期刊文献+

飞行学员医学选拔中肾下垂的检查方法比较及影响因素探究 预览

A comparative study on the results of renal palpation and ultrasound in detecting nephroptosis during medical selection of flying cadets
在线阅读 下载PDF
收藏 分享 导出
摘要 目的 对比触诊和B超在肾下垂程度判定中的一致性及其影响因素,为我军飞行学员医学选拔中肾下垂检查手段的改进提供参考依据。方法 序贯入选我军某地飞行学员医学选拔中肋下触及肾脏的106例学员,依据触诊肾下垂程度不同分为5个亚组,同时行卧立位B超检查测量肾脏活动度,分析触诊和B超检查在判定肾下垂程度时的相关性。结果 对触诊肾下垂各亚组的肾脏活动度进行比较,差异有统计学意义(P<0.01),且随着肋下触及肾脏大小的增加,B超所示肾脏活动度呈增大的趋势。肋下触及肾脏大小和肾脏活动度呈现正相关(r=0.448,P<0.01)。肾脏活动度与收缩压、舒张压、心率、体质量指数、握力、胸围等测量指标无明显相关性。结论 对肋下触及肾脏到达一定程度或腹肌坚硬、肾脏触摸不清的学员,应当结合卧立位B超检查进一步明确肾下垂程度,并结合病史,综合判定体检结果,以实现精准招飞。 Objective To compare the results of renal palpation and ultrasound in detecting nephroptosis in order to provide reference for improving medical approaches to the selection of flying cadets. Methods One hundred and six military pilot applicants whose kidneys were palpable below the costal arch were recruited sequentially and further divided into five subsets according to the degree of nephroptosis. The extent to which a kidney descended during a position change from the supine to upright was recorded by ultrasound. The association between the degrees of nephroptosis detected by palpation and by ultrasound was analyzed. Results One-way ANOVA revealed that the extent to which kidneys descended during the position change detected by ultrasound in the five subsets was significantly different (P<0.01), and there was a moderately positive correlation between the results of palpation and those of ultrasound (r=0.448,P<0.01). However, the degree of nephroptosis detected by ultrasound had no correlations with blood pressure, heart rate, body mass index, grip strength or chest circumference. Conclusion The result of renal palpation upright is moderately consistent with that of ultrasound in detecting nephroptosis.
作者 朱迪 杨彩哲 邹志康 赵国政 肖年军 刘淑萍 奇铁男 孙丹 田锐 ZHU Di;YANGCaizhe;ZOU Zhikang;ZHAO Guozheng;XIAO Nianjun;LIU Shuping;QI Tienan;SUN Dan;TIAN Rui(Team of Aviation Medical Selection, Air Force General Hospital, Beijing 100142, China)
出处 《空军医学杂志》 2019年第1期1-3,共3页 Journal of General Hospital of Air Force,PLA
基金 全军后勤科研重大项目(AKJ15J003).
关键词 肾下垂 触诊 对比研究 飞行学员 医学选拔 nephroptosis palpation comparative study flying cadets medical selection
  • 相关文献

参考文献4

二级参考文献31

  • 1骆军容,霍润辉,赵雯.健康体检者1805名腹部超声检查结果分析[J].第四军医大学学报,2005,26(11):1021-1021. 被引量:6
  • 2曹志英.1200名海军飞行员腹部B超检查结果分析[J].临床军医杂志,2006,34(1):84-85. 被引量:18
  • 3陆再英,钟南山.内科学[M].7版.北京:人民卫生出版社,2008:775. 被引量:3034
  • 4Palevsky PM. Acute Rental Failure[J]. Neph SAP, 2004, 3: 245 -247. 被引量:1
  • 5Brady HR, Clarkson MR, Lieberthal W. Acute Renal Failure. The kidney[M]. 7 th ed. Philadelphia: Saunders, 2004:1 215-1 292. 被引量:1
  • 6Rule AD, Berqstralh EJ, Slezak JM, et al. Glomerular filtration rate estimated by cystatin C among different clinieal presentations[J]. Kidney Int, 2006, 69 (2) .. 399-405. 被引量:1
  • 7Jovanovic D, Kpstivojeviep, Obradovie I, et al. Serum cystatin C and 12-microglobulinasmarkers of glonerular filtration rate [J]. Renal Failure, 2003, 25 (1) : 123-133. 被引量:1
  • 8Schroeder F, Jolly CA, Cho TH, et al. Fatty acid binding protein isoforms., structure and function[J]. Chen Plays Lipids, 1998, 92 (1) : 1-25. 被引量:1
  • 9Parr SK, Clark AJ, Bian A, et al. Urinary L-FABP predicts poor outcomes in critically ill patients with early acute kidney injury[J]. Kidney Int, 2015, 87 (3) .. 640-648. 被引量:1
  • 10Naylor HM, Newcomer ME. The structure of human retinol- binding protein (RBP) with its carrier protein transthyretin reveals an interaction with the carboxy terminus of RBP[J]. Biochemistry, 1999, 38 (9) : 2 647-2 653. 被引量:1

共引文献9

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