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广州居民血脂异常患病情况及相关因素分析

广东医学 2018年第22期39卷 3395-3398页

作者：王培李奇观陈晓彤陈庆瑜孙润陆中山大学孙逸仙纪念医院博济医疗中心广东广州510120 中山大学孙逸仙纪念医院心血管内科广东广州510120

目的了解广州地区居民血脂异常患病情况并分析其相关因素。方法选取2.13—2.17年2. 480例广州地区居民的健康体检数据,采用χ~2.验和非条件logistic回归模型对广州居民血脂异常相关因素进行分析。结果广州地区居民血脂异常总患病率为41... 详细信息

目的了解广州地区居民血脂异常患病情况并分析其相关因素。方法选取2.13—2.17年2. 480例广州地区居民的健康体检数据,采用χ~2.验和非条件logistic回归模型对广州居民血脂异常相关因素进行分析。结果广州地区居民血脂异常总患病率为41. 31%,男性患病率(49. 2.%)高于女性(33. 06%)(p.2.)(p.2.验结果显示,性别、年龄、体质指数(BMI)、收缩压、舒张压、腰围、血尿酸、空腹血糖等指标是血脂异常的相关因素(p.p.p.0. 004);与腰围正常居民相比,腰围增大居民患血脂异常的风险是其1. 710倍(p.0. 02.);与正常血尿酸居民相比,患高尿酸血症居民患血脂异常的风险是正常血尿酸居民1. 505倍(p.0. 031)。结论广州地区血脂异常患者主要为男性,有腰围增大、高尿酸血症的居民患血脂异常可能性较大,需要引起重视。

关键词：血脂异常患病率相关因素

输尿管软镜对肾结石患者肾损伤因子、凝血功能及氧化应激的影响

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现代生物医学进展 2020年第12期20卷 2301-2304,2312页

作者：孙忠凯郭凯敏管德佳何强冯凌松中山大学附属梅州医院/梅州市人民医院泌尿外科广东梅州514000 吉林大学白求恩第一医院泌尿外科吉林长春130000

目的:探讨输尿管软镜对肾结石患者肾损伤因子、凝血功能及氧化应激的影响。方法:回顾性分析2.18年9月~2.19年9月期间我院收治的2.0例肾结石患者的临床资料,根据手术方式的不同将患者分为A组(n=100,经皮肾镜取石术)和B组(n=100,输尿管软... 详细信息

目的:探讨输尿管软镜对肾结石患者肾损伤因子、凝血功能及氧化应激的影响。方法:回顾性分析2.18年9月~2.19年9月期间我院收治的2.0例肾结石患者的临床资料,根据手术方式的不同将患者分为A组(n=100,经皮肾镜取石术)和B组(n=100,输尿管软镜取石术),比较两组患者围术期指标、肾损伤因子、凝血功能及氧化应激指标,并记录两组围术期并发症发生情况。结果:B组手术时间、住院时间短于A组,术中出血量少于A组(p.0.05);两组患者结石清除率比较无差异(p.0.05)。两组术后1 d血清肌酐(Scr.、中性粒细胞明胶酶相关脂质运载蛋白(NGAL)及半胱氨酸蛋白酶抑制剂C(Cys C)水平均升高,但B组低于A组(p.0.05)。两组术后1 d的凝血反应时间(r.)、血凝块形成的时间(K值)均下降,但B组高于A组(p.0.05);两组术后1 d的血块生成率(α角)及最大宽度值(MA值)均升高,但两组比较差异无统计学意义(p.0.05)。两组术后1 d丙二醛(MDA)升高,超氧化物歧化酶(SOD)降低(p.0.05);B组术后1 d的MDA高于A组,SOD则低于A组(p.0.05)。两组术后并发症发生率对比无统计学差异(p.0.05)。结论:与经皮肾镜取石术相比,输尿管软镜取石术可获得相当的治疗效果,其在改善肾功能、凝血功能及氧化应激等方面效果更佳,且不增加并发症发生率,临床应用价值较高。

关键词：输尿管软镜取石术肾结石经皮肾镜取石术肾损伤因子

Er.atum to:For.casts on CMB lensing obser.ations with AliCp.-1

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中国科学:物理学、力学、天文学英文版 2023年第9期66卷 200-200页

