Since modern ecology studies the relationships between living things and their environments,the philosophies correlating to it has become optimal preferences in evaluating disputes arising in economic,political,cultur...Since modern ecology studies the relationships between living things and their environments,the philosophies correlating to it has become optimal preferences in evaluating disputes arising in economic,political,cultural,and even pedagogical fields.The study of this paper proclaims that ecology oriented college English classroom construction in China is conducive to stimulating the classroom vitalities,and ensuring the sustainable development of teaching order.展开更多
目的探讨高血压患者夜间平均舒张压与中重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的相关性及其诊断价值。方法连续纳入2018年9-11月新疆维吾尔自治区人民医院高血压诊疗中心就诊的144例住院患者,进行多导睡眠监测(PSG)、动态血压监测(...目的探讨高血压患者夜间平均舒张压与中重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的相关性及其诊断价值。方法连续纳入2018年9-11月新疆维吾尔自治区人民医院高血压诊疗中心就诊的144例住院患者,进行多导睡眠监测(PSG)、动态血压监测(ABPM),收集人体测量指标,采用No-Apnea模型、NoSAS评分、STOP-BANG问卷筛查OSAHS。入选患者根据呼吸暂停低通气指数(AHI)分为非中重度OSAHS组(AHI≤15次/h,n=89)和中重度OSAHS组(AHI>15次/h,n=55)。采用受试者工作特征(ROC)曲线评估夜间平均舒张压以及现有量表对中重度OSAHS的诊断价值。DeLong方法比较各指标ROC曲线之间差异是否有统计学意义,并计算敏感度、特异度、阳性预测值、阴性预测值、约登指数、准确率、Kappa值。结果入选患者年龄(45.4±11.1)岁,其中男性102例,女性42例。以AHI>15次/h为界值,夜间舒张压诊断中重度OSAHS的曲线下面积(AUC)为0.725,最佳截点为>86 mm Hg(约登指数0.463)。敏感度、特异度、阳性预测值、阴性预测值分别为63.2%、83.1%、70.0%、78.7%;约登指数(0.463)、准确率(75.7%)、Kappa值(0.476)较上述3种现有量表高。与No-Apnea模型串联后,敏感度、特异度、阳性预测值、阴性预测值、约登指数、准确率及Kappa值分别为61.8%、91.0%、81.0%、79.4%、0.528、79.8%、0.553,除敏感度较前略减少,余预测指标较前均有提高。结论夜间平均舒张压在高血压人群中与中重度OSAHS相关,具有较好的诊断价值,与No-Apnea模型串联后可以提高诊断中重度OSAHS的能力。展开更多
文摘Since modern ecology studies the relationships between living things and their environments,the philosophies correlating to it has become optimal preferences in evaluating disputes arising in economic,political,cultural,and even pedagogical fields.The study of this paper proclaims that ecology oriented college English classroom construction in China is conducive to stimulating the classroom vitalities,and ensuring the sustainable development of teaching order.
文摘目的探讨高血压患者夜间平均舒张压与中重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的相关性及其诊断价值。方法连续纳入2018年9-11月新疆维吾尔自治区人民医院高血压诊疗中心就诊的144例住院患者,进行多导睡眠监测(PSG)、动态血压监测(ABPM),收集人体测量指标,采用No-Apnea模型、NoSAS评分、STOP-BANG问卷筛查OSAHS。入选患者根据呼吸暂停低通气指数(AHI)分为非中重度OSAHS组(AHI≤15次/h,n=89)和中重度OSAHS组(AHI>15次/h,n=55)。采用受试者工作特征(ROC)曲线评估夜间平均舒张压以及现有量表对中重度OSAHS的诊断价值。DeLong方法比较各指标ROC曲线之间差异是否有统计学意义,并计算敏感度、特异度、阳性预测值、阴性预测值、约登指数、准确率、Kappa值。结果入选患者年龄(45.4±11.1)岁,其中男性102例,女性42例。以AHI>15次/h为界值,夜间舒张压诊断中重度OSAHS的曲线下面积(AUC)为0.725,最佳截点为>86 mm Hg(约登指数0.463)。敏感度、特异度、阳性预测值、阴性预测值分别为63.2%、83.1%、70.0%、78.7%;约登指数(0.463)、准确率(75.7%)、Kappa值(0.476)较上述3种现有量表高。与No-Apnea模型串联后,敏感度、特异度、阳性预测值、阴性预测值、约登指数、准确率及Kappa值分别为61.8%、91.0%、81.0%、79.4%、0.528、79.8%、0.553,除敏感度较前略减少,余预测指标较前均有提高。结论夜间平均舒张压在高血压人群中与中重度OSAHS相关,具有较好的诊断价值,与No-Apnea模型串联后可以提高诊断中重度OSAHS的能力。
