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Infection control and prevention in burn victims:The role of nurses
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作者 Dorcas Ayomikun ARIYO Olaolorunpo OLORUNFEMI 《Journal of Integrative Nursing》 2024年第2期136-141,共6页
Burn injury is a major public health concern,with an estimated 180,000 deaths each year associated with burn-related infections.The majority of these occur in low-and middle-income countries,and almost two-thirds occu... Burn injury is a major public health concern,with an estimated 180,000 deaths each year associated with burn-related infections.The majority of these occur in low-and middle-income countries,and almost two-thirds occur in the World Health Organization African and South-East Asia Regions.There is a risk of an escalation of burn injury site infections if nurses who are directly involved in burn care do not develop a mechanism to mitigate this risk in the coming years.Hence,this study aims at explaining what burn injuries are and how nurses can prevent the occurrence of infection among burn victims.This review analyzed published studies using keywords such as burn injury,infection in burn patients,and nurses’involvement in infection prevention and control(IPC)on search engines such as PubMed,Science Direct,and Google Scholar.The literature was retrieved and reviewed for eligibility to capture just the variables indicated in this seminar objective;the date range chosen in the literature search was from 2015 to 2023.The study found that many patients die from burn injuries as a result of exposure to infection and most nurses are not adequately informed about infection control.The study also found that nurses’responsibilities include proper hand hygiene,wound care,the use of personal protective equipment,antibiotic medication,cleaning the patient’s surroundings,and preventing patient cross-contamination.Burn injuries pose a significant risk to patients,necessitating infection control and prevention.Therefore,nurses in burn units should be informed on IPC practices and also educate patients,families,and coworkers on their importance. 展开更多
关键词 Burn injury control holistic nursing care infection prevention nurses PRACTICES
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Marine biological injuries and their medical management:A narrative review 被引量:2
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作者 Xiao-Yu Geng Ming-Ke Wang +2 位作者 Jin-Hong Chen Liang Xiao Ji-Shun Yang 《World Journal of Biological Chemistry》 2023年第1期1-12,共12页
The marine environment can be extremely dangerous,and the harm caused by marine organisms when they contact the human body can be especially harmful,even deadly.Contact includes stings,bites,wounds,and consumption as ... The marine environment can be extremely dangerous,and the harm caused by marine organisms when they contact the human body can be especially harmful,even deadly.Contact includes stings,bites,wounds,and consumption as food.In this article,the characteristics of the common marine biological injuries are summarized,the major marine organisms causing damage in China’s marine waters are described,and injury prevention and treatment methods are discussed. 展开更多
