Advanced Emergency Medicine (E-Journal)
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Clinical Progress of Acupuncture in the Treatment of ACL after Reconstructive Surgery
Get PDFAnterior cruciate ligament (ACL) injury of the knee is one of the common sports injuries, and ACL reconstruction is currently the mainstream treatment. However,ACL reconstruction often produces postoperative complications such as swelling, pain, muscle atrophy, joint adhesion and stifness, and timely interventional rehabilitation is needed for patients to recover the expected level. Studies have shown that acupuncture treatment can regulate infammatory factors and related signalling pathways, etc., and has obvious efcacy in joint rehabilitation after ACL reconstruction. The authors collated clinical reports on the use of acupuncture therapy such as general acupuncture, electroacu-puncture, moxibustion with acupuncture, snap needling, and ethnic acupuncture in the rehabilitation process after ACL reconstruction in re-cent years, to explore the feasibility and efectiveness of the intervention of acupuncture therapy, with the aim of providing a more systematic reference for the treatment ofACL injury in the future clinic after surgery
A Review of Treatment of Acute Ischemic Stroke
Get PDFTreatment strategies for acute ischaemic stroke focus on two main areas: improving blood circulation to the brain and neuropro-tection. However, these measures are only efective in the treatment of vascular stenoses. However, they are only efective within a narrow therapeutic window and are therefore limited. This article now provides a brief summary of the clinical treatment of acute ischaemic stroke and its future directions, with the aim of providing an updated direction and theoretical basis for relevant drug development
Influencing Factors of Anger Induced by Patients in Medical Situations
Get PDFObjective: This study was made to explore the inducing factors of patients’ anger in medical treatment in order to provide a solid and reliable theoretical basis for preventing doctor-patient conflicts, improving doctor-patient relationship, and promoting doctor-patient harmony and social harmony. Method: develop the “Questionnaire of the Inducing Factors of Anger in the Doctor-patient Relationship”and use the State-Trait Anger Expression Inventory-2 (STAXI-2) to survey the 111 patients that had experienced medical disputes or doctor-patient conflicts and actually got angry in the conflicts in the Hospital of Dali University.The SPSS22.0 statistical software was used to establish database and analyze the obtained data. Result: 1. The Influence of demographic variable on the anger of patients. The anger of the patients between 46-55 years old was significantly higher than that of patients below 25, between 25-35 or above 66. Patients with junior high school degree or lower had the highest emotion of anger, and then those with senior high school degree (including technical secondary school) followed. Patients with no jobs had the highest emotion of anger, and then farmers and workers followed, which were significantly higher than that of patients engaged in other occupations. Patients with the monthly income of RMB 2000 yuan or lower had the highest emotion of anger, and then those with no stable source of income followed, which were significantly higher than those with higher monthly income. 2. The anger of patients was significantly negatively correlated to their trustfulness in medial workers, but significantly positively correlated to medical costs, the communication with medical workers, their cognition of the medical condition, medical workers’ disclosure of patients’ condition, the medical treatment effect, medical workers’ problem-solving ability, medical facilities and environment and medical workers’ professional level. Conclusion: In the medical treatment, the main inducing factors that may evoke the anger of patients are: the communication with medical workers; the attitude of medical workers; medical treatment effect; medical workers’ professional level
The Value of D-dimer in the Prognosis and Clinical Classification of Acute Aortic Dissection
Get PDFObjective: To investigate the prognostic and clinical classification value of D-dimer in acute aortic dissection (AAD), thereby providing a foundation for early clinical attention and proactive intervention. Methods: The clinical data of 74 patients with acute aortic dissection were retrospectively analyzed. Based on the prognosis, they were categorized into two groups: death group and survival group. Univariate and multivariate logistic regression analyses were employed to investigate the risk factors associated with in-hospital mortality in patients with acute aortic dissection (AAD). Similarly, regression analysis was conducted to identify the risk factors for Stanford A acute aortic dissection according to the Stanford classification criteria. Additionally, the prognostic value of D-dimer for both AAD and Stanford A dissection was evaluated using ROC curve analysis. Results: Significant differences were observed in Stanford type A, creatinine, D-dimer, and N-terminal pro-brain natriuretic peptide (NT proBNP) levels between the death group and survival group (P < 0.05). Multivariate regression analysis revealed that D-Dimer (odds ratio [OR] = 1.26, 95% confidence interval [CI]: 1.09-1.46, P = 0.002) and creatinine (OR = 1.02, 95% CI: 1.00-1.03, P = 0.022) independently contributed to the risk of mortality in patients with acute aortic dissection (AAD). The area under the curve (AUC) for D-dimer in predicting in-hospital death was found to be 0.77 with an optimal cut-off point of 6.5 mg/l; yielding a sensitivity of 86% and specificity of 62%. Significant differences were also observed between Stanford A and Stanford B classifications among female patients regarding clinical classification as well as D-Dimer levels (P <0.05). Multivariate analysis demonstrated that D-Dimer (OR=1.18,95 % CI : 1.05-1.32, P=0.005) and female gender (OR=4. 07, 95% CI: 1.24-13.29, P=0.02) were associated with increased risk of Stanford A dissection.The AUC for D-dimer was calculated as 0.69 with a critical point at 10.73mg/L,sensitivity ranged from 55%, and specificity reached 81%. Conclusion: The elevated levels of D-dimer not only serve as a prognostic indicator for mortality in acute aortic dissection but also act as a predisposing factor for Stanford A dissection
Observation on the Clinical Treatment Effect of Chronic Pelvic Inflammatory Disease in Obstetrics and Gynecology
