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Advancements in nutritional diagnosis and support strategies during the perioperative period for patients with liver cancer

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World Journal of Gastrointestinal Surgery 2024年第8期16卷 2409-2425页

作者： Xiao-Qin Li Yun Liang Chen-Feng Huang Sui-Ning Li Lei Cheng Chuan You Yao-Xia Liu Tao Wang Department of Hepatobiliary Surgery The Affiliated Hospital of North Sichuan Medical CollegeNanchong 637000Sichuan ProvinceChina Department of Paediatric Surgery The Affiliated Hospital of North Sichuan Medical CollegeNanchong 637000Sichuan ProvinceChina Department of Cardiovascular Surgery The First Affiliated HospitalJinan UniversityGuangzhou 510632Guangdong ProvinceChina Department of Geriatric Endocrinology Sichuan Provincial People's HospitalUniversity of Electronic Science and Technology of ChinaChengdu 610072Sichuan ProvinceChina Department of Pediatric Cardiology West China Second University HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina Department of Pediatrics Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan University)Ministry of EducationChengdu 610041Sichuan ProvinceChina

Liver cancer represents a grave hepatic condition and constitutes a significant global health *** resection remains the principal therapeutic modality for liver ***,perioperative malnutrition exerts a notable impact on patients with liver cancer,emerging as an independent risk factor for disease mortality and adverse ***,precise nutritional diagnosis and timely nutritional support hold the potential to enhance therapeutic efficacy and quality of life for liver cancer *** study represents a meticulous foray into the literature,extracting data from PubMed,Web of Science,and EMBASE databases,with a focus on the past 5 *** scrutinizes the impact of malnutrition on patients undergoing liver cancer surgery,the etiological underpinnings of malnutrition within this patient cohort,the critical assessment of perioperative nutritional status,and the strategic approaches to nutritional *** rigorous inclusion and exclusion criteria,the amassed scholarly works are meticulously synthesized,methodically organized,and categorically elaborated ***,the authors propose the incorporation of a multidisciplinary nutrition management team during the perioperative period,comprising nutritionists,pharmacists,physicians,nurses,psychologists,and rehabilitation therapists,among other specialized ***,they collaborate to devise and implement personalized nutritional support plans,monitor patients’nutritional status,and make necessary adjustments as *** comprehensive management and intervention,improvements in the nutritional status of liver cancer patients can be achieved,thereby enhancing surgical success rates and facilitating postoperative *** is believed that this manuscript will offer valuable insights to advance the nutritional management during the perioperative phase of liver cancer,aiding in ameliorating patients'nutritional status and treatment outcomes.

关键词： Liver cancer Nutritional diagnosis Nutritional support perioperative period Genetic testing Immunonutrition Probiotics and gut microbiota

Progress in research on the application of nursing models for breast cancer patients during the perioperative period

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Frontiers of Nursing 2018年第2期5卷 83-90页

作者： Li-Ting Nie Qiao-Yuan Yan School of Nursing Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubei 430030China Union Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubei 430022China

Nursing models at home and abroad for breast cancer patients during the perioperative period were screened, including eight types of models： the nursing model guided by self-care theory, the plan-do-check-act cycle combined with the four-in-one model, the peer support nursing model, the nursing model guided by transcultural theory, the multidisciplinary cooperative nursing model, the knowledge-attitude-practice nursing model, the safe nursing management model, and the case nursing model. These models were analyzed and described with the aim of providing a reference for the clinical breast surgery nursing staff in China and for promoting the development of nursing in China for breast cancer the perioperative period.

关键词： Nursing models breast cancer perioperative period literature review

Study on Chinese Medicine Syndrome of Colorectal Carcinoma in perioperative period

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Chinese Journal of Integrative Medicine 2015年第3期21卷 183-187页

作者：郭勇邹莹徐玉芬王辉李妍钱丽燕杨维泓 Zhejiang Provincial Hospital of Traditional Chinese Medicine Zhejiang Chinese Medical University

