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高龄与中低龄老年短暂性脑缺血发作/轻型卒中临床特点比较 预览
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作者 马玉苹 王峥 +2 位作者 陆小伟 钱云 牛琦 《中国神经免疫学和神经病学杂志》 CAS 北大核心 2019年第5期339-342,共4页
目的 对比高龄及中低龄老年短暂性脑缺血发作(TIA)/轻型卒中患者的临床特点及预后。方法 收集2009年4月至2016年12月在江苏省人民医院老年神经科收治的老年TIA/轻型卒中患者232例,其中高龄(≥80岁以上)患者103例,中低龄老年(≥60岁且<... 目的 对比高龄及中低龄老年短暂性脑缺血发作(TIA)/轻型卒中患者的临床特点及预后。方法 收集2009年4月至2016年12月在江苏省人民医院老年神经科收治的老年TIA/轻型卒中患者232例,其中高龄(≥80岁以上)患者103例,中低龄老年(≥60岁且<80岁)患者129例。比较高龄组和中低龄老年组以及预后良好组与预后不良组患者间临床特点差异,采用多因素Logistics回归分析影响高龄与中低龄老年TIA/轻型卒中患者预后的影响因素。结果 与中低龄老年组相比,高龄组的卒中史、冠心病、房颤、痴呆、卒中后肺炎的比例以及预后不良的发生率明显较高(P<0.05)。多因素分析显示,年龄≥80岁是TIA/轻型卒中预后不良的独立危险因素(OR=2.829,P=0.005)。NIHSS评分、卒中后肺炎、冠心病是高龄患者预后不良的独立危险因素(OR=1.607,P=0.007;OR=7.190,P=0.001;OR=3.153,P=0.026),NIHSS评分、卒中后肺炎、神经功能进展是中低龄老年患者预后不良的独立危险因素(OR=2.262,P=0.000;OR=4.341,P=0.023;OR=3.192,P=0.033)。结论 高龄TIA/轻型卒中患者更易合并心脑血管基础病及痴呆,临床预后更差,有部分患者将面临致残的结局。 展开更多
关键词 脑缺血发作 短暂性 卒中 老年 高龄 预后
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Cirrhotic patients and older people 预览
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作者 Paul Carrier Marilyne Debette-Gratien +1 位作者 Jérémie Jacques Véronique Loustaud-Ratti 《世界肝病学杂志:英文版(电子版)》 2019年第9期663-677,共15页
The global population is aging,and so the number of older cirrhotic patients is increasing.Older patients are characterised by a risk of frailty and comorbidities,and age is a risk factor for mortality in cirrhotic pa... The global population is aging,and so the number of older cirrhotic patients is increasing.Older patients are characterised by a risk of frailty and comorbidities,and age is a risk factor for mortality in cirrhotic patients.The incidence of nonalcoholic fatty liver disease as an aetiology of cirrhosis is increasing,while that of chronic viral hepatitis is decreasing.Also,cirrhosis is frequently idiopathic.The management of portal hypertension in older cirrhotic patients is similar to that in younger patients,despite the greater risk of treatment-related adverse events of the former.The prevalence of hepatocellular carcinoma increases with age,but its treatment is unaffected.Liver transplantation is generally recommended for patients<70 years of age.Despite the increasing prevalence of cirrhosis in older people,little data are available and few recommendations have been proposed.This review suggests that comorbidities have a considerable impact on older cirrhotic patients. 展开更多
关键词 LIVER CIRRHOSIS PORTAL hypertension LIVER cancer LIVER transplantation OLD age OLDER ELDERLY
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Design and Simulation of Flow Field for Bone Tissue Engineering Sca old Based on Triply Periodic Minimal Surface
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作者 Zhen Wang Chuanzhen Huang +3 位作者 Jun Wang Peng Wang Shisheng Bi Ch Asad Abbas 《中国机械工程学报:英文版》 SCIE EI CAS CSCD 2019年第2期193-202,共10页
A novel method was proposed to design the structure of a bone tissue engineering scafold based on triply periodic minimal surface.In this method,reverse engineering software was used to reconstruct the surface from po... A novel method was proposed to design the structure of a bone tissue engineering scafold based on triply periodic minimal surface.In this method,reverse engineering software was used to reconstruct the surface from point cloud data.This method overcomes the limitations of commercially available software packages that prevent them from generating models with complex surfaces used for bone tissue engineering scafolds.Additionally,the fluid feld of the scafolds was simulated through a numerical method based on fnite volume and