目的研究时间追踪对缺血性卒中患者静脉溶栓流程速度的影响,并明确入院至溶栓时间(door to needle time,DNT)与发病至入院时间(onset to door time,ODT)的相关性。方法前瞻性收集2013年10月启动时间追踪后静脉溶栓患者的时间追踪表,并...目的研究时间追踪对缺血性卒中患者静脉溶栓流程速度的影响,并明确入院至溶栓时间(door to needle time,DNT)与发病至入院时间(onset to door time,ODT)的相关性。方法前瞻性收集2013年10月启动时间追踪后静脉溶栓患者的时间追踪表,并回顾性分析启动时间追踪前、后2010年6月—2014年9月接受静脉溶栓的缺血性卒中患者的临床资料。比较启动时间追踪前、后入选病例的基线资料,并对ODT与DNT进行相关性分析。结果共纳入342例静脉溶栓的缺血性卒中患者,其中启动静脉溶栓时间追踪前共纳入213例(追踪前组),启动后共纳入129例(追踪后组)。与追踪前组相比,追踪后组年龄>80岁的患者比例增高(P<0.05)、基线神经功能缺损程度较轻(P<0.05)、采用多模式影像学检查者比例增高(P<0.05)、DNT显著缩短(P<0.01),且以发病60 min内就诊者DNT缩短最为显著(P<0.01)。追踪前组ODT与DNT呈显著负相关(r=-0.169,P=0.015),且短暂性脑缺血发作/卒中病史(β=-0.168,P=0.020)及ODT(β=-0.246,P=0.001)是影响DNT的独立危险因素。DNT与ODT两者间无明显相关性(r=-0.013,P=0.885)。结论启动静脉溶栓时间追踪模式可缩短DNT,并可有效消除ODT对DNT的影响,提高缺血性卒中患者的静脉溶栓疗效,改善预后。展开更多
Compared to modern counterparts,studies have been done on the wood changes of chemical components and structure of the waterlogged uncovered from Changtaiguan Tomb No.7.Some suggestions on preservation of ancient wate...Compared to modern counterparts,studies have been done on the wood changes of chemical components and structure of the waterlogged uncovered from Changtaiguan Tomb No.7.Some suggestions on preservation of ancient waterlogged wood have been provided.The results indicate that the waterlogged coffin wood from Changtaiguan may be eroded heavily.Compared with modern fresh wood,contents of hot water extractives and organic extractives in ancient wood have decreased,and contents of holocellulose and pentosan have declined sharply,while contents of lignin and ash have relatively increased.Sulfur content in the ancient wood is approximately the same as the modern fresh one and iron content in the ancient wood is much richer than the modern fresh one.Treatments using PEG or and sugars are unsuitable for the waterlogged coffin wood uncovered from No.7 Ancient Tomb in Changtaiguan.展开更多
文摘目的研究时间追踪对缺血性卒中患者静脉溶栓流程速度的影响,并明确入院至溶栓时间(door to needle time,DNT)与发病至入院时间(onset to door time,ODT)的相关性。方法前瞻性收集2013年10月启动时间追踪后静脉溶栓患者的时间追踪表,并回顾性分析启动时间追踪前、后2010年6月—2014年9月接受静脉溶栓的缺血性卒中患者的临床资料。比较启动时间追踪前、后入选病例的基线资料,并对ODT与DNT进行相关性分析。结果共纳入342例静脉溶栓的缺血性卒中患者,其中启动静脉溶栓时间追踪前共纳入213例(追踪前组),启动后共纳入129例(追踪后组)。与追踪前组相比,追踪后组年龄>80岁的患者比例增高(P<0.05)、基线神经功能缺损程度较轻(P<0.05)、采用多模式影像学检查者比例增高(P<0.05)、DNT显著缩短(P<0.01),且以发病60 min内就诊者DNT缩短最为显著(P<0.01)。追踪前组ODT与DNT呈显著负相关(r=-0.169,P=0.015),且短暂性脑缺血发作/卒中病史(β=-0.168,P=0.020)及ODT(β=-0.246,P=0.001)是影响DNT的独立危险因素。DNT与ODT两者间无明显相关性(r=-0.013,P=0.885)。结论启动静脉溶栓时间追踪模式可缩短DNT,并可有效消除ODT对DNT的影响,提高缺血性卒中患者的静脉溶栓疗效,改善预后。
文摘Compared to modern counterparts,studies have been done on the wood changes of chemical components and structure of the waterlogged uncovered from Changtaiguan Tomb No.7.Some suggestions on preservation of ancient waterlogged wood have been provided.The results indicate that the waterlogged coffin wood from Changtaiguan may be eroded heavily.Compared with modern fresh wood,contents of hot water extractives and organic extractives in ancient wood have decreased,and contents of holocellulose and pentosan have declined sharply,while contents of lignin and ash have relatively increased.Sulfur content in the ancient wood is approximately the same as the modern fresh one and iron content in the ancient wood is much richer than the modern fresh one.Treatments using PEG or and sugars are unsuitable for the waterlogged coffin wood uncovered from No.7 Ancient Tomb in Changtaiguan.
