目的对直肠癌行Miles手术可能影响会阴部切口愈合的多种因素进行分析,为合理处理各影响因素提供理论依据。方法回顾性分析176例低位直肠癌行Miles手术的患者,采用SPSS For Windows13.0统计分析,单因素分析用χ2检验或Fisher’s确切概率...目的对直肠癌行Miles手术可能影响会阴部切口愈合的多种因素进行分析,为合理处理各影响因素提供理论依据。方法回顾性分析176例低位直肠癌行Miles手术的患者,采用SPSS For Windows13.0统计分析,单因素分析用χ2检验或Fisher’s确切概率法,将12个因素数量化后构建Logistic回归模型进行多因素分析,P<0.05为差异有统计学意义。结果直肠癌Miles术后会阴部切口一期愈合率为70.5%,29.5%的患者发生会阴部切口愈合不良。术前行放疗的患者会阴部切口一期愈合率与未行放疗者相比P=0.014,有统计学意义。Logistic回归分析显示:只有术前放疗的卡方值0.906>0,P=0.012,OR为2.475。结论直肠癌患者Miles手术前,行局部放疗的患者比未行放疗的患者更容易发生会阴部切口愈合不良,前者发生会阴切口愈合不良的危险是后者的2.475倍。展开更多
Objective:To discuss and analyze the effectiveness of the application of perineal wound model in teaching midwife interns.Methods:The research subjects in this study were 40 midwife interns who enrolled in our hospita...Objective:To discuss and analyze the effectiveness of the application of perineal wound model in teaching midwife interns.Methods:The research subjects in this study were 40 midwife interns who enrolled in our hospital from January 2020 to December 2022,which were divided into a control group(consisted of 20 interns,taught with the conventional method)and a research group(consisted of 20 participants,taught with the perineal wound model)using the random number table method.The outcomes of these two groups were compared.Results:The examination results of the research group were better than control group(P<0.05);the interns of the research group were more satisfied towards the teaching method compared to the control group(P<0.05).Conclusion:Applying the perineal wound model in teaching midwife interns could effectively improve their examination achievements and teaching satisfaction,which brings a significant clinical value.展开更多
目的比较红核妇洁洗液与碘伏液在泌尿外科术后会阴部伤口护理中的效果。方法选取2016年1月~12月收治的泌尿外科会阴部手术患者80例,随机分为对照组(40例),给予0.5%碘伏液进行伤口护理,用0.02%~0.03%低浓度碘伏液100~200 m L清洗会阴部;...目的比较红核妇洁洗液与碘伏液在泌尿外科术后会阴部伤口护理中的效果。方法选取2016年1月~12月收治的泌尿外科会阴部手术患者80例,随机分为对照组(40例),给予0.5%碘伏液进行伤口护理,用0.02%~0.03%低浓度碘伏液100~200 m L清洗会阴部;观察组(40例)给予1:10稀释红核妇洁洗液进行伤口护理,用稀释红核妇洁洗液100~200 m L清洗会阴部。比较两组患者术后3天切口疼痛程度、切口愈合情况、患者及家属对护理工作的满意度。结果观察组切口疼痛程度和切口愈合情况与对照组相当,差异无统计学意义(P>0.05);观察组对护理工作的满意度为95.0%,对照组为80.0%,差异有统计学意义(P<0.05)。结论红核妇洁洗液和碘伏液对会阴部伤口具有同样的护理效果,此外,红核妇洁洗液还具有纯天然、无刺激、无致敏、无着色的特点,可提高患者及家属的满意度。展开更多
文摘目的对直肠癌行Miles手术可能影响会阴部切口愈合的多种因素进行分析,为合理处理各影响因素提供理论依据。方法回顾性分析176例低位直肠癌行Miles手术的患者,采用SPSS For Windows13.0统计分析,单因素分析用χ2检验或Fisher’s确切概率法,将12个因素数量化后构建Logistic回归模型进行多因素分析,P<0.05为差异有统计学意义。结果直肠癌Miles术后会阴部切口一期愈合率为70.5%,29.5%的患者发生会阴部切口愈合不良。术前行放疗的患者会阴部切口一期愈合率与未行放疗者相比P=0.014,有统计学意义。Logistic回归分析显示:只有术前放疗的卡方值0.906>0,P=0.012,OR为2.475。结论直肠癌患者Miles手术前,行局部放疗的患者比未行放疗的患者更容易发生会阴部切口愈合不良,前者发生会阴切口愈合不良的危险是后者的2.475倍。
文摘Objective:To discuss and analyze the effectiveness of the application of perineal wound model in teaching midwife interns.Methods:The research subjects in this study were 40 midwife interns who enrolled in our hospital from January 2020 to December 2022,which were divided into a control group(consisted of 20 interns,taught with the conventional method)and a research group(consisted of 20 participants,taught with the perineal wound model)using the random number table method.The outcomes of these two groups were compared.Results:The examination results of the research group were better than control group(P<0.05);the interns of the research group were more satisfied towards the teaching method compared to the control group(P<0.05).Conclusion:Applying the perineal wound model in teaching midwife interns could effectively improve their examination achievements and teaching satisfaction,which brings a significant clinical value.
文摘目的比较红核妇洁洗液与碘伏液在泌尿外科术后会阴部伤口护理中的效果。方法选取2016年1月~12月收治的泌尿外科会阴部手术患者80例,随机分为对照组(40例),给予0.5%碘伏液进行伤口护理,用0.02%~0.03%低浓度碘伏液100~200 m L清洗会阴部;观察组(40例)给予1:10稀释红核妇洁洗液进行伤口护理,用稀释红核妇洁洗液100~200 m L清洗会阴部。比较两组患者术后3天切口疼痛程度、切口愈合情况、患者及家属对护理工作的满意度。结果观察组切口疼痛程度和切口愈合情况与对照组相当,差异无统计学意义(P>0.05);观察组对护理工作的满意度为95.0%,对照组为80.0%,差异有统计学意义(P<0.05)。结论红核妇洁洗液和碘伏液对会阴部伤口具有同样的护理效果,此外,红核妇洁洗液还具有纯天然、无刺激、无致敏、无着色的特点,可提高患者及家属的满意度。
