多指标协同应用在危重症合并血小板减少患者诊断DIC中的作用

Objective To observe critical patients with thrombocytopenia,and exam their coagulation function,so as to diagnose disseminated intravascular coagulation(DIC)in the early stage.Methods Totally 56 critical patients complicated with thrombocytopenia were enrolled in the investigation;complete set of DIC tests were performed.A total of 26 cases were diagnosed as DIC according to the criteria from the International Society of Thrombosis Haemostasis(ISTH).The sensitivity,specificity,accuracy,likelihood ratio,predictive value of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fg),antithrombin Ⅲ and bleeding signs(including petechia and ecchymosia)were calculated by applying fourfold table.Results The specificity of PT prolongation and Fg reduction was 87.0%;the sensitivity of ATⅢ decrease,and each of PT prolongation,Fg reduction,and bleeding(including petechia and ecchymosis)were as high as 96.0%.Conclusion Multi-markers based on thrombocytopenia are likely to improve sensitivity and specificity of DIC diagnosis.     

多指标协同应用在危重症合并血小板减少患者诊断DIC中的作用

Objective To observe critical patients with thrombocytopenia,and exam their coagulation function,so as to diagnose disseminated intravascular coagulation(DIC)in the early stage.Methods Totally 56 critical patients complicated with thrombocytopenia were enrolled in the investigation;complete set of DIC tests were performed.A total of 26 cases were diagnosed as DIC according to the criteria from the International Society of Thrombosis Haemostasis(ISTH).The sensitivity,specificity,accuracy,likelihood ratio,predictive value of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fg),antithrombin Ⅲ and bleeding signs(including petechia and ecchymosia)were calculated by applying fourfold table.Results The specificity of PT prolongation and Fg reduction was 87.0%;the sensitivity of ATⅢ decrease,and each of PT prolongation,Fg reduction,and bleeding(including petechia and ecchymosis)were as high as 96.0%.Conclusion Multi-markers based on thrombocytopenia are likely to improve sensitivity and specificity of DIC diagnosis.     

多指标协同应用在危重症合并血小板减少患者诊断DIC中的作用

Objective To observe critical patients with thrombocytopenia,and exam their coagulation function,so as to diagnose disseminated intravascular coagulation(DIC)in the early stage.Methods Totally 56 critical patients complicated with thrombocytopenia were enrolled in the investigation;complete set of DIC tests were performed.A total of 26 cases were diagnosed as DIC according to the criteria from the International Society of Thrombosis Haemostasis(ISTH).The sensitivity,specificity,accuracy,likelihood ratio,predictive value of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fg),antithrombin Ⅲ and bleeding signs(including petechia and ecchymosia)were calculated by applying fourfold table.Results The specificity of PT prolongation and Fg reduction was 87.0%;the sensitivity of ATⅢ decrease,and each of PT prolongation,Fg reduction,and bleeding(including petechia and ecchymosis)were as high as 96.0%.Conclusion Multi-markers based on thrombocytopenia are likely to improve sensitivity and specificity of DIC diagnosis.     

多指标协同应用在危重症合并血小板减少患者诊断DIC中的作用

Objective To observe critical patients with thrombocytopenia,and exam their coagulation function,so as to diagnose disseminated intravascular coagulation(DIC)in the early stage.Methods Totally 56 critical patients complicated with thrombocytopenia were enrolled in the investigation;complete set of DIC tests were performed.A total of 26 cases were diagnosed as DIC according to the criteria from the International Society of Thrombosis Haemostasis(ISTH).The sensitivity,specificity,accuracy,likelihood ratio,predictive value of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fg),antithrombin Ⅲ and bleeding signs(including petechia and ecchymosia)were calculated by applying fourfold table.Results The specificity of PT prolongation and Fg reduction was 87.0%;the sensitivity of ATⅢ decrease,and each of PT prolongation,Fg reduction,and bleeding(including petechia and ecchymosis)were as high as 96.0%.Conclusion Multi-markers based on thrombocytopenia are likely to improve sensitivity and specificity of DIC diagnosis.     