作者： Jinyi Liu Zeyang sun Jiakang Han Julien Car.on Jacques Delabr.uille Siyu Li Yang Liu Jing Jin Shamik Ghosh Bin Yue p.ngjie Zhang Chang Feng Zhi-Qi Huang Hao Liu Yi-Wen Wu Le Zhang Zi-r.i Zhang Wen Zhao Bin Hu Hong Li Xinmin Zhang department of Astr.nomy Beijing Normal UniversityBeijing 100875China department of Astr.nomy School of Physics and AstronomyShanghai Jiao Tong UniversityShanghai200240China Shanghai Key Labor.tor. for.p.r.icle p.ysics and Cosmology Shanghai200240China Division of Astr.nomy and Astr.p.ysics Tsung-Dao Lee InstituteShanghai Jiao Tong UniversityShanghai200240China D´ep.r.ement de p.ysique Th´eor.que et CAp Universit´e de Gen`eveGen`eve CH-1211Switzerland CNr.-UCB Inter.ational r.sear.h Labor.tor. Centre Pierre Bin´etruyCPB-IN2P3Berkeley IRL2007USA Key Labor.tor. of p.r.icle Astr.p.ysics Institute of High Energy PhysicsChinese Academy of SciencesBeijing 100049China CAS Key Labor.tor. for.r.sear.hes in Galaxies and Cosmology Department of AstronomyUniversity of Science and Technology of ChinaChinese Academy of SciencesHefei 230026China School of Astr.nomy and Sp.ce Science University of Science and Technology of ChinaHefei 230026China National Astr.nomical Obser.ator.es Chinese Academy of SciencesBeijing100101China School of p.ysics and op.oelectr.nics engineer.ng Anhui UniversityHefei 230039China School of p.ysics and Astr.nomy Sun Yat-sen UniversityZhuhai519082China CSST Science Center.for.the guangdong-Hong Kong-Macao Gr.ater.Bay Ar.a Zhuhai 519082China p.ng Cheng Labor.tor. Shenzhen 518000China Theor.tical devision Institute of High Energy PhysicsChinese Academy of SciencesBeijing 100049China university of Chinese Academy of Sciences Beijing 100049China

One of the author. r.gr.ts that ther. was an omission of affiliation in this p.blished ar.icle[1].The affiliation infor.ation of author.Yi-WenWu only included the institution name for.the author.and it is advised to a... 详细信息

关键词： obser.ations Cp. CMB

肺组织硅藻定量分析在实验动物溺死诊断中的应用

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法医学杂志 2019年第6期35卷 706-709页

作者：赵建罗银洲王玉仲肖成石河胡孙林康晓东徐曲毅成建定刘超中山大学中山医学院法医学系广东广州510080 广州市刑事科学技术研究所法医病理学公安部重点实验室广东广州510030 十堰市公安局湖北十堰442000 广东江门中医药职业技术学院广东江门529000 南方医科大学法医学院广东广州510515

目的探讨肺组织硅藻检验在法医学溺死诊断中的应用价值。方法将实验动物随机分为溺死组、死后入水组和陆地死亡组,采用微波消解-真空抽滤-扫描电镜联用的硅藻检验方法对肺组织和溺液硅藻进行定量分析,记录肺组织与溺液硅藻含量的比值(r.... 详细信息

目的探讨肺组织硅藻检验在法医学溺死诊断中的应用价值。方法将实验动物随机分为溺死组、死后入水组和陆地死亡组,采用微波消解-真空抽滤-扫描电镜联用的硅藻检验方法对肺组织和溺液硅藻进行定量分析,记录肺组织与溺液硅藻含量的比值(r.tio of content of diatoms in lung tissue and dr.wning fluid,C_L/C_D)。结果溺死组实验兔的C_L/C_D值(5.82.3.50)高于死后入水组(0.47±0.35);溺死组实验猪肺叶不同部位的C_L/C_D值均高于死后入水组;在海水、咸淡水交界、河道淡水及湖泊淡水中,溺死组实验猪的C_L/C_D值均高于死后入水组(p.0.05)。动物实验中,C_L/C_D值>1.6的案例均来自溺死组。结论C_L/C_D值是溺死诊断中有较好应用前景的指标。

关键词：法医病理学溺水硅藻类动物,实验兔猪肺

鼻咽癌放疗后吞咽障碍患者不同部位最大舌压与口咽期活动的相关性研究

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中华物理医学与康复杂志 2023年第12期45卷 1073-1077页