关键词 Marine organism injuries and wounds prevention TREATMENT
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Prevalence of musculoskeletal injuries and a proposal for neuromuscular training to prevent lower limb injuries in Brazilian Army soldiers:an observational study 被引量:8
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作者 Michele Zukauskas de Andrade Gomes Carlos Eduardo Pinfildi 《Military Medical Research》 CAS CSCD 2019年第1期45-52,共8页
Background: The activities carried out by soldiers in the army involve great physical demands and require intense trainings to perform combat-specific tasks. Musculoskeletal injury is a potential threat to the health ... Background: The activities carried out by soldiers in the army involve great physical demands and require intense trainings to perform combat-specific tasks. Musculoskeletal injury is a potential threat to the health and physical integrity of the soldier. This study aimed to evaluate the prevalence of lower limb musculoskeletal injuries among soldiers and to propose a training protocol to prevent the most frequent injuries.Methods: This observational(cross-sectional) study recruited a sample of 103 soldiers who required medical attention,from a total 202 new battalion soldiers. The medical records(paper and online) had a form of running text. All data collected were recorded by the registered physicians of the battalion medical post. The records were analyzed by the following variables: medical diagnosis, injury site, mechanism, type of treatment, time loss, existence of previous injury,and recurring injury.Results: A total of 112 musculoskeletal injuries were diagnosed in 71 soldiers, and other types of diseases/injuries were diagnosed in the other soldiers. Joint pain accounted for 55.4% of the diagnoses. The knee was the most affected site, while trauma and overload were the most common mechanisms of injury. Drug treatment was used most frequently, accounting for 58% of the cases. The majority of the sample obtained a temporary leave of absence for1 to 6 days or not at all. Previous injuries and recurrence were not presented as risk factors for injury. With the data received, a protocol for the prevention of injuries to the lower limbs was proposed.Conclusions: This study indicated that the most frequent site of injury is the knee, and joint pain is the most common diagnosis. These results may support the necessity to develop a neuromuscular training protocol to prevent lower limb injuries, which we suggest to be applied in future studies. 展开更多
关键词 Physical therapy wounds and injuries Primary prevention Lower extremity PROPRIOCEPTION Military personnel
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Evaluation and Risk Prevention and Control of Hepatic Injury by Traditional Drugs
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作者 Xiao Xiaohe 《World Journal of Integrated Traditional and Western Medicine》 2019年第4期49-54,共6页
