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输尿管镜碎石术后并发全身炎症反应综合征的危险因素分析 被引量:15
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作者 王伟 韦华玉 +5 位作者 玉海 梁建波 李伟 李信众 胡斌 蓝志相 《中国现代医学杂志》 CAS 2018年第25期56-60,共5页
目的探讨输尿管镜碎石术后并发全身炎症反应综合征的危险因素。方法回顾性分析2014年1月-2016年12月在该院确诊为输尿管结石并接受输尿管镜碎石术治疗的206例患者的临床资料。根据术后是否发生全身炎症反应综合征(SIRS)分为SIRS组和非S... 目的探讨输尿管镜碎石术后并发全身炎症反应综合征的危险因素。方法回顾性分析2014年1月-2016年12月在该院确诊为输尿管结石并接受输尿管镜碎石术治疗的206例患者的临床资料。根据术后是否发生全身炎症反应综合征(SIRS)分为SIRS组和非SIRS组,比较两组患者相关临床指标的差异,并对可能与SIRS有关的因素进行多因素Logistic回归分析。结果术后SIRS发生率为16.02%;两组的术前尿培养结果、结石大小和手术时间比较,差异有统计学意义(P<0.05),术后24 h两组的血降钙素原、细菌内毒素浓度比较,差异有统计学意义(P<0.05),SIRS组均高于非SIRS组;多因素Logistic回归分析结果显示结石大小[O^R=1.67(95%CI:1.08,2.54),P=0.002]、手术时间[O^R=2.08(95%CI:1.54,2.73),P=0.000]、术前尿细菌培养[O^R=2.85(95%CI:2.12,3.74),P=0.000]、术后24 h血降钙素原[O^R=5.24(95%CI:2.21,11.35),P=0.000]、及细菌内毒素[O^R=2.68(95%CI:1.98,3.40),P=0.000]与术后SIRS的发生具有相关性。结论输尿管镜碎石术后并发全身炎症反应综合征受多种因素的影响,术前中段尿细菌培养结果、结石大小、手术时间、术后血降钙素原及细菌内毒素水平是术后发生SIRS的危险因素。 展开更多
关键词 全身炎症反应综合征 输尿管镜取石术 危险因素 输尿管结石
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Endemic medicinal plant distribution correlated with stable climate,precipitation,and cultural diversity
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作者 Gang Feng Ying-Jie Xiong +2 位作者 hua-yu wei Yao Li Ling-Feng Mao 《Plant Diversity》 SCIE CAS CSCD 2023年第4期479-484,共6页
Medicinal plants provide crucial ecosystem services,especially in developing countries such as China,which harbors diverse endemic medicinal plant species with substantial cultural and economic value.Accordingly,under... Medicinal plants provide crucial ecosystem services,especially in developing countries such as China,which harbors diverse endemic medicinal plant species with substantial cultural and economic value.Accordingly,understanding the patterns and drivers of medicinal plant distribution is critical.However,few studies have investigated the patterns and drivers of endemic medicinal plants distribution in China.Here,we linked endemic medicinal plants distribution with possible explanatory variables,i.e.,paleoclimate change,contemporary climate,altitudinal range and ethnic minority human population size at the prefecture city level in China.Our results show that endemic medicinal plants are concentrated in southern China,especially in southwestern China.Notably,both endemic medicinal plant species richness and the ratio of endemic medicinal plant species richness are negatively associated with glacialinterglacial anomaly in temperature,and positively associated with contemporary precipitation and altitudinal range.In addition,we found that endemic medicinal plant species richness is positively associated with ethnic minority population sizes as well as its ratio to the overall population size.These findings suggest that the distribution of endemic medicinal plants is determined by multiple drivers.Furthermore,our findings stress that dramatic future climate changes and massive anthropogenic activities in southern China pose great challenges to the conservation of China's endemic medicinal plants. 展开更多
关键词 Altitudinal range Cultural diversity Endemic medicinal plant Glacial-interglacial climate change PRECIPITATION Spatial distribution
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