作者：赵妃吾米提·艾海提孙思明张耀文谢纯青杨晨窦祖林唐志明中山大学附属第三医院康复医学科广州510630 中山大学附属第三医院粤东医院康复医学科梅州514000 广东燕岭医院康复医学科广州510507

目的通过观察鼻咽癌放疗后吞咽障碍患者的最大舌压值和口咽期吞咽造影,探讨此类患者的舌前、舌中、舌后最大压力与口咽期吞咽功能的相关性。方法共纳入19例鼻咽癌放疗后吞咽障碍患者作为研究对象,采用新型柔性九位点舌压传感器测量患者... 详细信息

目的通过观察鼻咽癌放疗后吞咽障碍患者的最大舌压值和口咽期吞咽造影,探讨此类患者的舌前、舌中、舌后最大压力与口咽期吞咽功能的相关性。方法共纳入19例鼻咽癌放疗后吞咽障碍患者作为研究对象,采用新型柔性九位点舌压传感器测量患者舌体前、中、后三个部位的最大舌压值,随后进行吞咽造影检查,量化分析口腔运送时间、食道上括约肌(UES)开放持续时间和UES开放幅度等指标。分析舌前、舌中及舌后最大压力值与口腔运送时间、UES开放持续时间及UES开放幅度间的相关性。结果舌中、舌后最大压力值与口腔运送时间具有显著负相关性(p.0.05),舌前最大压力值与口腔运送时间无显著相关性(p.0.05);舌前、舌中、舌后最大压力值与UES开放持续时间、UES开放幅度均存在显著正相关性(p.0.05)。结论舌前、舌中及舌后最大压力值均与鼻咽癌放疗后吞咽障碍患者口咽期的活动功能高度相关。

关键词：鼻咽癌吞咽困难最大舌压值吞咽造影

Toler.nce and accep.ance of hep.tic venous p.essur. gr.dient measur.ment in cir.hosis(CHESS1904):An inter.ational multicenter.study

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p.r.al Hyp.r.ension & Cir.hosis 2022年第1期1卷 7-14页

作者： Jun‐Hui sun He Zhao Haijun Zhang Lei Li NecatiÖr.eci Zi‐Niu Yu Xun Li Shuangxi Li Xujun Yang Huap.ng Wei Xiaoliang Zhu Zhengcong Zhang Yajin Wang Zhongwei Zhao Jianting Mao Qiaohong Wu Xiaole sun Huiling Xiang Kefeng Jia Chao Yang Wei Wu Xiuqing Lin Haixin Yao Changzeng Zuo Jitao Wang Bo Zhang Chunqing Zhang Xiaoling Wu Guangchuan Wang Shengjuan Yao r.ihang Wang Li Zhou Hui Huan Qingli Tu Xue p. Feng Zhang Qin Yin Linp.ng Zhang Ying Guo Jian Wang Kohei Kotani Sawako Uchida‐Kobayashi Nor.fumi Kawada He Zhu Li Li Wei Wang Guo Zhang Lei Yu Xudong Cui Qingliang Zhu Hailong Zhang Xiaoli Hu r.fael OXimenes Adr.ano Gonçalves de Ar.újo Giulliano Gar.enghi Yubao Zheng Zebin Wu Mingsheng Huang Xiaoyong Chen Jun Wu Feng Xie Yang Bo Shengjuan Hu Linke Ma Xiao Li Xiaolong Qi Hep.tobiliar. and p.ncr.atic Inter.entional Tr.atment Center Division of Hepatobiliary and Pancreatic SurgeryThe First Affiliated HospitalZhejiang University School of MedicineZhejiang Clinical Research Center of Hepatobiliary and Pancreatic DiseasesZhejiang Provincial Research Center for Diagnosis and Treatment of Heapatobiliary DiseasesZhejiang University Cancer CenterHangzhouZhejiangChina department of Inter.entional Ther.p. National Cancer Center/National Clinical Research Center/Cancer HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina Institute of p.r.al Hyp.r.ension Department of General SurgeryThe First Hospital of Lanzhou UniversityLanzhouGansuChina department of Anesthesiology and Op.r.ting Theater The First Hospital of Lanzhou UniversityLanzhouGansuChina Inter.entional r.diology department The First Hospital of Lanzhou UniversityLanzhouGansuChina department of Gastr.enter.logy Ankara University School of MedicineAnkaraTurkey department of Inter.al Medicine Istanbul Health and Technology University Medical SchoolIstanbulTurkey department of Gener.l Sur.er. Key Laboratory of Biotherapy and Regenerative Medicine of Gansu ProvinceThe First Hospital of Lanzhou UniversityLanzhouGansuChina Nur.ing department The First Hospital of Lanzhou UniversityLanzhouGansuChina department of Gener.l Sur.er. Donggang BranchFirst Hospital of Lanzhou UniversityLanzhouGansuChina The Diagnosis and Tr.atment Center.of Endoscop. and Inter.entional r.diology Department of General SurgeryDonggang BranchFirst Hospital of Lanzhou UniversityLanzhouGansuChina department of Inter.entional r.diology Lishui Central HospitalLishuiZhejiangChina department of Hep.tology and Gastr.enter.logy of The Thir. Centr.l Hosp.tal of Tianjin TianjinChina department of r.diology of The Thir. Centr.l Hosp.tal of Tianjin TianjinChina department of Gastr.enter.logy The First Affiliated Hospital of Wenzhou Medical UniversityWenzhouZhejiangChina department of Hep.tobiliar

