoting postoperative recovery in lung cancer surgery patients.
文摘Objective: to explore whether active nursing measures during perioperative period can accelerate the recovery of patients with ameloblastoma of the mandible after vascularized fibular flap transplantation. Methods: sixty-seven patients with mandibular ameloblastoma from January 2015 to May 2019 were selected and randomly divided into the intervention group and the control group. The control group received routine perioperative nursing measures after fibular flap surgery, while the intervention group received auxiliary preoperative and postoperative nursing intervention on the basis of general perioperative routine nursing measures, and received joint and muscle strength function training in the donor bone area, and the explanation of the steps and precautions of rehabilitation function training. The Prism Graphpad 7.01 software was used to analyze the postoperative pain score, the change of postoperative negative pressure drainage flow, the time of indwelling drainage tube at the flap removal and the postoperative hospital stay of the two groups of patients. Results: compared with the control group, the pain degree of the intervention group decreased significantly on the second and third days after surgery, and the negative pressure drainage volume decreased significantly. Compared with the control group, the mean postoperative duration of negative pressure drainage tube in the intervention group was shortened by 3 days, and the mean postoperative hospital stay was decreased by 5.5 days. Conclusion: nursing intervention in patients with ameloblastoma of the mandible during perioperative period can accelerate the recovery of patients.
基金supported by the Special Funds for Economic and Scientific Development of Medical and Health Science and Technology Program Projects in Longgang District,Shenzhen(LGKCYLWS2022-004).
文摘Diabetic ketoacidosis(DKA)and hyperglycemic hyperosmolar state(HHS)are acute,life-threatening complications of diabetes.The overlap of these conditions,termed hyperosmolar diabetic ketoacidosis(H-DKA),is associated with substantial morbidity due to its complex pathophysiology and high complication rates.Notably,cases of H-DKA with glucose levels exceeding 50 mmol/L are rarely reported in the literature.This study details the clinical course of two H-DKA patients who exhibited extreme hyperglycemia at presentation,despite having no prior diagnosis of diabetes.Both patients underwent aggressive fluid resuscitation and insulin therapy,alongside careful management of acute complications.Vital signs and laboratory parameters demonstrated substantial normalization within 3 days of treatment initiation,and no acute or long-term complications related to the therapeutic interventions were observed.These cases underscore the efficacy of timely and intensive therapeutic interventions in mitigating the risks associated with extreme hyperglycemia in H-DKA and highlight critical strategies for optimal patient outcomes.
基金supported by the National Natural Science Foundation of China(Grant Nos.21771060 and 61271126)the International Science&Technology Cooperation Program of China(Grant No.2016YFE0115100)+2 种基金the Program for Science and Technology Project of Heilongjiang Province(Grant No.JQ2021B002)the Heilongjiang Provincial Natural Science Foundation of China(Grant No.2019LH0320)the Reform and Development Fund Project of Local University supported by the Central Government,Heilongjiang Touyan Innovation Team Program.
文摘As an excellent room temperature sensing material,polyaniline(PANI)needs to be further investigated in the field of high sensitivity and sustainable gas sensors due to its long recovery time and difficulty to complete recovery.The ZnO/PANI film with p-n heterogeneous energy levels have successfully prepared by spraying Zno nanorod synthesized by hydrothermal method on the PANI film rapidly synthesized at the gas-liquid interface.The presence of p-n heterogeneous energy levels enables the ZnO/PANI film to detect 0.1-100 ppm(1 ppm=10^(-6))NH_(3)at room temperature with the response value to 100 ppm NH_(3)doubled(12.96)and the recovery time shortened to 1/5(31.2s).The ability of high response and fast recovery makes the ZnO/PANI filmto be able to detect NH_(3)at room temperature continuously.It provides a new idea for PANI to prepare sustainable room temperature sensor and promotes the development of room temperature sensor in public safety.
