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大型醫院放射科糾紛成因分析及防范措施

目的　分析放射科醫療糾紛的類型及原因，以期提高服務質量。 方法　對2010年3月－6月發生的醫療糾紛成因進行剖析，并針對各薄弱環節提出具體防范改進措施。 結果　通過強化管理，完善規章制度，改善服務態度等，醫療糾紛得到一定的控制。 結論　放射醫療糾紛原因多樣，采取對癥措施從制度上加以防范、杜絕、化解是根本。

Australian Safety and Efficacy Register of New Interventional Procedures-Surgical-Annual Report 2001(Ⅰ)

臨床護士的職業壓力分析與對策

目的:探討婦幼保健系統臨床護士工作壓力源產生的原因,以及壓力源對護士的心身健康、工作、人際交往等產生負面影響。方法:分析總結護士壓力源及相應對策。結果:緩解和減輕護士工作壓力,有利于提高護士心身健康和護理質量。結論:管理者以人性化和制度化管理結合,促進護士身心健康發展,有助于提高護理質量。

Influence of Nursing Interruption Event Intervention on the Incidence of Nursing Risk Events

ObjectiveTo explore the influence of nursing interruption event intervention on the incidence of nursing risk events. MethodsIn January 2012, we carried out intervention on nursing interruption events. And general situation questionnaire was used on December 30th, 2011 (control group) and December 30th, 2012 (intervention group) respectively to investigate 190 clinical nurses. ResultsThe occurrence of the interruption events was positively correlated with the incidence of nursing risk events. Effective intervention significantly reduced the incidence of risk events (P<0.05). ConclusionEffective prevention of adverse outcomes caused by interruption events reduces the risk of nursing, improves the quality of care, and ensures the safety of the patient.

An Introduction to Evidence-Based Medicine Glossary VII

This is the seventh paper in the evidence-based medicine glossary series. In this paper, We mainlyintroduced five terms related to meta-analysis——prospective meta-analysis, individual patient data meta-analysis,cumulative meta-analysis, multiple-treatments meta-analysis and meta regression.We also gave some examples to helpreaders better understand and use them.

重型肝炎并發急性胰腺炎護理體會

目的總結重型肝炎并發急性胰腺炎患者的臨床護理方法及療效。 方法對2008年1月－2013年12月收治的52例重型肝炎并發急性胰腺炎患者的護理措施和效果進行回顧性分析。 結果52例患者中治愈34例，好轉14例，自動出院2例，死亡2例，治愈好轉率92.3%，病死率3.8%。 結論良好的護理措施可改善重型肝炎并發急性胰腺炎患者的預后。

Risk Factors for Incision Infection in Gastrointestinal Surgery and Its Preventive Measures

目的　分析胃腸外科手術切口感染的影響因素，為醫院感染的防治提供理論依據。 方法　回顧性分析2010年12月－2012年12月764例行胃腸外科手術患者的臨床資料，并用單因素χ2檢驗統計分析患者醫院感染的危險因素。 結果　共有65例患者發生手術切口感染，其感染率為8.5%，且分離培養出合格菌株48株，陽性率73.8%，其中G?菌32株，占66.7%，G+菌16株，占33.3%。G?菌主要以大腸桿菌、變形桿菌、克雷伯桿菌和腸桿菌為主，分別占29.2%、18.8%、12.5%和6.2%；G+菌以腸球菌和表皮葡萄球菌為主，分別占22.9%和10.4%。單因素χ2檢驗顯示年齡＞60歲、手術時間＞120 min、術中有輸血、且有腫瘤病變的患者具有較高的切口感染發生率（P＜0.05）。 結論　胃腸外科手術切口感染的主要致病菌是G?桿菌，患者的年齡、手術時間、術中輸血情況和疾病良惡性質是術后切口感染的高危因素，積極采取相應的預防措施有望減低其感染的發生率。

Nursing and Observation of 456 Cases of Premature Rupture of Membranes

摘要:目的:減少胎膜早破患者產科并發癥的發生。方法:將我院于2005年1月至2006年12月收治的217例胎膜早破的患者設為對照組，將2007年1月~2008年12月收治的248例胎膜早破的患者設為觀察組。對照組采用教科書上傳統的方法進行護理,觀察組正確地判斷胎膜早破,胎兒宮內狀況評估,產前選擇正確的臥位,加強對產前、產時、產后規范的監護,積極預防感染等措施。結果:積極的醫療處理有效地減少了產后出血,胎兒宮內窘迫,切口感染的發生。結論:對胎膜早破的患者,盡早地采取正確、有效的護理干預措施,能減少產科并發癥的發生,保障母兒的健康。Abstract: Objective: To reduce maternal obstetrics complications of premature rupture of membranes occurred. Methods: From in January 2005 to December 2006, treated 217 cases of premature rupture of membranes in pregnant women as control group, from January 2007 to December 2008 treated 248 cases of premature rupture of membranes as observation group. The control group used the traditional textbook approach to care. The observation group to determine the correct premature rupture of membranes, fetal assessment, pregnant women to choose the correct prelying, strengthen the preproduction, the postnatal care norms positive measures such as the prevention of infection. Results:The suitable medication and nursing procedure could effectively reduce postpartum hemorrhage, fetal distress, the occurrence of incision infection. Conclusion: The maternal premature rupture of membranes, as soon as possible to take the correct and effective nursing interventions can reduce the incidence of obstetric  complications to protect the health of mothers and infants.

Prevention and treatment strategies for neck and shoulder pain in post-coronavirus disease 2019 era

In post-coronavirus disease 2019 era, people’s style of work and life have undergone major changes. The sedentary style of work and life, such as long-time office work, online meetings, home eating, online social interactions, and reduced range of activities, affect people’s physical and mental health. Neck and shoulder pain is one of the common symptoms. By combining the clinical practice experience of orthopedic medical experts in West China Hospital of Sichuan University, and reviewing a large number of literatures, this article summarized the definition, incidence, hazards, causes, evaluation and prevention of neck and shoulder pain in post-coronavirus disease 2019 era. It aimed to provide experience for the prevention and treatment of neck and shoulder pain in post-coronavirus disease 2019 era.

Reason, Prevention, and Treatment of Gastrointestinal Unplanned Reoperation

ObjectiveTo investigate the reason, prevention, and treatment measures of gastrointestinal unplanned reoperation. MethodsClinical data of 21 patients who carried out gastrointestinal unplanned reoperation for various reasons from Jun. 2012 to Jun. 2013 in our hospital were retrospectively analyzed. ResultsTwenty-one of 2 492 patients with gastrointestinal tract surgery carried out gastrointestinal unplanned reoperation, and the incidence of reoperation was 0.8%. The causes of reoperation were intra-abdominal hemorrhage in 10 cases, gastrointestinal fistula in 7 cases, inflammatory intestinal obstruction with peritonitis in 1 case, and incision dehiscence in 3 cases. After undergoing suture hemostasis, colostomy, anastomotic fistula repair, debridement, and suture,20 cases were cured or improved, and 1 case died. The median of hospitalization expense was 76 000 yuan(46 000-116 000 yuan), and the median of hospital stay was 25-day(16-49 days). ConclusionsGastrointestinal unplanned reoperation can cause more serious economic and emotional burden to patients, standardizing surgical procedure and enhancing perioperative monitoring can reduce the incidence of unplanned reoperation. In addition, grasp legitimately the indications of reoperation, implement timely, and effective reoperation can avoid further deterioration of the disease.