the cell proliferation performance was evaluated via an in vitro experiment.The cell proliferation and the mass flow evaluated in a bioreactor further verifed the flow feld simulated using computational fluid dynamics.The result of this study illustrates that the pressure value drops rapidly from 0.103 Pa to 0.011 Pa in the y-axis direction and the mass flow is unevenly distributed in the outlets.The mass flow in the side outlets is observed to be approximately 24.3 times higher thanthe bottom.Importantly,although the mean value of wall shear stress is signifcantly more than 0.05 Pa,there is stil a large area with a suitable shear stress below 0.05 Pa where most cells can proliferate well.The result shows that th inlet velocity 0.0075 m/s is suitable for cell proliferation in the scafold.This study provides an insight into the design analysis,and in vitro experiment of a bone tissue engineering scafold. 展开更多
关键词 Bone tissue ENGINEERING POROUS SCA OLD Flow field REVERSE ENGINEERING Cell proliferation
从社会语言学视角浅析东北方言称谓语中“老”字 预览
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作者 蔡悦 《白城师范学院学报》 2019年第7期22-25,共4页
东北方言虽然与普通话有许多相似之处,但由于社会、地理、历史等因素的不同,二者所蕴含的文化内涵始终不同,对于称谓语来说更是如此。在东北方言中,“老+称谓语”的表达方式在实际使用中与其在普通话中的语义有所不同,且不见于其他地区... 东北方言虽然与普通话有许多相似之处,但由于社会、地理、历史等因素的不同,二者所蕴含的文化内涵始终不同,对于称谓语来说更是如此。在东北方言中,“老+称谓语”的表达方式在实际使用中与其在普通话中的语义有所不同,且不见于其他地区亲属称谓中,这种独特的称谓方式与东北方言独特的文化内涵大有联系。 展开更多
关键词 东北方言 称谓语 “老” 文化内涵
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Relationship between different healing degree and C peptide in elderly patients with diabetic foot ulcers
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作者 Lin Qu Ya-Li Zhou +1 位作者 Teng Zhou Yan-Hu Dong 《海南医科大学学报(英文版)》 2019年第4期50-55,共6页
Objective:To explore the relationship between different healing degree and C peptide in elderly patients with diabetic foot ulcers.Methods:Totally, two hundred and forty-one DFU patients were selected into our researc... Objective:To explore the relationship between different healing degree and C peptide in elderly patients with diabetic foot ulcers.Methods:Totally, two hundred and forty-one DFU patients were selected into our research from September 2nd, 2011 to September 2nd, 2012. After admission, the patients' sex, age, the course of diabetes, the days of hospitalization, and BMI were recorded. After examination, blood routine and blood biochemistry, urine routine, hepatorenal work were recorded. Follow up 5 years, patients with unhealed ulcers were selected into bad prognosis group during follow-up, and patients with ulcerative healing into good prognosis group. Single factor analysis showed factors affecting the healing of DFU patients;Cox proportional risk model was further evaluated the effect of all factors with statistical significance on the healing of DFU patients. Using the ROC curve to analyze the statistically significant factors and to calculate the area under the curve to evaluate the predictive ability of the healing of the patients with DFU.Results: At the end of the follow-up, 6 patients were lost, 177 had the end point, and the healing rate was 73.44%. Single factor and multifactor analysis showed that the course of diabetes and HbA1C were independent risk factors affecting the prognosis. FCP was an independent protective factor affecting the prognosis. In ROC, the AUC of diabetes course was 0.754 under the ROC curve. The AUC of HbA1C under the line is 0.791, while the AUC of FCP level is 0.581 under the ROC curve.Conclusion: Low FCP is an independent risk factor for DFU healing, but FCP has little predictive effect on patient healing. 展开更多
