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MDT模式下湿性愈合护理在感染性痛风石创面中的临床研究
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作者 杨静 汪俊英 苏凤梅 《中文科技期刊数据库(引文版)医药卫生》 2024年第10期0057-0060,共4页
统计分析医护联合多学科联合会诊(multi-disciplinary treatment,MDT)模式下湿性愈合护理在感染性痛风石创面中的临床价值。方法 研究选取2022年7月~2024年6月时段为基础开展数据统计工作,该时段内风湿免疫科收诊100例痛风石合并感染患... 统计分析医护联合多学科联合会诊(multi-disciplinary treatment,MDT)模式下湿性愈合护理在感染性痛风石创面中的临床价值。方法 研究选取2022年7月~2024年6月时段为基础开展数据统计工作,该时段内风湿免疫科收诊100例痛风石合并感染患者为研究对象,结合入院顺序分单双数分为对照组与治疗组,均设定50例,对照组给予常规换药模式护理干预,治疗组同步给予MDT模式湿性愈合护理,比较组间伤口创面缩小率、肉芽组织覆盖伤口面积达75%~100%时间、伤口愈合有效率及患者满意度情况。结果 治疗28d、60d时治疗组伤口创面缩小率均高于对照组(P<0.05);治疗组肉芽组织覆盖伤口面积达75%~100%平均耗时(43.47±8.45)d,显著少于对照组的(59.23±12.23)d,组间差异性明显(P<0.05);伤口愈合有效率数据统计来看,治疗组指标值更高,且显著优于对照组(P<0.05);患者满意度数据统计来看,治疗组指标值更高,且显著优于对照组(P<0.05)。结论 在感染性痛风石创面患者护理中,采取MDT模式下湿性愈合护理模式,可有效促进伤口愈合,提高肉芽组织生成速度,进而提升患者医疗满意度,应用价值较高。 展开更多
关键词 医护联合多学科联合会诊 湿愈合护理 感染痛风创面 满意度 伤口愈合
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上尿路结石尿细菌培养结果与结石成分相关性的研究 被引量:4
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作者 王彭 于江 +1 位作者 张建军 张文 《泌尿外科杂志(电子版)》 2011年第4期23-24,32,共3页
目的探讨上尿路结石的尿细菌培养结果与结石成分的相关性。方法对215例上尿路结石患者术前作中段尿细菌培养,细菌培养阳性的取石术后标本做结石分析。结果 215例尿细菌培养中,阳性结果65例(30.2%)。细菌培养出的菌种中革兰阴性杆菌42例(... 目的探讨上尿路结石的尿细菌培养结果与结石成分的相关性。方法对215例上尿路结石患者术前作中段尿细菌培养,细菌培养阳性的取石术后标本做结石分析。结果 215例尿细菌培养中,阳性结果65例(30.2%)。细菌培养出的菌种中革兰阴性杆菌42例(64.6%),其中大肠埃希菌28例(43.1%);革兰阳性菌18例(27.7%),真菌5例(7.7%)。结石成分示感染性结石55例(84.6%),非感染性结石10例(15.4%)。差异有统计学意义(P值<0.01)。结论上尿路结石尿细菌培养菌种主要为革兰阴性杆菌,并且以大肠埃希菌为主。尿培养阳性的结石成分主要是感染性结石。术前尿细菌培养对结石成分的预估、手术方式的选择及抗菌药物的使用有重要指导意义。 展开更多
关键词 成分 感染性石 细菌培养
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骨水泥填塞联合Ilizarov技术分期治疗感染性第1跖趾关节痛风石并骨缺损
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作者 谢杰伟 陈谱 +5 位作者 管华 刘毅 黄伟明 冯恩辉 何剑波 梁家畅 《中华骨与关节外科杂志》 CSCD 2023年第9期813-817,共5页
目的:探讨骨水泥填塞联合Ilizarov技术分期治疗感染性第1跖趾关节痛风石并骨缺损的临床疗效。方法:收集2018年6月至2022年6月使用骨水泥填塞联合Ilizarov技术分期治疗的感染性第1跖趾关节痛风石并骨缺损患者7例,男6例,女1例,痛风石破溃... 目的:探讨骨水泥填塞联合Ilizarov技术分期治疗感染性第1跖趾关节痛风石并骨缺损的临床疗效。方法:收集2018年6月至2022年6月使用骨水泥填塞联合Ilizarov技术分期治疗的感染性第1跖趾关节痛风石并骨缺损患者7例,男6例,女1例,痛风石破溃时间3 d至1年。所有患者均一期行痛风石切除、修整被破坏的第1跖骨远端及近节趾骨近端,使用骨水泥进行临时填塞,待感染控制后二期行外固定器骨延长术。评估患者治疗前后疼痛视觉模拟评分(VAS)、美国矫形外科足踝协会(AOFAS)评分、畸形矫正程度和并发症情况。结果:所有患者二期手术切口均一期愈合,无针道感染,后期无应力性骨折发生。患者第1跖骨平均延长(21.1±5.3)mm,拆除外固定器时间12~16周,拆除后患者均能完全负重行走。术前VAS评分为(8.4±1.5)分,AOFAS评分为(49.3±6.7)分;末次随访时,VAS评分为(1.1±0.6)分,AOFAS评分为(82.9±7.2)分,均显著优于术前(t=25.421,P<0.001;t=31.519,P<0.001)。结论:骨水泥填塞联合Ilizarov技术治疗感染性第1跖趾关节痛风石并骨缺损,可以有效控制感染,恢复第1跖列长度,临床疗效满意,是一种安全、有效的治疗方法。 展开更多
关键词 感染痛风 骨缺损 跖趾关节 ILIZAROV技术 骨水泥填塞
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IRRIGATION AND TRACTION THERAPY FOR OPEN FRACTURE WITH LARGE-SIZED FULL-THICKNESS SKIN-DEFICIT AND SEVERELY INFECTED WOUND 被引量:1
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作者 刘国平 杜靖远 《Chinese Medical Sciences Journal》 CAS CSCD 1995年第2期109-112,共4页
