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西维来司他钠在重症监护室急性肺损伤患者中应用的有效性和安全性研究

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摘要：【摘要】目的 探讨中性粒细胞弹性蛋白酶(NE)抑制剂西维来司他钠在重症监护室(ICU)急性肺损伤(ALI)患者中应用的有效性和安全性。方法回顾性分析2020年6月至2021年6月郑州大学第一附属医院 ICU 171 例 ALI患者，其中西维来司他钠组 77 例，常规治疗组 94例。收集患者的临床资料，包括急性生理和慢性健康评分Ⅱ(APACHE Ⅱ)、Mumray 肺损伤评分、氧合指数(PaO,FiO,)、炎症因子(I-6、IL-10、TNF-α )，并统计无呼吸机天数(VED)、ICU 住院天数及 28 d病死率等，来评估西维来司他钠对 ICU 中 ALI治疗的有效性。同时，记录西维来司他钠使用后 30d内患者不良反应及化验指标来评估其应用的安全性。结果与常规治疗相比，西维来司他钠治疗7d后氧合指数、Mumray 肺损伤评分、I-6、IL-10、TNF-a 均明显改善，差异有统计学意义。与常规治疗组相比，西维来司他钠组 VFD 更长(P=0.0119 )，ICU 住院天数更少(P0.0269 )，差异具有统计学意义。西维来司他钠组病死率为 14.29%，常规治疗组病死率为 22.34%,两组间病死率差异无统计学意义。西维来司他钠使用后 30 d内未增加患者不良反应，安全性良好,结论 重症监护室急性肺损伤患者使用西维来司他钠治疗安全性良好，较常规治疗更有效。
标签： ALI/ARDS 产品信息/适应症 汇伦医药 西维来司他钠 ICU 外科 内科 急诊 呼吸科
查看数：55
发布时间：2024-09-04 邹文成
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文档附件清单
  • 附件1: ARDS7-西维来司他钠在重症监护室急性肺损伤患者中应用的有效性和安全性研究.pdf 下载附件
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    2. [ LANG ] /www/wwwroot/huilunbio-try.s1.zituspace.com/vendor/thinkcmf/cmf/src/behavior/../lang/zh-cn.php
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    7. [ LANG ] /www/wwwroot/huilunbio-try.s1.zituspace.com/app/portal//lang/zh-cn.php
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    5. [ SQL ] SHOW COLUMNS FROM `zitu_hits_log` [ RunTime:0.000797s ]
    6. [ SQL ] INSERT INTO `zitu_hits_log` (`ip` , `create_time`) VALUES ('216.73.216.8' , 1750885452) [ RunTime:0.029052s ]
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    8. [ SQL ] SELECT `post`.* FROM `zitu_portal_post` `post` INNER JOIN `zitu_portal_category_post` `relation` ON `post`.`id`=`relation`.`post_id` WHERE `post`.`post_type` = 1 AND `post`.`post_status` = 1 AND `post`.`delete_time` = 0 AND `relation`.`category_id` = 70 AND `relation`.`post_id` = 191 AND ( `post`.`published_time` > 0 AND `post`.`published_time` < 1750885452 ) LIMIT 1 [ RunTime:0.000910s ]
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    14. [ SQL ] SELECT `post`.* FROM `zitu_portal_post` `post` INNER JOIN `zitu_portal_category_post` `relation` ON `post`.`id`=`relation`.`post_id` WHERE `post`.`post_type` = 1 AND `post`.`post_status` = 1 AND `post`.`delete_time` = 0 AND `relation`.`category_id` = 70 AND `relation`.`post_id` > 191 AND ( `post`.`published_time` > 0 AND `post`.`published_time` < 1750885452 ) ORDER BY `id` ASC LIMIT 1 [ RunTime:0.003003s ]
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    31. [ SQL ] SELECT * FROM `zitu_theme_file` WHERE `theme` = 'simpleboot3' AND `file` = 'portal/index' LIMIT 1 [ RunTime:0.000504s ]
    32. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_theme_file', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 18, 'extra' => 'Using where', ) ]
    33. [ SQL ] UPDATE `zitu_theme_file` SET `theme` = 'simpleboot3' , `action` = 'portal/Index/index' , `file` = 