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Resource diversity of Chinese macrofungi:edible,medicinal and poisonous species 被引量:259
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作者 Fang Wu Li-Wei Zhou +3 位作者 Zhu-Liang Yang Tolgor Bau Tai-Hui Li Yu-Cheng Dai 《Fungal Diversity》 SCIE 2019年第5期1-76,共76页
The huge land areas in China provide highly diverse habitats for macrofungi.Of these macrofungi,many are directly related to people’s daily life and have been utilized by ancient Chinese for at least 6800 years.In th... The huge land areas in China provide highly diverse habitats for macrofungi.Of these macrofungi,many are directly related to people’s daily life and have been utilized by ancient Chinese for at least 6800 years.In this study,we evaluate the current known resource diversity of Chinese macrofungi.A total of 1662 taxa are summarized,and all species names and their authorities have been checked and corrected according to authentic mycological databases.Among the 1662 taxa,1020,692,and 480 are considered to be edible,medicinal and poisonous mushrooms,respectively.A few of edible macrofungi in China are commonly used for commercial production.All known medicinal functions are labeled for medicinal species.The most common medicinal functions possessed by Chinese macrofungi are antitumor or anticancer,followed by antioxidant and antimicrobial.A total of 277 Chinese macrofungi are edible simultaneously with certain medicinal functions and without known toxicity.These species could be treated as“Gold Mushrooms”.Contrarily,193 edible and/or medicinal species are also recognized as poisonous mushrooms.To avoid poisoning caused by these species,ingestion either in a proper way or in small amounts is important.However,the mycotoxins metabolized by these poisonous species could be a huge wealth of natural products yet to be explored.How to utilize these Chinese macrofungal resources is a critical to benefit humans worldwide. 展开更多
关键词 Economic fungi Edible mushroom Fungal toxicity Medicinal function NOMENCLATURE
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城市森林研究进展 被引量:87
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作者 朱文泉 何兴元 陈玮 《生态学杂志》 CAS CSCD 北大核心 2001年第5期55-59,共5页
This paper gives definitions of urban forest and describes the research contents about this comprehensive subject.It provides an overview of the past and current research on urban forest from three aspects:the analysi... This paper gives definitions of urban forest and describes the research contents about this comprehensive subject.It provides an overview of the past and current research on urban forest from three aspects:the analysis about the structure of urban forest,the ecological values,and the planning and management of urban forest.This paper also holds a discussion about the development on this important subject.It includes urban forest and hydrology,urban forest and global climate change,analysis of urban rural ecotone interface,and the application of modern information technology in urban forest. 展开更多
关键词 城市森林 全球气候变化 生态效益
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Spatial Variability of Nutrient Properties in Black Soil of Northeast China 被引量:124
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作者 ZHANG Xing-Yi SUI Yue-Yu +2 位作者 ZHANG Xu-Dong MENG Kai S. J. HERBERT 《Pedosphere》 SCIE CAS CSCD 2007年第1期19-29,共11页
