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A survey of high risk factors affecting retinopathy in full-term infants in China 被引量:15
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作者 Li-Na Chen Xiao-Ping He and Li-Ping Huang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2012年第2期177-180,共4页
AIM: To investigate the possible relationship between the influencing factors occurring before and during birth in full-term infants and the outcome of retinopathy. METHODS: Totally 816 full-term infants admitted in t... AIM: To investigate the possible relationship between the influencing factors occurring before and during birth in full-term infants and the outcome of retinopathy. METHODS: Totally 816 full-term infants admitted in the neonate intensive unit of Boai Hospital of Zhongshan between 1 May, 2008 and 30 June, 2011 were included in the study. Fundus examination was performed and evaluated individually on them at the age of 48 hours after delivery, 2 weeks and 1 month. Some possible risk factors happening prenatally or during delivery such as pregnant related hypertension, placenta previa, placental abruption etc, as well as some neonatal risk factors such as neonatal asphyxia, hypoxic-ischemic encephalopathy (HIE), low birth weight etc, were recorded and evacuated. Then the effect of the risk factors of full-term infants on retinopathy was studied. RESULTS: The incidence of retinal hemorrhage of full-term infants with prenatal pregnant related hypertension (PRH) of the mother (43.6%) was significantly higher than that of full-term infants without (8.0%). (P<0.001). The incidence of retinal hemorrhage of full-term infants with neonatal asphyxia and /or hypoxic-ischemic encephalopathy (HIE)(29.3%) was significantly higher than that of those without (15.7%), but correlation was not found between the severity of retina hemorrhage and the degree of hypoxic disease. A pale color of optic disc was associated with a low birth weight of full-term infant. Full-term infants with birth weigh-less than 2500g had a significant higher incidence of retinopathy than those with birth weight equal or more than 2500g( P<0.001). CONCLUSION: The main influencing factors which lead to retinopathy of high risk full-term infants are prenatal factors such as PRH, and some neonatal risk factors such as asphyxia, hypoxic-ischemic encephalopathy, and low birth weight. 展开更多
关键词 full-term infant high risk factor RETINOPATHY
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High Risk Factors of Pancreatic Carcinoma 被引量:5
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作者 Soriba Naby Camara Tao YIN +37 位作者 Ming YANG Xiang LI Qiong GONG Jing ZHOU Gang ZHAO Zhi-yongYANG Tajoo Aroun Martin Kuete Sonam Ramdany Alpha Kabinet Camara Aissatou Taran Diallo Zhen FENG Xin NING Jiong-xin XIONG Jing TAO Qi QIN Wei ZHOU Jing CUI Min HUANG Yao GUO Shan-miao GOU Bo WANG Tao LIU Ohoya Etsaka Terence Olivier Tenin Conde Mohamed Cisse Aboubacar Sidiki Magassouba Sneha Ballah Naby Laye Moussa Keita Ibrahima Sory Souare Aboubacar Toure Sadamoudou Traore Abdoulaye Korse Balde Namory Keita Naby Daouda Camara Dusabe Emmanuel He-shui WU Chun-you WANG 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2016年第3期295-304,共10页
Over the past decades,cancer has become one of the toughest challenges for health professionals.The epidemiologists are increasingly directing their research efforts on various malignant tumor worldwide.Of note,incide... Over the past decades,cancer has become one of the toughest challenges for health professionals.The epidemiologists are increasingly directing their research efforts on various malignant tumor worldwide.Of note,incidence of cancers is on the rise more quickly in developed countries.Indeed,great endeavors have to be made in the control of the life-threatening disease.As we know it,pancreatic cancer(PC)is a malignant disease with the worst prognosis.While little is known about the etiology of the PC and measures to prevent the condition,so far,a number of risk factors have been identified.Genetic factors,pre-malignant lesions,predisposing diseases and exogenous factors have been