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脐动脉血流S/D值联合孕妇血清CX3CL1 HIF-1α对胎儿窘迫的诊断价值
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作者 许旭 王书萍 江楠 《安徽医学》 2024年第4期458-462,共5页
目的探讨脐动脉血流收缩期末最大血流速度/舒张期末最大血流速度(S/D)、血清趋化因子C-X3-C配体1(CX3CL1)、血清缺氧诱导因子-1α(HIF-1α)对胎儿窘迫(FD)的诊断价值。方法选取2020年5月至2022年5月在青岛市妇女儿童医院妇产科分娩且出... 目的探讨脐动脉血流收缩期末最大血流速度/舒张期末最大血流速度(S/D)、血清趋化因子C-X3-C配体1(CX3CL1)、血清缺氧诱导因子-1α(HIF-1α)对胎儿窘迫(FD)的诊断价值。方法选取2020年5月至2022年5月在青岛市妇女儿童医院妇产科分娩且出现FD的128例孕妇为研究对象(FD组),根据新生儿Apgar评分将FD孕妇分为轻度窘迫组74例和重度窘迫组54例,另取同期在本院定期产检并分娩的健康且未出现FD的孕妇78例为正常组;超声检测FD孕妇脐动脉血流S/D值;ELISA法检测FD孕妇血清CX3CL1、HIF-1α水平;Pearson法分析FD孕妇血清CX3CL1、HIF-1α水平与脐动脉血流S/D值的相关性;受试者工作特征(ROC)曲线分析血清CX3CL1、HIF-1α水平及脐动脉血流S/D值对胎儿重度窘迫的诊断价值。结果FD组孕妇脐动脉血流阻力指数(RI)、搏动指数(PI)、S/D值、血清CX3CL1及HIF-1α水平均显著高于正常组(P<0.05),重度窘迫组孕妇RI值、PI值、S/D值、血清CX3CL1及HIF-1α水平均高于轻度窘迫组(P<0.05)。FD组血清CX3CL1、HIF-1α与脐动脉血流S/D值均呈正相关(r=0.531、0.489,P<0.05)。脐动脉血流S/D值、血清CX3CL1、HIF-1α以及3项联合诊断胎儿重度窘迫的AUC分别为0.870、0.802、0.731、0.941,联合诊断的灵敏度为87.04%,特异度为90.54%,3项联合优于脐动脉血流S/D值、血清CX3CL1、HIF-1α各自单独诊断(Z3项联合-S/D=2.775、Z3项联合-CX3CL1=3.998、Z3项联合-HIF-1α=4.925,P均<0.05)。结论FD孕妇脐动脉血流S/D值、血清CX3CL1、HIF-1α水平均上升,且血清CX3CL1、HIF-1α水平与脐动脉血流S/D值均呈正相关,3项联合对诊断胎儿重度窘迫有更高的价值。 展开更多
关键词 胎儿窘迫 脐动脉血流s/D值 趋化因子C-X3-C配体1 缺氧诱导因子-1Α
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Effect of High Frequency Oscillatory Ventilation on EVLW and Lung Capillary Permeability of Piglets with Acute Respiratory Distress Syndrome Caused by Pulmonary and Extrapulmonary Insults 被引量:8
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作者 李秋杰 袁茵 +2 位作者 李玉梅 孙乐英 袁世荧 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2015年第1期93-98,共6页
The effect of high frequency oscillatory ventilation(HFOV) at early stage on hemodynamic parameters, extravascular lung water(EVLW), lung capillary permeability, CC16 and s ICAM-1 in piglets with pulmonary or extr... The effect of high frequency oscillatory ventilation(HFOV) at early stage on hemodynamic parameters, extravascular lung water(EVLW), lung capillary permeability, CC16 and s ICAM-1 in piglets with pulmonary or extrapulmonary acute respiratory distress syndrome(ARDS) was explored. Central vein pressure(CVP) and pulse indicator continuous cardiac output(Pi CCO) were monitored in 12 anesthetized and intubated healthy piglets. Pulmonary ARDS(ARDSp) and extrapulmonary ARDS(ARDSexp) models were respectively established by lung lavage of saline solution and intravenous injection of oleic acid. Then the piglets received HFOV for 4 h. EVLW index(EVLWI), EVLW/intratroracic blood volume(ITBV) and pulmonary vascular permeability index(PVPI) were measured before and after modeling(T0 and T1), and T2(1 h), T3(2 h), T4(3 h) and T5(4 h) after HFOV. CC16 and s ICAM-1 were also detected at T1 and T5. Results showed at T1, T3, T4 and T5, EVLWI was increased more significantly in ARDSp group than in ARDSexp group(P〈0.05). The EVLWI in ARDSp group was increased at