中华全科医学

Study on the application of indicator system for evaluating the informatization level of grassroots healthcare

WU Hui, WENG Huifen, LIU Bao, ZHAO Yanping

2023, 21(9): 1449-1452. doi: 10.16766/j.cnki.issn.1674-4152.003143

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Objective To study the application of an indicator system for evaluating the informatization level of grassroots healthcare of the M District of Shanghai and verify the feasibility and robustness of the indicator system. Methods As the early stage, an indicator system had been constructed for evalua...

Clinical diagnosis, treatment and analysis of 71 cases of chromophobe renal cell carcinoma in a single center

LI Yu, XIANG Ping, KONG Lingquan, HUANG Tao

2023, 21(9): 1453-1456. doi: 10.16766/j.cnki.issn.1674-4152.003144

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Objective To investigate the clinical features, pathological features, surgical efficacy and prognosis of chromophobe renal cell carcinoma (chRCC), and to improve the level of diagnosis and treatment of this disease. Methods Clinical and follow-up data of 71 patients with chRCC from the First Affili...

Risk factors analysis and clinical significance of acute kidney injury after laparoscopic nephron sparing surgery

WU Ying, ZHANG Yue, QIAN Weiwei, SUN Xin, MA Jiaxing, YU Dexin, ZHANG Tao

2023, 21(9): 1457-1460. doi: 10.16766/j.cnki.issn.1674-4152.003145

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Objective To investigate the risk factors of postoperative acute kidney injury (AKI) after laparoscopic nephron sparing surgery (LNSS) in renal tumor patients. Methods Clinical data of 442 patients who received LNSS in Urology Department of the Second Affiliated Hospital of Anhui Medical University ...

Effect analysis of laparoscopic partial nephrectomy combined with modified renal artery perfusion in the treatment of complex renal tumors

WANG Jinhang, GUO Yuanyuan, SUN Wei, GAO Wuyue, LIU Jianmin, LIU Beibei

2023, 21(9): 1461-1465. doi: 10.16766/j.cnki.issn.1674-4152.003146

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Objective To evaluate the safety, feasibility and short-term efficacy of laparoscopic partial nephrectomy (LPN) combined with modified renal artery perfusion in the treatment of complex renal tumors. Methods Fifty patients with complex renal tumors treated with LPN in the Department of Urology of th...

Analysis of long-term prognostic factors in patients with acute pulmonary embolism

WANG Hang, XU Qixia, LI Xiaoqing, WANG Yueyue

2023, 21(9): 1466-1469. doi: 10.16766/j.cnki.issn.1674-4152.003147

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Objective To analyze the clinical data and laboratory tests of patients with acute pulmonary embolism (APE) in different conditions, explore the influencing factors of adverse events in patients with APE, and carry out reasonable treatment to improve the prognosis. Methods A single center of the Fir...

Correlation between multiple chronic conditions and long-term heart failure after acute myocardial infarction

CHEN Zhiqian, YE Xinying, QIAN Yan, GONG Kaizheng, ZHAO Pei

2023, 21(9): 1470-1473. doi: 10.16766/j.cnki.issn.1674-4152.003148

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Objective To analyze the incidence of long-term heart failure (HF) in patients with acute myocardial infarction (AMI), and explore the correlation between multiple chronic conditions (MCC) with it. Methods An analysis was performed on 355 patients with AMI hospitalized in the Department of Cardiolog...

Investigation of the downstream target gene network regulated by KDM5A using ChIP-seq in Cardiac fibroblasts

WEI Ting, QI Xianjie, ZHANG Xu, WANG Yatao, JIANG Yiyao, SHI Chao

2023, 21(9): 1474-1477. doi: 10.16766/j.cnki.issn.1674-4152.003149

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Objective To investigate the potential mechanism of KDM5A in regulating the biological function of cardiac fibroblasts. Methods Cardiac fibroblasts from patients with myocardial fibrosis were isolated and cultured, chromatin immunoprecipitation sequence (ChIP-seq) was performed to analyze immunoaffi...

