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实体器官移植(SOT)受者是新型冠状病毒肺炎(COVID-19)的高风险人群,该人群接种COVID-19疫苗的安全性和有效性倍受关注。目前有关SOT受者接种COVID-19疫苗的研究报道主要集中在接种信使核糖核酸疫苗,也有少数接种重组腺病毒载体疫苗的个案报道。这些研究结果显示,SOT受者接种COVID-19疫苗是安全的... 相似文献
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目的分析新型冠状病毒肺炎(COVID-19)患者出院后首次胸部CT随访的影像学特点。方法回顾性分析68例COVID-19患者的胸部CT影像学资料。A组45例,为普通型患者,出院后10~33(17.22±4.32) d首次复查胸部CT;B组23例,为重型患者,出院后16~34(18.87±6.86) d首次复查胸部CT。比较两组患者肺内残留病变分布、CT征象变化和双肺半定量视觉评分。结果两组肺内病变均以磨玻璃密度影为主,条索影次之。A组未见肺内明显病灶患者比例高于B组(35.56%vs.4.35%)(P<0.01),而累及2个及以上肺叶患者比例低于B组(44.44%vs.82.61%)(P<0.01)。A组患者左肺、右肺评分以及双肺总评分均低于B组(P<0.01)。结论COVID-19患者出院后肺内病灶吸收快;部分普通型患者肺内病灶完全吸收,仅少数患者遗留纤维性病灶。重型患者CT上残留的主要病变为磨玻璃密度影和条索影,需进一步随访观察。 相似文献
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为规范重型及危重型新型冠状病毒肺炎(COVID-19)的临床诊疗,提高救治成功率,降低病死率,该文在国家卫生健康委员会发布的《新型冠状病毒肺炎诊疗方案(试行第六版)》及国家卫生健康委员会《新型冠状病毒感染的肺炎重型及危重型诊疗方案(试行第一版)》的基础上,结合作者前期医疗救治工作实践经验制订重症及危重症新型冠状病毒肺炎患者诊疗方案,内容包括重症及危重症患者诊断标准、临床预警指标、诊疗流程及护理方案等,供同行参考。 相似文献
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目的:了解新冠肺炎疫情期间,发热门诊新型冠状病毒肺炎疑似患者的药物治疗情况。方法:通过电子处方系统,导出发热门诊新型冠状病毒肺炎疑似患者的所有处方,用SPSS进行统计分析。结果:2020年1月5日至2020年2月23日,发热门诊疑似患者3 549例,其中男性为1 661例(46.8%),平均年龄为48±15.1岁,高发年龄段为40~60岁,1 482例(41.8%)。2020年1月22日至2月8日,最高日处方数达到764张。所有患者均给予了抗病毒和抗感染治疗。13 645张处方,含有抗病毒药物的处方有7 174张(52.6%),其中单用抗病毒西药为阿比朵尔1 491(20.8%),更昔洛韦1 962(27.3%),中成药为连花清瘟或金叶败毒1 578(22.0%),中西联用处方有阿比朵尔+(莲花清瘟或金叶败毒)1 397(19.5%)和更昔洛韦注射液+(莲花清瘟或金叶败毒)299(4.2%);含有抗感染治疗的处方有6 781(49.7%)张,主要药物为莫西沙星,6 118(90.2%)。其中有349(10.1%)位患者使用了糖皮质激素治疗,且男性偏多。449(12.6%)名患者进行了免疫疗法。结论:发热门诊新冠肺炎疑似患者的药物治疗基本按流感病毒,中东呼吸综合征(MERS)和严重急性呼吸综合征(SARS)的治疗经验进行早期的抗病毒,抗感染,营养支持及对症治疗等方式进行,对于重症患者使用了糖皮质激素治疗和免疫疗法。 相似文献
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《Annales pharmaceutiques fran?aises》2020,78(6):459-463
ObjectivesCOVID-19 outbreak can impact mental health including health care workers. The aim of this study was to assess the psychological impact of COVID-19 in French community pharmacists.Material and methodsWe carried out a postal-based survey to assess the psychological impact of COVID-19 in French owner community pharmacists based on three validated self-report questionnaires: Perceived Stress scale, Impact of Event Scale-revised and Maslach Burnout Inventory.ResultsThe sample consists of 135 community pharmacists. Twenty-three pharmacists reported significant post-traumatic stress symptoms (17%). High burnout symptoms were found in 33 (25%), 46 (34.9%) and 4 (3%) participants. Females scored higher than males for all questionnaires (P = 0.01).ConclusionsThis study is the first study which showed the psychological impact of COVID-19 in community pharmacists. Based on validated self-report questionnaires, up to 35% of pharmacists reported psychological disturbances. Interventions to promote psychological well-being of healthcare workers need to be developing. 相似文献
