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991.
Yasar Mahsut Dincel Ali Oner Yavuz Arikan Sever Çaglar Rasit Ozcafer Mehmet Akif Gulec 《中华创伤杂志(英文版)》2018,21(2):104-108
Purpose
Tibia plateau fracture (TPF) treatment aims at achieving a stable, aligned, mobile, painless knee and preventing post-traumatic osteoarthritis. To achieve this goal, surgeons consider criteria such as patients' characteristics, severity, risk of complications, fracture displacement/depression, degree of soft tissue injury. However, body mass index (BMI) is not considered as a risk factor in literature. Our study was conducted to find out any possible correlation between BMI and functional scores or radiological score separately.Methods
Retrospective analysis of case series between 2011 and 2014 was done on the database of a tertiary hospital in Istanbul. There were 67 TPF patients (54 males, 13 females) in the study. Relationship between BMI and functional knee scores or radiological score was compared statistically. Closed fractures with both high-energy and low-energy injury were included in the study. Patients with open fracture, multi-trauma presence, meniscus and/or ligamentous injury, increased co-morbidity, inadequate records (25 cases in all) were excluded. Surgery type, Schatzker classification, injury side, trauma energy, and gender were considered as possible risk factors. Binary regression analysis was done for possible factors affecting functional knee scores and radiologic score.Results
Model summary calculations were done as Nagelkerke R2 test for Knee Society score, Lysholm knee score, and Ahlback and Rydberg radiologic scores, which were 0.648, 0.831, and 0.327 respectively. Homer–Lemeshow test values were 0.976, 0.998, and 0.362, respectively. There is negative correlation between BMI and both knee function scores. There is no correlation between BMI and radiologic score.Conclusion
An increase in BMI has a negative effect on functional knee scores after surgical treatment of TPFs. Therefore, BMI should be considered as a risk factor for surgical treatment of TPFs. 相似文献992.
目的:探讨平卧位经皮肾穿刺造瘘术(percutaneous nephrostomy,PCN)并发结肠损伤的几率,为临床应用PCN提供参考.方法:对432例平卧位腹部CT扫描片进行分析,模拟自腰椎前切缘分别经过肾上极、肾门、肾下极的穿刺线,将结肠位置分为穿刺线前、线后或经过穿刺线,前者定义为无潜在损伤风险,后两者定义为有潜在损伤风险,从影像学分析平卧位PCN并发结肠损伤的几率.结果:平卧位经左侧肾上极、肾门、肾下极的穿刺中结肠有潜在损伤风险的几率分别为0、0、0.7%(3/432);经右侧肾上极、肾门、肾下极的穿刺中无1例有潜在损伤风险.结论:采用平卧位行PCN并发结肠损伤几率低,PCN术前常规做CT扫描检查,了解腹部内脏解剖位置关系可避免发生结肠损伤等严重并发症. 相似文献
993.
Alba Luz León Johana Ascuntar-Tello Carlos Oliver Valderrama-Molina Nelson Darío Giraldo Alfredo Constaín Andrés Puerta Camilo Restrepo Fabián Jaimes 《Journal of Clinical Orthopaedics and Trauma》2018
Background
Traffic accidents are considered a public health problem and, according to the World Health Organization, currently is the eighth cause of death in the world. Specifically, pedestrians, cyclists and motorcyclists contribute half of the fatalities. Adequate clinical management in accordance with aggregation patterns of the body areas involved, as well as the characteristics of the accident, will help to reduce mortality and disability in this population.Methods
Secondary data analysis of a cohort of patients involved in traffic accidents and admitted to the emergency room (ER) of a high complexity hospital in Medellín, Colombia. They were over 15 years of age, had two or more injuries in different areas of the body and had a hospital stay of more than 24 h after admission. A cluster analysis was performed, using Ward's method and the linfinity similarity measure, to obtain clusters of body areas most commonly affected depending on the type of vehicle and the type of victim.Results
Among 2445 patients with traffic accidents, 34% (n = 836) were admitted into the Intensive Care Unit (ICU) and the overall hospital mortality rate was 8% (n = 201). More than 50% of the patients were motorcycle riders but mortality was higher in pedestrian-car accidents (16%, n = 34). The clusters show efficient performance to separate the population depending on the severity of their injuries. Pedestrians had the highest mortality after having accidents with cars and they also had the highest number of body parts clustered, mainly on head and abdomen areas.Conclusions
Exploring the cluster patterns of injuries and body areas affected in traffic accidents allow to establish anatomical groups defined by the type of accident and the type of vehicle. This classification system will accelerate and prioritize ER-care for these population groups, helping to provide better health care services and to rationalize available resources. 相似文献994.
