目的 探討品管圈活動在降低外科重癥監(jiān)護(hù)（SICU）高危患者壓瘡發(fā)生率中的作用。 方法 2011年11月起成立品管圈小組，確立以“降低SICU高?；颊邏函彴l(fā)生率”為活動主題，通過制定相關(guān)制度和改進(jìn)護(hù)理措施，加大對壓瘡高?；颊叩淖o(hù)理預(yù)防力度，并對活動前后A、B兩組共100例患者的壓瘡發(fā)生情況進(jìn)行對比分析。 結(jié)果 高?；颊邏函彴l(fā)生率由7.6%下降到2.0%。 結(jié)論 品管圈活動在降低SICU高危患者壓瘡發(fā)生率中的效果明顯，值得推廣。
【摘要】 目的 比較薤白聯(lián)合阿司匹林或單用阿司匹林防治心腦血管事件的療效。 方法 2007年1月〖CD3/5〗2009年9月就診的188例高?；颊呒{入研究,隨機(jī)分為實(shí)驗(yàn)組(89例)和對照組(99例)。兩組均予口服阿司匹林0.1 g,1次/d。實(shí)驗(yàn)組同時(shí)給予口服薤白0.9 g,3次/d。觀察兩組患者血管事件的發(fā)生率和不良反應(yīng)的發(fā)生情況。 結(jié)果 實(shí)驗(yàn)組血管總事件發(fā)生率為6.7%,對照組為19.2%,兩組間差異有統(tǒng)計(jì)學(xué)意義(Plt;0.05);實(shí)驗(yàn)組腦梗死發(fā)生率為1.1%,對照組為9.1%,兩組間差異有統(tǒng)計(jì)學(xué)意義(Plt;0.05)。兩組短暫性腦缺血、心絞痛、心肌梗死的發(fā)生率比較,差異無統(tǒng)計(jì)學(xué)意義(Pgt;0.05)。兩組皮下出血、血尿、黑便、惡心、腹痛等不良反應(yīng)的發(fā)生率比較,差異無統(tǒng)計(jì)學(xué)意義(Pgt;0.05)。 結(jié)論 服用阿司匹林加薤白可顯著降低高?；颊咝哪X血管總事件發(fā)生率和腦梗死發(fā)生率,增加療效,而不良反應(yīng)沒有顯著增加。【Abstract】 Objective Compare the curative effect of cerebrovascular diseases event prevented with llium macrostemon and aspirin or only with aspirin. Methods Divide the outpatient patients into experimental group (89 patients) and control group (99 patients). Use 0.1 g aspirin for two groups with oral administration once per day. The experimental group is used with 0.9 g allium macrostemon with oral administration three times per day. Observe the generation rate and adverse reaction of vascular events in two groups of patients. Results The Total generation rate of vascular events in the experimental group is 6.7% and the control group is 19.2%,the differences were statistically significant (Plt;0.05); the cerebral infarction generation rate in the experimental group is 1.1% and in the control group is 9.1%,the differences were statistically significant (Plt;0.05). There is no significant difference (Pgt;0.05) in TIA, angina pectoris, myocardial infarction generation rate in two groups. There is no significant difference (Pgt;005) in adverse reaction generation rate of subcutaneous hemorrhage, hematuria, melena, nausea, bellyache. Conclusion Taking aspirin with llium macrostemon can significantly decrease total cardiovascular and cerebrovascular events generation rate and cerebral infarction generation rate in high risk patients, improve the curative effect and the adverse reaction has not been significantly increased.