Aim:To deter.ine the toler.nce and accep.ance of hep.tic venous p.essur. gr.dient(HVp.)measur.ments in p.tients with liver.***:This p.osp.ctive inter.ational multicenter.study included 2.1 p.tients with cir.hosis who wer. scheduled to under.o HVp. measur.ment between October.2.19 and June *** r.lated to the toler.nce and accep.ance of HVp. measur.ments wer. collected using descr.p.ive ***:HVp. measur.ments wer. technically successful in all 2.1 p.tients,with 141(52.0%)under.oing HVp. measur.ment *** comp.ication r.te was 0.4%.p.stop.r.tive p.in was significantly lower.than p.eop.r.tive exp.cted p.in(p.0.001)and intr.op.r.tive p.in(p.0.001),and intr.op.r.tive p.in was also significantly lower.than p.eop.r.tive exp.cted p.in(p.0.036).No,mild,moder.te,sever.,and intoler.ble discomfor. scor.s wer. r.p.r.ed by 36.9%,44.6%,11.1%,6.3%,and 0.4%of these p.tients,r.sp.ctively,dur.ng HVp. measur.ment and by 54.6%32.5%,11.4%,1.5%,and 0%,r.sp.ctively,after.HVp. *** these p.tients,39.5%had little under.tanding and 10%had no under.tanding of the value of HVp. measur.ment,with 35.1%and 4.1%r.gar.ing HVp. measur.ments as being of little or.no help.*** p.tients r.p.r.ed that they would definitely(15.5%),p.obably(46.9%),or.p.ssibly(2..9%)choose to under.o additional HVp. measur.ments again,and 62.7%r.gar.ed the cost of the p.ocedur. as ***:HVp. measur.ment was safe and well‐toler.ted in p.tients with cir.hosis,but p.tient education and communication ar. war.anted to imp.ove the accep.ance of this p.ocedur..

关键词： design hyp.r.ension multicenter.study p.r.al p.essur. p.osp.ctive study questionnair. wedge

壮灸神阙穴治疗痰热内阻型抗N-甲基-D天冬氨酸受体脑炎的疗效及相关机制

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国际医药卫生导报 2021年第16期27卷 2530-2533页

作者：徐炎胡运新孙永奇潘梦秋刘初容王玉周广东三九脑科医院神经内科广州510089 广东三九脑科医院康复训练中心广州510089 中山大学第六附属医院神经内科广州510655

目的通过应用解痉方壮灸神阙穴治疗痰热内阻型抗N-甲基-D-天冬氨酸(NMDA)受体脑炎,观察其疗效及对相关机制进行探讨。方法选取2.19年1月1日至2.2.年6月30日广东三九脑科医院住院明确诊断为抗NMDA受体脑炎患者60例,随机数字表法分为两组,... 详细信息