多指标协同应用在危重症合并血小板减少患者诊断DIC中的作用

Objective To observe critical patients with thrombocytopenia,and exam their coagulation function,so as to diagnose disseminated intravascular coagulation(DIC)in the early stage.Methods Totally 56 critical patients complicated with thrombocytopenia were enrolled in the investigation;complete set of DIC tests were performed.A total of 26 cases were diagnosed as DIC according to the criteria from the International Society of Thrombosis Haemostasis(ISTH).The sensitivity,specificity,accuracy,likelihood ratio,predictive value of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fg),antithrombin Ⅲ and bleeding signs(including petechia and ecchymosia)were calculated by applying fourfold table.Results The specificity of PT prolongation and Fg reduction was 87.0%;the sensitivity of ATⅢ decrease,and each of PT prolongation,Fg reduction,and bleeding(including petechia and ecchymosis)were as high as 96.0%.Conclusion Multi-markers based on thrombocytopenia are likely to improve sensitivity and specificity of DIC diagnosis.     

多指标协同应用在危重症合并血小板减少患者诊断DIC中的作用

Objective To observe critical patients with thrombocytopenia,and exam their coagulation function,so as to diagnose disseminated intravascular coagulation(DIC)in the early stage.Methods Totally 56 critical patients complicated with thrombocytopenia were enrolled in the investigation;complete set of DIC tests were performed.A total of 26 cases were diagnosed as DIC according to the criteria from the International Society of Thrombosis Haemostasis(ISTH).The sensitivity,specificity,accuracy,likelihood ratio,predictive value of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fg),antithrombin Ⅲ and bleeding signs(including petechia and ecchymosia)were calculated by applying fourfold table.Results The specificity of PT prolongation and Fg reduction was 87.0%;the sensitivity of ATⅢ decrease,and each of PT prolongation,Fg reduction,and bleeding(including petechia and ecchymosis)were as high as 96.0%.Conclusion Multi-markers based on thrombocytopenia are likely to improve sensitivity and specificity of DIC diagnosis.     

多指标协同应用在危重症合并血小板减少患者诊断DIC中的作用

Objective To observe critical patients with thrombocytopenia,and exam their coagulation function,so as to diagnose disseminated intravascular coagulation(DIC)in the early stage.Methods Totally 56 critical patients complicated with thrombocytopenia were enrolled in the investigation;complete set of DIC tests were performed.A total of 26 cases were diagnosed as DIC according to the criteria from the International Society of Thrombosis Haemostasis(ISTH).The sensitivity,specificity,accuracy,likelihood ratio,predictive value of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fg),antithrombin Ⅲ and bleeding signs(including petechia and ecchymosia)were calculated by applying fourfold table.Results The specificity of PT prolongation and Fg reduction was 87.0%;the sensitivity of ATⅢ decrease,and each of PT prolongation,Fg reduction,and bleeding(including petechia and ecchymosis)were as high as 96.0%.Conclusion Multi-markers based on thrombocytopenia are likely to improve sensitivity and specificity of DIC diagnosis.     

多指标协同应用在危重症合并血小板减少患者诊断DIC中的作用

Objective To observe critical patients with thrombocytopenia,and exam their coagulation function,so as to diagnose disseminated intravascular coagulation(DIC)in the early stage.Methods Totally 56 critical patients complicated with thrombocytopenia were enrolled in the investigation;complete set of DIC tests were performed.A total of 26 cases were diagnosed as DIC according to the criteria from the International Society of Thrombosis Haemostasis(ISTH).The sensitivity,specificity,accuracy,likelihood ratio,predictive value of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fg),antithrombin Ⅲ and bleeding signs(including petechia and ecchymosia)were calculated by applying fourfold table.Results The specificity of PT prolongation and Fg reduction was 87.0%;the sensitivity of ATⅢ decrease,and each of PT prolongation,Fg reduction,and bleeding(including petechia and ecchymosis)were as high as 96.0%.Conclusion Multi-markers based on thrombocytopenia are likely to improve sensitivity and specificity of DIC diagnosis.     

多指标协同应用在危重症合并血小板减少患者诊断DIC中的作用

Objective To observe critical patients with thrombocytopenia,and exam their coagulation function,so as to diagnose disseminated intravascular coagulation(DIC)in the early stage.Methods Totally 56 critical patients complicated with thrombocytopenia were enrolled in the investigation;complete set of DIC tests were performed.A total of 26 cases were diagnosed as DIC according to the criteria from the International Society of Thrombosis Haemostasis(ISTH).The sensitivity,specificity,accuracy,likelihood ratio,predictive value of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fg),antithrombin Ⅲ and bleeding signs(including petechia and ecchymosia)were calculated by applying fourfold table.Results The specificity of PT prolongation and Fg reduction was 87.0%;the sensitivity of ATⅢ decrease,and each of PT prolongation,Fg reduction,and bleeding(including petechia and ecchymosis)were as high as 96.0%.Conclusion Multi-markers based on thrombocytopenia are likely to improve sensitivity and specificity of DIC diagnosis.     

