scholarly journals The Value of Combined Application of Oxycodone Hydrochloride Injection and Dexmedetomidine in Anesthesia for LC for Patients with Gallbladder Lesions

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Zhantian Wang ◽  
Xiaofeng Xu

Objective. To analyze the effect of combined application of oxycodone hydrochloride injection and dexmedetomidine in anesthesia for laparoscopic cholecystectomy (LC) for patients with gallbladder lesions. Method. 93 patients with gallbladder lesions in our hospital were divided into 2 groups by the random number table method. 46 patients in the control group applied oxycodone hydrochloride injection in anesthesia, and 47 patients in the observation group applied oxycodone hydrochloride injection combined with dexmedetomidine in anesthesia. Result. The T1 and T2 MAP levels in the observation group were lower than those in the control group ( P < 0.05 ), and the difference between T3 and the control group was not significantly significant ( P > 0.05 ). The T1 to T3 HR level in the observation group were lower than those in the control group ( P < 0.05 ). The rate of excessive sedation (10.64%) and sedation inefficiency (12.77%) in the observation group was lower than that in the control group (28.26% and 30.43%), and the rate of satisfactory sedation (76.60%) was higher than that in the control group (41.30%) ( P < 0.05 ). The postoperative awakening, tracheal tube removal, and first anal venting time were shorter in the observation group than in the control group ( P < 0.05 ). The WHO scores of incisional pain at 6, 12, 24, and 48 hours after the operation were lower in the observation group than in the control group ( P < 0.05 ). The T2 SOD level in the observation group was higher than that in the control group, and the ROS and MDA levels were lower than those in the control group ( P < 0.05 ). The incidence of side effects of anesthetic in the observation group was 17.02%, which was not statistically different from the control group of 13.04% ( P > 0.05 ). Conclusion. The combined application of oxycodone hydrochloride injection and dexmedetomidine in anesthesia for LC for patients with gallbladder lesions can achieve better sedation and analgesia effect, accelerate postoperative awakening and recovery, and control oxidative stress and fluctuations in signs, without increasing anesthesia-related side effects.

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Jiaying Song

Objective: To explore the clinical effect of iRoot BP Plus pulpotomy for immediate repair in children with young permanent teeth crown fracture. Methods: From September 2017 to October 2018, 80 children (80 affected teeth) with young permanent teeth crown fracture who treated in the hospital were selected as the research objects. Random number table method was used to divide them into observation and control groups with each group of forty patients (40 affected teeth). The children in the control group were treated with calcium hydroxide resin, while the observation group were treated with iRoot BP Plus for immediate repair. The surgical success rate was compared between the two groups, and the pulp vitality before and after treatment were compared. Results: At 3 months and 6 months after surgery, the success rate of children in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). The percentage of children with negative pulp activity in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion: Immediate repair with iRoot BP Plus pulpotomy in children with young permanent teeth crown fracture has significant clinical effect.


2019 ◽  
Vol 9 (8) ◽  
pp. 1547-1552
Author(s):  
Fuqin Bao ◽  
Dapeng Wang ◽  
Hongyan Zhao ◽  
Bo Xu

Objective: To investigate the application of predictive nursing guidelines in orthopedic care based on medical imaging and health statistics. Methods: 140 patients were divided into two groups: observation and control. The patients in the control group received routine nursing. The patients in the observation group received the guidance of predictive nursing on the basis of routine nursing. The nursing effects of the two groups were observed. Results: After the implementation of nursing interventions, the complication rate was 4.3% in the observation group and 20.0% in the control group. The difference between the groups was statistically significant (P < 0.05). The satisfaction rate was 97.1%, and the nursing satisfaction of the control group was 90.0%. The difference between the groups was statistically significant (P < 0.05). Discussion: Through observation of patient satisfaction and treatment, especially in orthopedics, patients are differentiated according to different diseases, and predictive care can effectively prevent complications. Conclusion: Predictive care provides preventive measures by comprehensively understanding and comprehensively assessing the patient's condition and developing care measures in a timely and effective manner.