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The coronavirus disease-19 (COVID-19) is caused by the novel severe acute respiratory syndrome coronavirus that was first detected at the end of December 2019. The epidemic has affected various regions of China in different degrees. As the situations evolve, the COVID-19 had been confirmed in many countries, and made a assessment that it can be characterized as a pandemic by the World Health Organization on March 11, 2020. Drugs are the main treatment of COVID-19 patients. Pharmaceutical service offers drug safety ensurance for COVID-19 patients.According to COVID-19 prevention and control policy and requirements, combined with series of diagnosis and treatment plans, pharmacists in the first provincial-level COVID-19 diagnosis and treatment unit in Jilin Province in Northeast China have established the management practices of drug supply and pharmaceutical care from four aspects: personnel, drugs supply management, off-label drug use management and pharmaceutical care. During the outbreak, the pharmaceutical department of THJU completed its assigned workload to ensure drug supply. So far, no nosocomial infections and medication errors have occurred, which has stabilized the mood of the staff and boosted the pharmacists' confidence in fighting the epidemic. For the treatment of COVID-19, pharmacists conducted adverse reaction monitoring and participated in the multidisciplinary consultation of COVID-19. Up to now, the COVID-19 patients admitted to THJU have not shown any new serious adverse reactions and been cured finally. The hospital pharmacy department timely adjusted the work mode, and the formed management practices is a powerful guarantee for the prevention and control of the COVID-19 epidemic. This paper summarized the details and practices of drug supply and pharmaceutical services management to provide experience for the people who involving in COVID-19 prevention and contain in other abroad epidemic areas. 相似文献
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目的:新冠肺炎疫情期间为慢性病复诊患者提供治疗用药和药学服务,降低非新冠肺炎患者的死亡率并减缓病情进展,积极探索门诊药学服务线上线下相结合(online to offline,O2O)模式。方法:基于我院线上问诊平台,增加线上处方和药品邮寄模块,统计分析2020年2月19日-2020年3月7日线上门诊药学服务实践中患者年龄、就诊科室以及处方审核、药品调剂等相关数据。结果:开展线上药学服务后,线上问诊10 269人次,就诊科室主要为心内科、神经内科、感染科、内分泌科等慢性病科室;医院药师调剂线上处方6 880张,调剂药品总数125 864盒/瓶,有效缓解了慢性病患者用药困难。患者就诊年龄集中于20~70岁,35岁以上患者达到74.30%,表明中老年患者可通过自身或他人帮助享受慢性病线上就诊服务。药师处方审核率100%,审核不通过处方483张,不合格率7.02%,主要不合理因素为用法用量不适宜。结论:新冠肺炎疫情期间,开展线上门诊药学服务对防控疫情和救治慢性病患者具有重要作用,也表明公立医院和患者已具备共同参与"互联网+医疗"的能力。门诊药师应积极探索药学服务O2O模式,借助"互联网+"重构药品供应保障服务体系,挖掘和重塑药师的专业价值。 相似文献
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新型冠状病毒肺炎流行期间医护人员心理健康与应对方式相关性研究 总被引:1,自引:0,他引:1
目的 调查新型冠状病毒肺炎(COVID-19)流行期间六安市区三家三级医院医护人员心理健康的现状,分析医护人员心理健康水平与应对方式的关系。方法 于2020年2月7日~2月15日,使用问卷星形式,采用焦虑自评量表、抑郁自评量表及简易应对方式问卷调查COVID-19流行期间六安市区三家三级医院360名医护人员心理状况,分析医护人员焦虑、抑郁水平及其与应对水平的相关性。结果 COVID-19流行期间六安市区三家三级医院医护人员焦虑粗分(32.82±7.80)分,抑郁粗分(37.90±8.30)分,均高于中国常模,差异有统计学意义(P<0.05)。焦虑阳性者(总粗分≥40分)68例(18.9%),抑郁阳性者(总粗分≥41 分)138例(38.4%);医护人员应对方式总分9~60分,平均为(36.61±8.55)分。积极应对6~36分,平均为(24.49±6.14)分。消极应对1~24分,平均为(12.12±4.19)分;偏相关分析显示,医护人员焦虑得分与积极应对呈负相关(r=-0.315,P<0.05),与消极应对呈正相关(r=0.147,P<0.05)。抑郁得分与积极应对呈负相关(r=-0.374,P<0.05),与消极应对呈正相关(r=0.207,P<0.05)。结论 COVID-19流行期间医护人员存在不同程度的焦虑和抑郁,疫情期间医护人员的心理健康与积极应对方式呈正相关,与消极应对方式呈负相关。 相似文献
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《Current medical research and opinion》2013,29(10):1315-1328
Abstract