found to be linked to PC.Genetic susceptibility was observed in 10%of PC cases,including inherited PC syndromes and familial PC.However,in the remaining 90%,their PC might be caused by genetic factors in combination with environmental factors.Nonetheless,the exact mechanism of the two kinds of factors,endogenous and exogenous,working together to cause PC remains poorly understood.The fact that most pancreatic neoplasms are diagnosed at an incurable stage of the disease highlights the need to identify risk factors and to understand their contribution to carcinogenesis.This article reviews the high risk factors contributing to the development of PC,to provide information for clinicians and epidemiologists. 展开更多
关键词 high risk factors pancreatic cancer TREATMENT EPIDEMIOLOGY PATHOGENESIS ETIOLOGY
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Analysis of High Risk Factors and Nursing Measures of Patients with Hypertension Complications
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作者 SONG Xiaopei 《外文科技期刊数据库(文摘版)医药卫生》 2020年第2期048-049,共4页
Objective: analyze the related high risk factors of hypertension complications and summarize the corresponding nursing countermeasures. Methods: according to the way of retrospective analysis, 87 patients were selecte... Objective: analyze the related high risk factors of hypertension complications and summarize the corresponding nursing countermeasures. Methods: according to the way of retrospective analysis, 87 patients were selected in our hospital from January 2019 to February 2020, all of them were patients with hypertension and complications occurred in the treatment process. Objective to summarize the related high-risk factors of complications and explore the corresponding nursing measures. Results: combined with statistics, the factors leading to the complications of these patients exist in multiple levels, such as long-term drinking, overweight and smoking, no exercise, excessive salt intake in daily diet and so on. Conclusion: there are many factors leading to complications in patients with hypertension. In the process of treatment, it is necessary to carry out corresponding nursing intervention in time according to the actual situation of patients, so as to realize the effective prevention and treatment of high-risk factors and help patients recover. 展开更多
关键词 hypertension complications high risk factors nursing measures
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Research Progress on High-Risk Factors of NEC
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作者 Hao He Jianhong Liu +1 位作者 Xiaoqian Yi Xiaofang Zhu 《Journal of Biosciences and Medicines》 2025年第2期18-26,共9页
Necrotizing enterocolitis (NEC) in newborns is one of the life-threatening diseases. With the continuous advancement of perinatal medicine and neonatal intensive care technology, NEC has been on the rise year by year.... Necrotizing enterocolitis (NEC) in newborns is one of the life-threatening diseases. With the continuous advancement of perinatal medicine and neonatal intensive care technology, NEC has been on the rise year by year. The etiology of NEC is not yet clear, and it may be the result of multiple risk factors working together, such as premature birth, infection, formula feeding, ischemia, hypoxia, dysbiosis of intestinal flora, and immune damage. Additionally, recent reports have documented factors such as immunoglobulin treatment for hemolytic jaundice, blood transfusion therapy, and rapid achievement of adequate feeding. This article comprehensively analyzes the current research progress on high-risk factors of NEC, and provides a reference for future prevention, diagnosis, and treatment directions. 展开更多
关键词 NICU NEC PRETERM high risk factor
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Based on real-world data:Risk factors and prediction model for mental disorders induced by rabies vaccination
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作者 Jin-Yan Ding Jun-Juan Zhu 《World Journal of Psychiatry》 2025年第8期226-234,共9页
