Recurrence Rate In Experimental Group Research Articles

Observation of effect of continuous intravenous drip of low molecular dextran combined with furosemide in the treatment of edema in children with nephrotic syndrome

Objective: To study the curative effect of continuous intravenous drip of low molecular dextran combined with furosemide in the treatment of edema in children with nephrotic syndrome. Methods: A total of 170 children with edema in nephrotic syndrome treated in the Pediatric Department of our hospital from March 2015 to May 2017 were randomly divided into two groups. Patients in control group were treated with intravenous drip of furosemide (furosemide injection), while those in experimental group received intravenous drip of low molecular dextran based on the treatment in control group. The treatment indexes of the two groups were summarized. Results: At 7 d after treatment, the total effective rate of treatment in experimental group was 97.15%, which was higher than that in control group (88.24%, P<0.05). The extinction time of edema in experimental group was shorter than that in control group, the 24-h urine volumes at 3 d, 5 d and 7 d after treatment were larger than those in control group, and the 24-h urinary protein level was lower than that in control group (P<0.05). During the 6-month follow-up, the recurrence rate in experimental group was lower than that in control group (P<0.05). Conclusion: Low molecular dextran combined with furosemide is significantly effective in the treatment of edema in children with nephrotic syndrome, which promotes the extinction of edema and improves the renal function, so it is worth promoting.

Effect of self-management education on medication compliance and self-efficacy of patients with schizophrenia in rehabilitation period

Objective To observe the effect of medication compliance and self-efficacy of schizophrenia patients with diabetes by continuing self-management education. Methods A total of 60 patients with schizophrenia with diabetes diagnostic criteria were divided into experimental group (30 cases) and control group (30 cases) by the admission number, 2 groups received conventional drug treatment, the control group received general preaching health education pattern, were each issued a health education manual, with schizophrenia and diabetes health knowledge division, the test group on the basis of the continuation of the implementation of self-management education, followed up 12 months after discharge, compared 2 groups of patients with medication compliance and recurrence rate, with General Perceived Self-Efficacy Scale (GSES) assessment level of 2 groups of patients with self-efficacy, fasting blood glucose (FPG) was determined by automatic biochemical analyzer, 2 hours postprandial blood glucose (2 hPBG). Results Six months after discharge, 82.1%(23/28) cases were complete compliance, 14.3%(4/28) cases of partial compliance, 3.6%(1/28) cases of non-compliance, 55.2%(16/29)cases of the control group complete compliance, 27.6%(8/29) cases of partial compliance, 17.2%(5/29) cases of non-compliance, the differences between two groups were statistically significant (χ2=37.41, P<0.05). The 12 month test group of full compliance discharged 75.0%(21/28) cases, 14.3%(4/28) cases of partial compliance, 10.7%(3/28) cases of non-compliance, 31.0%(9/29) cases of the control group complete compliance, 31.0%(9/29) cases of partial compliance, 37.9%(11/29) cases of non-compliance, the test group compliance was higher than the control group (χ2=11.27, P<0.05). The score after 6 months and 12 months respectively for the test group general self-efficacy scored 35.32±2.02, 34.18±1.77, control group scored 24.03±3.04, 22.48±2.01, the differences between two groups were statistically significant (t=16.445, 23.304, P<0.01). After 6 months in test group FPG and 2 hPBG were (5.71±1.05), (9.46±1.37) mmol/L, control group were (7.79±1.05), (12.28±2.07) mmol/L, the differences between two groups were statistically significant (t=7.483, 6.023, P<0.01). 12 months after discharge in test group FPG and 2 hPBG respectively (5.89±1.13), (9.68±1.09) mmol/L, control group (9.14±1.19), (13.17±1.42) mmol/L, test group FPG and 2 hPBG were lower than the control group (t=10.550, 7.431, P<0.01). After 6 months and 12 months, the recurrence rate of experimental group were 7.1% (2/28) and 24.1% (7/29) respectively, and control group were 14.3% (4/28) and 44.8% (13/29), the recurrence rate of experimental group was lower than the control group, there was significant difference between 2 groups (χ2=4.326, 6.225, P< 0.05 or 0.01). Conclusions Self-management education can improve the medication compliance and self-efficacy, improve mental symptoms and sugar metabolism, and reduce the recurrence rate. Key words: Schizophrenia; Diabetes mellitus; Patient compliance; Self-efficacy; Follow up study; Continuing nursing

