目的分析北京市城乡老年人血压与应用抑郁量表(CES-D)检测出的抑郁症状的关系。方法于2000年对一个流行病学队列研究人群2 656例老年人进行血压测量及CES-D的检查,同时进行人口学因素及慢性病情况的调查。结果2 656例老人平均收缩压为(1...目的分析北京市城乡老年人血压与应用抑郁量表(CES-D)检测出的抑郁症状的关系。方法于2000年对一个流行病学队列研究人群2 656例老年人进行血压测量及CES-D的检查,同时进行人口学因素及慢性病情况的调查。结果2 656例老人平均收缩压为(141.16±23.88)mm Hg(1 mm Hg=0.133 kPa),平均舒张压为(80.28±12.15)mm Hg。CES-D平均得分(6.89±9.05)分。其中有抑郁症状者362例(13.6%)。收缩压≥160 mm Hg者抑郁发生率为16.9%,舒张压≥90 mm Hg者抑郁发生率为18.4%,分别显著高于收缩压<160 mm Hg者(12.8%)和舒张压<90 mm Hg者(12.2%),分层分析显示,女性、年龄<75岁、不吸烟的老人收缩压及舒张压增高者抑郁症状出现的比例增大;居住于城市、非文盲、已知有高血压史、高血压史10年以上的老人收缩压增高更易出现抑郁症状;而居住于农村、文盲、高血压史小于10年的老人舒张压增高更易出现抑郁症状。多元logistic回归分析显示,舒张压增高、慢性病史、女性、文盲、农村老人易患抑郁。结论老年人血压增高与抑郁相关。展开更多
Purpose:To evaluate the postoperative effect of the lateral tarsal strip(LTS)procedure in treating lower eyelid involutional ectropion.Methods:A retrospective study was performed on 85 eyelids in 67 patients with invo...Purpose:To evaluate the postoperative effect of the lateral tarsal strip(LTS)procedure in treating lower eyelid involutional ectropion.Methods:A retrospective study was performed on 85 eyelids in 67 patients with involutional ectropion who underwent LTS procedure.Pre-and postoperative lower eyelid laxity and ocular symptoms as well as perioperative complications were evaluated.Snap back test was performed to evaluate the elasticity of lateral canthal tendon loosening and,a lower lid distraction test was performed to evaluate the degree of severity before surgery.Ocular surface diseases were evaluated by the Ocular Surface Disease Index(OSDI),and symptoms including conjunctivitis,corneal ulcer,dry eye syndrome,and ocular pain were recorded.All patients were evaluated within one week and during the follow-up period of 4.28.3 months.Furthermore,we reviewed the studies that also investigated the surgical effect of the LTS procedure in the literature from 1979 to 2019.Results:The success rate was 95%.Only four eyelids required a second surgical intervention.Seventy-three(86%)eyelids had an excellent position after surgery,9(11%)only little improvement,and three had no improvement.No significant difference was found in the postoperative effects between different degrees of ectropion(p>0.05).No statistical correlation was found between surgical improvements and the ectropion severity(P>0.05).Fiftytwo out of 85 eyes had no discomfort after the surgery.Mild complications included epiphora in 13 eyes(three cases caused by lacrimal punctum eversion),ocular pain in 12 eyes,wound hemorrhage in 12 eyes,and edema in 9 eyelids immediately after surgery,in which 91.2%(n=21)disappeared within one week and did not need any further treatment.Conclusions:The lateral tarsal strip procedure can provide an aesthetically pleasing result for correcting the mild to moderate lower eyelid ectropion while maintaining decent eyelid function.展开更多
为探讨更年期情感障碍妇女去甲肾上腺素(NE)系统功能及其与内分泌改变的关系,作者测定10例正常和20例情感障碍的更年期妇女的血浆 NE 含量(高效液相色谱法)和血清卵泡刺激素(FSH)、黄体生成激素(LH)、雌二醇(E_2)水平(RIA 法)。结果显...为探讨更年期情感障碍妇女去甲肾上腺素(NE)系统功能及其与内分泌改变的关系,作者测定10例正常和20例情感障碍的更年期妇女的血浆 NE 含量(高效液相色谱法)和血清卵泡刺激素(FSH)、黄体生成激素(LH)、雌二醇(E_2)水平(RIA 法)。结果显示更年期情感障碍妇女血浆 NE 显著高于正常更年期妇女,且随病情好转,NE 有回落趋势。两组间 FSH、LH、E_2水平无显著性差异。提示更年期情感障碍者的 NE 系统功能变化与内源性抑郁症相一致;E_2降低对更年期情感障碍的发病似乎不起直接作用。展开更多