文摘BACKGROUNDRectal cancer is a common digestive tract malignancy influenced by genetic,dietary,and environmental factors.While traditional open surgery is effective,itoften leads to significant recovery challenges and complications.The da Vincirobotic system provides a minimally invasive option,enhancing precision andreducing recovery time.However,the anesthesia recovery phase is critical foreffective patient outcomes,particularly in older individuals.This study exploresthe impact of enhanced recovery after surgery(ERAS)-based anesthesia resuscitationon awakening quality in patients undergoing da Vinci robotic rectalcancer surgery,aiming to improve recovery protocols.AIMTo analyze the impact of anesthesia resuscitation interventions grounded in theprinciples of ERAS on the awakening quality of patients undergoing da Vincirobotic rectal cancer surgery.METHODSA total of 84 rectal cancer patients admitted from February 2021 to December 2022were selected and randomized into two groups:The control group(n=42)receivedconventional anesthesia recovery nursing care,while the study group(n=42)underwent anesthesia resuscitation interventions based on the ERAS framework.The quality of awakening,pain levels,vital signs,and complications werecompared between the two groups.RESULTSThe study group showed significantly shorter times for eye opening,extubation,orientation recovery,spontaneousrespiration,and anesthesia recovery room stay than the control group(P<0.05).Visual analog scale scores at 1hours,2 hours,4 hours,and 6 hours post-nursing were lower in the study group(P<0.05).In the control group,systolic blood pressure,diastolic blood pressure,heart rate,and respiratory rate at 10 minutes post-anesthesia werehigher than preoperative values(P<0.05),while no significant differences were found in the study group.Theseparameters were also lower in the study group at 10 minutes(P<0.05).The complication rate was significantlylower in the study group(4.76%)than in the control group(28.56%)(P<0.05).CONCLUSIONThe implementation of ERAS-based anesthesia resuscitation interventions in patients undergoing da Vinci roboticrectal cancer surgery enhances awakening quality,reduces complication rates,and helps stabilize vital signs.
文摘Objective: To study the establishment and clinical application of multidisciplinary collaborative rapid rehabilitation nursing model in patients with brucellosis spondylitis during the perioperative period. Method: From January 2009 to January 2013, 39 patients diagnosed with brucellosis spondylitis were treated with focal clearance combined with posterior pedicle internal fixation. Nursing was randomly divided into 2 groups: 19 cases of routine nursing as the control group (group A);20 cases of implementation of the nursing path as the intervention group (group B). In the intervention group, analgesic nursing plan, daily activity ability training path, medication compliance and health education path were used to effectively intervene on the evaluation parameters affecting rapid recovery and clinical efficacy (VAS score, daily activity ability mastery, Oswestry disability index and medication Morisky-Green index). The nursing effect and clinical evaluation of the two groups were compared. Results: As time went by, VAS pain score, mastery of daily activity ability, Oswestry disability index and medication compliance between the two groups at the same time point were significantly different (P Conclusions: The nursing path of brucellosis spondylitis is positively correlated with rapid recovery and clinical efficacy. Compared with routine nursing, it has a significant effect on accelerating postoperative rehabilitation and clinical efficacy.
文摘With the improvement of living standards and cultural quality, people's requirements for nursing are getting higher and higher. The focus of nursing work is no longer traditional treatment as the focus, the scope and depth of nursing work gradually shifted to patient-centered. Most surgeons focus on the operation and have little experience in the early rehabilitation of perioperative patients. The concept of rapid rehabilitation nursing refers to the nursing mode of optimizing perioperative nursing methods and taking care of patients undergoing surgery under the guidance of evidence-based medicine.
文摘Objective:To explore the clinical effect of multimodal nursing intervention on postoperative pain management in patients undergoing gastrointestinal surgery.Methods:A total of 120 patients who underwent gastrointestinal surgery in our hospital from January 2023 to January 2024 were selected as the research subjects.They were randomly divided into the intervention group and the control group,with 60 cases in each group.The control group received routine postoperative care,while the intervention group received multimodal pain care intervention.The postoperative pain scores,the rate of using analgesic drugs,postoperative recovery indicators,and nursing satisfaction were compared between the two groups.Results:At 24 hours,48 hours,and 72 hours after surgery,the VAS pain scores of the intervention group were significantly lower than those of the control group(p<0.05);the rate of using analgesic drugs in the intervention group(25.0%)was significantly lower than that in the control group(48.3%)(p<0.05);the first defecation time,first ambulation time,and hospital stay of the intervention group were shorter than those of the control group(p<0.05);the nursing satisfaction of the intervention group(96.7%)was significantly higher than that of the control group(80.0%)(p<0.05).Conclusion:Multimodal pain care intervention can effectively relieve postoperative pain in patients undergoing gastrointestinal surgery,reduce the use of analgesic drugs,promote postoperative recovery,and improve nursing satisfaction.