A total of 1400 soil samples from the plow layer (0-20 cm) at an approximate interval of 5 km were collected in the autumn of 2002 over the entire black soil arable crops region to determine the spatial variability ... A total of 1400 soil samples from the plow layer (0-20 cm) at an approximate interval of 5 km were collected in the autumn of 2002 over the entire black soil arable crops region to determine the spatial variability of seven variables, such as total organic matter content (OMC), total N, total P, total K, alkali-dissolvable N (AN), available P (AP) and available K (AK), with classical statistics and geostatistical analysis across the entire black soil area in Northeast China. In nonsampled areas ordinary kriging was utilized for interpolation of estimated nutrient determinations. Classical statistics revealed highly significant (P ≤ 0.01) correlations with all seven of the soil properties, except for OMC with AP and total K with AK. In addition, using coefficients of variation, all soil properties, except for total K, were moderately variable. A geostatistical analysis indicated that structural factors, such as parent material, terrain, and water table, were the main causes of the spatial correlations. Strong spatial correlations were noted with OMC, total N, total P, AN, and AP, while they were moderate for total K and AK. The effective spatial autocorrelation of OMC, total N, total P, and AN ranged from 1 037 to 1353 km, whereas the ranges of total K, AP, and AK were only from 6 to 138 km. The fit of the experimental scmi-variograms to the theoretical models indicated that except for AN, kriging could successfully interpolate other six variables. Thns, the geostatistical method used on a large scale could accurately evaluate the spatial variability of most black soil nutrient properties in Northeast China. 展开更多
关键词 black soil China geostatistics analysis soil survey spatial variability
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经桡动脉途径介入诊断与治疗冠心病的进展 被引量:102
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作者 韩雅玲 荆全民 《中国实用内科杂志》 CAS CSCD 北大核心 2004年第1期5-7,共3页
关键词 经桡动脉途径介入诊断 治疗 冠心病 冠脉造影
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无症状性脑梗死的研究现状 被引量:75
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作者 王耀山 《临床神经病学杂志》 CAS 2003年第1期1-2,共2页
关键词 无症状性脑梗死 SBI 发生率 危险因素 诊断 预防 治疗
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Analysis of therapeutic targets for SARS-CoV-2 and discovery of potential drugs by computational methods 被引量:75
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作者 Canrong Wu Yang Liu +10 位作者 Yueying Yang Peng Zhang Wu Zhong Yali Wang Qiqi Wang Yang Xu Mingxue Li Xingzhou Li Mengzhu Zheng Lixia Chen Hua Li 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2020年第5期766-788,共23页
SARS-CoV-2 has caused tens of thousands of infections and more than one thousand deaths.There are currently no registered therapies for treating coronavirus infections.Because of time consuming process of new drug dev... SARS-CoV-2 has caused tens of thousands of infections and more than one thousand deaths.There are currently no registered therapies for treating coronavirus infections.Because of time consuming process of new drug development,drug repositioning may be the only solution to the epidemic of sudden infectious diseases.We systematically analyzed all the proteins encoded by SARS-CoV-2 genes,compared them with proteins from other coronavirnses,predicted their structures,and built 19 structures that could be done by homology modeling.By performing target-based virtual ligand screening,a total of21 targets(including two human targets)were screened against compound libraries including ZINC drug database and our own database of natural products.Structure and screening results of important targets such as 3-chymotrypsin-like protease(3 CLpro),Spike,RNA-dependent RNA polymerase(RdRp),and papain like protease(PLpro)were discussed in detail.In addition,a database of 78 commonly used antiviral drugs including those currently on the market and undergoing clinical trials for SARS-CoV-2 was constructed.Possible targets of these compounds and potential drugs acting on a certain target were predicted.This study will provide new lead compounds and targets for further in vitro and in vivo studies of SARS-CoV-2,new insights for those drugs currently ongoing clinical studies,and also possible new strategies for drug repositioning to treat SARS-CoV-2 infections. 展开更多
