目的分析慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者肌肉与脂肪状况,并探讨其与疾病发展过程的相关性。方法选取COPD患者118例(研究组)与健康体检者97例(对照组),采用生物电阻抗、身高体重计测定两组患者的体...目的分析慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者肌肉与脂肪状况,并探讨其与疾病发展过程的相关性。方法选取COPD患者118例(研究组)与健康体检者97例(对照组),采用生物电阻抗、身高体重计测定两组患者的体重指数(body mass index,BMI)、去脂体重(fat-free mass,FFM)、骨骼肌(skeletal muscle mass,SMM)、四肢骨骼肌指数(appendicular skeletal muscle height index,ASMHI)、体脂率(percent body fat,PBF)、内脏脂肪面积(visceral fat area,VFA)、腰围(waist circumference,WaistCir)、上臂围(arm circumference,AC)、上臂肌围(arm muscle circumference,AMC)、相位角(phase angle,PA)等指标,并进行对比分析;同时收集COPD患者的基本信息、实验室指标及入院肺功能检查数据等,进行相关性分析;根据全球领导人营养不良倡议(Global Leadership Initiative on Malnutrition,GLIM)诊断标准,找出FFM在营养不良诊断中的最佳截断值。结果研究组患者FFM、SMM、双下肢肌肉、ASMHI及AMC均低于对照组(P<0.05)。戒烟组患者BMI、PBF及VFA均高于持续吸烟组(P<0.05);低ASMHI组第1秒用力呼气容积(forced expiratory volume in one second,FEV_(1))、第1秒用力呼气容积占预计值百分比(forced expiratory volume in one second in predicted,FEV_(1)%pred)、用力肺活量(forced vital capacity,FVC)及1秒率(FEV_(1)/FVC)偏低;低ASMHI组中性粒细胞计数与淋巴细胞计数比值(neutrophil-lymphocyte ratio,NLR)高于正常ASMHI组(P<0.05)。GLIM诊断结果显示,50.8%COPD患者存在营养不良,其中FFM预测营养不良的最佳截断值为47.85kg。结论COPD患者易出现肌肉和脂肪分布不平衡。FFM与GLIM诊断的一致性对早期识别和诊断营养不良有重要的临床意义。展开更多
School education shoulders the great mission of cultivating people by virtue,and has an unshirkable responsibility in students ideological and political education.In addition to the main channel of ideological and pol...School education shoulders the great mission of cultivating people by virtue,and has an unshirkable responsibility in students ideological and political education.In addition to the main channel of ideological and political theory courses,it is also necessary to make ideological and political education permeate other professional courses,so as to realize moral education.The integration of Mongolian Medicine History and ideological and political education has unique advantages in terms of content and scientific attributes.However,when the two are organically integrated,it is an important step to successfully carry out ideological and political theories teaching in the course by choosing suitable cases,digging out the ideological and political meaning behind each case,and finally exerting a subtle influence on students thoughts.展开更多
The research methods of the history of Mongolian medicine refer to the general and special methods used in the understanding and research of the history of Mongolian medicine,as well as the methods of expression and c...The research methods of the history of Mongolian medicine refer to the general and special methods used in the understanding and research of the history of Mongolian medicine,as well as the methods of expression and compilation of the research achievements of the history of Mongolian medicine.There are not only analysis and generalization,abstractness and concreteness,deduction and induction,historical and logical methods,but also traditional philology methods such as textual research,exegesis and collation,as well as new methods such as field investigation method,empirical method,measurement method,comparison method,and oral account method.In the actual research process,a variety of methods are often used comprehensively.This paper mainly discusses the methods used by Professor Ba Jigemude in the study of the history of Mongolian medicine,and uses specific cases to analyze and summarize the formation and development of the history of ancient traditional medicine.展开更多
TV Interview is a common form with special effects and significance among TV programs.A good interview host should study the audience first.This article mainly explores the questioning skills of hosts in TV Interviews.
文摘目的分析慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者肌肉与脂肪状况,并探讨其与疾病发展过程的相关性。方法选取COPD患者118例(研究组)与健康体检者97例(对照组),采用生物电阻抗、身高体重计测定两组患者的体重指数(body mass index,BMI)、去脂体重(fat-free mass,FFM)、骨骼肌(skeletal muscle mass,SMM)、四肢骨骼肌指数(appendicular skeletal muscle height index,ASMHI)、体脂率(percent body fat,PBF)、内脏脂肪面积(visceral fat area,VFA)、腰围(waist circumference,WaistCir)、上臂围(arm circumference,AC)、上臂肌围(arm muscle circumference,AMC)、相位角(phase angle,PA)等指标,并进行对比分析;同时收集COPD患者的基本信息、实验室指标及入院肺功能检查数据等,进行相关性分析;根据全球领导人营养不良倡议(Global Leadership Initiative on Malnutrition,GLIM)诊断标准,找出FFM在营养不良诊断中的最佳截断值。结果研究组患者FFM、SMM、双下肢肌肉、ASMHI及AMC均低于对照组(P<0.05)。戒烟组患者BMI、PBF及VFA均高于持续吸烟组(P<0.05);低ASMHI组第1秒用力呼气容积(forced expiratory volume in one second,FEV_(1))、第1秒用力呼气容积占预计值百分比(forced expiratory volume in one second in predicted,FEV_(1)%pred)、用力肺活量(forced vital capacity,FVC)及1秒率(FEV_(1)/FVC)偏低;低ASMHI组中性粒细胞计数与淋巴细胞计数比值(neutrophil-lymphocyte ratio,NLR)高于正常ASMHI组(P<0.05)。GLIM诊断结果显示,50.8%COPD患者存在营养不良,其中FFM预测营养不良的最佳截断值为47.85kg。结论COPD患者易出现肌肉和脂肪分布不平衡。FFM与GLIM诊断的一致性对早期识别和诊断营养不良有重要的临床意义。
文摘School education shoulders the great mission of cultivating people by virtue,and has an unshirkable responsibility in students ideological and political education.In addition to the main channel of ideological and political theory courses,it is also necessary to make ideological and political education permeate other professional courses,so as to realize moral education.The integration of Mongolian Medicine History and ideological and political education has unique advantages in terms of content and scientific attributes.However,when the two are organically integrated,it is an important step to successfully carry out ideological and political theories teaching in the course by choosing suitable cases,digging out the ideological and political meaning behind each case,and finally exerting a subtle influence on students thoughts.
文摘The research methods of the history of Mongolian medicine refer to the general and special methods used in the understanding and research of the history of Mongolian medicine,as well as the methods of expression and compilation of the research achievements of the history of Mongolian medicine.There are not only analysis and generalization,abstractness and concreteness,deduction and induction,historical and logical methods,but also traditional philology methods such as textual research,exegesis and collation,as well as new methods such as field investigation method,empirical method,measurement method,comparison method,and oral account method.In the actual research process,a variety of methods are often used comprehensively.This paper mainly discusses the methods used by Professor Ba Jigemude in the study of the history of Mongolian medicine,and uses specific cases to analyze and summarize the formation and development of the history of ancient traditional medicine.
文摘TV Interview is a common form with special effects and significance among TV programs.A good interview host should study the audience first.This article mainly explores the questioning skills of hosts in TV Interviews.