BACKGROUND Rabies is a zoonotic viral disease affecting the central nervous system,caused by the rabies virus,with a case-fatality rate of 100%once symptoms appear.AIM To analyze high-risk factors associated with ment... BACKGROUND Rabies is a zoonotic viral disease affecting the central nervous system,caused by the rabies virus,with a case-fatality rate of 100%once symptoms appear.AIM To analyze high-risk factors associated with mental disorders induced by rabies vaccination and to construct a risk prediction model to inform strategies for improving patients’mental health.METHODS Patients who received rabies vaccinations at the Department of Infusion Yiwu Central Hospital between August 2024 and July 2025 were included,totaling 384 cases.Data were collected from medical records and included demographic characteristics(age,gender,occupation),lifestyle habits,and details regarding vaccine type,dosage,and injection site.The incidence of psychiatric disorders following vaccination was assessed using standardized anxiety and depression rating scales.Patients were categorized into two groups based on the presence or absence of anxiety and depression symptoms:The psychiatric disorder group and the non-psychiatric disorder group.Differences between the two groups were compared,and high-risk factors were identified using multivariate logistic regression analysis.A predictive model was then developed based on these factors to evaluate its predictive performance.RESULTS Among the 384 patients who received rabies vaccinations,36 cases(9.38%)were diagnosed with anxiety,52 cases(13.54%)with depression,and 88 cases(22.92%)with either condition.Logistic regression analysis identified the following signi ficant risk factors for psychiatric disorders:Education level of primary school or below,exposure site at the head and neck,exposure classified as grade III,family status of divorced/widowed/unmarried/living alone,number of wounds greater than one,and low awareness of rabies prevention and control(P<0.05).The risk prediction model demonstrated good performance,with an area under the receiver operating characteristic curve of 0.859,a specificity of 74.42%,and a sensitivity of 93.02%.CONCLUSION In real-world settings,psychiatric disorders following rabies vaccination are relatively common and are associated with factors such as lower education level,higher exposure severity,vulnerable family status,and limited awareness of rabies prevention and control.The developed risk prediction model may aid in early identification of high-risk individuals and support timely clinical intervention. 展开更多
关键词 RABIES VACCINATION Mental disorders high risk factors risk prediction model
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Risk Factors of Precancerous Gastric Lesions in A Population at High Risk of Gastric Cancer 被引量:7
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作者 Jian Liu Li-Ping Sun Yue-Hua Gong Yuan Yuan 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2010年第4期267-273,共7页
Objective: In cancer prevention, the targeting of precancerous lesions has been recognized as the most promising method. However, little attention has been paid to the risk factors of precancerous gastric lesions, es... Objective: In cancer prevention, the targeting of precancerous lesions has been recognized as the most promising method. However, little attention has been paid to the risk factors of precancerous gastric lesions, especially in rural China where there is high prevalence of precancerous gastric lesions. We therefore conducted a cross-sectional study in Liaoning province, China, to investigate the potential risk and protective factors of these precancerous gastric lesions. Methods: A total of 1,179 subjects with high risk of gastric cancer from Zhuanghe County were included in this study. Standard questionnaires were used in collecting epidemiological factors and the data were then analyzed by the unconditional logistic regression model. Results: Smoking and drinking were the risk factors for the precancerous gastric lesions among rural subjects, and the association of smoking or drinking and the precancerous gastric lesions increased in strength with the daily consumption and duration. As the factors such as