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71.
1型糖尿病患者勃起功能障碍的患病情况及相关因素分析 总被引:2,自引:0,他引:2
目的探讨1型糖尿病(T1DM)患者勃起功能障碍(ED)的患病情况及相关影响因素。方法收集182例已婚男性T1DM患者,用无记名问卷形式根据国际勃起功能指数问卷进行自我评分。并对年龄、病程、糖化血红蛋白(HbA1c)、睾酮、尿微量白蛋白排泄量、肾功能、血压、吸烟史、饮酒史、应用药物等因素进行调查,分析其与ED的关系。结果T1DM患者ED患病率为37.36%(68/182)。Logistic逐步回归分析结果显示,病程、年龄、HbA1c、收缩压、尿微量白蛋白排泄量与T1DM患者ED发生独立相关,病程增加5年、年龄增加10岁、HbA1c增加2%、收缩压增加4kPa及尿微量白蛋白排泄量的OR值分别为1.6275、1.1613、2.4211、2.3715、1.5234,P均〈0.01。结论加强对T1DM患者ED高危因素的关注和定期检测,有助于早期发现ED。 相似文献
72.
目的 研究还原型谷胱甘肽对大鼠肝星状细胞(hepatic stellate,cells,HSC)中金属蛋白酶1组织抑制因子(TIMP-2)表达的影响。从分子和蛋白水平探讨还原型谷胱甘肽对大鼠肝纤维化的作用和可能机制。方法 采用50%CCl4制备大鼠肝纤维化模型,在造模过程中给予还原型谷胱甘肽进行干预。应用RT-PCR才Western Blot技术,在分子和蛋白水平检测体外分离大鼠HSC中的TIMP-1的表达情况。结果 还原型谷胱甘肽干预组与模型组和正常对照组相比,HSC中TIMP的表达降低(P<0.05)。结论 还原型谷胱甘肽的干预可下调大鼠HSC中TIMP-1的表达,对实验性肝纤维化起到减轻作用。 相似文献
73.
74.
Karl Lehner M.D. Maximilian Reiser Ulrich Gebhardt Andreas Heuck Jürgen Schaff 《Cardiovascular and interventional radiology》1987,10(2):71-74
In contrast to conventional film angiography, the perfusion pattern of hepatic arterial chemotherapy was consistently visualized
by DSA in 40 patients with implanted Infusaid pump or Port-A devices. Incomplete perfusion of a liver region by the cytotoxic
agent was recognized by DSA as accurately as by nuclide scintigraphy. Furthermore, DSA appeared to be more sensitive in determining
aberrantly perfused extrahepatic regions; this was especially true when there was a nonligated right hepatic artery. Specific
details of vascular lesions and associated complicating events also could be satisfactorily analyzed by DSA only. 相似文献
75.
The efficacy of betanecholchloride in the postoperative treatment of bladder dysfunction is controversial. We therefore performed
a comparative study on the effect of this therapy for the prophylaxis of detrusor hypotonia after Wertheim-Meigs operation.
Forty patients with cervical cancer FIGO stage Ib/IIa were divided into two study groups. The control group (24 patients)
only received betanecholchloride if the residual urine persisted above 50 ml after the 10th postoperative day. The study group
(16 patients) received 50 mg betanecholchloride three times a day from the 3rd postoperative day onward. In this group postoperative
catheter treatment, and consequently hospital stay, were significantly shorter (9.6 versus 13.3 days and 15.5 versus 18.6
days). The residual urinary volume normalized faster (8.0 versus 13.0 days) and the rate of cystitis was lower (18.8 versus
25%). According to our study, a prophylactic application of the parasympathomimetic drug betanecholchloride diminishes postoperative
complications associated with bladder dysfunction after Wertheim-Meigs operation.
