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find Author "陈金华" 2 results
  • Relationship between diabetic retinopathy and coronary atherosclerosis in type 2 diabetes patients

    Objective To investigate the relationship between diabetic retinopathy (DR) and coronary atherosclerosis (CAS) in type 2 diabetes patients and other risk factors of DR. Methods A total of 118 patients of type 2 diabetes with DR (DR group), 120 patients of type 2 diabetes without DR matched in age and sex (non-DR group), and 86 normal controls (control group) were enrolled in this study. The body mass index (BMI), blood pressure (BP), fasting blood-glucose (FPG), glycosylated haemoglobin (HbA1C), total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterin (LDL-C), creatinine, estimate glomerular filtration rate (eGFR) and urinary albumin excretion rate(UAER) in all the subjects were measured. Meanwhile, the incidence of CAS in the three groups was detected by 64slice multidetector computed tomography angiography (MDCTA). Assume concurrent DR as dependent variable, clinical indicators and laboratory parameters as independent variable, the risk factors were determined by Logistic regression analysis. In addition, CAS as dependent variable, DR as fixed factor, analysis of covariance was used to investigate the relationship between CAS and DR. Results The incidence of CAS in DR group was higher than that in nonDR group and control group, the differences were statistically significant (chi;2=26.9,35.5;P<0.05). The results of Logistic regression analysis showed that systolic BP, BMI, CAS, myocardial infarction and UAER were key risk factors for DR [odds ratio (OR)=1.02, 0.89, 4.50, 3.89, 1.34;P<0.05]. There was a negative relationship between BMI and DR. The results of analysis of covariance showed that there was significant correlation between CAS and DR (OR=5.31, 95% confidence interval=2.62-10.60; P<0.05). Conclusion CAS is independently associated with DR in type 2 diabetes patients. In addition, the other risk factors for DR include systolic BP, BMI, myocardial infarction and UAER.

    Release date:2016-09-02 05:18 Export PDF Favorites Scan
  • 探讨5例布-加氏综合症介入围手术期护理重点

    目的:探讨布-加氏综合症介入围手术期的护理重点,以保证介入治疗护理的有效性和安全性。方法:对5例布加氏综合症患者介入围手术期实施重点护理,如:饮食护理,对患者、家属心理支持,准确评估病情,有效控制腹水、出血等并发症及防治复发。结果:5例布加氏综合症介入术后2~3 d腹壁静脉及双下肢静脉曲张基本消失,X片显示支架位置正常,扩张良好;进食及生命体征正常,无心累,双下肢水肿减退,无并发症发生。住院时间10~13 d,患者满意。结论〗:通过对布-加氏综合症介入围手术期实施重点护理,提高了护理质量,防治了并发症,保证了介入治疗效果。

    Release date:2016-09-08 10:02 Export PDF Favorites Scan
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