Sedentary behavior and its influencing factors among patients with colorectal cancer

ZHU Chunjing, CHEN Niaoniao, WANG Shaoyan, MA Xiangwei, TENG Yangyang, WANG Chaoling

2023, 21(9): 1478-1481. doi: 10.16766/j.cnki.issn.1674-4152.003150

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Objective To understand the status and influencing factors of sedentary behavior among patients with colorectal cancer, and to provide reference for the formulation of targeted interventions. Methods A total of 201 patients with colorectal cancer in two Grade A tertiary hospital in Wenzhou were sele...

Application of modular systematic lymph node dissection in uniportal thoracoscopic radical resection for stage Ⅰ non-small cell lung cancer

GONG Huiyuan, XING Fubao, LI Chen, LI Xiaojun, GENG Yang, CHEN Pengfei

2023, 21(9): 1482-1486. doi: 10.16766/j.cnki.issn.1674-4152.003151

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Objective To optimize the process of systematic lymph node dissection in single-port video-assisted thoracoscopic radical resection of non-small cell lung cancer and evaluate the clinical application effect and safety. Methods From October 2020 to October 2022, 100 patients who underwent single-port...

Application of tooth supported guide plate combined with navigation technology in the treatment of mandibular fracture

HONG Xiao, ZHAN Zhaojun, CHEN Yongfeng, LIAO Shengkai, ZHOU Jing

2023, 21(9): 1487-1490. doi: 10.16766/j.cnki.issn.1674-4152.003152

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Objective To compare two methods of open incision and internal fixation for mandibular fractures and to explore the application value of tooth-supported guidesin combination with navigation technology. Methods Sixty patients with mandibular fracture admitted to the Department of Stomatology, the Fir...

Study on correlation between serum hypersensitive C-reactive protein and nonalcoholic fatty liver disease in the elderly

CHEN Changxi, DU Juan, SONG Jian, ZHANG Cheng, LI Mengting, LI Hongliang

2023, 21(9): 1491-1494. doi: 10.16766/j.cnki.issn.1674-4152.003153

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Objective To investigate the relationship between serum hypersensitive C-reactive protein (hs-CRP) and nonalcoholic fatty liver disease (NAFLD) in the elderly, and provide the basis for prevention and treatment of NAFLD. Methods A total of 2 124 senior citizens aged 60 and above in a petrochemical e...

Characteristics and drug resistance of Pseudomonas aeruginosa infection in a general hospital

WANG Li, CUI Zhuo, GUO Pu, ZHANG Xiangjun, ZHU Jingrui

2023, 21(9): 1495-1497. doi: 10.16766/j.cnki.issn.1674-4152.003154

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Objective To study the clinical distribution characteristics and drug resistance changes of Pseudomonas aeruginosa infection in hospital, so as to provide basis for prevention and control of hospital infection and rational use of antibacterial drugs. Methods The distribution and drug resistance of P...

Effect of multidimensional cardiac rehabilitation model on prognosis and Lp-PLA₂ in patients with acute myocardial infarction after PCI

HU Yemei, SHAO Shengsheng, ZHANG Yawen, TANG Hui, LI Jun, SHANG Zhuo

2023, 21(9): 1498-1502. doi: 10.16766/j.cnki.issn.1674-4152.003155

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Objective To investigate the effects of multidimensional cardiac rehabilitation model on cardiac function, quality of life and plasma lipoprotein-associated phospholipase A₂ (Lp-PLA₂) in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). Methods A total o...

Construction and validation of a predictive model for the risk of intracranial infection in patients after decompressive craniectomy

YANG Chenjie, CHEN Hui, GUO Chunfeng, ZHOU Chenhui

2023, 21(9): 1503-1507. doi: 10.16766/j.cnki.issn.1674-4152.003156

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Objective To analyze the risk factors for intracranial infection in patients after decompressive craniectomy (DC), to construct a risk prediction model for intracranial infection in DC patients, and to conduct internal and external validation of the model. Methods The 61 DC patients who had intracra...

