25 December 2017, Volume 24 Issue 6

    

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  The statistical analysis of using Microsoft SQL Server stored procedure to making hospital business statements and reports

  Xu Zejie, Ding Zang

  journal1. 2017, 24(6): 401-403. https://doi.org/10.3969/j.issn.1006-5253.2017.06.001

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  Objective Propose the methods of statistics to analysis hospital business quickly and exactly, provide the evidence for decision-making of hospital management. Methods For making difference statistical reports and write difference SQL stored procedure statements. Results Query and export statistical reports according to custom fields and data formats. Conclusion Writing custom stored procedure statements can help to improve timeliness and accuracy for making statistical analysis.
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  Statistical analysis of the composition of pathogens and the treatment of erythromycin in the stable phase of bronchiectasis

  Cheng Xuming, Li Yanmin, He Xiaohua

  journal1. 2017, 24(6): 407-410. https://doi.org/10.3969/j.issn.1006-5253.2017.06.003

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  Objective To investigate the composition of pathogens in the stable stage of bronchiectasis and the erythromycin treatment. Methods Totally 188 patients with bronchiectasis in our hospital from July 1 st, 2014 to July 1st, 2016 were randomly divided into the observation group and the control group, with 94 cases in each group. The control group was given conventional treatment (oral ambroxol hydrochloride), while the observation group received conventional treatment combined with erythromycin treatment. We observed the clinical efficacy of both groups after treatment including the immune function of T lymphocytes and the ratio of CD4^＋, CD8^＋, CD4^＋/CD8^＋, one second rate of pulmonary function (FEV1), the percentage of forced expiratory volume one second with predicted value (FEV1/FVC), the sputum volume and the composition of pathogenic bacteria. Results The total effective rate of the observation group (91.49%) was significantly higher than that of the control group (80.85%), and the difference was statistically significant (P<0.05). After the treatment, sputum volume reduced in both groups; patients without sputum in the observation group (82.98%) were significantly more than those in the control group (41.49%); patients with sputum volume less than 10ml (11.70%) in the observation group were significantly fewer than those in the control group (31.91%); patients with sputum volume from 10ml to 100ml (5.32%) in the observation group were significantly fewer than those in the control group (26.60%), and there was statistically significant difference (P<0.05). After the treatment, immune function of CD4^＋, CD8＋, and CD4^＋/CD8^＋ in both groups improved; CD4^＋increase (6.02±0.36) %in the observation group was significantly higher than that (0.98±0.20)%in the control group; CD8^＋decrease (4.56±0.72)% in the observation group was significantly higher than that (1.25±0.37)%in the control group, CD4^＋/CD8^＋increase (0.60±0.13)% in the observation group was significantly higher than that (0.11± 0.01) % in the control group; there was statistical difference (P<0.05). After the treatment, FEV1 and FEV1/FVC levels of the lung function increased in the two groups; FEV1 increase (9.55±1.04) %and FEV1/FVC increase (10.26±1.14)% in the observation group were significantly higher than those (2.63±0.10)% and (2.20±0.24)% respectively) in the control group, and there was significant difference between two groups (P<0.05). Staphylococcus aureus (23.40%), Klebsiella pneumoniae (6.38%), Acinetobacter (0%), Pseudomonas aeruginosa (0%) in the observation group were significantly lower than those (56.39%, 17.02%, 12.77%, and 7.45% respectively) in the control group. The comparison between the two groups was statistically significant (P<0.05). Conclusion Erythromycin is effective in the treatment of bronchiectasis at stable stage. It can reduce the amount of expectoration, improve the immune function and pulmonary function of patients, reduce the positive rate of sputum bacteria and improve the dyspnea.
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  Value of MRI examination in diagnosis of breast cancer and risk factors of breast cancer

  Bai Yanjun, Li Tiefeng, Hu Yanbiao, Liang Wenjie

  journal1. 2017, 24(6): 414-416. https://doi.org/10.3969/j.issn.1006-5253.2017.06.005

