目的分析心律失常患者采取散点图和24 h动态心电图进行诊断的临床价值。方法选择2020年8月—2022年8月黑龙江省第二医院收治的心律失常90例患者作为研究组,选择同期到黑龙江省第二医院进行健康体检人员90例作为对照组。两组均给予24 h...目的分析心律失常患者采取散点图和24 h动态心电图进行诊断的临床价值。方法选择2020年8月—2022年8月黑龙江省第二医院收治的心律失常90例患者作为研究组,选择同期到黑龙江省第二医院进行健康体检人员90例作为对照组。两组均给予24 h动态心电图进行诊断,且通过散点图形式绘制检查的结果,对比分析24 h动态心电图、散点图的诊断情况。结果经研究组包括心率减速力(deceleration capacity of rate,DC)、24 h内每5分钟节段窦性R-R周期平均值的标准差(standard deviation of the mean of sinus R-R cycles every 5min over 24 h,SDANN)、相邻正常心动周期差值的均方根(root mean square of adjacent normal cardiac cycle differences,rMSSD)、24 h窦性心搏间期标准差(24-hour standard deviation between sinus beats,SDNN)均低于对照组,差异有统计学意义(P<0.05)。研究组散点图的形态复杂状、彗星状和扇形状比例高于对照组,差异有统计学意义(P<0.05)。研究组散点图为彗星状、鱼雷状、复杂状患者心率变异性(heart rate variability,HRV)正常范围为92.31%、70.00%、67.50%。研究组患者疾病诊断的准确性为97.78%,高于对照组的3.33%,差异有统计学意义(P<0.05)。结论心律失常患者采取散点图和24 h动态心电图进行诊断的临床价值较高,散点图可作为有效的参考依据,可提升患者疾病诊断的准确性,临床上值得推广使用。展开更多
BACKGROUND There are many available treatment options for keloid;however,single treatments are usually less effective.Therefore,more scientifically rational and effective com-bined treatment methods should be sought t...BACKGROUND There are many available treatment options for keloid;however,single treatments are usually less effective.Therefore,more scientifically rational and effective com-bined treatment methods should be sought to solve the pain associated with keloids.AIM To explore the efficacy and safety of surgical resection and ultra-reduced tension suture combined with superficial radiation as keloid treatment.METHODS Fifteen keloid patients admitted to Qingdao Eighth People's Hospital from June 2020 to January 2022 were enrolled in this retrospective analysis.All patients underwent a comprehensive treatment approach comprising surgical resection,ultra-reduced tension suture incision,and superficial radiation therapy within 24 h postoperatively.The modified Vancouver Scar Scale(mVSS)and Patient and Observer Scar Assessment Scale(POSAS)were used to evaluate the treatment effect,whereas the efficacy,adverse effects,and recurrence rate were observed according to the 12-mo follow-up after treatment.RESULTS The mVSS and POSAS scores at 1 and 6 mo after combination treatment decreased compared to before treatment(P<0.001),and the overall response rate was 93.3%.Only one case recurred,yielding a 6.7%recurrence rate.The incidence of local chromour sedimentation rate in 1–3 mo after radiotherapy was 33.3%(5 patients),all subsiding after 6–9 mo,without complications,such as delayed wound healing or dermatitis.CONCLUSION Surgical resection,super subtraction sutures,and superficial radiotherapy are treatment methods with short courses,low recurrence rates,and good safety profiles.展开更多
文摘目的分析心律失常患者采取散点图和24 h动态心电图进行诊断的临床价值。方法选择2020年8月—2022年8月黑龙江省第二医院收治的心律失常90例患者作为研究组,选择同期到黑龙江省第二医院进行健康体检人员90例作为对照组。两组均给予24 h动态心电图进行诊断,且通过散点图形式绘制检查的结果,对比分析24 h动态心电图、散点图的诊断情况。结果经研究组包括心率减速力(deceleration capacity of rate,DC)、24 h内每5分钟节段窦性R-R周期平均值的标准差(standard deviation of the mean of sinus R-R cycles every 5min over 24 h,SDANN)、相邻正常心动周期差值的均方根(root mean square of adjacent normal cardiac cycle differences,rMSSD)、24 h窦性心搏间期标准差(24-hour standard deviation between sinus beats,SDNN)均低于对照组,差异有统计学意义(P<0.05)。研究组散点图的形态复杂状、彗星状和扇形状比例高于对照组,差异有统计学意义(P<0.05)。研究组散点图为彗星状、鱼雷状、复杂状患者心率变异性(heart rate variability,HRV)正常范围为92.31%、70.00%、67.50%。研究组患者疾病诊断的准确性为97.78%,高于对照组的3.33%,差异有统计学意义(P<0.05)。结论心律失常患者采取散点图和24 h动态心电图进行诊断的临床价值较高,散点图可作为有效的参考依据,可提升患者疾病诊断的准确性,临床上值得推广使用。
基金This study was reviewed and approved by the Ethics Committee of Qingdao Eighth People’s Hospital(Approval no.:QBYLL-KY-2023-013).
文摘BACKGROUND There are many available treatment options for keloid;however,single treatments are usually less effective.Therefore,more scientifically rational and effective com-bined treatment methods should be sought to solve the pain associated with keloids.AIM To explore the efficacy and safety of surgical resection and ultra-reduced tension suture combined with superficial radiation as keloid treatment.METHODS Fifteen keloid patients admitted to Qingdao Eighth People's Hospital from June 2020 to January 2022 were enrolled in this retrospective analysis.All patients underwent a comprehensive treatment approach comprising surgical resection,ultra-reduced tension suture incision,and superficial radiation therapy within 24 h postoperatively.The modified Vancouver Scar Scale(mVSS)and Patient and Observer Scar Assessment Scale(POSAS)were used to evaluate the treatment effect,whereas the efficacy,adverse effects,and recurrence rate were observed according to the 12-mo follow-up after treatment.RESULTS The mVSS and POSAS scores at 1 and 6 mo after combination treatment decreased compared to before treatment(P<0.001),and the overall response rate was 93.3%.Only one case recurred,yielding a 6.7%recurrence rate.The incidence of local chromour sedimentation rate in 1–3 mo after radiotherapy was 33.3%(5 patients),all subsiding after 6–9 mo,without complications,such as delayed wound healing or dermatitis.CONCLUSION Surgical resection,super subtraction sutures,and superficial radiotherapy are treatment methods with short courses,low recurrence rates,and good safety profiles.
基金supported by the National Natural Science Foundation of China(grant numbers:81602688,81773245,and 81972858)the Natural Science Foundation of Chongqing(cstc2016jcyjA0531)+2 种基金the Science and Technology Innovation Special Project of Chongqing Social Undertak ings and Livelihood Security(cstc2017shmsA130108)the Chongqing Innovation Leading Talents Program(cstccxljrc201910)the Cultivation Program for Clinical Research Talents of Army Medical University(2018XLC1010)。
