Glucose homeostasis deficiency leads to a chronic increase in blood glucose concentration. In contrast to physiological glucose concentration, chronic super-physiological glucose concentration negatively affects a lar...Glucose homeostasis deficiency leads to a chronic increase in blood glucose concentration. In contrast to physiological glucose concentration, chronic super-physiological glucose concentration negatively affects a large number of organs and tissues. Glucose toxicity means a decrease in insulin secretion and an increase in insulin resistance due to chronic hyperglycemia. It is now generally accepted that glucose toxicity is involved in the worsening of diabetes by affecting the secretion of B-cells. Several mechanisms have been proposed to explain the adverse effects of hyperglycemia. It was found that persistent hyperglycemia caused the functional decline of neutrophils. Infection is thus the main problem resulting from glucose toxicity in the acute phase. In other words, continued hyperglycemia is a life-threatening risk factor, not only in the chronic but also the acute phase, and it becomes a risk factor for infection, particularly in the perioperative period.展开更多
目的探讨基于中国台湾急诊检伤与急迫度分级量表构建的急诊分诊信息系统在急诊分诊中的应用效果。方法以中国台湾急诊检伤与急迫度分级量表(Taiwan Triage And Acuity Scale,TTAS)为基础,研究制订了四级急诊分诊标准及急诊分诊信息系统,...目的探讨基于中国台湾急诊检伤与急迫度分级量表构建的急诊分诊信息系统在急诊分诊中的应用效果。方法以中国台湾急诊检伤与急迫度分级量表(Taiwan Triage And Acuity Scale,TTAS)为基础,研究制订了四级急诊分诊标准及急诊分诊信息系统,自2013年1月开始运用于急诊分诊工作。分别在2011年5月和2013年5月调查了急诊分诊信息系统使用前后接诊的急诊患者各1300例。比较两组评估分诊所需时间(从分诊人员接诊急诊患者至评估结束,挂上分级标记的时间)和分诊准确率。结果基于该标准的分诊信息系统使用至2013年底,共处理患者信息15余万条;使用前后,分诊准确率明显提高(P<0.001)、评估分诊所需时间明显缩短(P<0.001);分诊信息报表及图形规范美观且便于查询。结论分诊信息系统的设计与应用,实现了急诊分诊信息化和智能化,提高了急诊分诊工作的质量,保证了急诊患者的生命安全。展开更多
文摘Glucose homeostasis deficiency leads to a chronic increase in blood glucose concentration. In contrast to physiological glucose concentration, chronic super-physiological glucose concentration negatively affects a large number of organs and tissues. Glucose toxicity means a decrease in insulin secretion and an increase in insulin resistance due to chronic hyperglycemia. It is now generally accepted that glucose toxicity is involved in the worsening of diabetes by affecting the secretion of B-cells. Several mechanisms have been proposed to explain the adverse effects of hyperglycemia. It was found that persistent hyperglycemia caused the functional decline of neutrophils. Infection is thus the main problem resulting from glucose toxicity in the acute phase. In other words, continued hyperglycemia is a life-threatening risk factor, not only in the chronic but also the acute phase, and it becomes a risk factor for infection, particularly in the perioperative period.
文摘目的探讨基于中国台湾急诊检伤与急迫度分级量表构建的急诊分诊信息系统在急诊分诊中的应用效果。方法以中国台湾急诊检伤与急迫度分级量表(Taiwan Triage And Acuity Scale,TTAS)为基础,研究制订了四级急诊分诊标准及急诊分诊信息系统,自2013年1月开始运用于急诊分诊工作。分别在2011年5月和2013年5月调查了急诊分诊信息系统使用前后接诊的急诊患者各1300例。比较两组评估分诊所需时间(从分诊人员接诊急诊患者至评估结束,挂上分级标记的时间)和分诊准确率。结果基于该标准的分诊信息系统使用至2013年底,共处理患者信息15余万条;使用前后,分诊准确率明显提高(P<0.001)、评估分诊所需时间明显缩短(P<0.001);分诊信息报表及图形规范美观且便于查询。结论分诊信息系统的设计与应用,实现了急诊分诊信息化和智能化,提高了急诊分诊工作的质量,保证了急诊患者的生命安全。