Efficacy and safety of lupatadine combined with LED-LLLT yellow light in the treatment of facial hormone-dependent dermatitis

YAN Yan, SUN Wei, ZHAO Lian, YANG Chunsheng

2023, 21(9): 1508-1511. doi: 10.16766/j.cnki.issn.1674-4152.003157

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Objective The treatment effect of facial hormone-dependent dermatitis is limited and the short-term recurrence rate is high. This study discussed the efficacy and safety of lupatadine combined with LED yellow light treatment in order to find an effective and safe treatment method. Methods A total of...

Feasibility study of DCE-MRI parameters combined with CA199, CA125, HE4 in differentiating BOT from stage Ⅰ EOC

LI Xingwu, YE Guoliu

2023, 21(9): 1512-1515. doi: 10.16766/j.cnki.issn.1674-4152.003158

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Objective Diagnosis of borderline ovarian tumor (BOT) and stage Ⅰ epithelial ovarian cancer (EOC) is of key significance for clinical selection of treatment. In this study, dynamic enhanced MRI (DCE-MRI) parameters combined with glycoantigen 199 (CA199), CA125, and human epididymal protein 4 (HE4) w...

Study on the treatment of upper urinary tract stones 2-3 cm in diameter using a flexible negative pressure suction sheath combined with flexible ureterorenoscopy holmium lithotripsy

WU Xiaojiang, TIAN Wenjun, ZHENG Dawen, ZHENG Feng

2023, 21(9): 1516-1519. doi: 10.16766/j.cnki.issn.1674-4152.003159

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Objective To observe the clinical efficacy and safety of flexible negative pressure ureteral access sheath combined with flexible ureterorenoscopy holmium lithotripsy (FURL) for upper urinary tract calculi. Methods A total of 168 patients with upper urinary tract calculi (2 to 3 cm in diameter), who...

Correlation of serum copper and inducible nitric oxide synthase with neurological deficit and prognosis in patients with acute ischemic stroke

WANG Sa, YU Hao

2023, 21(9): 1520-1522. doi: 10.16766/j.cnki.issn.1674-4152.003160

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Objective To analyze the relationship between serum copper, inducible nitric oxide synthase (iNOS) levels and neurological impairment and prognosis in patients with acute ischemic stroke (AIS), and to provide reference for clinical treatment of AIS. Methods A total of 118 patients with AIS admitted ...

Construction of exercise intervention index system for patients with hyperlipidemia

HUANG Zhiyang, LI Ran, DAI Manting

2023, 21(9): 1523-1527. doi: 10.16766/j.cnki.issn.1674-4152.003161

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Objective The exercise intervention index system for patients with hyperlipidemia was constructed as a quantitative decision-making tool to assist community doctors or sports instructor to make accurate judgments according to patients'needs before making exercise prescriptions and determine the goal...

Application of health management plan based on boost theory in patients with chronic diseases

ZHANG Ru, GE Menghua, CHEN Yejun, WANG Aifang, RUAN Guodong

2023, 21(9): 1528-1531. doi: 10.16766/j.cnki.issn.1674-4152.003162

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Objective To explore the application effect of health management plans based on boosting theory in chronic disease patients, and analyze their impact on patients'health behavior, health literacy, self-monitoring ability, and service satisfaction. Methods A total of 200 patients with chronic diseases...

Analysis on the characteristics and risk factors of spontaneous abortion of childbearing age women in Chengdu from the perspective of compound constitution

CHEN Wei, LIU Yangchun, ZHOU Congrong, LAI Fan, LI Xiaohong, LUO Erdan

2023, 21(9): 1532-1536. doi: 10.16766/j.cnki.issn.1674-4152.003163

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Objective To understand the compound constitution characteristics of patients with spontaneous abortion (SA), to explore the risk factors of SA in women of childbearing age, and to provide reference for the prevention of SA. Methods The information of pregnancy and traditional Chinese Medicine (TCM)...