关键词 SARS-CoV-2 Drug repurposing Molecular docking Remdesivir Homology modeling
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肿瘤化疗患者行PICC置管的临床对照研究 被引量:64
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作者 宋敏 郑振东 +6 位作者 乔峰 刘洪岩 陈雪 李佳 赵琦 赵莹莹 谢晓冬 《中国实用护理杂志(中旬版)》 2006年第4期50-51,共2页
目的对照PICC置管长度、肘部静脉的选择、置管时间的选择与并发症之间的关系。方法将2003年11月-2006年1月在我科接受化疗的221例患者进行PICC置管前后的临床护理观测。结果(1)<40cm组、40~50cm组、>50cm组患者分别为6,184,31例... 目的对照PICC置管长度、肘部静脉的选择、置管时间的选择与并发症之间的关系。方法将2003年11月-2006年1月在我科接受化疗的221例患者进行PICC置管前后的临床护理观测。结果(1)<40cm组、40~50cm组、>50cm组患者分别为6,184,31例,出现并发症分别为3,16,3例,约占50.0%,8.6%和9.6%,经统计学分析,P<0.05,差异有显著性;(2)贵要静脉组、肘正中静脉组、头静脉组患者分别为106,62,53例,出现并发症分别为6,5,11例,约占5.7%,8.1%,20.8%,经统计学分析,P<0.05,差异有显著性;(3)置管时间<70d组、70~110d组、>110d组患者分别为33,142,46例,出现并发症分别为6,11,5例,约占18.1%,7.7%,10.9%,经统计学分析,P>0.05,差异无显著性。结论适当的PICC置管长度、慎重的肘部静脉选择和严格的无菌操作及置管期间的护理,对减轻甚至避免PICC置管化疗的并发症非常重要。 展开更多
关键词 肿瘤化疗 PICC置管 临床对照研究
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人性化管理理论在护理管理中的应用 被引量:65
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作者 黄津芳 《国外医学(护理学分册)》 2005年第9期564-567,共4页
关键词 “人性化” 管理理论 护理管理 理中 人性化管理 “以人为本” 管理理念 现代企业 人的因素
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Design, Preparation and Properties of Carbon Fiber Reinforced Ultra-High Temperature Ceramic Composites for Aerospace Applications: A Review 被引量:65
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作者 Sufang Tang Chenglong Hu 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2017年第2期117-130,共14页
Carbon fiber reinforced ultra-high temperature ceramic (UHTC) composites, consisting of carbon fibers embedded in a UHTC-matrix or a C-SiC-UHTC-matrix, are deemed as the most viable class of materials that can overc... Carbon fiber reinforced ultra-high temperature ceramic (UHTC) composites, consisting of carbon fibers embedded in a UHTC-matrix or a C-SiC-UHTC-matrix, are deemed as the most viable class of materials that can overcome the poor fracture toughness and thermal shock resistance of monolithic UHTC ma- terials, and also improve the oxidation resistance and ablation resistance of C/C and C/SiC composites at ultra-high temperatures. In this review, we summarize the different processing routes of the compos- ites based on the UHTC introducing methods, including chemical vapor infiltration/deposition (CVI/D), precursor infiltration and pyrolysis (PIP), reactive melt infiltration (RMI), slurry infiltration (SI). in-sito reaction, hot pressing (HP), etc; and the advantages and drawbacks of each method are briefly dis- cussed. The carbon fiber reinforced UHTC composites can be highly tailorable materials in terms of fiber. interface, and matrix. From the perspective of service environmental applications for engine propul- sions anti hypersonic vehicles, the material designs (mainly focusing on the composition, quantity, structure of matrix, as well as the architecture of carbon fibers, UHTCs and pores), their relevant processing routes and properties (emphasizing on the mechanical and ablation properties) are discussed in this paper. In addition, we propose a material architecture to realize the multi-function through changing the distri- bution of carbon fibers, UHTCs and pores, which will be an important issue for future development of carbon fiber reinforced UHTC composites. 展开更多
关键词 Carbon fiber composites Ceramic matrix composites (CMC) Ultra-high temperature ceramic (UHTC) Ablation
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Key technologies and equipment for a fully mechanized top-coal caving operation with a large mining height at ultra-thick coal seams 被引量:61
