目的探究基于《国际功能、残疾和健康分类(儿童和青少年版)》(international classification of functioning,disability and health for children and youth,ICF-CY)的MACE康复体系对儿童脑性瘫痪(以下简称脑瘫)功能改善的有效性,为脑...目的探究基于《国际功能、残疾和健康分类(儿童和青少年版)》(international classification of functioning,disability and health for children and youth,ICF-CY)的MACE康复体系对儿童脑性瘫痪(以下简称脑瘫)功能改善的有效性,为脑瘫儿童康复提供更具针对性的综合方案。方法选取2022年10月至2023年12月温州医科大学附属第二医院收治的66例脑瘫儿童为研究对象,随机将其分为实验组和对照组,每组33例。实验组患儿接受基于ICF-CY的MACE康复体系综合康复干预,对照组患儿接受传统康复治疗;评估并比较两组患儿干预后的改良Ashworth量表评分、膝关节活动度、儿童功能独立性评定量表(functional independence measure for children,WeeFIM)评分、粗大运动功能评估量表(gross motor function measure,GMFM)和精细运动功能评估量表(fine motor function measure,FMFM)评分。结果干预后,两组患儿的改良Ashworth量表评分均显著低于本组干预前,膝关节活动度显著优于本组干预前,WeeFIM评分、GMFM评分和FMFM评分均显著高于本组干预前(P<0.05);实验组患儿的改良Ashworth量表评分显著低于对照组,膝关节活动度显著优于对照组,WeeFIM评分、GMFM和FMFM评分均显著高于对照组(P<0.05)。结论基于ICF-CY的MACE康复体系可有效改善脑瘫儿童的肌张力和关节活动度,增强功能独立性和运动功能。展开更多
目的:分析急性心肌梗死(AMI)患者药物涂层球囊(DCB)治疗术后1年发生MACE事件的危险因素。方法:连续性纳入2021年1月~2023年12月于青岛市海慈医院心内科行DCB治疗的AMI患者192例。根据患者DCB治疗后1年MACE事件发生情况,将其分为非MACE组...目的:分析急性心肌梗死(AMI)患者药物涂层球囊(DCB)治疗术后1年发生MACE事件的危险因素。方法:连续性纳入2021年1月~2023年12月于青岛市海慈医院心内科行DCB治疗的AMI患者192例。根据患者DCB治疗后1年MACE事件发生情况,将其分为非MACE组(156例)和MACE组(36例)。收集患者一般资料、术中术后资料、治疗情况、1年随访情况等资料,采用Cox回归分析分析AMI患者DCB治疗后发生MACE事件的影响因素,绘制受试者工作特征(ROC)曲线,评估影响因素的预测效能。结果:多因素Cox回归分析显示,STEMI (HR = 2.187, 95%CI = 1.016~4.708, P Objective: To analyze the risk factors for Major Adverse Cardiovascular Event (MACE) in patients with Acute Myocardial Infarction (AMI) who underwent Drug-Coated Balloon (DCB) treatment within 1 year. Methods: 192 patients with AMI who underwent DCB treatment in the Cardiology Department of Qingdao Haici Hospital from January 2021 to December 2023 were continuously enrolled. According to 1-year MACE event incidence after DCB treatment, they were divided into the non-MACE group (156 cases) and the MACE group (36 cases). The patients’ general information, intraoperative and postoperative information, treatment situation, and 1-year follow-up information were collected, and Cox regression analysis was used to analyze the influencing factors of MACE events in patients with AMI after DCB treatment, and the Receiver Operating Characteristic (ROC) curve was drawn to evaluate the predictive ability of the influencing factors. Results: The multivariate Cox regression analysis showed that STEMI (HR = 2.187, 95% CI=1.016~4.708, P < 0.05) and target vessel as LCX (HR = 0.021, 95% CI = 0.006~0.070, P < 0.05) and RCA (HR = 0.028, 95% CI = 0.010~0.083, P < 0.05) were independent predictors of MACE events in patients with AMI after DCB treatment within 1 year. The ROC curve analysis showed that the predictive ability of combined STEMI and target vessel as RCA and LCX in predicting MACE events within 1 year after DCB treatment was high (AUC = 0.827,95%CI = 0.720~0.934, P < 0.05). Conclusion: Compared with non-ST-segment elevation myocardial infarction, ST-segment elevation myocardial infarction has a certain predictive value for the occurrence of MACE events in patients with AMI treated with DCB within 1 year;compared with target vessel for LAD, target vessels for RCA and LCX have a certain predictive value for the occurrence of MACE events in patients with AMI treated with DCB within 1 year and the combined prediction of MACE events has a higher predictive ability.展开更多
