Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Feb 2019
[Clinical observation on application of different enteral nutrition preparations in patients with severe traumatic brain injury].
To observe the effects of enteral nutrition (EN) emulsion with different components on nutritional index, blood glucose, inflammatory reaction, gastrointestinal tolerance and prognosis in patients with severe traumatic brain injury (sTBI). ⋯ For patients with sTBI, short peptide EN preparations (Baipuli) is much better in gastrointestinal tolerance but it can cause fluctuations of blood glucose; the whole protein EN containing ω-3 fatty acid (Ruineng, Ruisu) has relatively less fluctuation on blood glucose, the duration of MV and the length of ICU stay can be shortened by Ruineng, therefore it is more suitable to be applied for such patients.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Feb 2019
Observational Study[Risk factors for intensive care unit delirium after cardiac operation].
To analyze the risk factors of delirium in patients in cardiac surgery intensive care unit (CSICU). ⋯ Age, type of surgery, ASA classification, CPB time, APACHE II, ICU mechanical ventilation time, post operation usage of midazolam were independent risk factors for delirium, and high education level had a good protective effect. Among them, the educational level, CPB time, duration of mechanical ventilation, and midazolam are intervention factors. In clinical treatment, not only the risk factors should be identified, but also intervention should be taken to prevent the occurrence of delirium.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Feb 2019
[Keep the mission in mind and forging ahead bravely: thinking on the lead development of intensive medicine in Henan Province].
With the establishment of clinical second-level discipline status, the development of critical care medicine in China has entered a rapid stage. Compared with the advanced provinces in China, the construction of critical care medicine in Henan Province started late but developed rapidly. ⋯ The First Affiliated Hospital of Zhengzhou University is the hospital to establish the critical care discipline, which has led and witnessed the establishment and development of the critical care medicine specialty in the whole province. However, opportunities and challenges coexist, and there are still problems and difficulties in the development of critical care medicine, which need our thinking and solving.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Feb 2019
[Protective effects of Klotho protein on acute kidney injury in septic mice and its mechanism].
To investigate the protective effects of Klotho protein, a kind of single-pass transmembrane protein, on acute kidney injury (AKI) in septic mice and its mechanism. ⋯ Klotho protein has significant protective effects on AKI in septic mice, and its mechanism is related to maintaining mitochondrial structural integrity and oxidative stress response.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2019
Meta Analysis[A Meta-analysis of Qingre Jiedu and Liangxue Sanyu method in the treatment of sepsis].
To systematically review the effect of Qingre Jiedu and Liangxue Sanyu method in patients with sepsis, and to discuss its effect in the treatment of sepsis. ⋯ The Meta-analysis showed that Qingre Jiedu and Liangxue Sanyu method may reduce the release of inflammatory mediators, improve the coagulation function, and reduce the 28-day mortality in patients with sepsis.