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低磷血症对严重多发伤患者机械通气撤机后炎症因子变化及预后的影响
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作者 鄢由秦 江飞保 《浙江创伤外科》 2023年第8期1418-1420,1580,共4页
目的探究低磷血症对严重多发伤患者机械通气撤机后炎症因子变化及预后的影响。方法回顾性分析2020年12月至2021年12月本院收治的多发伤患者78例的临床资料,根据患者实验室生化检测血磷水平将患者分为低血磷组31例和正常血磷组48例。观... 目的探究低磷血症对严重多发伤患者机械通气撤机后炎症因子变化及预后的影响。方法回顾性分析2020年12月至2021年12月本院收治的多发伤患者78例的临床资料,根据患者实验室生化检测血磷水平将患者分为低血磷组31例和正常血磷组48例。观察两组患者的炎症指标:血清降钙素原(PCT)、血清白细胞介素(IL-6)、C反应蛋白(CRP)。观察两组患者的医疗干预措施、病死率和撤离机械通气的情况。结果比较两组患者的炎症指标,低血磷组患者的PCT、IL-6和CRP均高于正常血磷组,差异具备统计学意义,P<0.05。比较两组患者的医疗干预措施和患者的死亡率,低血磷组患者的采用肠外营养的概率和死亡率均高于正常血磷组,而撤离机械通气率小于正常血磷组,差异具备统计学意义,P<0.05;而两组患者使用呼吸机辅助呼吸的概率和使用血液滤过的概率比较差异无统计学意义(P>0.05)。比较两组患者的PI和PVI的情况,正常血磷组的PI高于高血磷组,PVI低于高血磷组,差异具备统计学意义(P<0.05)。结论低磷血症严重影响严重多发伤患者的预后情况,对于患者的炎症指标、干预措施、生存和机械通气的撤离均具备一定的负面影响,在临床实践中值得注意。 展开更多
关键词 低磷血症 多发伤 预后 相关性
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Effects of Shengmai Yin(生脉饮)on pulmonary and cardiac function in coronavirus disease 2019 convalescent patients with cardiopulmonary symptoms:a randomized,double blind,multicenter control trial 被引量:4
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作者 AN Xuedong MAO Lina +21 位作者 XIA Ping SU Wen WANG Beibei KOU Leiya ZHANG Zequan QI Meng HU Song CHEN Jing LI Xiujuan LIU Jinwei ZHOU Juan QIAO Jie LUO Dan LUO Guangwei yan youqin yanG Guiping DONG Dandan ZHOU Wei TAO Junxiu JIN De TONG Xiaolin WEI Li 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2023年第1期140-145,共6页
OBJECTIVE:To evaluate the efficacy and safety of Shengmai Yin(生脉饮,SMY)on visual analogue scale(VAS)for cardiopulmonary symptoms in coronavirus disease 2019(COVID-19)convalescent patients.METHODS:In this randomized,... OBJECTIVE:To evaluate the efficacy and safety of Shengmai Yin(生脉饮,SMY)on visual analogue scale(VAS)for cardiopulmonary symptoms in coronavirus disease 2019(COVID-19)convalescent patients.METHODS:In this randomized,double blind and multicenter controlled trial,a total of 200 COVID-19 convalescent patients who with cardiopulmonary symptoms were enrolled from three medical centers in Hubei,China.These patients were randomized divided into trial group and the control group,100 patients in each one,SMY and its placebo were applied to respectively,for two weeks.VAS of clinical symptoms included shortness of breath,hidrosis,chest distress,palpitation,and dry cough was performed at 0,1,2 weeks.Decrease in VAS of 30%or more was defined as effective,and a reduction in VAS of 0 was defined as curative.RESULTS:A total of 192 completed the study.The VAS of TCM symptoms showed there was no difference in baseline between the two groups.The VAS in both groups was down-regulated,and there was no significant difference in VAS and cure rates at the first and second week between the two groups.There was no significant difference in breath,hidrosis,palpitation,and dry cough between the two groups but SMY treatment for two weeks has remarkable therapeutic effects in chest distress than placebo.CONCLUSIONS:SMY could effectively ameliorate the symptoms of chest distress,and improve the quality of life of the COVID-19 convalescent patients. 展开更多
关键词 COVID-19 CONVALESCENCE visual analog scale cardiopulmonary symptoms Shengmai Yin
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Effectiveness and safety of Jinshuibao capsules(金水宝胶囊)in treatment of residual cardiopulmonary symptoms in convalescent patients of coronavirus disease 2019:a pilot randomized,double-blind,placebo-controlled clinical trial 被引量:2