2013 ◽  
Vol 2 ◽  
pp. 7
Author(s):  
Li Liu

<p><strong>Objective: </strong>To study the clinical effect on the treatment of cardiac arrhythmia, and further guide the clinical treatment. <strong>Method: </strong>From January 2011 to January 2013, 100 patients with arrhythmia were randomly divided into observation group and control group with 50 cases in each group. Observation group patients given oral Stable heart granule treatment, while control group was treated with oral propafenone treatment. The therapeutic effect and adverse reactions of the two groups were observed and compared. <strong>Results: </strong>The total effective rate of the observation group was higher than control group and incidence of adverse reactions was lower than control group, the difference was statistically significant, <em>p</em> &lt; 0.05. The use of stable heart particles in the treatment of arrhythmia produce significant effect. <strong>Conclusion: </strong>Clinical effect for Stable heart granule on arrhythmia was significant and should widely entrenched in clinical practice.</p>


2018 ◽  
Vol 2 (5) ◽  
Author(s):  
Huashuang Chen ◽  
Yanling Luo

ABSTRACT】OBJECTIVE: To access the effect and the effectiveness of sit-up training on elderly bedridden patients with severe pneumonia. METHODS: A total of 150 elderly bedridden patients diagnosed with severe pneumonia were recruited for this study. They were divided equally into the observation group and control group i.e. 75 cases in each group. All patients were selected from January 2016 to April 2018. On this basis, both groups were treated with the same routine nursing care except with the addition of 30 to 60 minutes sit-up trainings twice daily for the control group under supervision. The clinical hospitalization outcomes, length of hospital stay, and patient care satisfaction of the two groups were compared. RESULTS: The clinical hospitalization outcomes, length of hospital stay, and patient satisfaction of the observation group were found to be superior to the control group, and the difference was significant. Conclusion: In bedridden elderly patients with severe pneumonia, sit-up training had positive effects and beneficial in improving the clinical outcomes and recovery rate.


2021 ◽  
pp. 1-5
Author(s):  
Gui-Li Zhang ◽  
Ping Hao ◽  
Zhi-Jing Shi ◽  
Lei Xu ◽  
Yun-Mei Shi ◽  
...  

BACKGROUND: Tracheotomy is one of the first-aid measures for rescuing critically ill patients. OBJECTIVE: This study was designed to observe the clinical effect of using an innovative tracheotomy fixation belt in critically ill patients and to explore the feasibility of using this fixation method. METHODS: Eighty critically ill patients requiring a tracheotomy in Putuo District Central Hospital of Shanghai were enrolled in this study and divided into the observation group and control group (n= 40, each). In the control group, fixation was performed with conventional cotton twill tape, while in the observation group the fixation was carried out using a tracheotomy fixation belt. The differences in neck skin injury, the occurrence of eczema, and the rate of detachment of the tracheotomy tube in the two groups were compared. RESULTS: The rate of neck skin injury was 7.5% lower in the observation group than in the control group (30%), and the difference was statistically significant (p< 0.05). The incidence of skin eczema was 5% lower in the observation group than in the control group (22.5%), and the difference was statistically significant (p< 0.05). The detachment rate of the tracheotomy tube was 5% lower in the observation group than in the control group (20%), and the difference was statistically significant (p< 0.05). CONCLUSION: The use of an innovative tracheotomy fixation belt can effectively reduce skin damage to the patient’s neck, the incidence of eczema, and the incidence of detachment of the tracheotomy tube.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Miao Yu ◽  
Junhui Li ◽  
Yue Li ◽  
Lejing Yu

The purpose of this study was to analyze the hemodynamic changes and nursing care of patients with colorectal cancer who were peripherally placed into the central venous catheter (PICC) by color Doppler ultrasound based on an optimized algebraic reconstruction (ART) (OART) algorithm. In this study, 150 patients with colorectal cancer were selected and randomly divided into observation group and control group, with 75 cases in each group. Different nursing interventions were carried out. An optimized algebraic reconstruction (OART) algorithm was proposed, and the traditional ART algorithm and filtered back-projection (FBP) algorithm were introduced for comparison. They were applied in ultrasounds of 150 colorectal cancer patients undergoing PICC. The results showed that the Dice coefficient (Dice) and peak signal-to-noise ratio (PSNR) of the OART algorithm were greater than those of the ART and FBP algorithms, while the difference function (DF) and the running time were opposite ( P  < 0.05). The blood flow velocity (BFV) and blood flow (BF) of the arm vein 5 days after puncture were the least, which were less than those before puncture and 10 days and 30 days after puncture ( P  < 0.05). Thrombosis was most likely to be found 4–6 days after puncture (28 cases), followed by 10–15 days after puncture (22 cases), and one day after the puncture (19 cases). The BFV and BF of patients with thrombosis were lower than those of patients without thrombosis ( P  < 0.05). The total infection rate of PICC in the observation group was 10.7%, which was lower than that in the control group 32.0%, P  < 0.05. Nursing satisfaction of patients in observation group and control group was 95.99% and 75.99%, respectively, P  < 0.05, and the difference was statistically significant. In short, the ORAT algorithm proposed had better performance than the traditional algorithms in ultrasound image reconstruction; strengthening nursing intervention for chemotherapy patients with colorectal cancer undergoing PICC could effectively reduce the infection rate of PICC and improve the nursing satisfaction of patients.


