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1.
对1513名离退休干部超重和肥胖情况的调查与分析   总被引:7,自引:3,他引:4  
目的 分析离退休干部人群超重和肥胖的发生率,为干部门诊就诊的该类患者制定针对性健康教育方案与护理干预提供依据。方法 对干部门诊接受年度体检的60岁以上人群共计l513名,进行体重测定,并从查体资料中获取慢性病的发病情况。结果 1513人中48.9%的人超重,12.8%的人肥胖,仅有36.5%的人体重正常;整个老年人群的体重处于超重状态。结论 离退休干部人群中超重和肥胖情况严重。  相似文献
2.
老年人超重和肥胖与慢性病的相关性调查及健康教育   总被引:6,自引:3,他引:3  
目的 对驻京部队离退休老年人超重和肥胖状况及其与慢性病的相关性进行调查,旨在为以后的健康教育对策提供依据。方法 对134个驻京部队干休所或部队大院的1513例老年人进行全面查体,测量体重指数,调查常见慢性疾病。结果 该群体超重和肥胖率分别为48.9%和12.8%,仅有36.5%的人体重正常。慢性病顺位统计前10位疾病是:前列腺肥大、高脂血症、白内障、高血压病、脂肪肝、冠心病、糖尿病、慢性支气管炎、高尿酸血症和脑血管病。超重和肥胖者高血压病、冠心病、糖尿病、高脂血症、高尿酸血症和脂肪肝的发病率明显高于正常体重者(P〈0.05)。结论 驻京部队离退休老年人超重和肥胖情况严重,并且与多种慢性病的发病有明显关系,防治肥胖应是老年健康教育的工作重点。  相似文献
3.
王秀明  聂道海  曾强 《现代护理》2006,12(7):594-595
目的探讨高收入中年男性超重者与体重正常者的血压、血脂、血糖、血尿酸的差异,为中年男性超重者提供减重的护理对策。方法对2004年3月~2005年4月在解放军总医院特需门诊查体的254例35~50岁男性患者询问病史,根据BMI分为2组,BMI 25.0~29.9 kg/m2为超重组(n=127),BMI 18.5~24.9 kg/m2为正常组(n=127)。结果超重组的血压、血脂、血糖、血尿酸均高于正常组,差异均有显著性意义(P<0.05)。结论对超重的中年男性,必须采取相应的减重对策,减轻体重,预防肥胖相关的疾病发生。  相似文献
4.
AIM: This paper reports a study whose main aim was to understand the correlation between stages of exercise and health-related qualities of life among overweight and obese adults in Taiwan. BACKGROUND: Regular exercise has been shown to improve health-related quality of life in the general population and among patients with chronic diseases. Nevertheless, systematic investigations of the correlation between exercise stages and the health-related quality of life among overweight and obese adults are lacking in Taiwan. METHOD: A cross-section of people from the weight loss clinics of a medical centre in Taipei was recruited to the study. The Chinese version of the Stages of Exercise and the Taiwanese version of Short Form 36 questionnaires were used to collect data from those whose body mass indexes were equal to or >24 kg/m2. The data were collected in 2003. RESULTS: In total, 212 overweight and obese adults participated in the study. The majority were in the preparation (38.2%) or contemplation (31.6%) stages of exercise; relatively few were in the action (14.2%) or maintenance (11.3%) stages, and the smallest number (4.7%) were in the precontemplation stage. Although over 70% of respondents were not in the habit of taking regular exercise, their motivations were very high. For the Short Form 36 scales, the highest scores were for physical functioning (84.5 +/- 17.3), while the lowest were for general health (55.5 +/- 20.9), vitality (59.8 +/- 18.1), and mental health (MH) (66.0 +/- 17.9). Different stages of exercise showed statistically significant differences within the eight domains of Short Form 36 (Wilks = 0.733, P = 0.001); a statistically significant difference was also found for physical functioning (P < or = 0.001), general health (P = 0.003), and vitality (P = 0.005). CONCLUSION: Since stages of exercise are correlated with health-related quality of life among overweight and obese adults, healthcare providers need to understand what stages people are at in order to educate them to achieve a better quality of life and to motivate those who are inactive to do more exercise on a regular basis.  相似文献
5.
PURPOSE.  Examine factors common in the environments of children who obtain services from a WIC program to determine if differences in ecological/environmental factors can be found in the children who differ in weight , length , and weight for length.
DESIGN AND METHODS.  Cross-sectional study of 300 children , 100 each who were stunted , normal weight for length , or overweight. Instruments used were NCATS , ARSMA II , 24-hr diet recall , and Baecke Activity Questionnaire.
RESULTS.  Significant differences were present in children's diet , parents' BMI , parents' generation in United States , parents' activity levels , and maternal–child relationship.
PRACTICE IMPLICATIONS.  Encourage parents to adopt family approaches to encourage normal body size in children.  相似文献
6.
Social Implications of Overweight and Obesity in Children   总被引:1,自引:1,他引:0  
PURPOSE.  To elucidate some of the social impacts that overweight and obesity in children has on families. Healthcare practitioners may be unaware of these impacts if not similarly affected.
DESIGN.  Qualitative semistructured, interview-based study.
METHODS.  A purposive sample of parents ( n  = 58) with overweight and obese children ( n  = 48) from three areas in the United Kingdom was used. Analysis was thematic and iterative , underpinned by Grounded Theory.
