目的采用Meta分析评价CT定量心外膜脂肪组织(EAT)与冠状动脉疾病(CAD)的相关性。方法检索中国知网、万方医学网、维普网及PubMed、Web of science、Medline数据库中自建库至2019年12月31日关于CT定量EAT与CAD相关性的病例对照研究,以Sta...目的采用Meta分析评价CT定量心外膜脂肪组织(EAT)与冠状动脉疾病(CAD)的相关性。方法检索中国知网、万方医学网、维普网及PubMed、Web of science、Medline数据库中自建库至2019年12月31日关于CT定量EAT与CAD相关性的病例对照研究,以Stata 12.0软件分析CAD组与非CAD组之间标准化均数差(SMD)及95%CI。结果纳入19篇文献,CAD组5129例,非CAD组7434例;CAD组EAT厚度[SMD=0.46,95%CI(0.26,0.66),P<0.01)]和容积[SMD=0.65,95%CI(0.46,0.86),P<0.01)]均大于非CAD组。结论CT定量EAT与CAD存在相关性。展开更多
Objective:To compare the effect of scalp acupuncture and scalp acupuncture plus acupuncture exercise therapy(AET)on walking ability in children with spastic cerebral palsy(CP).Methods:A total of 60 spastic CP children...Objective:To compare the effect of scalp acupuncture and scalp acupuncture plus acupuncture exercise therapy(AET)on walking ability in children with spastic cerebral palsy(CP).Methods:A total of 60 spastic CP children with gross motor function classification system(GMFCS)gradesⅠ-Ⅲwere divided into a control group and an observation group by the random number table method,with 30 cases in each group.Both groups were treated with the same conventional rehabilitation and scalp acupuncture therapy for CP.The control group received conventional rehabilitation first and then scalp acupuncture.The observation group received AET,which was to receive the conventional rehabilitation and scalp acupuncture simultaneously.Before and after treatment,the clinical efficacy was evaluated by the modified Ashworth scale(MAS)score,scores of dimensions D and E of the gross motor function measure(GMFM)scale,walking speed,and walking distance.Results:During treatment,there were 2 dropouts in the observation group.After 3 courses of treatment,the MAS scores in both the control group and observation group decreased compared with the same group before treatment(P<0.05),and the scores of dimensions D and E of the GMFM,walking speed,and walking distance were increased(P<0.05);the between-group comparison showed that the MAS score in the observation group was lower than that in the control group(P<0.05),and the scores of dimensions D and E of the GMFM,walking speed,and walking distance in the observation group were higher or longer than those in the control group(P<0.05).Conclusion:W ith the same treatments,scalp acupuncture combined with AET is superior to the conventional scalp acupuncture method in reducing lower-limb muscle tone,improving standing balance ability,and walking stability in children with spastic CP.展开更多
文摘目的采用Meta分析评价CT定量心外膜脂肪组织(EAT)与冠状动脉疾病(CAD)的相关性。方法检索中国知网、万方医学网、维普网及PubMed、Web of science、Medline数据库中自建库至2019年12月31日关于CT定量EAT与CAD相关性的病例对照研究,以Stata 12.0软件分析CAD组与非CAD组之间标准化均数差(SMD)及95%CI。结果纳入19篇文献,CAD组5129例,非CAD组7434例;CAD组EAT厚度[SMD=0.46,95%CI(0.26,0.66),P<0.01)]和容积[SMD=0.65,95%CI(0.46,0.86),P<0.01)]均大于非CAD组。结论CT定量EAT与CAD存在相关性。
文摘目的探讨不同程度脑白质高信号(white matter hyperintensities,WMHs)与急性缺血性卒中(acute ischemic stroke,AIS)患者静脉溶栓后转归的相关性。方法回顾性纳入2019年1月至2022年6月在莆田市第一医院接受标准剂量阿替普酶静脉溶栓治疗的AIS患者。应用Fazekas量表对MRI显示的WMHs进行评分,将患者分为无或轻度WMHs组和中重度WMHs组。比较2组患者临床基线资料以及3个月后临床转归,转归不良定义为改良Rankin量表评分>2分。应用多变量logistic回归分析确定WMHs严重程度对静脉溶栓后转归的影响。结果共纳入103例AIS患者,年龄(64.85±10.89)岁,男性66例(64.1%)。无或轻度WMHs组60例(58.3%),中重度WMHs组43例(41.7%)。不同程度WMHs组在年龄、体重指数、收缩压、基线美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分以及高血压、吸烟、出血性转化和发病后3个月时功能转归的患者构成比差异有统计学意义(P均<0.05)。转归良好组73例(70.9%),转归不良组30例(29.1%)。2组在年龄、体重指数、基线NIHSS评分、WMHs评分以及高血压、大动脉粥样硬化性卒中和有症状颅内出血患者构成比差异有统计学意义(P均<0.05)。多变量logistic回归分析显示,在校正混杂因素后,中重度总体WMHs是AIS患者静脉溶栓后3个月时转归不良的独立危险因素(优势比3.810,95%置信区间1.298~11.124;P=0.015)。结论中重度WMHs与AIS患者静脉溶栓后3个月时转归不良相关。
文摘Objective:To compare the effect of scalp acupuncture and scalp acupuncture plus acupuncture exercise therapy(AET)on walking ability in children with spastic cerebral palsy(CP).Methods:A total of 60 spastic CP children with gross motor function classification system(GMFCS)gradesⅠ-Ⅲwere divided into a control group and an observation group by the random number table method,with 30 cases in each group.Both groups were treated with the same conventional rehabilitation and scalp acupuncture therapy for CP.The control group received conventional rehabilitation first and then scalp acupuncture.The observation group received AET,which was to receive the conventional rehabilitation and scalp acupuncture simultaneously.Before and after treatment,the clinical efficacy was evaluated by the modified Ashworth scale(MAS)score,scores of dimensions D and E of the gross motor function measure(GMFM)scale,walking speed,and walking distance.Results:During treatment,there were 2 dropouts in the observation group.After 3 courses of treatment,the MAS scores in both the control group and observation group decreased compared with the same group before treatment(P<0.05),and the scores of dimensions D and E of the GMFM,walking speed,and walking distance were increased(P<0.05);the between-group comparison showed that the MAS score in the observation group was lower than that in the control group(P<0.05),and the scores of dimensions D and E of the GMFM,walking speed,and walking distance in the observation group were higher or longer than those in the control group(P<0.05).Conclusion:W ith the same treatments,scalp acupuncture combined with AET is superior to the conventional scalp acupuncture method in reducing lower-limb muscle tone,improving standing balance ability,and walking stability in children with spastic CP.