My topic is the risk assessment of safety of Chinese materia medica.Next I will take drug-induced hepatic injury as an example.First of all,let us look back at what Chinese materia medica is.What are the real meanings... My topic is the risk assessment of safety of Chinese materia medica.Next I will take drug-induced hepatic injury as an example.First of all,let us look back at what Chinese materia medica is.What are the real meanings of these 3 words? These 3 words Zi Hua Zi have been said more than BC 500."TCM practitioners are for treatment and medicines," what do you mean? Treatment means to find the cause of the disease and to find the law,while medicine is to find ways and means to cure diseases. 展开更多
关键词 EVALUATION Risk prevention and control HEPATIC INJURY TRADITIONAL DRUGS
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Future challenges and solutions for safety in China:China CDC’s exploration of injury prevention strategies 被引量:1
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作者 Leilei Duan Pengpeng Ye Linhong Wang 《Global Health Journal》 2018年第2期14-23,共10页
As an important component of worldwide injury prevention,China has made great contribution to the development.China is serving as a model for other countries in the world,especially developing countries,and China’s e... As an important component of worldwide injury prevention,China has made great contribution to the development.China is serving as a model for other countries in the world,especially developing countries,and China’s experience has great implications for them.Besides the description of the present situation and trends of China’s injury prevention work and review for its development history,this paper has also introduced the existing issues and the current challenges,and informed the e orts of the sta in related eld to nd solutions from di erent aspects.All of them jointly boosted the development of global injury prevention. 展开更多
关键词 injury prevention and control Chinese CENTER for DISEASE control and prevention National CENTER for CHRONIC and Non-communicable DISEASE control and prevention
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急性压力性损伤风险防控护理在行肺癌根治术患者中的应用效果
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作者 张建梅 阎莉 +3 位作者 陈玲 王凯 杨静 徐梅霞 《中国医药导报》 CAS 2024年第16期181-183,187,共4页
目的探究急性压力性损伤风险防控护理在行肺癌根治术患者中的应用效果。方法选取2022年1月至2023年1月南京医科大学附属淮安第一医院120例行肺癌根治术患者作为研究对象,按照随机数字表法将其分为对照组和观察组,各60例。对照组采取常... 目的探究急性压力性损伤风险防控护理在行肺癌根治术患者中的应用效果。方法选取2022年1月至2023年1月南京医科大学附属淮安第一医院120例行肺癌根治术患者作为研究对象,按照随机数字表法将其分为对照组和观察组,各60例。对照组采取常规手术护理措施,观察组应用术中急性压力性损伤风险防控护理。比较两组手术相关指标变化及并发症。结果术毕时,两组气道压、平均脉压、心率、体温、乳酸、血氧饱和度高于术前即刻,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论在行肺癌根治术患者中采用急性压力性损伤风险防控护理,可有效改善患者手术相关指标,降低并发症发生率,提高预后效果,值得临床推广采纳。 展开更多
关键词 急性压力性损伤风险防控护理 肺癌根治术 并发症 手术相关指标
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损害控制手术治疗高原寒冷环境猪腹部枪击肠管贯通伤的效果评价
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作者 孙赳 杨雪 +3 位作者 屈金权 杨欣悦 李佳佳 刘江伟 《创伤外科杂志》 2024年第6期410-417,共8页
目的观察损害控制手术(DCS)与传统手术对于高原寒冷环境下猪腹部枪击肠管贯通伤的救治效果。方法本文前瞻性研究,将30头10~12周龄健康长白仔猪,随机分为3组(各10只),分别为高原致伤组(HI)、高原致伤+传统手术组(HIT)、高原致伤+DCS组(H... 目的观察损害控制手术(DCS)与传统手术对于高原寒冷环境下猪腹部枪击肠管贯通伤的救治效果。方法本文前瞻性研究,将30头10~12周龄健康长白仔猪,随机分为3组(各10只),分别为高原致伤组(HI)、高原致伤+传统手术组(HIT)、高原致伤+DCS组(HID)。通过将仔猪放入模拟高原寒冷环境的西北地区特殊环境人工实验舱[设置舱内海拔6000 m,气压约4.7 kPa,温度(8±2)℃,模拟高原低压、低氧、寒冷环境]48 h,并使用警用制式QSZ92式手枪,9 mm手枪弹射击脐水平后方2 cm,右侧腹壁皱襞下缘交界处目标点制作高原寒冷环境猪腹部枪击肠管贯通伤模型。HI组受伤后予以伤口包扎后观察处理。HIT组伤后4 h予以断裂小肠或缺血坏死小肠切除后行肠管端端吻合的传统手术治疗。HID组伤后4 h行断裂小肠近端置入减压管,远端小肠封闭;连续多处穿孔小肠或缺血坏死小肠切除,近端置入减压管,远端小肠封闭的DCS治疗。