目的观察患者体脂率及BMI对丙泊酚麻醉用量的影响,并得出丙泊酚麻醉用量简便的计算公式。方法选择我院择期行腹腔镜手术患者104例,男46例,女58例,年龄25~59岁,ASAⅠ或Ⅱ级,根据BMI和体脂率将患者分为四组:A组,BMI25.0kg/m~2,体脂率25%(男)或35%(女);B组,BMI25.0kg/m~2,体脂率≥25%(男)或≥35%(女);C组,BMI≥25.0kg/m~2,体脂率25%(男)或35%(女);D组,BMI≥25.0kg/m~2,体脂率≥25%(男)或≥35%(女)。所有患者均采用统一的麻醉方案,BIS闭环靶控目标值设为45~55。记录患者麻醉诱导、麻醉维持时丙泊酚使用量以及拔管时间。纳入所有患者的性别、BMI和体脂率等构建多元线性回归模型。结果 D组丙泊酚麻醉诱导剂量明显高于A、B、C组(P0.05);B组和D组的前1h和前2h每公斤体重丙泊酚用量均明显低于A组(P0.05),A组和C组的每公斤体重丙泊酚用量差异无统计学意义,B组和D组的每公斤体重丙泊酚用量差异无统计学意义;四组拔管时间差异无统计学意义。回归公式:前1h丙泊酚用量(mg/kg)=7.715+1.900×性别(男=0,女=1)-0.125×体脂率。结论BMI或体脂率越高的患者在维持麻醉状态时每公斤体重丙泊酚使用量越少;当BMI与体脂率衡量肥胖发生矛盾时,体脂率与患者每公斤体重丙泊酚麻醉用量相关性更好。 相似文献
995.
正常人静态平衡姿势图影响因素的研究 总被引：10，自引：2，他引：10
目的 探讨正常人静态平衡姿势图的影响因素。方法 用平衡仪对 588例正常人进行静态平衡功能测试 ,用t检验对各年龄组性别之间的平衡参数值进行分析。用典则相关分析方法按性别分组对年龄、身高和体重与平衡姿势图的参数值进行相关分析。结果 性别之间的平衡参数值差异有统计学意义(P <0 .0 1～ 0 .0 5) ;年龄与男、女两组的平衡参数值均呈正相关 ;女性组身高与平衡参数值呈正相关 ,男性组身高与平衡参数值相关性低 ;男女两组的体重与平衡参数值均呈正相关。结论 性别和年龄影响平衡功能 ,随着年龄的增加平衡功能下降 ,36～ 50岁和 51～ 65岁的男性平衡功能较女性差 ,2 0～ 35岁和 66～ 79岁的女性平衡功能较男性差 ;随着体重增加 ,平衡功能下降 ;随着身高的增加 ,女性平衡功能下降 ,而身高对男性平衡功能影响不显著。 相似文献
996.
