25 April 2015, Volume 22 Issue 2

    

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Orignal Article
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  Establishment of information system for allergic patients in hospital

  Zhang Maoxiang, Yu Lei, Xiang Jing, Liu Meina

  journal1. 2015, 22(2): 81-84. https://doi.org/10.3969/j.issn.1006-5253.2015.02.001

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  Objective To establish data information system for allergic patients using modern technology, and to provide scientific research data for the treatment and prevention of allergy and allergic diseases. Methods Based on Web B/S(Browser/Server) architecture, data information system for allergic patients was established, with Apache as the Web server and PHP as the development language, using MySQL relational database. Results The data information system of nearly 15000 allergic patients in hospital was established. This system included general conditions, symptoms and diagnosis, family history, dietary habits and living environment and lab test reports of allergen. The system could be used for data collection free of time limit, modification of questionnaire, electronic storage, precise location of data or range queries, deletion and correction of data as well as import and export of data in standard format. Conclusion The system can provide doctors data of allergic patients for allergic clinical diagnosis, treatment and prevention of allergic diseases and related research and it will be an efficient auxiliary tool for clinical and scientific research.
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  Clinical features and risk factors of severe cases of children mycoplasma pneumonia

  Shen Ke, Lu Yangnan, Ye Feng.

  journal1. 2015, 22(2): 85-86. https://doi.org/10.3969/j.issn.1006-5253.2015.02.002

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  Objective To explore clinical features and risk factors of severe cases of mycoplasma pneumoniae pneumonia (SMPP), provide basis for preventing and treating SMPP. Methods Retrospectively collected 52 cases of SMPP and 104 cases of MPP, then compared clinical features between mild case group and severe case group, and analyzed the risk factors of incidence of SMPP. Results The severe case group contrast with the mild case group, existed longer fever lasting time, longer course of disease, more WBC, higher CRP and ESR, higher positive rate of MP-IgM, much higher ratios of hypophyll diseased region, more large patches of the type of lesion and longer use time of large ring lactone. The risk factors of SMPP included in CRP (OR=6.228), ESR (OR=3.877), MP-IgM positivity (OR=8.244), hypophyll diseased region (OR=6.987) and large patches of the type of lesion (OR=11.462). Conclusion We learned the clinical features and the risk factors of severe HFMD. These might provide clinical basis for early detection, early diagnosis and early treatment of severe HFMD.
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  Operational mechanism of ICD-9-CM-3 with wiki technology

  Shen Jie, Lai Liwen , Huang Riqiong, Lai Fuhu, Liao Xiaoling, Luo Jieying, Liang Biyu, Chen Junying

  journal1. 2015, 22(2): 87-90. https://doi.org/10.3969/j.issn.1006-5253.2015.02.003

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  Objective To research the classification and grading management of operations and procedures on the basis of wiki technology, and to provide quick, authoritative information and continuous support for the hospital medical record statistical personnel. Methods The wiki technology was applied to the ICD-9-CM-3 to build vertical open expert wiki system, to design or optimize the Q&A mechanism, the arbitration mechanism and Information security mechanism, giving properly wiki user permission to specialist, coder, medical staff, knowledge administrator. Results Operational mechanism based on the platform of International classification of diseases can save time to find out the dates of the unknown code and other related information for medical record statistical personnel, and guide the self-help encoded answering questions and discussion, so that the coding experts can change the substance from repeated answer of a large number of ″shallow knowledge″ and the same coding problems to the ″deep knowledge″ and coding in the arbitration. Conclusion Under the technical support of wiki mechanism, classification and grading management of operations and procedures provides a convenient, authoritative , open, collaborative and systematic encyclopedia of international classification of diseases, and promotes transformation from ″shallow knowledge″ to ″deep knowledge″ and ″tacit knowledge″ to ″explicit knowledge″, which is suitable for promotion in the field of health information.
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  Analysis on distribution characteristics and tendency of lung cancer in Zhoushan islands from 1999 to 2013 years

  Qiu Lin, Ni Hongling, Zhang Yongkui

  journal1. 2015, 22(2): 91-93. https://doi.org/10.3969/j.issn.1006-5253.2015.02.004