分别观察并比较各组伤后不同时间一般情况、生命体征、手术相关指标,WBC、中性粒细胞计数(NEUT)、IL-6、TNF-α、ALT、AST、并发症发生率、存活率。结果HIT组和HID组的小肠挫伤、小肠破裂、肠系膜损伤、结肠破裂、弹孔直径、腹腔积血无明显差异(P>0.05)。HID组12 h开始呼吸(25.2±4.0)次/min、心率(129.9±9.8)次/min、体温(38.3±0.6)℃显著低于HI组[呼吸(38.7±4.7)次/min、心率(150.3±8.6)次/min、体温(40.2±1.0)℃]和HIT组[呼吸(32.0±4.0)次/min、心率(143.6±11.4)次/min,体温(38.8±0.6)℃];HID组48 h体温低于HIT组[(38.3±0.6)℃vs.(39.6±0.6)℃],差异有统计学意义(P<0.05),生命体征更快达到平稳状态。HID组的手术时间、呼吸恢复时间、拔管时间、自由活动时间和首次排便时间显著短于HIT组[(46.00±9.37)min vs.(146.00±14.68)min、(26.20±4.24)min vs.(46.10±3.84)min、(45.40±3.03)min vs.(95.70±3.30)min、(96.90±4.48)min vs.(198.20±4.80)min、(27.90±7.80)h vs.(47.99±5.41)h];术中失血量及输液量少于HIT组(P<0.05)。HID组12 h开始WBC(18.4±4.8)×10^(9)/L、NEUT(3.3±1.1)×10^(9)/L、IL-6(110.4±8.7)pg/mL、TNF-α(288.5±16.4)×10^(9)/L低于HI组[WBC(56.6±9.3)×10^(9)/L、NEUT(24.0±4.4)×10^(9)/L、IL-6(158.8±16.0)pg/mL、TNF-α(425.4±35.3)pg/mL];HID组WBC和NEUT于12 h起低于HIT组;IL-6于24 h起低于HIT组;TNF-α于48 h起低于HIT组(P<0.05)。HID组12 h开始ALT、AST低于HI组[(88.4±9.9)U/L vs.(138.1±14.4)U/L、(110.4±8.8)U/L vs.(210.1±11.6)U/L];HID组24 h开始ALT、AST低于HIT组[(66.6±14.0)U/L vs.(82.0±8.3)U/L、(96.4±8.9)U/L vs.(10^(9).7±9.9)U/L],P<0.05。HID组术后发热、切口出血、切口皮肤淤斑、肠漏发生率低于HIT组(P<0.05)。HI组、HIT组、HID组72 h存活率分别为60%、70%、100%。HID组生存曲线优于HI组(P<0.05)。结论与传统手术治疗比较,伤后早期行DCS治疗,可缩短手术时间,减少术中出血,加快麻醉苏醒,促进术后早期胃肠道功能恢复及活动,降低手术并发症,改善仔猪生命体征、血清炎症因子水平、生存时间,提示DCS是早期治疗高原寒冷环境腹部枪击肠管贯通伤的有效方法。 展开更多
关键词 肠管贯通伤 枪击伤 损害控制手术 高原寒冷环境
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何首乌肝损伤风险的发现、评价与防控策略研究 被引量:1
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作者 涂灿 高源 +2 位作者 柏兆方 肖小河 王伽伯 《Acupuncture and Herbal Medicine》 2024年第2期271-281,I0014,I0015,共13页
近年来,中草药相关的不良反应/事件频繁被报道,尤其针对新发现“有毒”中药的安全性问题,往往难以做出科学的回答并制定有效解决方案。中药由于自身的复杂性及缺乏系统性研究,使得我们对中草药相关肝损伤的成因机制了解有限。因此,破解... 近年来,中草药相关的不良反应/事件频繁被报道,尤其针对新发现“有毒”中药的安全性问题,往往难以做出科学的回答并制定有效解决方案。中药由于自身的复杂性及缺乏系统性研究,使得我们对中草药相关肝损伤的成因机制了解有限。因此,破解中草药安全性难题亟需在中药毒性认知及安全风险防控方面实现突破。笔者团队以何首乌肝损伤作为典型范例,基于首创中药药源性肝损伤因果关系评价“整合证据链法”,证实了何首乌致肝损伤的客观真实性。进一步基于团队创新性建立的病证毒理学方法,科学揭示了何首乌肝损伤的物质基础及成因机制,也提出并证实了中药免疫特异质肝损伤“三因致毒”机制假说。在此基础上,阐明了何首乌特异质肝损伤易感人群的病证特征,并筛选发现了多种生物标志物,包括基因标志物HLA-B*35:01、免疫学及代谢组标志物。最后,探索创建了基于易感人群识别、易感物质控制以及个性化用药的“人-药-用”三维风险防控的安全用药策略和方法,为全面揭示“有毒”中药毒副反应科学内涵并建立科学有效的风险防控对策提供了基础。 展开更多
关键词 何首乌 肝损伤 因果关系评价 机制 风险防控
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心理护理联合损伤控制在骨科下肢创伤临床急救中的应用研究
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作者 杨雅燕 章亚青 董辉详 《中华灾害救援医学》 2024年第6期746-748,共3页
目的分析在常规急救手段的基础上,采取心理护理联合损伤控制在下肢创伤患者中的应用效果。方法选取2021年5至2023年5月本院收治的84例下肢创伤患者,按照随机数字分配法分为观察组和对照组,每组各42例,观察组给予心理护理和损伤控制,对... 目的分析在常规急救手段的基础上,采取心理护理联合损伤控制在下肢创伤患者中的应用效果。方法选取2021年5至2023年5月本院收治的84例下肢创伤患者,按照随机数字分配法分为观察组和对照组,每组各42例,观察组给予心理护理和损伤控制,对照组采取传统治疗手段。比较两组患者心理状态评分、依从性、满意度、膝关节功能、踝关节功能、术后并发症。结果干预后,观察组SAS、SDS评分均显著低于对照组(P<0.05);观察组依从性评分显著高于对照组(P<0.05)。手术前,两组患者膝关节临床、运动功能评分,踝关节功能、疼痛、力线评分均无显著差异(P>0.05);术后3个月,观察组膝关节临床、运动功能评分,踝关节功能、疼痛、力线评分显著高于对照组(P<0.05)。观察组术后并发症发生率为2.38%,显著低于对照组的19.05%(P<0.05)。结论心理护理联合损伤控制可有效改善下肢创伤患者焦虑、抑郁不良情绪,提高患者治疗依从性,有利于患者下肢功能恢复,降低术后并发症。 展开更多
关键词 创伤和损伤 护理 损伤控制
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基于LSPI质量改进框架的压力性损伤临床防治国际指南的应用与评价
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作者 王凡凡 庄敏 +2 位作者 胡三莲 马俊 苏怡芳 《现代临床护理》 2024年第4期60-66,共7页