In this paper the results of skeletal traction and irrigation therapy (STIT) used for open fracture complicated with large-sized full-thickness skin-deficit and infection wounds (OFIW) were presented. Fourteen patient... In this paper the results of skeletal traction and irrigation therapy (STIT) used for open fracture complicated with large-sized full-thickness skin-deficit and infection wounds (OFIW) were presented. Fourteen patients of OFIW were treated by the plaster cast and wound dressing (PCWD), and 30 patients of OFIW were treated by STIT. The results indicated that after one week of treatment, the white blood cell count in the STIT group, compared to 17. 6±l. 0×109/L from before treatment, returned to 8. 8±0. 8×109/L,and in contrast, the cell count of the PCWD group was about 13. 0±1. 4×109/L. All of wound exudate culture in the STIT group was negative, and those of 7 cases (7/14) in PCWD group were positive (P<0. 0l). The symptoms and signs such as pain, fever and septic exudate on the wound in the STIT group were much milder than those in the PCWD group. There were 5 cases (35. 7%) of toxicemia and septicemia, 2 cases (14. 3%) of osteomyelitis, 2 cases (14. 3 %) of amputation, 1 case (7. 1%) of delayed union and 3 cases (21. 4 %) of malunion in the PCWD group, and no complications in the STIT group. 展开更多
关键词 open fracture infection irrigation therapy TRACTION
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Potency of Nannochloropsis oculata as Antibacterial, Antioxidant and Antiviral on Humpback Grouper Infected by Vibrio alginolyticus and Viral Nervous Necrotic
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《Journal of Food Science and Engineering》 2011年第5期323-330,共8页
The aim of this study was to explore the potency of N. oculata extracts as antibacterial, antioxidant and antiviral on grouper Cromileptes altivelis (C. altivelis) infected by Vibrio alginolyticus (V. alginolyticus... The aim of this study was to explore the potency of N. oculata extracts as antibacterial, antioxidant and antiviral on grouper Cromileptes altivelis (C. altivelis) infected by Vibrio alginolyticus (V. alginolyticus) and Viral Nervous Necrotic (VNN). Dilution test was used to measure antibacterial activity of N. oculata extracts. Antioxidant activity of extracts was expressed by levels of MDA (Malondialdehyde) and SOD (superoxide dismutase) in the brain and kidneys of fish. Antiviral capability of N. oculata was determined by the expression of cellular immune cells Major Histocompatibility Complex (MHC) Class I for proliferation and inhibition of VNN in blood cells with immunocytochemistry. The results showed that N. oculata extract was able to suppress the growth of V. alginolyticus at a concentration of 40%. Increasing levels of SOD and reducing level of MDA indicated that N. oculata extracts may serve as an antibacterial and antioxidant. Providing cellular response of MHC class I cell expressed on C. altive/is blood cells, N. oculata demonstrated its antiviral activity. 展开更多
关键词 ANTIBACTERIA ANTIOXIDANT ANTIVIRAL C. altivelis N. oculata.
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