age, gender, smoking, alcohol were controlled, a multivariable analysis revealed that there was a significant correlation between the deep-fry food intake and the gastric epithelial dysplasia with the odds ratio (OR) of 1.78 [95% confidence interval (CI): 1.01-3.12]. Garlic eating was shown to confer protection against the development of gastric ulcer (OR=0.55, 95% CI: 0.33-0.92). Conclusion: Smoking and drinking were the risk factors for the precancerous gastric lesions among rural subjects. Deep-fry food intake might be one of the risk factors for the precancerous gastric lesions and garlic eating was shown to confer protection against the development of gastric ulcer among rural Chinese population. 展开更多
关键词 risk factors Precancerous gastric lesions high risk of gastric cancer
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Seroprevalence of <i>Brucella</i>Antibodies and Risk Factors Associated with Human Brucellosis in High-Risk Occupational Groups of the Noun Division in the West Region of Cameroon 被引量:2
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作者 Rolin Mitterran Ndefo Kamga Barberine Silatsa Assongo +4 位作者 Eugenie Melaine Kemta Magang Amadou Fouapon Moussa Salihou Jules-Roger Kuiate Gustave Simo 《Journal of Biosciences and Medicines》 2021年第3期105-123,共19页
Brucellosis is an anthropozoonotic disease with an important public health impact. Although the transmission of <em>Brucella</em> from animals to humans can occur in different epidemiological settings of s... Brucellosis is an anthropozoonotic disease with an important public health impact. Although the transmission of <em>Brucella</em> from animals to humans can occur in different epidemiological settings of sub-Saharan African countries, little data has been published on human brucellosis. This study aimed to detect <em>Brucella</em> antibodies and the risk factors associated to brucellosis among high-risk occupational groups of people in the Noun Division of Cameroon. For this study, a structured questionnaire was used to assess risk factors associated with human brucellosis. Thereafter, blood samples were collected from high-risk occupational groups of people in four villages. Plasma was extracted from each sample and<em> Brucella</em> antibodies were detected using Rose Bengal Plate Test (RBPT) and indirect Enzyme-Linked Immunosorbent Assay (i-ELISA). Of the 273 participants enrolled, the overall seroprevalence of <em>Brucella </em>antibodies was 12.45% with RBPT and 10.26% with i-ELISA test. This seroprevalence was significantly (<em>P</em> = 0.04;<em>X</em><sup>2</sup> = 9.73) higher among livestock herdsmen (15.8%), slaughterhouse workers (9.8%), butchers (4.8%), participants having no educational level (14.3%) and those experiencing above 5 years of risky activity (15%). Raw milk consumption (OR: 4.8;<em>P</em> = 0.001), no formal education (OR: 6.4;<em>P</em> = 0.03) and assistance of animal during parturition (OR: 7.2;<em>P</em> < 0.0001) appeared as factors that may increase the risk of <em>Brucella</em> infections. The detection of <em>Brucella </em>antibodies indicates the risk of human brucellosis in some groups of people of the Noun division. Consuming unpasteurized milk, participating in parturition and lacking knowledge on brucellosis appeared as risk factors associated with human brucellosis in western Cameroon. It raises the need of developing and implementing control measures for human and animal brucellosis. 展开更多
关键词 Brucellosis risk factors high-risk Occupational Groups Cameroon
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High myopia as a risk factor in primary open angle glaucoma 被引量:13
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作者 Sheng-Ju Chen Peng Lu +1 位作者 Wen-Fang Zhang Jian-Hua Lu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2012年第6期750-753,共4页