T1(P=0.008), and sustained continuously within 2 h(P=0.679, P=0.216), but decreased at T4(P=0.007) and T5(P=0.037). The EVLWI in ARDSexp group was also increased at T1(P=0.003), but significantly decreased at T3(P=0.002) and T4(P=0.019). PVPI was increased after modeling in both two groups(P=0.004, P=0.012), but there was no significant change within 4 h(T5) under HFOV in ARDSp group, while PVPI showed the increasing trends at first, then decreased in ARDSexp group after HFOV. The changes of EVLW/ITBV were similar to those of PVPI. No significant differences were found in ΔEVLWI(P=0.13), ΔPVPI(P=0.28) and ΔEVLW/ITBV between the two groups(P=0.63). The significant decreases in both CC16 and s ICAM-1 were found in both two groups 4 h after HFOV, but there was no significant difference between the two groups. It was concluded that EVLWI and lung capillary permeability were markedly increased in ARDSp and ARDSexp groups. EVLW could be decreased 4 h after the HFOV treatment. HFOV, EVLW/ITBV and PVPI were increased slightly at first, and then decreased in ARDSexp group, while in ARDSp group no significant difference was found after modeling. No significant differences were found in the decreases in EVLW and lung capillary permeability 4 h after HFOV. 展开更多
关键词 acute respiratory distress syndrome high frequency oscillatory ventilation extravascular lung water lung vascular permeability index CC16 s ICAM-1
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社会组织参与困境儿童社会支持网络构建的服务策略研究--以广州市S组织困境儿童服务项目为例 被引量:3
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作者 朱媛媛 王兴龙 吴君霞 《社会工作与管理》 2023年第2期18-29,共12页
要妥善回应深化改革过程中困境儿童多元化的需求,须从困境儿童社会支持着手,通过发挥社会组织联动多元主体的作用来筑实困境儿童社会支持网络。研究聚焦S组织困境儿童服务实践策略,分析其回应需求的服务过程,旨在为社会组织参与构建困... 要妥善回应深化改革过程中困境儿童多元化的需求,须从困境儿童社会支持着手,通过发挥社会组织联动多元主体的作用来筑实困境儿童社会支持网络。研究聚焦S组织困境儿童服务实践策略,分析其回应需求的服务过程,旨在为社会组织参与构建困境儿童支持网络提供实务参考。研究发现,S组织在开展困境儿童服务时能够充分发挥枢纽平台优势,在一定程度上促进了儿童主体发展和多元主体参与,但组织存在建设局限性、服务内容与形式创新不足、服务不够规范、机制缺失等方面的问题。推动儿童福利事业发展的关键在于要坚持政府主导的公共服务供给格局,拓宽社会参与渠道和门槛,整合跨界创新力量,动员多元主体在困境儿童服务中积极投入服务和资源,强化其社会支持网络。 展开更多
关键词 社会组织 困境儿童 社会支持 网络
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Human Wharton’s jelly mesenchymal stem cells inhibit cytokine storm in acute respiratory distress syndrome in a rat model 被引量:2
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作者 Wahyu Widowati Teresa Liliana Wargasetia +6 位作者 Fanny Rahardja Rimonta F Gunanegara Didik Priyandoko Marisca Evalina Gondokesumo Ervi Afifah Cahyaning Riski Wijayanti Rizal Rizal 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2022年第8期343-350,共8页
