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Petrography and Geochemical Studies of Granitoids from Iro Lake South-East of Moyen Chari in Chad and Geodynamic Implication
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作者 Leontine Tekoum Djatibeye Barnabe Jean Claude Doumnang Mbaigane 《Open Journal of Geology》 2025年第2期87-108,共22页
Located in Southeastern Chad. The Iro lake offers a great opportunity for the study of Precambrian formations and their Phanerozoic cover. Pluton is a Cal-alkaline granite. Due to its geographical location and geologi... Located in Southeastern Chad. The Iro lake offers a great opportunity for the study of Precambrian formations and their Phanerozoic cover. Pluton is a Cal-alkaline granite. Due to its geographical location and geological features, it holds crucial information for understanding the evolution of the Saharan Meta craton (central Africa), which remains poorly studied. One of the objectives is to map the formations Precambrian age in Southeastern Chad. Based on the petrographic and geochemical results, we identified granitoids of pan-African age (biotite granite, aplite granite and pegmatite granite). This Precambrian basement is covered with sedimentary formations (clays, argillites, lateritic cuirasses, etc.). The mineral assemblage is characteristic of acid rocks. Geochemistry reveals rocks with a high SiO2 range (62% - 77%) giving sub-alkaline to calc-alkaline acid rocks with high k (4.62% to 6.39%). The granitoids are classified as S-type hyperaluminous granites. This classification is supported by the presence of peraluminous minerals (e.g., muscovite) within the Iro granitoids, which also have high (>1%). Geochemical variation within the granites is largely due to extensive crystal fractionation. The Pattern of REEs normalized to the primitive mantle shows a pronounced negative Eu anomaly, reflecting the crystallization process and fractional crystallization of plagioclase in the rock, and a positive Yb anomaly. The role of plagioclase fractionation was relatively major during the earlier intrusive stages (consistent with the presence of Eu anomalies) and slightly increased, together with biotite and K-feldspar fractionation, during the later (granitic) rock crystallization. The Pattern of the spider normalized to MORBs shows two pronounced negative anomalies in TiO2 and Cs and a slight negative anomaly in Ba. The loss of Ba, Ti and Cs may be caused by the plagioclase fractionation, apatite and ilmenite crystal. The Ba anomaly is also controlled by the presence of K-feldspar and mica. The observed Ti anomalies are due to the fractionation of magnetite indicating a subduction environment (or remelting of a source from a subduction environment). 展开更多
关键词 PETROGRAPHY GEOCHEMICAL GRANITOIDS Iro Lake Moyen-Chari chad
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Assessment of Floristic Diversity at Two Protected Sites on the Outskirts of Sena Oura National Park, Chad
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作者 Robert Tchingonta Maxime Banoin +1 位作者 Koussou Mian-Oudanang Sougnabe Pabame 《Agricultural Sciences》 2025年第1期178-192,共15页
Two protected sites located on the outskirts of the Sena Oura National Park (PNSO) in West Mayo-Kebbi cover an area of 1800 m2 is pattern choose in pastoral enclave in both village. This study was undertaken to highli... Two protected sites located on the outskirts of the Sena Oura National Park (PNSO) in West Mayo-Kebbi cover an area of 1800 m2 is pattern choose in pastoral enclave in both village. This study was undertaken to highlight the floristic diversity of the herbaceous and woody vegetation on these sites in the offing to know the ability of charge into UBT that most support the park peripheral. It took place on two experimental sites on a natural course in two villages: Wazetelan and Massang. The approach used for the study was a