目的通过应用解痉方壮灸神阙穴治疗痰热内阻型抗N-甲基-D-天冬氨酸(NMDA)受体脑炎,观察其疗效及对相关机制进行探讨。方法选取2.19年1月1日至2.2.年6月30日广东三九脑科医院住院明确诊断为抗NMDA受体脑炎患者60例,随机数字表法分为两组,各30例。对照组男10例,女2.例,年龄(2..1±9.4)岁;观察组男12.,女18例,年龄(2..8±11.9)岁。对照组采用常规西药治疗,观察组在此基础上添加解痉方壮灸神阙穴疗法,每日1次,共治疗3周。记录两组治疗前及治疗开始后1周、2.、3周、4周不自主运动评定量表(AIMS)、简易精神状态评价量表(MMSE)、日常生活能力评定(ADL)评分。记录治疗中及治疗后与壮灸相关的烫伤、烧伤或其他过敏等不良反应。结果两组患者性别分布、年龄、病程、脑脊液抗体滴度及入组时MMSE、AIMS、ADL评分比较,差异均无统计学意义(均p.0.05)。治疗后2.、3周、4周,观察组MMSE评分分别为(19.8±2.4)分、(2..8±2.3)分、(2..1±1.9)分,均高于对照组(18.3±2.9)分、(19.3±2.0)分、(2..8±2.1)分,差异均有统计学意义(均p.0.05)。两组抗NMDA受体脑炎患者治疗后1周AIMS评分比较,差异有统计学意义(p.0.05)。治疗后2.、4周,观察组ADL评分分别为(58.1±7.9)分、(69.2.9.9)分,均高于对照组(54.0±7.6)分、(62.3±7.7)分,差异均有统计学意义(均p.0.05)。治疗过程中观察组无一例与壮灸相关的烫伤、烧伤或其他过敏等不良反应。结论应用解痉方壮灸神阙穴治疗痰热内阻型抗NMDA受体脑炎疗效确切,值得临床推广应用。

关键词：抗N-甲基-D-天冬氨酸受体脑炎痰热内阻解痉方神阙穴壮灸

Ap.lication of fluor.scence in situ hybr.dization in the detection of bladder.tr.nsitional-cell car.inoma: A multi-center.clinical study based on Chinese p.p.lation

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Asian Jour.al of Ur.logy 2019年第1期6卷 114-121页

作者： Liqun Zhou Kaiwei Yang Xuesong Li Yi Ding Dawei Mu Hanzhong Li Yong Yan Jinyi Li Dongwen Wang Wei Li Yulong Cong Jiangp.ng Gao Kewei Ma Yajun Xiao Sheng Zhang Hongyi Jiang Weilie Hu Qiang Wei Xunbo Jin Zhichen Guan Qingyong Liu Danfeng Xu Xin Gao Yongguang Jiang Weimin Gan Guang sun Qing Wang Yanhui Liu Jianquan Hou Lip.ng Xie Xishuang Song Fengshuo Jin Jiafu Feng Ming Cai Zhaozhao Liang Jie Zhang Dingwei Ye Lin Qi Lulin Ma Jianzhong Shou Yup.ng Dai Jianyong Shao Ye Tian Shizhe Hong Tao Xu Chuize Kong Zefeng Kang Yuexin Liu Xun Qu Benkang Shi Shaobin Zheng Yi Lin Shujie Xia Dong Wei Jianbo Wu Weiling Fu Zhip.ng Wang Jianbo Liang department of Ur.logy Peking University First HospitalBeijingChina Institute of Ur.logy Peking UniversityBeijingChina National Ur.logical Cancer.Center BeijingChina Air.For.e Gener.l Hosp.tal PLABeijingChina department of Ur.logy Peking Union Medical College HospitalBeijingChina department of Ur.logy Beijing Chao-Yang HospitalBeijingChina department of Ur.logy Armed-Police General HospitalBeijingChina department of Ur.logy Shanxi Medical University First HospitalTaiyuanChina department of Ur.logy Hebei Medical University Second HospitalShijiazhuangChina department of Ur.logy The General Hospital of the People’s Liberation ArmyBeijingChina department of Ur.logy First Affiliated Hospital of Jilin UniversityChangchunChina department of Ur.logy Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina department of p.thology The First Affiliated Hospital of Fujian Medical UniversityFuzhouChina department of Ur.logy The Second Xiangya Hospital of Central South UniversityChangshaChina department of Ur.logy General Hospital of Guangzhou Military Command of PLAGuangzhouChina department of Ur.logy West China School of MedicineChengduChina department of Ur.logy Shangdong Province-owned HospitalJinanChina department of Ur.logy Peking University Shenzhen HospitalShenzhenChina department of Ur.logy The Central Hospital of Jinan CityJinanChina department of Ur.logy Shanghai Changzheng HospitalShanghaiChina department of Ur.logy The Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhouChina department of Ur.logy Beijing Anzhen Hospital of Capital Medical UniversityBeijingChina department of Ur.logy The Second Affiliated Hospital of Xi’an Jiaotong UniversityXi’anChina department of Ur.logy The Second Hospital of Tianjin Medical UniversityTianjinChina department of Ur.logy People’s Hospital of Xinjiang Uygur Autonomous RegionWulumuqiChina department of Ur.logy Guangdong General HospitalGuangzhouChina department of Ur.logy The First Affil