Objective：To explore the distribution characteristics of Chinese medicine（CM） syndromes and the rule of dynamic evolvement in patients with colorectal cancer at the perioperative period by applying a mathematical statistics ***：By using the overall sample date,and cross-sectional descriptive and prospective researching methods,the clinical data of CM symptoms of patients with colorectal cancer from the first day of preoperative care to the third,seventh,and tenth days after the operation were *** distribution characteristics of CM syndromes and dynamic evolution were concluded upon by experts,and then by building up a database through the use of EpiData3.1 the frequency statistics and cluster analyses were applied utilizing ***：Among 210 cases of patient,on the day before the operation,the main route of syndrome was blood deficiency（33.33%）,followed by the syndrome of deficiency of both qi and yin（28.57%）.On the third day after surgery,the main syndrome was qi deficiency（47.62%）,followed by yin deficiency *** the seventh day after surgery,the main syndrome was both yin deficiency inner-heat（33.33%） and phlegm-dampness（33.33%）.On the tenth day after surgery,the main syndrome was a deficiency of both qi and yin（38.09%）,followed by dampness and hot accumulative knotting（33.33%）.Conclusion：Research in the field of the distribution characteristics of CM syndromes and dynamic evolution will provide an objective basis for syndrome differentiation for patients in the perioperative period,further advancing the study of preventing and decreasing relapse and metastasis in CM therapy.

关键词： colorectal carcinoma perioperative period Chinese medicine syndrome cluster analyses

Analysis of the Effect of Intensive Nursing Care on Improving Sleep Quality During the perioperative period of Severed Finger Reimplantation

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Journal of Clinical and Nursing Research 2024年第6期8卷 322-327页

作者： Yan Zhu Chao Huang Jingjiang People's Hospital Affiliated to Yangzhou University Jingjiang 214500Jiangsu ProvinceChina

Objective:To investigate the clinical effect of perioperative intensive nursing on patients who underwent severed finger reimplantation and its influence on sleep ***:62 patients who underwent severed finger reimplantation between January 2023 and December 2023 were *** were divided into two groups:the observation group(n=31)and the control group(n=31).The control group received basic nursing interventions,while the observation group received intensive nursing *** comparison parameters included visual analog pain score(VAS),incidence of vascular crises,length of hospitalization,Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Score(HAM-D),Hamilton Anxiety Score(HAM-A),and patient ***:Postoperative VAS score,incidence of vascular crisis,hospitalization time,PSQI score,and HAM-A and HAM-D scores of the observation group were lower than those of the control group(Pperioperative intensive nursing care for patients undergoing severed finger reimplantation demonstrates significant *** reduces postoperative pain,lowers the incidence of vascular crises,shortens hospitalization durations,enhances sleep quality,alleviates negative emotions,and improves nursing *** findings underscore the importance and applicability of such care practices.

关键词： Intensive nursing care Replantation of severed fingers perioperative period Sleep quality

Cranial ultrasound in perioperative period of acute severe traumatic brain injury

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中国医学影像技术 2024年第8期40卷 1156-1159页

作者： WANG Yangang LYU Zhenpu ZHENG Xianzhao QIN Zheng LI Jianxin GE Ran ZHAO Feifei Department of Neurosurgery Jiaozuo People's HospitalJiaozuo 454000China Department of Neurology Jiaozuo People's HospitalJiaozuo 454000China

Objective To observe the value of cranial ultrasound for perioperative patients with acute severe traumatic brain injury(sTBI).Methods Data of 55 sTBI patients who underwent craniotomy were retrospectively *** patients were divided into observation group(n=15)and control group(n=40)according to received perioperative cranial ultrasound or *** general data and surgical data were compared between groups,and ultrasonic data of observation group were *** The proportions of good prognosis 1 and 6 months after operation in observation group were both higher than those in control group,while the incidence of cerebral infarction in observation group was lower than that in control group(all P0.05).Acute encephalocele occurred in 1 case in observation group during operation,and cranial ultrasound accurately showed the contralateral secondary epidural *** intracranial pressure in different degrees were found in all 15 cases(15/15,100%)in observation group after operation with transcranial color coded Doppler(TCCD)or transcranial Doppler(TCD),while cerebral vascular spasm was observed in 5 cases(5/15,33.33%),among them 4 cases(4/5,80.00%)were diagnosed cerebral infarction based on CT *** Cranial ultrasound could be used to evaluate changes of sTBI in perioperative period and guide adjusting treatment strategy in time,being valuable for reducing risk of postoperative cerebral infarction and improving prognosis.

