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31.
S F de Medeiros P E Assi M M W Y de Medeiros 《International journal of gynaecology and obstetrics》2004,87(1):24-28
OBJECTIVE: To evaluate the follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels in early follicular phase throughout the reproductive years. METHOD: FSH and LH concentrations were determined by radioimmunoassay (RIA). Linear and polynomial regressions were carried out considering basal FSH as the dependent and age as the independent variable. RESULTS: FSH levels increased throughout the reproductive years (P<0.025). A positive correlation between age and basal FSH levels was detected (P<0.05). The Pearson squared coefficient of r(2)=0.889 was obtained. Using polynomial regression, the inclination of the parabole (Y=7.97-0.009x+0.057x(2)) was 0.359 and the generalized correlation coefficient was r=0.795. The goodness of fit analysis showed that the parabole may better represent the phenomenon (F=4.7; P<0.05). The LH levels remained constant, increasing only beyond 40 years of age. CONCLUSION: The FSH levels rose in a nonlinear way during the reproductive life and the LH concentrations increased discreetly only in patients over 40 years of age. 相似文献
32.
急性心肌梗塞错误溶栓治疗12例分析 总被引:1,自引:0,他引:1
自1993年12月至1995年8月,对155例急性心肌梗塞(AMI)病人进行溶栓治疗,12例发生误溶(7.7%)。其中早期复极综合征4例,室壁瘤2例,心肌炎1例,心肌病1例,完全性左束支阻滞1例,间歇性左前分支阻滞互例,其它2例。本文分析了误溶病例与AMI的鉴别要点,并提出了减少误溶,提高诊疗水平的措施。 相似文献
33.
内镜激光治疗食管和贲门早期表浅癌疗效及DNA和p53表达与预后关系的研究 总被引:2,自引:0,他引:2
目的:研究内镜Nd:YAG激光治疗食管和贲门早期表浅癌的远期疗效和DNA及p53表达与预后的关系。方法:对内镜激光治疗癌细胞消失的32例食管和贲门早期表浅癌病人进行33~78个月(平均55.3个月)的随访。并与117例早期食管癌和贲门癌的自然病程对比分析。应用ProductLimitEstimate方法计算其存活率。应用免疫组化染色法检测p53表达。应用分光光度计测定癌细胞DNA含量。结果:内镜激光治疗5年存活率为97%,自然病程5年存活率为67%(P<0.01)。p53阳性表达和DNA非整倍体型病人的复发率分别为76.9%和64.3%。结论:内镜Nd:YAG激光是治疗食管和贲门早期表浅癌的有效方法。抗癌基因p53和DNA倍体数与病人的预后有关。 相似文献
34.
早期胃癌的诊治(附15例临床分析) 总被引:1,自引:0,他引:1
目的:总结15例早期胃癌临床特点,诊治经验,探讨治疗新进展。方法:对15例早期胃癌诊治进行回顾性总结。结果:早期误诊率达66.7%,15例手术,术后存活5年以上13例(86.7%)。结论:早期胃癌缺乏特异症状,早期误诊率高,内镜下平坦型胃癌最易误诊,作认为D2术应为根治EGC的标准术式,内镜下粘膜切除术(EMR),保留迷走神经胃段切除术有利于保护患术后生存质量。 相似文献
35.
M. Antonelli M. L. Moro R. R. D'Errico G. Conti M. Bufi A. Gasparetto 《Intensive care medicine》1996,22(8):735-741
Objective The aim of this study was to identify risk factors and to describe epidemiological patterns for early—(EOB) and late—onset bacteremias (LOB) after trauma.Design A prospective study conducted on 141 consecutive trauma patients.Setting A general intensive care unit (ICU) of a university hospital.Patients All multiple trauma patients admitted to our general intensive care unit (ICU) from December 1990 to May 1992 were prospectively enrolled in the study. The following information was collected for each patient and recorded in a computer database: demography, severity of trauma according to the Abbreviated Injury Scale (AIS), severtity of trauma according to the Glasgow Coma Scale (GCS), presence of pneumothorax, pulmonary contusion, rib fractures, hemothorax, and abdominal trauma, use of mechanical ventilation, and placement of central venous catheters. Bacteremias were defined as EOB when onset occurred within 96 h after trauma, and as LOB when appearing after 96 h from trauma.Results Thirty-seven patients developed bacteremia during their ICU stay (26%): 11 (29.7%) EOB and 26 (70.3%) LOB. Gram-positive cocci were isolated more frequently in EOB than in LOB (x
2=4.1,P=0.04). The risk of EOB was significantly increased by the presence of pulmonary contusion [relative risk (RR) 15.0; confidence interval (CI) 1.99-113.25], pneumonia before the onset of bacteremia (RR 3.56; CI 1.17-10.69), AIS score greater than 32 and an abdominal injury score greater than 9 (RR 3.11; CI 1.02-9.49), while intravascular catheters and mechanical ventilation did not represent risk factors for EOB. LOB had a very different pattern and their risk was significantly increased by exposure to intravascular catheters (RR 4.96; CI 1.23-19.94) and to mechanical ventilation lasting more than 7 days (RR 3.6; CI 1.6-8.1).Conclusions Scoring with the AIS of the abdominal and thoracic trauma at admission to the ICU appears a useful tool for identifying trauma patients at increased risk of EOB. A rigorous policy of catheter placement and maintenance as a means of reducing late bacteremias in trauma patients is essential. 相似文献
36.