2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Xue Hu

Objective: To explore the effect of targeted nursing based on basic living care on patients with chronic gastric ulcer. Method: Ninety patients with chronic gastric ulcer treated in our hospital from August 2018 to August 2019 were selected and divided into observation group (n = 45) and control group (n = 45) randomly. The control group was given routine care. On the basis of the control group, the observation group was given targeted care based on basic living care. Compare the compliance behavior in two groups. Results: After the intervention, the compliance score of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: The use of targeted care based on basic living care for patients with chronic gastric ulcer can improve their compliance behavior, which is worthy of clinical application.


2020 ◽  
Vol 9 (2) ◽  
pp. 36
Author(s):  
Yexin Li

<p>Objective: this article aims to explore the effect of comfortable nursing in ICU patients with severe infection. Methods: from January 2018 to January 2019, 44 patients with severe infection were selected as research objects. They were randomly divided into observation group (n=22) and control group (n=22). The control group was given routine nursing, while the observation group was given comfortable nursing on the basis of the control group. Pittsburgh Sleep Quality Index (PSQ1), Self-rating Anxiety Scale (SAS) and the incidence of adverse reactions were observed and compared between the two groups before and after intervention. Results: the PSQI score and SAS score of the patients in the observation group were lower than those in the control group. The incidence of adverse reactions in the observation group was 4.59%, which was significantly lower than that in the control group (27.27%), and the difference between the two groups was statistically significant (P&lt;0.05). Conclusion: comfortable nursing intervention for ICU patients with severe infection can obviously improve their sleep quality and negative emotions, and reduce the incidence of adverse reactions during hospitalization, which has clinical application value.</p>


2012 ◽  
Vol 1 ◽  
pp. 16
Author(s):  
Yi Luo

<strong>Objective:</strong> To analyze the application of nursing risk management in nursing management in Department of Respiration. <strong>Method: </strong>Select the medical records of 64 cases of hospitalized patients as the research object, then randomly divide them into observation group and control group with 32 cases in each. The observation group is given nursing risk management, and the control group is given basic nursing management. Two groups are compared quality of life and care satisfaction. <strong>Results: </strong>The environmental indicators, physiological indices and psychological indices, emotional state, degree of independence and social function sub-index score of the patients in the observation group are significantly higher than that of patients in the control group, and the difference is statistically significant (<em>p</em> &lt; 0.05). Patient care satisfaction rate and medical staff satisfaction of the patients in the observation group are significantly better than that of control group, and the difference is significant (<em>p</em> &lt; 0.05). In addition, nursing safety accident rate in the observation group is significantly lower than that of control group, and the difference is significant (<em>p</em> &lt; 0.05). <strong>Conclusion: </strong>Application of nursing risk management has a high value in nursing management in Department of Respiration, and is worthy of promotion in clinical.


1970 ◽  
Vol 1 (1) ◽  
Author(s):  
Song Jiaoyao

Objective: To explore the effect of the nursing intervention in patients with functional gastrointestinal diseases. Methods: 79functional gastrointestinal patients were selected from February 2015 to February 2016, and these patients were randomly divided into observation group and control group. 35 patients in each group. In the routine care of the medical department,the observation group has strengthened the comprehensive nursing care for the patient’s psychological, the living diet, the living environment, and the patient’s health education on the basis of the conventional nursing care. SCL-90 score was used to analyze the patient’s care and observe the health of the two groups after nursing care. Results: The scores of SAS and SDS were compared between the two groups after the intervention of the two groups. The scores of the two groups were decreased before the nursing intervention, the difference was statistically significant, but the trend of the observation group was more obvious. Compared with the control group, compared with before treatment there is a certain difference, the difference was statistically significant. Conclusion: In the comprehensive care of gastrointestinal patients, it can obviously improve the anxiety and depression of functional patients and improve the quality of life of patients.


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