RESULTS.  There are many social situations that have an impact on the child directly (stigmatization), on parents (blame), and on the family in general (being ostracized).
PRACTICE IMPLICATIONS.  Seeing the child and his/her family in a broader context with improved understanding of the complexity of raising an overweight child.  相似文献
7.
1355例公务员超重肥胖及其与高血压的相关性分析   总被引:1,自引:0,他引:1  
目的:了解四川省直机关省厅级公务员超重、肥胖的现状,探讨体重指数、腰围与血压的关系。方法:2007年对四川省直机关省厅级公务员取样调查1355人测身高、体重、腰围(WC)、血压,计算体重指数(BMI),并对男女各组间收缩压、舒张压进行统计学分析。结果:四川省直机关省厅级公务员的男女肥胖率分别为9·3%、12·2%,超重率分别为43·7%、46·1%,肥胖组及超重组收缩压,舒张压明显高于正常组,多元回归分析结果显示男女性收缩压、舒张压与BMI、WC均有明显相关性(P<0·01)。结论:防治高血压,控制肥胖及腹型肥胖甚为重要,体重指数、腰围的控制也为防治高血压的基本措施之一。  相似文献
8.
Objective In critically ill patients, energy requirements are frequently calculated as a multiple of total body weight presuming a linear relationship between total body weight and resting energy expenditure (REE); however, it is doubtful if this estimation of energy needs should be applied to all patients, particularly to overweight patients, since adipose tissue has a low contribution to REE. This study was undertaken to test the hypothesis that REE adjusted for total body weight decreases with increasing body mass index in critically ill patients. Additionally, measured REE was compared with three predictive equations. Design and Setting Clinical study in a university hospital intensive care unit. Patients One hundred critically ill patients admitted to the intensive care unit. Measurements and results Patients were included into four groups according to their body mass index (normal weight, pre-obese, obese, and morbidly obese). Measured REE was assessed using indirect calorimetry. Energy needs were calculated using the basal metabolic rate, the Consensus Statement of the American College of Chest Physicians (REEacs), and 25 kcal/kg of ideal body weight (REEibw). Adjusted REE was 24.8 ± 5.5 kcal/kg in normal weight, 22.0 ± 3.7 kcal/kg in pre-obese, 20.4 ± 2.6 kcal/kg in obese, and 16.3 ± 2.3 kcal/kg in morbidly obese patients (p < 0.01). Basal metabolic rate underestimated measured REE in normal weight and pre-obese patients. REEacs and REEibw over- and underestimated measured REE in overweight patients, respectively. Conclusions Predictive equations were not able to estimate measured REE adequately in all the patients. Adjusted REE decreased with increasing body mass index; thus, a body mass index group-specific adaptation for the estimation of energy needs should be applied.  相似文献
9.
目的 应用彩色多普勒超声检查观察超重对心脏结构、功能及颈动脉内-中膜厚度(IMT)的影响。方法 根据体质量指数(BMI)将100名体检者分为正常对照组(BMI<25 kg/m2,47名)和超重组(BMI≥25 kg/m2,53名)。对两组均行彩色多普勒超声心动图及颈动脉超声检查,分析超重对心脏结构、功能及颈动脉IMT的影响。结果 与正常对照组相比,超重组左心室舒张末期内径(LVDD)、左心室舒张末期室间隔厚度(IVST)、左心室后壁舒张末期厚度(LVPWT)、左心室质量(LVM)、左心室质量指数(LVMI)、二尖瓣舒张晚期峰值血流速度(A峰)、颈动脉IMT增高,二尖瓣舒张早期峰值血流速度(E峰)和E/A降低,差异均有统计学意义(P均<0.05)。BMI与LVDD、IVST、LVPWT、LVM、LVMI、A峰、颈动脉IMT均呈显著正相关(P均<0.05),与E/A、E峰均呈负相关(P均<0.01)。结论 超声检查发现无任何临床症状的超重人群可发生左心室增大、舒张功能减退以及颈动脉IMT。  相似文献
10.
老年人超重或肥胖对心血管疾病危险因素的影响   总被引:1,自引:0,他引:1  
目的探讨老年人超重或肥胖对心血管疾病危险因素的影响。方法选择来我院疗养和体检的60岁以上老年人643例作为研究对象,按体重指数(BMI)分组后,设置正常体重组327例,超重或肥胖组316例,分别观察两组老年人的血压(SBP/DBP)、空腹血糖(FPG)、血甘油三酯(TG)、血总胆固醇(TC)、高密度脂蛋白(HDL)低密度脂蛋白(LDL)、血尿酸(UA);统计两组老年人高血压病、2型糖尿病、高血脂、高尿酸血症、脂肪肝和冠心病的患病率,分析超重或肥胖与心血管疾病危险因素的相关性。结果超重或肥胖组老年人的SBP/DBP、FPG、TG、TC、LDL、UA均值均高于正常体重组,HDL低于正常体重组,差异有统计学意义(P〈0.01);超重或肥胖组老年人的高血压病、2型糖尿病、高血脂、高尿酸血症、脂肪肝和冠心病的患病率均高于正常体重组(P〈0.01);相关分析显示,老年人超重或肥胖与心血管疾病危险因素呈明显正相关。结论老年人超重或肥胖与心血管疾病密切相关,是心血管疾病的重要危险因素之一。  相似文献
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