关键词： craniocerebral trauma perioperative period ultrasonography

Predictive value of initial procalcitonin level in perioperative period of critically ill cancer patients

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Precision Medicine Research 2022年第1期4卷 14-18页

作者： Yu-Lin Wu Cui-Han Wang Yan-Kun Zhang Xiao-Wu Zhang Rui Xia Shan-Shan Lin Bei-Tian Jia Ya-Meng Cui Dong-Hao Wang Tianjin Medical University Cancer Institute and Hospital Tianjin 300060China Tianjin Hospital of Integration of Taditional Chinese and Western Medicine&Nankai Hospital Tianjin 300102China Tianjin Fourth Central Hospital Tianjin 300142China Tianjn University of Traditional Chinese Medicine Tianjin301617China

The predictive value of the initial procalcitonin(PCT)level was explored in the perioperative peniod of citically ill cancer ***:It is quite important to predict infections in patients in the intensive care unit (ICU).Cancer surgery is characterized by large trauma,long duration,and wide operation scope;and there are many inflammatory factors in the *** manifestations of systermic inflammatory response syndrome(SIRS)。such as fever,elevated white blood cells,and elevated infammatory indicators,frequently occur in patients during the penioperative period as a result of the above *** factors are diverse and complex;additionally,advanced cancer and the trauma of major surgery are important factors that influence PCT blood *** all of the aforementioned factors make it dificult to distinguish the postoperative inflammatory response fom the true infection in clinical practice,conventional methods cannot prediet disease sevenity or disease ***:A total of 53 patients with endotracheal intubation admitted to the ICU of Tianjin Medical University Cancer Institute and Hospital from January 2020 to May 2020,were retrospectively *** to the patient source,35 cases were assigned to ORIG(Operating Room to ICU Group),and 18 cases were assigned to General Ward to ICU group(GWO).At the ICU admission,the patient's age,sex,surgical site of tumor,reason for ICU and other data were recorded to form a database;PCT,B-type natiuretic peptide(BNP),high sensitivity toponin I(hsTni),serumn creatinine(Cr),serum cystatin C(Cys-c)and other laboratory indicators were detected;scores of acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ)and sequential organ failure assessment(SOFA)were marked 24 h after ICU admission;Proportion of Antibiotics,Time Antibiotic Application,and Time Indicators(Ventilator support Time,Endotracheal Intubation Time,ICU Stay Time)were recorded during the period from ICU admission to ICU discharge.

关键词： critically ill cancer patients perioperative period mechanical ventilation procalcitonin disease severity

Clinical Significance of Preoperative Nutritional Risk Screening and Support in the perioperative period of Gastric Cancer Patients

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Proceedings of Anticancer Research 2020年第5期4卷 5-8页

作者： Defu Tian Chao Yin Bing Ren Puli Zhu The Fourth People’s Hospital of Shaanxi Province China

Objective:To investigate the clinical value of using preoperative nutritional risk screening and support in gastric cancer ***:In this paper,70 gastric cancer patients selected from July 2017 to July 2020 treated in our hospital were grouped concerning the lottery method,and the reference group(n=35)used conventional nutritional support,while the experimental group(n=35)used preoperative dietary risk screening and support,comparing the clinical treatment differences between gastric cancer patients in the experimental group and the reference ***:After the intervention,IgA,IgM,IgG,serum albumin,complication rate,NRS score,hospitalization time and anal exhaust time of gastric cancer patients in the experimental group were compared with those in the reference group,P<0.05,and there was statistical validation analysis significance between the data indicators.P<0.05 for the comparison of IgA,IgM,IgG,serum albumin after the intervention and pre-intervention for gastric cancer patients in the experimental group and the reference group,with statistical validation analysis significance between the data ***:Preoperative nutritional risk screening and support is of significant value in gastric cancer patients and can improve patients’nutritional status.