Objective:To evaluate the potential effect of human Wharton’s jelly mesenchymal stem cells(hWJMSCs)on acute respiratory distress syndrome in lipopolysaccharide(LPS)-induced rats.Methods:The hWJMSCs(5×10^(4)/mL,5... Objective:To evaluate the potential effect of human Wharton’s jelly mesenchymal stem cells(hWJMSCs)on acute respiratory distress syndrome in lipopolysaccharide(LPS)-induced rats.Methods:The hWJMSCs(5×10^(4)/mL,5×10^(5)/mL,5×10^(6)/mL)were administered to rats on day 1 and day 8 after being induced by LPS(5 mg/kg body weight).TNF-αlevels in the lung and IL-18 and IL-1βlevels in the serum were measured using ELISA.In addition,caspase-1 expression in lung tissues was quantified using qRT-PCR,and NF-κB and IL-6 expressions were assessed using immunohistochemistry.Results:The hWJMSCs decreased TNF-αlevels in the lung and plasma IL-18 and IL-1βlevels.Moreover,the hWJMSCs downregulated the expressions of caspase-1,IL-6,and NF-κB in lung tissues.Conclusions:The hWJMSCs can decrease inflammatory markers of acute respiratory distress syndrome in a rat model and may be further investigated for the treatment of acute respiratory distress syndrome. 展开更多
关键词 Human Wharton’s jelly mesenchymal stem cells Acute respiratory distress syndrome TNF-Α IL-18 NF-ΚB Inflammatory marker
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Youth’s Perspectives on a Sustainable Model for the Provision of Youth Friendly Sexual and Reproductive Health Services in Kenya: A Quantitative Approach
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作者 Mary W. Murigi Ramadimetja S. Mogale Miriam M. Moagi 《Journal of Biosciences and Medicines》 2020年第8期100-115,共16页
Nearly half of the world’s population comprise youths. However, addressing their Sexual and Reproductive Health (SRH) remains a challenge. Globally countries are mandated to continually provide Youth Friendly Sexual ... Nearly half of the world’s population comprise youths. However, addressing their Sexual and Reproductive Health (SRH) remains a challenge. Globally countries are mandated to continually provide Youth Friendly Sexual and Reproductive Health services (YFSRHs) to the youth. The objective of this study was to assess and describe youth’s perspectives on a sustainable model for the provision of YFSRHs in Kenya. Data was collected among 400 youths aged 18 - 24 years in Embu and Kirinyaga counties, Kenya. A structured questionnaire was utilized as the data collection tool. Collected data was analyzed using SAS statistical software version 9.4. Statistical threshold of P ≤ 0.05 was used. Overall the mean age of the study participants was ±standard deviation (SD) 21.2 ± 1.86 years. Majority of the participants’ perspective on the health care system sustainability was that the waiting time at the facility should be less than an hour, accessible geographically (less than a kilometre), affordable (≤20 Ksh.), and convenient working hours (weekday and weekends ratio 1:1). Advocacy was on health care provider’s attributes of politeness, welcoming, confidential and non-judgmental. The most preferred locations for the youth friendly centres by the participants were community and school based locations. Similarly, parental and community