survey using the systematic sampling method and a 30 m × 30 m plot. The survey consisted in listing all the taxa in a floristically homogeneous plot, each assigned the Braun-Blanquet dominance abundance coefficient. These surveys revealed a floristic richness of 73 species, 58 genera, including 46 herbaceous and 26 woody species. The Shannon result gives H1' = 0.12 bit for herbaceous species and H2' = 0.44 bit for woody species, meaning that the herbaceous and woody populations of all the surveys have a very low species diversity, as H' < 3 according to the Shannon index assessment threshold. Herbaceous species are divided into 13 families and 33 genera. The most represented families are Fabaceae (27.3%) and Poaceae (21.9%). Most of the other families (1.3%) have only one species, if any. Herbaceous species are divided into 33 genera grouped into 13 families. The most represented families are Fabaces (16 species), 34%, and Poaceae (12 species), 26%. The 26 woody species, most of which come from itinerant surveys, are distributed across 24 genera and 12 families, the most important of which is Fabaceae with 09 species (34.6%). This floristic assessment, in terms of quantity and quality, has enabled us to estimate the carrying capacity of the two pastoral enclaves in Dari and Goumadji cantons, and to guide the government’s actions with regard to rangeland management. 展开更多
关键词 Floristic Diversity Protected Sites PERIPHERY Area Producty chad
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Microbiological, Biochemical and Physicochemical Characterization of Water Quality and Islands (Domoro and Maguite) in Lake Fitri, Chad
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作者 Djibrine Adoum Oumar Hama Cissé +4 位作者 Atteib Adam Baye Adama Sawadogo Jacques Etame Abdelsalam Tidjani Savadogo Aly 《Open Journal of Applied Sciences》 2025年第2期530-555,共26页
A total of fifty (50) samples of water from Lake Fitri (Chad), with 25 samples per island (Domoro and Maguite). The aim of this study was to analyze the bacteriological, biochemical and physico-chemical quality of the... A total of fifty (50) samples of water from Lake Fitri (Chad), with 25 samples per island (Domoro and Maguite). The aim of this study was to analyze the bacteriological, biochemical and physico-chemical quality of the water in Lake Fitri in Chad. Standard microbiology methods were used. Isolated strains of enterobacteria were characterized by API 20E and API Staph galleries and confirmed by API Web. Antibiotic resistance was performed according to the recommendations of the antibiogram committee (CA-SFM, 2019). Physico-chemical analysis of the water was carried out by (Rodier, 2009). The microbiological results revealed an abundance on the Domoro islands (5.37.106 ± 1.5.105 and 1.97.105 ± 4.94.104), successively for total aerobic mesophilic flora (FMAT), and thermotolerant coliform (E. coli) and on the Maguite Islands (4.71.106 ± 7.14.105 and 2.32.105 ± 2.86.104), alternately for total aerobic mesophilic flora (FMAT), and thermotolerant coliform (E. coli). The results obtained after incubation of the biochemical tests using the API 20E and API Staph galleries and their proposed numerical profile analyzed using Api software and confirmed by Api Web confirmed the contamination of the waters of Lake Fitri by pathogenic strains of E. coli, Staphylococcus and Salmonella spp. The results of the antibiogram carried out show the emergence of certain resistances to Tobramycin, Flucytosine and Teicoplanin. The average levels of BOD5, COD, SS, Nitrate (NO3) and Nitrite (NO2) for Domoro Island were 32.14 ± 2.37 mg/L, 423.86 ± 4.78 mg/L, 65.42 ± 2.27 mg/L, 0.04 ± 0.01 mg/L and 3.32 ± 1.48 mg/L respectively. The water from the islands of Lake Fitri must therefore be rigorously treated before consumption. 展开更多
关键词 chad Lake Fitri PHYSICOCHEMICAL Microbiological and Biochemical
