Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Sep 2012
Controlled Clinical Trial[Value of creatinine clearance rate estimated based on serum cystatin C in patients with acute kidney injury].
To investigate diagnostic value of creatinine clearance rate (CCr) based on serum cystatin C (SCys C) in acute kidney injury (AKI), and whether it could predict the need for renal replacement therapy (RRT). ⋯ The sensitivity of SCys C-CCr were high, but its specificity not. The SCys C-CCr may be helpful for excluding diagnose of AKI in high risk patients. However, it could not predict the need for renal replacement therapy on the day AKI diagnosed.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Sep 2012
[Changes in plasma adiponectin concentrations in sepsis and its correlation with the severity of the disease].
To explore the regularity of changes in total adiponectin (APN) and high molecular bodyweight adiponectin (HAP) in sepsis, and its correlation with infection and its role on predicting prognosis. ⋯ Plasma total APN and HAP was decreased in septic patients, and negatively correlated with PCT. Plasma total APN and HAP played a role in diagnosis of infection and predicting the outcomes, and correlated with severity of sepsis.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Sep 2012
Randomized Controlled Trial[Effects of postoperative restrictive fluid management on recovery of gastrointestinal function after elective colonic resection].
To investigate the effect of postoperative restrictive fluid management by ensuring adequate tissue perfusion on the recovery of gastrointestinal function after elective colonic resection. ⋯ The postoperative restrictive fluid management by ensuring tissue perfusion can shorten the gastrointestinal function recovery time after elective colonic resection, and may not increase the incidence of water and electrolyte disorders.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Sep 2012
Randomized Controlled Trial[Management of blood glucose during enteral nutrition in critical patients].
To investigate an effective and safe protocol for enteral nutrition (EN) patients permitting successfully transmit insulin administration from venous pump-in to subcutaneous injection. ⋯ Compared with the conventional subcutaneous insulin injection protocol, this protocol with insulin glargine combined regular insulin subcutaneous injection can control the glucose level effectively during EN in critical patients. The glucose variation and the numbers of measurements were significantly reduced by this protocol. It is helpful for the insulin transmission from venous pump-in to subcutaneous injection.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Sep 2012
[Prospective observational study exploring the relationship between the levels and variability of blood glucose and the prognosis of critical patients].
To explore the relationship between the levels and variability of blood glucose and the prognosis of critical patients. ⋯ Blood glucose variability is associated with critical patient's 28-day mortality, and may predict mortality as good as APACHE II score.