本文应用MSCT(多层螺旋CT)容积重建技术寻找与中老年男性年龄变化相关性较好的观测点位,构建单指标及多指标联合应用的中国汉族男性60岁判别式。收集177例40~70岁中国男性盆部MSCT扫描的医学数字成像和通信(digital imaging and communi...本文应用MSCT(多层螺旋CT)容积重建技术寻找与中老年男性年龄变化相关性较好的观测点位,构建单指标及多指标联合应用的中国汉族男性60岁判别式。收集177例40~70岁中国男性盆部MSCT扫描的医学数字成像和通信(digital imaging and communication in medicine,DICOM)原始影像数据,应用OsiriXMD v13.0.0软件进行容积重建,筛选出与年龄变化高度相关的点位,进行形态学观测,构建分级标准,最后采用Fisher判别法,构建60岁判别模型。最终筛选出第五腰椎、髂嵴后部及部分骶翼三个观测点位,分别构建中国男性60岁单指标及多指标联合应用判别模型。第五腰椎、髂嵴后部及部分骶翼单指标判别率分别为80.8%、78.0%、87.0%,三个指标联合应用判别率为91.0%。研究结果证明,应用MSCT容积重建技术,通过观测第五腰椎、髂嵴后部及部分骶翼,判别中国男性60岁年龄点,具有较好的可行性及准确性,可用于相关案件的判别。展开更多
Background: With the recent aging of society, the need for medical treatment of elderly patients with head and neck cancer seems to have been increasing. Method: The present study analyzed all 103 patients with head a...Background: With the recent aging of society, the need for medical treatment of elderly patients with head and neck cancer seems to have been increasing. Method: The present study analyzed all 103 patients with head and neck cancer ≥80 years, and we compared results with those of the previous generation (Group P;range: 75 - 79 years) comprising 104 patients treated in the same period. Results: We provided treatment just as wanted and could not choose it often. The reasons were oncological factors such as unresectable tumor or distant metastasis, refusal of treatment, and physical factors such as poor PS or number of comorbidities. Conclusion: Treatment choices should be based on the wishes and motivations of the patient and the medical assessment of physical function. When a patient ≥80 years old is treated, the high incidence of complications and severity of the disease should be considered.展开更多
目的探讨60岁以上老年人群慢性病患病情况及影响因素。方法选取2022年1—12月江苏省老年病医院收治的300例60岁以上老年住院患者临床资料进行回顾性分析,调查统计其慢性病患病情况,并分析其影响因素。结果300例老年人群共163名老年人群...目的探讨60岁以上老年人群慢性病患病情况及影响因素。方法选取2022年1—12月江苏省老年病医院收治的300例60岁以上老年住院患者临床资料进行回顾性分析,调查统计其慢性病患病情况,并分析其影响因素。结果300例老年人群共163名老年人群存在慢性病,占比54.33%,慢病组性别、年龄、居住地、身体质量指数(body mass index,BMI)、文化程度、吸烟、饮酒、运动锻炼、饮食、家族慢病遗传史各项单因素与无慢病组相比,差异有统计学意义(P<0.05);结果表明年龄、居住地、BMI、吸烟、饮酒、饮食是否规律、家族慢病遗传史为60岁以上老年人群患慢性病的独立危险因素(OR=2.165、2.152、2.748、3.125、2.865、1.845、1.825,P<0.05),文化程度、运动锻炼为独立保护因素(OR=0.752、0.849,P<0.05)。结论60岁以上老年人群慢病患病率较高,主要与年龄、BMI、吸烟、饮酒等多项因素相关,临床应明确其影响因素,制定针对性防范措施,以降低老年人群慢病患病率。展开更多
文摘本文应用MSCT(多层螺旋CT)容积重建技术寻找与中老年男性年龄变化相关性较好的观测点位,构建单指标及多指标联合应用的中国汉族男性60岁判别式。收集177例40~70岁中国男性盆部MSCT扫描的医学数字成像和通信(digital imaging and communication in medicine,DICOM)原始影像数据,应用OsiriXMD v13.0.0软件进行容积重建,筛选出与年龄变化高度相关的点位,进行形态学观测,构建分级标准,最后采用Fisher判别法,构建60岁判别模型。最终筛选出第五腰椎、髂嵴后部及部分骶翼三个观测点位,分别构建中国男性60岁单指标及多指标联合应用判别模型。第五腰椎、髂嵴后部及部分骶翼单指标判别率分别为80.8%、78.0%、87.0%,三个指标联合应用判别率为91.0%。研究结果证明,应用MSCT容积重建技术,通过观测第五腰椎、髂嵴后部及部分骶翼,判别中国男性60岁年龄点,具有较好的可行性及准确性,可用于相关案件的判别。
文摘Background: With the recent aging of society, the need for medical treatment of elderly patients with head and neck cancer seems to have been increasing. Method: The present study analyzed all 103 patients with head and neck cancer ≥80 years, and we compared results with those of the previous generation (Group P;range: 75 - 79 years) comprising 104 patients treated in the same period. Results: We provided treatment just as wanted and could not choose it often. The reasons were oncological factors such as unresectable tumor or distant metastasis, refusal of treatment, and physical factors such as poor PS or number of comorbidities. Conclusion: Treatment choices should be based on the wishes and motivations of the patient and the medical assessment of physical function. When a patient ≥80 years old is treated, the high incidence of complications and severity of the disease should be considered.
文摘目的探讨60岁以上老年人群慢性病患病情况及影响因素。方法选取2022年1—12月江苏省老年病医院收治的300例60岁以上老年住院患者临床资料进行回顾性分析,调查统计其慢性病患病情况,并分析其影响因素。结果300例老年人群共163名老年人群存在慢性病,占比54.33%,慢病组性别、年龄、居住地、身体质量指数(body mass index,BMI)、文化程度、吸烟、饮酒、运动锻炼、饮食、家族慢病遗传史各项单因素与无慢病组相比,差异有统计学意义(P<0.05);结果表明年龄、居住地、BMI、吸烟、饮酒、饮食是否规律、家族慢病遗传史为60岁以上老年人群患慢性病的独立危险因素(OR=2.165、2.152、2.748、3.125、2.865、1.845、1.825,P<0.05),文化程度、运动锻炼为独立保护因素(OR=0.752、0.849,P<0.05)。结论60岁以上老年人群慢病患病率较高,主要与年龄、BMI、吸烟、饮酒等多项因素相关,临床应明确其影响因素,制定针对性防范措施,以降低老年人群慢病患病率。