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  Objective To investigate the distribution and trend of lung cancer in Zhoushan islands, and to provide the basis for lung cancer prevention and research. Methods The cases of lung cancer were collected from 1999 to 2013 years, and then divided into three groups according to the discharge time, the first period (1999-2003), the second period (2004-2008), and the third period (2009-2013). The data were analyzed with SPSS13.0. Results Lung cancer was 16.87%, 17.42%, and 20.16% of malignant tumors in three periods. The ratio was 18.53% and ranked the top from 1999 to 2013. the sex ratio of male and female was 3.66, 2.46, 1.96, showing a downward trend (r=-0.709, P=0.003). The mean age was 62.77 ± 11.22. Patients of 50 to 79 years old accounted for 81.73%. male patients under 50 years old accounted for 10.44% and the proportion was reducing, while those over 60 years old accounted for 64.70% and the proportion was increasing. the proportion of female patients under 40 years old was increasing and those from Dinghai and Putuo Districts accounted for 85.49% of lung cancer patients. Conclusion From the second period, lung cancer has been ranked first and the proportion was gradually increasing. The sex ratio of male and female was decreasing. The patients tended to have a late onset age and the proportion of the elderly was increasing. the male patients tended to be aging and young women incidences were increasing. More patients were from Dinghai, Putuo Districts.
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  Research on hospital disease constitution in Shantou

  Zheng Yun, Chen Gesi, Zhang Junying, Hu Wei, Ou Limin, Lu Yanzi

  journal1. 2015, 22(2): 94-97. https://doi.org/10.3969/j.issn.1006-5253.2015.02.005

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  Objective To build the hospital disease graph and to provide data for making scientific preventive measures. Methods The data were statistically analyzed with the use of the ICD-10 systems and category. Results The top 10 system diseases in Shantou were pregnancy childbirth and puerperium (18.03%), respiratory system disease (11.89%), digestive system disease(11.78%), trauma and toxicosis (9.81%), circulation system diseases (9.17%), tumor(8.06%), factors influencing health status and contact with health services (6.71%), urogenital diseases (4.89%), infectious diseases and parasitic diseases (3.47%), endocrine nutritional and metabolic disease( 2.77%). The proportion of the top 10 diseases was 86.58%, with the hospitalization expenses accounting for 87.26% of the total. Chronic diseases have become the main diseases which have been received in different grades of hospitals. Conclusion The truth of pregnancy childbirth and puerperium ranked first explains that the whole society focuses on the safety of mother and infants. Hand-foot-and-mouth disease was the main infectious disease for children. Chronic diseases have already been the principal element in influencing the health and increasing the medical burden. Therefore, the caregivers should take more notice in the prevention and cure of communicable diseases and the healthy diet habit and life style should be proposed. Regional public medical unit can be used to prevent and cure chronic diseases.
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  Influence factor analysis of medical undergraduates′ attitudes toward medical statistics

  Hu han, Li Chen, Wang Ling, Yang Zhe, Liang Ying, Xia Jielai, Shang lei, Xu Yongyong

  journal1. 2015, 22(2): 98-101. https://doi.org/10.3969/j.issn.1006-5253.2015.02.006

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  Objective Attitude toward medical statistics is an important factor for learning effect. It is helpful to know the medical undergraduates study attitudes and relative influences for current cultivation mode optimization. Methods A specialized questionnaire was developed based on international standard questionnaire SATS to evaluate the current attitudes of Chinese medical undergraduates toward medical statistics teaching, learning and application. Multiple regression analysis was used to find the main influence factors of attitude. Results Four hundred and ninety-five questionnaires were completed by junior students and analyzed. Logical thinking ability score was significantly higher than mathematics foundation and computer basis scores (P<0.001). More than fifty percent medical undergraduates held positive attitudes toward medical statistics with strong learning interests. Application of statistical software was considered to be developed with more attention. Survey results also showed that attitudes toward medical statistics might be influenced mainly by logical thinking ability, mathematics foundation and computer basis (P<0.05). Conclusion Stratified application development should be enhanced according to the knowledge background of medical undergraduates.
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  Analysis on hypertensive patients hospitalization in a first-rate hospital of Xinjiang province

  Wu Wenhua, Li Cheng, Xiu Yan

  journal1. 2015, 22(2): 102-104. https://doi.org/10.3969/j.issn.1006-5253.2015.02.007

