BACKGROUND Bladder cancer is a type of cancer with a high incidence in men.Plasma electrosurgery(PES)is often used in the treatment of bladder cancer.Postoperative complications often cause depression and anxiety in p...BACKGROUND Bladder cancer is a type of cancer with a high incidence in men.Plasma electrosurgery(PES)is often used in the treatment of bladder cancer.Postoperative complications often cause depression and anxiety in patients after surgery.AIM To investigate the current state of depression and anxiety after PES in patients with non-muscle-invasive bladder cancer and analyze the factors affecting them.METHODS A retrospective study was conducted to compare the baseline data of patients by collecting their medical history and grouping them according to their mental status into negative and normal groups.Logistic regression analysis was used to explore the risk factors affecting the occurrence of anxiety and depression after surgery in patients with bladder cancer.RESULTS Comparative analyses of baseline differences showed that the patients in the negative and normal groups differed in terms of their first surgery,economic status,educational level,and marital status.A logistic regression analysis showed that it affected the occurrence of anxiety in patients with bladder cancer,and the results showed that whether the risk factors were whether or not it was the first surgery,monthly income between 3000 and 3000-6000,secondary or junior high school education level,single,divorced,and widowed statuses.CONCLUSION The risk factors affecting the onset of anxiety and depression in bladder cancer patients after PES are the number of surgeries,economic status,level of education,and marital status.This study provides a reference for the clinical treatment and prognosis of bladder cancer patients in the future.展开更多
Objective: To explore the value of high-frequency electrocoagulation (APC) and endoscopic mucosal resection (EMR) in the treatment of colorectal polyps, and to provide guidance for the surgical treatment of such patie...Objective: To explore the value of high-frequency electrocoagulation (APC) and endoscopic mucosal resection (EMR) in the treatment of colorectal polyps, and to provide guidance for the surgical treatment of such patients. Methods: Cases were included in the period from December 2020 to December 2021. Patients with rectal polyps who underwent surgery in hospitals during this period were selected as the main subjects, and they were divided into groups by even and odd method. Among them, 75 patients underwent EMR as the experimental group, and the remaining 75 patients underwent APC as the control group. After the operation, the treatment effect, inflammatory factor level, related indicators, operation situation, complications and recurrence were compared among the groups. Results: (1) The therapeutic effect of the experimental group was significantly higher than that of the control group, and the difference was valuable (P 0.05);(2) After treatment, the levels of inflammatory factors in the experimental group were significantly lower than those in the control group, and the difference was significant (P 0.05). (3) The levels of E and Cor in the experimental group were significantly lower than those in the control group, and the average levels of AQP4 and AQP3 were significantly higher than those in the control group, and the difference was significant (P 0.05). (4) The recovery time of gastrointestinal function and anorectal function in the experimental group was significantly earlier than that in the control group, and the hospitalization time and operation time were significantly shorter than those in the control group, with significant difference (P 0.05). (5) The complications and recurrence rate of the experimental group were lower than those of the control group, and the difference was significant (P 0.05). Conclusion: EMR has a significant effect in the treatment of colorectal polyps, which can significantly reduce the level of inflammatory factors and stress indicators. It has the advantages of short operation time, quick postoperative recovery, few complications and low recurrence rate. The curative effect is significantly better than APC, and it can be applied and popularized in such diseases.展开更多
文摘BACKGROUND Bladder cancer is a type of cancer with a high incidence in men.Plasma electrosurgery(PES)is often used in the treatment of bladder cancer.Postoperative complications often cause depression and anxiety in patients after surgery.AIM To investigate the current state of depression and anxiety after PES in patients with non-muscle-invasive bladder cancer and analyze the factors affecting them.METHODS A retrospective study was conducted to compare the baseline data of patients by collecting their medical history and grouping them according to their mental status into negative and normal groups.Logistic regression analysis was used to explore the risk factors affecting the occurrence of anxiety and depression after surgery in patients with bladder cancer.RESULTS Comparative analyses of baseline differences showed that the patients in the negative and normal groups differed in terms of their first surgery,economic status,educational level,and marital status.A logistic regression analysis showed that it affected the occurrence of anxiety in patients with bladder cancer,and the results showed that whether the risk factors were whether or not it was the first surgery,monthly income between 3000 and 3000-6000,secondary or junior high school education level,single,divorced,and widowed statuses.CONCLUSION The risk factors affecting the onset of anxiety and depression in bladder cancer patients after PES are the number of surgeries,economic status,level of education,and marital status.This study provides a reference for the clinical treatment and prognosis of bladder cancer patients in the future.
文摘Objective: To explore the value of high-frequency electrocoagulation (APC) and endoscopic mucosal resection (EMR) in the treatment of colorectal polyps, and to provide guidance for the surgical treatment of such patients. Methods: Cases were included in the period from December 2020 to December 2021. Patients with rectal polyps who underwent surgery in hospitals during this period were selected as the main subjects, and they were divided into groups by even and odd method. Among them, 75 patients underwent EMR as the experimental group, and the remaining 75 patients underwent APC as the control group. After the operation, the treatment effect, inflammatory factor level, related indicators, operation situation, complications and recurrence were compared among the groups. Results: (1) The therapeutic effect of the experimental group was significantly higher than that of the control group, and the difference was valuable (P 0.05);(2) After treatment, the levels of inflammatory factors in the experimental group were significantly lower than those in the control group, and the difference was significant (P 0.05). (3) The levels of E and Cor in the experimental group were significantly lower than those in the control group, and the average levels of AQP4 and AQP3 were significantly higher than those in the control group, and the difference was significant (P 0.05). (4) The recovery time of gastrointestinal function and anorectal function in the experimental group was significantly earlier than that in the control group, and the hospitalization time and operation time were significantly shorter than those in the control group, with significant difference (P 0.05). (5) The complications and recurrence rate of the experimental group were lower than those of the control group, and the difference was significant (P 0.05). Conclusion: EMR has a significant effect in the treatment of colorectal polyps, which can significantly reduce the level of inflammatory factors and stress indicators. It has the advantages of short operation time, quick postoperative recovery, few complications and low recurrence rate. The curative effect is significantly better than APC, and it can be applied and popularized in such diseases.