二尖瓣环收缩期最大位移达峰时间评价扩张型心肌病患者左心室长轴收缩功能的超声心动图研究

Objective To evaluate the value of peak time(PT) and corrected peak time(PTc) in the assessment of left ventricular long axis systolic function in patients with dilated cardiomyopathy(DCM).Methods Thirty-one DCM cases and thirty-six healthy cases were investigated using echocardiography.To obtain image of apical four-chamber view and apical two-chamber view, PT was measured by the technique of tissue motion annular displacement.The value of PTc was corrected by R-R interval.The critical value of PT and PTc was obtained by ROC curves.Results Compared with the PT of control group, the PT of DCM group at the site of septal and lateral were significantly increased ( P ＜0.05), but the PT at the site of anterior and inferior were no significantly increased ( P ＞0.05).The PTc at the four sites were significantly increased compared with control group ( P ＜0.05).The areas of under the ROC curve of PTc was 0.849 (95 % CI 0.699～0.929, P = 0.000), sensitivity and specificity of diagnosis cardiac dysfunction were 80.6 % and 66.7% respectively.Conclusions The PTc was significantly increased in patients with DCM.PTc was useful to evaluate left ventricular dysfunction in DCM patients.     

2006年湖南省霍乱监测结果分析

目的 监测人群中霍乱病例和被霍乱弧菌污染的水体及食物,以便尽早采取预防控制措施,防止疫情扩散.方法 全省范围开展腹泻患者及外环境、食品监测,选择重点地区开展甲鱼霍乱弧菌污染状况专项监测.结果 2006年湖南省共登记腹泻患者111 526例,检测霍乱弧菌89 661例,检测率为80.39%,检出阳性4例,均为0139群霍乱弧菌感染;检测环境和食品样44 533份,其中水体35 113份,全部为阴性,水产品5377份,阳性16份,阳性率为0.30%,阳性标本为甲鱼和牛蛙,其他食品4043份,均为阴性;甲鱼专项监测2323份,检出阳性33份,阳性率为1.42%;霍乱毒素基因检测34株菌,20株为产毒株,占58.80%;药敏试验28株菌,均对诺氟沙星、环丙沙星、丁胺卡那霉素100%敏感,对强力霉素、复方新诺明的敏感率为92.86%.结论 甲鱼、牛蛙等水产品是湖南省发生霍乱的主要因素,应加强水产品的监测和卫生管理.     

新生儿抚触技术在产科中的应用体会

目的探讨新生儿抚触促进新生儿生长发育、融洽护患关系、提高产妇满意度的临床价值。方法选择2008年1月至2008年8月在我科住院正常分娩和剖宫产的健康儿200例,随机分为对照组100例,抚触组100例,观察新生几吃奶量、睡眠时间、排便时间和产妇满意度。结果抚触组新生儿吃奶量、睡眠时间、排便时间及产妇满意度均优于对照组。结论新生儿抚触既能促进新生儿生长发育,又能融洽护患关系,提高产妇满意度。是一种值得推广的简单易行效果好的新型护理技术。     

流程管理在见习期护士护理培训管理中的应用研究

目的 探讨流程管理应用于护士见习期护理培训管理与现代护理继续教育管理的适应关系.方法 采用自行制定的各项护理培训管理流程及考核量化表对2006年及2007年的各50名见习期护士分别从护理部考核、科护士长考核、护士长考核、责任带教护师评价、患者评价、转正率角度按照职业道德、操作能力、服务质量、绩效考核、适应能力等5项指标进行2次测评.结果 评价者对见习期护士的2次测评评分比较,差异明显.结论 流程管理在见习期护士护理培训管理中的实施有利于临床护理管理规范化、程序化、科学化,是适应新医疗环境下对见习期护士较好的护理培训管理方式.     

