Table of Content

01 June 2022, Volume 40 Issue 11

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Clinical Outcome of Polyene Phosphatidyl Choline Capsules Combining Compound Glycyrrhizin in the Treatment of Non-alcoholic Fatty Liver Disease

ZHAO Lin

2022, 40(11):  1-3. 

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Objective To observe the clinical outcome of polyene phosphatidyl choline capsules combing compound glycyrrhizin in the treatment of non-alcoholic fatty liver disease. Methods 60 patients with non-alcoholic fatty liver disease in No. 941 Hospital of PLA Logistic Support Troops from December 2017 to December 2021 were included in current studies. The patients were randomly divided into control group and observation group, and each group contained 30 patients. Patients in control group were treated with polyene phosphatidyl choline capsules while patients in observation group were administrated with polyene phosphatidyl choline capsules together with compound glycyrrhizin. The therapeutic outcome was observed herein. Results There were no remarkable alterations in the incidence of side effects during the treatment as well as aspartate aminotransferase (AST), alanine aminotransferase (ALT), total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C), and low density lipoprotein cholesterol (LDL-C) before the treatment (P>0.05). After treatment, compared to control group, the total effective rate and HDL-C in observation group were increased, while AST, ALT,TC, TG and LDL-C were decreased significantly (P<0.05). Conclusion Combination of polyene phosphatidyl choline capsules and compound glycyrrhizin in the treatment of non-alcoholic fatty liver disease could remarkable enhance the therapeutic outcome, improve liver function and blood lipids in patients, promote rehabilitation, and reduce side effects, which indicated the potential high safety.

Observation on the effect of exercise training in the treatment of elderly patients with chronic heart failure and sarcopenia

Zhao Li-rong

2022, 40(11):  4-7. 

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Objective To analyze the effect of exercise training in elderly patients with chronic heart failure (CHF) complicated with sarcopenia. Methods A total of 80 elderly patients with CHF complicated with sarcopenia from January 2019 to December 2020 in the Department of General Medicine, People's Hospital of Inner Mongolia Autonomous Region were included as research samples and grouped by random number table method, of which 40 patients were the control group and received drug treatment . The other 40 cases were in the observation group, on the basis of drug treatment, exercise training guidance was added. The left ventricular ejection fraction (LVEF), Minnesota Heart Failure Quality of Life Scale (MLHFQ) score, skeletal muscle mass index (SMI), gait speed (GS), grip strength (HS), 5 sit-ups test time (5STS) and differences in efficacy. Results Before the intervention, there was no significant difference in the levels of LVEF, SMI, GS, HS, 5STS and MLHFQ scores between the two groups (P>0.05). After the intervention, the levels of LVEF, SMI, GS, and HS in the observation group were higher than those in the control group. The 5STS and MLHFQ scores in the two groups were lower than those in the control group, and the LVEF, SMI, GS, and HS levels in the two groups after the intervention were higher than those before the intervention, and the 5STS and MLHFQ scores were lower than those before the intervention, and the differences were as follows: Statistical significance (P<0.05). The treatment effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Exercise training therapy for elderly patients with CHF and sarcopenia can effectively improve the body's cardiac function and skeletal muscle function, and the therapeutic effect is ideal.

Study on the Effect of Desensitization Tongbi prescription Combined with Western Medicine in the Treatment of Children with Allergic Rhinitis

XIE Ying-jing, HUI Jing, LI Wen-ming

2022, 40(11):  8-10. 

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Objective To explore the clinical effect and value of conventional western medicine combined with desensitization Tongbi prescription in the treatment of allergic rhinitis (lung deficiency and cold syndrome) children. Methods The research time range was determined from January 2020 to October 2021. The research subjects selected 100 children with allergic rhinitis (lung deficiency and cold syndrome), which were admitted to the Liuhe District Hospital of Traditional Chinese Medicine in Nanjing. The 100 children were randomly divided into two groups, namely observation group and control group, with 50 children in each group. The control group was treated with conventional western medicine (desloratadine dry suspension and mometasone furoate nasal spray), and the observation group was treated with desensitization Tongbi prescription. Then the treatment effect was compared, and the improvement of symptom scores (nasal itching, nasal congestion, runny nose, sneezing) of the two groups before and after treatment was evaluated. The changes in the levels of inflammation [tumor necrosis factor (TNF-α), interleukin (IL-4), interleukin (IL-5), and interleukin 10(IL-10)] in the two groups before and after treatment were detected. Results The total effective rate of clinical treatment in the observation group was higher than that in the control group, and the difference was significant (P<; 0.05), and the measurement results of inflammatory indexes in the observation group after treatment were lower than those in the control group, and the difference was significant (P<; 0.05). Conclusion Pediatric allergic rhinitis (lung deficiency and cold syndrome) can be treated by western medicine combined with desensitization Tongbi prescription, which has a definite effect on improving the symptoms of children and regulating the level of inflammation.

Application Effect of Hierarchical Nursing Management Mode in CCU Ward Nursing

LI Yan

2022, 40(11):  11-13. 

