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老年人工关节置换术后发生医院感染的临床特点及影响因素与预防探讨 被引量:8
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作者 高磊 董岩 +4 位作者 张文 雷堃 郑伟 史东 李宽新 《生物骨科材料与临床研究》 CAS 2020年第4期16-20,共5页
目的探究老年人工关节置换术后发生医院感染的临床特点及影响因素与预防。方法以本院2016年1月至2019年1月收治的214例老年人工关节置换术患者作为研究对象,统计医院感染发生情况,并分析医院感染病原学特点及相关危险因素。结果本次研... 目的探究老年人工关节置换术后发生医院感染的临床特点及影响因素与预防。方法以本院2016年1月至2019年1月收治的214例老年人工关节置换术患者作为研究对象,统计医院感染发生情况,并分析医院感染病原学特点及相关危险因素。结果本次研究共随访214例老年人工关节置换患者,术后随访时间6~36个月,平均随访时间为(15.44±5.17)个月;其中19例发生医院感染,感染率为8.88%。19例患者共检出病原菌25株,其中革兰阳性菌占60.00%(15/25),革兰阴性菌占36.00%(9/25);病原菌以革兰阳性菌最多见。金黄色葡萄球菌对青霉素、克林霉素、阿米卡星等药物耐药性较高,对万古霉素的敏感性较高;表皮葡萄球菌对青霉素、红霉素等药物有很强的耐药性,对万古霉素的敏感性较高。铜绿假单胞菌对头孢呋辛、头孢替安具有较强的耐药性,对亚胺培南的敏感性较高;大肠埃希菌对头孢呋辛有较强的耐药性,对亚胺培南的敏感性较高。Logistics多因素回归分析,年龄(≥70岁)、糖尿病、手术时间(≥2 h)、术后引流时间(≥48 h)为老年人工关节置换术后发生医院感染的独立危险因素(P<0.05)。结论老年人工关节置换术后医院感染病原菌以革兰阳性菌多见,年龄(≥70岁)、糖尿病、手术时间(≥2 h)、术后引流时间(≥48 h)为老年人工关节置换术后发生医院感染的独立危险因素。 展开更多
关键词 人工关节置换术 医院感染 病原学特点 预防因素
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Modern sedimentation rates in the intertidal zone on the west coast of the Bohai Gulf 被引量:15
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作者 MENGWei leikun +4 位作者 ZHENGBinghui WANGFu WANGHong LIJianfen LIYong 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2005年第3期46-53,共8页
On the basis of the measurement of 210Pbex and 137Cs activities in the sediment cores taken from the intertidal zone on the west coast of the Bohai Gulf, the average sedimentation rates of modern sediments are calcula... On the basis of the measurement of 210Pbex and 137Cs activities in the sediment cores taken from the intertidal zone on the west coast of the Bohai Gulf, the average sedimentation rates of modern sediments are calculated. The results indicate that in the sandy area of the intertidal zone (from Daogouzi to the Duliujian River), the sedimentation rate from 1955 to 1963 is 3.43-4.06 cm/a, and is within the range of 0.65 ̄1.59 cm/a since 1963. The average sedimentation rate in the muddy area (around Qikou) is approximately 1.81 cm/a. The results above suggest that the sandy area of the intertidal zone has experienced rapid sedimentation from the 1950s to the 1960s, and the sedimentation slows down after the 1960s, and the sedimentation rates increase from north to south spatially. The rapid sedi- mentation from the 1950s to the 1960s in the sandy area is due to the fact that North China has plentiful precipitation during this period and the intertidal zone is supplied with abundant matter sources for sedimentation. After the 1960s, the weakened sedimentation may be a result of the reduction of sand transported to the intertidal zone, which is a consequence of diminished rainfall in North China and intensive human activities in the Haihe basin. 展开更多
关键词 Bohai Gulf intertidal zone sedimentation rate 210Pbex 137Cs
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