Objective To observe the value of real-time shear wave elastography(SWE)combined with biochemical indicators for evaluating liver injury in patients with chronic kidney disease(CKD).Methods Totally 210 patients with C...Objective To observe the value of real-time shear wave elastography(SWE)combined with biochemical indicators for evaluating liver injury in patients with chronic kidney disease(CKD).Methods Totally 210 patients with CKD(CKD group)and 64 healthy subjects(control group)were retrospectively enrolled.Patients in CKD group were further divided into CKD1—5 subgroups according to CKD stages.SWE parameters of liver and kidney,including mean value,the maximum value and the median value of Young's modulus(EQI mean,EQI max and EQI med)were compared between CKD subgroups and control group.Spearman correlation analysis were performed to explore the correlations of liver and kidney SWE parameters with CKD stage,as well as of liver SWE parameters with biochemical indicators.Multivariate logistic regression analysis was used to screen independent predictors of liver injury in CKD patients.Receiver operating characteristic curves were drawn,the area under the curves(AUC)were calculated to evaluate the efficacy of the independent predictors alone and their combination for assessing liver injury in CKD patients.Results Significant differences of liver and kidney SWE parameters were found among CKD subgroups and control group(all P≤0.001).Pairwise comparison showed that liver SWE parameters in CKD5 subgroup and liver EQI max in CKD4 subgroup were all higher than those in control group(all P<0.003).Kidney SWE parameters in CKD3 subgroup were all higher than those in control group,while in CKD4 subgroup were all higher than those in control group and CKD1—3 subgroup(all P<0.003).Kidney EQI mean and EQI med in CKD5 subgroup were all higher than those in control group and CKD1—4 subgroup,while kidney EQI max in CKD5 subgroup were higher than those in control group and CKD1—3 subgroup(all P<0.003).Liver and kidney SWE parameters were lowly-moderately and positively correlated with CKD stages(r=0.364—0.665,all P<0.001).Liver SWE parameters of CKD were weakly and positively correlated with alkaline phosphatase(ALP)(r=0.229—0.248,all P<0.01).Theγ-glutamyl transferase,ALP and liver EQI max were all independent predictors of liver injury in CKD patients(all P<0.01),with AUC for evaluating liver injury in CKD patients alone of 0.645,0.756 and 0.741,respectively,lower than that of their combination(0.851,all P<0.01).Conclusion Real-time SWE combined with liver function indicators could reflect degree of liver injury in patients with different CKD stages.展开更多
随着药品和个人护理品(Pharmaceuticals and Personal Care Products,PPCPs)生产和使用量的增加,PPCPs及其代谢产物在再生水中的检出种类、检出量不断增多,再生水灌溉可影响PPCPs在土壤-作物(蔬菜)系统中的分布及累积,但其规律及驱动机...随着药品和个人护理品(Pharmaceuticals and Personal Care Products,PPCPs)生产和使用量的增加,PPCPs及其代谢产物在再生水中的检出种类、检出量不断增多,再生水灌溉可影响PPCPs在土壤-作物(蔬菜)系统中的分布及累积,但其规律及驱动机制尚不明确。为探明再生水滴灌条件下滴头布置方式对PPCPs在土壤-作物(蔬菜)系统累积的影响,该研究采用盆栽试验比较2种滴头布置方式(在番茄根部、在两番茄中间)对土壤剖面及番茄各器官中PPCPs累积量的影响,并进一步分析PPCPs在土壤-作物(蔬菜)系统累积的驱动机制。结果表明,再生水灌溉条件下不同滴头布置方式造成了PPCPs在土壤、作物(蔬菜)中累积规律的差异性,滴头布置在两番茄中间处理较其他处理而言增加了0~5cm土层吉非罗齐累积量(P<0.05),降低了番茄叶部卡马西平和根部吉非罗齐的累积量(P<0.05),较滴头布置在番茄根部处理降低了番茄叶部吉非罗齐和根部三氯生的累积量(P<0.05);不同再生水灌溉方式通过影响土壤微环境指标导致了土壤中PPCPs分布规律的差异性,滴头布置在植株中间处理较其他处理增加了0~5 cm土层pH值,导致该土层下吉非罗齐的累积量高于其他处理(P<0.05)。研究可为基于新兴污染物PPCPs防控的再生水农业安全利用提供理论依据。展开更多
