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血清铁调素-25与维持性血液透析患者生存预后的关系研究
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作者 孙玲 邹陆曦 +1 位作者 滑瑞雪 吴雨 《中华肾病研究电子杂志》 2022年第4期191-196,共6页
目的铁调素在铁代谢中起重要调节作用,抑制肠道铁吸收、肝细胞和巨噬细胞铁释放,但其临床应用价值尚不清楚。本研究旨在研究铁调素-25与维持性血液透析(MHD)患者生存预后的关系。方法本研究为前瞻性观察性队列研究,选取2016年1月至2020... 目的铁调素在铁代谢中起重要调节作用,抑制肠道铁吸收、肝细胞和巨噬细胞铁释放,但其临床应用价值尚不清楚。本研究旨在研究铁调素-25与维持性血液透析(MHD)患者生存预后的关系。方法本研究为前瞻性观察性队列研究,选取2016年1月至2020年12月在徐州市中心医院血液净化中心的160例MHD患者,根据患者基线血清铁调素-25水平分为低水平组(<30.9 ng/ml)和高水平组(≥30.9 ng/ml),随访5年。采用Kaplan-Meier生存曲线、多因素Cox比例风险模型及基于限制性立方样条的Cox比例风险回归模型分析铁调素-25与死亡风险的关系。结果与低水平组相比,高水平组患者的基线血清铁、铁蛋白、转铁蛋白饱和度(TSAT)、超敏C反应蛋白(hs-CRP)水平较高,透析前的血肌酐、白蛋白和前白蛋白水平较低。高水平组患者生存预后较差,透析龄较短(P=0.0011),随访期死亡率较高(P=0.0023)。血清铁调素-25增加10 ng/mL时,MHD患者全因死亡风险比为1.206(95%CI:1.100~1.323,P<0.001)。MHD患者的全因死亡风险比在血清铁调素-25<30.9 ng/mL时相对稳定,在血清铁调素-25水平超过30.9 ng/mL之后,随着铁调素水平增加而显著升高。结论血清铁调素-25水平可作为MHD患者全因死亡事件的独立预测因子,监测血清铁调素-25水平有助于预测MHD患者的生存预后。 展开更多
关键词 铁调素 血液透析 全因死亡 生存预后
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Characteristic and correlation analysis of influent and energy consumption of wastewater treatment plants in Taihu Basin 被引量:3
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作者 luxi zou Huaibo Li +4 位作者 Shuo Wang Kaikai Zheng Yan Wang Guocheng Du Ji Li 《Frontiers of Environmental Science & Engineering》 SCIE EI CAS CSCD 2019年第6期45-58,共14页
The water quality and energy consumption of wastewater treatment plants(WWTPs)in Taihu Basin were evaluated on the basis of the operation data from 204 municipal WWTPs in the basin by using various statistical methods... The water quality and energy consumption of wastewater treatment plants(WWTPs)in Taihu Basin were evaluated on the basis of the operation data from 204 municipal WWTPs in the basin by using various statistical methods.The influent ammonia nitrogen(NH3-N)and total nitrogen(TN)of WWTPs in Taihu Basin showed normal distribution,whereas chemical oxygen demand(COD),biochemical oxygen demand(BOD5),suspended solid(SS),and total phosphorus(TP)showed positively skewed distribution.The influent BOD5/COD was 0.4%-0.6%,only 39.2%SS/BOD5 exceeded the standard by 36.3%,the average BOD5/TN was 3.82,and the probability of influent BOD5/TP>20 was 82.8%.The average energy consumption of WWTPs in Taihu Basin in 2017 was 0.458 kWh/m^3.The specific energy consumption of WWTPs with a daily treatment capacity of more than 5×10^4 m^3 in Taihu Basin was stable at 0.33 kWh/m^3.A power function relationship was observed between the reduction in COD and NH3-N and the specific energy consumption of pollutant reduction,and the higher the pollutant reduction is,the lower the specific energy consumption of pollutant reduction presents.In addition,a linear relationship existed between the energy consumption of WWTPs and the specific energy consumption of influent volume and pollutant reduction.Therefore,upgrading and operation with less energy consumption of WWTPs is imperative and the suggestions for Taihu WWTPs based on stringent discharge standard are proposed in detail. 展开更多
关键词 Taihu Basin Wastewater treatment plant Influent characteristics Energy consumption evaluation Specific energy consumption SPSS correlation analysis
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