文摘BACKGROUND Along with the unceasing progress of medicine,Crohn's disease(CD),especially complex CD,is no longer a taboo for minimally invasive surgery.However,considering its special disease characteristics,more clinical trials are needed to confirm the safety and feasibility of laparoscopic surgery for CD.AIM To investigate the safety and feasibility of laparoscopic enterectomy for CD,assess the advantages of laparoscopy over laparotomy in patients with CD,and discuss comprehensive minimally invasive surgical techniques in complex CD.METHODS This study prospectively collected clinical data from patients with CD who underwent enterectomy from January 2017 to January 2020.It was registered in the Chinese clinical trial database with the registration number ChiCTR-INR-16009321.Patients were divided into a laparoscopy group and a traditional laparotomy group according to the surgical method.The baseline characteristics,operation time,intraoperative blood loss,temporary stoma,levels of abdominal adhesion,pathological characteristics,days to flatus and soft diet,postoperative complications,hospitalization time,readmission rate within 30 d,and hospitalization cost were compared between the two groups.RESULTS A total of 120 eligible patients were enrolled into the pre-standardized groups,including 100 in the laparoscopy group and 20 in the laparotomy group.Compared with the laparotomy group,the postoperative hospitalization time in the laparoscopy group was shorter(9.1±3.9 d vs 11.0±1.6 d,P<0.05),the days to flatus were fewer(2.8±0.8 d vs 3.5±0.7 d,P<0.05),the days to soft diet were fewer(4.2±2.4 d vs 6.2±2.0 d,P<0.05)and the intraoperative blood loss was less(103.3±80.42 mL vs 169.5±100.42 mL,P<0.05).There were no statistically significant differences between the two groups in preoperative clinical data,operation time(149.0±43.8 min vs 159.2±40.0 min),stoma rate,levels of abdominal adhesion,total cost of hospitalization,incidence of postoperative complications[8.0%(8/100)vs 15.0%(3/20)],or readmission rate within 30 days[1.0%(1/100)vs 0.00(0/20)].CONCLUSION Compared with laparotomy,laparoscopic enterectomy promotes the recovery of gastrointestinal function,shortens the postoperative hospitalization time,and does not increase the incidence of postoperative complications.Laparoscopic enterectomy combined with varieties of minimally invasive surgical techniques is a safe and acceptable therapeutic method for CD patients with enteric fistulas.
基金Supported by Joint Foundation of Natural Science Foundation of Jilin Province(No.YDZJ202101ZYTS152).
文摘With the continuous development of new energy generation technology and the increasingly complex power grid environment,the traditional black start scheme cannot meet the requirements of today’s power grid in order to ensure the stable operation of the power system can be restored quickly in the face of large power outages,so a more complete black start scheme needs to be developed to cope with the new power system.With the development of energy storage technology,the limitations of the traditional black-start scheme can be solved by new energy farms with energy storage configuration.Therefore,this paper investigates the problems faced by black-start,the key technologies of energy storage assisted new energy black-start,and introduces the research related to new energy black-start technology to provide reference for future research and application of new energy black-start.
文摘BACKGROUND Inflammatory bowel disease(IBD)is rare in patients with glycogen storage disease(GSD).In GSD patients,a decrease in the number of neutrophils leads to prolonged intestinal infection,leading to the formation of chronic inflammation and eventually the development of IBD.Minimally invasive surgery for patients with IBD has been proven to reduce inflammatory responses and postoperative risks and ultimately promote rapid recovery.Herein we discuss minimally invasive surgery and the perioperative management in a patient with GSD and IBD.CASE SUMMARY A 23-year-old male had GSD Ib associated with IBD-like disease for 10 years.Despite standard treatments,such as mesalazine,prednisone and adalimumab,the patient eventually developed colonic stenosis with incomplete ileus.After adequate assessment,the patient was treated with minimally invasive surgery and discharged in stable condition.CONCLUSION Minimally invasive surgery for patients with IBD and GSD is safe,feasible and effective.