文摘目的探究基于《国际功能、残疾和健康分类(儿童和青少年版)》(international classification of functioning,disability and health for children and youth,ICF-CY)的MACE康复体系对儿童脑性瘫痪(以下简称脑瘫)功能改善的有效性,为脑瘫儿童康复提供更具针对性的综合方案。方法选取2022年10月至2023年12月温州医科大学附属第二医院收治的66例脑瘫儿童为研究对象,随机将其分为实验组和对照组,每组33例。实验组患儿接受基于ICF-CY的MACE康复体系综合康复干预,对照组患儿接受传统康复治疗;评估并比较两组患儿干预后的改良Ashworth量表评分、膝关节活动度、儿童功能独立性评定量表(functional independence measure for children,WeeFIM)评分、粗大运动功能评估量表(gross motor function measure,GMFM)和精细运动功能评估量表(fine motor function measure,FMFM)评分。结果干预后,两组患儿的改良Ashworth量表评分均显著低于本组干预前,膝关节活动度显著优于本组干预前,WeeFIM评分、GMFM评分和FMFM评分均显著高于本组干预前(P<0.05);实验组患儿的改良Ashworth量表评分显著低于对照组,膝关节活动度显著优于对照组,WeeFIM评分、GMFM和FMFM评分均显著高于对照组(P<0.05)。结论基于ICF-CY的MACE康复体系可有效改善脑瘫儿童的肌张力和关节活动度,增强功能独立性和运动功能。
文摘目的:分析急性心肌梗死(AMI)患者药物涂层球囊(DCB)治疗术后1年发生MACE事件的危险因素。方法:连续性纳入2021年1月~2023年12月于青岛市海慈医院心内科行DCB治疗的AMI患者192例。根据患者DCB治疗后1年MACE事件发生情况,将其分为非MACE组(156例)和MACE组(36例)。收集患者一般资料、术中术后资料、治疗情况、1年随访情况等资料,采用Cox回归分析分析AMI患者DCB治疗后发生MACE事件的影响因素,绘制受试者工作特征(ROC)曲线,评估影响因素的预测效能。结果:多因素Cox回归分析显示,STEMI (HR = 2.187, 95%CI = 1.016~4.708, P Objective: To analyze the risk factors for Major Adverse Cardiovascular Event (MACE) in patients with Acute Myocardial Infarction (AMI) who underwent Drug-Coated Balloon (DCB) treatment within 1 year. Methods: 192 patients with AMI who underwent DCB treatment in the Cardiology Department of Qingdao Haici Hospital from January 2021 to December 2023 were continuously enrolled. According to 1-year MACE event incidence after DCB treatment, they were divided into the non-MACE group (156 cases) and the MACE group (36 cases). The patients’ general information, intraoperative and postoperative information, treatment situation, and 1-year follow-up information were collected, and Cox regression analysis was used to analyze the influencing factors of MACE events in patients with AMI after DCB treatment, and the Receiver Operating Characteristic (ROC) curve was drawn to evaluate the predictive ability of the influencing factors. Results: The multivariate Cox regression analysis showed that STEMI (HR = 2.187, 95% CI=1.016~4.708, P < 0.05) and target vessel as LCX (HR = 0.021, 95% CI = 0.006~0.070, P < 0.05) and RCA (HR = 0.028, 95% CI = 0.010~0.083, P < 0.05) were independent predictors of MACE events in patients with AMI after DCB treatment within 1 year. The ROC curve analysis showed that the predictive ability of combined STEMI and target vessel as RCA and LCX in predicting MACE events within 1 year after DCB treatment was high (AUC = 0.827,95%CI = 0.720~0.934, P < 0.05). Conclusion: Compared with non-ST-segment elevation myocardial infarction, ST-segment elevation myocardial infarction has a certain predictive value for the occurrence of MACE events in patients with AMI treated with DCB within 1 year;compared with target vessel for LAD, target vessels for RCA and LCX have a certain predictive value for the occurrence of MACE events in patients with AMI treated with DCB within 1 year and the combined prediction of MACE events has a higher predictive ability.