Glaucoma, one of the leading causes of irreversible blindness in the adult population worldwide, is a progressive optic neuropathy. Primary open angle glaucoma (POAG) is the most commonly reported type of glaucoma in ... Glaucoma, one of the leading causes of irreversible blindness in the adult population worldwide, is a progressive optic neuropathy. Primary open angle glaucoma (POAG) is the most commonly reported type of glaucoma in population based prevalence studies worldwide. Elevated intraocular pressure is a well-known major risk factor for POAG. In addition, there is growing evidence that other risk factors like age, gender, race, refractive error, heredity and systemic factors may play a role in glaucoma pathogenesis. Many studies found that high myopia has been associated with POAG, however, direct and convincing evidences are still lacking. The aim of this review is to summarize the evidences implicating high myopia as a risk factor in the pathogenesis of POAG. 展开更多
关键词 high myopia primary open angle glaucoma risk factor
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Prevalence of High Non-high-density Lipoprotein Cholesterol and Associated Risk Factors in Patients with Diabetes Mellitus in Jilin Province,China:A Cross-sectional Study 被引量:1
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作者 HE Huan ZHEN Qing +10 位作者 LI Yong KOU Chang Gui TAO Yu Chun WANG Chang Joseph Sam Kanu LU Yu Ping YU Ming Xi ZHANG Hui Ping YU Ya Qin LI Bo LIU Ya Wen 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2016年第7期534-538,共5页
Dyslipidemia is a risk factor for cardiovascular diseases(CVDs)in patients with diabetes,and non-high-density lipoprotein cholesterol(non-HDL-C)is a better predictor of CVDs than low-density lipoprotein cholestero... Dyslipidemia is a risk factor for cardiovascular diseases(CVDs)in patients with diabetes,and non-high-density lipoprotein cholesterol(non-HDL-C)is a better predictor of CVDs than low-density lipoprotein cholesterol(LDL-C)in patients with diabetes.Therefore,we aimed to investigate the distribution of non-HDL-C and the prevalence of high non-HDL-C level in Chinese patients with diabetes mellitus and identify the 展开更多
关键词 HDL Prevalence of high Non-high-density Lipoprotein Cholesterol and Associated risk factors in Patients with Diabetes Mellitus in Jilin Province China high
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A Case-control Study on High-risk Factors for Newborn Hearing Loss in Seven Cities of Shandong Province
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作者 聂文英 吴汉荣 +4 位作者 戚以胜 林倩 相丽丽 李惠 李应会 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2007年第2期217-220,共4页
To investigate the high-risk factors for newborn hearing loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to ... To investigate the high-risk factors for newborn hearing loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to pass the universal newborn hearing screening (UNHS) were referred to Jinan Newborn Hearing Screening and Rehabilitation Center from 7 newborn hearing screening centers in seven cities of Shandong province. One-to-one pair-matched case-control method was employed for statistical analysis of the basic features of definitely identified cases. High-risk factors relating to the bilateral hearing loss were evaluated by univariate and multivariate Logistic regression analysis. Our results revealed that 721 transferred newborns who didn't pass the heating screening received audiological and medical evaluation and 367 were confirmed to have hearing loss. Of them, 177 neonates with hearing loss who met the matching requirements were included in the study as subjects. Univariate analysis showed that high-risk factors related to hearing loss incuded age of father, education backgrounds of parents, parity, birth weight, gestational weeks, craniofacial deformity, history of receiving treatment in neonatal intensive care unit (NICU), neonatal disease, family history of otopathy and family history of congenital hearing loss. Multivariate Logistic regression analysis revealed that 4 independent risk factors were related to bilateral hearing loss, including parity (OR=16.285, 95% CI 3.379--78,481), neonatal disease (OR=34;968, 95% CI 2.720 449.534), family history of congenital hearing loss (OR=69.488, 95% CI 4.417--1093.300) and birth weight (OR=0.241, 95% CI 0.090--0.648). It is concluded that parity, neonatal disease and family history of heating loss are the promoting factors of bilateral hearing loss in neonates and appropriate intervention measures should be taken to deal with the risk factors. 展开更多