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Experimental Characterization of the Thermal Properties of Thin Polypropylene Plates Reinforced with Residues and Fibers from the Borassus Wood (Rônier) of Chad
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作者 Abakar Malgnan Kimtangar Ngargueudedjim +2 位作者 Bruno Bassa Hinpere Wedjou Bianpambe Guy Edgar Ntamack 《Open Journal of Applied Sciences》 2025年第2期517-529,共13页
This study focuses on the thermophysical characterizations of composite materials made from polypropylene reinforced with residues and fibers from Borassus wood from Chad. These properties are experimentally determine... This study focuses on the thermophysical characterizations of composite materials made from polypropylene reinforced with residues and fibers from Borassus wood from Chad. These properties are experimentally determined at different temperatures using the hot wire method of the “FP2C” machine, where the hot wire probe is inserted between two specimens. The values of the thermal conductivity in powdered Borassus wood range from 0.170 W/mK to 0.182 W/mK for female wood (FNTF) and from 0.169 W/mK to 0.173 W/mK for male wood. For the female and male fibers, the thermal conductivity values range from 0.137 W/mK to 0.157 W/mK for the female and from 0.138 W/mK to 0.168 W/mK for the male. The thermal effusivity of the residues and fibers of Borassus wood varies from: 509.6 Ws1/2/m2K to 543 Ws1/2/m2K for the powder of female wood and from 524.6 Ws1/2/m2K to 547 Ws1/2/m2K for the powder of male wood. For the fibers of Borassus wood, the values range from 410.6 Ws1/2/m2K to 523.6 Ws1/2/m2K for the female wood fibers and from 420.3 Ws1/2/m2K to 480.3 Ws1/2/m2K for the male wood fibers. These results are important for the applications of Borassus wood residues and fibers in construction works regarding the thermal insulation of habitats. 展开更多
关键词 Composite Materials Residues and Fibers of Rônier Wood from chad Thin Sheets Thermal Properties Characterization
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Impact of Social Determinants on Vector-Borne Parasitic Diseases in Chad: A Case Study of Grand-Sido and Kouh-Est
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作者 Mahamat Alhadj Moussa Ibrahim Abdelsalam Hassan Gogo +5 位作者 Hassane Mahamat Hassane Petra Berger Djoukzoumka Signaboubo Aly Savadogo Abdelsalam Tidjani Soerge Kelm 《Open Journal of Applied Sciences》 2025年第1期110-126,共17页
Background: Social determinants of health (SDOH) significantly influence diseases with environmental components, like vector-borne parasitic diseases. This study aims to examine how these factors influence vector-born... Background: Social determinants of health (SDOH) significantly influence diseases with environmental components, like vector-borne parasitic diseases. This study aims to examine how these factors influence vector-borne parasitic diseases (VBPDs) transmission in Chad and provide recommendations for policy improvements. Methods: The study adopts the WHO Conceptual Framework of SDOH to compare two regions in Southern Chad: Kouh-Est, which has an ongoing vector control program, and Grand-Sido, which lacks such a program. The study includes both nomadic and sedentary populations to provide a comprehensive understanding of the SDOH influencing VBPDs. Households were randomly selected. Data on sociodemographic characteristics, literacy, knowledge of VBPDs and protective measures, and access to education and health facilities were collected. Results: A total of 202 households from 17 villages, including 820 participants, were surveyed. Agriculture, livestock, and fishing were the main occupations, involving 84.1% of participants. Literacy was low, with 36.7% non-educated, 47.7% completing primary school, 14.5% secondary school, and only 0.3% reaching tertiary education. Most villages lacked schools beyond the primary level, and nomadic populations were significantly less educated than sedentary ones (p Conclusion: Educational deficiencies, lack of protective measures against vectors, inadequate healthcare resources, and lifestyle conditions aggravated by poor road infrastructure, limited transportation, and economic constraints contribute to worsened VBPDs outcomes in these rural populations. Addressing these systemic issues in the surveyed communities is essential for improving health equity and VBPDs outcomes in these regions specifically and in similar populations settings more broadly. 展开更多
