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Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的 探讨2型糖尿病(T2DM)合并贫血患者血脂水平变化的临床意义。方法 选取2016年1月至2020年2 月该院住院部及门诊部内分泌科确诊为T2DM 合并贫血患者40例(观察组)及单纯贫血患者49例(对照组)。比较2组空腹血糖 (FPG)、糖化血红蛋白(HbA1c)、转铁蛋白(TRF)、铁蛋白(SF)、叶酸、维生素B12(VB12)、促红细胞生成素(EPO)、三酰甘油 (TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平变化,同时分析各指标相关性。结果 2组年龄及总蛋白、清蛋白、血红蛋白、EPO、TC、HDL-C、LDL-C 水平比较,差异均无统计学意义(P >0.05)。观察组FPG、 HbA1c、SF、VB12、TG水平高于对照组,而TRF、叶酸水平低于对照组,差异均有统计学意义(P <0.05)。对照组中,FPG水平分 别与HbA1c、VB12、TC、TG、LDL-C水平呈正相关(P <0.05),而与TRF、叶酸呈负相关(P <0.05)。多元逐步线性回归分析表 明,对照组患者FPG水平与HbA1c、VB12、TC水平相关。观察组中,FPG 水平分别与TC、TG、LDL-C呈正相关(P <0.05),与 EPO 呈负相关(P <0.05)。结论 T2DM 合并贫血患者血脂异常以TC升高为主,与FPG存在相关性。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的 探讨迈之灵治疗中心性浆液性脉络膜视网膜病变(CSC)的临床疗效及光学相干断层成 像(OCT)对 CSC诊疗的价值. 方法 将2017年1月至2020年1月该院眼科收治的36例(36眼)CSC患者采 用随机单盲方法分为研究组和对照组,每组18例(18眼). 对照组给予视网膜激光治疗,研究组在视网膜激光 治疗基础上加用迈之灵(每次2片、每天2次)口服,2组患者均随访12周. 比较2组患者治疗4、12周后总有 效率,并通过 OCT 检查比较2组患者治疗前后视网膜神经上皮和(或)色素上皮脱离范围的变化. 结果 研究 组患者治疗12周后总有效率[94.44%(17/18)]明显高于对照组 [72.22%(13/18)],差异有统计学意义(P< 0.05). 研究组患者治疗4、12周视网膜脱离面积分别减小(126.79±16.63)、(198.52±11.3)μm ²,对照组患者 治疗4、12周视网膜脱离面积分别减小(85.54±12.23)、(134.38±10.11)μm ²,2组患者治疗4、12周视网膜脱 离面积比较,差异均有统计学意义(P<0.05)。2组患者治疗过程中均未出现明显不良反应. 结论 迈之灵联 合视网膜激光治疗 CSC患者可缩短病程、提高治疗有效率. OCT 能客观、定量地进行黄斑部细微结构的测量 和分析,对 CSC的诊断和疗效评价均具有重要价值. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的 了解目前在校临床类及相关专业医学生对“5 + 3+X”政策的认知，及其对医学生产生的影响。方法 从 安徽、四川2所医学院校中，随机无记名选取以临床医学类学生为主的群体进行调查，选取在校的2014〜2016级临床、口腔、中医 及中西医、护理、其他医学类专业在校医学生437名，采用问卷调查方式，分析医学生对“5+3+X”的认知态度及其对医学生的影 响。结果 2014级、2015级、2016级3个年级医学生对“5+3+X”的认知有显著区别，差异有统计学意义（P<0.01)。2014级、 2015级、2016级3个年级医学生关于“医师规范化培训是否影响职业规划”“本科毕业后直接考研还是选择医师规范化培训”观点 的比较，差异有统计学意义（P<0.05)。结论 绝大部分医学生对于“5+3+X”是支持的，但主要关心的是培训制度、培训质量和 待遇。因而政府和卫健委等主管部门应在认知水平、带教医院水平和财政支持3个方面保障政策的全面执行。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective By measuring the level of fetal hemoglobin（HbF）in neonates at 31~42 weeks gestational ages， it is aimed to know how HbF levels change at different gestational ages for normal neonates and asphyxia neonates. This prelimi- nary study provides both reference data on HbF levels for neonates at different gestational ages and possible basis for clinical identification of high-risk neonates. Methods The blood samples from 523 neonates hospitalized in the department from January 2016 to March 2017 were collected.According to the age of neonatal orthodontic treatment on the day of blood sampling，all specimens were grouped，the specimens of 31 weeks 0 d to 31 weeks 6 d were included in 31 weeks group，and so on. The 378 blood samples in normal neonates group，the 145 blood samples in asphyxial neonates group.Due to the insufficient sample size of the asphyxial neonates at 41，42 weeks，the final asphyxial neonates group only collected samples from 31 to 40 weeks. Mea- suring HbF percentage by ABL90 Radiometer Corperation. Results There was a gradual decrease in HbF levels for normal neo- nates with increasing gestational ages，while no obvious decrease for asphyxia neonates. The asphyxia neonates at 34~40 weeks gestational ages showed much higher HbF levels than that normal neonates of the same gestational age，the differences were sta- tistically significant（P<0.05）. Conclusion Asphyxia is a high-risk element causing elevated HbF levels. It is therefore of po- tential clinical significance by observing HbF levels at different gestational ages，which could possibly provide an early identifi- cation of high-risk neonates. [ABSTRACT FROM AUTHOR]

目的探讨睡姿干预对早产儿头颅畸形发生率的影响。方法选取2015 年4 月至2017 年3 月在该 院儿保门诊及新生儿监护室住院的早产儿218 例，将其分为睡姿干预组(115 例)和对照组(103 例)。睡姿干预组在婴 儿住院及出院后给予睡姿干预，对照组给予常规治疗。比较两组婴儿6 月龄时头颅畸形的发生率。结果睡姿干预组 正常婴儿显著多于对照组，睡姿干预组轻度、中度、重度头颅畸形的发生率均小于对照组，差异均有统计学意义(P< 0.05)。结论睡姿干预可降低早产儿头颅畸形的发生率。 [ABSTRACT FROM AUTHOR]

目的探究自制院前创伤评分软件在急诊科的临床应用效果。方法回顾性分析2017年1月至2018年6月该 院急诊科收治的120例创伤患者的临床资料，利用自制的院前创伤评分软件，进行院前创伤指数（PHI)评分。伤情分级标准：PHI 评分小于或等于3分为轻伤，4〜5分为重伤，≥6分为危重伤。结果生存组患者PHI评分[(3.05 士 0.91)分]明显低于死亡组 [(5.27士 1.04)分]，差异有统计学意义（P<0.05)。PHI评分小于或等于3分的53例患者未出现死亡，4〜5分者病死率为 5.26%(2/38)，≥6分者病死率为20.69%(6/29)，不同PHI评分患者病死率比较，差异有统计学意义（P<0.05)。结论自制的 院前创伤评分软件对急诊科严重创伤患者的诊疗具备一定的指导作用，可辅助临床医生对患者病情做出快速诊断，及时、准确的 治疗，为降低患者病死率、提升救治效果提供了可能，值得广泛推广应用。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)