关键词： Preoperative nutritional risk screening Gastric cancer patients perioperative period Clinical significance

Effects of Xinkeshu combined with levosimendan on perioperative heart failure in oldest-old patients with hip fractures

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Journal of Traditional Chinese Medicine 2020年第5期40卷 870-874页

作者： Fu Mingming Wang Zhiqian Liu Yan Center of Orthopedic Trauma the Third Hospital of Hebei Medical UniversityShijiazhuang 050051China Department of Orthopaedics the Third Hospital of Hebei Medical UniversityShijiazhuang 050051China

OBJECTIVE:To investigate the clinical effects of Xinkeshu combined with levosimendan on perioperative heart failure in oldest-old patients with hip ***:Oldest-old patients over 80 years old with perioperative heart failure and hip fractures were randomly divided into the control and observation groups,with 50 patients in each *** patients in both groups were treated with conventional anti-heart failure therapy and levosimendan,whereas patients in the observation group additionally received Xinkeshu *** manifestations;left ventricular ejection fraction(LVEF);left ventricular end-diastolic dimension(LVEDD);left ventricular end-systolic dimension(LVESD);B-type natriuretic peptide(BNP),superoxide dismutase(SOD),malondialdehyde(MDA),nitric oxide(NO),and endothelin-1(ET-1)levels;and self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were compared between before and after treatment to evaluate the curative effects of Xinkeshu combined with ***:After treatment,the efficacy rate was significantly higher in the observation group than in the control *** and the levels of SOD and NO were higher in the observation group than in the control group after ***,LVEDD;LVESD;BNP,MDA,and ET-1 levels;and the SAS and SDS scores were lower after treatment in the observation group than in the control ***:Levosimendan combined with Xinkeshu can improve cardiac function,alleviate oxidative stress,and relieve anxiety and depression in oldest-old patients with perioperative heart failure and hip fracture.

关键词： Aged,80 and over Hip fractures perioperative period Heart failure Levosimendan Xinkeshu

Early warning prevention and control strategies to reduce perioperative venous thromboembolism in patients with gastrointestinal cancer

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World Journal of Clinical Cases 2022年第10期10卷 3035-3046页

作者： Yun Lu Feng-Ying Chen Lan Cai Chun-Xia Huang Xue-Fang Shen Li-Qin Cai Xiao-Ting Li Yong-Yan Fu Juan Wei The Fifth Ward of Surgery Kunshan Hospital of Traditional Chinese MedicineKunshan 215300Jiangsu ProvinceChina Department of Nursing Traditional Chinese Medicine Hospital of KunshanKunshan 215300Jiangsu ProvinceChina The Fourth Ward of Surgery Traditional Chinese Medicine Hospital of KunshanKunshan 215300Jiangsu ProvinceChina

BACKGROUND Venous thromboembolism(VTE)is a major cause of unexpected and perioperative in-hospital *** is characterized by high morbidity,high mortality,high misdiagnosis rate,and high missed diagnosis *** is a common postoperative complication in cancer *** is preventable,and early identification of risk factors leading to VTE and appropriate early preventive actions can reduce its occurrence and ***,there is no uniform standard for the prevention and control of VTE in clinical practice,and hospitals in China lack mature and effective protocols for the assessment,prevention,and treatment of *** To explore whether an early warning program could influence the occurrence of deep vein thrombosis(DVT)*** This is a comparative retrospective cohort study,which enrolled patients who underwent laparotomic or laparoscopic gastrointestinal tumor resection for gastrointestinal cancer between January 2016 and December *** were divided into a control group and an early warning group depending on whether or not the early warning program was implemented.A venous thromboembolism prevention and control team was *** outcomes included the occurrence of DVT,the correct rate of VTE assessment,the coagulation indicators,and the mastery of VTE knowledge by the *** A total of 264 patients were included in this study,with 128 patients in the control group and 136 patients in the early warning *** occurrence rate of DVT in the early warning group was 6.6%(9/136),compared with 14.1%(18/128)in the control group(P<0.05).The correct rates of VTE risk assessment by the nurses and standard implementation rate of VTE preventive measures were 86.8%vs 65.6%and 80.2%vs 57.8%in early warning and control groups,respectively(all P<0.001).The independent factors associated with postoperative DVT occurrence were age(OR=1.083,95%CI:1.070-3.265,P=0.032),Hyperlipidemia(OR=1.127,95%CI:1.139-2.564,P=0.042),preope

关键词： Venous thromboembolism Gastrointestinal cancer perioperative period Early warning Prevention and control