关键词 DIABETIC FOOT C PEPTIDE OLD age HEALING
Effect of Bushen Hemai decoction on vascular stiffness in elderly patients with isolated systolic hypertension
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作者 Chun-Zhi Yue 《海南医科大学学报(英文版)》 2019年第3期36-39,共4页
Objective: To investigate the effect of Bushen Hemai decoction on the wall stiffness of middle-aged and elderly patients with simple systolic hypertension. Methods: The 126 middle-aged and elderly patients with simple... Objective: To investigate the effect of Bushen Hemai decoction on the wall stiffness of middle-aged and elderly patients with simple systolic hypertension. Methods: The 126 middle-aged and elderly patients with simple systolic hypertension admitted to our hospital from May 2010 to May 2015 were randomly divided into control group (63 cases) and observation group (63 cases). The control group was treated with conventional Western medicine, while the observation group was treated with Bushen Hemai decoction on the basis of the control group. The two groups were treated for 4 weeks. Results: The systolic blood pressure of the two groups decreased after treatment (observation group: T=16.165, control group: T=13.537, P<0.05);the systolic blood pressure of the two groups did not change significantly after treatment (observation group: T=1.857, control group: T=0.483, P>0.05);the systolic blood pressure of the observation group was lower than that of the control group after treatment (T=16.165, P<0.05). After treatment, the level of ST segment of ECG in the two groups was lower than that before treatment (observation group: T=22.145, control group: T=11.007, P<0.05);after treatment, the level of ST segment of ECG in the observation group was lower than that in the control group (T=8.130, P<0.05). After treatment, the pulse conduction velocity of the two groups was lower than that of the control group (observation group:T=8.694, control group: T=3.944, P<0.05);after treatment, the pulse conduction velocity of the observation group was lower than that of the control group (T=5.326, P<0.05). The total effective rate of the observation group (93.65%) was higher than that of the control group (76.19%) (P<0.05). Conclusion: Bushen Hemai Decoction has a significant clinical effect on middle-aged and elderly patients with simple systolic hypertension, and can improve the stiffness of the tube wall, which is worthy of clinical reference. 展开更多
关键词 Bushen Hemai DECOCTION Isolated SYSTOLIC HYPERTENSION in MIDDLE and OLD age Wall STIFFNESS
电子垃圾:分类和回收不容忽视
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作者 金英果 《中国标准化:英文版》 2019年第5期60-64,共5页
How many electronics and electrical devices do you use daily? Cell phone, computer, TV, earphone, smartwatch, electronic toothbrush, relYigerator, washing machine, water heater, E-「eader, just to name a few. They'... How many electronics and electrical devices do you use daily? Cell phone, computer, TV, earphone, smartwatch, electronic toothbrush, relYigerator, washing machine, water heater, E-「eader, just to name a few. They've played a big rote in our Lives, sometimes a Life changer (cochlear implants, etc. for people with disabilities). New e-devices constantly emerge with the advance of technology, replacing the old ones, either broken 〇「stUL weU-functioning. Do you ever think of what happens to them after being dumped? 展开更多
关键词 电子垃圾 DEVICES CHANGER 回收 分类 after OUR OLD
Practice and understanding of sidetracking horizontal drilling in old wells in Sulige Gas Field, NW China 预览
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作者 ZHANG Jinwu WANG Guoyong +1 位作者 HE Kai YE Chenglin 《石油勘探与开发:英文版》 2019年第2期384-392,共9页
