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唐山市工人医院2018年-2021年泌尿系结石感染患者的细菌谱变迁及药敏特点分析 被引量:2
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作者 杨超 刘健 +4 位作者 申忠华 崔海军 张慧民 郝俊秀 裴琼 《中国现代医学杂志》 CAS 北大核心 2022年第15期79-84,共6页
目的分析唐山市工人医院2018年—2021年泌尿系结石感染患者的细菌谱变迁及药敏特点。方法收集2018年1月—2021年12月唐山市工人医院600例泌尿系结石患者的尿路感染病原菌600株,采用Interscience Scan1200型全自动菌落计数器、Thermo Sci... 目的分析唐山市工人医院2018年—2021年泌尿系结石感染患者的细菌谱变迁及药敏特点。方法收集2018年1月—2021年12月唐山市工人医院600例泌尿系结石患者的尿路感染病原菌600株,采用Interscience Scan1200型全自动菌落计数器、Thermo Scientific型全自动微生物鉴定仪测定病原菌的种类和数量,通过纸片扩散法(K-B法)进行药敏试验,分析耐药率。结果2018年—2021年600例患者尿液标本中共分离600株病原菌。其中,革兰阴性菌416株(69.33%),革兰阳性菌136株(22.67%),真菌48株(8.00%);大肠埃希菌、肺炎克雷伯菌、屎肠球菌、粪肠球菌、假丝酵母菌排在前5位,分别占总菌株数的47.67%、9.83%、9.50%、8.00%、8.00%。4年期间病原菌检出率无明显变化趋势(P>0.05);2018年—2021年大肠埃希菌对哌拉西林、头孢唑林、头孢呋辛、头孢噻肟的耐药率均>60%,对替加环素的耐药率均为0%;2018年—2021年大肠埃希菌对庆大霉素、妥布霉素、呋喃妥因的耐药率比较,差异有统计学意义(χ_(线性趋势)^(2)=5.003、4.009和4.430,P=0.025、0.045和0.035),呈逐渐降低趋势;2018年—2021年肺炎克雷伯菌对哌拉西林、头孢唑林、头孢噻肟的耐药率均>60%;屎肠球菌对青霉素G、氨苄西林、环丙沙星、氧氟沙星、红霉素的耐药率均>90%,粪肠球菌对青霉素G、庆大霉素、红霉素的耐药率均>60%,2种革兰阳性菌对利奈唑胺、替考拉宁的耐药率均为0%;2018年—2021年肺炎克雷伯菌、屎肠球菌、粪肠球菌对各抗菌药物的耐药率比较,差异无统计学意义(P>0.05)。结论唐山市工人医院2018年—2021年泌尿系结石伴尿路感染患者致病菌以大肠埃希菌为主,细菌谱与药敏特点无明显改变,临床应密切监测分离菌的变迁、耐药性,并根据药敏试验选择合理抗菌药物治疗。 展开更多
关键词 泌尿系结石 尿路感染 细菌谱变迁 药敏特点
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Combining Cubic Spline Interpolation and Fast Fourier Transform to Extend Measuring Range of Reflectometry
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作者 Ju Cheng Jian Lu +7 位作者 Hong-Chao Zhang Feng Lei Maryam Sardar Xin-Tian Bian Fen Zuo zhong-hua shen Xiao-Wu Ni Jin Shi 《Chinese Physics Letters》 SCIE CAS CSCD 2018年第5期20-24,共5页
The reflectometry is a common method used to measure the thickness of thin films. Using a conventional method,its measurable range is limited due to the low resolution of the current spectrometer embedded in the refle... The reflectometry is a common method used to measure the thickness of thin films. Using a conventional method,its measurable range is limited due to the low resolution of the current spectrometer embedded in the reflectometer.We present a simple method, using cubic spline interpolation to resample the spectrum with a high resolution,to extend the measurable transparent film thickness. A large measuring range up to 385 m in optical thickness is achieved with the commonly used system. The numerical calculation and experimental results demonstrate that using the FFT method combined with cubic spline interpolation resampling in reflectrometry, a simple,easy-to-operate, economic measuring system can be achieved with high measuring accuracy and replicability. 展开更多
关键词 FIGURE FFT Combining Cubic Spline Interpolation and Fast Fourier Transform to Extend Measuring Range of Reflectometry
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Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis
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作者 Chao DING Da-ming JIANG +5 位作者 Kai-yu TAO Qun-jun DUAN Jie LI Min-jian KONG zhong-hua shen Ai-qiang DONG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2014年第6期522-532,共11页
Objective: Mitral valve disease tends to be treated with anterolateral minithoracotomy (ALMT) rather than median stemotomy (MS), as ALMT uses progressively smaller incisions to promote better cosmetic outcomes. T... Objective: Mitral valve disease tends to be treated with anterolateral minithoracotomy (ALMT) rather than median stemotomy (MS), as ALMT uses progressively smaller incisions to promote better cosmetic outcomes. This meta-analysis quantifies the effects of ALMT on surgical parameters and post-operative outcomes compared with MS. Methods: One randomized controlled study and four case-control studies, published in English from January 1996 to January 2013, were identified and evaluated. Results: ALMT showed a significantly longer cardiopulmonary bypass time (P=0.001) and aortic cross-clamp time (P=0.05) compared with MS. However, the benefits of ALMT were evident as demonstrated by a shorter length of hospital stay (P〈0.00001). According to operative complications, the onset of new arrhythmias following ALMT decreased significantly as compared with MS (P=0.05); however, the incidence of peri-operative mortality (P=0.62), re-operation for bleeding (P=0.37), neurologic events (P=0.77), myocardial infarction (P=0.84), gastrointestinal complications (P=0.89), and renal insufficiency (P=0.67) were similar to these of MS. Long-term follow-up data were also examined, and revealed equivalent survival and freedom from mitral valve events. Conclusions: Current clinical data suggest that ALMT is a safe and effective alternative to the conventional approach and is associated with better short-term outcomes and a trend towards longer survival. 展开更多
关键词 Minimally invasive surgical procedures Anterolateral minithoracotomy (ALMT) Median sternotomy (MS) Mitral valve META-ANALYSIS
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