辐射台暴露疗法及湿润烧伤膏在新生儿臀红护理中的应用

目的 探讨辐射台暴露疗法及湿润烧伤膏在新生儿臀红护理中的应用效果.方法 选取104例有不同程度臀红的新生儿,随机分成实验组和对照组,每组各52例.实验组采用辐射台暴露疗法和湿润烧伤膏涂臀部的方法,对照组用传统护理方法.结果 实验组的总有效率高于对照组(P＜0.01).结论 辐射台暴露疗法及湿润烧伤膏应用于新生儿臀红护理中,能有减少尿裤与臀部皮肤的摩擦,有效地防止出现不透气现象,且能让皮肤表面形成保护层而使皮肤与不良刺激隔离.从而保护皮肤、控制皮肤炎症发展,使受损皮肤能在短时间内很快痊愈.     

思密达在新生儿臀红中的疗效观察与护理

目的 探讨思密达外用治疗新生儿臀红的应用效果,解决新生儿臀红护理困难的问题.方法将75例新生儿臀红患儿随机分成2组,对照组(35例)使用普通爽身粉,实验组(40例)使用思密达粉,比较2组疗效.结果实验组护理效果优于对照组,差别有统计学意义(P<0.01).结论新生儿臀红使用思密达粉护理效果优于使用普通爽身粉,且该药刺激性小,无不良反应,值得临床推广.     

天仙子联合湿润烧伤膏治疗化疗性静脉炎的疗效观察

目的 探讨中药天仙子联合湿润烧伤膏治疗化疗性静脉炎的疗效.方法 将115例发生化疗性静脉炎患者,随机分为观察组58例和对照组57例,观察组采用中药天仙子联合湿润烧伤膏治疗,对照组单用湿润烧伤膏治疗.观察并比较2组化疗性静脉炎的总有效率及治疗有效时间.结果 2组总有效率及治疗有效时间比较,差异均有统计学意义(p＜0.01,p＜0.05).结论 采用中药天仙子联合湿润烧伤膏治疗化疗性静脉炎能提高有效率,缩短治疗时间,其疗效优于单用湿润烧伤膏组.     

新生儿红臀的诱因及护理

目的:探讨新生儿红臀的主要诱因,交流新生儿红臀的护理方法.方法:采用以含酚乳、派瑞松、百多邦等药物干预,以烤灯、电热吹风等为物理干预,两者相配合的方法.结论:充分认识新生儿红臀的危险性,加强对新生儿红臀的科学护理,以药物干预及护理相结合的办法,达到理想的护理效果.     

生长因子治疗新生儿Ⅲ度臀红的效果观察

目的 观察生长因子对Ⅲ度臀红的治疗效果.方法 52例患儿分为2组,对照组采用暴露、红外线理疗、生理盐水湿敷、百多邦、派瑞松交替外涂法,观察组在此基础上应用生长因子喷创面.结果 观察组有效率100%,明显优于对照组(p<0.05).结论 采用生长因子治疗新生儿重度臀红,效果明显.     

赛肤润预防光照疗法引起新生儿臀红的观察

目的 通过对新生儿在光照疗法(以下简称光疗)期间使用赛肤润及紫草油预防臀红的疗效比较,寻求一种安全、有效、简单方便的护理措施来干预光疗引起的新生儿臀红.方法 选择在本科住院,诊断为新生儿高胆红素血症,需要光疗治疗,入院时无臀红的足月新生儿200例,根据住院号末位数的奇偶分为治疗组及对照组,治疗组100例在光疗期间用赛肤润护理臀部,对照组100例在光疗期间用紫草油护理臀部,每天光疗时间均为12h,光疗3d后比较2组新生儿在光疗期间发生臀红的情况.结果 治疗组100例中有5例发生轻度臀红,臀红发生率为5%,对照组100例中发生轻度臀红15例,臀红发生率为15%.比较2组臀红发生率差异有统计学意义(χ2=5.56,p<0.05),治疗组臀红发生率明显低于对照组.结论 赛肤润预防光疗引起的新生儿臀红效果显著,疗效优于紫草油.     

腋静脉留置针在早产儿输液中的应用

目的 观察腋静脉穿刺留置套管针在早产儿输液中的应用.方法 120例早产儿随机分为观察组和对照组,观察组采用腋静脉穿刺留置套管针,对照组采用头皮静脉、四肢静脉穿刺留置针;观察静脉留置针的保留时间、保留成功率以及局部堵塞、渗漏、感染、抓脱等在2组之间的发生情况.结果观察组套管针留置时间长于对照组,差异具有显著性(P＜0.01);观察组套管针堵塞、局部液体外渗、抓脱等发生率亦明显低于对照组(P＜0.05);局部感染在2组间发生的例数均较少,无显著性差异(P＞0.05).结论采用腋静脉留置针,方法相对简便易行,效果佳,可减少护理工作量.     