To seek effective ways of lowering development cost and tapping inter-well remaining reserves, sidetracking horizontal wells from old wells in Su10 and Su53 Block were conducted. The engineering and geological problem... To seek effective ways of lowering development cost and tapping inter-well remaining reserves, sidetracking horizontal wells from old wells in Su10 and Su53 Block were conducted. The engineering and geological problems such as leakage, collapse and sticking in slim-hole sidetracking, and difficult evaluation of remaining gas were gradually overcome, and a set of drilling and completion technology, well deployment optimization technology and geo-steering technology suitable for sidetracking horizontal wells in tight sandstone gas reservoirs have been worked out. By making full use of the old well, sidetracking horizontal wells can greatly reduce development costs, enhance the producing degree of inter-well remaining reserves, and get production 3-5 times of that of adjacent vertical wells.Its production effect is influenced by encountered sandstone length, the position of the horizontal segment in the reservoir, produced effective reservoir thickness, gas saturation, controlled reserves and fracturing effect, etc. Up to now, in Block Su10 and Su53, 12 sidetracking horizontal wells have been drilled, which have an average drilling cycle of 49 days, average horizontal section length of 689 m,average effective drilling ratio of 61.5%, average well-head pressure of 16.2 MPa, and daily output of 4.7×10~4 m~3 at the initial stage after production. By the end of 2017, the average yield increment was more than 1 000×10~4 m~3 with good effect. With the increase of low yield old wells, wells in the enrichment regions tend to be saturated and the rest gas-bearing areas are lower in grade, therefore, sidetracking horizontal well can be used for optimization of well pattern, well deployment mode and exploitation of remaining oil areas. 展开更多
关键词 SULIGE Gas Field sidetracking horizontal WELL TIGHT SANDSTONE old WELL STIMULATION RESERVES producing
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玖龙纸业全资子公司ND Paper庆祝缅因州Old Town纸浆厂正式开业
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《造纸科学与技术》 2019年第4期81-82,共2页
美国缅因州时间8月13日,玖龙纸业全资子公司ND Paper在一年前收购的Old Town浆厂举行了一场仅限邀请者参加的开工仪式,标志着这家停产已近四年的工厂重新开工。2018年10月19日,ND Paper从CVG的子公司OTM Holdings LLC手中收购了当时闲置... 美国缅因州时间8月13日,玖龙纸业全资子公司ND Paper在一年前收购的Old Town浆厂举行了一场仅限邀请者参加的开工仪式,标志着这家停产已近四年的工厂重新开工。2018年10月19日,ND Paper从CVG的子公司OTM Holdings LLC手中收购了当时闲置的Old Town工厂。交易完成后ND Paper立即着手工厂的重启工作,该工厂有130名全职员工,每年可生产约15万吨未漂白软木牛皮纸浆(UKP)。 展开更多
关键词 玖龙纸业 全资子公司 Old TOWN ND PAPER 缅因州 纸浆厂
青年和老年肺结核临床特征及肺结核影像学对比 预览
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作者 陈桦 《中国继续医学教育》 2019年第10期126-128,共3页
目的对比分析青年和老年肺结核的临床特征及肺结核影像学特点。方法选择2007年8月-2011年8月医院门诊就诊的248例肺结核患者,对其临床资料进行回顾性分析,按照年龄分为青年组(120例)和老年组(128例),对比两组患者的临床特征、影像学表... 目的对比分析青年和老年肺结核的临床特征及肺结核影像学特点。方法选择2007年8月-2011年8月医院门诊就诊的248例肺结核患者,对其临床资料进行回顾性分析,按照年龄分为青年组(120例)和老年组(128例),对比两组患者的临床特征、影像学表现、病变部位及范围、合并症并发症情况。结果老年组的咳血、胸闷、厌食的发生率及合并症并发症发生率高于青年组(P <0.05),发热的发生率低于青年组(P <0.05),病灶累及右肺下野、左肺下野、多肺野病灶及双肺均受累的发生率高于青年组(P <0.05);老年组影像征象多为结节状阴影、球形或肿块状阴影、空洞、一侧一致性高密度影、胸膜肥阜,而青年组影像学表现相对单一,多为云絮状阴影及胸腔积液,两组差异具有统计学意义(P <0.05)。结论老年肺结核患者的临床表现及影像学表现较青年患者复杂,合并症并发症较多,需提高对其临床及影像学特征的认识,以实现肺结核的早期诊断与治疗。 展开更多
关键词 肺结核 青年 老年 临床特征 影像学 病变部位
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An Approach to Improve Quality of Life and Sustainability in the Centers of Old Cities 预览
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作者 Tarek Abou Ouf Abeer Makram 《土木工程与建筑:英文版》 2019年第7期461-468,共8页