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  Objective To explore the value of magnetic resonance imaging (MRI) in diagnosis of breast cancer, and analyze the risk factors of breast cancer. Methods Two hundred patients with breast cancer admitted in our hospital were selected as the patient group, and 125 cases of healthy women at the same period checked in our hospital were randomly selected as the healthy group. The positive rate of MRI for different types of breast cancer were determined. Single factor analysis and logistic analysis were used to analyze 10 factors (educational level, occupation, family history of breast cancer, regularity of menstruation, childbearing history, abortion times, breastfeeding time, negative life event, smoking/passive smoking and history of alcohol intake) relations with the breast cancer incidence, in order to identify risk factors. Results The positive rates of MRI for Luminal A, Luminal B, Her2+ and triple negative breast cancer were 96.00%, 98.68%, 100% and 100%. On the whole, the positive rate of MRI was 98.50%. The multivariate analysis results showed that smoking/passive smoking (OR=2.442), abortion times (OR= 2.195), family history of breast cancer (OR=1.923), and the negative life events (OR= 1.817) were the risk factors of breast cancer incidence (P<0.05), while breast feeding (OR=0.585) was the protective factor (P<0.05). Conclusion MRI has a high accurate rate for the diagnosis of breast cancer. Risk factors of breast cancer showed that anti-abortion, breast feeding, refusing passive smoking, and timely screening of genes for women with family history of breast cancer could efficiently reduce the incidence of breast cancer.
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  Relative factor analysis of pulmonary infection in patients with hypertensive cerebral hemorrhage

  Liao Xiaoyue

  journal1. 2017, 24(6): 417-420. https://doi.org/10.3969/j.issn.1006-5253.2017.06.006

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  Objective The risk factors of pulmonary infection in patients with hypertensive cerebral hemorrhage was analyzed, to provid valuable references for clinical prevention. Methods Totally 122 patients with hypertensive cerebral hemorrhage in Quhua hospital were selected as research objects. Sixty-three patients with pulmonary infection were assigned to the infection group, and 59 cases without pulmonary infection were assigned to the non-infection group. Single factor analysis and logistic analysis were used to analyze the relationship between pulmonary infection and 12 factors including sex, age, dysphagia, diabetes, chronic bronchitis, antimicrobial, volume of cerebral hemorrhage, using ventilator, blood glucose, serum albumin, number of peripherial blood and smoking history, in order to identify risk factors. Results The differences between both groups were statistical significant in age, evaluation of deglutition function, diabetes, chronic bronchitis, antimicrobial, volume of cerebral hemorrhage, using ventilator, blood glucose, serum albumin, number of peripherial blood and smoking history (P<0.05). The difference of sex between two groups was not statistical significant (P>0.05). The chronic bronchitis (OR: 17.250), dysphagia (OR: 9.717), antimicrobial (OR: 4.747), number of peripherial blood≥10×10⁹/L (OR: 4.459), smoking history (OR: 4.444), age>60 years old (OR: 3.386), using ventilator (OR: 3.007) and the level of serum albumin≥10×10⁹/L (OR: 2.575) were the risk factors of pulmonary infection (P<0.05). Conclusion The risk factors of pulmonary infection indicated that reasonable phlegm expectoration, reasonable application of antibiotics, and timely infusion of albumin can effectively reduce the incidence rate of pulmonary infection.
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  Investigation of myopia status and influencing factor analysis of middle school students in Jingning middle school

  Ye Jianying,Yan Weiping, Ye Yingzi, Liu Shangwei, Wu Binwei

  journal1. 2017, 24(6): 421-422. https://doi.org/10.3969/j.issn.1006-5253.2017.06.007

