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超声颈动脉内中膜厚度与斑块诊断冠状动脉粥样硬化性心脏病的价值对比 被引量:46
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作者 朱银梅 李海嵘 《中国现代医学杂志》 CAS 2020年第6期105-109,共5页
目的探讨与对比超声颈动脉内中膜厚度(IMT)与斑块诊断冠状动脉粥样硬化性心脏病(以下简称冠心病)的价值。方法采用回顾性与便利抽签研究方法,选取2016年2月-2018年2月在海南省人民医院诊治的120例冠心病患者作为观察组,选取同期该院120... 目的探讨与对比超声颈动脉内中膜厚度(IMT)与斑块诊断冠状动脉粥样硬化性心脏病(以下简称冠心病)的价值。方法采用回顾性与便利抽签研究方法,选取2016年2月-2018年2月在海南省人民医院诊治的120例冠心病患者作为观察组,选取同期该院120例健康体检者作为对照组,记录两组一般资料、检验指标与超声颈动脉IMT、斑块特点。结果两组年龄、体重指数、性别、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇及甘油三酯比较,差异无统计学意义(P>0.05);观察组血糖、总胆固醇(TC)高于对照组(P<0.05)。观察组颈动脉IMT厚度、斑块发生率高于对照组(P<0.05)。Logistic回归分析显示,TC、血糖及血管病变数目为影响冠心病颈动脉IMT的危险因素(P<0.05)。选择诊断临界点为IMT=0.90 mm,此时敏感性、特异性、准确性分别为75.0%、87.5%和78.9%(P>0.05);选择颈动脉斑块作为临界值,敏感性与特异性、准确性分别为71.2%、91.7%和77.6%(P>0.05)。结论超声颈动脉IMT、斑块可全面反映冠心病的发生与病情,可作为反映冠心病的窗口,对提高冠心病的诊断效果具有重要临床意义。 展开更多
关键词 心脏病 冠状动脉疾病 颈动脉 超声检查 病例对照研究
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Environmental factors regulating cyanobacteria dominance and microcystin production in a subtropical lake within the Taihu watershed,China 被引量:4
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作者 Wan-min NI Jian-ying ZHANG +2 位作者 Teng-da DING R.Jan STEVENSON yin-mei zhu 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2012年第4期311-322,共12页
Understanding the pattern ofphytoplankton and their dependence on water quality variables, can help the management of eutrophic lakes. The aim of this study was to determine water quality and environmental factors ass... Understanding the pattern ofphytoplankton and their dependence on water quality variables, can help the management of eutrophic lakes. The aim of this study was to determine water quality and environmental factors associated with cyanobacteria dominance and microcystin production in Qingshan Lake, a subtropical lake located in the headwater of the Taihu watershed, China. Water samples collected monthly from 10 study sites in Qingshan Lake were analyzed for the species distributions of freshwater algae and physico-chemical parameters including total nitrogen (TN), ammonia (NH4+-N), nitrate (NO3--N), total phosphorus (TP), and chlorophyll a (Chl-a) from June, 2008 to May, 2009. Qingshan Lake was found to be eutrophic, based on the calculated trophic state index (TSI). The average TN of 4.33 mg/L during the study period exceeded the Surface Water Quality Standards of China. TP was significantly correlated with relative abundance of cyanobacteria and Microeystis biovolume, indi- cating its important role in regulating cyanobacteria. Microcystis, Anabaena, and Oscillatoria were dominant cyanobacteria in Qingshan Lake from June to November, 2008. Cyanobacteria dominance was regulated by water temperature and TE Principal component analysis further indicated that microcystin production was most affected by water temperature, TP, and cyanobacteria biomass. Results suggest that the control of TP in summer can mitigate cyanobacteria dominance and microcystin production in Qingshan Lake, and close monitoring should be undertaken in summer. 展开更多
关键词 CYANOBACTERIA MICROCYSTINS EUTROPHICATION Water quality Taihu watershed
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