'portal/index' , `name` = '首页' , `more` = '{\"vars\":[],\"widgets\":{\"product_category_list\":{\"title\":\"\\u5206\\u7c7b\\u5217\\u8868\",\"display\":1,\"vars\":{\"product_category_list_id\":{\"title\":\"\\u5206\\u7c7b\\u5217\\u8868\",\"value\":\"1,3,4,12,13,8,31,32,48,49,123,9,50,51,52,53,54,33,35,36,37,38,39,40,34,41,42,43,44,45,46,47,55,14,15,16,17,18,118,56,57,58,59,60\",\"type\":\"text\",\"dataSource\":{\"api\":\"portal\\/category\\/index\",\"multi\":true},\"placeholder\":\"\\u5206\\u7c7b\\u5217\\u8868\",\"tip\":\"\",\"rule\":{\"require\":true},\"valueText\":\"\\u533b\\u5b66\\u4fe1\\u606f,\\u6307\\u5357\\u5171\\u8bc6,\\u5faa\\u8bc1\\u8bc1\\u636e,\\u63a8\\u8350\\u89c2\\u70b9,\\u4e34\\u5e8a\\u9879\\u76ee,\\u5b81\\u6ccc\\u6cf0\\u80f6\\u56ca,\\u6162\\u6027\\u524d\\u5217\\u817a\\u708e,\\u6ccc\\u5c3f\\u7cfb\\u611f\\u67d3,\\u6ccc\\u5c3f\\u7cfb\\u7ed3\\u77f3,\\u5b81\\u6ccc\\u6cf0\\u9002\\u7528\\u7684\\u5176\\u4ed6\\u76f8\\u5173\\u75be\\u75c5,\\u826f\\u6027\\u524d\\u5217\\u817a\\u589e\\u751f,\\u590f\\u67af\\u8349\\u53e3\\u670d\\u6db2,\\u7532\\u72b6\\u817a\\u7ed3\\u8282,\\u6865\\u672c\\u7532\\u72b6\\u817a\\u708e,Graves\\u75c5,\\u4e73\\u817a\\u589e\\u751f\\/\\u4e73\\u817a\\u708e,\\u590f\\u67af\\u8349\\u9002\\u7528\\u7684\\u5176\\u4ed6\\u76f8\\u5173\\u75be\\u75c5,\\u82e6\\u53c2\\u51dd\\u80f6,\\u7ec6\\u83cc\\u6027\\u9634\\u9053\\u75c5\\uff08BV\\uff09,\\u5916\\u9634\\u9634\\u9053\\u5047\\u4e1d\\u9175\\u6bcd\\u83cc\\u75c5\\uff08VVC\\uff09,\\u4eba\\u4e73\\u5934\\u7624\\u75c5\\u6bd2\\u611f\\u67d3\\uff08HPV\\uff09,\\u840e\\u7f29\\u6027\\u9634\\u9053\\u708e,\\u6df7\\u5408\\u6027\\u9634\\u9053\\u708e,\\u82e6\\u53c2\\u51dd\\u80f6\\u9002\\u7528\\u7684\\u5176\\u4ed6\\u76f8\\u5173\\u75be\\u75c5,\\u5764\\u6cf0\\u80f6\\u56ca,\\u7edd\\u7ecf\\u7efc\\u5408\\u5f81,\\u5375\\u5de2\\u50a8\\u5907\\u529f\\u80fd\\u51cf\\u9000\\uff08DOR\\uff09,GnRHa\\u4f4e\\u96cc\\u75c7\\u72b6,\\u5375\\u5de2\\u529f\\u80fd\\u8870\\u9000\\u5931\\u7720\\u7126\\u8651,\\u65e9\\u53d1\\u6027\\u5375\\u5de2\\u529f\\u80fd\\u4e0d\\u5168\\uff08POI\\uff09,\\u5375\\u5de2\\u65e9\\u8870\\uff08POF\\uff09,\\u591a\\u56ca\\u5375\\u5de2\\u7efc\\u5408\\u5f81\\uff08PCOS\\uff09,\\u5764\\u6cf0\\u80f6\\u56ca\\u9002\\u7528\\u7684\\u5176\\u4ed6\\u76f8\\u5173\\u75be\\u75c5,\\u5e02\\u573a\\u6750\\u6599,\\u5e94\\u7528\\u573a\\u666f,\\u63a8\\u8350\\u89c2\\u70b9,\\u5e02\\u573a\\u6d3b\\u52a8,\\u7eff\\u5361,\\u4e8b\\u4e1a\\u90e8\\u533b\\u5b66\\u652f\\u6301,\\u79d1\\u5ba4\\u53ca\\u533b\\u62a4\\u4eba\\u5458,\\u5185\\u79d1,\\u5916\\u79d1,\\u91cd\\u70b9\\u79d1\\u5ba4,\\u533b\\u62a4\\u7fa4\\u4f53\"}}}}}' , `config_more` = '{\"vars\":[],\"widgets\":{\"product_category_list\":{\"title\":\"\\u5206\\u7c7b\\u5217\\u8868\",\"display\":\"1\",\"vars\":{\"product_category_list_id\":{\"title\":\"\\u5206\\u7c7b\\u5217\\u8868\",\"value\":\"\",\"type\":\"text\",\"dataSource\":{\"api\":\"portal\\/category\\/index\",\"multi\":true},\"placeholder\":\"\\u5206\\u7c7b\\u5217\\u8868\",\"tip\":\"\",\"rule\":{\"require\":true}}}}}}' , `description` = '首页模板文件' , `is_public` = 0 , `list_order` = 5 WHERE `theme` = 'simpleboot3' AND `file` = 'portal/index' [ RunTime:0.037116s ]
    34. [ SQL ] SELECT * FROM `zitu_theme_file` WHERE `theme` = 'simpleboot3' AND `file` = 'portal/list' LIMIT 1 [ RunTime:0.000434s ]
    35. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_theme_file', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 18, 'extra' => 'Using where', ) ]
    36. [ SQL ] UPDATE `zitu_theme_file` SET `theme` = 'simpleboot3' , `action` = 'portal/List/index' , `file` = 'portal/list' , `name` = '文章列表页' , `more` = '[]' , `config_more` = '[]' , `description` = '文章列表模板文件' , `is_public` = 0 , `list_order` = 10 WHERE `theme` = 'simpleboot3' AND `file` = 'portal/list' [ RunTime:0.035946s ]