关键词 Social Determinants of Health Vector-Borne Parasitic Diseases chad
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CHADS2评分及改良CHADS评分对心房颤动消融术后复发的预测价值 被引量:2
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作者 王松云 鲁志兵 +7 位作者 余锂镭 黄兵 王卓 何文博 廖凯 萨仁高娃 阳康 江洪 《中华老年多器官疾病杂志》 2014年第1期10-15,共6页
目的:探讨心力衰竭高血压、年龄、糖尿病和脑卒中(包括一过性脑缺血)(CHADS2)评分及改良CHADS评分对心房颤动(房颤)射频消融术后复发的预测价值。方法对2010年7月至2012年3月在我院行射频消融术的93例房颤患者追踪随访12个月,术... 目的:探讨心力衰竭高血压、年龄、糖尿病和脑卒中(包括一过性脑缺血)(CHADS2)评分及改良CHADS评分对心房颤动(房颤)射频消融术后复发的预测价值。方法对2010年7月至2012年3月在我院行射频消融术的93例房颤患者追踪随访12个月,术后1,3,6,9,12个月行12导联心电图或长程心电图检查,结合临床症状及心电图检查结果将其分为复发组(n=40)和未复发组(n=53),采用单因素和多因素分析消融术后房颤复发的危险因素。结果93例房颤患者中持续性房颤35例(37.63%),随访12个月时复发40例(43.01%)。房颤复发组与未复发组在平均年龄(P<0.01)、年龄>70岁(P<0.05)、病史(P<0.05)、房颤类型(P<0.01)、左房内径(P<0.001)、左室射血分数(P<0.05)、血细胞比容(P<0.05)、是否伴心力衰竭(P<0.05)、是否伴高血压(P<0.01)、是否伴糖尿病(P<0.05)、是否有一过性脑缺血或脑卒中史(P<0.05)、术后是否服用血管紧张素转换酶抑制剂和血管紧张素Ⅱ受体拮抗剂(ACEI/ARB,P<0.01)、术后是否服用Ⅲ类抗心律失常药(P<0.05)、CHADS2评分≥1(P<0.001)等方面差异有统计学意义。logistic回归分析发现,病史、房颤类型、左房内径、CHADS2评分≥1为房颤术后复发的独立危险因素(病史长短:OR=1.16,P=0.020;左房内径:OR=1.17,P=0.025;房颤类型:OR=3.34,P=0.050;CHADS2评分≥1:OR=5.93,P=0.019)。进一步分析发现,CHADS2评分≥2、改良CHADS评分≥1、改良CHADS评分≥2亦为房颤术后复发的独立危险因素(CHADS2≥2:OR=5.42,P=0.028;改良CHADS评分≥1:OR=6.64,P=0.015;改良CHADS评分≥2:OR=7.32,P=0.002)。截断点分析显示,CHADS2与改良CHADS均≥1时对房颤消融预后的预测价值最高,对CHADS2评分≥1与改良CHADS评分≥1预测房颤消融预后的灵敏度、特异度、曲线下面积进行比较发现,差异均无统计学意义[分别为0.775 vs 0.800、0.358 vs 0.377、0.708(95%CI 0.601~0.806) vs 0.711(95%CI 0.605~0.818),均P>0.05]。结论病史长短、左房内径、房颤类型、CHADS2评分≥1、CHADS2评分≥2、改良CHADS评分≥1、改良CHADS评分≥2均为心房颤动消融术后复发的独立危险因素,且改良CHADS评分与CHADS2评分对房颤消融预后具有同等的预测价值。 展开更多
关键词 心房颤动 射频消融术 复发 chadS2评分 改良chadS评分
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Petrography and geochemical characterization of the Baibokoum syenitic pluton(Southern Chad):Implication for the magma genesis
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作者 Gustave Baissemia Ronang Merlin Gountie Dedzo +3 位作者 Jules Tcheumenak Kouemo Moussa Ngarena Klamadji Diondoh Mbaguedje Maurice Kwekam 《Acta Geochimica》 2025年第2期420-439,共20页
The Baibokoum syenitic pluton(BSP),located in southern Chad,to the NE of the Adamawa-Yadédomain,is one of the few strongly potassic magmatic bodies in the southern part of the Central African Fold Belt(CAFB)in Ch... The Baibokoum syenitic pluton(BSP),located in southern Chad,to the NE of the Adamawa-Yadédomain,is one of the few strongly potassic magmatic bodies in the southern part of the Central African Fold Belt(CAFB)in Chad.It has been previously studied petrologically,but its petrogenesis has remained poorly known.Petrographic and whole-rock geochemical data presented in this article highlight their magma genesis and geodynamic evolution.The BSP consists of medium-to coarse-grained syenites associated with minor microdiorites,which occur as syn-plutonic dikes and mafic microgranular enclaves(MME)coarse-and medium-grained syenites outcrop respectively to the core and the border of the BSP.The syenite displays high-K and alkaline to trans-alkaline affinity.Petrographic and geochemical data suggest that medium-to coarse-grained syenites are from single magma source that evolved and differentiated by fractional crystallization in a magma reservoir.REE profiles show enriched LREEs(La_(N)/Yb_(N)=6.19-45.55)while HREEs show an almost flat profile(Dy_(N)/Yb_(N)=1.0-2.23),and the La/Sm and Sm/Yb ratios have