Relationship between UGT1A1 gene mutation and breast milk jaundice

YIN Hanjun, ZHU Suyue, JIANG Yazhou, ZHU Juan

2023, 21(9): 1537-1540. doi: 10.16766/j.cnki.issn.1674-4152.003164

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Objective To study the distribution of UGT1A1 gene in newborns of Han nationality and explore the effect of UGT1A1 gene mutation on the occurrence of breast milk jaundice in newborns. Methods Using the case-control study design, 109 newborns with breast milk jaundice in Suqian Hospital of Nanjing Gu...

Influencing factors for prolonged mechanical ventilation in infants after cardiac surgery with congenital heart disease

CHEN Yuanyuan, ZHANG Lan, PAN Jiahua

2023, 21(9): 1541-1543. doi: 10.16766/j.cnki.issn.1674-4152.003165

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Objective To investigate the influencing factors of prolonged mechanical ventilation (PMV) in infants with congenital heart disease (CHD) after cardiopulmonary bypass (CPB) open heart surgery. Methods A total of 83 infants with CHD who needed CPB open heart surgery in the First Affiliated Hospital o...

Therapeutic effect of triptorelin combined with recombinant human growth hormone on central precocious puberty in girls

SONG Jian, CUI Beiyong, ZHU Hongwei

2023, 21(9): 1544-1546. doi: 10.16766/j.cnki.issn.1674-4152.003166

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Objective To study the clinical effect of triptorelin combined with recombinant human growth hormone in the treatment of girls with central precocious puberty (CPP). Methods Sixty girls with CPP admitted to Department of Pediatrics of Bengbu First People's Hospital from August 2018 to August 2020 we...

Evaluation of the implementation effect of basic public health service performance management in Tongzhou District Community Health Service Center of Beijing

GONG Yanan

2023, 21(9): 1547-1551. doi: 10.16766/j.cnki.issn.1674-4152.003167

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Objective To evaluate the implementation effect of internal basic public health service performance management system in community health service centers constructed since 2018, and provide reference suggestions for the performance management of basic public health service in the future. Methods The...

Longitudinal study of gestational psychological health and sleep quality

JI Wenjia, RAO Lin, ZHOU Xuan, LIU Zhiwei, LI Hong

2023, 21(9): 1552-1555. doi: 10.16766/j.cnki.issn.1674-4152.003168

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Objective To explore changes of gestational psychological health and sleep quality in women, and to analyze influencing factors of sleep quality. Methods A total of 3 904 natural conception women undergoing antenatal examinations in the International Peace Maternity & Child Health Hospital, Shan...

Survey and analysis of mental health status of general practitioner training and interns in Yunnan Province

PAN Li, YUAN Xianglin, YANG Zhongce, DONG Lintao, YANG Yan, LIU Fen, ZHANG Jingrong, WU Yanan, ZHANG Lihua

2023, 21(9): 1556-1558. doi: 10.16766/j.cnki.issn.1674-4152.003169

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Objective To investigate the mental health status of general practitioners in Yunnan province, and to provide a basis for promoting their mental health. Methods Symptom check list-90 (SCL-90) was used to conduct an online questionnaire survey among trained general practitioner training and interns i...

Correlation between childhood trauma, self-esteem, impulsivity/aggression and the severity of symptoms and suicide risk in patients with bipolar mania

ZHAO Shimiao, FENG Hong

2023, 21(9): 1559-1562. doi: 10.16766/j.cnki.issn.1674-4152.003170

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Objective To evaluate the relationship between childhood trauma, self-esteem, impulsivity/aggression and symptom severity and suicide risk in patients with bipolar mania by correlation analysis. Methods A total of 104 first-episode manic patients with bipolar disorder in Shaoxing Seventh People's Ho...

Predictive value of uterine artery ultrasound parameter prediction model for preeclampsia risk in early pregnancy

CHU Hua, LU Yan, LIU Mingsong

2023, 21(9): 1563-1565. doi: 10.16766/j.cnki.issn.1674-4152.003171

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Objective To explore the value of uterine artery ultrasound parameters in the prediction of preeclampsia at 11-13 weeks of gestation, we constructed a uterine artery ultrasound parameter prediction model at 11-13 weeks of gestation, and analyzed its prediction value for the risk of preeclampsia. Met...

