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颅内动脉瘤患者手术预后及其相关危险因素分析
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作者 吴旺春 陈水钰 +2 位作者 彭演国 吴世忠 王建铃 《齐齐哈尔医学院学报》 2024年第23期2265-2270,共6页
目的 分析颅内动脉瘤患者手术预后的影响因素,并探讨各种危险因素及生物标志物的预测价值。方法 回顾性分析2019年10月-2023年10月本院收治的接受颅内动脉瘤手术治疗的122例患者的临床资料,根据手术预后将患者分为预后良好组(n=95)和预... 目的 分析颅内动脉瘤患者手术预后的影响因素,并探讨各种危险因素及生物标志物的预测价值。方法 回顾性分析2019年10月-2023年10月本院收治的接受颅内动脉瘤手术治疗的122例患者的临床资料,根据手术预后将患者分为预后良好组(n=95)和预后不良组(n=27)两组。比较两组的各种人口统计学特征、动脉瘤特征、脂质特征、炎症生物标志物和术中参数。进行相关性分析、逻辑回归分析和受试者操作特征(ROC)分析,以评估危险因素对手术预后的预测价值。结果 人口统计学特征(年龄、BMI、吸烟史)、合并症(高血压、糖尿病)、动脉瘤特征(破裂史、动脉瘤大小)、脂质状况(总胆固醇、甘油三酯、高密度脂蛋白胆固醇)、炎性生物标志物(TNF-α、IL-8、ET-1、HIF-1α、MMP-9)、ASA分级和手术预后之间存在显著相关性。逻辑回归分析显示以上因素均为颅内动脉瘤患者手术预后的独立危险因素。ROC分析显示TNF-α是一种具有高度敏感性和特异性的潜在预后标志物(AUC=0.937)。结论 年龄、BMI、吸烟史、合并症、动脉瘤特征、脂质特征和炎症生物标志物是颅内动脉瘤患者手术预后的重要预测因素。TNF-α作为一种有前景的预后标志物,有指导治疗从而改善患者手术预后的潜力。 展开更多
关键词 颅内动脉瘤 手术预后 危险因素 TNF-α 脂质特征
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Nutrient Release Characteristics of Vinyl Chloride-Vinyl acetate Copolymers Coated SlowRelease Nitrogen Fertilizer and Its Effect on Soil Mineral Nitrogen
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作者 马洪波 许仙菊 +3 位作者 宁运旺 汪吉东 张辉 张永春 《Agricultural Science & Technology》 CAS 2014年第3期412-416,421,共6页
[Objective] The aim was to explore release characteristics of vinyl chlo- ride-vinyl acetate copolymer controlled-release N fertilizer and the effects on minerat nitrogen in soils. [Method] Vinyl chloride-vinyl acetat... [Objective] The aim was to explore release characteristics of vinyl chlo- ride-vinyl acetate copolymer controlled-release N fertilizer and the effects on minerat nitrogen in soils. [Method] Vinyl chloride-vinyl acetate copolymer and hydroxyl-modi- fied VCNAc were taken as coating materials to prepare slow release fertilizer. Nutri- ent release characteristics of VC/VAc slow release fertilizer was evaluated by water immersion method and the effects of VC/VAc slow release fertilizer on mineral ni- trogen were researched by pot experiment. [Result] The release periods of VC-VAc controlled-release urea and hydroxyl-modified VC/VAc coated urea were 60 and 50 d, respectively. Furthermore, the content of ammonium nitrogen reached the peak on the 30th d and the content of nitrate nitrogen reached the peak on the 60th d in soils in treatments with VCNAc and hydroxyl-modified VC/VAc; the content of nitrate nitrogen rose again on the 120th d in the treatment with VC/VAc. In terms of wheat yield, different treatments showed insignificant differences and rice yield in the treatment with VCNAc was significantly higher than that in the treatment with hy- droxyl-modified VCNAc (P〈0.05). [Conclusion] The release days of slow controlled- release fertilizer vary upon pot experiment method and water immersion method. Slow controlled-release fertilizer is not suitable for monoculture, due to long fertilizer efficiency, but multiple cropping would be optimal for its role to be fully exploited. 展开更多
关键词 Water immersion method Pot experiment method Vinyl chloride-vinyl acetate copolymer Nutrient release characteristics Soil mineral nitrogen
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