led to propose that the aforementioned rocks derived from the partial melting of a garnet-spinel-lherzolite mantle source.Negative Nb and Ta anomalies indicate that this mantle source was modified by the addition of subduction-related material.Th/Yb ratios associated with high Ba/La ratios indicate that enrichment of the source could be related to slab-derived fluids.The parental magma of the BSP was generated by partial melting of the metasomatized lithospheric mantle that was modified into arc-magmatism material in a subduction setting.Its emplacement took place in two successive stages:a static stage of fractional crystallization and crystal settling in a deep magma source and a dynamic stage in a shear deformation setting during which stratified magma rises towards the upper crust,with evolved syenite magma being emplaced first and diorite later.The emplacement of the BSP was probably controlled by the evolution of the Tcholliré-Banyo Fault and M'BéréShear Zone during the Pan-African orogeny. 展开更多
关键词 Baibokoum Syenitic Pluton Adamawa-Yadé Magma genesis Southern chad
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Effects of clay content distribution on soil hydrothermal responses in the Lake Chad region:Numerical investigation
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作者 Ni An Teodolina Lopez +3 位作者 Raphael Antoine Yujun Cui Weikang Song Haijun Hu 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第3期1786-1800,共15页
Understanding water dynamics under the effect of climatic conditions is important to improve water sustainability over the medium-and long-term.Clay content can affect soil hydrothermal properties,and hence modify wat... Understanding water dynamics under the effect of climatic conditions is important to improve water sustainability over the medium-and long-term.Clay content can affect soil hydrothermal properties,and hence modify water and heat exchange between soil and atmosphere,e.g.evapotranspiration and infiltration.This work aims to develop a numerical approach to explore the influence of clay content on soil hydrothermal response to the timely climatic conditions in the Lake Chad region,Sahel Region of west-central Africa.The meteorological information at the studied points,i.e.points A and B with a clay content of 8.3%and 25%,during the year 2008 is collected from ERA5-Land hourly data.The numerical results allow for understanding the effect of clay content on the hydrothermal response of the surface soil layer.Specifically,the soil surface temperature under point A is lower than that under point B during the dry season due to the dominant effect of heat conduction.However,the converse tendency is observed during the wet season because of the combined effect of heat conduction and latent heat.The variations of soil volumetric water content are closely related to the timely interaction between the soil and atmosphere,in addition to the hydrothermal properties of soil.Moreover,the outcomes of this work improve the understanding of the heat and water dynamics under the effect of climatic conditions and clay content,and provide further insights into the potential water protection in arid and semi-arid regions in the future. 展开更多
关键词 Clay content Soil hydrothermal response Lake chad region Numerical investigation Soil surface temperature
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Characteristics,genetic mechanism and hydrocarbon accumulation of inverted structures in the Doseo Basin,Chad
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作者 SONG Yifan DOU Lirong +5 位作者 XIAO Kunye CHENG Dingsheng DU Yebo WANG Li YUAN Shengqiang ZHANG Xinshun 《Petroleum Exploration and Development》 2025年第4期1001-1016,共16页
