盘点：2018年7月7日Lancet研究精选

2018-07-07 zhangfan MedSci原创

2018年7月7日Lancet研究精选

【1】封面文章——以病人为中心的多病护理

DOI： https：//doi.org/10.1016/S0140-6736(18)31308-4

多种慢性病患者的日常护理极具挑战，近日英国的研究人员考察了以病人为中心的、基于健康、情绪和药物的3D护理方式对多种疾病患者健康相关生活质量的影响。1546名参与患者随机接受17项常规护理（N=749）或6个月的3D综合护理（16项，N=797）。研究的主要终点为15个月随访期间的EQ-5D-5L生活质量评估。意向分析显示，组间EQ-5D-5L生活质量评估差异不显著(评分差异0.00)，78名患者死亡，但与干预无关。

【2】注射碳酸氢钠可改善肾损伤患者急性酸血症症状

DOI： https：//doi.org/10.1016/S0140-6736(18)31080-8

急性酸血症在危重症患者中发病率较高，碳酸氢钠注射液是潜在的重度代谢性酸血症治疗手段，近日研究人员就碳酸氢钠注射液对危重患者酸血症的治疗效果进行了考察。389人参与研究，其中对照组194人，碳酸氢钠组195人。对照组138人(71%)以及碳酸氢钠组128人(66%)在28天死亡或发生7天内器官衰竭。组间28天生存率差异不显著（46 vs 55%），但在急性肾损伤评分2或3分人群中，碳酸氢钠治疗可显著提高28天生存率（63% vs 46%）。

【3】个性化电子预后干预系统可加速腹部手术后患者预后

DOI： https：//doi.org/10.1016/S0140-6736(18)31113-9

近日荷兰的研究人员考察了个性化电子保健系统对患者术后恢复的作用。择期进行腹腔镜胆囊切除术、腹股沟疝或腹腔镜附件手术的良性病变患者参与研究。干预组参与者在围手术期，接受个性化的电子医疗指导，康复管理以及术后指导，而对照组接受常规护理。研究的主要终点为术后恢复正常活动时间。344名患者参与，其中干预组173人，对照组171人。干预组术后恢复正常运动的平均时间为21天，对照组为26天，组间并发症风险差异不显著。

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2019-03-24 howi

#Lancet#

24 0
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2018-08-02 1237d0f6m45暂无昵称

学习了

64 0
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2018-07-13 张新亮1853311252142e2fm

好文献学习了

56 0
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2018-07-10 张新亮1853311252142e2fm

好文献学习了

55 0
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2018-07-09 1831e99354m

学习了.谢谢!

52 0
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2018-07-07 kafei

学习了谢谢

58 0
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2018-07-07 Y—xianghai

学习了长知识

25 0
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2018-07-07 1dd8c52fm63(暂无匿称)

学习学习.继续关注

0 0
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2018-07-07 zb1235672

学习了!!!!

19 0

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