Table of Content

01 March 2023, Volume 41 Issue 5

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Application of Mind Map Combined with Midnight-Midday Ebb Flow Theory in Compliance of Resistance Training of Stroke Patients

ZHANG Lin, YANG Hu-ping

2023, 41(5):  1-4. 

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Objective To explore the effect of health education model based on mind map and Midnight-Midday ebb flow theory on the compliance of resistance training in stroke patients. Methods From August 2020 to may 2021, a total of 70 patients with ischemic stroke who were hospitalized in Shanghai Tenth People's Hospital were selected as the research objects by using convenience sampling method. According to the random numbers table, the control group (n=35) and the intervention group (n=35) were divided. The control group was given routine oral health education. On this basis, the intervention group was given health education model based on mind map and Midnight-Midday ebb flow theory. The compliance and knowledge of resistance training were compared between the two groups at discharge. Results Before the intervention, there were no statistical significant differences in total score of resistance training compliance, compliance scores of all dimensions, and related rehabilitation knowledge mastery (P>0.05). After the intervention, the scores of each dimension, total score and knowledge mastery of the intervention group were higher than those of the control group, and the differences were statistically significant (P<0.05). Conclusion The health education mode of mind map combined with Midnight-Midday ebb flow theory can improve the resistance training compliance and the mastery of related knowledge and skills in stroke patients.

Study on Correlation between Non-lactation Mastitis and Prolactin, CD3⁺, CD4⁺

YUE Xiang, LUO Sen, WANG Hai-xia, ZHANG Jian-jun, GAO Yang, ZENG Sha, MA Hai-long

2023, 41(5):  4-4. 

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Objective To explore and analysis the correlation between non-puerperal mastitis and prolactin, CD3⁺ and CD4⁺. Methods From December 2020 to August 2022, 80 non-lactation mastitis patients diagnosed and treated in Urumqi You'ai Hospital were selected as the observation group, 80 women who underwent physical examination were the control group. Serum prolactin content, serum immunoglobulin IgG, IgA, IgM content, CD3⁺T, CD4⁺T lymphocyte relative content in observation group and control group were detected and correlation analysis was carried out. Results The serum prolactin level of the observation group was significantly higher than that of the control group, the difference is statistically significant (P<0.05), and there was no significant difference in serum immunoglobulin IgG, IgA, and IgM compared between the two groups (P>0.05). The relative content of CD3⁺T and CD4⁺T lymphocytes in the peripheral blood of the observation group was significantly lower than that of the control group, the difference is statistically significant (P<0.05). Spearsman analysis showed that the serum prolactin level, the relative content of CD3⁺T and CD4⁺T lymphocytes in peripheral blood were correlated with the occurrence of non-lactation mastitis (P<0.05). Multivariate Logistic regression analysis showed that the serum prolactin level and the relative contents of CD3⁺T and CD4⁺T lymphocytes in peripheral blood were important factors leaded to the occurrence of non-lactation mastitis (P<0.05). Conclusion Patients with non-lactation mastitis are mostly accompanied by high expression of serum prolactin and lower relative contents of CD3⁺T and CD4⁺T lymphocytes. The occurrence of non-lactation mastitis are related to prolactin, CD3⁺T ,CD4⁺ T lymphocytes.

Investigation and Analysis of 429 Cases of Nosocomial Infection in Children with Hematological Diseases

LU Hai-li

2023, 41(5):  8-11. 

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Objective To explore the related factors and preventive measures of nosocomial infection in children with hematological diseases. Methods The infection site and risk factors of 429 children with nosocomial infection in our hospital from January 2019 to December 2021 were analyzed retrospectively. Results Among 8 858 hospitalized children with hematological diseases, 429 cases of hospital infection occurred, and the incidence of hospital infection was 4.84%, and the incidence of nosocomial infection of malignant hematological diseases was significantly higher than that of non-malignant hematological diseases, and the difference was statistically significant (P<0.05). Among them, 3 671 cases had invasive operation during hospitalization, 310 cases had hospital infection, accounting for 72.26% of the total number of infections; 429 cases of nosocomial infection were mainly infected by blood flow, accounting for 42.62%; 359 cases (84.07%) had the highest incidence of nosocomial infection when the length of stay was ≥ 30 days; the incidence of hospital infection with laminar flow bed after chemotherapy was 3.45%, and the incidence of hospital infection without laminar flow bed was 8.05%. Children with agranulocytosis after chemotherapy were assigned to laminar flow ward, which could effectively reduce the incidence of hospital infection; the incidence of hospital infection was significantly higher in patients who used antibiotics for 3 days or more than in those who did not use antibiotics or who used antibiotics for less than 24 hours. Conclusion Children with hematological diseases are at high risk of hospital infection. Invasive operation during hospitalization, hospitalization time>30 days, and use of antibiotics >7 days are independent risk factors of hospital infection in children with hematological diseases.