The centers of old cities have a special design with a unique urban fabric to record cultural messages with their current citizens or their visitors from the different regions of the city or from outside. It creates s... The centers of old cities have a special design with a unique urban fabric to record cultural messages with their current citizens or their visitors from the different regions of the city or from outside. It creates spaces that strongly promote social and cultural behavior. Meanwhile, life developments and the stunning technological acceleration along with high population densities have led to many problems for the old cities and their centers, which were not prepared to address these problems. Most of these problems have caused much visual deterioration and economic recession for the centers of old cities, which raise the importance of finding alternative and flexible solutions to prevent damage in urban performance, environmental pollution and lack of requirements that affect the quality of life. The paper aims to present a vision that opens up prospects for subsequent research contributions that may contribute to improving the quality of life, inspired by sustainability and humanization features. The research relies on an inductive analysis method to develop a framework that contributes to the restoration of the old centers for their role, their aesthetic value and their functional importance, while facilitating movement and supporting their valuable architectural features. 展开更多
关键词 The CENTERS of OLD CITIES social behavior quality of life HUMANIZATION SUSTAINABILITY AESTHETIC value
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布基纳法索男子通过健康饮食战胜麻风病 预览
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作者 李嘉菲(注) 《大学英语》 2019年第4期17-19,共3页
Ali, a 53-year-old man, lives with his family in a Saint-Camille Paspanga center for leprosy located on the outskirts of Ouagadougou3, Burkina Faso. The land is flat and bare and the main industries are agriculture an... Ali, a 53-year-old man, lives with his family in a Saint-Camille Paspanga center for leprosy located on the outskirts of Ouagadougou3, Burkina Faso. The land is flat and bare and the main industries are agriculture and animal breeding4. Given5 the terrain6, people in the area face the challenges of bad accessibility7 due to the poor condition of the roads, lack of electricity and difficulty in accessing8 clean water. 展开更多
关键词 OLD MAN his FAMILY CLEAN water
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传统体育健身锻炼对老年人心理状态及睡眠质量的影响研究 预览
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作者 贾宇龙 《商丘职业技术学院学报》 2019年第5期85-88,共4页
目的:分析传统体育健身锻炼对老年人心理状态及睡眠质量的影响.方法:随机抽取社区内100例老年人作为观察对象,将其随机分为2组:其中未实施体育锻炼的50例老年人为对照组,实施传统体育健身锻炼的50例老年人为观察组.对两组老年人的心理... 目的:分析传统体育健身锻炼对老年人心理状态及睡眠质量的影响.方法:随机抽取社区内100例老年人作为观察对象,将其随机分为2组:其中未实施体育锻炼的50例老年人为对照组,实施传统体育健身锻炼的50例老年人为观察组.对两组老年人的心理状态及睡眠质量进行观察.结果:在老年人睡眠质量方面,对照组老年人的睡眠质量总分为6.08±0.14分,观察组老年人的睡眠质量总分为7.26±0.29分,组间对比差异显著(P<0.05);观察组老年人的躯体化评分1.16±0.25分,强迫评分1.32±0.05分,人际敏感评分1.39±0.25分,均显著低于对照组;且其他项目的评分也均显著低于对照组.观察组老年人生理机能评分89.25±1.05分,生理职能评分90.26±1.34分,均显著大于对照组的76.16±2.15分与75.24±2.26分;且其他生活质量指标评分也均显著高于对照组.结论:老年人退休后生活状态的变化以及生理机能的退化,导致其比较容易出现各种心理问题,进而影响到生活质量,适当地参与体育健身锻炼有助于改善老年人睡眠质量及心理状态. 展开更多
关键词 传统体育健身锻炼 老年人 心理状态 睡眠质量
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Old Friends,New Era
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作者 Ma Miaomiao 《北京周报:英文版》 2019年第25期16-19,共4页
President Xi Jinping’s visit to Russia demonstrates the unbreakable bond between the two countries The Kremlin, in the heart of Moscow,welcomed a familiar friend this summer.
