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产妇产后72 h乳汁分泌缺乏影响因素分析及列线图模型构建
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作者 吴梅 王思思 《实用临床医药杂志》 CAS 2024年第4期61-65,69,共6页
目的 探讨产妇产后72 h乳汁分泌缺乏的影响因素并构建列线图模型。方法 选取住院分娩的345例产妇作为研究对象,按照7∶3的比例分为建模组242例和验证组103例,并根据产后72 h乳汁分泌情况将建模组产妇分为乳汁分泌缺乏组69例和乳汁分泌... 目的 探讨产妇产后72 h乳汁分泌缺乏的影响因素并构建列线图模型。方法 选取住院分娩的345例产妇作为研究对象,按照7∶3的比例分为建模组242例和验证组103例,并根据产后72 h乳汁分泌情况将建模组产妇分为乳汁分泌缺乏组69例和乳汁分泌正常组173例。收集产妇的临床资料,采用多因素Logistic回归模型分析产妇产后72 h乳汁分泌缺乏的影响因素;采用R3.6.3软件构建预测产妇产后72 h乳汁分泌缺乏的列线图模型;分别绘制受试者工作特征(ROC)曲线和校准曲线,评估列线图模型预测产妇产后72 h乳汁分泌缺乏的区分度和一致性。结果 建模组产妇年龄、孕次、分娩方式、乳头类型等与验证组比较,差异无统计学意义(P>0.05)。乳汁分泌缺乏组初产、剖宫产、分娩至开奶时间>1 h、婴儿24 h吮吸乳房次数≤6次、未进行乳房按摩产妇占比高于乳汁分泌正常组,差异有统计学意义(P<0.05);多因素Logistic回归模型分析结果显示,产次、分娩方式、分娩至开奶时间、婴儿24 h吮吸乳房次数均为产妇产后72 h乳汁分泌缺乏的影响因素(OR=3.488、2.381、2.442、2.223,P<0.05)。ROC曲线显示,该列线图模型在建模组、验证组中预测产妇产后72 h乳汁分泌缺乏的曲线下面积分别为0.844(95%CI:0.792~0.897)、0.863(95%CI:0.791~0.935),校准曲线斜率均接近1,且Hosmer-Lemeshow拟合优度检验结果显示该模型拟合良好(χ^(2)=7.002、4.560,P=0.429、0.714)。结论 产次、分娩方式、分娩至开奶时间、婴儿24 h吮吸乳房次数为产妇产后72 h乳汁分泌缺乏的影响因素,据此构建的列线图预测模型具有较好的区分度和一致性。 展开更多
关键词 产妇 乳汁分泌缺乏 影响因素 列线图模型 母乳喂养
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产后乳汁分泌缺乏的中西医药结合治疗
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作者 田禾 《中国临床医生杂志》 2002年第10期63-63,共1页
关键词 产后 乳汁分泌缺乏 中西医药结合 治疗 辨证分型 针灸疗法
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小儿内分泌腺疾病及代谢病
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《国外科技资料目录(医药卫生)》 CAS 1997年第12期110-111,共2页
9744799 小儿期血脂过多的治疗目标值[日,英摘]/村田光范//动脉硬化.-1996,23(10).-631~636 冀医情9744800 胰岛素依赖性糖尿病的儿童和青少年的代谢平衡水平与龋病的联系/Karjalainen K M//Caries Res.-1996,31(1),-13~18
关键词 胰岛素依赖性糖尿病 小儿内科 生长激素 血脂过多 分泌缺乏 治疗目标 动脉硬化 代谢平衡 青少年 分泌
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Concomitant NH_4^+ Secretion During Astaxanthin Synthesis in Haematococcus pluvialis Under High Irradiance and Nitrogen Defi-cient Conditions 被引量:3
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作者 董庆霖 赵学明 +2 位作者 邢向英 胡建中 巩继贤 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2007年第2期162-166,共5页
The present study is focused on protein degradation during astaxanthin synthesis in Haematococcus plu- vialis under high irradiance and nitrogen deficient conditions. It was found that with the onset of astaxanthin sy... The present study is focused on protein degradation during astaxanthin synthesis in Haematococcus plu- vialis under high irradiance and nitrogen deficient conditions. It was found that with the onset of astaxanthin synthesis in the cultures of high light and nitrogen-free (HF), high light and nitrogen-repletion (HR), and low light and nitrogen-free (LF), (1) endopeptidase (EP) activities increased along with decrease in protein content, (2) asparagine in HF and HR rose significantly before the first 4 and 5 day, but fell after that time. While, it increased slowly and continuously in LF, (3) ammonium increased continuously in HF and HR, whereas in LF, it was detected on the sixth day, and increased slowly on the following days. By contrast, in low light and nitrogen-repletion culture, (LR), the contents of protein and asparagine as well as EP activity were maintained relatively constant, no astaxanthin and ammonium were detected. Furthermore, when HF was sealed and bubbled with CO2-free gas (02 and N2), astaxan- thin content increased as the protein level decreased. These results strongly suggest that (1) the degraded protein served as a substitutive carbon source, to some extent, for the biosynthesis of astaxanthin, (2) endopeptidase was involved in the degradative process, (3) for detoxification, part of the ammonium generated by protein degradation was transiently stored in asparagine, whereas the rest of it was expelled into the culture broth. 展开更多
关键词 ammonium ASPARAGINE ASTAXANTHIN ENDOPEPTIDASE Haematococcus pluvialis protein degradation
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