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  Objective To analyze hypertension hospitalizations in a first-rate hospital in Xinjiang province, in order to provide hypertension prevention and control measures in Xinjiang. Methods Inpatients of a hospital from 2010 to 2013 were chosen with retrospective method to describe the demographic characteristics, clinical type, with the complexity of the disease, and the affecting factors of expenses were analyzed with multiple stepwise regression method. Results Inpatients were mainly Xinjiang local population, with 2155 patients (50.59%) in Urumqi City, 680 patients (31.55% ) in the new district of Urumqi city. The top three nationalities were Han nationality (65.99%), the Uygur (22.68%), and the Kazak (4.58%). There was statistical difference for hypertension patients with different levels of in age and ethnicity.From 2011 to 2013, the number of discharged patients of hypertension was increasing year by year, and the average occupancy rate of bed was more than 100%. Six indicators which were Medicine fee, Radiology fee, laboratory fees, hospitalization fees, the additional number of diagnosis, individual payment method had positive influence on hospitalization expenses. Conclusion We should take measures to improve the patients′ hypertension awareness and cure rates to meet growing demand for health of local patients.
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  Chinese and western medicine nursing satisfaction analysis of patients with laparoscopic cholecystectomy

  Yang Suzhen

  journal1. 2015, 22(2): 105-107. https://doi.org/10.3969/j.issn.1006-5253.2015.02.008

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  Objective To explore the application and experience of combined traditional Chinese and western medicine nursing on patients undergoing laparoscopic cholecystectomy. Methods One hundred patients undergoing laparoscopic cholecystectomy from February 2014 to August 2014 in our hospital were selected and divided into combined traditional Chinese and western medicine group (n=50) and control group (n=50). Patients in the combined traditional Chinese and western medicine group received combined traditional Chinese and western medicine nursing while patients in the control group received simple western medicine nursing. Curative effects and degrees of satisfaction of two groups were compared. Results Compared to control group, patients in the combined traditional Chinese and western medicine group had shorter exhaust time, defecation time, recovery time of bowel sounds, feeding time, urination time (P<0.001), lower VAS score, and the time of pain (P<0.001). The satisfaction rate of combined traditional Chinese and western medicine group was 98.0%, higher than that of the control group (86.0%) and the difference was statistically significant (χ² =4.891, P=0.027). Patients in the combined traditional Chinese and western medicine group had higher satisfactory rate and lower unsatisfactory rate (P<0.05). Conclusion Combined traditional Chinese and western medicine nursing on patients undergoing laparoscopic cholecystectomy has better effect and higher satisfaction and can be widely used in clinical application.
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  Effect study on early screening sepsis with procalcitonin and C-reactive protein

  Gong Jianling

  journal1. 2015, 22(2): 108-110. https://doi.org/10.3969/j.issn.1006-5253.2015.02.009

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  Objective To explore the diagnostic effect of early screening sepsis with procalcitonin (PCT) and C-reactive protein (CRP). Methods Fifty-four patients with sepsis and forty-five healthy patients were respectively collected as the case group and the control group. The indexes of PCT, CRP, WBC and APACHEⅡ score were compared between the two groups. And the sensitivity, specificity, positive predictive value, negative predictive value and accuracy were respectively calculated with PCT, CRP, and PCT in combination with CRP methods. Then, the risk factors of sepsis were analyzed with multiple Logistic Regression method. Results The levels of PCT, CRP, WBC and APACHE Ⅱ scores in the sepsis group were much higher than those in the control group (P<0.01). The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of early screening sepsis with PCT in combination with CRP were respectively 92.6%, 84.4%, 87.7%, 90.5%, 88.9%. Multiple Logistic Regression analysis results showed that PCT, CRP, WBC and APACHEⅡ scores were the independent risk factors of the incidence of sepsis. Conclusion These early sepsis patients have a high level of PCT and CRP, and there is high level of sensitivity, specificity and accuracy through early diagnosis.
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  Influencing factor analysis on Medical Insurance Expenditures of percutaneous coronary intervention inpatients

  Zhang Hongcheng, Cui Aidong, Ren Zeqiang

  journal1. 2015, 22(2): 111-112. https://doi.org/10.3969/j.issn.1006-5253.2015.02.010

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  Objective To analyze the main influencing factors of the hospitalization expense of percutaneous coronary heart disease patients with medical insurance and to provide the theoretic evidences for the reasonable control of the medical expenses. Methods 1 851 urban medical insurance inpatients with percutaneous coronary heart disease were chosen and they were discharged from a first-rate hospital from January 1, 2012 to December 31, 2013 in Xuzhou city. The medical expenses were analyzed with descriptive statistics, nonparametric test, stepwise multiple linear regression analysis methods. Results The average expenditure of percutaneous coronary heart disease patients with medical insurance was 50 966.01 Yuan. Medical consumables costs and drug costs made up the most expenses, accounting for 63.9% and 20.1% respectively. Hospitalization days was the primary affecting factor through multivariate analysis. Conclusion In order to control the growth of unreasonable medical costs, we should control medical consumables costs, drug costs and shorten the ineffective hospitalization days.