目的分析基于LSPI[领导力(Leadership)、护士培训(Staff)、临床实践优化(Performance Improvement)和信息技术(Information Technology)]质量改进框架的压力性损伤临床防治国际指南的应用效果,以期为促进相关防治实践指南向临床转化提... 目的分析基于LSPI[领导力(Leadership)、护士培训(Staff)、临床实践优化(Performance Improvement)和信息技术(Information Technology)]质量改进框架的压力性损伤临床防治国际指南的应用效果,以期为促进相关防治实践指南向临床转化提供新方法。方法应用前-后对照研究方法,选择2019年7月—2020年6月就诊于本院的住院患者101005例设为对照组,选择2020年7月—2021年6月就诊于本院的住院患者110824例设为试验组。比较实施前后院内压力性损伤首次风险评估及时率、首次风险评估准确率、高危患者预防措施落实率与压力性损伤发生率。结果首次风险评估及时率从干预前86.73%上升至干预后96.25%,首次风险评估准确率从干预前93.46%上升至干预后98.69%,高危患者预防措施落实率从干预前94.21%上升至干预后98.15%,院内压力性损伤发生率从干预前0.77‰下降至干预后0.29‰,前后比较,差异均具有统计学意义(均P<0.05)。结论基于LSPI质量改进框架的压力性损伤临床防治国际指南的应用可提高压力性损伤过程管理质量,从而降低院内压力性损伤的发生率,促进实施以指南为依据的实践规范。 展开更多
关键词 压力性损伤 领导力-护士培训-临床实践优化-信息技术质量改进 压力性损伤临床防治国际指南 护理管理 前-后对照研究
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Infection control in severely burned patients 被引量:6
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作者 Yusuf Kenan Coban 《World Journal of Critical Care Medicine》 2012年第4期94-101,共8页
In the last two decades, much progress has been made in the control of burn wound infection and nasocomial infections(NI) in severely burned patients. The continiually changing epidemiology is partially related to gre... In the last two decades, much progress has been made in the control of burn wound infection and nasocomial infections(NI) in severely burned patients. The continiually changing epidemiology is partially related to greater understanding of and improved techniques for burn patient management as well as effective hospital infection control measures. With the advent of antimicrobial chemotherapeutic agents, infection of the wound site is now not as common as, for example, urinary and blood stream infections. Universal application of early excision of burned tissues has made a substantial improvement in the control of wound-related infections in burns. Additionally, the development of new technologies in wound care have helped to decrease morbidity and mortality in severe burn victims. Many examples can be given of the successful control of wound infection, such as the application of an appropriate antibiotic solution to invasive wound infection sites with simultaneous vacuum-assisted closure, optimal preservation of viable tissues with waterjet debridement systems, edema and exudate controlling dressings impregnated with Ag(Silvercel, Aquacell-Ag). The burned patient is at high risk for NI. Invasive interventions including intravenous and urinary chateterization, and entubation pose a further risk of NIs. The use of newly designed antimicrobial impregnated chateters or silicone devices may help thecontrol of infection in these immunocomprimised patients. Strict infection control practices(physical isolation in a private room, use of gloves and gowns during patient contact) and appropriate empirical antimicrobial therapy guided by laboratory surveillance culture as well as routine microbial burn wound culture are essential to help reduce the incidance of infections due to antibiotic resistant microorganisms. 展开更多
关键词 SEVERE BURN INJURY INFECTION control wound care INFECTION control programs Survelliance
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Spraino:A novel low-friction device for prevention of lateral ankle sprain injuries in indoor sports
