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胃肠外科患者术后感染及危险因素分析 被引量:5
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作者 彭丹红 李海英 周芳燕 《医院管理论坛》 2019年第12期49-51,共3页
目的探讨胃肠外科患者术后感染的特点及其危险因素,并提出预防对策。方法选取7293例胃肠外科患者进行回顾性调查,分析其术后感染率、感染部位及其危险因素,采用多因素Logistic回归法筛选患者术后感染的危险因素。结果7293例胃肠外科患... 目的探讨胃肠外科患者术后感染的特点及其危险因素,并提出预防对策。方法选取7293例胃肠外科患者进行回顾性调查,分析其术后感染率、感染部位及其危险因素,采用多因素Logistic回归法筛选患者术后感染的危险因素。结果7293例胃肠外科患者术后感染率为8.04%,感染部位以呼吸道感染、手术切口感染及泌尿系统感染为主;多因素分析结果显示,影响术后感染的危险因素包括年龄(OR=2.128)、合并基础疾病(OR=2.782)、切口长度(OR=3.490)、切口类型(OR=2.557)、侵入性操作(OR=4.204)、未预防使用抗生素(OR=4.860)等。结论胃肠外科患者术后感染率在各科室中处于较高水平,应结合其感染特点及其危险因素,早期采取预防措施,降低术后感染发生率。 展开更多
关键词 胃肠外科 医院感染 危险因素 预防对策
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结直肠癌患者化疗依从性及影响因素分析 被引量:3
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作者 周芳燕 张娅娅 +1 位作者 彭丹红 杨秀英 《医院管理论坛》 2020年第2期29-30,28,共3页
目的探讨结直肠癌患者术后化疗依从性及其相关影响因素。方法对940例结直肠癌术后化疗的患者随访调查,采用单因素法和多因素logistic回归法分别筛选影响患者化疗依从性的因素。结果结直肠癌患者术后化疗依从性差的发生率为35.96%(338/94... 目的探讨结直肠癌患者术后化疗依从性及其相关影响因素。方法对940例结直肠癌术后化疗的患者随访调查,采用单因素法和多因素logistic回归法分别筛选影响患者化疗依从性的因素。结果结直肠癌患者术后化疗依从性差的发生率为35.96%(338/940);多因素logistic结果显示,影响结直肠癌患者化疗依从性的因素包括家庭经济状况差(OR=3.347)、术后发生并发症(OR=4.821)、化疗不良反应(OR=5.392)、肿瘤及化疗认知差(OR=2.889)、不良心理反应(OR=3.766)等。结论结直肠癌患者术后的化疗依从性较差,应针对上述影响因素,制订相应的改进措施,提高化疗依从性,改善患者的预后。 展开更多
关键词 结直肠癌 化疗依从性 影响因素
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Effects of Huatan Jiangzhuo decoction on diet-induced hyperlipidemia and gene expressions in rats 被引量:6
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作者 REN Qi LIU Xiao-Qi +6 位作者 ZHOU Xiao-Wen ZHOU Xuan FANG Ge WANG Bin WANG Yan-Ping peng dan-hong LI Xian-Tao 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2021年第2期100-111,共12页
Huatan Jiangzhuo decoction(HJD)is a combination of six traditional Chinese medicines that were used for lipid metabolism-related disorders,but its efficacy and underlying mechanisms have not been explored by modern re... Huatan Jiangzhuo decoction(HJD)is a combination of six traditional Chinese medicines that were used for lipid metabolism-related disorders,but its efficacy and underlying mechanisms have not been explored by modern research strategies.This study aimed to investigate the therapeutic role of HJD in determining the transcriptome level.Hyperlipidemia model was established by feeding Sprague–Dawley rats with high-fat diet.Differentially expressed genes(DEGs)were detected by high-through transcriptome sequencing,followed by gene ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)analysis.The total cholesterol(TC)and triglyceride(TG)levels in hyperlipidemia model rats were significantly increased,whereas high-density lipoprotein(HDL)concentration decreased when compared to normal rats,and HJD significantly downregulated TC concentrations and liver coefficient in the hyperlipidemia rats.Histology staining showed that HDJ greatly recovered the lipid accumulation in rat hepatic stellate cells and aortic arch vascular wall thickness of hyperlipidemia rats.One thousand nine hundred and thirty-six DEGs were identified in the HJD-treated hyperlipidemia rats,which were associated with various biological processes and signaling pathways such as peroxisome proliferator-activated receptors,AMP-activated Protein Kinase,and insulin signaling pathways.Quantitative reverse transcription–polymerase chain reaction further confirmed the downregulated expression of cholesterol 7-α-hydroxylase(CYP7A1),liver orphan receptor(LXRα),peroxisome proliferator-activated receptor gamma(PPARγ),and Sterol Response Element-Binding Protein 1c(SREBP1c)genes in hyperlipidemia rats treated with HJD.Our data first elucidated the gene expression profile of high-fat diet-induced hyperlipidemia in rats after HJD treatment,and lipid metabolism-related genes(CYP7A1,LXRα,PPARγ,and SREBP1c)may be potentially biomarkers for HJD-alleviated hyperlipidemia. 展开更多