support was reported to highly contribute to sustained utilization and provision of the YFSRHs (P < 0.001). Unlike popular belief, 99.8% did not see the need for recreational facilities at the youth centres to ensure sustainability of the model. To ensure a sustainable model for the provision of YFSRHs, there is need for a multi-sectoral and stakeholder involvement that is;youth, health care system structure, health care service providers, parents and community. Further research is needed on parents and health care service provider’s perspectives on how to sustain the provision of YFSRH services. 展开更多
关键词 youths sexual and Reproductive Health youth Friendly services sustainable Model
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The Consolidation of Youth Lifestyle in the 1960s: Swinging London Through The Drapers'Record Magazine
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作者 Maira Zimmermann 《Journalism and Mass Communication》 2016年第4期221-225,共5页
This paper discusses how consumerism boosted youth lifestyle in the 1960s--mainly through modem magazines (particularly in Britain) and built a territorial symbolic identity through fashion. In the 1960s, the consol... This paper discusses how consumerism boosted youth lifestyle in the 1960s--mainly through modem magazines (particularly in Britain) and built a territorial symbolic identity through fashion. In the 1960s, the consolidation of youth culture becomes an international phenomenon. With the development of ready-to-wear, adolescents begin to be target as a consumer market. The music and fashion industries unite to create and advertise youth lifestyle. The fashion shifts from Paris to London. Magazine articles and publicity set the latest trends. The method applied is research in primary source--the British journal The Drapers' Record aiming to recognize fashion transformation and juvenilization in this period of time. The magazine shows ads and fashion editorials (mainly feminine), articles and news about fashion trend. There is also a brands guide for shoppers and retailers. The magazines used in the research are from 1964 to 1967, July and August issues, when the fall-winter trends are shown. From 1964 on, we notice the orientation towards a juvenile market and style, but these trends will only fully materialize through 1967. It leads to the conclusion that between 1965 and 1967 fashion juvenilization developed, reached its peak and global range. 展开更多
关键词 youth culture 1960s trend media
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Proceedings of 12^(th) China's Refractories Youth Symposium
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《China's Refractories》 CAS 2011年第1期30-32,共3页
关键词 China’s Refractories youth symposium Proceedings of 12
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13^(th) China's Refractories Youth Symposium Held in Zhengzhou