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作者 Filip Gertz Lysdal Thor Buch Grønlykke Uwe G.Kersting 《Medicine in Novel Technology and Devices》 2022年第4期37-41,共5页
A heightened risk for lateral ankle sprain injuries has been associated with excessive shoe-surface friction.‘Spraino’is a novel product specifically designed towards preventing friction-related lateral ankle sprain... A heightened risk for lateral ankle sprain injuries has been associated with excessive shoe-surface friction.‘Spraino’is a novel product specifically designed towards preventing friction-related lateral ankle sprains.In a recent 510-athlete randomized controlled trial,allocation to this“low-friction”shoe-patch resulted in a 53%reduction of severe ankle sprain injuries.Until now,however,a theoretical explanation linking shoe-surface friction and lateral ankle sprain injury mechanism is missing,and the extent to which Spraino reduces shoesurface friction remains unknown.Therefore,the purpose of this study was to present a theoretical link between lateral edge shoe-surface friction and the mechanism of lateral ankle sprain injuries,and ultimately establish the ability of Spraino to reduce lateral edge shoe-surface friction.In this paper,we present a theory on how ankle sprain mechanics are directly affected by the friction between shoe and surface,and why friction modifications might be a viable preventive strategy.When testing slip resistance in a modified mechanical testsetup,we detected a 63%reduction(0.83–0.31)in friction coefficient between the lateral edge of the outsole and the indoor sports floor when adding Spraino to the side of the shoe.Justified in our theory,and the previously established clinical effectiveness,this reduction in friction can mitigate both the risk and severity of lateral ankle sprain injuries.This suggests that reducing friction on the lateral edge of footwear can be an effective ankle sprain injury prevention strategy. 展开更多
关键词 Sports(MeSH) Lower extremity(MeSH) Ankle injuries(MeSH) Sprains and strains(MeSH) Friction(MeSH) prevention and control(MeSH)
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某边疆部队训练伤影响因素及其防控改进策略 被引量:2
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作者 高宏生 袁耀宗 +4 位作者 邹宏雷 刘阳军 冯鑫 刘伟 陈莉 《武警医学》 CAS 2023年第4期277-280,286,共5页
目的调查某边疆部队训练伤现况及其影响因素,提出训练伤防控改进策略。方法选取2021-06至2022-06武警某边疆总队基层官兵1年内训练伤病相关资料,采用分层整群抽样法抽取41个中队官兵为调查对象。根据部队任务性质和干预情况,将调查对象... 目的调查某边疆部队训练伤现况及其影响因素,提出训练伤防控改进策略。方法选取2021-06至2022-06武警某边疆总队基层官兵1年内训练伤病相关资料,采用分层整群抽样法抽取41个中队官兵为调查对象。根据部队任务性质和干预情况,将调查对象分为执勤传统组、执勤干预组、特战传统组和特战干预组。问卷调查内容包括基本情况、组训情况、训练伤情况、干预情况四部分。通过SPSS23.0进行数据统计分析,计数资料以例数、百分比表示;计数资料两组之间比较采用χ^(2)检验;训练伤诱发因素应用二分类多因素logistic回归分析。结果训练伤总体发生率为20.52%,软组织损伤占比30.56%,骨与关节损伤占比21.57%。训练前热身、训练中组训、训练后放松的伤病防控效果满意率分别为87.41%、86.56%、34.23%。多因素logistic回归分析得出军龄[OR(95%CI)为0.856(0.785,0.932)]和文化层次[OR(95%CI)为0.820(0.703,0.957)]具有统计学意义(P<0.05),提示军龄越短、文化层次越低,越容易发生训练伤。执勤和特战两个干预组比对应传统组训练伤发生率均明显降低,均具有统计学意义(P<0.05)。结论某边疆部队训练伤总体发生率处于中低水平,应关注军龄较短和文化层次较低战士的科学训练和伤病防控,应提高训练骨干科学组训及训练伤防控技能水平。 展开更多
关键词 边疆部队 训练伤 影响因素 防控策略
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创建中国动物致伤防治体系 被引量:2
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作者 王传林 《中国急救复苏与灾害医学杂志》 2023年第1期1-3,7,共4页
