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ICU呼吸机相关性肺炎危险因素的Logistic回归性分析以及病原菌研究 被引量:4
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作者 陈雪梅 张欣 庹田 《临床合理用药杂志》 2014年第19期8-10,共3页
目的研究ICU呼吸机相关性肺炎(VAP)危险因素的Logistic回归性分析以及病原菌研究。方法选取2012年8月-2013年8月该院ICU中进行机械通气时长>48h的患者。检查后将其分成VAP组53例及非VAP组51例,对两组各临床指标进行单因素分析以及Log... 目的研究ICU呼吸机相关性肺炎(VAP)危险因素的Logistic回归性分析以及病原菌研究。方法选取2012年8月-2013年8月该院ICU中进行机械通气时长>48h的患者。检查后将其分成VAP组53例及非VAP组51例,对两组各临床指标进行单因素分析以及Logistic回归性分析,并研究VAP组患者病原菌的构成情况。结果 VAP组机械通气时间、住院时间及ICU时间均长于非VAP组,留置胃管、使用抑酸剂、糖皮质激素、亚胺培南、第2代头孢菌素,肺感染型肺部疾病及肺外感染比例均显著高于非VAP组,差异均有统计学意义(P<0.05)。将VAP作为因变量,根据多因素的Logistic回归性分析可知,留置胃管、使用抑酸剂、糖皮质激素、亚胺培南及肺外感染均是VAP的危险因素。53例VAP患者的标本共培养各类病原菌98株,其中革兰阴性菌72株,占73.47%,革兰阳性菌26株,占26.53%,革兰阴性菌比例显著大于革兰阳性菌,差异有统计学意义(P<0.05)。结论 ICU中VAP发病因素较多,临床医务人员应重点关注其病原菌情况,结合VAP危险因素进行针对性的预防和治疗,值得临床推广。 展开更多
关键词 呼吸机相关性肺炎 危险因素 Logistic回归性分析 病原菌研究
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Investigation on detection of Haemophilus ducreyi by Polymerase Chain Reaction
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作者 张锡宝 费实 +4 位作者 邓文国 曹文苓 朱慧兰 孟锦秀 颜景兰 《Chinese Journal of Sexually Transmitted Infections》 2002年第1期35-37,共3页
Objective:To investigate the application of polymerase chain reaction (PCR) detection of Haemophilus ducreyi in clinical diagnosis of chancroid. Methods: Nucleotide sequences of 16srRNA gene specific for H. dureyi wer... Objective:To investigate the application of polymerase chain reaction (PCR) detection of Haemophilus ducreyi in clinical diagnosis of chancroid. Methods: Nucleotide sequences of 16srRNA gene specific for H. dureyi were used to develop primer sets for amplification of two strains. The amplified products were tested via PCR and sequenced by electrophoresis in a 1.5% gel.These products were compared with those of heterogeneous species or related bacteria to test the specificity of the PCR assay. PCR amplification with different concentrations of H.ducreyi was performed to test its sensitivity. Results: PCR amplification of two strains of H. ducreyi produced a single band of expected 438bp length. The sequence was identified with genomic DNA. None of the other 19 reference species amplified under the same conditions gave this result. The highest sensitivity of PCR assay in the present test was 10ng/L. Conclusions: PCR assay for detection of H. ducreyi is a rapid, specific, and sensitive detection method. If laboratory conditions are strictly controlled, PCR assay is a potentially useful laboratory test for H. ducreyi infection diagnosis. 展开更多
关键词 Haemophilus ducreyi polymerase chain reaction (PCR) laboratory diagnosis
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