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Bowel preparation protocol for hospitalized patients ages 50 years or older:A randomized controlled trial 被引量:1
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作者 Yu He Qi Liu +3 位作者 Yi-Wen Chen Li-Jian Cui Kai Cao Zi-Hao Guo 《World Journal of Gastrointestinal Endoscopy》 2024年第1期18-28,共11页
BACKGROUND The incidence and mortality rate of colorectal cancer progressively increase with age and become particularly prominent after the age of 50 years.Therefore,the population that is≥50 years in age requires l... BACKGROUND The incidence and mortality rate of colorectal cancer progressively increase with age and become particularly prominent after the age of 50 years.Therefore,the population that is≥50 years in age requires long-term and regular colonoscopies.Uncomfortable bowel preparation is the main reason preventing patients from undergoing regular colonoscopies.The standard bowel preparation regimen of 4-L polyethylene glycol(PEG)is effective but poorly tolerated.AIM To investigate an effective and comfortable bowel preparation regimen for hospitalized patients≥50 years in age.METHODS Patients were randomly assigned to group 1(2-L PEG+30-mL lactulose+a lowresidue diet)or group 2(4-L PEG).Adequate bowel preparation was defined as a Boston bowel preparation scale(BBPS)score of≥6,with a score of≥2 for each segment.Non-inferiority was prespecified with a margin of 10%.Additionally,the degree of comfort was assessed based on the comfort questionnaire.RESULTS The proportion of patients with a BBPS score of≥6 in group 1 was not significantly different from that in group 2,as demonstrated by intention-to-treat(91.2%vs 91.0%,P=0.953)and per-protocol(91.8%vs 91.0%,P=0.802)analyses.Furthermore,in patients≥75 years in age,the proportion of BBPS scores of≥6 in group 1 was not significantly different from that in group 2(90.9%vs 97.0%,P=0.716).Group 1 had higher comfort scores(8.85±1.162 vs 7.59±1.735,P<0.001),longer sleep duration(6.86±1.204 h vs 5.80±1.730 h,P<0.001),and fewer awakenings(1.42±1.183 vs 2.04±1.835,P=0.026)than group 2.CONCLUSION For hospitalized patients≥50 years in age,the bowel preparation regimen comprising 2-L PEG+30-mL lactulose+a low-residue diet produced a cleanse that was as effective as the 4-L PEG regimen and even provided better comfort. 展开更多
关键词 aged 50 years or older HOSPITALIZED 2-L polyethylene-glycol+30-mL lactulose+a low-residue diet Comfort
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Characteristics of the HIV/AIDS Epidemic among People Aged≥50 Years in China during 2018–2021
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作者 HOU Yu Shan JIN Yi Chen +3 位作者 CAI Chang TANG Hou Lin QIN Qian Qian LYU Fan 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2024年第4期399-405,共7页
Objective This study aimed to determine the current epidemiological status of PLWHA aged≥50 years in China from 2018 to 2021.It also aimed to recommend targeted interventions for the prevention and treatment of HIV/A... Objective This study aimed to determine the current epidemiological status of PLWHA aged≥50 years in China from 2018 to 2021.It also aimed to recommend targeted interventions for the prevention and treatment of HIV/AIDS in elderly patients.Methods Data on newly reported cases of PLWHA,aged≥50 years in China from 2018 to 2021,were collected using the CRIMS.Trend tests and spatial analyses were also conducted.Results Between 2018 and 2021,237,724 HIV/AIDS cases were reported among patients aged≥50 years in China.The main transmission route was heterosexual transmission(91.24%).Commercial heterosexual transmission(CHC)was the primary mode of transmission among males,while non-marital non-CHC([NMNCHC];60.59%)was the prevalent route in women.The proportion of patients with CHC decreased over time(Z=67.716,P<0.01),while that of patients with NMNCHC increased(Z=153.05,P<0.01).The sex ratio varied among the different modes of infection,and it peaked at 17.65 for CHC.The spatial analysis indicated spatial clustering,and the high-high clustering areas were mainly distributed in the southwestern and central-southern provinces.Conclusion In China,PLWHA,aged≥50 years,were predominantly infected through heterosexual transmission.The primary modes of infection were CHC and NMNCHC.There were variations in the sex ratio among different age groups,infected through various sexual behaviors.HIV/AIDS cases exhibited spatial clustering.Based on these results,the expansion of HIV testing,treatment,and integrated behavioral interventions in high-risk populations is recommended to enhance disease detection in key regions. 展开更多