流程管理在见习期护士护理培训管理中的应用研究

目的 探讨流程管理应用于护士见习期护理培训管理与现代护理继续教育管理的适应关系.方法 采用自行制定的各项护理培训管理流程及考核量化表对2006年及2007年的各50名见习期护士分别从护理部考核、科护士长考核、护士长考核、责任带教护师评价、患者评价、转正率角度按照职业道德、操作能力、服务质量、绩效考核、适应能力等5项指标进行2次测评.结果 评价者对见习期护士的2次测评评分比较,差异明显.结论 流程管理在见习期护士护理培训管理中的实施有利于临床护理管理规范化、程序化、科学化,是适应新医疗环境下对见习期护士较好的护理培训管理方式.     

流程管理在见习期护士护理培训管理中的应用研究

目的 探讨流程管理应用于护士见习期护理培训管理与现代护理继续教育管理的适应关系.方法 采用自行制定的各项护理培训管理流程及考核量化表对2006年及2007年的各50名见习期护士分别从护理部考核、科护士长考核、护士长考核、责任带教护师评价、患者评价、转正率角度按照职业道德、操作能力、服务质量、绩效考核、适应能力等5项指标进行2次测评.结果 评价者对见习期护士的2次测评评分比较,差异明显.结论 流程管理在见习期护士护理培训管理中的实施有利于临床护理管理规范化、程序化、科学化,是适应新医疗环境下对见习期护士较好的护理培训管理方式.     

流程管理在见习期护士护理培训管理中的应用研究

目的 探讨流程管理应用于护士见习期护理培训管理与现代护理继续教育管理的适应关系.方法 采用自行制定的各项护理培训管理流程及考核量化表对2006年及2007年的各50名见习期护士分别从护理部考核、科护士长考核、护士长考核、责任带教护师评价、患者评价、转正率角度按照职业道德、操作能力、服务质量、绩效考核、适应能力等5项指标进行2次测评.结果 评价者对见习期护士的2次测评评分比较,差异明显.结论 流程管理在见习期护士护理培训管理中的实施有利于临床护理管理规范化、程序化、科学化,是适应新医疗环境下对见习期护士较好的护理培训管理方式.     

流程管理在见习期护士护理培训管理中的应用研究

目的 探讨流程管理应用于护士见习期护理培训管理与现代护理继续教育管理的适应关系.方法 采用自行制定的各项护理培训管理流程及考核量化表对2006年及2007年的各50名见习期护士分别从护理部考核、科护士长考核、护士长考核、责任带教护师评价、患者评价、转正率角度按照职业道德、操作能力、服务质量、绩效考核、适应能力等5项指标进行2次测评.结果 评价者对见习期护士的2次测评评分比较,差异明显.结论 流程管理在见习期护士护理培训管理中的实施有利于临床护理管理规范化、程序化、科学化,是适应新医疗环境下对见习期护士较好的护理培训管理方式.     

流程管理在见习期护士护理培训管理中的应用研究

目的 探讨流程管理应用于护士见习期护理培训管理与现代护理继续教育管理的适应关系.方法 采用自行制定的各项护理培训管理流程及考核量化表对2006年及2007年的各50名见习期护士分别从护理部考核、科护士长考核、护士长考核、责任带教护师评价、患者评价、转正率角度按照职业道德、操作能力、服务质量、绩效考核、适应能力等5项指标进行2次测评.结果 评价者对见习期护士的2次测评评分比较,差异明显.结论 流程管理在见习期护士护理培训管理中的实施有利于临床护理管理规范化、程序化、科学化,是适应新医疗环境下对见习期护士较好的护理培训管理方式.     

流程管理在见习期护士护理培训管理中的应用研究

目的 探讨流程管理应用于护士见习期护理培训管理与现代护理继续教育管理的适应关系.方法 采用自行制定的各项护理培训管理流程及考核量化表对2006年及2007年的各50名见习期护士分别从护理部考核、科护士长考核、护士长考核、责任带教护师评价、患者评价、转正率角度按照职业道德、操作能力、服务质量、绩效考核、适应能力等5项指标进行2次测评.结果 评价者对见习期护士的2次测评评分比较,差异明显.结论 流程管理在见习期护士护理培训管理中的实施有利于临床护理管理规范化、程序化、科学化,是适应新医疗环境下对见习期护士较好的护理培训管理方式.