动物致伤是重要的公共卫生问题,是人口发病和死亡的一个重要的原因。随着社会发展,人与动物接触日益增多,各种动物致伤的风险也相应提高。得益于我国狂犬病防治体系的建立,我国狂犬病的防治已见成效。而目前我国动物致伤的整体流行病学... 动物致伤是重要的公共卫生问题,是人口发病和死亡的一个重要的原因。随着社会发展,人与动物接触日益增多,各种动物致伤的风险也相应提高。得益于我国狂犬病防治体系的建立,我国狂犬病的防治已见成效。而目前我国动物致伤的整体流行病学数据仍然缺乏,不同地区医务人员动物致伤诊治水平参差不齐,对规范、指南等文件缺乏了解,现阶段该领域科研能力相对较为薄弱,加之人民群众对动物致伤防治不够重视,未形成动物致伤防治体系,亟需创建中国动物致伤防治体系。为此,预以现有狂犬病预防门诊为基础,坚持预防为基本方针,通过成立学术平台、收集动物致伤数据;推动动物致伤门(急)诊标准化建设,并进行专业的培训,加强科普教育等方式来建立健全我国动物致伤防治体系,以提高防治水平,早日实现健康中国的目标和任务。 展开更多
关键词 公共卫生 动物致伤 防治体系 诊疗水平
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青少年雪地足球运动损伤类型、成因及防控策略 被引量:1
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作者 丁冰 王军 《冰雪运动》 2023年第5期88-91,共4页
随着雪地足球在我国的普及,越来越多的青少年参与到这项运动中。然而,雪地足球由于其特殊的运动环境,使得青少年运动员面临着有别于普通足球的伤害风险。研究探讨了青少年参与雪地足球运动中常见的损伤类型,主要包括拉伤、挫伤、扭伤,... 随着雪地足球在我国的普及,越来越多的青少年参与到这项运动中。然而,雪地足球由于其特殊的运动环境,使得青少年运动员面临着有别于普通足球的伤害风险。研究探讨了青少年参与雪地足球运动中常见的损伤类型,主要包括拉伤、挫伤、扭伤,造成各类运动损伤的主要原因在于青少年心理素质较差,自我保护意识不足;身体基本素质弱,专业训练不足;场地设施建设较为落后,存在安全隐患。提出做好青少年运动损伤防控教育、强化青少年运动员心理素质、提高青少年基本身体素质、加强安全管理和监控等一系列针对性的防控建议,旨在为青少年参与雪地足球提供一个更加安全的运动环境,从而推动我国雪地足球运动的蓬勃发展。 展开更多
关键词 青少年 雪地足球 运动损伤 防控策略
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青少年足球运动损伤的特征、成因及防控——基于文献回顾分析 被引量:1
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作者 牛丽杰 孙一 +1 位作者 卞昶懿 刘冠楠 《吉林省教育学院学报》 2023年第12期141-152,共12页
足球运动损伤严重影响着青少年足球的发展。研究运用文献资料法,对国内外研究成果进行梳理,归纳描述青少年足球运动损伤的特征与规律,为在青少年足球教学、训练、医务监督、竞赛管理等活动中包括运动员在内的各类参与者,提供参考启鉴。... 足球运动损伤严重影响着青少年足球的发展。研究运用文献资料法,对国内外研究成果进行梳理,归纳描述青少年足球运动损伤的特征与规律,为在青少年足球教学、训练、医务监督、竞赛管理等活动中包括运动员在内的各类参与者,提供参考启鉴。研究认为:随着年龄增长,青少年足球损伤发生率接近于成年运动员;损伤发生部位虽多在下肢,但是上肢损伤发生率也较高;踝关节扭伤是常见损伤症状;青少年足球运动损伤成因与防控,具有多学科交叉的复杂性。足球运动损伤防控也要从娃娃抓起,未来研究应向着包括运动人体科学(运动医学、运动生物力学等)、体育教育训练学、体育管理学等学科交叉融合方向进行创新研究,在我国各级足球指导者中,倡导建立学校-社会-专业-职业一脉通贯的运动损伤防控理念。只有打牢基于损伤防控的青少年足球科学化训练基础,校园足球、社会足球和竞技足球才能会共同促进中国足球的向上发展。 展开更多
关键词 青少年足球运动损伤 损伤特征 损伤成因 损伤防控
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Application of damage control orthopedics in 41 patients with severe multiple injuries 被引量:7
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作者 杨俊 高劲谋 +3 位作者 胡平 李昌华 赵山宏 林曦 《Chinese Journal of Traumatology》 CAS 2008年第3期157-160,共4页
Objective: To probe the feasibility and efficacy of damage control orthopedics (DCO) in treating severe multiple injuries. Methods: A retrospective analysis was made on the clinical data of 41 patients (31 males... Objective: To probe the feasibility and efficacy of damage control orthopedics (DCO) in treating severe multiple injuries. Methods: A retrospective analysis was made on the clinical data of 41 patients (31 males and 10 females, aged 18-71 years, mean: 36.4) with multiple injuries admitted to our department and treated by DCO from January 1995 to December 2005. Results: As a first-stage therapy, devascularization of internal iliac arteries was performed in 29 patients with pelvic fractures combined with massive bleeding, including ligation of bilateral internal iliac arteries in 21 patients and embolization of bilateral internal iliac arteries in 8. And early external fixation of pelvis was performed in 10 patients. Ten patients with severe multiple injuries combined with femoral fractures were managed with primary debridement and temporal external fixation and 2 patients with spinal fractures combined with spinal cord compression received simple