关键词 RU OLD Friends New ERA
压垫缝合法结合负压封闭引流技术治疗陈旧性巨大血肿 预览
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作者 布金鹏 《中国继续医学教育》 2019年第27期93-95,共3页
目的探讨压垫缝合法结合负压封闭引流技术治疗陈旧性巨大血肿的治疗效果。方法选择2006年5月—2017年11月期间本院收治的陈旧性皮下巨大血肿患者12例为研究对象,利用压垫缝合法结合负压封闭引流技术进行治疗,术后观察患者病情变化,观察... 目的探讨压垫缝合法结合负压封闭引流技术治疗陈旧性巨大血肿的治疗效果。方法选择2006年5月—2017年11月期间本院收治的陈旧性皮下巨大血肿患者12例为研究对象,利用压垫缝合法结合负压封闭引流技术进行治疗,术后观察患者病情变化,观察伤口是否顺利愈合、有无感染等并发症发生,进行Msjeed评分。结果经过2~35天的治疗,所治疗的12例患者都愈合顺利,经过平均(8.56±2.07)个月的随访,无并发症发生,无血肿复发。治疗满意率达100%。Msjeed评分80~100分,平均评分为(92.73±6.57)分。结论压垫缝合法结合负压封闭引流技术是临床上行之有效的治疗陈旧性巨大血肿的好方法。 展开更多
关键词 压垫 缝合 负压 引流 陈旧性 皮下血肿 手术治疗
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Unit 6 An old man tried to move the mountains Section A(1a—2d)教学设计 预览
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作者 姚利利 王兰英(指导) 《英语教师》 2019年第9期60-64,共5页
一、教学内容本堂课的教学内容为人教版新目标《英语》八年级(下)Unit 6 An old man tried to move the mountains Section A(1a—2a),课型为听说课。Section A的主题是中国民间神话故事,主题图呈现了女娲补天、后羿射日、唐僧师徒四人... 一、教学内容本堂课的教学内容为人教版新目标《英语》八年级(下)Unit 6 An old man tried to move the mountains Section A(1a—2a),课型为听说课。Section A的主题是中国民间神话故事,主题图呈现了女娲补天、后羿射日、唐僧师徒四人西天取经、愚公移山等中国民间四个家喻户晓的民间神话故事。 展开更多
关键词 OLD 教学设计 教学内容 神话故事 人教版 民间 主题图 中国
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瑞舒伐他汀对老年冠心病患者动脉硬化、炎性反应与同型半胱氨酸的影响研究 预览
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作者 何倩 王秀 《中国医药指南》 2019年第14期8-9,共2页
目的探讨瑞舒伐他汀对老年冠心病患者动脉硬化、炎性反应与同型半胱氨酸的影响。方法选取我院(2017年1月至2018年1月)收治的90例冠心病患者,根据不同治疗入院序号分为两组,两组患者均给予控制血糖、血压和低盐低脂饮食、冠心病健康宣教... 目的探讨瑞舒伐他汀对老年冠心病患者动脉硬化、炎性反应与同型半胱氨酸的影响。方法选取我院(2017年1月至2018年1月)收治的90例冠心病患者,根据不同治疗入院序号分为两组,两组患者均给予控制血糖、血压和低盐低脂饮食、冠心病健康宣教以及适量运动等常规治疗,对照组(n=45)给予阿托伐他汀钙片治疗,观察组(n=45)给予瑞舒伐他汀治疗,对比两组患者治疗前后血脂水平和同型半胱氨酸(Hcy)、炎性反应、动脉硬化程度和不良事件发生率。结果两组患者HDL-C、LDL-C、TG、TC水平对比差异明显,具有统计学意义(P<0.05)。两组患者Hcy、TNF-α、hs-CRP水平对比差异明显,具有统计学意义(P<0.05)。两组患者FMD、IMT对比差异明显,具有统计学意义(P<0.05)。两组患者心血管不良事件发生率对比差异不明显,无统计学意义(P>0.05)。结论瑞舒伐他汀对老年冠心病患者不仅有较好的治疗效果,还具有较高的安全性。 展开更多
关键词 瑞舒伐他汀 老年 冠心病 动脉硬化 炎性反应 同型半胱氨酸 安全性
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80岁以上急性心肌梗死患者院内生存情况分析 预览
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作者 赵健 贺治青 +1 位作者 张艳达 梁春 《国际心血管病杂志》 2019年第1期52-55,共4页
目的:探讨80岁以上急性心肌梗死(AMI)患者院内生存情况及危险因素.方法:连续纳入2012年1月至2017年12月心血管内科收治的80岁以上的138例AMI患者,分析该人群的一般状况、病史、实验室检查、诊断、治疗、院内生存情况及相关危险因素.结果... 目的:探讨80岁以上急性心肌梗死(AMI)患者院内生存情况及危险因素.方法:连续纳入2012年1月至2017年12月心血管内科收治的80岁以上的138例AMI患者,分析该人群的一般状况、病史、实验室检查、诊断、治疗、院内生存情况及相关危险因素.结果:患者平均年龄为(84.97±3.52)岁;非ST 段抬高型心肌梗死(NSTEMI)占73.19%,ST段抬高型心肌梗死(STEMI)占26.81%;53例(38.41%)行经皮冠状动脉介入术(PCI),其余接受药物保守治疗,NSTEMI患者选择药物保守治疗的比例显著高于STEMI患者(P<0.001).33例住院期间死亡,院内病死率呈逐年下降趋势.根据患者院内存活情况,将患者分为院内死亡组(n=33)和院内存活组(n=105),院内死亡组STEMI比例、Killip分级≥3级比例、中性粒细胞数、N 末端脑钠肽前体(NT-proBNP)水平显著高于院内存活组,而PCI治疗比例则显著低于院内存活组(P 均<0.05).多因素logistic回归分析发现,Killip分级≥3级(OR=3.038,P=0.009)和STEMI(OR=6.854,P=0.002)是80岁以上AMI患者院内死亡的独立危险因素,而PCI治疗是其保护因素(OR=0.060,P<0.001).结论:80岁以上AMI患者NSTEMI占多数,合并症多,PCI治疗率低,院内病死率高,预后较差,AMI严重程度与心功能差是患者院内死亡的重要危险因素,而PCI治疗是其保护因素. 展开更多
