当前位置：首页>PPT>护理查房:胰岛素规范化注射技术【PPT】

护理查房:胰岛素规范化注射技术【PPT】

  • 2026-07-16 12:41:48
护理查房:胰岛素规范化注射技术【PPT】
胰岛素规范化注射_SOP_3.0
复制上方红字到“医护资料平台”搜索下载
读完这份胰岛素规范化注射技术的护理查房PPT，把核心内容梳理了一下。
评估环节首先要搞清楚三个解剖层次。皮内注射血供丰富，药液极速吸收可能瞬间引爆低血糖。肌肉注射会引发剧烈疼痛，药液吸收缓慢。皮下脂肪层才是精准靶点，确保胰岛素平稳吸收。
脂肪增生是临床常见但容易被忽视的问题。胰岛素有促合成作用，长期在同一部位注射会导致局部脂肪异常增生。早期肉眼看不出来，必须用指腹做深度触诊。如果注入增生区域，血糖会陷入极度无序波动。这是绝对红线，不能用肉眼替代触诊。
针头选择上，4毫米是目前国际指南推荐的金标准，不论胖瘦皮下厚度都足够稳定。4毫米针头能完美穿透真皮层，彻底规避误入肌肉的风险，并且可以免除捏皮动作，直接90度垂直进针。8毫米以上的长针头穿透风险高，已经逐步淘汰。
护理诊断的优先级分四个层次。首优是血糖波动，因胰岛素误入增生区域或肌肉层导致。组织受损是因复用针头导致皮下微观撕裂。高危及危重症是肌肉注射引发药代动力学暴走，可能导致昏迷休克。知识缺乏是患者对悬浮药液摇匀原理认知空白。
注射部位的物理轮换是预防增生的核心防线。将腹部划分为四个象限，按周次严格流转。相邻两次注射点必须相距至少一厘米。腹部作为首选部位，大腿外侧、上臂、臀部可作为备选。
预混胰岛素的摇匀有规范动作。掌心平缓滚动十次，再上下180度颠倒十次，直到药液呈均匀白色乳状。绝对禁止暴力剧烈摇晃，会破坏蛋白结构。
针头复用的问题需要明确，每次更换是硬性纪律。新针头表面有硅胶润滑涂层，使用一次后涂层就会剥落。再次使用时针尖已形成微观倒刺，退针时会像绞肉机一样撕裂组织。同时针管内残留药液结晶会堵塞针道，导致实际注射剂量不足。
每次注射前的排气操作有标准流程。装上新针头后将剂量旋钮拨至2单位，针尖垂直朝上，弹击笔芯驱赶气泡，按压排气直到针尖出现药液水滴。
4毫米针头多数成人不需要捏皮，直接垂直进针即可。只有极度消瘦的患者才需要用拇指食指和中指轻轻捏起皮肤，严禁整手抓起全部组织。
注射后的关键动作是十秒滞留。按完注射键后皮下形成高压药液区，需要时间缓慢渗透扩散。如果立刻拔针，高压药液会顺着针眼反向溢出。笔直滞留皮下整整十秒，等待流体压力平衡，这是保障剂量的红线。
锐器处理方面，针头旋下后直接投入高抗穿刺级别的锐器盒。严禁单手回套针帽或徒手拔针，极短且浸满体液的针头是血源传播的高风险源。
特殊人群需要单独考虑。晚期孕妇腹壁明显变薄，需要改成45度进针或转至大腿注射。老年患者视敏度下降，需要配备带放大镜的刻度装置，同时频繁复查他们自行旋转剂量的准确性。
低血糖处理遵循“15法则”。血糖低于3.9毫摩尔每升时立即口服15克快速碳水，静息等待15分钟后复测，如果仍低于3.9则重复上述流程。
胰岛素泵管理方面，软管滞留超过三天会引发组织粘连和堵塞，必须定期更换。每4小时排查管路，警惕气泡和折叠。管路折叠会彻底切断超短效胰岛素供应，数小时内即可诱发酮症酸中毒。
胰岛素储存有冷链要求。未开启的胰岛素2到8度冷藏，绝对禁止冷冻，冰晶会破坏蛋白结构。已开启的可在室温避光保存，超过28天必须废弃。转运时避免剧烈颠簸，防止蛋白变性产生沉淀。
围手术期血糖管控的目标是锁定在7.8到10.0毫摩尔每升的窄区间。停用口服药，切换为微量精准泵入，每1到2小时做床旁血糖监测。
高危药物的核对比对要求双人执行。两名注册护士核对患者身份、区分药物种类、确认单位与毫升的剂量标识、唱读效期。胰岛素属于极度高危药物，剂量错误直接危及生命。
评价指标从四个维度量化。糖化血红蛋白3个月规范干预后降至7%以下。严重医源性低血糖零发生。目标范围内时间（TIR）提升至70%以上，即血糖在3.9到10.0区间的时间比例。脂肪增生硬结在物理轮换下彻底消退。
凌晨3点的血糖监测是用来区分黎明现象和Somogyi效应的铁证。凌晨3点血糖正常的属于黎明现象，清晨激素飙升导致高血糖，对策是增加睡前胰岛素剂量。凌晨3点出现隐匿低血糖的属于Somogyi效应，身体反弹导致清晨高血糖，对策是减少药量或睡前加餐。
护理记录方面，严禁使用“已打胰岛素、患者血糖高”这类模糊表述。规范记录应包含注射的具体位置（腹部左上象限）、有无增生硬结、针头规格、滞留时间、是否衔接进餐及具体时间。
前沿拓展部分提到闭环人工胰腺系统。实时动态血糖监测每5分钟感知一次血糖，AI算法可提前30分钟预测低血糖趋势并自动中断泵入，实现24小时平稳控糖，大幅减少人工注射的盲区。
出院宣教要求家属常备葡萄糖片和“15法则”操作卡。锐器必须放入专用黄色锐器盒。胰岛素存放于冷藏室中央层，严禁放冷冻室或冰箱门位置。
胰岛素注射看起来是日常操作，但脂肪增生的触诊排查、4毫米针头的垂直进针、注射后的十秒滞留、部位的严格轮换、针头的绝不复用、高危药物的双人核对，每一条都经不起打折扣。把这些细节跑通，患者血糖的平稳是自然结果。
此PPT共30页。
本文来自网友投稿或网络内容，如有侵犯您的权益请联系我们删除，联系邮箱：wyl860211@qq.com 。

