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        west china medical publishers
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        find Author "YANG Yao" 3 results
        • Hemoculture Detected Bacteria of Children and Antimicrobial Susceptibility Analysis in Liangshan Region

          目的:了解本地區小兒敗血癥的病原菌種類、不同病原菌在各年齡段的分布情況及主要病原菌藥物敏感狀況,為指導臨床診斷及合理使用抗生素提供依據。方法:對本院兒科近3年經血培養分離出的310株陽性菌株的構成比及對抗生素的藥物敏感狀況進行回顧性分析。結果:310株檢出菌中G+菌201株占64.8%;G桿菌106株占34.2%;前5位病原菌依次為凝固酶陰性葡萄球菌(CNS)、沙門菌、大腸埃希菌、金黃色葡萄球菌(簡稱金葡菌)、鏈球菌屬,分別占40.97%、21.61%、6.45%、4.51%、4.19%;新生兒敗血癥病原菌以CNS為主 (101株),其次為大腸埃希菌、腸球菌、克雷伯氏菌;6個月內小嬰兒敗血癥致病菌與新生兒近似;嬰幼兒各種細菌敗血癥均有發生;學齡前及學齡期兒童敗血癥病原菌依次為沙門菌、鏈球菌、金葡菌;藥敏結果顯示,大多數G+菌對青霉素、紅霉素、苯唑西林、氨芐西林、頭孢唑啉、頭孢他啶、復方新諾明、慶大霉素耐藥率超過60%;對萬古霉素、利福平、阿米卡星、頭孢西丁、喹諾酮類敏感。G桿菌中沙門菌對亞胺培南、氨曲南、三代頭孢菌素、酶抑制劑復方制劑、喹諾酮類、復方新諾明保持高度敏感;大腸埃希菌多重耐藥,對氨芐西林、哌拉西林、復方新諾明耐藥率超過80%,對氨曲南、環丙沙星、慶大霉素、妥布霉素、頭孢吡肟、頭孢噻肟耐藥率超過50%;其他G桿菌大多數對亞胺培南、呋南妥因、阿米卡星、奎諾酮類、頭孢西丁敏感,酶抑制復合制劑的敏感率明顯提高。結論:(1)CNS是新生兒及小嬰兒敗血癥的主要病原菌,低毒力條件致病菌在該階段小兒中感染率高;沙門菌是本地區近三年學齡期兒童敗血癥的主要病原菌,其感染呈逐年下降趨勢。(2)不同病原菌的藥敏狀況差異很大,應高度重視感染病例的病原學檢查,以利于制定臨床抗感染方案,合理使用抗生素。(3)萬古霉素、利福平、亞胺培南、氨曲南、第3代頭孢菌素、阿米卡星及喹諾酮類目前仍為敏感抗生素。

          Release date:2016-09-08 10:00 Export PDF Favorites Scan
        • Correlation between CYP1A1 MspI gene polymorphisms and the risk of breast cancer in Chinese population: a meta-analysis

          ObjectiveTo study the correlation between CYP1A1 MspI gene polymorphisms and the risk of breast cancer (BC) in Chinese population.MethodsThe case-control studies on the correlation between polymorphisms of CYP1A1 MspI and BC in Chinese population were electronically retrieved in online English database (PubMed and Web of Science) and Chinese database (Chinese National Knowledge Infrastructure, Wanfang, and VIP database) from the date of their establishment to December 31, 2018. Two reviewers completed literature screening according to the inclusion and exclusion criteria, data extraction, and methodological quality assessment of the included studies independently. Reman 5.3 software was used to meta-analysis.ResultsA total 14 case-control studies involving 3 372 cases and 3 510 controls were finally included. The meta-analysis results showed that the CYP1A1 MspI gene polymorphism was associated with BC in Chinese population. Dominant genetic model [OR=1.24, 95%CI was (0.98, 1.58), P=0.08] and heterozygote model [OR=1.11, 95%CI was (0.89, 1.39), P=0.37] had no association with BC in Chinese population, while recessive genetic model [OR=1.66, 95%CI was (1.28, 2.14), P=0.000 1], homozygote model [OR=1.76, 95%CI was (1.26, 2.45), P=0.000 9], and allele contrast genetic model [OR=1.30, 95%CI was (1.08, 1.56), P=0.005] increased the risk of BC in Chinese population.ConclusionIt is demonstrated that in Chinese population, CYP1A1 MspI gene polymorphisms related to the risk of BC, recessive genetic model, homozygote model, and allele contrast genetic model might be the risk factor for BC.

          Release date:2020-07-26 02:35 Export PDF Favorites Scan
        • Research on the cardiovascular function evaluation system based on noninvasive detection indices

          Based on the noninvasive detection indeices and fuzzy mathematics method, this paper studied the noninvasive, convenient and economical cardiovascular health assessment system. The health evaluation index of cardiovascular function was built based on the internationally recognized risk factors of cardiovascular disease and the noninvasive detection index. The weight of 12 indexes was completed by the analytic hierarchy process, and the consistency test was passed. The membership function, evaluation matrix and evaluation model were built by fuzzy mathematics. The introducted methods enhanced the scientificity of the evaluation system. Through the Kappa consistency test, McNemer statistical results (P = 0.995 > 0.05) and Kappa values (Kappa = 0.616, P < 0.001) suggest that the comprehensive evaluation results of model in this paper are relatively consistent with the clinical, which is of certain scientific significance for the early detection of cardiovascular diseases.

          Release date:2019-08-12 02:37 Export PDF Favorites Scan
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