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医务人员肌肉骨骼疾患调查及危险因素分析 被引量:9
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作者 王红 任森森 +6 位作者 梁守沛 张晓非 王贺 汤丽霞 张育红 王守英 姚永成 《河南预防医学杂志》 2018年第10期724-728,F0003,共6页
目的了解内科医务人员肌肉骨骼疾患(WMSDs)的患病现状,分析内科医务人员肌肉骨骼疾患的分布特征和相关危险因素,为改善内科医务人员的肌肉骨骼疾患状况提供参考依据。方法采用横断面调查方法,应用中文版肌肉骨骼疾患调查表,于2016年7月... 目的了解内科医务人员肌肉骨骼疾患(WMSDs)的患病现状,分析内科医务人员肌肉骨骼疾患的分布特征和相关危险因素,为改善内科医务人员的肌肉骨骼疾患状况提供参考依据。方法采用横断面调查方法,应用中文版肌肉骨骼疾患调查表,于2016年7月对某市3家市级医院的342内科医务人员进行问卷调查,调查内容包括:个体信息、人格类型、各部位WMSDs的患病情况,采用χ2检验、logistic回归识别WMSDs患病的影响因素。结果共发放问卷400份,收集有效问卷342份,有效应答率85.5%。该院内科医务人员过去一年中身体任一部位的WMSDS患病率为82.1%,各部位患病率最高是颈部(65.6%),其次为腰(64.9%),患病率最低的为肘部(16.4%)。非条件logistic回归分析显示,颈部疼痛与性格外向稳定(OR=4.02,95%CI:1.81~8.93)有关,且有统计学意义。腰部疼痛与有时熬夜(OR=8.54,95%CI:2.3~31.58)、经常熬夜(OR=7.09,95%CI:2.29~21.96)总是熬夜(OR=3.29,95%CI:1.31~8.24)有关,且有统计学意义。任一部位疼痛与性格外向稳定(OR=2.75,95%CI:1.04~7.39)、有时熬夜(OR=17.73,95%CI:2.55~123.25)和经常熬夜(OR=6.95,95%CI:1.16~41.84)有关,且有统计学意义。结论该市级医院护理工作人员肌肉骨骼疾患患病率较高,其中以颈部的患病率最高,生活作息规律的内科医务人员颈部疼痛的患病率最低,随着经常倒班和熬夜增高。性格外向稳定是颈部疼痛和任一部位疼痛患病的危险因素,经常熬夜是腰部疼痛和任一部位疼痛患病的危险因素。 展开更多
关键词 医务人员 肌肉骨骼疾患 危险因素
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Sterile alpha motif and histidine-aspartic acid domain-containing protein 1 expression and its relationship with T cell activation in human immunodeficiency virus/acquired immune deficiency syndrome patients with lung-spleen Qi deficiency syndrome pattern 被引量:1
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作者 LIU Zhen ZHANG Qingyan +10 位作者 DENG Bowen SANG Feng WANG Danni KANG Ning LI Jie ZHANG Min liang shoupei DUAN Chenchen LIU Zhibin XU Qianlei LI Qiang 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2022年第3期451-457,共7页
OBJECTIVE:To investigate the relationship between antiviral restriction factor Sterile Alpha Motif and Histidine-Aspartic acid domain-containing protein 1(SAMHD1)expression and T cell activation,furthermore,identifyin... OBJECTIVE:To investigate the relationship between antiviral restriction factor Sterile Alpha Motif and Histidine-Aspartic acid domain-containing protein 1(SAMHD1)expression and T cell activation,furthermore,identifying objective indexes of lung-spleen Qi deficiency symptom pattern.METHODS:We assessed the profile of T lymphocyte subsets,characteristics of SAMHD1 and human leukocyte antigen DR(HLA-DR)expression in lungspleen Qi deficiency patients.At the same time,people living with human immunodeficiency virus/acquired immune deficiency syndrome(HIV/AIDS)(PLWHA)without obvious clinical symptoms and healthy donors in this area were used as controls.RESULTS:Immunohematologic indexes lower CD4 count,lower CD4/CD8 ratio and higher SAMHD1 level were found in lung-spleen Qi deficiency patients.Furthermore,we demonstrated a positive relationship between SAMHD1 and HLA-DR level as well as with interferon factor in lung-spleen Qi deficiency syndrome and patients without obvious clinical signs and symptoms groups.CONCLUSIONS:These data indicated the positive relationship between SAMHD1 and T cell activation which further elucidated the role of SAMHD1 in cellular immune response.Furthermore,combination of T lymphocyte subsets counts and SAMHD1 level may be used as clinical and biological reference basis for the differentiation and diagnosis of HIV/AIDS traditional Chinese medicine syndromes. 展开更多
关键词 HIV acquired immunodeficiency syndrome symptoms complex SAM domain and HD domain-containing protein 1 T-LYMPHOCYTES
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