腾讯放了个大招:混元3免费帮你做PPT,普通人的AI红利又来了

【ppt+发言稿】人际关系心理主题班会:一棵树的成长

最新文章

随机文章

基本 文件 流程 错误 SQL 调试
  1. 请求信息 : 2026-07-19 00:39:52 HTTP/2.0 GET : https://h.sjds.net/a/541699.html
  2. 运行时间 : 0.174629s [ 吞吐率：5.73req/s ] 内存消耗：4,350.79kb 文件加载：140
  3. 缓存信息 : 0 reads,0 writes
  4. 会话信息 : SESSION_ID=b1e564e866c4c8da4dd7bd5bbaf2eff5
  1. /yingpanguazai/ssd/ssd1/www/h.sjds.net/public/index.php ( 0.79 KB )
  2. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/autoload.php ( 0.17 KB )
  3. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/composer/autoload_real.php ( 2.49 KB )
  4. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/composer/platform_check.php ( 0.90 KB )
  5. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/composer/ClassLoader.php ( 14.03 KB )
  6. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/composer/autoload_static.php ( 4.90 KB )
  7. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-helper/src/helper.php ( 8.34 KB )
  8. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-validate/src/helper.php ( 2.19 KB )
  9. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/helper.php ( 1.47 KB )
  10. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/stubs/load_stubs.php ( 0.16 KB )
  11. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Exception.php ( 1.69 KB )
  12. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-container/src/Facade.php ( 2.71 KB )
  13. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/symfony/deprecation-contracts/function.php ( 0.99 KB )
  14. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/symfony/polyfill-mbstring/bootstrap.php ( 8.26 KB )
  15. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/symfony/polyfill-mbstring/bootstrap80.php ( 9.78 KB )
  16. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/symfony/var-dumper/Resources/functions/dump.php ( 1.49 KB )
  17. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-dumper/src/helper.php ( 0.18 KB )
  18. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/symfony/var-dumper/VarDumper.php ( 4.30 KB )
  19. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/App.php ( 15.30 KB )
  20. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-container/src/Container.php ( 15.76 KB )
  21. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/psr/container/src/ContainerInterface.php ( 1.02 KB )
  22. /yingpanguazai/ssd/ssd1/www/h.sjds.net/app/provider.php ( 0.19 KB )
  23. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Http.php ( 6.04 KB )
  24. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-helper/src/helper/Str.php ( 7.29 KB )
  25. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Env.php ( 4.68 KB )
  26. /yingpanguazai/ssd/ssd1/www/h.sjds.net/app/common.php ( 0.03 KB )
  27. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/helper.php ( 18.78 KB )
  28. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Config.php ( 5.54 KB )
  29. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/app.php ( 0.95 KB )
  30. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/cache.php ( 0.78 KB )
  31. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/console.php ( 0.23 KB )
  32. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/cookie.php ( 0.56 KB )
  33. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/database.php ( 2.48 KB )
  34. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/facade/Env.php ( 1.67 KB )
  35. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/filesystem.php ( 0.61 KB )
  36. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/lang.php ( 0.91 KB )
  37. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/log.php ( 1.35 KB )
  38. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/middleware.php ( 0.19 KB )
  39. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/route.php ( 1.89 KB )
  40. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/session.php ( 0.57 KB )
  41. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/trace.php ( 0.34 KB )
  42. /yingpanguazai/ssd/ssd1/www/h.sjds.net/config/view.php ( 0.82 KB )
  43. /yingpanguazai/ssd/ssd1/www/h.sjds.net/app/event.php ( 0.25 KB )
  44. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Event.php ( 7.67 KB )
  45. /yingpanguazai/ssd/ssd1/www/h.sjds.net/app/service.php ( 0.13 KB )
  46. /yingpanguazai/ssd/ssd1/www/h.sjds.net/app/AppService.php ( 0.26 KB )
  47. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Service.php ( 1.64 KB )
  48. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Lang.php ( 7.35 KB )
  49. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/lang/zh-cn.php ( 13.70 KB )
  50. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/initializer/Error.php ( 3.31 KB )
  51. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/initializer/RegisterService.php ( 1.33 KB )