Barbara Lowenthal 《Early child development and care》1998,142(1):43-52
Recently, the number of young children who have suffered from the traumas of abuse and neglect has increased. There are negative cognitive, neurological, and psychological effects from this maltreatment which is described in this article. Interventions which can prevent neglect and abuse and further resiliency in the young victims are discussed. As concerned individuals, we need to advocate for preventive and therapeutic efforts which promote resiliency in maltreated children. 相似文献
37.
背景 主观认知下降(SCD)是阿尔茨海默病(AD)早期预防的目标阶段,AD与慢性病共病关系密切,但二者间相关性尚不十分明确。目的 探究老年人SCD与慢性病共病的相关性,为AD早期预防和干预提供理论依据。方法 于2021年1月至2022年6月,在广州市城市生活小区和养老机构以便利抽样法抽取≥60岁的老年人612例。采用基础版蒙特利尔认知评估量表(MoCA-B)、临床痴呆量表(CDR)、Hachinski缺血指数量表(HIS)评定客观认知功能水平,通过SCD标准诊断框架和SCD问卷(SCD-Q9)进行分组,将整体客观认知水平无异常、符合SCD标准诊断框架和SCD-Q9≥5分的老年人分入SCD组,将整体客观认知功能无异常和SCD-Q9<5分的老年人为认知无异常(CN)组。采用一般资料问卷收集老年人的社会人口学(性别、年龄、居住地、受教育年限、婚姻状况、退休前职业类型、月收入)和健康相关资料[体质指数、腰围、吸烟习惯、饮酒习惯、饮茶习惯、锻炼频率、午觉习惯及平均时长、睡眠质量、抑郁及焦虑症状、日常生活活动能力(ADL)],其中睡眠质量、抑郁症状、焦虑症状及ADL分别采用匹兹堡睡眠指数量表... 相似文献
38.
ONO—802阴道给药抗早孕50例临床效果观察 总被引:2,自引:0,他引:2
本文报告了停经56天以内的早孕妇女应用ONO-802阴道栓剂抗早孕的临床观察及效果。50例早孕妇女住院观察24小时,阴道投药1枚(1mg/枚),5枚为一疗程。用药后1周、2周、4~6周门诊随访,复查尿HCG、血红蛋白。在第二周随访时判断用药效果。临床结果:总有效率82%,其中完全流产76%,不全流产6%,失败率18%。ONO-802使用方便,副反应轻,是深受广大妇女欢迎的一种非手术终止妊娠的方法。本项试验结果通过与国内PG 联合用药的结果和研究资料对比,ONO-802如果能与丙睾、R2323、天花粉等联合应用,将会提高其抗早孕的有效率。 相似文献
39.
目的评估AO肩锁钢板钩治疗重型肩锁关节脱位的手术疗效.方法回顾性分析两年来27例手术病人的手术治疗和疗效.结果手术方法符合生理结构,手术时间平均30分钟,内固定牢靠.根据Murley和Constant[1]评分,优良率94%.结论 AO肩锁钢板钩治疗重型肩锁关节脱位,手术方法简单,疗效可靠,允许病人术后早期功能锻炼. 相似文献
40.
The Modality Specificity of the Slow Negative Wave 总被引:1,自引:0,他引:1
Event-related potentials were recorded in a simple reaction time task using a 3-sec interval between S1 and S2. The sensory modalities of S1 and S2 were varied across 4 conditions to yield all possible combinations of tones and flashes. A negative component which peaked between 600 and 800 msec after S1 was specific in scalp distribution to the modality of S1 but not S2. It was concluded that this negative component is a response to S1 and not related to processes associated with anticipation of S2. A slow negative shift which peaked at S2 was largest at the vertex in all conditions, suggesting its motor origin. A trend for the latter activity to be more negative in posterior recordings when S2 was visual than auditory leaves open the possibility that the terminal CNV is a combination of motor activities and anticipation of the sensory modality of S2. 相似文献