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循证理论支持下综合干预重症肺炎患者的价值及对预防呼吸机相关性肺炎的效果
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作者 高春子 夏茂红 +2 位作者 耿立惠 马文通 孙海军 《河北医药》 CAS 2024年第24期3791-3794,共4页
目的研究重症肺炎患者用基于循证理论的综合干预的效果及对预防呼吸机相关性肺炎(VAP)的应用价值。方法选取2022年5月至2023年6月收治的开展机械通气治疗的重症肺炎患者80例,在随机分组法下,将其分为对照组(常规干预)和试验组(基于循证... 目的研究重症肺炎患者用基于循证理论的综合干预的效果及对预防呼吸机相关性肺炎(VAP)的应用价值。方法选取2022年5月至2023年6月收治的开展机械通气治疗的重症肺炎患者80例,在随机分组法下,将其分为对照组(常规干预)和试验组(基于循证理论的综合干预),每组40例。比较血气指标、口腔清洁度指标、炎性反应指标、呼吸机脱机率、VAP发生率、症状消失时间。结果干预后,试验组SpO_(2)、氧合指数高于对照组,PaCO_(2)低于对照组,差异有统计学意义(P<0.05);干预后,试验组牙菌斑指数、BOAS低于对照组,差异有统计学意义(P<0.05);干预后,试验组PCT、CRP、WBC低于对照组,差异有统计学意义(P<0.05);干预后,试验组呼吸机脱机率高于对照组、试验组VAP发生率低于对照组,差异有统计学意义(P<0.05);干预后,试验组咳嗽、喘息、喘鸣音、气促等症状消失时间短于对照组,差异有统计学意义(P<0.05)。结论在重症肺炎患者开展机械通气治疗过程中,配合基于循证理论的综合干预措施,可以在改善血气指标与口腔清洁度的同时降低炎性反应水平,对预防或是减少VAP的发生具有积极作用,值得推崇。 展开更多
关键词 重症肺炎 循证理论 综合干预 呼吸机相关性肺炎(VAP) 口腔清洁度 炎性反应
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Seasonal Distribution of Meiofaunal Assemblages in the Mangrove Tidal Flat of Futian,Shenzhen,China
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作者 SONG Yuanliu YAN Cunjun +3 位作者 gao chunzi XU Hualin HUA Er LIU Xiaoshou 《Journal of Ocean University of China》 SCIE CAS CSCD 2022年第4期955-964,共10页
Meiofauna are fundamental components in mangrove ecosystem which play important roles in the energy flow and mat-ter cycling.In order to reveal the spatio-temporal distribution of meiofaunal assemblages in mangrove ha... Meiofauna are fundamental components in mangrove ecosystem which play important roles in the energy flow and mat-ter cycling.In order to reveal the spatio-temporal distribution of meiofaunal assemblages in mangrove habitats,sediment samples were collected in July(summer)and October(autumn)of 2013,January(winter)and April(spring)of 2014 in the mangrove tidal flat of Futian,Shenzhen,China.A total of 14 meiofaunal taxa were identified,including free-living marine nematodes,benthic copepods,polychaetes,oligochaetes,ostracods,isopods,etc.Additionally,there were also undetermined taxa.Results showed that the abun-dance range of meiofauna was(488.35±71.29)-(5136.36±623.38)ind(10 cm)−2.Marine nematodes were the most dominant group,with an average abundance of(1869.56±227.92)ind(10 cm)−2,accounting for 98.35%of the total abundance of meiofauna.The sea-sonal distribution of meiofauna showed that the abundance was the highest in summer,followed by those in spring,winter,and au-tumn.Vertical distribution showed that meiofauna were mainly distributed in the upper sediment layer(0-5 cm),with a proportion of 89.56%.Correlation analysis between meiofauna and environmental factors showed that meiofaunal abundance and biomass had significantly negative correlation with salinity.BIOENV analysis between meiofaunal assemblages and environmental factors show-ed that meiofaunal assemblages were affected by the combined effects of temperature,salinity,sediment median grain size,water content,and chlorophyll a content. 展开更多
关键词 MEIOFAUNA taxa composition ABUNDANCE mangrove tidal flat seasonal distribution
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