Meta-analysis of the clinical significance of thyroidectomy combined with central neck dissection in differentiated thyroid carcinoma at the first treatment

To compare the differences in recurrence rates and surgical complications between thyroidectomy alone and thyroidectomy combined with central neck dissection as initial treatments to differentiated thyroid cancer and evaluate the clinic significance of central neck dissection for these patients. The literatures published in 1998-2013 were searched in Wanfang database, Chongqing VIP database, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Pubmed, Medline and Beijing Kangjian foreign medical journal full text service. According to the inclusion and deletion criteria, 30 articles were included. Of them 26 articles involved in complications, hypocalcemia and recurrent laryngeal nerve palsy as two major complications were involved in 26 articles and 24 articles respectively, and 26 articles involved in recurrence rate. RevMan5.0 software package was used to perform meta-analysis. Total complication rate in experimental group (plus central neck dissection) was 13.08% higher than that in control group (thyroidectomy only), the odds ratio (OR) [95% confidence interval (95%CI)] was 2.32[2.02, 2.67], Z value was 11.80, P < 0.01. Hypocalcemia in the experimental group was 11.80% higher than that in control group, OR value [95%CI] was 2.58[2.21, 3.02], Z was 11.98, P < 0.01. The rates of recurrent laryngeal nerve paralysis were low in both experimental group (5.26%) and control group(3.95%), and OR value [95%CI] was 1.22 [0.94, 1.58], Z was 1.48, P = 0.14. Recurrence rate in experimental group was 2.23% lower than that in control group, OR value [95%CI] was 0.78 [0.63,0.97], Z was 2.35, P = 0.03. Central compartment dissection as initial treatment to differentiated thyroid cancer may reduce the risk of recurrence, but increases the incidence of total complications and hypocalcemia, and has no significant effect on the rate of the recurrent laryngeal nerve paralysis.

Application of treatment of laparoscopy combined with Zoladex to prevent endometriosis and nursing

Objective To study the effect of Zoladex therapy after endometriosis.Methods Totals of 174 cases with Ⅲ-Ⅳ endometriosis after laparoscopic surgery were randomly divided into experimental group (n =82),which received Nored therapy after endometriosis surgery and lasting 6 months,and control group (n =92)without any drug treatment.All patients were monthly followed up by telephone for two years,and postoperative recurrence rate and pregnancy rate in patients with infertility were observed and compared.Results After two years,the recurrence rate of experimental group was 23.17％,and that of control group was 51.09％,and the difference was statistically significant (P ＜ 0.05).The pregnancy rate of experimental group was 80.00％ significantly higher than 46.67％ of control group (x2 =6.419,P ＜ 0.05).Conclusions The endometriosis treated with Nored therapy is important for the patients which can effectively reduce the relapse rate,increase the rate of pregnancy,so as to the careful and effective nursing care to patient outcomes. Key words: Endometriosis; Laparoscopy; Recurrence; nursing; Nored

The relative research on primary hypertension patients" knowledge and obeying doctor behavior

Objective The effect of the degree on primary hypertension patients'knowledge on the be-havior obeying doctor and recurrence rate. Methods 85 primary hypertension patients were divided into control group 43 cases, experimental groups 42 cases. Control group was done normal health guide, experimental group was given the education of disease knowledges and behavior obeying doctor by the full - time nurse, besides nor-mal education. And then adopted questionnaire designed by ourselves, comparing the related knowledge degree and status quo in two groups. Results The knowledge degree and behavior obeying the doctor in experimental group is better than that in control group, the recurrence rate in experimental group is 4. 67%, and is lower than that in control group (27. 91%)signfieantly. Conclusion Meanwhile treatment , to strength the relative knowl-edge and behavior obeying doctor , giving essential health education, can increase the life quality of primary hy-pertension. Key words: Original hair high blood pressure; The cures the behavior; Disease knowledge; Health ed-ucation