Casey S. Okamoto Andrew S. Dunn Bart N. Green Lance R. Formolo David Chicoine 《Journal of manipulative and physiological therapeutics》2017,40(5):358-364
Objective
Back pain is more prevalent in the obese, but whether back pain severity is directly correlated to obesity in veterans is unknown. We sought to determine if there was a correlation between body composition and low back pain severity in a sample of veterans. The hypothesis was that veterans with higher body mass index values would report higher low back pain severity scores.Methods
This study was a retrospective chart review of 1768 veterans presenting to a Veterans Affairs chiropractic clinic with a chief complaint of low back pain between January 1, 2009 and December 31, 2014. Spearman’s rho was used to test for correlation between body composition as measured by body mass index and low back pain severity as measured by the Back Bournemouth Questionnaire.Results
On average, the sample was predominantly male (91%), older than 50, and overweight (36.5%) or obese (48.9%). There was no correlation between body mass index and Back Bournemouth Questionnaire scores, r = .088, p < .001.Conclusions
The majority of veterans with low back pain in this sample were either overweight or obese. There was no correlation between body composition and low back pain severity in this sample of veterans. 相似文献997.
Kunio?TakadaEmail author Kimihiro?Suzuki Koji?Kataharada Makoto?Okada Masahiro?Nakashima Takashi?Nakanishi Fumitaka?Ohsuzu Takashi?Yoshiyama 《Journal of infection and chemotherapy》2004,10(1):49-52
A 41-year-old woman was admitted to our hospital because of fever and polyarthralgia. A diagnosis of systemic lupus erythematosus (SLE) was made based on the findings of polyarthritis, leukocytopenia, lymphocytopenia, proteinuria, and positive reactions for antinuclear antibody (ANA) and anti-double strand (ds)DNA antibody. She had also been suffering from a pulmonary Mycobacterium avium complex (MAC) infection with such symptoms as cough and sputum for the past 3 years. Antimicrobial drugs for MAC infection were administered first, and later she was given cyclophosphamide pulse therapy, consisting of methylprednisolone (8mg/day) and mizoribine (100mg/day). Owing to these therapeutic regimens, SLE was successfully treated without an exacerbation of the MAC infection. The risk factors for MAC infection and SLE are also discussed. 相似文献
998.
Roberto de Cleva Filippe Camarotto Mota Alexandre Vieira Gadducci Lilian Cardia Julia Maria D’Andréa Greve Marco Aurelio Santo 《Surgery for obesity and related diseases》2018,14(6):803-807
Background
There is an increased interest in understanding how variation in body composition (BC) and energy expenditure is related to successful weight loss after surgery. It has been suggested that low resting metabolic rate (RMR) could be associated with poor weight loss.Objectives
To determine the relation among changes in BC, RMR, and weight loss after bariatric surgery.Setting
University tertiary care hospital, Brazil.Methods
A cohort of 45 patients submitted to bariatric surgery was prospectively studied. BC was evaluated by bioelectrical impedance analysis and RMR by indirect calorimetry before and 6 months after surgery. The RMR value was adjusted per kilogram of weight (RMR/kg). The patients were divided in 4 groups, based on patterns of change in the RMR/kg after surgery. The RMR/kg could decrease (group 1), remain stable (group 2), have a small increase (group 3), or have a major increase (group 4).Results
A significant relation between fat-free mass and RMR for both pre- (P<.01) and postoperative periods (P<.01) was observed. Excess weight loss had a significantly correlation only with post-RMR/kg (P<.01). The pattern of change in RMR/kg was strongly correlated with weight loss, considering an excess weight loss>50% a successful weight loss: No patients achieved success in group 1; 61% of patients did in group 2; 80% di in group 3; and all patients in group 4 had successful weight loss.Conclusions
We demonstrate a clearly correlation between the postoperative RMR and weight loss. The increase in RMR/kg after surgery is a major factor related to a satisfactory excess weight loss after surgery. 相似文献999.
1000.
Don B. Sanders Zhumin Zhang Philip M. Farrell HuiChuan J. Lai 《Journal of cystic fibrosis》2018,17(4):528-535