Objective： To investigate the risk factors related to the development of pressure sores in critically ill surgical patients and to establish a basis for the formulation of effective precautions. Methods： A questionn...Objective： To investigate the risk factors related to the development of pressure sores in critically ill surgical patients and to establish a basis for the formulation of effective precautions. Methods： A questionnaire regarding the factors for pressure sores in critically ill surgical patients was created using a case control study with reference to the pertinent literature. After being exam- ined and validated by experts, the questionnaire was used to collect data about critically ill surgical patients in a grade A tertiary hospital. Among the 47 patients enrolled into the study, the 14 who developed nosocomial pressure sores were allocated to the pressure sore group, and the remaining 33 patients who met the inclusion criteria and did not exhibit pressure sores were allocated to the control group. Univariate and multivariate logistic regression analyses were employed to examine the differences in 22 indicators between the two groups in an attempt to identify the risk factors for pressure sores. Results： According to the univariate analyses, the maximum value of lactic acid in the arterial blood, the number of days of norepinephrine use, the number of days of mechanical ventilation, the number of days of blood purification, and the number of days of bowel incontinence were statistically greater in the pressure sore group than in the control group （P〈0.05）. The multivariate logistic regression analysis revealed that the number of days of norepinephrine use and the level of lactic acid in the arterial blood were high risk-factors for pressure sores （P〈0.05）. Conclusions： The best method for preventing and control pressure sores in surgical critically ill patients is to strongly emphasize the duration of the critical status and to give special attention to patients in a continuous state of shock. The adoption of measures specific to high-risk patient groups and risk factors, including the active control of primary diseases and the application of decompression measures during the treatment of the patients, are helpful for improving the quality of care in the prevention and control of pressure sores in critically ill patients.展开更多
[Objective] The aim of this paper was to analyze the risks in the typhoon hazard factors in Hainan Island. [Method] Taking the theory and method of natural disasters evaluation as starting point and supporting point, ...[Objective] The aim of this paper was to analyze the risks in the typhoon hazard factors in Hainan Island. [Method] Taking the theory and method of natural disasters evaluation as starting point and supporting point, and selecting Hainan province as the research target, where the typhoon disaster occurred relatively serious, based on the typhoon data during 1958-2008, with happening frequency of typhoon hazard-formative factors, maximum rainfall, potentially devastating effects of typhoon winds as evaluation indexes, the typhoon disaster risk evaluation index system and evaluation model were established. And by dint of GIS technique, Hainan island typhoon disaster risk zoning of hazard-formative factors and grading were prepared. [Result] Typhoon occurred frequently in Hainan and there were no certain rules of its annual changes. The monthly changes mainly happed during July to October. The highly dangerous area of typhoon mainly distributed in east coast area. The annual daily precipitation decreased from central mountainous area to the surroundings; typhoon hided in the destructive highly risked area in east, south and west area; low disastrous area occurred in the middle area; the risks of disastrous factors weakened from east area to west area. The distribution area of each level was that low dangerous area>mild dangerous area>highly dangerous area>secondary low dangerous area>highly dangerous area. [Conclusion] The study supplied scientific reference for the government in the united organization and direction of disaster relief work.展开更多
文摘Objective： To investigate the risk factors related to the development of pressure sores in critically ill surgical patients and to establish a basis for the formulation of effective precautions. Methods： A questionnaire regarding the factors for pressure sores in critically ill surgical patients was created using a case control study with reference to the pertinent literature. After being exam- ined and validated by experts, the questionnaire was used to collect data about critically ill surgical patients in a grade A tertiary hospital. Among the 47 patients enrolled into the study, the 14 who developed nosocomial pressure sores were allocated to the pressure sore group, and the remaining 33 patients who met the inclusion criteria and did not exhibit pressure sores were allocated to the control group. Univariate and multivariate logistic regression analyses were employed to examine the differences in 22 indicators between the two groups in an attempt to identify the risk factors for pressure sores. Results： According to the univariate analyses, the maximum value of lactic acid in the arterial blood, the number of days of norepinephrine use, the number of days of mechanical ventilation, the number of days of blood purification, and the number of days of bowel incontinence were statistically greater in the pressure sore group than in the control group （P〈0.05）. The multivariate logistic regression analysis revealed that the number of days of norepinephrine use and the level of lactic acid in the arterial blood were high risk-factors for pressure sores （P〈0.05）. Conclusions： The best method for preventing and control pressure sores in surgical critically ill patients is to strongly emphasize the duration of the critical status and to give special attention to patients in a continuous state of shock. The adoption of measures specific to high-risk patient groups and risk factors, including the active control of primary diseases and the application of decompression measures during the treatment of the patients, are helpful for improving the quality of care in the prevention and control of pressure sores in critically ill patients.
基金Supported by Hainan Natural Fund Program (809058)Key Operation Suggestion Program of China Meteorological Bureau " Typhoon Disaster Risk Evaluation and Division"
文摘[Objective] The aim of this paper was to analyze the risks in the typhoon hazard factors in Hainan Island. [Method] Taking the theory and method of natural disasters evaluation as starting point and supporting point, and selecting Hainan province as the research target, where the typhoon disaster occurred relatively serious, based on the typhoon data during 1958-2008, with happening frequency of typhoon hazard-formative factors, maximum rainfall, potentially devastating effects of typhoon winds as evaluation indexes, the typhoon disaster risk evaluation index system and evaluation model were established. And by dint of GIS technique, Hainan island typhoon disaster risk zoning of hazard-formative factors and grading were prepared. [Result] Typhoon occurred frequently in Hainan and there were no certain rules of its annual changes. The monthly changes mainly happed during July to October. The highly dangerous area of typhoon mainly distributed in east coast area. The annual daily precipitation decreased from central mountainous area to the surroundings; typhoon hided in the destructive highly risked area in east, south and west area; low disastrous area occurred in the middle area; the risks of disastrous factors weakened from east area to west area. The distribution area of each level was that low dangerous area>mild dangerous area>highly dangerous area>secondary low dangerous area>highly dangerous area. [Conclusion] The study supplied scientific reference for the government in the united organization and direction of disaster relief work.