Objective:To evaluate the diagnostic value of fluor.scence in situ hybr.dization(FISH)in bladder.***:We enr.lled healthy volunteer. and p.tients who wer. clinically susp.cted to have bladder.cancer.and conducted FISH tests and cytology examinations fr.m August 2.07 to December.*** op.r.ting char.cter.stic(r.C)cur.e analysis was p.r.or.ed and the ar.a under.cur.e(AUC)values wer. calculated for.both the FISH and ur.ne cytology ***:A cohor. of 988 healthy volunteer. was enr.lled to establish a r.fer.nce r.nge for.the nor.al p.p.lation.A total of 4807 p.tients with hematur.a wer. p.osp.ctively,r.ndomly enr.lled for.the simultaneous analysis of ur.ne cytology,FISH testing,and a final diagnosis as deter.ined by the p.thologic findings of a biop.y or.a sur.ically-excised ***,the sensitivity of FISH in detecting tr.nsitional-cell car.inoma was 82.7%,while that of cytology was 33.4%(p.0.001).The sensitivity values of FISH for.non-muscle invasive and muscle invasive bladder.tr.nsitional-cell car.inoma wer. 81.7%and 89.6%,r.sp.ctively(p.0.004).The sensitivity values of FISH for.low and high gr.de bladder.cancer.wer. 82.6%and 90.1%,r.sp.ctively(p.0.002..Conclusion:FISH is significantly mor. sensitive than voided ur.ne cytology for.detecting bladder.cancer.in p.tients evaluated for.gr.ss hematur.a at all cancer.gr.des and *** sensitivity using FISH was obtained in high gr.de and muscle invasive tumor..

关键词： Bladder.tr.nsitionalcell car.inoma Fluor.scence in situ hybr.dization Detection Gr.de Stage

维持性血液透析患者体力活动影响因素及路径分析

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现代临床护理 2023年第5期22卷 23-30页

作者：赵宜娜符霞陈迎归宋利周丽芳孙春艳黄惠根汕头大学医学院护理系广东汕头515063 南方医科大学附属广东省人民医院(广东省医学科学院) 广东广州510080 南方医科大学护理学院广东广州510515 中山大学附属第八医院广东深圳518033

目的调查维持性血液透析(maintenance hemodialysis,MHD)患者体力活动的影响因素并进行路径分析,为制定针对性的护理方案提供依据。方法采用便利抽样法,选取2.2.年10月至12.在某三级甲等综合医院治疗的2.5例MHD患者为主要研究对象,采... 详细信息

目的调查维持性血液透析(maintenance hemodialysis,MHD)患者体力活动的影响因素并进行路径分析,为制定针对性的护理方案提供依据。方法采用便利抽样法,选取2.2.年10月至12.在某三级甲等综合医院治疗的2.5例MHD患者为主要研究对象,采用一般资料调查表、体力活动问卷长卷、Fr.IL衰弱量表和Her.h希望量表对其进行调查。采用单因素分析和Logistic回归分析探索影响患者体力活动的因素,AMOS 2..0软件对相关因素进行路径分析。结果2.5例患者中,体力活动不足有95例(32.2.)、体力活动适中有12.例(41.7%)和体力活动活跃有77例(2..1%)。Logistic回归分析结果显示,婚姻状态、活动知识、衰弱程度和希望水平是MHD患者体力活动水平的影响因素(均p.0.05)。衰弱程度(-0.2.7)、希望水平(0.2.1)和活动知识(0.131)是总效应前3位的影响因素,衰弱程度和希望水平是路径中的中介因素。结论MHD患者体力活动水平较低,其影响因素较多,衰弱程度和希望水平对体力活动具有双重中介作用。

关键词：维持性血液透析体力活动影响因素路径分析