Based on two-dimensional/three-dimensional seismic and logging data,combined with the analysis of low-temperature thermochronology data,the unconformity surface characteristics and the patterns and dynamic mechanisms ... Based on two-dimensional/three-dimensional seismic and logging data,combined with the analysis of low-temperature thermochronology data,the unconformity surface characteristics and the patterns and dynamic mechanisms of inverted structures in the Doseo Basin in the Central and West African rift systems are systematically analyzed.Seismic profiles reveal two key inversion unconformable surfaces in the basin,i.e.the T_(5)interface within the Upper Cretaceous and the T_(4)interface at the top of the Cretaceous,which control the development of inverted structures in the basin.Four types of inverted structures,i.e.fault-associated,thrust,fold,and back-shaped negative flower,are identified.Spatially,they form six inverted structural belts trending in NE-NEE direction.The thermal history simulation of apatite fission track reveals two rapid cooling events in the late Late Cretaceous(85-80 Ma,cooling by 15℃)and the Eocene-Oligocene(30-40 Ma,cooling by 35℃),corresponding respectively to the formation periods of the T_(5)and T_(4)interface.The dynamics analysis of structural inversion indicates that the structural inversion in the Late Cretaceous was controlled by the subduction and long-range compression within the Tethys Ocean in the north of African Plate,while the structural inversion in the Eocene-Oligocene was drived by the stress transmission from the African-Eurasian collision.The two events were all controlled by the continuous tectonic regulation of the intracratonic basin by the evolution of the Tethys tectonic domain.The two periods of structural inversion enhanced the efficiency of oil and gas migration by controlling the types of traps(anticline and fault-related traps)and fault activation,precisely matching the hydrocarbon generation peaks of the Lower Cretaceous source rocks in the Late Cretaceous and Eocene,thereby controlling the formation of large-scale oil and gas reservoirs in the Doseo Basin.This geological insight provides a critical basis for the theoretical research on the evolution and hydrocarbon accumulation of inverted structures in discrete strike-slip rift systems. 展开更多
关键词 Central and West African rifting systems chad Doseo Basin structural inversion TRAP thermal history simulation hydrocarbon accumulation basin-forming dynamic mechanism
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非洲中部Bongor盆地与Lake Chad盆地烃源岩发育特征差异性探讨 被引量:8
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作者 蔡周荣 黄先雄 +2 位作者 万志峰 刘维亮 郭峰 《油气地质与采收率》 CAS CSCD 北大核心 2010年第1期41-44,共4页
Bongor盆地和Lake Chad盆地是位于非洲中部且地理位置较近的盆地,但两者在烃源岩的发育特征方面却存在着明显的差异:Bongor盆地的烃源岩主要发育于下白垩统湖相泥岩中,Lake Chad盆地的烃源岩则主要发育于上白垩统海岸—滨海相泥页岩中... Bongor盆地和Lake Chad盆地是位于非洲中部且地理位置较近的盆地,但两者在烃源岩的发育特征方面却存在着明显的差异:Bongor盆地的烃源岩主要发育于下白垩统湖相泥岩中,Lake Chad盆地的烃源岩则主要发育于上白垩统海岸—滨海相泥页岩中。通过对2个盆地的区域构造背景分析,认为烃源岩发育的差异性是2个盆地所处的区域应力场不同所致。Bongor盆地位于中非裂谷系,其油气成藏特征受中非剪切带的影响;Lake Chad盆地属于西非裂谷系,油气成藏特征受西非张裂带的影响。中非裂谷系和西非裂谷系2大不同的区域地质背景,造就了2个盆地差异性较大的烃源岩发育特征,了解这种油气成藏的差异性特征对中国南海未来的油气勘探有一定的启发作用。 展开更多
关键词 烃源岩发育特征 差异性 非洲中部 Bongor盆地 LAKE chad盆地
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CHADS2评分与CHA2DS2-VASc评分在非瓣膜病房颤患者左房血栓风险评估中的对比分析 被引量:6
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作者 韩佳 王云飞 +2 位作者 王佳旺 吕峰峰 吴华菊 《中国老年学杂志》 CAS CSCD 北大核心 2016年第11期2670-2672,共3页
目的探讨CHADS2评分及CHA2DS2-VASc评分在非瓣膜病心房颤动(AF)患者左房血栓风险评估中的作用。方法 2011年6月至2015年6月选择该院收治的非瓣膜病AF患者423例,根据其左房是否发生血栓分为左房血栓组和未发生左房血栓组;采用CHADS2评分... 目的探讨CHADS2评分及CHA2DS2-VASc评分在非瓣膜病心房颤动(AF)患者左房血栓风险评估中的作用。方法 2011年6月至2015年6月选择该院收治的非瓣膜病AF患者423例,根据其左房是否发生血栓分为左房血栓组和未发生左房血栓组;采用CHADS2评分系统和CHA2DS2-VASc评分系统对非瓣膜病AF患者发生血栓事件的风险进行危险分层,收集患者一般临床资料,采用Logistics回归对左房血栓发生的危险因素进行分析。结果 423例非瓣膜病AF患者进行食道心脏超声检查发现65例(15.36%)发生左房血栓;患者CHADS2评分显著低于CHA2DS2-VASc评分(P<0.05);秩和检验显示CHA2DS2-VASc评分系统对患者危险分层的严重程度显著高于CHADS2评分系统(P<0.05);随着CHADS2评分系统和CHA2DS2-VASc评分系统危险的增加患者发生左房血栓的比例逐渐升高(P<0.05);单因素分析显示年龄≥65岁、左房内径≥38 mm及射血分数≤40%是非瓣膜病AF患者发生左房血栓的危险因素(P<0.05);多因素Logistics回归显示CHA2DS2-VASc评分是导致非瓣膜病AF患者发生左房血栓的危险因素。结论 CHA2DS2-VASc评分能够预测非瓣膜病AF患者左房血栓的发生,其预估价值明显优于CHADS2评分。 展开更多