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  Objective To investigate the status of myopia in Jingning middle school students and to explore their influencing factors. Methods Totally 1 428 middle school students in Jingning middle school were selected as research objects. The incidence of myopia was investigated and the influencing factors were analyzed. Results Of 1 428 students in the school, there were 1 158 cases of myopia, with myopia rate 81.09%. There were significant differences in the incidence of myopia among students with different sexes and different learning stages (P<0.05). Reading space<30cm, head on the table or reading in bed often, reading without the lamp, rare eye exercises, and TV time / computer time ≥1h were major risk factors for myopia in Jingning middle school. Conclusion Jingning middle school students have high myopia. Reading space<30cm, head on the table often or reading in bed often, reading without the lamp, rare eye exercises, and TV time / computer time ≥1h are major risk factors for myopia in Jingning middle school.
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  Investigation and analysis on the rejected specimens of the examination section of a large general hospital during the first year

  Chen Binghua, Wang Feng, Zhou Shiping, Wu Qiaoping, Li Qingcao

  journal1. 2017, 24(6): 425-427. https://doi.org/10.3969/j.issn.1006-5253.2017.06.009

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  Objective Rejected specimens in the laboratory within one year were classified statistically and causes were analyzed, in order to explore the methods of decreasing the number of rejected specimens and improving the pre-analytical quality. Methods The data of the rejected specimens of the laboratory from January 1, 2016 to December 31, 2016 were collected, including the reasons for rejection, quantities, inspection departments, and types, etc. Then SPSS 17.0 statistical software was used for analysis after data process. Results The percentage of rejected blood specimens was 82.79%. The main reasons of rejected specimens were specimen clotted, hemolysis, insufficient specimen quantity, contamination and improper specimen type. The rejection rates of the emergency, ICU, respiratory medicine, cardiovascular medicine and neurological medicine were comparatively high. The rejection rates of comparatively high in March, August, and November. Conclusion Quality control before analysis should be valued. It is important to strengthen the communication and cooperation between the laboratory and the clinical departments, the patients and the nursing workers. The corresponding corrective measures should be taken to reduce the percentage of rejected specimens.
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  Application of network management intervention combined with health education management in elderly patients with bronchial asthma

  Huang Jin, Hu Mengmeng, Chen Xiaojie

  journal1. 2017, 24(6): 428-431. https://doi.org/10.3969/j.issn.1006-5253.2017.06.010

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  Objective To research into the application of network management intervention combined with health education management in elderly patients with bronchial asthma. Methods Totally 110 elderly patients with bronchial asthma who received treatment in our hospital from February 2015 to February 2017 were selected, and all the patients were randomly divided into two groups, with 55 cases in each group. Patients in the control group were given health education management, while patients in the observation group were given network management intervention, combined with health education management. Three months after the treatment, the changes of lung function in the two groups before and after nursing were compared, and the clinical efficacy and quality of life scores of the two groups after nursing were observed. Results The total effective rate of the observation group was significantly higher than that inthe control group (96.36% vs 85.45%), and the difference between the two groups was statistically significant (P<0.05). FVC difference (22.11%±1.54%) in the observation group before and after the treatment was significantly higher than that in the control group (11.40%±0.59%), FEV1/FVC difference (20.38%±0.41%) in the observation group before and after the treatment was significantly higher than that in the control group (5.99%±0.65%), and PEF difference (17.02±0.93) ml/s in the observation group before and after the treatment was significantly higher than that in the control group (11.14±0.42) ml/s. There was significant difference between two groups (P<0.05). The difference of quality of life score (107.99±8.30) before and after treatment in the observation group was significantly higher than that in the control group (95.32±10.39), and the difference was statistically significant (P<0.05). Conclusion The combination of network management intervention and health education management for elderly patients with bronchial asthma has significant clinical curative effect, which can improve the quality of patients′ lung function, improve the quality of life of patients and improve patient satisfaction. It is worthy of clinical application.
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  Effectiveness evaluation on early rehabilitation training of patients with acute cerebral infarction