laminectomy. Thirty-one patients received definite internal fixation after resuscitation in intensive care unit. The overall mortality rate was 12.1% (5/41) with an average injury severity score of 41.4. The main causes of death were hemorrhagic shock and associated injuries. Complications occurred in 7 patients including acute respiratory distress syndrome in 3 cases, thrombosis of right common iliac artery in 1, subphernic abscess in 2 and infection of deep wound in lower extremity in 1. After treatment, all the patients got cured. Conclusions: Prompt diagnosis and integrated treatment are keys to higher survival rate in patients with severe multiple injuries. In this condition, DCO is an effective and safe option. 展开更多
关键词 wounds and injuries Orthopedic procedures Damage control surgery Multiple injuries
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疾控中心采血人员职业暴露中针刺伤的安全防范与护理对策 被引量:1
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作者 陈惠 《中国医药指南》 2023年第36期140-143,共4页
目的探究疾控中心采血人员职业暴露中针刺伤的安全防范与护理对策。方法选择时间为2021年10月至2022年10月,疾控中心采血人员20名,依据干预时间分为观察组(循证护理实施后);对照组(循证护理实施前),所有疾控中心采血人员年龄为23~52岁,... 目的探究疾控中心采血人员职业暴露中针刺伤的安全防范与护理对策。方法选择时间为2021年10月至2022年10月,疾控中心采血人员20名,依据干预时间分为观察组(循证护理实施后);对照组(循证护理实施前),所有疾控中心采血人员年龄为23~52岁,平均(38.44±1.06)岁,男性8例,女性12例。比较分析护理前后针刺伤防护理论知识考核结果、针刺伤发生率,以及相关知识知晓率、对工作的满意度、睡眠质量、心理状态评分等。结果同对照组的针刺伤防护理论知识考核结果相比,观察组明显更高,差异有统计学意义(P<0.05);观察组的针刺伤发生率为1例(5.00%)低于对照组的6例(30.00%),统计学比较结果为P<0.05;观察组的职业暴露针刺伤安全防范知识知晓率为19例(95.00%)高于对照组的14例(70.00%),差异有统计学意义(P<0.05);与对照组总满意度[13例(65.00%)]相比,观察组总满意度[19例(95.00%)]更高,差异有统计学意义(P<0.05);护理前两组无统计学意义(P>0.05),护理后同对照组相比,观察组睡眠质量评分为(6.07±0.20)分,低于对照组的(9.50±1.22)分,差异有统计学意义(P<0.05);观察组焦虑、抑郁评分均低于对照组,统计学比较结果为P<0.05。结论针对疾控中心采血人员,通过采用循证护理的方式干预,可有效降低针刺伤发生率,提升防护理论知识考核结果,以及对于相关知识知晓率,改善采血人员的睡眠质量水平,降低不良心理情绪的发生,提升对自己职业暴露工作的满意度。 展开更多
关键词 疾控中心采血人员 针刺伤 职业暴露 循证护理 安全防范
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重症颅脑损伤患者发生肺部感染的危险因素及防治研究 被引量:1
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作者 吕鹏 《智慧健康》 2023年第10期135-139,共5页
目的分析重症颅脑损伤患者出现肺部感染的相关危险因素,提出防治策略。方法选择2019年1月-2022年6月泗洪医院收治的重症颅脑损伤患者80例作为研究对象,根据是否出现肺部感染情况进行分组,对照组40例患者未发生肺部感染,观察组40例患者... 目的分析重症颅脑损伤患者出现肺部感染的相关危险因素,提出防治策略。方法选择2019年1月-2022年6月泗洪医院收治的重症颅脑损伤患者80例作为研究对象,根据是否出现肺部感染情况进行分组,对照组40例患者未发生肺部感染,观察组40例患者发生肺部感染,结合患者一般资料、治疗信息等归纳总结肺部感染的相关危险因素,同时对观察组患者进行痰培养检查,分析病原菌。结果观察组发生肺部感染的重症颅脑损伤患者年龄超过60岁患者占比、昏迷时间超过1周患者占比、气管切开患者占比、留置胃管患者占比均高于对照组(P<0.05),多因素分析结果显示,年龄、昏迷时间、气管切开、留置胃管为独立影响肺部感染的危险因素。另外,分析观察组病原菌结果后显示,革兰阴性菌占比最高。结论重症颅脑损伤患者容易出现肺部感染问题,临床应对其危险因素进行具体分析,同时做好针对性防治工作,促进患者顺利康复。 展开更多
关键词 重症颅脑损伤 肺部感染 危险因素 防治措施
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以动物模型为基础的颅脑战伤损伤控制手术模拟训练
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作者 钟鑫 宗兆文 +4 位作者 贾益君 蒋仁庆 叶钊 周小林 杜文琼 《海军医学杂志》 2023年第7期667-671,共5页
目的为提高基层军医颅脑战伤损伤控制手术能力,采用枪弹伤动物模型进行模拟训练。方法以自行研发的实验动物致伤平台为基础,将家猪固定于致伤仪器上,瞄准眼角眶上缘0.5 cm处进行致伤,制成颅脑枪弹伤动物模型,根据实际伤情完成颅脑战伤... 目的为提高基层军医颅脑战伤损伤控制手术能力,采用枪弹伤动物模型进行模拟训练。方法以自行研发的实验动物致伤平台为基础,将家猪固定于致伤仪器上,瞄准眼角眶上缘0.5 cm处进行致伤,制成颅脑枪弹伤动物模型,根据实际伤情完成颅脑战伤损伤控制手术。在一线救治能力建设试点、任职培训班、整建制基地化训练等任务中进行应用。结果开展以动物模型为基础的颅脑战伤损伤控制手术模拟训练后,学员成绩提高了17.48%。结论野战医疗队的手术能力强于严重创伤损伤控制手术和复苏培训班手术组,更是强于一线救治能力建设试点单位基层部队手术组。本研究建立的动物模型及模拟训练流程有利于提高基层军医颅脑战伤损伤控制手术能力。 展开更多
关键词 颅脑战伤 损伤控制手术 动物模型 枪弹伤 训练流程
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