文摘目的分析北京市城乡老年人血压与应用抑郁量表(CES-D)检测出的抑郁症状的关系。方法于2000年对一个流行病学队列研究人群2 656例老年人进行血压测量及CES-D的检查,同时进行人口学因素及慢性病情况的调查。结果2 656例老人平均收缩压为(141.16±23.88)mm Hg(1 mm Hg=0.133 kPa),平均舒张压为(80.28±12.15)mm Hg。CES-D平均得分(6.89±9.05)分。其中有抑郁症状者362例(13.6%)。收缩压≥160 mm Hg者抑郁发生率为16.9%,舒张压≥90 mm Hg者抑郁发生率为18.4%,分别显著高于收缩压<160 mm Hg者(12.8%)和舒张压<90 mm Hg者(12.2%),分层分析显示,女性、年龄<75岁、不吸烟的老人收缩压及舒张压增高者抑郁症状出现的比例增大;居住于城市、非文盲、已知有高血压史、高血压史10年以上的老人收缩压增高更易出现抑郁症状;而居住于农村、文盲、高血压史小于10年的老人舒张压增高更易出现抑郁症状。多元logistic回归分析显示,舒张压增高、慢性病史、女性、文盲、农村老人易患抑郁。结论老年人血压增高与抑郁相关。
基金supported by the Fundamental Research Funds for the Central Universities(grant No.2021FZZX005-15)the Koeln Fortune Program/Faculty of Medicine,University of Cologne,Germany(grant No.2680148101)+2 种基金National Natural Science Foundation of China(grant No.81970834)Science and Technology Commission of Shanghai Municipality(grant No.19441900800)GEROK program of the University of Cologne.
文摘Purpose:To evaluate the postoperative effect of the lateral tarsal strip(LTS)procedure in treating lower eyelid involutional ectropion.Methods:A retrospective study was performed on 85 eyelids in 67 patients with involutional ectropion who underwent LTS procedure.Pre-and postoperative lower eyelid laxity and ocular symptoms as well as perioperative complications were evaluated.Snap back test was performed to evaluate the elasticity of lateral canthal tendon loosening and,a lower lid distraction test was performed to evaluate the degree of severity before surgery.Ocular surface diseases were evaluated by the Ocular Surface Disease Index(OSDI),and symptoms including conjunctivitis,corneal ulcer,dry eye syndrome,and ocular pain were recorded.All patients were evaluated within one week and during the follow-up period of 4.28.3 months.Furthermore,we reviewed the studies that also investigated the surgical effect of the LTS procedure in the literature from 1979 to 2019.Results:The success rate was 95%.Only four eyelids required a second surgical intervention.Seventy-three(86%)eyelids had an excellent position after surgery,9(11%)only little improvement,and three had no improvement.No significant difference was found in the postoperative effects between different degrees of ectropion(p>0.05).No statistical correlation was found between surgical improvements and the ectropion severity(P>0.05).Fiftytwo out of 85 eyes had no discomfort after the surgery.Mild complications included epiphora in 13 eyes(three cases caused by lacrimal punctum eversion),ocular pain in 12 eyes,wound hemorrhage in 12 eyes,and edema in 9 eyelids immediately after surgery,in which 91.2%(n=21)disappeared within one week and did not need any further treatment.Conclusions:The lateral tarsal strip procedure can provide an aesthetically pleasing result for correcting the mild to moderate lower eyelid ectropion while maintaining decent eyelid function.
文摘为探讨更年期情感障碍妇女去甲肾上腺素(NE)系统功能及其与内分泌改变的关系,作者测定10例正常和20例情感障碍的更年期妇女的血浆 NE 含量(高效液相色谱法)和血清卵泡刺激素(FSH)、黄体生成激素(LH)、雌二醇(E_2)水平(RIA 法)。结果显示更年期情感障碍妇女血浆 NE 显著高于正常更年期妇女,且随病情好转,NE 有回落趋势。两组间 FSH、LH、E_2水平无显著性差异。提示更年期情感障碍者的 NE 系统功能变化与内源性抑郁症相一致;E_2降低对更年期情感障碍的发病似乎不起直接作用。