溴邻苯三酚红在分析化学中的应用

溴邻苯三酚红(BrompyrogallolRed),别名3,3-二溴磺棓因,结构式: 分子量558.16,分子式C_(10)H_(10)Br_2O_8S,缩写为 BPR 或。该试剂在光度分析和催化极谱分析中已获得了广泛的应用。本文     

浅谈似膏体充填在矿山应用

充填采矿法是未来矿山采矿的发展趋势,似膏体充填是多种充填体的一种,它具有流动性好,析出水少,充填成本低,充填材料取用方便,减少尾砂排放等优点,同时能够很好控制地压,提高矿山的回采率,降低贫化率,提高矿山经济效益。     

Hydrocephalus secondary to intracranial hemorrhage in premature infants

Premature (low birth weight) infants are particularly susceptible to intracranial hemorrhage. This frequently arises from the subependymal area and may dissect into the brain or into the ventricles. If the infant survives, hydrocephalus is a frequent sequela. Because of major improvements in the care of premature infants in recent years and the proliferation of intensive care nurseries, increasing numbers of low birth weight infants are surviving and developing hydrocephalus. Seven cases are described of infants who developed hydrocephalus following intracranial bleeding. Initially, ventricular and lumbar punctures were done to attempt to control head growth but this was unsuccessful. Two were treated with temporary external ventriculostomy which did not permanently control the hydrocephalus. Definitive treatment included ventriculo-atrial shunts using an expandable 'telescopic' cardiac catheter in two and ventriculoperitoneal shunts in five. The pathogenesis and management of the condition are discussed.     

Physiological responses of premature infants to a painful stimulus

The purpose of this study was to describe the physiological responses of premature infants to an acute tissue-damaging stimulus and to determine how severity of illness and behavioral state influenced these responses. The physiological responses (heart rate, oxygen saturation, and intracranial pressure) of a convenience sample of 124 premature infants between 32 and 34 weeks gestational age were described during four phases of a routine heel stick procedure. Analysis of the results showed a significant multivariate main effect of phase on the group of physiological responses. Behavioral state was found to influence the physiological responses, but severity of illness did not.     

Client factors related to premature termination of psychotherapy.

Investigated client factors related to the premature termination of counseling or psychotherapy. A review of 287 mental health center client files revealed 3 variables that were found to be significantly related to premature termination: diagnosis, presenting problem, and previous psychiatric experience. Early terminators had less previous contact with psychiatric services, were usually not psychotic, and presented with problems in the area of interpersonal relationships. Results suggest that community education activities, informed consent procedures, therapist knowledge of the early terminator's profile, and a wider range of services, including more groups, may improve community mental health center service delivery to these clients. (5 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Expectancies for counseling in relation to premature termination.

Expectations about counseling may be one process variable which influences early premature termination. Expectations About Counseling questionnaire (EAC) scores of clients who continued in counseling to a mutually agreed-upon termination point were compared with those of clients who terminated therapy after one session without counselor agreement. Groups were equivalent in sex ratios and matched for problem type. There were no differences in precounseling expectations for premature versus appropriate terminations regardless of problem type. Results are discussed in terms of suggestions for further research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Using clinically significant change to identify premature termination.

Research examining treatment dropout is hindered by the inconsistencies in the methods used to operationalize the construct. In this article an operationalization based on the criteria of attaining clinically significant change prior to treatment discontinuation is reintroduced and compared with other existing dropout classification systems. A dropout rate of 77% was found in a university-based training clinic sample by using the clinically significant change (CSC) definition. This classification showed little agreement to classifications made by other popularly used definitions of dropout (median split, intake only, missed appointment, and therapist judgment). Further analysis indicated that the other popularly used definitions frequently classified clients as treatment dropouts when recovery had occurred or as treatment completers when recovery had not occurred. Uses and limitations of the CSC method and other popular definitions of treatment dropout are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A prospective randomized trial of the surgical blood order equation for ordering red cells for total hip arthroplasty patients

BACKGROUND: The majority of crossmatched blood is for surgical patients, and most of it is never transfused. An alternative system for ordering red cell (RBC) units, called the surgical blood order equation (SBOE), which incorporates specific patient variables for surgical patients, has been developed. STUDY DESIGN AND METHODS: A prospective double-blind randomized trial compared the SBOE with the maximal surgical blood order schedule (MSBOS) system for ordering allogeneic RBC units in 60 patients undergoing total hip arthroplasty. Autologous RBCs were available for none of the patients. RESULTS: There were no differences in patient demographic, surgical, or laboratory variables at any time. The median number (range) of allogeneic RBC units ordered was 2 (2-3) for the MSBOS and 0 (0-3) for the SBOE (p<0.0001). The SBOE ordered the correct number of RBC units for 58 percent of patients, while the MSBOS did so for 7 percent (p<0.0001). The SBOE had a lower crossmatch-to-transfusion ratio than the MSBOS (0.83 vs. 4.12). Costs were also lower with the SBOE. CONCLUSION: Incorporation of patient factors in the use of the SBOE system resulted in increased efficiency of blood-ordering practices for total hip arthroplasty.     

Neonatal hip: from anatomy to cost-effective sonography

Therapeutic success in treating congenital dysplasia of the hip is associated with early diagnosis, but the specific neonatal anatomy makes screening difficult. The purpose of this study was to determine whether this specific neonatal anatomy is taken into account by current ultrasound (US) techniques. Anatomic studies were performed on 22 hips, US examinations on 7750 neonatal hips; 2370 untreated hips were reexamined at 1 month by US and at 3 months by X-ray. The transformation of the neonatal cartilaginous acetabulum into an osseous cavity is dependent on harmonious metaphyseal growth and a properly seated femoral head. Defects in the acetabular roof, together with displacement of the femoral head, cause an abnormal anatomical relationship which leads to further deformities. The described sonographic techniques give only partial information on these specific abnormalities. The sonographic monoplanar methods as used in Graf's technique, which relies largely on acetabular development, lead to difficulties in assessing posterior coverage of the femoral head and difficulties in assessing alignment of the metaphyseal weight-bearing surface with the femoral head. Combining Graf's morphological analysis with Novick's dynamic technique enables one to more accurately define the relationship of the femoral head and the acetabulum and increases the reliability and predictive value of the examination, while reducing the number of doubtful cases. This makes screening cost effective.