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《China's Refractories》 CAS 2012年第2期36-36,共1页
On April 18-20, 2012, 13th China's Refractories Youth Symposium was held successfully in Zhengzhou, Henan Province. China's Refracto-ries Youth Symposium, an important and influencing conference, is held every two y... On April 18-20, 2012, 13th China's Refractories Youth Symposium was held successfully in Zhengzhou, Henan Province. China's Refracto-ries Youth Symposium, an important and influencing conference, is held every two years. 13^th China's Refractories Youth Symposium was co-sponsored by The Refractories Branch of The Chinese Society for Metals and Henan Society for Metals, co-organized by Beijing Society of Metals, Metallurgy Society of Hebei Province, Liaoning Society for Metals, Shandong Society for Metals and Shanxi Society for Metals, and supported by Sinosteel Luoyang Institute of Refractories Research Co., Ltd., Zhejiang Zili Co., Ltd., etc. 展开更多
关键词 China’s Refractories youth symposium Held in Zhengzhou TH
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On the Discussion of“Virtuous Mother”in New Youth
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作者 ZHANG Pei ZHANG Yao 《Cultural and Religious Studies》 2022年第5期255-259,共5页
When Chen Duxiu founded New Youth, he attached great importance to the “women’s issue” and established the “women’s issue” section, publishing articles on women’s issues and discussing women’s identity, status... When Chen Duxiu founded New Youth, he attached great importance to the “women’s issue” and established the “women’s issue” section, publishing articles on women’s issues and discussing women’s identity, status, and rights deeply. New Youth provided a forum for women to express their ideas, and its existence was a reflection of its advancement. However, from the discussion and promotion of “virtuous mother”, it’s easy to see that the intellectuals at that time had a biased perception of women’s identity and emphasized the intersection of women’s consciousness with the state’s thinking. 展开更多
关键词 New youth women’s issue “virtuous mother”
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A Study on Representations of Youth in Chinese (Mainland) Youth Cinema
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作者 Changsong Wang Yiming Chen Rohani Hashim 《Sociology Study》 2012年第6期437-444,共8页
This study's objective is to thoroughly analyze representations of teenage sexuality portrayed in two Chinese youths' films, which represent social, cultural, and historical diversities in China's Mainland, as w... This study's objective is to thoroughly analyze representations of teenage sexuality portrayed in two Chinese youths' films, which represent social, cultural, and historical diversities in China's Mainland, as well, to unfold some particular natures and trends of Chinese youth cinema in the context