  52. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/services.php ( 0.14 KB )
  53. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/service/PaginatorService.php ( 1.52 KB )
  54. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/service/ValidateService.php ( 0.99 KB )
  55. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/service/ModelService.php ( 2.04 KB )
  56. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-trace/src/Service.php ( 0.77 KB )
  57. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Middleware.php ( 6.72 KB )
  58. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/initializer/BootService.php ( 0.77 KB )
  59. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/Paginator.php ( 11.86 KB )
  60. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-validate/src/Validate.php ( 63.20 KB )
  61. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/Model.php ( 23.55 KB )
  62. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/model/concern/Attribute.php ( 21.05 KB )
  63. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/model/concern/AutoWriteData.php ( 4.21 KB )
  64. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/model/concern/Conversion.php ( 6.44 KB )
  65. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/model/concern/DbConnect.php ( 5.16 KB )
  66. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/model/concern/ModelEvent.php ( 2.33 KB )
  67. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/model/concern/RelationShip.php ( 28.29 KB )
  68. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-helper/src/contract/Arrayable.php ( 0.09 KB )
  69. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-helper/src/contract/Jsonable.php ( 0.13 KB )
  70. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/model/contract/Modelable.php ( 0.09 KB )
  71. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Db.php ( 2.88 KB )
  72. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/DbManager.php ( 8.52 KB )
  73. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Log.php ( 6.28 KB )
  74. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Manager.php ( 3.92 KB )
  75. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/psr/log/src/LoggerTrait.php ( 2.69 KB )
  76. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/psr/log/src/LoggerInterface.php ( 2.71 KB )
  77. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Cache.php ( 4.92 KB )
  78. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/psr/simple-cache/src/CacheInterface.php ( 4.71 KB )
  79. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-helper/src/helper/Arr.php ( 16.63 KB )
  80. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/cache/driver/File.php ( 7.84 KB )
  81. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/cache/Driver.php ( 9.03 KB )
  82. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/contract/CacheHandlerInterface.php ( 1.99 KB )
  83. /yingpanguazai/ssd/ssd1/www/h.sjds.net/app/Request.php ( 0.09 KB )
  84. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Request.php ( 55.78 KB )
  85. /yingpanguazai/ssd/ssd1/www/h.sjds.net/app/middleware.php ( 0.25 KB )
  86. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Pipeline.php ( 2.61 KB )
  87. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-trace/src/TraceDebug.php ( 3.40 KB )
  88. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/middleware/SessionInit.php ( 1.94 KB )
  89. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Session.php ( 1.80 KB )
  90. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/session/driver/File.php ( 6.27 KB )
  91. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/contract/SessionHandlerInterface.php ( 0.87 KB )
  92. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/session/Store.php ( 7.12 KB )
  93. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Route.php ( 23.73 KB )
  94. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/route/RuleName.php ( 5.75 KB )
  95. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/route/Domain.php ( 2.53 KB )
  96. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/route/RuleGroup.php ( 22.43 KB )
  97. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/route/Rule.php ( 26.95 KB )
  98. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/route/RuleItem.php ( 9.78 KB )
  99. /yingpanguazai/ssd/ssd1/www/h.sjds.net/route/app.php ( 1.72 KB )
  100. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/facade/Route.php ( 4.70 KB )
  101. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/route/dispatch/Controller.php ( 4.74 KB )
  102. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/route/Dispatch.php ( 10.44 KB )
  103. /yingpanguazai/ssd/ssd1/www/h.sjds.net/app/controller/Index.php ( 4.81 KB )