    37. [ SQL ] SELECT * FROM `zitu_theme_file` WHERE `theme` = 'simpleboot3' AND `file` = 'portal/page-about' LIMIT 1 [ RunTime:0.000472s ]
    38. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_theme_file', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 18, 'extra' => 'Using where', ) ]
    39. [ SQL ] UPDATE `zitu_theme_file` SET `theme` = 'simpleboot3' , `action` = 'portal/Page/index' , `file` = 'portal/page-about' , `name` = '关于我们单页面' , `more` = '[]' , `config_more` = '[]' , `description` = '单页面模板文件' , `is_public` = 0 , `list_order` = 10 WHERE `theme` = 'simpleboot3' AND `file` = 'portal/page-about' [ RunTime:0.029926s ]
    40. [ SQL ] SELECT * FROM `zitu_theme_file` WHERE `theme` = 'simpleboot3' AND `file` = 'portal/page-contact' LIMIT 1 [ RunTime:0.000607s ]
    41. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_theme_file', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 18, 'extra' => 'Using where', ) ]
    42. [ SQL ] UPDATE `zitu_theme_file` SET `theme` = 'simpleboot3' , `action` = 'portal/Page/index' , `file` = 'portal/page-contact' , `name` = '联系我们' , `more` = '[]' , `config_more` = '[]' , `description` = '单页面模板文件' , `is_public` = 0 , `list_order` = 10 WHERE `theme` = 'simpleboot3' AND `file` = 'portal/page-contact' [ RunTime:0.036982s ]
    43. [ SQL ] SELECT * FROM `zitu_theme_file` WHERE `theme` = 'simpleboot3' AND `file` = 'portal/page' LIMIT 1 [ RunTime:0.000593s ]
    44. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_theme_file', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 18, 'extra' => 'Using where', ) ]
    45. [ SQL ] UPDATE `zitu_theme_file` SET `theme` = 'simpleboot3' , `action` = 'portal/Page/index' , `file` = 'portal/page' , `name` = 'page页面' , `more` = '[]' , `config_more` = '[]' , `description` = '单页面模板文件' , `is_public` = 0 , `list_order` = 10 WHERE `theme` = 'simpleboot3' AND `file` = 'portal/page' [ RunTime:0.038366s ]
    46. [ SQL ] SELECT * FROM `zitu_theme_file` WHERE `theme` = 'simpleboot3' AND `file` = 'portal/search' LIMIT 1 [ RunTime:0.000472s ]
    47. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_theme_file', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 18, 'extra' => 'Using where', ) ]
    48. [ SQL ] UPDATE `zitu_theme_file` SET `theme` = 'simpleboot3' , `action` = 'portal/Search/index' , `file` = 'portal/search' , `name` = '搜索页面' , `more` = '[]' , `config_more` = '[]' , `description` = '搜索模板文件' , `is_public` = 0 , `list_order` = 10 WHERE `theme` = 'simpleboot3' AND `file` = 'portal/search' [ RunTime:0.034505s ]
    49. [ SQL ] SELECT * FROM `zitu_theme_file` WHERE `theme` = 'simpleboot3' AND `file` = 'public/config' LIMIT 1 [ RunTime:0.000527s ]
    50. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_theme_file', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 18, 'extra' => 'Using where', ) ]
    51. [ SQL ] UPDATE `zitu_theme_file` SET `theme` = 'simpleboot3' , `action` = 'public/Config' , `file` = 'public/config' , `name` = '模板全局配置' , `more` = '{\"vars\":{\"enable_mobile\":{\"title\":\"\\u624b\\u673a\\u6ce8\\u518c\",\"value\":1,\"type\":\"select\",\"options\":{\"1\":\"\\u5f00\\u542f\",\"0\":\"\\u5173\\u95ed\"},\"tip\":\"\"}}}' , `config_more` = '{\"vars\":{\"enable_mobile\":{\"title\":\"\\u624b\\u673a\\u6ce8\\u518c\",\"value\":1,\"type\":\"select\",\"options\":{\"1\":\"\\u5f00\\u542f\",\"0\":\"\\u5173\\u95ed\"},\"tip\":\"\"}}}' , `description` = '模板全局配置文件' , `is_public` = 1 , `list_order` = 0 WHERE `theme` = 'simpleboot3' AND `file` = 'public/config' [ RunTime:0.039040s ]