Research progress in treatment of perimenopausal vasomotor symptoms

PAN Qi, REN Jingjing

2023, 21(9): 1566-1570. doi: 10.16766/j.cnki.issn.1674-4152.003172

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Perimenopausal period refers to a period before and after menopause in women, and it's also a period of gradual decline of ovarian function. This stage due to estrogen levels decreased, may appear a series of menopausal symptoms, short lasting 1-2 years, long lasting 10-20 years. Among them, hot fla...

Research advances of eye tracking technology in children with autism spectrum disorder

XU Jinbo, HAN Hui, SHI Lei, TONG Guanglei

2023, 21(9): 1571-1575. doi: 10.16766/j.cnki.issn.1674-4152.003173

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Autism spectrum disorder (ASD) is a group of neurodevelopmental disorder whose core symptoms are social deficits, narrow interests, and repetitive stereotype-like behaviors. Abnormal eye fixation is one of the clinical symptoms and early behavioral markers in children with ASD. Eye movement characte...

Research status and perspective of Postoperative ileus

ZHONG Jianhong, SU Jiayong, MA Liang

2023, 21(9): 1576-1580. doi: 10.16766/j.cnki.issn.1674-4152.003174

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Postoperative gastrointestinal dysfunction and even postoperative ileus (POI) are common complications after abdominal surgery, with an incidence rate of about 10%. POI is a temporary non-mechanical cessation of gastrointestinal coordination following surgical intervention that prevents effective tr...

Study on the correlation between TCM constitution and blood lipid, uric acid and body mass index

ZHENG Meihong, ZHANG Bin, LI Dongcai, LIANG Qijun, DONG Chengxuan, PAN Zhibin, GUAN Jintu, XU Guangzhen, LIU Jihong

2023, 21(9): 1581-1584. doi: 10.16766/j.cnki.issn.1674-4152.003175

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Objective To explore the correlation between traditional Chinese medicine (TCM) constitution and blood lipid, body mass index, uric acid and fat content, and analyze the risk factors affecting the occurrence of dyslipidemia. Methods A cross-sectional retrospective study was conducted on 1 061 patien...

A randomized controlled study of warm needle ginger moxibustion combined with Xingnao Kaiqiao acupuncture method in treatment of urinary incontinence after stroke

LI Xiaohua, WANG Lingyan, YAN Junhua, FANG Yan, ZHUGE Lejun, JIN Minjuan

2023, 21(9): 1585-1589. doi: 10.16766/j.cnki.issn.1674-4152.003176

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Objective Urinary incontinence is a common sequela after stroke. In this study, warm acupuncture and ginger moxibustion combined with Xingnao Kaiqiao acupuncture were used to treat urinary incontinence after stroke, aiming to find a more effective treatment method for urinary incontinence after stro...

Application of 3D printing technology in nursing practice teaching in neurosurgery

ZHANG Fang, HONG Wenming

2023, 21(9): 1590-1592. doi: 10.16766/j.cnki.issn.1674-4152.003177

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Objective To explore the teaching effect of 3D printing technology in nursing practice teaching in neurosurgery, and lay a certain foundation for the application of this technology in medical teaching. Methods A total of 116 undergraduate nursing interns were selected for practice in Neurosurgery De...

Application of ultrasound visual vascular puncture technology in clinical teaching of vascular puncture technology

WANG Xiaogao, MA Qiang, GUAN Zeyu, NIE Zhonglin, CHEN Shiyuan, LU Ran, YU Chaowen

2023, 21(9): 1593-1595. doi: 10.16766/j.cnki.issn.1674-4152.003178

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Objective To explore the application of ultrasound visual vascular puncture technology in clinical teaching of vascular puncture technology, and hope to improve the teaching effect of vascular puncture. Methods A total of 70 undergraduate interns and standardized trained doctors in vascular surgery ...

