Objective: to investigate the value of self-made negative pressure aspirator combined with ureteroscopic lithotripsy (URL) in the treatment of upper urinary calculi. Methods: 178 patients with upper urinary calculi we...Objective: to investigate the value of self-made negative pressure aspirator combined with ureteroscopic lithotripsy (URL) in the treatment of upper urinary calculi. Methods: 178 patients with upper urinary calculi were divided into two groups according to different treatment methods, 89 cases in each group. Patients in the control group were treated with conventional URI, and patients in the observation group were treated with self-made negative pressure suction device combined with URI. The surgical indicators, complications and therapeutic effects of patients in the two groups were observed. Results: the renal pressure, operation time, postoperative hospital stay, intraoperative blood loss, WBC count, neutrophil percentage, PCT value and CRP value in the observation group were significantly lower than those in the control group (P < 0.01), and the differences were statistically significant (P < 0.05). The primary stone clearance rate in the observation group was higher than that in the control group (P < 0.05), and the intraoperative stone escape rate, postoperative fever incidence and postoperative septic shock incidence in the observation group were significantly lower than those in the control group (P < 0.05), with statistically significant differences. Conclusion: the self-made negative pressure suction device combined with URL can significantly reduce the intraoperative calculus escape rate and the incidence of septic shock, and can significantly improve the primary calculus clearance rate with good effect.展开更多
Objective:To compare the effects of a pain management program and routine suctioning methods on the level of pain presence and agitation in Chinese adults admitted to the intensive care unit.To disseminate the results...Objective:To compare the effects of a pain management program and routine suctioning methods on the level of pain presence and agitation in Chinese adults admitted to the intensive care unit.To disseminate the results from the implementation of the evidence-informed pain management interventions for reducing pain presence and agitation during endotracheal tube suctioning(ETS)and translate the key finding to clinical nursing practice.Methods:A quasi-experimental study of a two-group post-test design was conducted in adults admitted after surgery to a surgical intensive care unit(SICU)of the Second Affiliated Hospital of Kunming Medical University,Yunnan,China in 2018.Fifty-two adults who met the study eligibility were included after consent,26 in each group.Patients in the control group received usual care while patients in the intervention group received interventions to reduce agitation and pain-related ETS.The impacts of the intervention on the level of pain presence and agitation were measured at 5 measuring time points using the Chinese versions of Critical-Care Pain Observation Tool(CPOT)and Richmond Agitation Sedation Scale(RASS).Results:The level of pain presence in the intervention group statistically significantly decreased during,immediately after,and 5 min after suctioning.The level of agitation in the intervention group significantly decreased during and immediately after suctioning.Conclusions:The findings provide support for the positive pain-relieving effects of the evidence-informed pain-related ETS management interventions when compared with the usual ETS practice.The study interventions were sufficiently effective and safe to maintain patent airway clean and patent as standardized suctioning and helps pain relief.So,evidence-based pain-related ETS management intervention is worthy of recommending to utilize in SICU patients as well as other patients who required suctioning.It is worth noting that integrating pre-emptive analgesia prescription and administration with non-pharmacological intervention plays a critical role in achieving pain relief.展开更多
目的:探讨AGFA COMPACT PLUS CR数字转换器的维修经验和体会。方法:通过掌握的维修实例了解设备的常见故障和维修方式。结果:及时有效地解决常见故障。结论:通过对AGFA COMPACT PLUS CR数字转换器的故障分析,学习掌握对设备故障的判断...目的:探讨AGFA COMPACT PLUS CR数字转换器的维修经验和体会。方法:通过掌握的维修实例了解设备的常见故障和维修方式。结果:及时有效地解决常见故障。结论:通过对AGFA COMPACT PLUS CR数字转换器的故障分析,学习掌握对设备故障的判断、分析及维修并能对设备进行保养。展开更多
文摘Objective: to investigate the value of self-made negative pressure aspirator combined with ureteroscopic lithotripsy (URL) in the treatment of upper urinary calculi. Methods: 178 patients with upper urinary calculi were divided into two groups according to different treatment methods, 89 cases in each group. Patients in the control group were treated with conventional URI, and patients in the observation group were treated with self-made negative pressure suction device combined with URI. The surgical indicators, complications and therapeutic effects of patients in the two groups were observed. Results: the renal pressure, operation time, postoperative hospital stay, intraoperative blood loss, WBC count, neutrophil percentage, PCT value and CRP value in the observation group were significantly lower than those in the control group (P < 0.01), and the differences were statistically significant (P < 0.05). The primary stone clearance rate in the observation group was higher than that in the control group (P < 0.05), and the intraoperative stone escape rate, postoperative fever incidence and postoperative septic shock incidence in the observation group were significantly lower than those in the control group (P < 0.05), with statistically significant differences. Conclusion: the self-made negative pressure suction device combined with URL can significantly reduce the intraoperative calculus escape rate and the incidence of septic shock, and can significantly improve the primary calculus clearance rate with good effect.
基金Thailand’s Educations Hub for the Southern Region of ASEAN Countries (TEH-AC) Scholarship through Prince of Songkla University, Thailand, for a scholarship award to support this study
文摘Objective:To compare the effects of a pain management program and routine suctioning methods on the level of pain presence and agitation in Chinese adults admitted to the intensive care unit.To disseminate the results from the implementation of the evidence-informed pain management interventions for reducing pain presence and agitation during endotracheal tube suctioning(ETS)and translate the key finding to clinical nursing practice.Methods:A quasi-experimental study of a two-group post-test design was conducted in adults admitted after surgery to a surgical intensive care unit(SICU)of the Second Affiliated Hospital of Kunming Medical University,Yunnan,China in 2018.Fifty-two adults who met the study eligibility were included after consent,26 in each group.Patients in the control group received usual care while patients in the intervention group received interventions to reduce agitation and pain-related ETS.The impacts of the intervention on the level of pain presence and agitation were measured at 5 measuring time points using the Chinese versions of Critical-Care Pain Observation Tool(CPOT)and Richmond Agitation Sedation Scale(RASS).Results:The level of pain presence in the intervention group statistically significantly decreased during,immediately after,and 5 min after suctioning.The level of agitation in the intervention group significantly decreased during and immediately after suctioning.Conclusions:The findings provide support for the positive pain-relieving effects of the evidence-informed pain-related ETS management interventions when compared with the usual ETS practice.The study interventions were sufficiently effective and safe to maintain patent airway clean and patent as standardized suctioning and helps pain relief.So,evidence-based pain-related ETS management intervention is worthy of recommending to utilize in SICU patients as well as other patients who required suctioning.It is worth noting that integrating pre-emptive analgesia prescription and administration with non-pharmacological intervention plays a critical role in achieving pain relief.