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作者 ZHANG Yuehong DONG Dandan +14 位作者 yan youqin ZHANG Hao WANG Guangli ZHOU Wei LI Wei QIU Li LI Tingming LIU Quan XIA Ping MAO Lina yanG Danlin yanG Lu LIAN Fengmei TONG Xiaolin BA Yuanming 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2023年第1期134-139,共6页
OBJECTIVE:To evaluate the effectiveness and safety of Jinshuibao capsules(金水宝胶囊),a Traditional Chinese Medicine(TCM),in the treatment of residual cardiopulmonary symptoms in convalescent corona virus disease 2019... OBJECTIVE:To evaluate the effectiveness and safety of Jinshuibao capsules(金水宝胶囊),a Traditional Chinese Medicine(TCM),in the treatment of residual cardiopulmonary symptoms in convalescent corona virus disease 2019(COVID-19)patients.METHODS:A total of 200 participants with COVID-19 in convalescence phase were randomly assigned into two groups at a 1:1 ratio in this multicenter randomized,double-blind,placebo-controlled trial.One group received Jinshuibao capsules,and the other received placebo.The patients were followed up at one and two weeks of treatment.Five symptoms(dry cough,shortness of breath,sweating,chest tightness and palpitation)improvement rates and full recovery rates were compared.RESULTS:All baseline characteristics were comparable between the two groups.After two weeks of treatment,symptom improvement rates for dry cough(74.00%vs 50.00%,P=0.015),shortness of breath(78.95%vs 46.15%,P<0.001),sweating(80.00%vs 57.75%,P=0.004),chest tightness(87.06%vs 60.47%,P<0.001)and palpitation(82.50%vs 64.56%,P=0.010)were significantly higher in the Jinshuibao group compared with the control group.Meanwhile,Jinshuibao capsules treatment also displayed more satisfactory full recovery rates of all five symptoms(dry cough 58.00%vs 19.57%,shortness of breath 18.95%vs 7.69%,sweating 36.00%vs 19.72%,chest tightness 32.94%vs 13.95%,and palpitation 48.75%vs 29.11%)in participants with COVID-19 in convalescence phase compared with the control group(P<0.05).No severe adverse events were reported in either group.CONCLUSIONS:Jinshuibao capsules have the potential to improve residual cardiopulmonary symptoms in convalescent COVID-19 patients,with few adverse events. 展开更多
关键词 COVID-19 CONVALESCENCE signs and symptoms randomized controlled trial Jinshuibao capsules
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新型冠状病毒肺炎患者496例的临床特点和预后分析 被引量:4
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作者 严佑琴 郭险峰 +1 位作者 吴文炎 艾莲花 《中华传染病杂志》 CAS CSCD 2020年第8期479-482,共4页
目的探讨新型冠状病毒肺炎(COVID-19)患者的临床特点和预后。方法回顾性分析2020年1月22月至2月24日武汉市第七医院收治的496例COVID-19患者的临床资料和胸部计算机断层成像检查结果。采用实时荧光反转录聚合酶链反应检测2019新型冠状... 目的探讨新型冠状病毒肺炎(COVID-19)患者的临床特点和预后。方法回顾性分析2020年1月22月至2月24日武汉市第七医院收治的496例COVID-19患者的临床资料和胸部计算机断层成像检查结果。采用实时荧光反转录聚合酶链反应检测2019新型冠状病毒核酸。结果496例COVID-19患者中,男246例(49.6%),女250例(50.4%),年龄范围为10~91岁,均有武汉市居住史或与确诊患者密切接触史。所有患者病毒核酸检测均为阳性,1例治愈出院14 d后复查呈阳性。轻型13例,普通型101例,重型337例,危重型45例。12例(2.4%)患者无明显症状,417例(84.1%)出现发热,67例(13.5%)首发症状无发热;咳嗽229例(46.2%),以干咳为主;乏力129例(26.0%),气促77例(15.5%),咳痰86例(17.3%),呼吸困难43例(8.7%),胸痛11例(2.2%),腹泻86例(17.3%)。75例(15.1%)外周血白细胞计数降低,305例(61.5%)淋巴细胞比例降低。91例(18.3%)丙氨酸转氨酶升高,176例(35.5%)天冬氨酸转氨酶升高。肺部影像学检查显示,483例(97.4%)发现肺部病变,其中332例(68.7%)累及双肺,98例(20.3%)累及右肺,53例(11.0%)累及左肺;而13例(2.6%)肺部无明显改变。截至2020年2月24日,有120例(24.2%)患者治愈出院,102例(20.6%)好转,52例(10.5%)死亡,其余患者仍在治疗观察中。死亡患者中61~70岁者有16例(30.8%),≥71岁有32例(61.5%),合并基础疾病者38例(73.1%)。结论COVID-19病变主要累及双肺,主要临床特点为发热、干咳,肺部影像学检查以磨玻璃样变多见,外周白细胞计数和淋巴细胞比例表现为降低或正常,年龄偏大且有基础疾病的中老年人群死亡风险增大。 展开更多
关键词 冠状病毒感染 肺炎 新型冠状病毒肺炎 2019新型冠状病毒 临床特点 预后
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