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作者 Jinhua Wang Bin Yu +4 位作者 Hongpu Kang Guofa Wang Debing Mao Yuntao Liang Pengfei Jiang 《International Journal of Coal Science & Technology》 EI 2015年第2期97-162,共66页
Thick and ultra-thick coal seams are main coal seams for high production rate and high efficiency in Chinese coal mines, which accounts for 44 % of the total minable coal reserve. A fully mechanized top-coal caving mi... Thick and ultra-thick coal seams are main coal seams for high production rate and high efficiency in Chinese coal mines, which accounts for 44 % of the total minable coal reserve. A fully mechanized top-coal caving mining method is a main underground coal extraction method for ultra-thick coal seams. The coal extraction technologies for coal seams less than 14 m thick were extensively used in China. However, for coal seams with thickness greater than 14 m, there have been no reported cases in the world for underground mechanical extraction with safe performance, high efficiency and high coal recovery ratio. To deal with this case, China Coal Technology & Engineering Group, Datong Coal Mine Group, and other 15 organizations in China launched a fundamental and big project to develop coal mining technologies and equipment for coal seams with thicknesses greater than 14 m. After the completion of the project, a coal extraction method was developed for top-coal caving with a large mining height, as well as a ground control theory for ultra-thick coal seams. In addition, the mining technology for top-coal caving with a large mining height, the ground support technology for roadway in coal seams with a large cross-section, and the prevention and control technology for gas and fire hazards were developed and applied. Furthermore, a hydraulic support with a mining height of 5.2 m, a shearer with high reliability, and auxiliary equipment were developed and manufactured. Practical implication on the technologies and equipment developed was successfully completed at the No. 8105 coal face in the Tashan coal mine, Datong, China. The major achievements of the project are summarized as follows: 1. A top-coal caving method for ultra-thick coal seams is proposed with a cutting height of 5 m and a top-coal caving height of 15 m. A structural mechanical model of overlying strata called cantilever beam-articulated rock beam is established. Based on the model, the load resistance of the hydraulic support with a large mining heigh 展开更多
关键词 Ultra-thick coal seams Top-coal caving mining Large mining height Mining method - Mining equipment Roadway support Safety guarantee
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一种改良大鼠自体血脑出血模型:二次注血/退针法 被引量:49
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作者 周中和 曲方 +1 位作者 何祥 王耀山 《中国临床神经科学》 2004年第4期406-408,共3页
目的 :建立一种简单、可靠的大鼠自体血脑出血模型。方法 :我们采用 2次注血 2次退针法建立大鼠自体血脑出血模型 (简称二步法模型 ) ,并与单次注血法和二次注血法模型对比。二步法的具体方法是 ,采用立体定位技术 ,将 5 0 μL大鼠尾血... 目的 :建立一种简单、可靠的大鼠自体血脑出血模型。方法 :我们采用 2次注血 2次退针法建立大鼠自体血脑出血模型 (简称二步法模型 ) ,并与单次注血法和二次注血法模型对比。二步法的具体方法是 ,采用立体定位技术 ,将 5 0 μL大鼠尾血分 2次注入大鼠右侧尾状核 ,停针 4min后分 2次退针。观测血肿形态、血肿容积及对大鼠进行神经功能缺损评分。结果 :二步法模型的血肿形成率高 ,形态规则 ,血肿容积 >其他 2种自体血脑出血模型 (P <0 0 1或P <0 0 5 ) ,神经功能缺损评分亦高于其他 2种模型。结论 :二步法制作大鼠自体血脑出血模型操作简单 ,血肿形状规则 ,重复性好。 展开更多
关键词 自体血 大鼠 脑出血 血肿 针法 神经功能缺损评分 立体定位技术 形态 二步法 简称
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森林生态系统健康评估Ⅱ.案例实践 被引量:39
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作者 陈高 邓红兵 +2 位作者 代力民 郝占庆 王庆礼 《应用生态学报》 CAS CSCD 北大核心 2005年第1期1-6,共6页
结合样地调查和他人对阔叶红松林生态系统相关指标的研究资料数据,利用健康距离(HD)评估法和上文建立的阔叶红松林生态系统健康评估指标体系框架,对不同人为干扰影响的长白山阔叶红松林生态系统进行系统健康的评估实践.结果按顺序依次为... 结合样地调查和他人对阔叶红松林生态系统相关指标的研究资料数据,利用健康距离(HD)评估法和上文建立的阔叶红松林生态系统健康评估指标体系框架,对不同人为干扰影响的长白山阔叶红松林生态系统进行系统健康的评估实践.结果按顺序依次为20%强度择伐林021<50%强度择伐林044<白桦中成林067<白桦中幼林072<红松人工林074<人工落叶松林077. 展开更多
关键词 生态系统健康 评估 阔叶红松林 健康距离
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治疗性ERCP在胆胰疾病中的应用价值 被引量:57
