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        west china medical publishers
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        find Author "LI Weihua" 4 results
        • Survey on Point Prevalence Rate of Nosocomial Infection

          目的 了解醫院感染現患率及危險因素,及時調整醫院感染預防控制措施。 方法 醫院感染管理專職人員與臨床醫師共同調查2010年12月15日0:00~24:00所有住院患者,查閱病歷和床旁調查相結合,填寫統一的現患率調查個案登記表和床旁調查表,對調查結果進行統計分析。 結果 醫院感染現患率2.49%;科室主要分布在綜合重癥監護病房(ICU)和內三科(腫瘤和內分泌專業);部位主要分布在下呼吸道、泌尿道、血液;導管相關感染有增加趨勢,不合理使用抗菌藥物問題較突出。 結論 綜合ICU和內三科是新津縣人民醫院的重點科室;下呼吸道、泌尿道、中心靜脈置管部位是重點部位;侵襲類操作及不合理使用抗菌藥物是危險因素;該院醫院感染預防控制工作重點:加強導管相關感染監測,增加耐藥菌監測,加強對綜合ICU、內三科的管理,加強對侵襲性操作及合理使用抗菌藥物的管理,提高病原學送檢率。

          Release date:2016-09-08 09:11 Export PDF Favorites Scan
        • Monitoring and Analysis of Ventilator-associated Pneumonia in Intensive Care Unit

          目的 了解綜合重癥監護病房(ICU)呼吸機相關性肺炎(VAP)感染率、危險因素、病原菌分布及其耐藥情況,探討有針對性的預防控制措施。 方法 2009年1月-12月綜合ICU共收治患者447例,采用主動監測方法,由ICU醫務人員和專職人員每日對綜合ICU病房住院時間≥48 h且撤停機械通氣后48 h內的患者進行VAP監測。 結果 447例患者中住院時間≥48 h的患者168例,96例患者使用呼吸機,使用呼吸機時間182 d,ICU住院總日數1 339 d,發生VAP 17例,呼吸機使用率13.59%,VAP感染率93.4例/1 000機械通氣日,根據平均病情嚴重程度(ASIS法)調整后的VAP感染率為2.38%。呼吸機使用方式與VAP發生有關聯。檢出病原菌18株,全部為Gˉ桿菌,其中鮑曼不動桿菌4株,對包括硫霉素、氨曲南在內的多種抗菌藥物耐藥。 結論 綜合ICU病房VAP感染率為2.38%,呼吸機使用不當是VAP的危險因素,VAP致病菌為Gˉ桿菌,其中鮑曼不動桿菌耐藥率達100%,并呈多重耐藥性;抗生素使用時間過長,預防性使用不當是致病菌產生多重耐藥的重要原因。

          Release date:2016-09-08 09:18 Export PDF Favorites Scan
        • Antifriction and anti-wear performances of bionic lubricating fluid containing gelatin nanoparticles for artificial joint materials

          ObjectiveThe antifriction and antiwear effects of gelatin nanoparticles (GLN-NP) on artificial joint materials in bionic joint lubricant were investigated to provide a theoretical basis for the development of new bionic joint lubricant. MethodsGLN-NP was prepared by cross-linking collagen acid (type A) gelatin with glutaraldehyde by acetone method, and the particle size and stability of GLN-NP were characterized. The biomimetic joint lubricants with different concentrations were prepared by mixing 5, 15, and 30 mg/mL GLN-NP with 15 and 30 mg/mL hyaluronic acid (HA), respectively. The friction reduction and antiwear effects of the biomimetic joint lubricants on zirconia ceramics were investigated on a tribometer. The cytotoxicity of each component of bionic joint lubricant on RAW264.7 mouse macrophages was evaluated by MTT assay. ResultsThe particle size of GLN-NP was about 139 nm, and the particle size distribution index was 0.17, showing a single peak, indicating that the particle size of GLN-NP was uniform. In complete culture medium, pH7.4 PBS, and deionized water at simulated body temperature, the particle size of GLN-NP did not change more than 10 nm with time, indicating that GLN-NP had good dispersion stability and did not aggregate. Compared with 15 mg/mL HA, 30 mg/mL HA, and normal saline, the friction coefficient, wear scar depth, width, and wear volume were significantly reduced by adding different concentrations of GLN-NP (P<0.05); there was no significant difference between different concentrations of GLN-NP (P>0.05). Biocompatibility test showed that the cell survival rate of GLN-NP, HA, and HA+GLN-NP solution decreased slightly with the increase of concentration, but the cell survival rate was more than 90%, and there was no significant difference between groups (P>0.05). ConclusionThe bionic joint fluid containing GLN-NP has good antifriction and antiwear effect. Among them, GLN-NP saline solution without HA has the best antifriction and antiwear effect.

          Release date:2023-02-13 09:57 Export PDF Favorites Scan
        • PREVENTING STEROID-INDUCED OSTEONECROSIS OF THE FEMORAL HEAD WITH LIUWEI DIHUANG PILLS AND MOLECULAR MECHANISM

          Objective To evaluate the effects and the molecular mechanism of Liuwei dihuang pills in preventing steroid-induced osteonecrosis of the femoral head (ONFH) so as to provide an expremental basis for preventing ONFH cl inically. Methods Thirty-six adult Kunming mice (weighing 40-50 g, 46 g on average) were randomly divided into three groups (n=12): group A (control group), group B (model group) and group C (prevention group). In groups B and C, ONFHmice models were produced by intraperitoneal injection of horse serum at first (10 mL/kg) and a second injection of horse serum intraperitoneally (5 mL/kg) and prednisolone intramuscularly [45 mL/(kg?day), for 5 days] 2 weeks later. At the same time, the mice in group C were given Liuwei dihuang pills intragastrically [2 g/(kg?day)] and were given normal sal ine [10 mL/(kg?day)] in group B. In group A, mice were given normal sal ine intramuscularly and intragastrically as controls. The animals were sacrificed 2, 4, and 8 weeks after first treatment with prednisone, and femoral heads and l ivers were harvested to do histopathology analysis and apoptosis assay. Results Other mice survived throughout the experiment period except two death at 7 and 11 days after second injection of horse serum intraperitoneally in group B and one death at 24 hours after second injection of horse serum intraperitoneally in group C. The appearance and shape of the femoral head and the surface of cartilages were all normal. The histological observation showed: normal structures of l iver and femoral head were seen in group A at each time point; swell ing l iver cells with small fat vacuole, unclear structure of hepatic cords and narrower sinus hepaticus were seen, the bone trabeculae of femoral head was thin, sparse and collapsed in some regions and the changes became more obvious with time in group B; group C had similar results to group A. The percentage of empty osteocyte lacunae was significantly higher in group B than in groups A and C (P lt; 0.01). The osteoprotegrin expression significantly decreased and the osteoprotegrin l igand expressionsignificantly increased in group B when compared with groups A and C (P lt; 0.01). Apoptosis analysis showed that the apoptosis index in group B was significantly higher than that in groups A and C (P lt; 0.01). Conclusion Liuwei dihuang pills can prevent steroid-induced ONFH by improving l ipid metabol ism, releiving bone lesion, and protecting against cell death.

          Release date:2016-08-31 05:47 Export PDF Favorites Scan
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