Get PDFObjective: To explore the effectiveness and related methods of clinical treatment of chronic pelvic inflammatory disease in obstetrics and gynecology. Method: An experiment was conducted on patients with chronic pelvic inflammatory disease who received treatment from a certain hospital in China from December 2021 to December 2022. Forty patients were randomly selected and divided into a control group and an experimental group, with 20 patients in each group. Among them, the control group was treated with conventional methods for chronic pelvic inflammatory disease, while the experimental group was treated with Kangfu Xiaoyan Suppository based on conventional therapy. The final total effective rate, six-month recurrence rate, and incidence of adverse reactions were compared between the two experimental groups after receiving clinical treatment. Result: After receiving treatment, the total effective rate of the experimental group was 100%, while the total effective rate of the control group was 70%. The difference between the two groups was statistically significant (P>0.05); The incidence of adverse reactions in the experimental group was 15%, while the incidence of adverse reactions in the control group was 25%. The difference between the two was statistically significant (P>0.05); The recurrence rate within six months in the experimental group was 25%, while the recurrence rate within six months in the control group was 50%. The difference between the two was statistically significant (P>0.05). Conclusion: In clinical practice, patients with chronic pelvic inflammatory disease are treated with Kangfu Xiaoyan Suppository based on routine treatment. The application of this treatment method does not cause serious adverse reactions, and can effectively alleviate the patient's condition and reduce the recurrence rate of the disease within six months. It is a particularly ideal treatment method that can fundamentally reduce the effective time of patient treatment
Emergency Treatment of Fractures in the Elderly
Get PDFWith advancing age, individuals experience a decline in reaction ability and lower limb strength, which, when combined with the presence of osteoporosis, increases the risk of fractures in daily life if proper attention is not given. The most prevalent site of fracture in the elderly population occurs between the femoral neck and trochanter, followed by lumbar vertebral compression fractures and ankle facet fractures. Osteoporosis and age-related decline in bone and joint regulatory capacity are the primary factors influencing fracture occurrence among older individuals. Implementing scientifically-based treatments can alleviate pain in the elderly population, thereby establishing a solid foundation for effective medical interventions
The Value of CT Enhancement Degree in Prognosis of Pancreatic Cancer
Get PDFObjective: To explore the prognostic value of CT enhancement degree of pancreatic cancer in pancreatic cancer. Methods: From January 2019 to January 2022, 50 patients with pancreatic cancer who came to our hospital for pathological confirmation were selected. Prior to surgery, use multiphase CT of the pancreas to complete enhanced scans. After surgery, the patient's survival period, clinical treatment effectiveness, and imaging data are used as research variables. In the scanning diagnosis, it is necessary to collect the patient's age, gender, tumor location and size, differentiation process, CT value, etc. Create a mathematical model based on the collected data and complete the experimental research work. Results: Univariate analysis showed that the prognosis of pancreatic cancer patients with higher enhancement degree in each stage (P<0.05 in each stage) was better. Multivariate analysis showed that tumor differentiation (P=0.0118), TNM staging (P=0.004), and portal vein enhancement (P<0.001) can be independent predictors of patient prognosis. Conclusion:Â The lower the CT enhancement degree of pancreatic cancer, the worse the prognosis
Analysis on the Effects of Whole-process Exercise Combined with Dietary Nutrition Intervention in the Treatment of Gestational Diabetes
Get PDFObjective: To investigate the effect of whole-process exercise combined with dietary nutrition intervention in the treatment of gestational diabetes mellitus. Methods: A total of 84 patients with gestational diabetes admitted to our hospital within 1 year from 2022.05 to 2023.05 were selected as research subjects, and they were divided into control group (42 cases, using conventional intervention) and observation group (42 cases, using whole-process exercise combined with dietary nutrition intervention) according to the random number table method. The treatment effects of the two groups were analyzed. Results: Both groups achieved certain results after receiving the intervention, but the blood glucose level, weight gain level, maternal and infant outcomes of the observation group after the whole process of exercise combined with dietary nutrition intervention were better than those in the control group, and the differences were statistically significant (P<0.05). Conclusion: The use of whole-process exercise combined with dietary nutrition intervention in patients with gestational diabetes mellitus can effectively reduce their blood glucose level, control their weight gain, and reduce the risk of adverse maternal and infant outcomes
Research Progress of Urinary Tract Infection Associated with Urinary Catheter in Urology
Get PDFUrethral infections caused by catheters rank first in hospitals, while urethral infections caused by catheters dominate. In order to better understand and master urethral infections related to catheters in the urinary system, the author reviewed a large amount of relevant data to provide an overview of the epidemiology, pathogenesis, influencing factors, and prevention and treatment measures of their occurrence. The author hopes to provide valuable information on how to effectively prevent catheter-related urethral infections in clinical practice and how to improve the quality of nursing work
Symptom Correlation Analysis of Upper Respiratory Tract Infections in Children at Primary Community Health Service Centers
Get PDFObjective: To investigate the time-to-cure correlation of upper respiratory tract infections in children in primary community health service centers, and to provide high-quality medical technology for primary health care. Methods: A total of 70 children from January 2020 to January 2021 were admitted to the hospital and treated for 3 weeks to compare the treatment effects. Results: The recurrent causes of recurrent upper respiratory tract infections in children were viral infections, immune abnormalities, malnutrition, bronchial asthma, chronic diseases, iron deficiency anemia, the main causes were viral infections, and  there were statistical differences in the number of incidences, course and interval of onset in the control group. Conclusion: The nature of treatment in grassroots community health service centers can be analyzed in a timely and effective manner and is worth promoting