Application and research of painless diagnosis and treatment technology in ultrasound-guided PICC catheterization in children / 中国现代医生

@#Objective To explore the application of painless diagnosis and treatment technology in children's peripherally inserted central catheter(PICC)guided by ultrasound.Methods Totally 82 children who planned to undergo PICC in the hospital from January 2021 to January 2023 were selected and randomly divided into a control group and an observation group using a random number table method,with 41 cases in each group;The control group underwent conventional ultrasound guided PICC catheterization,while the observation group underwent painless diagnostic and therapeutic techniques using ultrasound guided PICC catheterization;Compare the success rate of catheterization,completion time of catheterization,degree of pain in the child pain[children's pain behavior scale(FLACC)],tolerance[Houpt behavior scale(HBS)],compliance[Frankl scale(FCS)],and family satisfaction between the two groups.Results The success rate of catheterization in the observation group was higher than that in the control group,and the catheterization time was shorter than that in the control group,with a statistically significant difference(P<0.05).The FLACC score of the observation group was lower than that of the control group,while the HBS score and FCS score were higher than those of the control group,with a statistically significant difference(P<0.05);The total satisfaction of family members in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of painless diagnosis and treatment technology in ultrasound-guided PICC catheterization in children can improve the success rate of catheterization,shorten the catheterization time,reduce the degree of pain in children,enhance tolerance and compliance,and improve family satisfaction.

Application of Fast Track Surgery in Perioperative Nursing Care of Laparoscopic Cholecystectomy / 中国微创外科杂志

Objective To investigate the clinical effects of fast track surgery ( FTS ) in perioperative nursing care of laparoscopic cholecystectomy . Methods A total of 200 cases of laparoscopic cholecystectomy between January and December 2012 were randomly divided into two groups , with 100 cases of each group , receiving either FTS or conventional treatment .Comparison of the two groups in patients rehabilitation and complications were observed . Results The postoperative anal flatus time was significantly shorter in the FTS group (12.0 ±4.4) h than that in the control group (24.9 ±5.4) h (t=-18.519, P=0.000).The postoperative hospital stay was significantly shorter in the FTS group (3.2 ±1.3) d than that in the control group (4.2 ±2.1) d (t=-4.049, P=0.000).The patients’ weight loss at the 5 postoperative day was significantly less in the FTS group (3.2 ±0.3) kg than that in the control group (5.2 ±0.6) kg (t=-29.814, P=0.000). Conclusion FTS measures applied in laparoscopic cholecystectomy can significantly accelerate postoperative rehabilitation .

Asymptomatic Cryptosporidium parvum infection was found at Me Tri

Cryptosporidium causes diarrhea, commonly occurs in children under 5 years old. The disease condition ranges from severe to asymptomatic infection. This study involved 1,287 children under 5 years old without diarrhea and did not use antibiotics within 2 weeks previous. 412 stool samples were microscopied directly and enriched. No sample was found that containing Cryptosporidium parvum under directive microscopy. The enriched method found 3 samples containing Cryptosporidium parvum. Asymptomatic infection rate is 0.7%. This rate was compared with the incidence of Cryptosporidium parvum in other countries.

Acute diarrhoea caused by cryptosporidium

A total of 1.734 stool specimens from diarrhoea patients aged from 2 to 15 year old were examined by wet-mount and acid fast staining techniques for detection of Cryptosporidium. The parasites were found in 49 specimens, the proportion of positive cases was 2.82%, which was significant difference from those seen in the control group (n=400) with its proportion of 0.75% (p < 0.05). The majority of cases were found in children aged from 6 to 13 years old. The peaks of infection were seen in January, June - July.

The acute diarrhea due to cryptosporidium

1431 patients with diarrhea and 400 healthy children under 5 years in MÔ Tr× commune, Tõ Liªm district, Hµ Néi participated to a study. The patients were tested by using method of direct microscopy and the fast acid dye for finding cryptosporidium. The results have shown that the diarrhea due to cryptosporidium circulates in population with the highest rate of isolation in ages of 6-15 and most frequent during dry season such as January, November and December.