  Chen Qiao, Zhang Xianfei

  journal1. 2017, 24(6): 432-433. https://doi.org/10.3969/j.issn.1006-5253.2017.06.011

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  Objective To explore the effectiveness of early rehabilitation training of patients with acute cerebral infarction (ACI). Methods Totally 120 cases diagnosed with ACI were randomly divided into the control group and the observation group, with 60 cases in each group. The control group was given normal treatment measures, and the observation group was given early rehabilitation training measures besides normal treatment measures. The scores of HAMD, NIHSS, FMA, ADL and total effectiveness rate were compared between both groups after intervention. Results After intervention, the scores of HAMD and NIHSS in the observation group were lower than those in the control group (P<0.01). But the scores of FMA and ADL in the observation group were higher than those in the control group (P<0.01). The total effective rate in the observation group was 91.7%, much higher than that in the control group 76.7% (P<0.05). Conclusion Carrying out early rehabilitation training for patients with ACI could obviously improve depressive state, promote recovery of nerve function, and raise daily life quality and treatment effects.
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  Influencing factor analysis on prognosis of hypoxic ischemic encephalopathy pediatric patients in intensive care unit

  Jia Danyang, Zheng Zhencang, Li Ping

  journal1. 2017, 24(6): 437-439. https://doi.org/10.3969/j.issn.1006-5253.2017.06.013

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  Objective To explore the correlated risk factors of prognosis of hypoxic ischemic encephalopathy (HIE) pediatric patients in intensive care unit (ICU), and to provide basis for early improving prognosis of HIE. Methods Totally 186 cases diagnosed with HIE were divided into poor prognosis group (56 cases) and good prognosis group (130 cases) according to the prognosis of HIE. Correlated factors of HIE prognosis were investigated with questionnaires. Then, single and multiple factors Logistic regression methods were used to screen the risk factors of HIE prognosis. Results Poor prognosis rate of HIE was 30.1% (56/186). Multiple factors analysis result showed that these factors of CT grading (OR=2.081), 5 minute Apgar score (OR=3.924), coma (OR=4.059), convulsion (OR=2.570), central respiratory failure (OR=2.354) and multiple organ injury (OR=5.824) were the risk factors of HIE prognosis, while early treatment intervention (OR=5.824) was the protective factor of HIE prognosis. Conclusion These factors such as high grading of CT, low score 5 minute Apgar, severe symptoms (coma, convulsion and central respiratory failure), multiple organ injury and without early treatment intervention were the independent risk factors of poor good prognosis of HIE. So we should adopt necessary intervention measures to aim directly at these independent risk factors.
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  Surveillance analysis of public health emergencies of infection diseases in Huangshan city from 2006 to 2016

  Zhang Qinghe, Hu Xiaoshen, Wang Haibo

  journal1. 2017, 24(6): 440-442. https://doi.org/10.3969/j.issn.1006-5253.2017.06.014

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  Objective To analyze epidemiological features of public health emergencies of infection diseases in Huangshan city and to provide scientific evidence for prevention and control. Methods Descriptive epidemiology method was used to analyze the public health emergencies of infection diseases in Huangshan city according to Public Health Emergency Reporting System. Results Totally 89 events were reported from 2006 to 2016 in Huangshan city, with 2 857 patients infected including 6 deaths. The morbidity and mortality were 3.04% and 0.21% respectively. There were no extremely serious events reported, and most of them were general events and unrated events. Class C infectious disease events were more than other classes, but the fatality rate of Class B infectious disease events was high. The annual incidence peaks were March to June and October to November. The main categories were respiratory and intestinal infectious diseases, especially epidemic parotitis, hand, foot and mouth disease and varicella. Events happened mainly in primary schools and childcare institutions, with more in rural areas than in cities. Conclusion Ability of prevention and control of infectious diseases improved gradually in Huangshan city. Strengthening continually the prevention and control of infection diseases in schools and improving the on-site handling ability can effectively reduce the harm of public health emergencies of infectious diseases.