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作者 麻树人 邵晓冬 +6 位作者 张宁 潘汝明 杨琳 宫照杰 常丽娅 赵云峰 高飞 《中华消化内镜杂志》 2006年第1期31-34,共4页
目的探讨治疗性ERCP在胆胰系统疾病中的治疗价值。方法对1995年7月至2005年11月的2165例经ERCP治疗的病例资料进行回顾性分析,以评价治疗性ERCP在各种胆胰疾病中的应用价值。结果治疗性ERCP成功率98·7%,治疗病例中胆管结石最多,占5... 目的探讨治疗性ERCP在胆胰系统疾病中的治疗价值。方法对1995年7月至2005年11月的2165例经ERCP治疗的病例资料进行回顾性分析,以评价治疗性ERCP在各种胆胰疾病中的应用价值。结果治疗性ERCP成功率98·7%,治疗病例中胆管结石最多,占51·6%,其次为恶性胆道梗阻,占18·6%,乳头良性狭窄占9·4%,急性胆源性胰腺炎占6·7%,急性梗阻性化脓性胆管炎占6·3%,医源性胆道损伤占3·2%,慢性胰腺炎占3·0%,胆道蛔虫占0·6%,其他0·6%。并发症发生率1·2%,其中穿孔死亡1例。结论治疗性ERCP对多种胆胰疾病疗效确实,是一种安全有效的胆胰疾病治疗手段。 展开更多
关键词 胆胰管造影术 内镜逆行 治疗 胆道疾病 胰腺疾病
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斑蝥素及其衍生物的研究进展 被引量:50
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作者 刘健 高建辉 刘晓秋 《中药材》 CAS CSCD 北大核心 2003年第6期453-455,共3页
简要综述了中药斑蝥的提取物斑蝥素及其衍生物近年来在化学、药理作用及作用机制、开发应用方面的研究进展。
关键词 斑蝥素 斑蝥素衍生物 化学组成 药理作用 研究进展
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基底动脉尖综合征的临床与病理 被引量:56
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作者 徐惠琴 牛平 王耀山 《临床神经病学杂志》 CAS 2004年第1期20-22,共3页
关键词 基底动脉尖综合征 临床表现 病理特点 脑疝 意识障碍 脑栓塞
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应用PICC化疗时相关并发症分析及护理对策 被引量:57
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作者 宋敏 乔峰 +4 位作者 刘洪岩 陈雪 李佳 曾伟 谢晓冬 《中国实用护理杂志》 2005年第9期25-26,共2页
关键词 并发症分析 经外周静脉置入中心静脉导管 护理对策 PICC 化疗 时相 沈阳军区 东北三省
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Mapping essential urban land use categories in China(EULUC-China):preliminary results for 2018 被引量:56
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作者 Peng Gong Bin Chen +67 位作者 Xuecao Li Han Liu Jie Wang Yuqi Bai Jingming Chen Xi Chen Lei Fang Shuailong Feng Yongjiu Feng Yali Gong Hao Gu Huabing Huang Xiaochun Huang Hongzan Jiao Yingdong Kang Guangbin Lei Ainong Li Xiaoting Li Xun Li Yuechen Li Zhilin Li Zhongde Li Chong Liu Chunxia Liu Maochou Liu Shuguang Liu Wanliu Mao Changhong Miao Hao Ni Qisheng Pan Shuhua Qi Zhehao Ren Zhuoran Shan Shaoqing Shen Minjun Shi Yimeng Song Mo Su Hoi Ping Suen Bo Sun Fangdi Sun Jian Sun Lin Sun Wenyao Sun Tian Tian Xiaohua Tong Yihsing Tseng Ying Tu Hong Wang Lan Wang Xi Wan Zongming Wang Tinghai Wu Yaowen Xie Jian Yang Jun Yang Man Yuan Wenze Yue Hongda Zeng Kuo Zhang Neng Zhang Tao Zhang Yu Zhang Feng Zhao Yichen Zheng Qiming Zhou Nicholas Clinton Zhiliang Zhu Bing Xu 《Science Bulletin》 SCIE EI CAS CSCD 2020年第3期182-187,共6页
Land use reflects human activities on land.Urban land use is the highest level human alteration on Earth,and it is rapidly changing due to population increase and urbanization.Urban areas have widespread effects on lo... Land use reflects human activities on land.Urban land use is the highest level human alteration on Earth,and it is rapidly changing due to population increase and urbanization.Urban areas have widespread effects on local hydrology,climate,biodiversity,and food production[1,2].However,maps,that contain knowledge on the distribution,pattern and composition of various land use types in urban areas,are limited to city level.The mapping standard on data sources,methods,land use classification schemes varies from city to city,due to differences in financial input and skills of mapping personnel.To address various national and global environmental challenges caused by urbanization,it is important to have urban land uses at the national and global scales that are derived from the same or consistent data sources with the same or compatible classification systems and mapping methods.This is because,only with urban land use maps produced with similar criteria,consistent environmental policies can be made,and action efforts can be compared and assessed for large scale environmental administration.However,despite of the fact that a number of urban-extent maps exist at global scales[3,4],more detailed urban land use maps do not exist at the same scale.Even at big country or regional levels such as for the United States,China and European Union,consistent land use mapping efforts are rare[5,6](e.g.,https://sdi4apps.eu/open_land_use/). 展开更多