  104. /yingpanguazai/ssd/ssd1/www/h.sjds.net/app/BaseController.php ( 2.05 KB )
  105. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/facade/Db.php ( 0.93 KB )
  106. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/connector/Mysql.php ( 5.44 KB )
  107. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/PDOConnection.php ( 52.47 KB )
  108. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/Connection.php ( 8.39 KB )
  109. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/ConnectionInterface.php ( 4.57 KB )
  110. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/builder/Mysql.php ( 16.58 KB )
  111. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/Builder.php ( 24.06 KB )
  112. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/BaseBuilder.php ( 27.50 KB )
  113. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/Query.php ( 15.71 KB )
  114. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/BaseQuery.php ( 45.13 KB )
  115. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/concern/TimeFieldQuery.php ( 7.43 KB )
  116. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/concern/AggregateQuery.php ( 3.26 KB )
  117. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/concern/ModelRelationQuery.php ( 20.07 KB )
  118. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/concern/ParamsBind.php ( 3.66 KB )
  119. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/concern/ResultOperation.php ( 7.01 KB )
  120. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/concern/WhereQuery.php ( 19.37 KB )
  121. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/concern/JoinAndViewQuery.php ( 7.11 KB )
  122. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/concern/TableFieldInfo.php ( 2.63 KB )
  123. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-orm/src/db/concern/Transaction.php ( 2.77 KB )
  124. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/log/driver/File.php ( 5.96 KB )
  125. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/contract/LogHandlerInterface.php ( 0.86 KB )
  126. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/log/Channel.php ( 3.89 KB )
  127. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/event/LogRecord.php ( 1.02 KB )
  128. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-helper/src/Collection.php ( 16.47 KB )
  129. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/facade/View.php ( 1.70 KB )
  130. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/View.php ( 4.39 KB )
  131. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Response.php ( 8.81 KB )
  132. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/response/View.php ( 3.29 KB )
  133. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/Cookie.php ( 6.06 KB )
  134. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-view/src/Think.php ( 8.38 KB )
  135. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/framework/src/think/contract/TemplateHandlerInterface.php ( 1.60 KB )
  136. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-template/src/Template.php ( 46.61 KB )
  137. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-template/src/template/driver/File.php ( 2.41 KB )
  138. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-template/src/template/contract/DriverInterface.php ( 0.86 KB )
  139. /yingpanguazai/ssd/ssd1/www/h.sjds.net/runtime/temp/ad153693ed39fba6d1bda2fe72512cde.php ( 12.06 KB )
  140. /yingpanguazai/ssd/ssd1/www/h.sjds.net/vendor/topthink/think-trace/src/Html.php ( 4.42 KB )
  1. CONNECT:[ UseTime:0.000654s ] mysql:host=127.0.0.1;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000734s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.032377s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.003930s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000736s ]
  6. SELECT * FROM `set` [ RunTime:0.006692s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000640s ]
  8. SELECT * FROM `article` WHERE `id` = 541699 LIMIT 1 [ RunTime:0.002042s ]
  9. UPDATE `article` SET `lasttime` = 1784392792 WHERE `id` = 541699 [ RunTime:0.033702s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.000576s ]
  11. SELECT * FROM `article` WHERE `id` < 541699 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.008887s ]
  12. SELECT * FROM `article` WHERE `id` > 541699 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000972s ]
  13. SELECT * FROM `article` WHERE `id` < 541699 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.000798s ]
  14. SELECT * FROM `article` WHERE `id` < 541699 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.000963s ]
  15. SELECT * FROM `article` WHERE `id` < 541699 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.012015s ]
0.176360s