关键词 老年人 80岁以上 急性心肌梗死 院内死亡
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The Strategy of Outdoor Space Micro-Renewal under the Goal of Communities for All Ages: A Case Study of Xingchaibeiyuan Community in Nanchang City 预览
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作者 Meipeng LE Yulian WU +1 位作者 Yuting XIAO Taojian HE 《亚洲农业研究:英文版》 2019年第5期46-49,共4页
With the rapid development of the city,the old city has gradually lost its former glory,and the old community accounts for a large proportion in the city,and is located in the core area of the city. At present,there a... With the rapid development of the city,the old city has gradually lost its former glory,and the old community accounts for a large proportion in the city,and is located in the core area of the city. At present,there are some problems in the old community,such as high degree of aging,poor quality of living space,and lack of outdoor space. The old community transformation is mainly in the way of ' guided reconstruction',it has completely destroyed the original historical environment and the spirit of the place. Therefore,taking Xingchaibeiyuan Community in Nanchang City as an example,we deeply explore the strategy of micro-renewal of community outdoor space,so as to provide a reference for the renewal of outdoor space in this kind of old residential area. 展开更多
关键词 COMMUNITIES for ALL AGES Outdoor space Micro-renewal The elderly Old urban areas
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老年腹腔镜结直肠癌腹腔镜中转开腹手术对患者短期预后的影响 预览
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作者 李继红 王建军 《实用癌症杂志》 2019年第6期999-1001,共3页
目的 探讨老年腹腔镜结直肠癌患者腹腔镜中转开腹手术对患者的短期预后影响。方法 选择行结直肠癌手术的109例老年患者的临床资料进行回顾性分析。按照手术方式不同分为3组,A组61例为腹腔镜手术组、B组30例为开腹手术组、C组18例为腹腔... 目的 探讨老年腹腔镜结直肠癌患者腹腔镜中转开腹手术对患者的短期预后影响。方法 选择行结直肠癌手术的109例老年患者的临床资料进行回顾性分析。按照手术方式不同分为3组,A组61例为腹腔镜手术组、B组30例为开腹手术组、C组18例为腹腔镜中转开腹手术组。分析中转开腹的原因并比较各组患者围术期相关指标和术后并发症发生情况。结果 老年腹腔镜结直肠癌手术中转开腹的原因主要有肿瘤与周围组织黏连、肠管水肿、肿瘤体积大、位置固定和腹腔镜操作困难等。B组的手术时间最短,C组的手术时间最长,A组手术时间介于B组和C组之间,三组比较均有显著性差异(P<0.05);A组的术中出血量、排气时间、排便时间、恢复进食时间和住院时间均显著短于B组和C组(P<0.05),而B组和C组比较无统计学差异(P>0.05);A组患者的切口感染和腹腔感染发生率显著低于B组和C组(P<0.05),而B组和C组相比无统计学差异(P>0.05);三组吻合口瘘、吻合口出血、肠梗阻、二次手术和肺部感染相比均无统计学差异(P>0.05)。结论 老年结直肠癌患者行腹腔镜手术临床效果较好,但腹腔镜中转开腹手术与开腹手术的短期预后相当,并未对老年患者造成更大的影响。 展开更多
关键词 腹腔镜 结直肠癌 老年 中转开腹 短期预后
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