    52. [ SQL ] SELECT * FROM `zitu_theme_file` WHERE `theme` = 'simpleboot3' AND `file` = 'public/nav' LIMIT 1 [ RunTime:0.000309s ]
    53. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_theme_file', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 18, 'extra' => 'Using where', ) ]
    54. [ SQL ] UPDATE `zitu_theme_file` SET `theme` = 'simpleboot3' , `action` = 'public/Nav' , `file` = 'public/nav' , `name` = '导航条' , `more` = '{\"vars\":{\"company_name\":{\"title\":\"\\u516c\\u53f8\\u540d\\u79f0\",\"name\":\"company_name\",\"value\":\"ThinkCMF\",\"type\":\"text\",\"tip\":\"\",\"rule\":[]}}}' , `config_more` = '{\"vars\":{\"company_name\":{\"title\":\"\\u516c\\u53f8\\u540d\\u79f0\",\"name\":\"company_name\",\"value\":\"ThinkCMF\",\"type\":\"text\",\"tip\":\"\",\"rule\":[]}}}' , `description` = '导航条模板文件' , `is_public` = 1 , `list_order` = 1 WHERE `theme` = 'simpleboot3' AND `file` = 'public/nav' [ RunTime:0.051378s ]
    55. [ SQL ] SELECT * FROM `zitu_theme_file` WHERE `theme` = 'simpleboot3' [ RunTime:0.000424s ]
    56. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_theme_file', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 18, 'extra' => 'Using where', ) ]
    57. [ SQL ] SHOW COLUMNS FROM `zitu_theme` [ RunTime:0.000980s ]
    58. [ SQL ] UPDATE `zitu_theme` SET `name` = 'simpleboot3' , `version` = '1.0.2' , `demo_url` = 'https://www.zeotrue.com' , `author` = 'zitu' , `lang` = 'zh-cn' , `author_url` = 'https://www.zeotrue.com' , `keywords` = 'PC端模板' , `description` = 'PC端默认模板' WHERE `theme` = 'simpleboot3' [ RunTime:0.017296s ]
    59. [ SQL ] SELECT `more` FROM `zitu_theme_file` WHERE `theme` = 'simpleboot3' AND ( `is_public` = 1 OR `file` = 'portal/article' ) [ RunTime:0.000477s ]
    60. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_theme_file', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 18, 'extra' => 'Using where', ) ]
    61. [ SQL ] SHOW COLUMNS FROM `zitu_portal_tag_post` [ RunTime:0.001085s ]
    62. [ SQL ] SHOW COLUMNS FROM `zitu_portal_tag` [ RunTime:0.000853s ]
    63. [ SQL ] SELECT `zitu_portal_tag`.*,`pivot`.`id` AS `pivot__id`,`pivot`.`tag_id` AS `pivot__tag_id`,`pivot`.`post_id` AS `pivot__post_id`,`pivot`.`status` AS `pivot__status` FROM `zitu_portal_tag` INNER JOIN `zitu_portal_tag_post` `pivot` ON `pivot`.`tag_id`=`zitu_portal_tag`.`id` WHERE `pivot`.`post_id` = 191 [ RunTime:0.000455s ]
    64. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'pivot', 'type' => 'ref', 'possible_keys' => 'post_id,tag_id,post_id_2,tag_id_2,post_id_3', 'key' => 'post_id', 'key_len' => '8', 'ref' => 'const', 'rows' => 9, 'extra' => '', ) ]
    65. [ SQL ] SHOW COLUMNS FROM `zitu_nav_menu` [ RunTime:0.001221s ]
    66. [ SQL ] SELECT * FROM `zitu_nav_menu` WHERE `nav_id` = 1 AND `status` = 1 ORDER BY `list_order` ASC [ RunTime:0.000405s ]
    67. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_nav_menu', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 29, 'extra' => 'Using where; Using filesort', ) ]