Application of Fiberoptic Bronchoscope in the Treatment of Severe Mycoplasma Pneumonia in Children

YANG Li-kun

2023, 41(5):  11-14. 

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Objective To evaluate the efficacy of fiberoptic bronchoscopy in alleviating severe mycoplasma pneumonia in children. Method A total of 50 children with severe mycoplasma pneumonia who were hospitalized in Liaocheng Second People's Hospital from January 2021 to January 2022 were selected as the research objects, and they were randomized divided into two groups. The control group was given azithromycin and methylprednisolone succinate. Sodium and other conventional anti-infective drug regimens were given, and the experimental group was also given a bronchoalveolar lavage regimen with fiberoptic bronchoscopy. The differences in the treatment effect, symptom improvement time, hospital stay, inflammatory indexes and complications were compared between the two groups. Results The total effective rate of children with severe mycoplasma pneumoniae pneumonia in experimental group was higher than that in control group, but the difference was not statistically significant (P>0.05). Temperature recovery time index, rales disappearance time index, cough disappearance time index and hospital stay index in the experimental group were lower than in the control group (P<0.05). The levels of C-reactive protein (CRP), erythrocyte sedimentation rate and procalcitonin (PCT) in the two groups after treatment were lower than those before treatment (P<0.05). The levels of CRP, erythrocyte sedimentation rate and PCT in the experimental group were lower than those in the control group (P<0.05). There was no significant difference in complication rate between the two groups (P>0.05). Conclusion Compared with the conventional anti-infection regimen, fiberoptic bronchoscopy can achieve better results in the treatment of severe mycoplasma pneumonia in children. It can further shorten the hospitalization time, promote the improvement of inflammatory factors in children, and fiberoptic bronchoscopy treatment has no obvious adverse events.

Application Effect of Fast Rehabilitation Nursing in the Perioperative Period of Abdominal Hysterectomy

ZHU Bao-jing

2023, 41(5):  15-17. 

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Objective To explore the application effect of rapid rehabilitation nursing in the perioperative period of abdominal hysterectomy. Methods A total of 100 patients with abdominal hysterectomy who were admitted to our hospital from June 2020 to May 2021 were selected as the research objects. They were divided into control group and experimental group by random number table method, 50 cases in each group, the control group received routine nursing, and the experimental group received rapid rehabilitation nursing on the basis of the control group. Nursing satisfaction, feeding time, exhaust time, defecation time, getting out of bed time, suture removal time, discharge time and the occurrence of adverse reactions were compared between the two groups. Results The nursing satisfaction of patients in the experimental group was significantly higher than the control group (P<0.05). The time of liquid food intake, exhaust time, defecation time, time to get out of bed, time to remove sutures, and time to discharge in the experimental group were significantly shorter than those in the control group (P<0.05). The total incidence of adverse reactions in experimental group was significantly lower than that in control group (P<0.05). Conclusion Rapid rehabilitation nursing for patients undergoing abdominal hysterectomy can shorten the postoperative recovery time, reduce the occurrence of adverse events, and improve patient satisfaction

Effect of Laparoscopic Radical Resection of Colorectal Cancer in Patients with Colorectal Cancer

LIU Zhong-yuan, SONG Zhi-chao

2023, 41(5):  18-20. 

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Objective To investigate the clinical efficacy of laparoscopic radical resection for colorectal cancer. Methods 100 colorectal cancer patients in Jining First People's Hospital from March 2015 to June 2020 were selected as the study subjects. According to the operation plan, the patients were divided into two groups. The control group (n=50) carried out open colorectal cancer radical surgery, and the observation group (n=50) carried out laparoscopic colorectal cancer radical surgery. The perioperative indexes, stress indexes and complications of the two groups were observed and compared. Results The operation time of the observation group was longer than that of the control group, and the hospitalization time of the observation group was shorter than that of the control group, but there was no statistical difference (P>0.05). The time of exhaust and eating after the operation was shorter than that of the control group, and the amount of bleeding during the operation was less than that of the control group, with statistical significance (P<0.05). There was no significant difference in WBC between the two groups before operation (P>0.05), but the WBC in the observation group was lower than that in the control group 2 days after operation (P<0.05). The incidence of complications in the observation group was lower than that in the control group, but there was no statistical significance (P>0.05). Conclusion Laparoscopic radical resection of colorectal cancer is less traumatic, has a faster recovery, has less impact on patients' stress, and there was no increased risk of complications.

