ABSTRACT
Objective:To investigate the characteristics and management of the emergency patients with orthopaedic trauma during COVID-19 epidemic.Methods:A retrospective analysis was performed of the 32 emergency inpatients at Department of Orthopedics, Nanfang Hospital from January 20 to February 26, 2020. They were 23 males and 9 females, aged from 4 to 66 years (mean, 35 years). The causes for their injury included traffic accident in 14 cases, sharp cutting (e.g. by a kitchen knife) in 6 cases, heavy object crushing in one, machine crushing in one, fall in 2, and machine twisting in one. High energy injury occurred in 13 cases and low-energy injury in 9 cases. The injury involved the upper limb in 7 cases and the lower limb in 15 cases. Grade Ⅱ protection was adopted during the diagnosis and treatment for the one emergency patient who had not undergone nucleic acid screening for 2019-nCoV while grade Ⅰ protection for the other 21 patients. 2019-nCoV infection was recorded in the patients and medical staff as well. The measures and experience were reviewed in the management of orthopaedic emergencies during the COVID-19 epidemic.Results:During the diagnosis and treatment of 22 emergency patients with orthopaedic trauma, none of the medical staff or patients was infected with COVID-19. As the one emergency patient was treated as a suspected case and protected by grade Ⅱ measures, COVID-19 infection was ruled out after surgery.Conclusions:During the COVID-19 epidemic, front-line medical staff dealing with traumatic emergencies faced a higher risk of infection. The emergency orthopaedic traumas were mainly caused by a traffic accident or a machine, and those in the elderly patients by a sharp cutting or a fall. The incidence of COVID-19 infection could be reduced by COVID-19 screening before admission, appropriate anesthesia and surgical methods, protection of perioperative medical staff, postoperative wards care and psychological counseling.
ABSTRACT
Objective To explore the effect of different midwifery methods on the pelvic floor function of parturients and nursing experience.Methods From January 2018 to December 2018,200 cases of vaginal delivery in Enze Obstetrics and Gynecology Hospital of Taizhou Hospital were selected as study objects .According to the random number table method,they were divided into non-invasive midwifery group and traditional midwifery group , with 100 cases in each group.The non-invasive midwifery group adopted non-invasive midwifery,while the traditional midwifery group adopted traditional midwifery.The pelvic floor muscle strength ,pelvic floor muscle dysfunction and postpartum hemorrhage were observed in the two groups.Results There was no statistically significant difference in pelvic floor muscle strength between the two groups in grade 0,grade Ⅰ,grade Ⅱ,grade Ⅲ and grade Ⅳ(all P＞0.05).The pelvic floor muscle strength of the observation group in grade Ⅴ(45.00%) was higher than that of the control group (31.00%),the difference was statistically significant (χ2 ＝4.160,P＜0.05).The incidence of sexual dysfunction (15.00%) and stress urinary incontinence (28.00%) in the observation group were significantly lower than those in the control group (41.00%,54.00%) (χ2 ＝16.766,13.973,all P＜0.05).The amount of bleeding 2 hours after delivery in the observation group [(245.93 ±19.89) mL] was less than that in the control group [(297.42 ±24.21)mL] (t ＝16.433,P＜0.05).Conclusion Non-invasive midwifery has little effect on the pelvic floor function of parturients ,and the incidence rate of sexual dysfunction and stress urinary incontinence is low , and the amount of bleeding is small ,which is worthy of clinical reference.
ABSTRACT
Objective@#To explore the effect of different midwifery methods on the pelvic floor function of parturients and nursing experience.@*Methods@#From January 2018 to December 2018, 200 cases of vaginal delivery in Enze Obstetrics and Gynecology Hospital of Taizhou Hospital were selected as study objects.According to the random number table method, they were divided into non-invasive midwifery group and traditional midwifery group, with 100 cases in each group.The non-invasive midwifery group adopted non-invasive midwifery, while the traditional midwifery group adopted traditional midwifery.The pelvic floor muscle strength, pelvic floor muscle dysfunction and postpartum hemorrhage were observed in the two groups.@*Results@#There was no statistically significant difference in pelvic floor muscle strength between the two groups in grade 0, grade Ⅰ, grade Ⅱ, grade Ⅲ and grade Ⅳ(all P>0.05). The pelvic floor muscle strength of the observation group in grade Ⅴ (45.00%) was higher than that of the control group (31.00%), the difference was statistically significant (χ2=4.160, P<0.05). The incidence of sexual dysfunction (15.00%) and stress urinary incontinence (28.00%) in the observation group were significantly lower than those in the control group (41.00%, 54.00%) (χ2=16.766, 13.973, all P<0.05). The amount of bleeding 2 hours after delivery in the observation group [(245.93±19.89)mL] was less than that in the control group [(297.42±24.21)mL] (t=16.433, P<0.05).@*Conclusion@#Non-invasive midwifery has little effect on the pelvic floor function of parturients, and the incidence rate of sexual dysfunction and stress urinary incontinence is low, and the amount of bleeding is small, which is worthy of clinical reference.