关键词 心房颤动 左房血栓 chadS2评分 CHA2DS2-VASc评分 危险因素
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CHADS2评分为1分的持续性非瓣膜病心房颤动患者应用华法林和阿司匹林的疗效与安全性比较 被引量:9
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作者 程功 孟恬宇 +4 位作者 马舒婷 寿锡凌 林静 韩新源 祁杰 《中国循证心血管医学杂志》 2014年第5期538-541,共4页
目的:观察在CHADS2评分为1分的持续性非瓣膜病心房颤动(房颤)患者华法林和阿司匹林预防缺血性脑卒中的疗效与安全性。方法选择于2012年1月至2013年6月于陕西省人民医院心内科就诊的房颤患者,按照纳入标准共选择460例CHADS2评分为1... 目的:观察在CHADS2评分为1分的持续性非瓣膜病心房颤动(房颤)患者华法林和阿司匹林预防缺血性脑卒中的疗效与安全性。方法选择于2012年1月至2013年6月于陕西省人民医院心内科就诊的房颤患者,按照纳入标准共选择460例CHADS2评分为1分的患者,将其以1:1随机划分为华法林组(试验组)和阿司匹林组(对照组)。观察两组患者卒中的发生率及出血并发症的差异。结果平均随访(11.3&#177;4.7)月,华法林组未观察到缺血性卒中发生,阿司匹林组缺血性卒中发生率为2.7%(6/225),华法林组缺血性卒中事件发生率明显低于阿司匹林组,差异有统计学意义(OR=1.027,95%CI:1.005~1.050,P=0.030)。华法林组轻度出血发生率为4.2%(9/216),多于阿司匹林组(0.9%,2/225),差异有统计学意义(OR=4.848,95%CI:1.035~12.699,P=0.033);华法林组与对照组颅内出血发生率相近,无统计学差异(OR=1.042,95%CI:0.065~8.762,P<0.05)。结论对CHADS2评分为1分的低危房颤患者,与阿司匹林比较,华法林导致微出血的发生率增高,但华法林能够有效降低缺血性卒中的发生率。 展开更多
关键词 心房颤动 卒中 华法林 阿司匹林 chadS2评分
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CHADS_2与CHA_2DS_2-VASc评分对非瓣膜病房颤患者左房血栓的风险评估 被引量:8
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作者 顾俊 贾锋鹏 封盼攀 《南方医科大学学报》 CAS CSCD 北大核心 2014年第11期1601-1605,共5页
目的评价CHADS2评分以及CHA2DS2-VASc评分与非瓣膜病房颤患者左房血栓的相关性,并比较两种评估系统评估结果的不同。方法入选397例非瓣膜病房颤患者,分别行CHADS2评分以及CHA2DS2-VASc评分评估其血栓事件风险,比较两种评估系统平均得分... 目的评价CHADS2评分以及CHA2DS2-VASc评分与非瓣膜病房颤患者左房血栓的相关性,并比较两种评估系统评估结果的不同。方法入选397例非瓣膜病房颤患者,分别行CHADS2评分以及CHA2DS2-VASc评分评估其血栓事件风险,比较两种评估系统平均得分及危险分层的差异;并行经食道心脏超声检查了解左房血栓的发生率,分析两种评估系统不同评分与左房血栓的相关性。结果 CHA2DS2-VASc平均得分显著高于CHADS2平均得分(1.37±1.19 vs 0.63±0.78,P<0.001),CHA2DS2-VASc评分高危组比例显著高于CHADS2评分(P<0.001),而低危组比例显著低于CHADS2评分(P<0.001)。经食道超声检查发现左房血栓共44例,分析显示左房血栓发生率随CHADS2评分以及CHA2DS2-VASc评分危险分层增高而增加,不同得分组间有明显差异(P<0.05)。单变量分析显示女性、年龄≥65岁、左房内径≥38 mm、左室射血分数≤40%、高血压、糖尿病、冠心病、脑卒中、CHADS2≥2分、CHA2DS2-VASc≥2分均和左房血栓有明显关系,但多变量logistic回归分析显示,仅CHA2DS2-VASc≥2分是唯一预测左房血栓的指标(OR:9.85,95%CI:2.178-44.542,P<0.01)。结论 CHA2DS2-VASc评估得分高于CHADS2评分,其具有优于CHADS2评分的左房血栓预测能力。 展开更多
关键词 心房颤动 左房血栓 chadS2评分 CHA2DS2-VASc评分
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CHADS2评分对心房颤动患者二尖瓣置换术围手术期脑卒中风险的预测作用 被引量:5
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作者 龚志云 任崇雷 +3 位作者 姜胜利 王明岩 肖苍松 高长青 《中华老年多器官疾病杂志》 2016年第10期744-748,共5页
目的:缺血性脑卒中是心脏手术后严重并发症,但其危险因素尚待进一步研究。本研究旨在探讨CHADS2评分对二尖瓣置换术围手术期脑卒中风险的预测作用。方法选择2005年1月至2014年12月解放军总医院心血管外科行二尖瓣置换且术前合并房颤... 目的:缺血性脑卒中是心脏手术后严重并发症,但其危险因素尚待进一步研究。本研究旨在探讨CHADS2评分对二尖瓣置换术围手术期脑卒中风险的预测作用。方法选择2005年1月至2014年12月解放军总医院心血管外科行二尖瓣置换且术前合并房颤的患者共805例,年龄(53.7±10.5)岁,女性422例(52.4%)。观察不同CHADS2评分患者二尖瓣置换术后住院期间缺血性脑卒中发生情况;比较CHADS2评分≥2组和评分<2组脑卒中发生率;采用多因素logistic回归分析方法对围手术期常见脑卒中危险因素进行分析,研究CHADS2评分与术后脑卒中的关系。结果全组患者CHADS2评分为0分者493例(61.2%),1分者185例(23.0%),2分者92例(11.4%),3分者26例(3.2%),4分者9例(1.1%)。术后住院期间发生缺血性脑卒中共14例,发生率为1.7%。住院期间死亡16例,死亡率2.0%。脑卒中发生于CHADS2评分为0分者6例(发生率1.2%),1分者2例(发生率1.1%),2分者3例(发生率3.3%),3分者2例(发生率7.7%),4分者1例(发生率11.1%)。与CHADS2评分<2组比较, CHADS2评分≥2组脑卒中发生率显著升高(4.7% vs 1.2%;P =0.005)。与低CHADS2评分组比较,高CHADS2评分组患者术前合并颈动脉狭窄、术中同期行CABG和植入机械瓣比例较高,术后机械通气时间更长(P<0.05)。两组患者术后ICU停留时间以及住院期间病死率差异均无统计学意义(P>0.05)。多因素logistic回归分析结果显示, CHADS2评分≥2( OR =4.164,95%CI:1.388~12.495; P =0.011)和术后应用重组人凝血因子Ⅶa (OR=11.757,95%CI:2.909~47.520;P=0.001)是术后住院期间脑卒中的独立危险因素。结论 CHADS2评分高的房颤患者二尖瓣置换术后住院期间脑卒中发生率更高,CHADS2评分≥2是术后住院期间脑卒中的独立危险因素。 CHADS2评分对于预测房颤患者二尖瓣置换术围手术期脑卒中风险有一定价值,值得进一步研究。 展开更多
关键词 心房颤动 脑卒中 二尖瓣置换 chadS2 评分
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非瓣膜性心房颤动伴急性脑梗死患者血浆脑利钠肽水平与CHADS2评分的关系 被引量:7
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作者 何扬利 曾敏 +6 位作者 吴智勇 郑茵 蒙绪卿 符秀虹 陈积雄 王萍 刘肖君 《中国心血管杂志》 2016年第1期46-49,共4页
目的了解非瓣膜性心房颤动伴急性脑梗死患者血浆脑利钠肽(BNP)水平与CHADS2评分的关系。方法对2013年10月至2014年10月入住我院的208例非瓣膜性心房颤动患者按是否合并急性脑梗死分为急性脑梗死及非急性脑梗死组,测定BNP水平并进行CHADS... 目的了解非瓣膜性心房颤动伴急性脑梗死患者血浆脑利钠肽(BNP)水平与CHADS2评分的关系。方法对2013年10月至2014年10月入住我院的208例非瓣膜性心房颤动患者按是否合并急性脑梗死分为急性脑梗死及非急性脑梗死组,测定BNP水平并进行CHADS2评分调查,分析两组BNP水平差异及BNP与CHADS2的关系。结果 (1)非瓣膜性心房颤动合并急性脑梗死组BNP水平[(2 866.9±4 130.3)ng/L]较非急性脑梗死组[(1 494.8±2 801.8)ng/L]明显增高,两组比较差异有统计学意义(P<0.01)。(2)随着CHADS2评分的增高,BNP逐渐升高,行相关分析,并在校正年龄后,BNP水平与CHADS2仍呈正相关(r=0.212,P<0.01)。结论 BNP水平与CHADS2评分具有相关性,与非瓣膜性心房颤动患者发生脑栓塞的因果关系有待进一步研究。 展开更多