    68. [ SQL ] SHOW COLUMNS FROM `zitu_user` [ RunTime:0.001375s ]
    69. [ SQL ] SELECT * FROM `zitu_user` WHERE `id` = 2102 LIMIT 1 [ RunTime:0.000317s ]
    70. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_user', 'type' => 'const', 'possible_keys' => 'PRIMARY', 'key' => 'PRIMARY', 'key_len' => '8', 'ref' => 'const', 'rows' => 1, 'extra' => '', ) ]
    71. [ SQL ] SHOW COLUMNS FROM `zitu_option` [ RunTime:0.001730s ]
    72. [ SQL ] SELECT `option_value` FROM `zitu_option` WHERE `option_name` = 'storage' LIMIT 1 [ RunTime:0.004556s ]
    73. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => NULL, 'type' => NULL, 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => NULL, 'extra' => 'Impossible WHERE noticed after reading const tables', ) ]
    74. [ SQL ] SELECT `config` FROM `zitu_plugin` WHERE `name` = 'Comment' LIMIT 1 [ RunTime:0.000531s ]
    75. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_plugin', 'type' => 'ALL', 'possible_keys' => NULL, 'key' => NULL, 'key_len' => NULL, 'ref' => NULL, 'rows' => 3, 'extra' => 'Using where', ) ]
    76. [ SQL ] SHOW COLUMNS FROM `zitu_comment` [ RunTime:0.000992s ]
    77. [ SQL ] SELECT COUNT(*) AS tp_count FROM `zitu_comment` WHERE `object_id` = 191 AND `status` = 1 AND `delete_time` = 0 [ RunTime:0.000408s ]
    78. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_comment', 'type' => 'ref', 'possible_keys' => 'object_id,status', 'key' => 'object_id', 'key_len' => '4', 'ref' => 'const', 'rows' => 1, 'extra' => 'Using where', ) ]
    79. [ SQL ] SELECT * FROM `zitu_comment` WHERE `object_id` = 191 AND `status` = 1 AND `delete_time` = 0 ORDER BY `id` DESC LIMIT 0,15 [ RunTime:0.000380s ]
    80. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'zitu_comment', 'type' => 'ref', 'possible_keys' => 'object_id,status', 'key' => 'object_id', 'key_len' => '4', 'ref' => 'const', 'rows' => 1, 'extra' => 'Using where', ) ]
    81. [ SQL ] SELECT `post`.* FROM `zitu_portal_post` `post` INNER JOIN `zitu_portal_category_post` `category_post0` ON `post`.`id`=category_post0.post_id AND category_post0.category_id = 1 WHERE `post`.`post_status` = 1 AND `post`.`post_type` = 1 AND `post`.`delete_time` = 0 AND `is_open` = 1 AND ( `post`.`published_time` > 0 AND `post`.`published_time` < 1750885452 ) GROUP BY `post`.`id` ORDER BY `post`.`post_hits` DESC LIMIT 10 [ RunTime:0.000589s ]
    82. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'category_post0', 'type' => 'ref', 'possible_keys' => 'term_taxonomy_id,post_id,category_id', 'key' => 'term_taxonomy_id', 'key_len' => '8', 'ref' => 'const', 'rows' => 648, 'extra' => 'Using temporary; Using filesort', ) ]
    83. [ SQL ] SELECT `post`.* FROM `zitu_portal_post` `post` WHERE `post`.`post_status` = 1 AND `post`.`post_type` = 1 AND `post`.`delete_time` = 0 AND `is_open` = 1 AND ( `post`.`published_time` > 0 AND `post`.`published_time` < 1750885452 ) GROUP BY `post`.`id` ORDER BY `post`.`post_hits` DESC LIMIT 10 [ RunTime:0.000835s ]
    84. [ EXPLAIN : array ( 'id' => 1, 'select_type' => 'SIMPLE', 'table' => 'post', 'type' => 'ref', 'possible_keys' => 'type_status_date', 'key' => 'type_status_date', 'key_len' => '2', 'ref' => 'const,const', 'rows' => 912, 'extra' => 'Using where; Using filesort', ) ]
    0.595965s