7张玫,刘航,郭苹,等.规律性尿激酶封管预防血液透析中心静脉导管栓塞的护理研究[J].护理研究,2008,22(4):1070-1070.8方新.尿激酶在糖尿病肾病患者血液透析中心静脉置管中的应用[J].中国保健营养:临床医学学刊,2010,19(9):6-7.(收稿日期:2013-01-07)EffectevaluationsofurokinaseintubesealingforpermanentcuffedcatheterinhemodialysispatientsLiaoSong-qing(DepartmentofNephrology,TheSixthPeople′sHospitalofChengdu,SichuanChengdu610051)AbstractObjective:Toexploretheeffectofurokinaseintubesealingforpermanentcuffedcatheterinhemodialysispatients.Methods:27hemodialysispatientswererandomlydividedinto3groups:urokinasegroup(n=9),heparingroup(n=9)anduroki-nase+heparingroup(n=9).Allkindsofclinicalindexswereobservedandcomparewithdifferentgroupsafter6months.Results:Comparedwithheparingroup,casenumbersofcatheterunobstructeddegreeanddialysisbloodflowweresignigicantlyincreased(P<0.05);numbersofsinglesuctioncatheterimpeded,arteriovenousreverseconnectandnursinginterventionweresignificantlyre-duced(P<0.05).Moreover,therewerenomarkedlydifferencesascomparedtourokinase+heparingroup(P>0.05).Conclusion:Regularuseofurokinasesealingtubecanbeeffectivelyusedforpermanentcuffedcatheterinhemodialysispatients.KeyWords:Urokinase;Permanentcuffedcatheter;Hemodialysis婴幼儿支气管肺炎的治疗方法应用与护理体会赵媛柯昌尧张筱岚△(大理学院护理学院人文护理教研室,云南大理671000)摘要目的:通过比对不同雾化吸入方式对婴幼儿支气管肺炎的治疗效果,为选择恰当的护理方案提供科学依据,加速患儿康复。方法:将90例支气管肺炎患儿随机分为氧气雾化组和超声雾化组各45例,在所用药物及其他治疗方案相同的条件下行雾化吸入,每日2次,每次20min。结果:超声组/氧气组行雾化吸入治疗后临床症状、体征改善时间分别为:咳嗽明显减轻(4.0±1.3dvs2.9±1.5d),呼吸困难消失(3.4±1.0dvs2.5±1.2d),肺部痰鸣音消失(3.4±1.7dvs2.8±1.0d),两组治疗效果差异有统计学意义(P<0.05)。结论:配合适当的护理方法,氧气组症状、体征改善时间较超声组显著缩短,加速了患儿的康复。关键词:婴幼儿支气管肺炎;雾化吸入;护理作者简介:赵媛,女,副教授,主要从事内科护理、护理心理及社区护理教学,Email:zhaoyuan308@163.com。△通讯作者:张筱岚,女,副教授,主要从事儿科临床及教学工作,Email:zhxl_0717@sina.com。雾化吸人疗法是利用气体射流原理,将水滴撞击...