目的评估肝移植患者围手术期出血量、血液制剂输注情况。方法回顾性选取119名肝移植患者的病历资料,按年龄、性别、临床诊断(病种)分组,分析患者围手术前、术中和术后24 h的凝血指标,围手术期出血量,以及悬浮红细胞、冰冻血浆、冷沉淀...目的评估肝移植患者围手术期出血量、血液制剂输注情况。方法回顾性选取119名肝移植患者的病历资料,按年龄、性别、临床诊断(病种)分组,分析患者围手术前、术中和术后24 h的凝血指标,围手术期出血量,以及悬浮红细胞、冰冻血浆、冷沉淀凝血因子、单采血小板的输注情况。结果肝移植患者围手术期出血量及各血液制剂的输注量各项指标:按患者年龄、性别分组比较无明显差异(P>0.05);按临床诊断的不同分组,各诊断组(原发性肝癌组、乙肝肝硬化组及重型肝炎组等)患者单采血小板输注量相近(P>0.05);而悬浮红细胞(U)分别为8.4±11.9、16.2±15.7、18.1±13.5,冰冻血浆(U)分别为8.2±7.1、18.1±15.6、18.2±17.9,冷沉淀(U)分别为9.5±8.2、17.1±16.318.5±16.4等(P<0.05);各诊断组围手术前、术后即时PT(s)分别为15.6±3.8、24.6±4.1,APTT(s)分别为44.3±5.8、84.9±9.2,TT(s)分别为20.4±4.5、40.1±6.2,及Fib(s)分别为2.6±0.8、1.3±0.9,(P<0.05);而各诊断组间患者围手术后24 h PT、APTT、TT及Fib比较无明显差异(P>0.05)。结论临床诊断不同的肝移植患者围手术期血液制剂的输注方案选择的科学、安全、合理对肝移植成功率及患者预后至关重要;各时间段凝血指标检测结果的评估对肝移植围手术期成分输血具有指导作用。展开更多
目的研究牙周组织再生术联合口腔正畸技术对牙周炎患者的治疗效果情况。方法选取2018年9月-2019年6月于我院就诊的牙周炎患者共计134例,将入组患者依据随机数字表法平均分成两组,其中观察组与对照组各67例。对照组行常规牙周组织再生术...目的研究牙周组织再生术联合口腔正畸技术对牙周炎患者的治疗效果情况。方法选取2018年9月-2019年6月于我院就诊的牙周炎患者共计134例,将入组患者依据随机数字表法平均分成两组,其中观察组与对照组各67例。对照组行常规牙周组织再生术治疗,观察组在对照组的基础上,联合牙周组织再生术及口腔正畸技术进行治疗。比较两组治疗前及治疗6周后牙周袋深度(depth of pocket,PD)、牙菌斑指数(plaque index,PLI)及牙龈出血指数(bleeding index,BI)情况,并对美观、清洁程度及满意度进行调查。结果两组治疗前PD、PLI、BI差异无统计学意义,治疗后均降低,且观察组均低于对照组(P<0.05),观察组美观程度、清洁程度及满意度评分均高于对照组(P<0.05)。结论牙周组织再生术联合口腔正畸技术对牙周炎患者的治疗效果好。展开更多
Objective:To explore the effect of the combined application of the Shock Index(SI)and the Early Warning Score(EWS)in patients with acute gastrointestinal bleeding.Methods:Seventy patients with acute gastrointestinal b...Objective:To explore the effect of the combined application of the Shock Index(SI)and the Early Warning Score(EWS)in patients with acute gastrointestinal bleeding.Methods:Seventy patients with acute gastrointestinal bleeding admitted to a hospital from June 2022 to May 2024 were selected and randomly divided into two groups:the control group and the observation group,with 35 patients in each group.The control group received conventional emergency care measures,while the observation group received SI combined with NEWS emergency care measures.The treatment effects in both groups were compared.Results:The observation group had shorter waiting times for consultation(4.45±1.59 minutes),intravenous access establishment(6.79±2.52 minutes),hemostasis time(4.41±1.52 hours),and hospital stays(8.39±2.13 days)compared to the control group,which had times of 5.46±1.34 minutes,8.41±2.16 minutes,5.16±1.47 hours,and 10.26±2.98 days,respectively.The differences were statistically significant(P<0.05).Before management,there were no significant differences in the levels of hemoglobin,prealbumin,and serum protein between the two groups(P>0.05).However,after systematic emergency management,the serum indexes in both groups significantly improved,with the observation group showing greater improvement than the control group,and these differences were statistically significant(P<0.05).In the observation group,only one case of cardiovascular complications occurred during the rescue period,with an incidence rate of 2.86%.In contrast,the control group experienced eight cases of complications,including hemorrhagic shock,anemia,multi-organ failure,cardiovascular complications,and gastrointestinal rebleeding,with an incidence rate of 22.85%.The difference between the groups was statistically significant(P<0.05).Conclusion:The application of SI combined with EWS emergency care measures in patients with acute gastrointestinal hemorrhage can effectively improve serum indexes,shorten resuscitation time and hospital stay,and reduce the ris展开更多
