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Ⅲ期与Ⅳ期压疮患者入院时并发下肢深静脉血栓形成情况及其危险因素 被引量:4
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作者 张伟 黄红军 +5 位作者 张俊峰 刘宝辉 李刚 石凡超 牛希华 杨林 《中华烧伤与创面修复杂志》 CAS CSCD 北大核心 2022年第6期549-554,共6页
目的探讨Ⅲ、Ⅳ期压疮患者入院时并发下肢深静脉血栓形成(DVT)的情况及危险因素。方法采用回顾性病例系列研究方法。将于郑州市第一人民医院创面修复科2015年1月1日—2019年12月31日出院的符合入选标准的241例Ⅲ、Ⅳ期压疮患者纳入研究... 目的探讨Ⅲ、Ⅳ期压疮患者入院时并发下肢深静脉血栓形成(DVT)的情况及危险因素。方法采用回顾性病例系列研究方法。将于郑州市第一人民医院创面修复科2015年1月1日—2019年12月31日出院的符合入选标准的241例Ⅲ、Ⅳ期压疮患者纳入研究,其中男134例、女107例,年龄22~93岁,中位年龄68岁;其中Ⅲ期压疮者37例、Ⅳ期压疮者204例。收集患者发生DVT情况。根据入院后48 h内下肢静脉彩色多普勒超声检查是否确诊为DVT,将病例分为DVT组(37例)和非DVT组(204例);收集并比较2组患者的性别、年龄、压疮持续时间、卧床时间以及合并糖尿病、高血压、冠心病、脑梗死、肺炎、脓毒症/感染性休克、截瘫与入院后24 h内血浆D-二聚体水平和Caprini评分等临床资料。对数据行独立样本t检验、Mann-Whitney U检验、χ^(2)检验及Fisher确切概率法检验。将组间比较差异有统计学意义的指标进行多因素logistic回归分析,筛选影响241例Ⅲ、Ⅳ期压疮患者入院时并发下肢DVT的独立危险因素。结果DVT发生率为15.4%(37/241),其中86.5%(32/37)的患者系无症状DVT,46条下肢DVT中仅累及膝下静脉者29条,占63.0%。2组患者性别、压疮持续时间及合并糖尿病、高血压、冠心病、脑梗死、肺炎、脓毒症/感染性休克情况比较,差异均无统计学意义(P>0.05);2组患者年龄、卧床时间、合并截瘫情况、血浆D-二聚体水平及Caprini评分比较,差异均有统计学意义(t=-3.19,Z=-2.04,χ^(2)=4.44,Z=-3.89,t=-2.14,P<0.05或P<0.01)。多因素logistic回归分析显示,年龄、血浆D-二聚体水平是影响241例Ⅲ、Ⅳ期压疮患者入院时并发下肢DVT的独立危险因素(比值比分别为1.03、1.18,95%置信区间分别为1.00~1.06、1.05~1.33,P<0.05或P<0.01)。结论Ⅲ、Ⅳ期压疮患者入院时具有较高的DVT发生率,年龄、血浆D-二聚体水平是发生下肢DVT的独立危险因素,有必要在接诊时重视DVT的针对性筛查及预防宣传教育。 展开更多
关键词 压力性溃疡 静脉血栓形成 发病率 危险因素 年龄 D-二聚体
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Guidelines for burn rehabilitation in China 被引量:13
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作者 Chinese Burn Association Chinese Association of Burn Surgeons +32 位作者 Ying Cen Jiake Chai Huade Chen Jian Chen Guanghua Guo Chunmao Han Dahai Hu Jingning Huan Xiaoyuan Huang Chiyu Jia Cecilia WP Li-Tsang Jianan Li Zongyu Li Qun Liu Yi Liu Gaoxing Luo Guozhong Lv xihua niu Daizhi Peng Yizhi Peng Hongyan Qi Shunzhen Qi Zhiyong Sheng Dan Tang Yibing Wang Jun Wu Zhaofan Xia Weiguo Xie Hongming Yang Xianfeng Yi Lehua Yu Guoan Zhang The Chinese Burn Care and Rehabilitation Association 《Burns & Trauma》 SCIE 2015年第3期133-142,共10页
Quality of life and functional recovery after burn injury is the final goal of burn care,especially as most of burn patients survive the injury due to advanced medical science.However,dysfunction,disfigurement,contrac... Quality of life and functional recovery after burn injury is the final goal of burn care,especially as most of burn patients survive the injury due to advanced medical science.However,dysfunction,disfigurement,contractures,psychological problems and other discomforts due to burns and the consequent scars are common,and physical therapy and occupational therapy provide alternative treatments for these problems of burn patients.This guideline,organized by the Chinese Burn Association and Chinese Association of Burn Surgeons aims to emphasize the importance of team work in burn care and provide a brief introduction of the outlines of physical and occupational therapies during burn treatment,which is suitable for the current medical circumstances of China.It can be used as the start of the tools for burn rehabilitation. 展开更多
关键词 BURN REHABILITATION Physical therapy Occupational Therapy SCAR
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Guideline for diagnosis, prophylaxis and treatment of invasive fungal infection post burn injury in China 2013 被引量:2
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作者 Gaoxing Luo Jianglin Tan +22 位作者 Yizhi Peng Jun Wu Yuesheng Huang Daizhi Peng Xu Wang Dahai Hu Shongtao Xi Guoan Zhang Chunmao Han Xiaoyuan Huang Ciyu Jia Jiake Chai Jingning Huan Guanghua Guo Jianhua Zhan Weiguo Xie Ying Cen Rong Yu Huade Chen xihua niu Yibing Wang Jinfeng Fu Baosheng Xue 《Burns & Trauma》 SCIE 2014年第2期45-52,共8页
Invasive fungal infection is one of the major complication of severe burns which can induce local or systemic inflammatory response and cause serious substantial damage to the patient. The incidence of fungal infectio... Invasive fungal infection is one of the major complication of severe burns which can induce local or systemic inflammatory response and cause serious substantial damage to the patient. The incidence of fungal infection for burn victims is increasing dramatically during recent years. This guideline, organized by Chinese Society of Burn Surgeons, aims to standardize the diagnosis, prevention and treatment of burn invasive fungal infection. It can be used as one of the tools for treatment of major burn patients. 展开更多
关键词 BURN INJURY GUIDELINE DIAGNOSIS PROPHYLAXIS treatment invasive fungal infection
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