关键词 NEONATE hearing screening high-risk factors bilateral ears case control study
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Relationship between cardiovascular risk factors and traditional Chinese constitution in subjects with high-normal blood pressure
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作者 Hongju Jiang Youwei Han +5 位作者 Runzhi Li Suning Zhou Xiaoxia Liu Cong Cui Shouqiang Chen Wei Zhang 《World Journal of Cardiovascular Diseases》 2013年第2期234-238,共5页
Objective: We explored the relationship between traditional Chinese constitution and risk factors for cardiovascular disease in subjects with high-normal blood pressure (BP). Methods: The traditional Chinese constitut... Objective: We explored the relationship between traditional Chinese constitution and risk factors for cardiovascular disease in subjects with high-normal blood pressure (BP). Methods: The traditional Chinese constitution of 80 subjects with high-normal BP was judged by questionnaires and interviews. Measurements of cardiovascular and metabolic health in- cluded BP, body weight, body mass index (BMI), low-density lipoprotein cholesterol (LDL-C), 2-hour oral glucose tolerance test (OGTT2h), and waist cir- cumference. Statistical relationships between cardiovascular disease risk factors and specific Chinese constitution were evaluated by univariate and multivariate analyses. Results: Ping He, Tan Shi, and Yin Xu were the dominant constitutions in subjects with high-normal blood pressure. There were significant differences in weight, LDL-C, BMI, OGTT2h, and waist circumference between Tan Shi and Ping He (P P < 0.05), and weight, BMI, waist circumference, SBP, and LDL-C between Tan Shi and Yin Xu constitutions (P < 0.01). Logistic regression found a strong association between the Tan Shi constitution and LDL-C in subjects with high-normal blood pressure. Conclusion: Ping He, Tan Shi, and Yin Xu are the principle traditional Chinese constitutions in subject with high-normal blood pressure. The Tan Shi constitution is associated with multiple risk factors for cardiovascular disease (LDL-C, BMI, body weight, and waist circumference), while OGTT2h is closely related to the Yin Xu constitution. 展开更多
关键词 high-Normal BLOOD Pressure TRADITIONAL Chinese CONSTITUTION CARDIOVASCULAR risk factors
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Large Population Screening Identified the Main Risk Factors of Stroke in Shashi District of Jingzhou City
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作者 Panpan Zheng Ling Zhang +1 位作者 Rui Sun Xiaoyan Peng 《Yangtze Medicine》 2020年第1期70-78,共9页
Objective: This paper aims to screen and analyze the current status of high-risk stroke patients in Shashi District of Jingzhou City and the exposure levels of related risk factors, and provides suggestions as the ref... Objective: This paper aims to screen and analyze the current status of high-risk stroke patients in Shashi District of Jingzhou City and the exposure levels of related risk factors, and provides suggestions as the references for prevention and treatment of stroke. Methods: Using cluster sampling, on-site investigations were conducted on 1060 permanent residents aged 40 years and over at 3 townships and 2 communities in Shashi District of Jingzhou City from January 2018 to December 2018. Risk assessment of stroke is based on the stroke risk screening form. Statistical analysis was performed by using SPSS 22.0 software. Results: After making a stroke risk assessment, a total of 313 high-risk stroke patients were screened, and the detection rate was 29.53%. The exposure rate of risk factors from high to low was hypertension (70.93%), dyslipidemia (46.33%), less physical exercise (46.01%), diabetes (36.10%), overweight (33.55%), smoking (33.23%), family history of stroke (24.92%), atrial fibrillation or valvular heart disease (7.35%). There are statistically significant differences among all risk factors between the high-risk group and middle and low-risk groups (P Conclusion: The detection rate of high-risk stroke patients in Shashi District of Jingzhou City is high. Hypertension, dyslipidemia and less physical exercise are the main risk factors of stroke occurrence and recurrence in the region. The prevention and treatment of risk factors for stroke should be strengthened to control the incidence and recurrence rate of stroke. 展开更多