关键词 心房颤动 脑梗死 利钠肽 chadS2
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GRACE、CHADS_2和CHA_2DS_2-VASc评分对非ST段抬高型ACS伴房颤患者冠脉支架置入术后不良事件的预测价值 被引量:4
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作者 刘鹏飞 王楠楠 +1 位作者 张博阳 李田昌 《山东医药》 CAS 北大核心 2017年第1期51-53,共3页
目的探讨全球急性冠状动脉注册(GRACE)评分、CHADS_2评分和CHA_2DS_2-VASc评分对非ST段抬高型急性冠状动脉综合征(NSTE-ACS)伴房颤患者冠状动脉支架置入术后不良事件的预测价值。方法选择NSTE-ACS伴房颤并接受冠状动脉支架置入治疗患者1... 目的探讨全球急性冠状动脉注册(GRACE)评分、CHADS_2评分和CHA_2DS_2-VASc评分对非ST段抬高型急性冠状动脉综合征(NSTE-ACS)伴房颤患者冠状动脉支架置入术后不良事件的预测价值。方法选择NSTE-ACS伴房颤并接受冠状动脉支架置入治疗患者1 598例进行GRACE、CHADS_2和CHA_2DS_2-VASc评分,并观察主要不良心脑血管事件(MACCE)和血栓栓塞事件(TE)发生情况;利用Cox比例风险回归进行单因素及多因素分析,计算三种评分的ROC曲线下面积(AUC),比较三种评分对患者发生MACCE和TE的预测价值。结果成功完成随访1 508例,随访时间为(39.1±18.0)月。GRACE评分是MACCE的独立预测因子(HR=1.005,95%CI为1.002~1.008,P=0.01);CHADS_2评分(HR=1.463,95%CI为1.262~1.695,P<0.01)、CHA_2DS_2-VASc评分(HR=1.300,95%CI为1.162~1.455,P<0.01)均是TE的独立预测因子。对患者MACCE,GRACE评分AUC=0.632,95%CI为0.610~0.654,P<0.01。对患者TE,CHADS_2评分AUC=0.671,95%CI为0.650~0.693,P<0.01;CHA_2DS_2-VASc评分AUC=0.674,95%CI为0.653~0.696,P<0.01。CHA_2DS_2-VASc评分<2和≥2患者TE发生率有统计学差异(1.9%vs 5.2%,P<0.05)。结论对NSTE-ACS伴房颤冠状动脉支架置入术后患者,GRACE评分对MACCE发生有预测价值,CHADS_2评分、CHA_2DS_2-VASc评分对TE发生有预测价值;而且CHA_2DS_2-VASc评分能进一步识别CHADS_2评分TE低危患者发生TE的风险。 展开更多
关键词 急性冠脉综合征 非ST段抬高型 心房纤维性颤动 经皮冠状动脉介入治疗 GRACE评分 chadS2评分 CHA2DS2-VASc评分 预后评估
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CHADS2评分在急性ST段抬高型心肌梗死预后评估中的应用价值 被引量:5
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作者 李林岭 罗远林 罗永全 《中国心血管病研究》 CAS 2016年第10期904-906,共3页
目的 探讨CHADS2评分对评估急性ST段抬高型心肌梗死(STEMI)患者预后的临床价值.方法 收集2013年5月至2015年12月在乐山市人民医院确诊为STEMI的患者200例,应用CHADS2对患者的基线特征进行评分,随访至少1年或至出现主要心血管不良事件... 目的 探讨CHADS2评分对评估急性ST段抬高型心肌梗死(STEMI)患者预后的临床价值.方法 收集2013年5月至2015年12月在乐山市人民医院确诊为STEMI的患者200例,应用CHADS2对患者的基线特征进行评分,随访至少1年或至出现主要心血管不良事件(MACE,包括死亡、非致死性心肌梗死、脑梗死),依据评分高低与不良事件的发生率评估CHADS2的效率.结果 CHADS2评分越高,STEMI患者发生MACE的风险越高.结论 CHADS2评分是STEMI患者未来发生MACE的独立危险因素,可为STEMI患者的预后提供有价值的信息. 展开更多
关键词 急性ST段抬高型心肌梗死 chadS2评分 预后
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心房电机械延迟时间对低CHADS_2评分阵发性心房颤动患者卒中风险的预测作用 被引量:2
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作者 李鱼 杨德 +6 位作者 黄敏 王子军 曾志 雷华 江宗泽 陈科宇 任俊伟 《实用医院临床杂志》 2018年第6期81-84,共4页
目的探讨心房电机械延迟时间(atrial electromechanical interval,AEMI)对低CHADS_2评分阵发性心房颤动发生脑卒中的预测作用。方法随机入选92例低CHADS_2评分的非瓣膜性阵发性房颤(PAF)患者按有无心源性脑卒中(cardiogenic cerebral em... 目的探讨心房电机械延迟时间(atrial electromechanical interval,AEMI)对低CHADS_2评分阵发性心房颤动发生脑卒中的预测作用。方法随机入选92例低CHADS_2评分的非瓣膜性阵发性房颤(PAF)患者按有无心源性脑卒中(cardiogenic cerebral embolism,CE)病史分为两组,其中有CE病史组43例,无CE病史组49例。测量左室射血分数(EF值)、左心房容积指数(LAVI)、二尖瓣跨瓣血流舒张早期峰值速度(E)和舒张晚期峰值速度(A)、E波减速时间(EDT)、左心室侧壁瓣环舒张早期峰值速度(e')和舒张晚期峰值速度(a'),并计算E/A值和E/e'值。结果与无CE组比较,CE组患者e'明显降低,AEMI时间更长,差异有统计学意义(P <0. 05)。多元回归分析显示,年龄及AEMI均是CHADS_2评分低风险的影响因素。AEMI延长(>82 ms)较AEMI<82 ms的患者发生CE的风险更高(P <0. 05)。结论 AEMI可作为低CHADS_2评分患者发生脑卒中风险的独立预测因子。 展开更多
关键词 阵发性心房颤动 心源性脑卒中 chadS 2评分
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CHADS_2评分指导心房颤动患者卒中预防的意义 被引量:12
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作者 黄良通 韩钊 《内科急危重症杂志》 2012年第1期1-3,共3页
心房颤动是缺血性脑卒中的重要独立危险因素,房颤发生率随年龄而增加,可使各年龄段脑卒中的危险增加4~5倍。相比安慰剂和阿司匹林治疗,抗凝治疗可以使房颤患者年卒中发生率分别减少近2/3和s/s,但抗凝治疗却增加了患者出血的风险。
关键词 chad2评分 指导 心房颤动 卒中 预防
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CHADS_2和CHA_2DS_2-VASc评分的临床新用途 被引量:5
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作者 贾宏宇 崔炜 《心血管病学进展》 CAS 2017年第3期305-309,共5页
CHADS_2和CHA_2DS_2-VASc评分是非瓣膜性心房颤动患者卒中风险分层和指导抗凝治疗的常用工具。最近研究发现上述评分亦可用于预测非心房颤动患者卒中、不良心血管事件和死亡风险以及临床预后。现就CHADS_2和CHA_2DS_2-VASc评分相关的临... CHADS_2和CHA_2DS_2-VASc评分是非瓣膜性心房颤动患者卒中风险分层和指导抗凝治疗的常用工具。最近研究发现上述评分亦可用于预测非心房颤动患者卒中、不良心血管事件和死亡风险以及临床预后。现就CHADS_2和CHA_2DS_2-VASc评分相关的临床最新应用做一综述。 展开更多
关键词 chadS2评分 CHA2DS2-VASc评分 非心房颤动患者 卒中 临床预后
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