关键词 HYPERLIPIDEMIA Huatan Jiangzhuo decoction High-fat diet Fatty liver Next-generation sequencing
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来曲唑联合尿源性FSH与单独使用尿源性FSH方案在夫精宫腔内人工授精中活产率的比较
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作者 沈俊杰 柏建岭 +6 位作者 黄洁 李红 彭丹红 许金环 刘嘉茵 王菁 刘金勇 《生殖医学杂志》 CAS 2024年第9期1141-1146,共6页
目的比较宫腔内人工授精(IUI)周期中单独使用尿源性人卵泡刺激素和来曲唑联合尿源性人卵泡刺激素两种方案的活产率。方法本研究为前瞻性随机对照的临床研究。入组人群随机分为来曲唑联合尿源性人卵泡刺激素组(LE+Gn组,n=150)和单独使用... 目的比较宫腔内人工授精(IUI)周期中单独使用尿源性人卵泡刺激素和来曲唑联合尿源性人卵泡刺激素两种方案的活产率。方法本研究为前瞻性随机对照的临床研究。入组人群随机分为来曲唑联合尿源性人卵泡刺激素组(LE+Gn组,n=150)和单独使用尿源性人卵泡刺激素组(Gn组,n=150)诱导排卵后行IUI助孕。主要分析指标为两组的活产率,次要分析指标包括诱导排卵过程参数、流产率、多胎妊娠率以及不良事件、周期取消、退出等。结果295对夫妻被纳入本项研究。LE+Gn组与Gn组的活产率(21.33%vs.22.07%)、多胎妊娠率(2.63%vs.2.86%)及流产率(15.79%vs.8.57%)差异均无统计学意义(P>0.05)。与Gn组相比,LE+Gn组扳机日雌二醇水平较低[(1065.45±1104.90)pmol/L vs.(1648.20±1162.92)pmol/L]、子宫内膜较薄[(9.23±2.06)mm vs.(9.64±1.86)mm]、扳机日募集到直径≥18 mm卵泡较多[(1.07±0.41)vs.(0.96±0.50)]、Gn用量较少[(396.86±184.80)U vs.(730.90±481.14)U]、使用Gn周期天数较短[(5.29±2.13)d vs.(9.03±3.91)d],差异均有统计学意义(P<0.05)。两组间新生儿出生体重、出生孕周差异均无统计学意义(P>0.05)。结论LE+Gn方案和单独Gn方案在IUI周期中均可以获得较为理想的活产率;LE+Gn方案在降低多卵泡发育及HCG日雌激素水平、减少Gn使用剂量和时间方面可能比单独Gn方案更有优势。 展开更多
关键词 宫腔内人工授精 来曲唑 尿源性人卵泡刺激素 随机对照试验
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Diagnostic Accuracy of Chinese Medicine Diagnosis Scale of Phlegm and Blood Stasis Syndrome in Coronary Heart Disease: A Study Protocol 被引量:5
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作者 LIU Xiao-qi peng dan-hong +4 位作者 WANG Yan-ping XIE Rong CHEN Xin-lin YU Chun-quan LI Xian-tao 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2019年第7期515-520,共6页
Background Phlegm and blood stasis syndrome(PBSS) is one of the main syndromes in coronary heart disease(CHD). Syndromes of Chinese medicine(CM) are lack of quantitative and easyimplementation diagnosis standards. To ... Background Phlegm and blood stasis syndrome(PBSS) is one of the main syndromes in coronary heart disease(CHD). Syndromes of Chinese medicine(CM) are lack of quantitative and easyimplementation diagnosis standards. To quantify and standardize the diagnosis of PBSS, scales are usually applied. Objective: To evaluate the diagnostic accuracy of CM diagnosis scale of PBSS in CHD. Methods: Six hundred patients with stable angina pectoris of CHD, 300 in case group and 300 in control group, will be recruited from 5 hospitals across China. Diagnosis from 2 experts will be considered as the "gold standard". The study design consists of 2 phases: pilot test is used to evaluate the reliability and validity, and diagnostic test is used to assess the diagnostic accuracy of the scale, including sensitivity, specificity, likelihood ratio and area under the receiver operator characteristic(ROC) curve. Discussion: This study will evaluate the diagnostic accuracy of CM diagnosis scale of PBSS in CHD. The consensus of 2 experts may not be ideal as a "gold standard", and itself still requires further study.(No. ChiCTR-OOC-15006599). 展开更多
关键词 diagnostic accuracy PHLEGM and blood STASIS DIAGNOSIS SCALE SYNDROME differentiation coronary heart disease study protocol
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