of globalization and internationalization. Content analysis and methodology of narrative explore the ideological nature of representations of youth as well as the interpretation of trends in Chinese youth cinema. This study argues the particular manners of representations of Chinese youth in the youths' films produced in China's Mainland, through distinct elements such as film properties, film discourse, and acting on set It will explain how functional and social category diversity, cultural diversity, and historical diversity derive the actuality in Chinese communities, and center on a series of sex-based issues that revel correlations between Chinese youths' ideology, psychology, and social construction. Including a discussion of technical factors, it defines the specific natures of Chinese youth cinema in the region based on fixed parameters of culture or ancestry that convey rhetorical messages to discover the characteristics of genre film so that the interpretation of the term "peers groups" represents the values and beliefs in modern Chinese society, thus presenting the exchange approaches which construct and validate the relationship among society, global film industry, young audience and film content. 展开更多
关键词 Chinese youth youth cinema sexual representations youth socialisation People's Republic of China
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NST联合脐动脉S/D值预测子痫前期胎儿宫内窘迫
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作者 姚轶 许荣华 马红星 《现代科学仪器》 2023年第4期93-96,共4页
目的:探讨胎心监护(NST)联合胎儿脐动脉血流收缩期峰值S/D值对子痫前期宫内窘迫胎儿的预测价值。方法:选取99例子痫前期患者,分为宫内窘迫组和无宫内窘迫组。记录胎心监护指标和脐动脉血流动力学;Kappa一致性分析应用价值。结果:宫内窘... 目的:探讨胎心监护(NST)联合胎儿脐动脉血流收缩期峰值S/D值对子痫前期宫内窘迫胎儿的预测价值。方法:选取99例子痫前期患者,分为宫内窘迫组和无宫内窘迫组。记录胎心监护指标和脐动脉血流动力学;Kappa一致性分析应用价值。结果:宫内窘迫组患者胎儿的S/D值、RI和PI值均明显较高,NST例数明显较少,无反应型NST例数明显较多(P<0.05);联合诊断的灵敏度为0.967,特异度为0.986,Kappa值为0.968。结论:临床可通过联合诊断预测胎儿宫内窘迫,对高风险人群进行及时干预,确保母婴安全。 展开更多
关键词 胎心监护 子痫前期 胎儿宫内窘迫 s/D值 应用价值
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中国青年何以自豪?——青年受教育程度与国家自豪感的关系演变(1995—2018年)
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作者 毕文芬 《暨南学报(哲学社会科学版)》 CSSCI 北大核心 2024年第5期1-17,共17页
文章基于1995—2018年世界价值观的中国调查数据,利用多层年龄—时期—队列模型,以18—35岁青年为研究对象,分解出青年受教育程度对其国家自豪感影响在时期和队列变迁中的演变趋势。实证结果显示,从总体上来看,中等学历青年的国家自豪... 文章基于1995—2018年世界价值观的中国调查数据,利用多层年龄—时期—队列模型,以18—35岁青年为研究对象,分解出青年受教育程度对其国家自豪感影响在时期和队列变迁中的演变趋势。实证结果显示,从总体上来看,中等学历青年的国家自豪感最强,高等学历青年次之,初等学历青年最弱。随着时期推移,我国青年总体上的国家自豪感呈“U形”变迁趋势,其中,1995—2012年的先降后升趋势主要与初等学历和中等学历青年的国家自豪感变化有关,而2018年达到最高点则主要与高等学历青年国家自豪感的加速提升有关。随着队列年轻化,青年国家自豪感呈现出“三个高峰”的趋势,并依次由初等学历、中等学历、高等学历青年的国家自豪感变化所引起。由此来看,在时期和队列变迁中,较低学历青年的规范性国家自豪感会随个人地位及其生活体验进行重构,而高等学历青年的国家自豪感则主要来自于对国家客观成就的理性判断。 展开更多
关键词 国家自豪感 青年受教育程度 年龄—时期—队列模型
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活跃期联合应用胎心监护及脐动脉血流S/D值检测诊断胎儿宫内窘迫的价值 被引量:32
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作者 周抒 叶红 《中国医药导刊》 2011年第4期596-597,共2页