关键词 STROKE high-risk Population SCREENING risk factors
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Reviews of Research on Risk Factors of Hepatitis C Virus Infection
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作者 Chao Meng Na Li +2 位作者 Zhaoxiao Tong Huangxin Yan Shenxiao Min 《国际感染病学(电子版)》 CAS 2015年第1期6-9,共4页
关键词 Hepatitis C virus risk factors Unsafe medical injections Injection drug use high-risk sexual behavior
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急性心肌炎患者发生心力衰竭的临床危险因素分析
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作者 张涛 张明明 +3 位作者 周萍 王晓蕾 刘正 阿布都乃比·麦麦提艾力 《心肺血管病杂志》 2026年第1期26-32,共7页
目的:探讨急性心肌炎患者合并心力衰竭的危险因素。方法:选取2019年11月至2024年11月新疆医科大学第一附属医院收治的345例急性心肌炎患者为研究对象,按是否合并心力衰竭,分为心力衰竭组105例,非心力衰竭组240例,分析影响急性心肌炎患... 目的:探讨急性心肌炎患者合并心力衰竭的危险因素。方法:选取2019年11月至2024年11月新疆医科大学第一附属医院收治的345例急性心肌炎患者为研究对象,按是否合并心力衰竭,分为心力衰竭组105例,非心力衰竭组240例,分析影响急性心肌炎患者发生心力衰竭的危险因素。结果:两组患者的高血压病史、超敏C-反应蛋白(hs-CRP)、肌酐、eGFR、尿微量白蛋白/肌酐、cTnT水平及LVEF等与比较,差异有统计学意义(P<0.05)。通过多因素Logistic回归分析显示,hs-CRP、肌酐、cTnT及NT-proBNP是急性心肌炎患者并发心力衰竭的危险因素。进一步绘制ROC曲线,结果显示,hs-CRP、肌酐、NT-proBNP、cTnT及hs-CRP+肌酐+NT-proBNP+cTn联合检测对急性心肌炎患者并发心力衰竭有一定的预测价值,AUC分别为0.782、0.815、0.824、0.756、0.882(95%CI:0.721~0.843、0.762~0.868、0.774~0.874、0.692~0.820、0.831~0.923),灵敏度分别为75%、85%、82%、71%、86%,特异性分别为71%、77%、85%、72%、84%。与非心力衰竭组比较,心力衰竭组患者遗留心律失常的患者比例显著增高(8.57%vs.1.25%,P=0.002)。结论:hs-CRP、肌酐、cTnT及NT-proBNP是急性心肌炎患者并发心力衰竭的危险因素,其联合检测具有较高预测价值,临床上需要积极关注。 展开更多
关键词 急性心肌炎 心力衰竭 危险因素 超敏C反应蛋白 肌钙蛋白T N末端B型脑钠肽前体
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维持性腹膜透析患者腹主动脉钙化进展的危险因素分析
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作者 黄春香 翁宁 +1 位作者 刘丹 赵成丽 《浙江临床医学》 2026年第2期249-251,254,共4页
目的 探讨维持性腹膜透析(MPD)患者腹主动脉钙化(AAC)的进展情况及其影响因素。方法 回顾性纳入2021年11月至2024年12月在医院随访的MPD患者。收集患者随访期间两次侧位腹部平片检查的AAC评分(AAC Score)及人口学、血清学资料。根据年度... 目的 探讨维持性腹膜透析(MPD)患者腹主动脉钙化(AAC)的进展情况及其影响因素。方法 回顾性纳入2021年11月至2024年12月在医院随访的MPD患者。收集患者随访期间两次侧位腹部平片检查的AAC评分(AAC Score)及人口学、血清学资料。根据年度AAC评分平均增长量,将患者分为快速进展组(n=64)与缓慢进展组(n=193),进行单因素和多因素Logistic回归分析。结果 共纳入257例患者。基线时AAC发生率为55.6%(135/257),AAC评分为1(0,5)分。中位随访29个月期间,AAC发生率增至68.9%(177/257),AAC评分为3(0,9)分。43例(16.7%)为新发AAC,134例(52.1%)出现AAC进展。多因素Logistic回归分析显示,年龄(OR=1.037,95%CI:1.011~1.063,P=0.004)与时间平均hs-CRP水平(OR=1.028,95%CI:1.002~1.054,P=0.035)是AAC快速进展的独立危险因素。结论 年龄与hs-CRP水平是MPD患者AAC快速进展的独立危险因素。临床中应重视监测并干预hs-CRP水平,以延缓AAC进展。 展开更多
关键词 腹主动脉钙化 维持性腹膜透析 腹部侧位平片 危险因素 高敏C反应蛋白
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阴道微生态失衡、高危型人乳头瘤病毒感染对宫颈病变的影响
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作者 朱兆霞 李世丹 +3 位作者 黄友娜 王瑞辉 孟祥蕾 郑晓瑛 《妇儿健康导刊》 2026年第1期32-36,共5页
目的 探讨阴道微生态失衡、高危型人乳头瘤病毒(HPV)感染对宫颈病变的影响。方法 选取2021年4月至2023年11月在诸城市妇幼保健院妇科门诊就诊的600例女性为研究对象,根据是否有宫颈病变分为病变组、无病变组。比较两组阴道微生态和高危... 目的 探讨阴道微生态失衡、高危型人乳头瘤病毒(HPV)感染对宫颈病变的影响。方法 选取2021年4月至2023年11月在诸城市妇幼保健院妇科门诊就诊的600例女性为研究对象,根据是否有宫颈病变分为病变组、无病变组。比较两组阴道微生态和高危型HPV感染情况,采用多因素logistic回归分析宫颈病变的危险因素。结果 600例中,宫颈病变103例,发生率为17.17%。病变组年龄、长期口服短效避孕药占比高于无病变组(P<0.05);病变组过氧化氢、唾液酸苷酶、白细胞酯酶、凝固酶阳性及阴道清洁度3~4级、高危型HPV感染占比均高于无病变组(P<0.05);多因素分析结果显示,过氧化氢阳性、唾液酸苷酶阳性、白细胞酯酶阳性、凝固酶阳性、阴道清洁度3~4度、高危型HPV感染为宫颈病变的独立危险因素(P<0.05)。结论 阴道微生态失衡、高危型HPV感染是宫颈病变的危险因素,恢复阴道微生态环境平衡、抗HPV感染可有效降低宫颈病变的发生风险。 展开更多
关键词 高危型人乳头瘤病毒感染 阴道微生态 宫颈病变 影响因素
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症状性颅内外动脉粥样硬化性狭窄卒中复发的危险因素分析与高危人群识别
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作者 田雪 夏雪 +5 位作者 周全 杨味滋 郝允逸 孙悦 王安心 张彤 《首都医科大学学报》 北大核心 2026年第1期43-53,共11页