关键词 EULUC-China 土地利用类型
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What is going on in magnesium alloys? 被引量:55
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作者 X.J. Wang D.K. Xu +10 位作者 R.Z. Wu X.B. Chen Q.M. Peng L. Jin Y.C. Xin Z.Q. Zhang Y. Liu X.H. Chen G. Chen K.K. Deng H.Y. Wang 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2018年第2期245-247,共3页
China has been developed into one of the most active regions in terms of both fundamental and applied research on magnesium (Mg) and its alloys in the world from a solid base laid by its prominent metallurgist and m... China has been developed into one of the most active regions in terms of both fundamental and applied research on magnesium (Mg) and its alloys in the world from a solid base laid by its prominent metallurgist and materials scientists over the past decades. Nowadays, a large number of young-generation researchers have been inspired by their predecessors and become the key participants in the fields of Mg alloys, which consequently led to the establishment of China Youth Scholar Society for Magnesium Alloys Research in 2015. Since then, the first two China Youth Scholars Symposiums on Mg Alloys Research had been held at Harbin (2015) and Chongqing (2016) China, respectively. A number of crucial research inter- ests related to fundamental and applied Mg research were discussed at the conferences and summarized in this short perspective, aiming to boost far-reaching initiatives for development of new Mg-based materials to satisfy the requirements for a broad range of industrial employments. Herein, four main aspects are included as follows: i) Plastic deformation mechanism and strengthening strategy, ii) Design and development of new Mg-based materials, iii) Key service properties, and iv) New processing technologies. 展开更多
关键词 Mg alloys Plastic deformation Strengthening Alloying design High performance Corrosion Fatigue behavior Creep Processing technologies Purification
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3种颈部静脉阻断方法在预防PICC置管时导管异位的效果比较 被引量:53
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作者 胡倩 宋敏 +4 位作者 李雪玉 刘洪岩 郑振东 谢晓冬 周丽娟 《中华护理杂志》 CSCD 北大核心 2013年第2期160-162,共3页
目的观察3种不同阻断颈部静脉的方法对预防PICC置管时发生颈部异位的作用。方法将480例拟行PICC置管患者随机分为3组,每组160例,A组在送管时采用传统的偏头法,B组让助手协助采用指压法,C组让助手采用按压器法以阻断颈内、颈外静脉。置... 目的观察3种不同阻断颈部静脉的方法对预防PICC置管时发生颈部异位的作用。方法将480例拟行PICC置管患者随机分为3组,每组160例,A组在送管时采用传统的偏头法,B组让助手协助采用指压法,C组让助手采用按压器法以阻断颈内、颈外静脉。置管后比较3组患者导管异位率。结果 3组首次穿刺颈部静脉异位率及总异位率比较,C组异位率最低,差异有统计学意义(P<0.05)。结论用按压器阻断颈部静脉的方法较指压法和偏头法更能有效预防PICC导管异位至颈部静脉,值得临床推广使用。 展开更多
关键词 导管插入术 中心静脉 导管 留置
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急性心肌梗死急诊介入治疗无再流发生的独立预测因素及对长期预后的影响 被引量:52
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作者 韩雅玲 邓捷 +3 位作者 荆全民 王守力 马颖艳 栾波 《中华心血管病杂志》 CAS CSCD 北大核心 2006年第6期483-486,共4页
目的 探讨急性心肌梗死(AMI)患者接受急诊经皮冠状动脉介入治疗(PCI)术中发生无再流的相关因素,并评估无再流对于该类患者的长期预后意义。方法 930例行急诊PCI的AMI患者依其是否发生无再流分为两组,分析无再流发生的危险因素及... 目的 探讨急性心肌梗死(AMI)患者接受急诊经皮冠状动脉介入治疗(PCI)术中发生无再流的相关因素,并评估无再流对于该类患者的长期预后意义。方法 930例行急诊PCI的AMI患者依其是否发生无再流分为两组,分析无再流发生的危险因素及两组患者院内和长期随访中主要不良心脏事件(MACE)。结果 930例患者中共82例发生无再流(8.8%)。与正常血流组相比,无再流组患者的入院血糖水平[(9.8±4.3)mmol/L比(8.5±3.5)mmo]/L,P〈0.01]、肌酸激酶同工酶(CK—MB)峰值[(369.4±167.8)U/L比(282.3±161.7)U/L,P〈0.01]、PCI术前0级血流(69.5%比54.5%,P=0.009)发生率较高,AMI前心绞痛发生率较低(19.5%比48.1%,P〈0.01)。Logistic回归分析显示入院血糖水平、缺乏AMI前心绞痛、PCI术前0级血流及严重心力衰竭是无再流发生的独立预测因素。无再流患者院内MACE(37.8%比11.3%,P〈0.01)和院后(2.5±1.2)年随访MACE发生率(37.5%比17.4%,P〈0.01)均显著高于正常血流患者,Kaplan—Meier生存分析提示无再流组患者心因性病死率明显高于正常血流组患者(29.9%比11.7%;logrank检验,P〈0.001)。Cox回归分析显示无再流是AMI患者长期心因性病死率的独立预测因素(相对危险度3.83,95%可信区间1.71~5.57)。结论 入院血糖水平、缺乏AMI前心绞痛、PCI术前0级血流及严重心力衰竭是无再流发生的独立预测因素。与正常血流组相比,无再流组患者院内及长期随访MACE发生率分别增高3.3和2.2倍。 展开更多
关键词 心肌梗塞 血管成形术 经腔 经皮冠状动脉 无再流
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