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心肺功能运动试验与静态肺功能判定肺损伤的比较 被引量:3
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作者 邓国祥 王治明 +2 位作者 王绵珍 兰亚佳 孙学川 《中国工业医学杂志》 CAS 北大核心 2005年第5期269-272,共4页
目的比较心肺功能运动试验与静态肺功能测定结果的灵敏度和特异度,探讨心肺功能运动试验在尘肺伤残程度鉴定中的运用。方法选取Ⅰ期煤工尘肺病人69名,正常对照182名,所有对象进行心肺功能运动试验和静态肺功能测定;计算灵敏度、特异度,... 目的比较心肺功能运动试验与静态肺功能测定结果的灵敏度和特异度,探讨心肺功能运动试验在尘肺伤残程度鉴定中的运用。方法选取Ⅰ期煤工尘肺病人69名,正常对照182名,所有对象进行心肺功能运动试验和静态肺功能测定;计算灵敏度、特异度,判断肺损伤的一致性和相关性。结果静态肺功能指标中,FVC特异度最高(91.2%),但灵敏度最低(28.9%);RV/TLC%灵敏度最高(84.5%),但特异度最低(61.5%)。在运动试验指标中,最大摄氧量和调整的最大二氧化碳通气当量的特异度分别为97.4%和93.5%,灵敏度仅为34.4%和75.0%,似然比、准确率高于静态肺功能指标。运动试验指标与静态肺功能指标判断损伤之间有相关性和一致性,但相关程度和一致程度不高。结论运动试验指标与静态肺功能指标在相同程度肺损伤评定上有很大差异,静态肺功能不能准确评定体力能力的大小和丧失,在我国尘肺伤残评定方面应考虑采用心肺功能运动试验。 展开更多
关键词 心肺功能运动试验 静态肺功能 尘肺 损害/伤残 评价
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Return to work after trauma: A survival analysis 被引量:1
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作者 Masoumeh Abedzadeh-Kalahroudi Ebrahim Razi +1 位作者 Mojtaba Sehat Mohsen Asadi-Lari 《Chinese Journal of Traumatology》 CAS CSCD 2017年第2期67-74,共8页
Purpose: To evaluate the return to work (RTW) rate, time and predictors among trauma patients using survival analysis. Methods: This cohort study was conducted with a three-month follow-up on 300 trauma patients h... Purpose: To evaluate the return to work (RTW) rate, time and predictors among trauma patients using survival analysis. Methods: This cohort study was conducted with a three-month follow-up on 300 trauma patients hospitalized in Shahid Beheshti Hospital, Kashan, Iran in 2014. The data were collected through con- ducting interviews and referring to patients' medical records during their hospital stay and follow-up information at one & three months after discharge from hospital. Final analysis was conducted on the data retrieved from 273 patients. Data were analyzed by chi-square test, Mann Whitney U test and survival analysis method. Results: The rate of RTW at the end of the first and the third follow-up months was respectively 21.6% and 61.2%. Survival analysis showed that the RTW time (Time between admission to first return to workl was significantly longer among patients with illiteracy, drug abuse, hospitalization history in the intensive care unit, low socioeconomic status, non-insurance coverage, longer hospital stay, multiple and severe injuries as well as severe disability. Conclusion: Our findings indicated that trauma has profound effects on the rate and time of RTW. Besides disability, many personal and clinical factors can affect the outcome of RTW. 展开更多
关键词 Return to workWounds and injuriesSurvivalDisability
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