目的探讨湖北地区老年消化系统疾病患者上臂围(mid-upper arm circumference,MAC)和小腿围(calf circumference,CC)营养学相关指标的关系,选取MAC和CC对营养不良的最佳诊断界值。方法选择出生地与居住地均在湖北的265例消化科老年患者,...目的探讨湖北地区老年消化系统疾病患者上臂围(mid-upper arm circumference,MAC)和小腿围(calf circumference,CC)营养学相关指标的关系,选取MAC和CC对营养不良的最佳诊断界值。方法选择出生地与居住地均在湖北的265例消化科老年患者,收集其营养学相关指标。用直线相关和多元逐步回归法分析MAC和CC与其他营养学指标的关系;按两因素析因设计资料分析年龄、性别对老年患者MAC和CC的影响;用ROC曲线法分析MAC和CC的截断界值。结果 MAC和CC与大多数营养指标的相关性较好(P<0.05);方差分析显示年龄对老年患者MAC和CC均有影响,性别对老年患者CC有影响。ROC曲线分析判别MAC和CC各组间截断值无差异。结论 MAC和CC对老年患者营养不良具有良好的诊断能力,湖北地区老年消化系统疾病患者营养不良评估的MAC和CC最佳截断值分别取24cm和30cm。展开更多
Background: Thigh lift is a common procedure in plastic surgery. Surgeon’s sense or tailor tacdundancy to bek is mainly the methods used for designing thigh lift currently. This article is an attempt to find a method...Background: Thigh lift is a common procedure in plastic surgery. Surgeon’s sense or tailor tacdundancy to bek is mainly the methods used for designing thigh lift currently. This article is an attempt to find a method/a reference point to define the exact amount of re excised. Introduction: Anthropometry reference measurements can be applied in designing thigh lift surgery. Classically, anthropometry binds the calf circumference with mid-thigh circumference and upper thigh (gluteal) circumference to make postoperative results more harmonious and natural. Method: To find out the anthropometrically referenced ratio of the calf circumference with mid-thigh circumference and upper thigh (gluteal) circumference, anthropometric databases and studies done on females addressing different ages, countries and races with average BMI (body mass index) were reviewed. Chosen studies should include the calf circumference, mid-thigh circumference and/or upper thigh (gluteal) circumference. Anthropometrically referenced upper and mid-thigh circumferences can be calculated preoperatively. Result: 64:92:100 was concluded as a pooled mean ratio out of nine different studies addressing the ratio of the calf circumference:mid-thigh circumference:upper thigh (gluteal) circumference. Conclusion: Postoperative anthropometrically referenced mid and upper thigh circumferences can be calculated by measuring the calf circumference and applying the 64:92:100 ratio. Markings are done intraoperatively using my innovated “Stab-Push-Pinch-Mark” or SPPM technique for drawing a rough surgical design, then tweaked using the anthropometrically referenced 64:92:100 ratio results.展开更多
文摘Background: Thigh lift is a common procedure in plastic surgery. Surgeon’s sense or tailor tacdundancy to bek is mainly the methods used for designing thigh lift currently. This article is an attempt to find a method/a reference point to define the exact amount of re excised. Introduction: Anthropometry reference measurements can be applied in designing thigh lift surgery. Classically, anthropometry binds the calf circumference with mid-thigh circumference and upper thigh (gluteal) circumference to make postoperative results more harmonious and natural. Method: To find out the anthropometrically referenced ratio of the calf circumference with mid-thigh circumference and upper thigh (gluteal) circumference, anthropometric databases and studies done on females addressing different ages, countries and races with average BMI (body mass index) were reviewed. Chosen studies should include the calf circumference, mid-thigh circumference and/or upper thigh (gluteal) circumference. Anthropometrically referenced upper and mid-thigh circumferences can be calculated preoperatively. Result: 64:92:100 was concluded as a pooled mean ratio out of nine different studies addressing the ratio of the calf circumference:mid-thigh circumference:upper thigh (gluteal) circumference. Conclusion: Postoperative anthropometrically referenced mid and upper thigh circumferences can be calculated by measuring the calf circumference and applying the 64:92:100 ratio. Markings are done intraoperatively using my innovated “Stab-Push-Pinch-Mark” or SPPM technique for drawing a rough surgical design, then tweaked using the anthropometrically referenced 64:92:100 ratio results.