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Objective To explore the application effect of hierarchical nursing management mode in CCU ward nursing. Methods From January 2021 to December 2021, 20 nurses working in CCU ward of Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University were investigated, and they were included in the observation group, and the hierarchical nursing management mode was applied. 20 nurses working in CCU wards of the Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University from January 2020 to December 2020 were investigated, and they were included in the reference group. The basic nursing management model was applied. The nursing knowledge, working ability and management satisfaction of different groups of nurses in CCU wards after management were analyzed. Results After the nursing management of the nursing staff in CCU ward, the understanding of the nursing knowledge in CCU ward of 20 nursing staff in observation group was higher than that in reference group, the difference was statistically significant (P<0.05); The working ability of 20 nurses in the observation group was higher than that in the reference group, and the difference was statistically significant (P<0.05); The management satisfaction of 20 nurses in the observation group was higher than that in the reference group, and the difference was statistically significant (P<0.05). Conclusion The application of hierarchical nursing management mode can enrich the nursing knowledge of CCU ward, exercise the working ability of nursing staff and improve the satisfaction of management. It is suggested to study and use it.

Assessment of the Impact of Psychological Nursing Intervention on Emotional Status and Quality of Life in Patients with Leukemia

LU Fan, ZHANG Li

2022, 40(11):  14-16. 

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Objective To observe and investigate the clinical role of psychological nursing intervention in improving the emotions and enhancing the quality of life of patients with leukemia. Methods A total of 72 leukemia patients admitted to the Second People's Hospital of Lianyungang from June 2019 to May 2021 were observed. They were divided into the control group and the observation group using a random number table, with 36 cases in each group. The control group was given conventional care, and the observation group conventional care plus psychological nursing intervention. The emotional changes and quality of life of the patients in the observation group were compared to understand the clinical value of different nursing care approaches. Results The Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores of patients in the observation group after nursing were lower than those before nursing, and significantly lower than those in the control group after nursing (P<0.05); the scores of material life, psychological function, physical function and social function of patients in the observation group after nursing were significantly higher than those before nursing and those in the control group after nursing (P<0.05). Conclusion Psychological nursing intervention has a significant effect on leukemia patients, which can improve their unhealthy emotions and enhance their quality of life, so it is worthy of widespread promotion in clinical settings.

Application Effect of Individualized Nursing Method in Patients with Rheumatoid Arthritis

MIAO Jing, LIU Peng, SUN Jing-wei, JIANG Hai-wei, ZHANG Chen-wei

2022, 40(11):  17-19. 

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Objective To analyze the effect of individualized nursing intervention on improving the quality of life and pain level of patients with rheumatoid arthritis. Methods A total of 84 patients with rheumatoid arthritis admitted to Heilongjiang Provincial Hospital from January 2019 to January 2020 were selected as research objects and divided into groups. The control group (42 cases) took routine nursing intervention, and the study group (42 cases) added individualized nursing intervention on the basis of routine nursing intervention. The quality of life (GQOL-74), activities of daily living (BI), visual analogue scale (VAS) and self-rating depression scale (SDS) were compared between the two groups before and after nursing. Results After nursing, the scores of GQOL-74 and BI index in the study group were significantly higher than those in the control group, and the difference was statistically significant (P<0.05), while the scores of VAS and SDS were significantly lower than those in the control group,the difference was statistically significant (P<0.05). The patients' satisfaction with nursing in the study group was significantly higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Individualized nursing intervention for patients with rheumatoid arthritis can obviously relieve their pain, improve their quality of life and negative emotions, and has high clinical application value.

Outcome of Tension-free Hernia Repair Compared with Traditional Hernia Repair in the Treatment of Inguinal Hernia

NIU Wei

2022, 40(11):  20-23. 

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Objective To compare the outcome of traditional hernia repair with tension-free hernia repair in the treatment of inguinal hernia. Methods 76 patients with inguinal hernia in Xi'an Lintong Hospital of Traditional Chinese Medicine from January 2019 to December 2020 were involved in present investigation.The patients were randomly divided into control group (38 patients) and research group (38 patients).The patients in control group were subject to traditional hernia repair while the patients in research group received tension-free hernia repair.The clinical outcome,clinical indicators,incidence of complications,and proinflammatory cytokines among the two groups were compared. Results After treatment,clinical outcome in research group was significantly better than control group (P<0.05). Intraoperative blood soss,operation time,length of stay,and postoperative activity time in research group were less than control group with the statistical significance (P<0.05).Before treatment there were no significant differences for white blood cells (WBC),interleukin-6 (IL-6) and C-reactive protein (CPR) between research group and control group (P>0.05).However,after the treatment,WBC,IL-6 and CPR in research group were remarkably reduced compared to control group,which showed statistical significance (P<0.05).Meanwhile,the incidence of complications encompassing incision infection, uroschesis and scrotal edema in research group was much lower than control group (P<0.05). Conclusion Tension-free hernia repair is better than traditional hernia repair for the treatment of inguinal hernia, which could inhibit inflammation,reduce the incidence of complications,and shorten the length of stay.