EDITORIAL COMMENT: Bladder dysfunction plays an important role after radical hysterectomy. The authors present data indicating
improved and quicker resumption of bladder function following radical hysterectomy with early administration of betanecholchloride,
versus use of the medication only when indicated by elevated postvoid residual. Although the study is not a double-blinded
placebo-controlled trial, the patients who received beta-necholchloride from postoperative day 3 had significantly decreased
postoperative catheter treatment, earlier resumption of adequate bladder emptying defined as a postvoid residual of less than
50 ml, decreased incidence of bladder infection and shorter hospital stay. This information is encouraging for this subset
of patients, who characteristically are at high risk for long-term bladder dysfunction. Further studies in this area are needed
to clarify therapeutic options to improve patients’ quality of life, specifically in regard to bladder function following
treatment of their cancer. 相似文献
76.
Background : The present paper addressed the issue of whether pretreatment with intravenous (IV) chemotherapy affects response rate or survival in patients receiving hepatic artery chemotherapy (HAC). Methods : Case note reviews of 164 patients treated in a teaching hospital from June 1990 to July 1996 were carried out. Results : The response rate and carcino-embryonic antigen (CEA) fall in the two groups was almost identical. There was a nonsignificant survival advantage in the non-pretreatment group. Conclusions : Previous administration of IV chemotherapy did not affect the CEA response of patients receiving HAC. 相似文献
77.
彭喜海 《四川省卫生管理干部学院学报》1994,(2)
为了解幼儿的肝功能和HBsAg携带情况,我们于1991年肝炎发病高峰季节对我县四所幼儿园共824名幼儿进行了ALT、TTT、ZnTT、HBsAg检测。结果ALT、TTT均升高1例,有体征;ALT单项升高6例,无症状;HBsAg阳性58例,其中9例ALT升高,4例TTT升高。幼儿园是幼儿集中的地方、同吃、同住、接触密切,对HBsAg阴性者接种乙肝疫苗,对ALT升高者不能忽视以免发生肝炎流行。 相似文献
78.
D. Dickerson B. Adams G. Engelbrecht G. Boltman R. Hickman D. Kahn 《Transplant international》1992,5(Z1):S63-S64
The precise cause of allograft dysfunction after renal transplantation often cannot be established by non-invasive means. In clinical practice, radionuclide scans form an integral part of the clinician's armamentarium in the assessment of these patients [1, 2]. Unfortunately, in the clinical setting more than one pathological process may be responsible for the impaired function, making it difficult to correlate the scan appearances with the pathology. In this study in rats we compared the renal DTPA scan appearances of the various pathological processes which may cause renal allograft dysfunction in the immediate post-transplant period. 相似文献
79.
检测198例各型乙肝患者血小板功能的五个项目:血小板总数、粘附试验、聚集试验、血块退缩、血小板第3因子有效性,发现各期乙肝患者血小板功能的异常有显著性差异(P<0.01).并提示乙肝患者除有血小板数量的改变外,还有质量的改变,因此,全面的血小板功能检测可作为估计乙肝患者肝损害程度的辅助指标. 相似文献
80.
Koichiroh Nandate Kenji Muranaka Koichi Shinohara Kazuyoshi Ishida Hiroko Ishida Katsuhiro Seo Hiroshi Takeshita 《Journal of anesthesia》1997,11(2):117-120
We retrospectively reviewed the records of 250 consecutive patients undergoing coronary artery bypass graft surgery (CABG)
from January 1994 through January 1996 to determine the incidence of persistent postoperative neurological dysfunction after
CABG and to compare normothermic and moderate hypothermic cardiopulmonary bypass (CPB). Normothermic CPB was used in 128 patients
(36°–37°C) and hypothermic CPB (27°–28°C) in 122 patients. Postoperative neurological dysfunction included focal motor deficits,
delayed recovery of consciousness (>24h) after surgery, and seizures within 1 week postoperatively. Persistent neurological
dysfunction was diagnosed if complete resolution had not occurred within 10 days of surgery. The incidence of persistent postoperative
neurological dysfunction was 4.1% in the hypothermic CPB group and 2.3% in the normothermic CPB group. There were no statistically
significant differences between the two groups (P=NS). These results suggest that normothermic CPB did not increase the incidence of persistent postoperative neurological
dysfunction compared to hypothermic CPB. 相似文献