目的探讨老老年高血压病人不同舒张压(DBP)分级与血红蛋白、红细胞比容的相关性。方法选择老老年高血压病人169例,均询问病史、行血常规、生化检查和动态血压监测;按照24 h平均舒张压水平分为5组:1组(DBP≥80 mm Hg)17例,2组(DBP 70 mm ...目的探讨老老年高血压病人不同舒张压(DBP)分级与血红蛋白、红细胞比容的相关性。方法选择老老年高血压病人169例,均询问病史、行血常规、生化检查和动态血压监测;按照24 h平均舒张压水平分为5组:1组(DBP≥80 mm Hg)17例,2组(DBP 70 mm Hg^79 mm Hg)23例,3组(DBP 60 mm Hg^69 mm Hg)58例,4组(DBP 50 mm Hg^59 mm Hg)62例,5组(DBP<50 mmHg)9例。比较各组间血红蛋白、红细胞比容等指标。结果各组血红蛋白水平比较:1组(137.53 g/L±16.46 g/L)>2组(133.37 g/L±15.08 g/L)>3组(128.39 g/L±17.91 g/L)>4组(120.61 g/L±16.03 g/L)>5组(120.38 g/L±13.38 g/L);各组红细胞比容比较:1组[(64.65±95.83)%]>2组[(40.06±3.86)%]>3组[(38.32±5.18)%]>5组[(36.10±3.24)%>4组[(36.08±4.68)%]。经相关性分析结果显示:舒张压与血红蛋白(r=0.313,P=0.000)、红细胞比容(r=0.196,P=0.01)呈正相关。结论老老年高血压病人DBP水平与红细胞比容、血红蛋白呈显著相关性,红细胞比容、血红蛋白水平随DBP水平的增高而明显增高。故在老老年高血压病人的临床诊疗中,对血红蛋白、红细胞比容的观测有着重要的参考价值。展开更多
BACKGROUND： Acute cholangitis in old people is a cause of mortality and prolonged hospital stay. We evaluated the effects of methods and timing of biliary drainage on the outcomes of acute cholangitis in elderly and ...BACKGROUND： Acute cholangitis in old people is a cause of mortality and prolonged hospital stay. We evaluated the effects of methods and timing of biliary drainage on the outcomes of acute cholangitis in elderly and very elderly patients. METHODS： We analyzed 331 patients who were older than 75 years and were diagnosed with acute calculous cholangitis. They were admitted to our hospital from 2009 to 2014. Patients＇ demographics, severity grading, methods and timing of biliary drainage, mortality, and hospital stay were retrospectively obtained from medical records. Clinical parameters and outcomes were compared between elderly （75-80 years, n= 156） and very elderly （≥81 years, n=175） patients. We analyzed the effects of methods [none, endoscopic retrograde cholangio- pancreatography （ERCP）, percutaneous transhepatic biliary drainage, or failure] and timing （urgent or early） of biliary drainage on mortality and hospital stay in these patients. RESULTS： Acute cholangitis in older patients manifested as atypical symptoms characterized as infrequent Charcot＇s triad （4.2%） and comorbidity in one-third of the patients. Patients were graded as mild, moderate, and severe cholangitis in 104 （31.4%）, 175 （52.9%）, and 52 （15.7%）, respectively. Urgent bili-ary drainage （≤24 hours） was performed for 80.5% （247/307） of patients. Very elderly patients tended to have more severe grades and were treated with sequential procedures of transient hiliary drainage and stone removal at different sessions. Hospital stay was related to methods and timing of biliary drainage. Mortality was very low （1.5%） and not related to patient age but rather to the success or failure of biliary drainage and severity grading of the acute cholangitis. CONCLUSIONS： The methods and timing used for biliary drainage and severity of cholangitis are the major determinants of mortality and hospital stay in elderly and very elderly patients with acute cholangitis. Urgent successful ERCP is mandatory f展开更多
文摘目的探讨老老年高血压病人不同舒张压(DBP)分级与血红蛋白、红细胞比容的相关性。方法选择老老年高血压病人169例,均询问病史、行血常规、生化检查和动态血压监测;按照24 h平均舒张压水平分为5组:1组(DBP≥80 mm Hg)17例,2组(DBP 70 mm Hg^79 mm Hg)23例,3组(DBP 60 mm Hg^69 mm Hg)58例,4组(DBP 50 mm Hg^59 mm Hg)62例,5组(DBP<50 mmHg)9例。比较各组间血红蛋白、红细胞比容等指标。结果各组血红蛋白水平比较:1组(137.53 g/L±16.46 g/L)>2组(133.37 g/L±15.08 g/L)>3组(128.39 g/L±17.91 g/L)>4组(120.61 g/L±16.03 g/L)>5组(120.38 g/L±13.38 g/L);各组红细胞比容比较:1组[(64.65±95.83)%]>2组[(40.06±3.86)%]>3组[(38.32±5.18)%]>5组[(36.10±3.24)%>4组[(36.08±4.68)%]。经相关性分析结果显示:舒张压与血红蛋白(r=0.313,P=0.000)、红细胞比容(r=0.196,P=0.01)呈正相关。结论老老年高血压病人DBP水平与红细胞比容、血红蛋白呈显著相关性,红细胞比容、血红蛋白水平随DBP水平的增高而明显增高。故在老老年高血压病人的临床诊疗中,对血红蛋白、红细胞比容的观测有着重要的参考价值。
文摘BACKGROUND： Acute cholangitis in old people is a cause of mortality and prolonged hospital stay. We evaluated the effects of methods and timing of biliary drainage on the outcomes of acute cholangitis in elderly and very elderly patients. METHODS： We analyzed 331 patients who were older than 75 years and were diagnosed with acute calculous cholangitis. They were admitted to our hospital from 2009 to 2014. Patients＇ demographics, severity grading, methods and timing of biliary drainage, mortality, and hospital stay were retrospectively obtained from medical records. Clinical parameters and outcomes were compared between elderly （75-80 years, n= 156） and very elderly （≥81 years, n=175） patients. We analyzed the effects of methods [none, endoscopic retrograde cholangio- pancreatography （ERCP）, percutaneous transhepatic biliary drainage, or failure] and timing （urgent or early） of biliary drainage on mortality and hospital stay in these patients. RESULTS： Acute cholangitis in older patients manifested as atypical symptoms characterized as infrequent Charcot＇s triad （4.2%） and comorbidity in one-third of the patients. Patients were graded as mild, moderate, and severe cholangitis in 104 （31.4%）, 175 （52.9%）, and 52 （15.7%）, respectively. Urgent bili-ary drainage （≤24 hours） was performed for 80.5% （247/307） of patients. Very elderly patients tended to have more severe grades and were treated with sequential procedures of transient hiliary drainage and stone removal at different sessions. Hospital stay was related to methods and timing of biliary drainage. Mortality was very low （1.5%） and not related to patient age but rather to the success or failure of biliary drainage and severity grading of the acute cholangitis. CONCLUSIONS： The methods and timing used for biliary drainage and severity of cholangitis are the major determinants of mortality and hospital stay in elderly and very elderly patients with acute cholangitis. Urgent successful ERCP is mandatory f