目的筛选我国症状性颅内外动脉粥样硬化性狭窄卒中复发相关的危险因素,进而识别高复发风险人群。方法本研究基于第三次中国国家卒中登记研究,纳入颅内外动脉狭窄50%以上的卒中患者,收集患者的一般人口学资料、既往史、院前急救、入院查... 目的筛选我国症状性颅内外动脉粥样硬化性狭窄卒中复发相关的危险因素,进而识别高复发风险人群。方法本研究基于第三次中国国家卒中登记研究,纳入颅内外动脉狭窄50%以上的卒中患者,收集患者的一般人口学资料、既往史、院前急救、入院查体、入院评分、影像学检查、入院诊断及实验室检测指标。研究结局为随访3个月内卒中复发。采用Cox比例风险回归确定影响症状性颅内外动脉粥样硬化性狭窄卒中复发的危险因素。基于确定的危险因素构建症状性颅内外动脉粥样硬化性狭窄3个月卒中复发的预测模型,并与传统ESSEN评分量表进行预测效能比较。结果共纳入3944例症状性颅内外动脉狭窄的卒中患者,中位年龄64岁,男性患者2673例(67.8%),3个月随访期间共有324例(8.7%)患者出现卒中复发。逐步多因素Cox比例风险回归模型结果显示:年龄≥75岁(HR=1.36,95%CI:1.06~1.76,P=0.016)、发病到入院时间<72 h(HR=1.64,95%CI:1.14~2.35,P=0.007)、入院美国国立卫生院卒中量表(National Institutes of Health Stroke Scale,NIHSS)>5(HR=3.38,95%CI:1.13~10.14,P=0.029)、非腔隙性梗死(HR=1.71,95%CI:1.13~2.57,P=0.011)及血浆白细胞介素-6(HR=1.02,95%CI:1.00~1.05,P=0.040)是症状性颅内外动脉粥样硬化性狭窄患者3个月卒中复发的危险因素。基于上述因素构建的新模型对症状性颅内外动脉粥样硬化性狭窄患者3个月卒中复发的预测能力优于ESSEN评分量表,C统计量由0.557增加至0.616(P=0.003),综合判别指数(integrated discrimination improvement,IDI)为0.79%(95%CI:0.44%~1.14%,P<0.001)和净重新分类指数(net reclassification improvement,NRI)为21.34%(95%CI:10.88%~31.80%,P<0.001)均有增加,且差异均有统计学意义。结论在我国症状性颅内外动脉狭窄的卒中患者中,年龄≥75岁、发病到入院时间<72 h、入院NIHSS>5分、非腔隙性梗死特征及血浆白细胞介素-6浓度升高是卒中复发的危险因素。基于上述危险因素构建的预测模型,在识别复发高风险人群的能力优于传统模型。 展开更多
关键词 症状性颅内外动脉狭窄 卒中复发 危险因素 高危人群 二级预防 队列研究
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恶性肿瘤患者院内感染高危因素评分量表的构建与管理
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作者 刘杨 孟宪青 《中外女性健康研究》 2026年第3期7-11,共5页
目的:筛选恶性肿瘤患者院内感染的独立高危因素,剔除无显著关联的性别变量后,基于单因素分析与多因素Logistic回归模型构建量化风险评分量表,验证其预测效能并探讨临床管理价值。方法:采用回顾性队列研究设计,收集某肿瘤专科医院2020年1... 目的:筛选恶性肿瘤患者院内感染的独立高危因素,剔除无显著关联的性别变量后,基于单因素分析与多因素Logistic回归模型构建量化风险评分量表,验证其预测效能并探讨临床管理价值。方法:采用回顾性队列研究设计,收集某肿瘤专科医院2020年10月至2023年12月收治的35283例恶性肿瘤住院患者临床资料,通过卡方检验进行单因素筛选,多因素Logistic回归分析独立危险因素,依据β回归系数赋予各因素权重构建量表,采用ROC曲线评估其预测性能,并通过临床干预验证应用效果。结果:35283例患者中发生院内感染158例,感染率为0.45%;主要感染类型为下呼吸道感染(71例,44.94%)和上呼吸道感染(42例,26.58%)。多因素分析显示,年龄≥60岁、住院时间≥20天、存在侵入性操作、接受抗肿瘤治疗、白细胞/粒细胞降低、合并糖尿病、肿瘤分期Ⅳ期、合并其他肺部疾病、需要营养支持为院内感染独立危险因素(均P<0.05)。构建的评分量表总分0~13.5分,ROC曲线下面积(AUC)为0.82(95%CI:0.78~0.86),敏感度75.4%,特异度78.9%;以7分为最佳截断值,将患者分为低(0~4分)、中(5~7分)、高(8~13.5分)三个风险等级。2024年1~10月应用该量表实施分层管理后,院内感染率较2023年3~12月下降0.21%(0.22%vs 0.43%,P=0.028)。结论:本研究构建的评分量表具有良好的院内感染风险预测效能,可为临床开展精准防控、降低感染发生率提供可靠工具。 展开更多
关键词 恶性肿瘤 院内感染 高危因素 风险评分量表 LOGISTIC回归 临床管理
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高龄孕妇发生自发性早产的列线图预测模型构建
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作者 江海湛 许飞燕 +3 位作者 全光辉 周静华 李秋玲 颜露春 《中国计划生育学杂志》 2026年第2期414-418,424,共6页
目的:构建高龄孕妇发生自发性早产的列线图预测模型。方法:回顾性选取2022年1月—2024年12月本院就诊并发生自发性早产的173例高龄孕妇为观察组,根据1:4的比例匹配,选取同期足月顺产成功的高龄孕妇692例作为对照组,收集临床资料,采用多... 目的:构建高龄孕妇发生自发性早产的列线图预测模型。方法:回顾性选取2022年1月—2024年12月本院就诊并发生自发性早产的173例高龄孕妇为观察组,根据1:4的比例匹配,选取同期足月顺产成功的高龄孕妇692例作为对照组,收集临床资料,采用多因素logistic回归分析高龄孕妇发生自发性早产的危险因素,并以列线图构建高龄孕妇早产的预测模型,采用受试者工作特征(ROC)曲线及校准图等对预测模型进行评价。结果:两组年龄、体质指数(BMI)、受孕方式、妊娠高血压疾病、妊娠期糖尿病、生殖道感染、血红蛋白水平均有差异(P<0.05)。logistic回归结果显示,年龄大(OR=1.674)、BMI高(OR=1.159,)、受孕方式为人工助孕(OR=2.433)、妊娠高血压疾病(OR=2.2 5 6)、妊娠期糖尿病(OR=2.2 3 6)、生殖道感染(OR=2.804)是高龄孕妇发生自发性早产的危险因素,血红蛋白水平高(OR=0.885)是保护因素(均P<0.05)。ROC曲线显示,预测模型的曲线下面积为0.893,预测灵敏度82.7%特异度81.7%。Hosmer-Lemeshow拟合优度检验结果显示观测值与预测值之间保持较好的一致性(χ^(2)=13.019,P=0.1 0 9)。结论 :本研究构建的高龄孕妇早产预测模型,能直观量化孕妇特征和孕期并发症导致的自发性早产的发生风险,具有较好的临床应用价值。 展开更多
关键词 高龄孕妇 自发性早产 列线图 预测模型 高危因素
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2026年美国国立综合癌症网络《多发性骨髓瘤指南》(第3版)更新解读
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作者 陶怡 糜坚青 《诊断学理论与实践》 2026年第1期30-36,共7页
全球及中国多发性骨髓瘤(multiple myeloma,MM)疾病负担呈持续上升趋势。2021年,全球MM新发病例达148754.63例,死亡病例为116359.63例;中国新发病例为17250例,死亡病例为12984例。男性、老年人群及经济发达地区负担更重,年轻人群患病趋... 全球及中国多发性骨髓瘤(multiple myeloma,MM)疾病负担呈持续上升趋势。2021年,全球MM新发病例达148754.63例,死亡病例为116359.63例;中国新发病例为17250例,死亡病例为12984例。男性、老年人群及经济发达地区负担更重,年轻人群患病趋势值得关注,预计未来MM的疾病负担仍将增加,高体质量指数是重要关联风险因素。2025年,美国国立综合癌症网络(National Comprehensive Cancer Network,NCCN)发布的《多发性骨髓瘤临床实践指南》经Version 1.2026版(以下简称2026.V1)至Version 3.2026版(2026.V3)快速迭代,内容覆盖了多发性骨髓瘤(multiple myeloma,MM)诊疗的全流程。笔者对2026.V1版指南与2025.V2版指南进行比较、解读,并补充对2026.V2及2026.V3版更新内容的解读,期望助力临床医师提升MM诊治水平,优化高危MM患者管理,进一步改善我国MM患者群体预后。本文的核心内容可概括为“三新增、四优化、两聚焦、一重视”,“三新增”包括特殊人群个体化治疗、多发性骨髓瘤伴中枢神经系统(central nervous system,CNS)病变诊疗路径以及免疫球蛋白沉积病(monoclonal immunoglobulin deposition disease,MIDD)管理的内容新增;“四优化”包括诊断检查强化第二代测序(next-generation sequencing,NGS)与肾活检应用,高危风险分层纳入国际骨髓瘤协会-国际骨髓瘤工作组(International Myeloma Society-International Myeloma Working Group,IMS-IMWG)标准以精准筛选高危患者,治疗方案强调初诊患者四药联合优先、复发患者免疫治疗前移,随访监测明确PET/CT应用时机;“两聚焦”指聚焦感染预防[细化嵌合抗原受体T细胞治疗(chimeric antigen receptor T cell therapy,CAR-T)等治疗相关感染防控]和肾功能保护(明确首选药物及骨改良药物剂量);一重视则是指重视孤立性浆细胞瘤和冒烟型骨髓瘤亚型管理。2026.V1指南以“精准、多元、全程”为核心,强调了多学科协作与个体化治疗,2026.V2、2026.V3版则进一步优化了复发难治患者的药物推荐。 展开更多
关键词 多发性骨髓瘤 指南解读 高危因素 免疫治疗
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