文摘Objective To observe the value of real-time shear wave elastography(SWE)combined with biochemical indicators for evaluating liver injury in patients with chronic kidney disease(CKD).Methods Totally 210 patients with CKD(CKD group)and 64 healthy subjects(control group)were retrospectively enrolled.Patients in CKD group were further divided into CKD1—5 subgroups according to CKD stages.SWE parameters of liver and kidney,including mean value,the maximum value and the median value of Young's modulus(EQI mean,EQI max and EQI med)were compared between CKD subgroups and control group.Spearman correlation analysis were performed to explore the correlations of liver and kidney SWE parameters with CKD stage,as well as of liver SWE parameters with biochemical indicators.Multivariate logistic regression analysis was used to screen independent predictors of liver injury in CKD patients.Receiver operating characteristic curves were drawn,the area under the curves(AUC)were calculated to evaluate the efficacy of the independent predictors alone and their combination for assessing liver injury in CKD patients.Results Significant differences of liver and kidney SWE parameters were found among CKD subgroups and control group(all P≤0.001).Pairwise comparison showed that liver SWE parameters in CKD5 subgroup and liver EQI max in CKD4 subgroup were all higher than those in control group(all P<0.003).Kidney SWE parameters in CKD3 subgroup were all higher than those in control group,while in CKD4 subgroup were all higher than those in control group and CKD1—3 subgroup(all P<0.003).Kidney EQI mean and EQI med in CKD5 subgroup were all higher than those in control group and CKD1—4 subgroup,while kidney EQI max in CKD5 subgroup were higher than those in control group and CKD1—3 subgroup(all P<0.003).Liver and kidney SWE parameters were lowly-moderately and positively correlated with CKD stages(r=0.364—0.665,all P<0.001).Liver SWE parameters of CKD were weakly and positively correlated with alkaline phosphatase(ALP)(r=0.229—0.248,all P<0.01).Theγ-glutamyl transferase,ALP and liver EQI max were all independent predictors of liver injury in CKD patients(all P<0.01),with AUC for evaluating liver injury in CKD patients alone of 0.645,0.756 and 0.741,respectively,lower than that of their combination(0.851,all P<0.01).Conclusion Real-time SWE combined with liver function indicators could reflect degree of liver injury in patients with different CKD stages.
文摘随着药品和个人护理品(Pharmaceuticals and Personal Care Products,PPCPs)生产和使用量的增加,PPCPs及其代谢产物在再生水中的检出种类、检出量不断增多,再生水灌溉可影响PPCPs在土壤-作物(蔬菜)系统中的分布及累积,但其规律及驱动机制尚不明确。为探明再生水滴灌条件下滴头布置方式对PPCPs在土壤-作物(蔬菜)系统累积的影响,该研究采用盆栽试验比较2种滴头布置方式(在番茄根部、在两番茄中间)对土壤剖面及番茄各器官中PPCPs累积量的影响,并进一步分析PPCPs在土壤-作物(蔬菜)系统累积的驱动机制。结果表明,再生水灌溉条件下不同滴头布置方式造成了PPCPs在土壤、作物(蔬菜)中累积规律的差异性,滴头布置在两番茄中间处理较其他处理而言增加了0~5cm土层吉非罗齐累积量(P<0.05),降低了番茄叶部卡马西平和根部吉非罗齐的累积量(P<0.05),较滴头布置在番茄根部处理降低了番茄叶部吉非罗齐和根部三氯生的累积量(P<0.05);不同再生水灌溉方式通过影响土壤微环境指标导致了土壤中PPCPs分布规律的差异性,滴头布置在植株中间处理较其他处理增加了0~5 cm土层pH值,导致该土层下吉非罗齐的累积量高于其他处理(P<0.05)。研究可为基于新兴污染物PPCPs防控的再生水农业安全利用提供理论依据。