目的:探讨在产程活跃期联合应用胎心监护与脐动脉血流S/D检测能否提高胎儿窘迫的诊断水平,旨在及时准确地发现胎儿宫内缺氧同时减少不必要的干预。方法:156例进入产程活跃期的产妇根据连续胎心电子监护(cardiotocography,CTG)的结果分... 目的:探讨在产程活跃期联合应用胎心监护与脐动脉血流S/D检测能否提高胎儿窘迫的诊断水平,旨在及时准确地发现胎儿宫内缺氧同时减少不必要的干预。方法:156例进入产程活跃期的产妇根据连续胎心电子监护(cardiotocography,CTG)的结果分为晚期减速组(Late deceleration,LD组)及胎心监护正常的对照组。用彩色超声多普勒测定两组胎儿宫缩间歇期与宫缩时的脐动脉收缩期血流速度与舒张期血流速度之比(S/D),产后评定是否存在胎儿窘迫。结果:LD组宫缩间歇期、宫缩时脐动脉血流S/D值异常升高,且与胎儿窘迫有相关性;正常组S/D值与胎儿窘迫无相关性。两种方法联合应用预测胎儿窘迫的敏感性、特异性、阳性预测值、阴性预测值均高于单独使用CTG或脐动脉血流S/D值对胎儿窘迫的诊断水平。结论:活跃期联合应用胎心监护与脐动脉血流S/D值检测可以弥补CTG假阳性率过高的不足,提高胎儿窘迫的诊断水平。 展开更多
关键词 活跃期 胎心监护 脐血流 胎儿窘迫
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胎心电子监护联合脐血流S/D值在预测胎儿窘迫中的临床意义 被引量:7
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作者 周建斌 李婷 何银花 《中国现代医生》 2013年第12期154-155,共2页
目的分析胎心电子监护联合脐血流S/D值在预测胎儿窘迫中的临床意义。方法选取我院妇产科收治的120例足月分娩孕妇,依据预测值的不同分为高危组(44例)、脐血流组(32例)和胎监异常组(44例)三组。破膜后记录羊水性状,并统计新生儿出生后的1... 目的分析胎心电子监护联合脐血流S/D值在预测胎儿窘迫中的临床意义。方法选取我院妇产科收治的120例足月分娩孕妇,依据预测值的不同分为高危组(44例)、脐血流组(32例)和胎监异常组(44例)三组。破膜后记录羊水性状,并统计新生儿出生后的1min Apgar评分。结果与脐血流组和胎监异常组相比,高危组具有较高的羊水Ⅲ粪染、新生儿窒息率,差异具有统计学意义(P<0.05),但是脐血流组和胎监异常组的差异不具有统计学意义(P>0.05)。结论胎心电子监护联合脐血流S/D值在预测胎儿窘迫中具有良好的诊断价值,值得临床推广。 展开更多
关键词 胎心电子监护联合脐血流s D值 预测 胎儿窘迫 临床意义
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胎监联合脐血流S/D比值预测胎儿宫内窘迫的临床意义 被引量:4
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作者 阙贵珍 雷巧茹 +1 位作者 何金杏 司徒文慈 《中国医药科学》 2015年第10期65-67,共3页
目的:研究胎监联合脐血流 S/D 比值在临床方面预测胎儿宫内窘迫的临床意义。方法对我院2013年7月~2014年7月收治的80例孕妇在妊娠30周时对其进行常规的脐血流 S/D 比值的记录和胎心监护结果检测,并比较新生儿 Apgar 评分,对宫内窘... 目的:研究胎监联合脐血流 S/D 比值在临床方面预测胎儿宫内窘迫的临床意义。方法对我院2013年7月~2014年7月收治的80例孕妇在妊娠30周时对其进行常规的脐血流 S/D 比值的记录和胎心监护结果检测,并比较新生儿 Apgar 评分,对宫内窘迫进行诊断并比较。结果监测脐血流 S/D 比值中的反应型和 S/D <3的孕妇中,其胎儿宫内窘迫的发生率为2.94%(2/68),无反应型和 S/D <3的孕妇其胎儿宫内窘迫的发生率为50.00%(1/2),对两组进行比较差异具有统计学意义( P <0.01),无反应型和 S/D <3的孕妇其胎儿宫内窘迫的发生率为50.00%(1/2),反应型和 S/D ≥3的孕妇其胎儿宫内窘迫的发生率是25.00%(1/4),通过与无反应型及 S/D ≥3进行比较,差异具有统计学意义(P <0.01)。无反应型和 S/D ≥3的6例随后均确定是胎儿宫内窘迫,其符合率是100.00%(6/6)。结论胎监联合脐血流 S/D 比值预测可明显提升诊断胎儿宫内窘迫正确率,对胎儿预后起到改善作用,并且减少围产儿的死亡率。 展开更多
关键词 胎监联合脐血流 预测 胎儿窘迫
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妊娠糖尿病孕妇脐血流SD值与胎儿宫内窘迫相关性分析 被引量:27
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作者 张如星 《中国妇幼健康研究》 2016年第7期813-815,共3页
目的研究妊娠糖尿病孕妇胎儿脐动脉频谱血流收缩期最大血流速度与舒张期血流速度的比值(S/D)与胎儿宫内窘迫的相关性。方法选取北京市房山区第一医院自2013年9月至2015年9月收治的65例妊娠糖尿病孕妇为糖尿病组,另选择同时期行常规体检... 目的研究妊娠糖尿病孕妇胎儿脐动脉频谱血流收缩期最大血流速度与舒张期血流速度的比值(S/D)与胎儿宫内窘迫的相关性。方法选取北京市房山区第一医院自2013年9月至2015年9月收治的65例妊娠糖尿病孕妇为糖尿病组,另选择同时期行常规体检的正常孕妇66例为非糖尿病组,用彩超测定37孕周时胎儿脐动脉血流频谱S/D值,比较两组胎儿脐动脉血流频谱S/D均值、脐动脉血流S/D值变化情况及其与胎儿宫内窘迫发生的相关性。结果糖尿病组胎儿脐动脉血流频谱S/D均值明显高于非糖尿病组(t=4.32,P<0.05)。糖尿病组与非糖尿病组不同胎儿脐动脉血流频谱S/D值区间胎儿宫内窘迫率差异均有统计学意义(t值分别为4.01、4.11、4.32、4.17、4.53、4.22,均P<0.05),其中以S/D值≥2.71而<2.81以及S/D值≥2.81而<2.91时,糖尿病组与非糖尿病组胎儿窘迫率比较差异最为显著(t值分别为4.17、4.53,均P<0.05)。非糖尿病组与糖尿病组不同脐动脉血流频谱S/D值区间胎儿宫内窘迫率均具有显著相关性(r值分别为0.984、0.976,均P<0.05)。结论妊娠期糖尿病孕妇胎儿脐动脉血流频谱S/D值总体水平高于非妊娠期糖尿病孕妇,其胎儿宫内窘迫发生率也明显高于非妊娠期糖尿病孕妇;妊娠期糖尿病孕妇胎儿脐动脉血流频谱S/D值高于2.71时,胎儿宫内窘迫发生率明显升高可通过检测妊娠期糖尿病孕妇胎儿脐动脉血流频谱S/D值,预测并早期干预胎儿窘迫及剖宫产的发生。 展开更多