Investigation of Scientific Research Ability and Research Training Willingness for Residents in the Standardized Training

WEI Qian-qian, JIA Xue, YE Peng-fei, OU Ru-wei, SHANG Hui-fang, LI Chun-yu

2023, 41(5):  50-54. 

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Objective To investigate the scientific research ability and research training willingness for residents in the standardized resident training, to explore the scientific research needs of resident trainees, and to provide reference for optimizing the training program for resident trainees. Methods A total of 199 resident trainees from 25 residential training bases in different regions of China were recruited from November 16 to 20, 2021. The questionnaire survey was conducted to investigate their scientific research ability and scientific research training willingness. Results The investigation of scientific research ability showed that 80.9% of resident trainees mastered how to use the database to search English literature and Chinese literature (90.5%). 91.5% of the resident trainees are willing to participate in scientific research training. The main ways to participate in scientific research training include participating in the research projects of tutors (64.3%), learning research methods through literature (70.4%), conducting research under the guidance of tutors (54.8%), participating in research related lectures (53.7%), and autonomous learning (50.8%). 93.5% of the resident trainees expressed their willingness to participate in online research training, and 77.9% of the resident trainees expressed satisfaction with the effect of online training. Compared with non-dual track resident trainees, dual track resident trainees have a stronger ability to retrieve English and Chinese literature, read English literature proficiently, participate in research training and online training with a higher proportion. The epidemic has a greater impact on their completion of graduation projects. In addition, the proportion of the dual track resident trainees who “participate in the research project of the tutor” and “conduct research under the guidance of the tutor” is higher. Conclusion The resident trainees, especially the dual track resident trainees, have certain research ability and strong willingness to participate in research training, while the research training for non-dual track resident trainees is still insufficient. How to combine training mode and improve the research level of resident doctors under epidemic conditions still needs further exploration in practice.

Investigation of Vitamin D Levels and Analysis of Related Influence Factors in 3 270 Children between 0-12 Years Old in Taian Area

WANG Xiao-li, LI Min-min, LI Shu-yan, FENG Yong-jun, ZHANG Ning, JING Xiu-jie

2023, 41(5):  54-57. 

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Objective To investigate the current prevalence of vitamin D deficiency and insufficiency among children aged 0-12 years in Tai'an area,In order to provide scientific basis for the development of targeted and effective strategies and measures for the control of vitamin D deficiency in children. Methods Data were extracted from healthy children who vistid the Taian City Central Hospital from April 2020 to April 2021.A total of 3 270 children aged 0-12 years were randomly selected. The levels of vitamin D were detected and compared. Results The average level of vitamin D in 3 270 children was (32.58±15.91) ng/mL, the lowest value was 3 ng/mL, the highest value was 70 ng/mL. The vitamin D deficiency rate was 10.16%, the insufficiency rate was 14.31%. Children aged 6 and over were severely deficient in vitamin D, and the vitamin D levels in winter and spring were lower than those in summer and autumn. Conclusion Vitamin D deficiency and insufficiency are common in Taian area. In univariate analysis and logistic regression analysis, Age and seasons were influencing factors of vitamin D deficiency. Effective prevention should be carried out to guideline vitamin D supplementation.

Analysis of 5 Cases of Malignant Tumor Complicated with Refeeding Syndrome

XU Chang-rong, JIN A-rong, LI Li-mei, QIAO Rong, XU Huixia

2023, 41(5):  181-184. 

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Objective To explore the clinical characteristics of patients with malignant tumor complicated with refeeding syndrome. Methods Through the condition and nutritional risk assessment of 5 patients with malignant tumor complicated with refeeding syndrome, monitoring electrolyte and biochemistry, supplementing vitamin B1 and electrolyte according to the results,formulating personalized nutritional support treatment plan, and gradually increasing the amount of feeding. Results The hospitalization time of patients is 15-48 days, with a median of 32 days; 4 cases got better and 1 case was discharged automatically; 2 cases of pressure ulcer were cured. Conclusions For patients with malignant tumors, strict condition and nutritional risk assessment before nutritional support treatment, early detection and timely treatment, reduce the non-healing rate and mortality, and improve the prognosis.