[目的]探讨医护患联合干预对老年髋部骨折谵妄患者预后及非计划拔管的影响。[方法]2022年1月—12月本科行股骨头置换术并放置引流管的84例股骨颈骨折患者纳入本研究,所有患者术前均神志清醒。采用随机数字表法将患者分为两组,42例在常...[目的]探讨医护患联合干预对老年髋部骨折谵妄患者预后及非计划拔管的影响。[方法]2022年1月—12月本科行股骨头置换术并放置引流管的84例股骨颈骨折患者纳入本研究,所有患者术前均神志清醒。采用随机数字表法将患者分为两组,42例在常规术后护理的基础上给予联合干预,另外42例只给予常规术后护理。比较两组术后谵妄发生和非计划拔管情况。[结果]两组患者均顺利完成手术,随着时间推移两组患者VAS评分均明显下降,相应时间点组间VAS评分的差异无统计学意义(P>0.05)。干预组谵妄事件发生率显著低于常规组(19.0%vs 83.3%,P<0.001),且干预组的谵妄持续时间显著短于常规组[(2.8±1.4)d vs(6.2±1.4)d,P<0.001]。此外,干预组非计划拔管的发生率显著低于常规组(0 vs 19.0%,P=0.003)。此外,下肢静脉血栓和肺部感染发生率也低于常规组,但差异无统计学意义(P>0.05)。[结论]医护患联合术后干预计划能够显著降低术后谵妄的发生率,缩短谵妄持续时间,并降低因谵妄引起的非计划拔管风险。展开更多
As climate change,international trade,and human activities increasingly disrupt traditional geographic barriers in the oceans,non-indigenous species(NIS)have successfully established themselves outside their native ra...As climate change,international trade,and human activities increasingly disrupt traditional geographic barriers in the oceans,non-indigenous species(NIS)have successfully established themselves outside their native ranges.Outbreaks of NIS can pose significant threats to local ecosystems and economies,making them a critical issue for marine biodiversity and biosecurity.Biological invasions in marine habitats differ significantly from those on land or in freshwater.Detection and identification of NIS in marine habitats is particularly challenging due to difficulties in sampling,morphological identification,and visualization in the early stages of outbreaks.Environmental DNA(eDNA)approaches have emerged as reliable and cost-effective methods for both qualitative and quantitative detection of marine NIS,particularly in the introductory phase.In this review,we summarize recent applications and advances in eDNA-based detection of marine NIS.We emphasize that innovations in eDNA sampling equipment,improvements in detection methods,and further refinement of the reference genomic database for marine species are crucial for the future development of this field.展开更多
文摘[目的]探讨医护患联合干预对老年髋部骨折谵妄患者预后及非计划拔管的影响。[方法]2022年1月—12月本科行股骨头置换术并放置引流管的84例股骨颈骨折患者纳入本研究,所有患者术前均神志清醒。采用随机数字表法将患者分为两组,42例在常规术后护理的基础上给予联合干预,另外42例只给予常规术后护理。比较两组术后谵妄发生和非计划拔管情况。[结果]两组患者均顺利完成手术,随着时间推移两组患者VAS评分均明显下降,相应时间点组间VAS评分的差异无统计学意义(P>0.05)。干预组谵妄事件发生率显著低于常规组(19.0%vs 83.3%,P<0.001),且干预组的谵妄持续时间显著短于常规组[(2.8±1.4)d vs(6.2±1.4)d,P<0.001]。此外,干预组非计划拔管的发生率显著低于常规组(0 vs 19.0%,P=0.003)。此外,下肢静脉血栓和肺部感染发生率也低于常规组,但差异无统计学意义(P>0.05)。[结论]医护患联合术后干预计划能够显著降低术后谵妄的发生率,缩短谵妄持续时间,并降低因谵妄引起的非计划拔管风险。
文摘As climate change,international trade,and human activities increasingly disrupt traditional geographic barriers in the oceans,non-indigenous species(NIS)have successfully established themselves outside their native ranges.Outbreaks of NIS can pose significant threats to local ecosystems and economies,making them a critical issue for marine biodiversity and biosecurity.Biological invasions in marine habitats differ significantly from those on land or in freshwater.Detection and identification of NIS in marine habitats is particularly challenging due to difficulties in sampling,morphological identification,and visualization in the early stages of outbreaks.Environmental DNA(eDNA)approaches have emerged as reliable and cost-effective methods for both qualitative and quantitative detection of marine NIS,particularly in the introductory phase.In this review,we summarize recent applications and advances in eDNA-based detection of marine NIS.We emphasize that innovations in eDNA sampling equipment,improvements in detection methods,and further refinement of the reference genomic database for marine species are crucial for the future development of this field.
