Research progress of integrated traditional Chinese and western medicine nursing in non-operative treatment of intestinal obstruction and abdominal pain (非手术治疗肠梗阻腹痛的中西医结合护理进展)

Intestinal obstruction is one of the common acute abdominal diseases in the Department of General Surgery. Abdominal pain is one of the typical symptoms of intestinal obstruction. Integrated traditional Chinese and Western medicine nursing is a nursing model characterized by both symptomatic western medicine nursing, quick effect and traditional Chinese medicine nursing to cure the cause and long-term maintenance. This paper expounds the progress of non-surgical nursing of patients with intestinal obstruction by integrated traditional Chinese and Western medicine, and summarizes the advantages of integrated traditional Chinese and Western medicine nursing intervention. (肠梗阻是普外科常见的急腹症之一, 腹痛是肠梗阻的典型症状。中西医结合护理兼具西医护理对症准、见效快和中医护理根治病因、长期养护的特点。本文就中西医结合护理在非手术治疗肠梗阻中的应用进展进行阐述, 总结中西医结合护理干预的特色和优势, 旨在为临床护理提供借鉴与参考。

Practice and experience of pre-examination triage mode in the emergency department during COVID-19 epidemic (新型冠状病毒感染流行期间急诊科预检分诊模式的实践及体会)

Nurses in the Emergency departments of hospitals had faced great medical pressure and risks during COVID-19 epidemic. Emergency pre-examination and triage are important links in emergency nursing work. It is directly related to medical safety in screening of patients' conditions and adopting appropriate classification and zone management. Nurses with rich experience in triage were recruited to give full play to the advantages of intelligent emergency triage system, and quickly carried out hierarchic and zone management of patients according to the disease classification collected by intelligent emergency triage system. At the same time, the deficiency of emergency triage system could be overcome to identify patients with high risk in time. Based on scientific research and analysis on the principle of oxygen therapy, the hierarchical oxygen therapy system in the emergency department was formulated to guarantee timely treatment of patients and reduce the intubation rate of patients. The hierarchic and zone management was designed to reduce medical risks, improve the overall efficacy of emergency triage, and ensure early identification and timely interventions for critically ill patients during COVID-19 epidemic. (新型冠状病毒感染流行期间, 医院急诊科面临巨大的医疗压力和风险。急诊预检分诊是急诊护理工作中的重要环节, 准确判断患者病情轻重, 采取恰当的分级分区管理, 直接关系医院医疗安全。科室安排分诊经验丰富的护士, 充分发挥智能急诊分诊系统的优势, 依据智能急诊分诊系统给出的患者病情分级, 快速对患者进行分级分区管理, 合理调整患者就诊等候时间; 同时克服急诊分诊系统的不足, 及时发现潜在危及生命的患者, 根据氧疗原则科学研判, 特制定急诊科分级氧疗制度, 保障患者及时救治, 降低患者插管率, 从而降低医疗风险, 提高急诊分诊的整体水平, 为新型冠状病毒感染流行期间急危重症患者及早识别及时干预提供双重保障。

Clinical effect of external application of Rutongyu medicine film in the treatment of hyperplasia of mammary gland (乳痛愈药膜治疗乳腺增生病临床疗效观察)

Objective To observe the clinical effect of external application of Rutongyu medicine film in the treatment of hyperplasia of mammary gland. Methods Totally 96 patients with hyperplasia of mammary gland were randomly divided into the treatment group (n=48) and control group (n=48). The treatment group was treated by external application of Rutongyu medicine film, and the control group was treated with XiaoJinPian orally. The medication was taken for 2 menstrual cycles. The visual analogue scale (VAS) score of breast pain, duration of breast pain, and the maximum diameter of breast target mass were compared between the two groups before and after treatment, and the clinical efficacy was summarized and evaluated. Results After treatment, VAS score of breast pain, duration of breast pain, and maximum diameter of target mass in the two groups were significantly improved compared with those before treatment (P＜0. 01), and the improvement in the treatment group was better than that in the control group (P＜0. 01). The total effective rate of the treatment group was 89. 58%(43/48), which was significantly higher than 68. 75% (33/48)of the control group (P＜0. 05). Conclusion External application of Rutongyu medicine film can effectively treat hyperplasia of mammary gland, relieve pain and reduce breast mass. (目的 观察乳痛愈药膜治疗乳腺增生病的临床疗效。方法 96例乳腺增生病患者随机分为治疗组(n=48)与对照组(n=48)。治疗组给予乳痛愈药膜外敷, 对照组给予口服小金片治疗, 用药时间均为2个月经周期。比较2组患者治疗前后乳房疼痛视觉模拟评分(VAS)、乳房疼痛天数、乳房肿块最大径, 总结评估临床疗效。结果 治疗后两组组患者乳房疼痛VAS评分、乳房疼痛天数、肿块最大径均较治疗前改善(P＜0. 01), 且治疗组改善优于对照组(P＜0. 01)。治疗组总有效率为89. 58%(43/48), 高于对照组的68. 75%(33/48), 差异有统计学意义(P＜0. 05)。结论 乳痛愈药膜能够治疗乳腺增生症效果明确, 能有效缓解疼痛, 缩小乳房肿块。