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急性创伤性颅脑损伤患者围手术期血糖变化与颅脑损伤严重程度的相关性 被引量:21
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作者 包义君 陶山伟 +6 位作者 李力卓 张德威 王鹏飞 黄小龙 张文泰 赵丹 王运杰 《中国医科大学学报》 CAS CSCD 北大核心 2016年第4期313-317,共5页
目的探讨急性创伤性颅脑损伤患者围手术期血糖变化与颅脑损伤程度的相关性。方法回顾性分析2012年7月至2015年6月于中国医科大学附属第一医院神经外科住院治疗的125例满足研究标准的急性单发性创伤性颅脑损伤患者的临床资料,根据患者... 目的探讨急性创伤性颅脑损伤患者围手术期血糖变化与颅脑损伤程度的相关性。方法回顾性分析2012年7月至2015年6月于中国医科大学附属第一医院神经外科住院治疗的125例满足研究标准的急性单发性创伤性颅脑损伤患者的临床资料,根据患者入院时的格拉斯哥昏迷评分(GCS)分组:对照组(GCS15分)、轻型组(GCS13~14分)、中型组(GCS9~12分)、重型组(GCS6~8分)和特重型组(GCS3~5分),入院后即开始进行血糖控制(包括缓解应激因素和应用胰岛素),分别统计患者入院后的每日血糖,然后计算各组在不同时间段内的血糖均数、血糖标准差及血糖变异系数,分析患者血糖变异度和高血糖的持续时间与患者颅脑损伤严重程度的关系。结果同一时间段特重型组和重型组的血糖均数、血糖标准差及血糖变异系数均明显高于对照组(P〈0.05);同一组中,在入院时、入院48h和入院3~7d不同的时间段问,患者的血糖均数、血糖标准差和血糖变异系数均有统计学差异(P〈0.05);特重型组和重型组患者高血糖平均持续时间和意识障碍平均持续时间与对照组相比均有统计学差异(P〈0.05)。秩相关分析表明,血糖整体水平、血糖波动度以及高血糖平均持续时间与患者颅脑损伤严重程度呈正相关(r〉1)。结论急性单发性创伤性颅脑损伤患者血糖变化水平可以作为重型颅脑损伤病情严重程度的评价指标。 展开更多
关键词 急性创伤性颅脑损伤 血糖变异度 血糖持续时间
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老年2型糖尿病患者持续葡萄糖监测指标与动脉粥样硬化的临床关系
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作者 王婷 《福建医药杂志》 CAS 2022年第3期78-80,共3页
目的探究老年2型糖尿病患者持续葡萄糖监测指标与动脉粥样硬化的临床关系.方法选择我院就诊的老年2型糖尿病患者45例为正常组,将同时期内于我院就诊的老年2型糖尿病合并动脉粥样硬化患者45例设为斑块组.比较两组持续葡萄糖监测指标的差... 目的探究老年2型糖尿病患者持续葡萄糖监测指标与动脉粥样硬化的临床关系.方法选择我院就诊的老年2型糖尿病患者45例为正常组,将同时期内于我院就诊的老年2型糖尿病合并动脉粥样硬化患者45例设为斑块组.比较两组持续葡萄糖监测指标的差异,具体指标包括:目标范围内时间(TIR)、高血糖时间(TAR)、踝肱比(ABI),并分析各指标与动脉粥样硬化的相关性及动脉粥样硬化的独立危险因素.结果与正常组比较,斑块组TAR值更高(P<0.05),TIR值更低(P<0.05),ABI值更高(P<0.05).相关性分析结果显示:动脉粥样硬化与TAR呈正相关,与TIR呈负相关(P<0.05).多元回归方程分析结果显示:TIR降低及TAR增加是老年2型糖尿病患者发生动脉粥样硬化的独立危险因素.结论与单纯老年2型糖尿病患者比较,老年2型糖尿病合并动脉粥样硬化患者的TAR值更高,TIR更低,且动脉粥样硬化与TAR呈正相关,与TIR呈负相关,TIR降低及TAR增加是动脉粥样硬化发生的独立危险因素. 展开更多
关键词 老年2型糖尿病 动脉粥样硬化 高血糖时间 目标范围内时间
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Insulin sources and types: a review of insulin in terms of its mode on diabetes mellitus 被引量:8
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作者 Kafeel Ahmad 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2014年第2期234-237,共4页
Insulin is involved in regulation of glucose utilization in the body. Inability of the body to synthesize insulin or human cells resistance to insulin leads to a condition called Diabetes mellitus which is characteriz... Insulin is involved in regulation of glucose utilization in the body. Inability of the body to synthesize insulin or human cells resistance to insulin leads to a condition called Diabetes mellitus which is characterized by chronic hyperglycaemia. There are two types of diabetes; type 1 and type 2. Exogenous supply of insulin is needed consistently for type 1diabetes treatment and type 2 diabetes also needs to be cured by the exogenous supply of insulin in advance stages of the disease. These sources have been proved very useful to meet the needs of the patients. However, these insulin types are expensive for the large population of patients in the developing countries. Furthermore, the incidence of diabetes is advancing at an alarming rate. Hence production systems with even higher capabilities of production are desired. Therefore, currently plants are being investigated as alternative production systems. Based on the mode of action of insulin various formulations of insulin have been developed that have different onset of action, peak effect and duration of action according to the needs of the patients. 展开更多
关键词 INSULIN Diabetes mellitus Insulin analogs
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Modeling and qualitative analysis of diabetes therapies with state feedback control 被引量:2
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作者 Mingzhan Huang Xinyu Song 《International Journal of Biomathematics》 2014年第4期1-21,共21页
For the therapies of diabetes mellitus, a uovel mathematical model with two state impulses: impulsive injection of insulin and impulsive injection of glucagon, is proposed. To avoid hypoglycemia and hyperglycemia, th... For the therapies of diabetes mellitus, a uovel mathematical model with two state impulses: impulsive injection of insulin and impulsive injection of glucagon, is proposed. To avoid hypoglycemia and hyperglycemia, the injections of insulin and glucagon are determined by closely monitoring the plasma glucose level of the patients. By using differential equation geometry theory, the existence of periodic solution and the attrac- tion region of the system have been obtained, which ensures that injections in such an automated way can keep the blood glucose concentration under control. The simula- tion results verify that the better insulin injection strategy in closed-loop control is a larger dose but longer interval rather than a smaller dose but shorter interval. Besides, our numerical analysis reveals that medicine studies and practice that slow down the insulin degradation are helpful for the plasma glucose control. Our findings can provide significant guidance in both design of artificial pancreas and clinical treatment. 展开更多
关键词 Glucose-insulin system state impulse periodic solution successor function.
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