文摘目的评估肝移植患者围手术期出血量、血液制剂输注情况。方法回顾性选取119名肝移植患者的病历资料,按年龄、性别、临床诊断(病种)分组,分析患者围手术前、术中和术后24 h的凝血指标,围手术期出血量,以及悬浮红细胞、冰冻血浆、冷沉淀凝血因子、单采血小板的输注情况。结果肝移植患者围手术期出血量及各血液制剂的输注量各项指标:按患者年龄、性别分组比较无明显差异(P>0.05);按临床诊断的不同分组,各诊断组(原发性肝癌组、乙肝肝硬化组及重型肝炎组等)患者单采血小板输注量相近(P>0.05);而悬浮红细胞(U)分别为8.4±11.9、16.2±15.7、18.1±13.5,冰冻血浆(U)分别为8.2±7.1、18.1±15.6、18.2±17.9,冷沉淀(U)分别为9.5±8.2、17.1±16.318.5±16.4等(P<0.05);各诊断组围手术前、术后即时PT(s)分别为15.6±3.8、24.6±4.1,APTT(s)分别为44.3±5.8、84.9±9.2,TT(s)分别为20.4±4.5、40.1±6.2,及Fib(s)分别为2.6±0.8、1.3±0.9,(P<0.05);而各诊断组间患者围手术后24 h PT、APTT、TT及Fib比较无明显差异(P>0.05)。结论临床诊断不同的肝移植患者围手术期血液制剂的输注方案选择的科学、安全、合理对肝移植成功率及患者预后至关重要;各时间段凝血指标检测结果的评估对肝移植围手术期成分输血具有指导作用。
文摘目的研究牙周组织再生术联合口腔正畸技术对牙周炎患者的治疗效果情况。方法选取2018年9月-2019年6月于我院就诊的牙周炎患者共计134例,将入组患者依据随机数字表法平均分成两组,其中观察组与对照组各67例。对照组行常规牙周组织再生术治疗,观察组在对照组的基础上,联合牙周组织再生术及口腔正畸技术进行治疗。比较两组治疗前及治疗6周后牙周袋深度(depth of pocket,PD)、牙菌斑指数(plaque index,PLI)及牙龈出血指数(bleeding index,BI)情况,并对美观、清洁程度及满意度进行调查。结果两组治疗前PD、PLI、BI差异无统计学意义,治疗后均降低,且观察组均低于对照组(P<0.05),观察组美观程度、清洁程度及满意度评分均高于对照组(P<0.05)。结论牙周组织再生术联合口腔正畸技术对牙周炎患者的治疗效果好。
文摘Objective:To explore the effect of the combined application of the Shock Index(SI)and the Early Warning Score(EWS)in patients with acute gastrointestinal bleeding.Methods:Seventy patients with acute gastrointestinal bleeding admitted to a hospital from June 2022 to May 2024 were selected and randomly divided into two groups:the control group and the observation group,with 35 patients in each group.The control group received conventional emergency care measures,while the observation group received SI combined with NEWS emergency care measures.The treatment effects in both groups were compared.Results:The observation group had shorter waiting times for consultation(4.45±1.59 minutes),intravenous access establishment(6.79±2.52 minutes),hemostasis time(4.41±1.52 hours),and hospital stays(8.39±2.13 days)compared to the control group,which had times of 5.46±1.34 minutes,8.41±2.16 minutes,5.16±1.47 hours,and 10.26±2.98 days,respectively.The differences were statistically significant(P<0.05).Before management,there were no significant differences in the levels of hemoglobin,prealbumin,and serum protein between the two groups(P>0.05).However,after systematic emergency management,the serum indexes in both groups significantly improved,with the observation group showing greater improvement than the control group,and these differences were statistically significant(P<0.05).In the observation group,only one case of cardiovascular complications occurred during the rescue period,with an incidence rate of 2.86%.In contrast,the control group experienced eight cases of complications,including hemorrhagic shock,anemia,multi-organ failure,cardiovascular complications,and gastrointestinal rebleeding,with an incidence rate of 22.85%.The difference between the groups was statistically significant(P<0.05).Conclusion:The application of SI combined with EWS emergency care measures in patients with acute gastrointestinal hemorrhage can effectively improve serum indexes,shorten resuscitation time and hospital stay,and reduce the ris