关键词 妊娠糖尿病 血流收缩期最大血流速度与舒张期血流速度的比值 胎儿宫内窘迫 高危妊娠
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孕晚期胎心监护联合脐血流S/D值监测预测胎儿窘迫的价值 被引量:3
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作者 易媛媛 周晓霞 福林 《转化医学电子杂志》 2016年第11期8-10,共3页
目的:探讨孕晚期胎心监护联合脐血流S/D值监测预测胎儿窘迫的价值.方法:选取2014-01/2015-12内蒙古医科大学附属医院收治的足月妊娠孕妇200例,所有孕妇产前均行胎心监测及脐血流检测.预测两种检测手段与联合检测的结果.结果:联合检测胎... 目的:探讨孕晚期胎心监护联合脐血流S/D值监测预测胎儿窘迫的价值.方法:选取2014-01/2015-12内蒙古医科大学附属医院收治的足月妊娠孕妇200例,所有孕妇产前均行胎心监测及脐血流检测.预测两种检测手段与联合检测的结果.结果:联合检测胎儿窘迫发生率33.5%,胎心监护胎儿窘迫发生率27.0%,脐血流检测胎儿窘迫发生率22.0%,联合检测明显高于另两种检测手段,差异有统计学意义(P<0.05);胎心监测与脐血流检查胎儿窘迫发生率比较,差异无统计学意义(P>0.05);胎心监测符合率58.0%,脐血流监测符合率66.0%,脐血流监测符合率略高,组间比较,差异无统计学意义(P>0.05).结论:联合检测排除了单项监测时各方面因素的干扰,大幅度提高了胎儿窘迫的诊断率,弥补了单一检测的不足,有助于为早期预测胎儿窘迫提供依据. 展开更多
关键词 胎心监护 脐血流 s/D值监测 胎儿窘迫
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临产前脐血流S/D值对围产儿预后的影响
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作者 李宁 肖海燕 《中国实用医药》 2009年第20期27-29,共3页
目的探讨临产前脐动脉血流S/D值与围产儿预后的关系。方法对786例孕周t〉37周的单胎临产妇进行胎儿脐动脉血流S/D值测定,按S/D〈2.5、S/D2.5~3.0、S/D≥3.0分组,分别观察不同S/D值与围产儿预后的关系。结果临产前S/D值〉2... 目的探讨临产前脐动脉血流S/D值与围产儿预后的关系。方法对786例孕周t〉37周的单胎临产妇进行胎儿脐动脉血流S/D值测定,按S/D〈2.5、S/D2.5~3.0、S/D≥3.0分组,分别观察不同S/D值与围产儿预后的关系。结果临产前S/D值〉2.5和S/D≥.0组脐带绕颈、妊娠合并症、胎儿窘迫、新生儿窒息发生率,围产儿死亡率均比S/D〈2.5组高。结论对足月临产的孕妇最好能常规进行脐动脉血流检测,当S/D值〉2.5时应加强胎儿监护,适当放宽剖宫产指征,以减少围产儿不良预后。 展开更多
关键词 脐血流 s/D值 胎儿窘迫 新生儿窒息
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中国式现代化视域下推进青年工作的历史、理论与实践逻辑
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作者 彪晓红 苏静普 《河南工业大学学报(社会科学版)》 2024年第2期71-75,83,共6页
党的二十大报告提出“全党要把青年工作作为战略性工作来抓”,对新时代青年工作的重要地位作了明确阐释。从历史逻辑来看,党的青年工作伴随了中国式现代化的整个历史进程,“把青年工作作为战略性工作来抓”是党在总结现代化建设的历史... 党的二十大报告提出“全党要把青年工作作为战略性工作来抓”,对新时代青年工作的重要地位作了明确阐释。从历史逻辑来看,党的青年工作伴随了中国式现代化的整个历史进程,“把青年工作作为战略性工作来抓”是党在总结现代化建设的历史经验中把握到的深层规律;从理论逻辑来看,理解和把握中国式现代化进程中党的青年工作,既要注重从马克思主义的立场和观点出发,又要深入领会新时代习近平总书记关于青年工作的重要思想;从实践逻辑来看,新时代青年工作应当加强对青年的思想政治引领、理想信念教育和科学理论武装,将青年培养成听党话、跟党走,既怀抱梦想、又敢想敢为,既脚踏实地、又善作善成的中国式现代化事业的建设者和接班人。 展开更多
关键词 党的青年工作 中国式现代化 历史逻辑 理论逻辑 实践逻辑
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胎心监测联合脐血流S/D检测预测胎儿窘迫的价值 被引量:32
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作者 耿晓慧 《中国医药导报》 CAS 2013年第12期63-64,共2页
目的探讨胎心监测联合脐血流检测对于胎儿窘迫的预测价值。方法选择2012年1~10月惠州市第一妇幼保健院足月妊娠孕妇690例,按产前胎心监测、脐动脉血流检测结果分为联合组[脐动脉血流S/D值≥2.5,并且无刺激胎心监护(NST)无反应,60例]、... 目的探讨胎心监测联合脐血流检测对于胎儿窘迫的预测价值。方法选择2012年1~10月惠州市第一妇幼保健院足月妊娠孕妇690例,按产前胎心监测、脐动脉血流检测结果分为联合组[脐动脉血流S/D值≥2.5,并且无刺激胎心监护(NST)无反应,60例]、脐血流组(单纯进行脐动脉血流检测,并且S/D值≥2.5,280例),以及胎心监测组(单纯进行胎心监测,并且NST无反应,350例)。对三组胎儿窘迫、新生儿不良结局发生率进行观察和比较。结果联合组胎儿窘迫发生率[48.3%(29/60)]高于胎心监测组[27.1%(95/350)]及脐血流组[22.1%(62/280)],差异有统计学意义(P<0.05);胎心监测组与脐血流组胎儿窘迫发生率差异无统计学意义(P>0.05)。联合组羊水污染、新生儿窒息发生率[41.7%(25/60)、5.0%(3/60)]均高于胎心监测组[24.3%(85/350)、0.3%(1/350)]及脐血流组[20.0%(56/280)、0.7%(2/280)],差异均有统计学意义(P<0.05);脐血流组与胎心监测组的羊水污染、新生儿窒息发生率差异无统计学意义(P>0.05)。结论胎心监测联合脐血流S/D值检测能够及早发现和诊断胎儿窘迫,通过及时干预,明显降低新生儿不良结局的发生率,值得临床广泛推广。 展开更多
关键词 胎心监测 脐血流s D值检测 胎儿窘迫 预测
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