简介：Tosutdythemechanicalpropertiesandtheclinicalresultsofminimum-contactplateinthetreatmentoffractures.Methods:Four-pointbendingandtorsiontestswereconductedtocomparethenewminimumcontactplate(MCP)withdynamiccompressionplate(DCP)andlimitedcontactdynamiccompressionplate(LC-DCP).Thefracturehealingtimeandgrowthofhonycalluswereobservedin29casesoflongbonefracturefixedwithMCPtoevaluatetheadvantagesofthiskindofplate.Results:The29patientswhounderwentMCPwerefollowedupfrom6to14months.Theaveragehealingtimeforfemoral,tibialandhumeralfractureswas12,13and10weeks,respectively.Allfractureswerehealed.Nodisplacementoffracture,screwpullout,deformationorhreakoftheplatewerefound.Conclusions:ThebendingstiffnessofMCPissignificantlygreaterthanthatofDCPandLC-DCP(P<0.05).MCPcanprotecttheperiostealhloodsupplyagainstavascularosseousnecrosisandacceleratehonehealing.Itisakindofreliableandeffectiveplateintreatmentoffractures.

简介：[摘要] 目的：探讨急性心肌梗死介入治疗中心律失常的护理干预效果。方法：从2020年1月至2021年5月，在我院介入治疗的94例急性心肌梗死患者。根据入院编号奇偶性分组：奇数编号的47例进入对照组，实施常规护理；偶数编号的47例进入试验组，进行有效护理干预。比较护理满意度和治疗指标。结果：相比于对照组，试验组总满意率更高（95.74%vs82.98%），患者的心率、QT离散度更低，QTC间期更大，经检验有统计学差异（P＜0.05）。结论：急性心肌梗死介入治疗中发生心律失常的患者，实施有效护理干预能改善治疗效果，提高患者满意度。

简介：Objective:Toinvestigatetheeffectofmoderatehypothermiaonresponsesofaxonalcytoskeletontoaxonalinjuryintheacutestageofinjury.Methods:Offifteenadultguineapigs,twelveanimalsweresubjectedtostretchinjurytotherightopticnervesanddividedintothenormothermicgroup(n=6)inwhichtheanimal'scoretemperaturewasmaintainedat36.0-37.5℃andthehypothermiagroup(n=6)inwhichthecoretemperaturewasreducedto32.0-32.5℃afterstretchinjury.Remainingthreeanimalssustainednoinjurytotherightopticnervesandservedascontrolgroup.Halfofinjuredanimals(n=3)ofeithernormothermicgrouporhypothermicgroupwerekilledateither2hoursor4hoursafterinjury.Theultrastructuralchangesofaxonalcytoskeletonoftherightopticnervefibersfromtheanimalswereexaminedunderatransmissionelectronmicroscopeandanalyzedbyquantitativeanalysiswithacomputerimageanalysissystem.Results:At2hoursafterstretchinjury,therewasasignificantreductioninthemeannumberofmicrotubules(P<0.001),andasignificantincreaseinthemeanintermicrotubulespacing(P<0.05orP<0.01)inaxonsofallsizesinnormothermicanimals.Themeannumberofneurofilamentsalsodecreasedstatistically(P<0.01)inlargeandmediumsubgroupsofaxonsinthesameexperimentalgroupat2hours.By4hours,thelargesubgroupofaxonsinnormothermicanimalsstilldemonstratedasignificantdeclineinthemeannumberofmicrotubules(P<0.01)andanincreaseinthemeanintermicrotubulespacing(P<0.05),whilethemediumandsmallsubgroupsofaxonsdisplayedasignificantincreaseinthemeannumberofneurofilaments(P<0.05)andreductioninthemeaninterneurofilamentspacing(P<0.05).Onthecontrary,eitherthemeannumberofmicrotubulesandthemeanintermicrotubulespacing,orthemeannumberofneurofilamentsandinterneurofilamentspacinginaxonsofallsizesinhypothermicstretch-injuredanimalswasnotsignificantdifferentfromthemeanvaluesofsham-operated