Time series study on the effect of air pollutants on hospitalization risk of arrhythmia patients in Hefei

ZHANG Qianru, ZHU Jirong, ZHU Mei, GE Jianjun, LI Baozhu

2023, 21(9): 1596-1600. doi: 10.16766/j.cnki.issn.1674-4152.003179

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Objective To investigate the effect of air pollutant exposure on the daily hospitalization number of cardiac arrhythmias in Hefei, and to provide a scientific basis for the development of appropriate intervention measures. Methods Meteorological data such as daily average temperature, daily average ...

Visual analysis of current community traditional chinese medicine research based on CiteSpace

YANG Linxia, ZHANG Ailian, ZHANG Yongkang, YUE Luanyi, FAN Yu, TIAN Qiqi

2023, 21(9): 1601-1606. doi: 10.16766/j.cnki.issn.1674-4152.003180

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Objective The development of community traditional chinese medicine (TCM) is an important part of the improvement of community health service capacity and also an important step to improve the community health service system. By sorting out the development process and research status of community TC...

A Multi-factor analysis of the current state of disability among economically disadvantaged older people in rural ethnic minority areas

HUANG Jinglin, ZHOU Qian, LI Huiju, DING Junzhou, HU Zhengjun, ZENG Bo

2023, 21(9): 1607-1611. doi: 10.16766/j.cnki.issn.1674-4152.003181

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Objective To analyze the current status of self-care ability of economically disadvantaged older adults over 60 years old in Linxia Hui Autonomous Prefecture, Gansu Province. Methods Using multistage stratified sampling, 3 724 older adults were surveyed in Kangle County of the region from December 2...

Study on the status of sleep duration and its influence factors among women aged 40-69 years in Zhejiang Province

LIN Dongdong, WANG Feixue, LING Ruolan, HU Kailing, QIU Jianfei, NING Yumei

2023, 21(9): 1612-1616. doi: 10.16766/j.cnki.issn.1674-4152.003182

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Objective To explore the current situation and influence factors of sleep duration of women aged 40-69 years in Zhejiang Province. Methods A multi-stage stratified cluster random sampling method was used to investigate the sleep duration of 6 717 women aged 40-69 years in Zhejiang Province. EpiData ...

Effect of E-Coach mode combined with dynamic glucose management on peripheral blood glucose and lipid levels in patients with severe diabetes

CHEN Yu, WANG Qiong, XING Hongye

2023, 21(9): 1617-1620. doi: 10.16766/j.cnki.issn.1674-4152.003183

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Objective To analyze the effect of E-Coach mode combined with dynamic glucose management on peripheral blood glucose and lipid levels in patients with severe diabetes, and to provide more suitable blood glucose management methods for clinical practice. Methods A convenient sampling method was used t...

Risk factors of urinary tract infections after radical prostatectomy for prostate cancer and PDCA nursing strategy analysis

WANG Haiyan, HONG Lijuan, WANG Shengxing, XU Siyi, LIANG Peiyu

2023, 21(9): 1621-1624. doi: 10.16766/j.cnki.issn.1674-4152.003184

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Objective To investigate the risk factors of urinary tract infections after radical prostatectomy (RP) and the nursing strategy of the plan-do-check-act (PDCA) cycle management model based on the logistic regression model, and provide reference for postoperative care of RP patients. Methods A total ...

The outcome of systemic lupus erythematosus complicated with MRSA infectious arthritis: A case report and literature review

ZHAO Fuyu, LIU Ying, WEI Zhiliang, LUN Xueping, LI Zuoqiang, LI Hui

2023, 21(9): 1625-1630. doi: 10.16766/j.cnki.issn.1674-4152.003185

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A retrospective analysis of a patient with systemic lupus erythematosus (SLE) combined with recurrent joint methicillin-resistant staphylococcus aureus (MRSA) infections over 10 years of clinical management was conducted. We searched for relevant case reports and conducted a literature review. The a...

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2023 Vol. 21, No. 9

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