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Objective To study the perioperative nursing methods in patients with OSAHS and type 2 diabetes mellitus.Methods From March 2009 to December 2010,a total of 46 patients with OSAHS and type 2 diabetes mellitus were randomly divided into the control group and the experimental group with 23 cases in each group.Conventional care was given to the control group,while the experimental group received systematic,phased and individualized nursing.The sleep quality before and after the operation was compared.The oropharynx wound healing and possible complications,pain were observed after operation.Results In the control group,there was one patient with bleeding during operation,one patient happened blood lost after operation and 2 patients had postoperative infection.The hyperglycemia was found in 3 patients and hypoglycemia occurred in 2 patients.But in the experimental group,all of the patients did not suffer complication.The scores of sleep quality on the day before surgery were significantly higher than those scores on admission,and the scores on discharge from hospital were significantly lower than those scores on admission.There were statistical differences.The scores of the experimental group were significantly improved compared to those of the control group.The score of pain was the highest at the day of surgery,and then gradually decreased.The score of pain of the experimental group was significantly lower than that of the control group,and the difference was statistically significant.Conclusions This comprehensive nursing method during operation period for patients with OSAHS and type 2 diabetes mellitus not only can reduce risk of postoperative complication,but also can improve operation efficacy,quality of nursing and life quality of patients as well as can speed recovery.It approved that this standardized,systematic nursing method during the whole period is practical and effective in OSAHS and type 2 diabetes mellitus treatment and care.
RESUMO
<p><b>OBJECTIVE</b>To study the effect of different water stress mode on photosynthesis characteristics of Aconitum barbaturnm, aimed at providing the theoretical basis for cultivating this kind of plant for the arid area.</p><p><b>METHOD</b>The transplanted seedlings of A. barbatum were processed with fixed partial root zone drying(TI) ,alternate partial root zone drying(T2) and both partial root zone irrigation (T3) for three cycles,and relative parameters were measured.</p><p><b>RESULT</b>The net photosynthetic rate (Pn) in the treatment of T2 gradually increased and was higher than that in the treatment of T3 about 6.53%, mainly effected by non-stomatal factors. The water use efficiency (WUE) was higher than that in the treatments of T3 about 25.21%, while the transpiration rate (Tr) and the stomatal conductance was lower than those in the treatment of T1 and T3 separately. The maximum net photosynthesis rate (Pmax),the apparent quantum yield (AQY) and the dark respiration rate (Rd) were higher than those in comparison condition slightly.</p><p><b>CONCLUSION</b>The alternate partial root zone drying is worth promoting vigorously, and it shall be a rational way to cultivate the A. barbatum under woodland.</p>