关键词 HIV/AIDS aged50 years China
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Epidemiologic surve of Overweight and obesity among residents aged≥60 years in ronggui community
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作者 ZHOU Yue-Ying,LIANG Ye-Qing,CHEN Jing-Hua,ZENG Hui-Qing,LV Lan-Zhu (Department of Cardiology,The Gukhou Hospital of Shunde District,Fushan 528000,China) 《岭南心血管病杂志》 2011年第S1期175-175,共1页
Objectives To investigate prevalence of overweight and obesity among residents aged 3≥60 years in ronggui community.Methods 1372 ones(570 males,802 females,68.03±6.62 years) Of total 1503 residents aged≥60 year... Objectives To investigate prevalence of overweight and obesity among residents aged 3≥60 years in ronggui community.Methods 1372 ones(570 males,802 females,68.03±6.62 years) Of total 1503 residents aged≥60 years in the 2 villages which were randomly exampled in rong-gui community were investigated.857 ones aged among 60-69 years(62.5%),416 ones aged among 70-79 years (30.3%),99 ones aged≥60 years(7.2%).Investigative items included age,sex,body height,body weight,waist circumference(WC),hip circumference(HC)、fasting plasma glucose(FG),total cholesterol(TC),triglyceride(TG),blood pressure,history of past illness,body mass index(BMI),waist hip ratio(WHR) and waist height ratio(WHtR).Results (1)Of total 1372 residents,the combined prevalence of overweight and obesity was 39.4%.Prevalence of overweight, obesity were 29.4%,10.0%respectively.Prevalence of overweight, obesity of male were 30.8%,6.0%,and female, 28.5%,12.8%respectively.Prevalence of overweight,obesity of residents aged 60-69 years were 31.2%,11.3%,70-79 years were 27.0%,9.1%and≥80 years were 25.2%,2.0% respectively.The difference between male and female、among three age groups were not significant.(2)Of total 1372 residents, prevalence of central adiposity were 34.6%,male was 15.9%and female was 52.4%,female signifleanfly higher than male(P【0.01).(3)The FG^TG.SBP^DBP of residents with overweight、obesity or central adiposity were higher than residents with normal weight or WC(P【0.01).(4)By Pearson correlation analysis,we found that overweight、obesity and central adiposity were obviously correlated with FG、TG、SBP、DBP(P【0.01),were not correlated with TC(P】0.05). Conclusions(1)Of total 1372 residents,the combined preva- lence of overweight and obesity was 39.4%,prevalence of overweight,obesity were 29.4%,10.0%respectively,prevalence of central adiposity were 34.6%,female was 52.4%, female signifleanfly higher than male.(2)overweight.obesity and central adiposity were obviously correlated with FG,TG, SBP,DBP. 展开更多
关键词 Epidemiologic surve of Overweight and obesity among residents aged years in ronggui community
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Epidemiologic surve of blood lipid level among 1401 residents aged≥60 years in rong-gui community
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作者 ZHOU Yue-ying,LV Lan-zhu,CHEN Jing-hua (The Guizhou Hospital of Shunde District,Fushan 528000, China) 《岭南心血管病杂志》 2011年第S1期175-176,共2页
Objectives To investigate prevalence of blood lipid level among 1401 residents aged≥60 years in rong-gui community.Methods 1401 ones(579 males,822 females, (68.12±6.64)years Of total 1503 residents aged≥60 year... Objectives To investigate prevalence of blood lipid level among 1401 residents aged≥60 years in rong-gui community.Methods 1401 ones(579 males,822 females, (68.12±6.64)years Of total 1503 residents aged≥60 years in the 2 villages which were randomly exampled in rong-gui community were investigated.867 ones aged among 60-69 years(61.9%),430 ones aged among 70-79 years (30.7%),104 ones aged≥60 years(7.4%).Investigative items included age,sex,total cholesterol(TC),triglyceride (TG),body height,body weight,waist circumference(WC), hip circumference(HC),fasting plasma glucose(FG),blood pressure,history of past illness,body mass index(BMI), waist hip ratio(WHR),waist height ratio(WHtR).Results (l)Of total 1401 residents,Prevalence of hyperlipemia were 42.8%,female were signifleanfly higher than male(P【0.01), The difference among three age groups were not significant, the combined prevalence of hyperlipemia and borderline hyperlipemia was 80.1%.(2)The FG、BMI、SBP、DBP、WC、WHR、WHtR of residents with hyperlipemia were higher than ones with normal blood lipid level(P【0.01).(3)By Pearson correlation analysis,we found that hyperlipemia was obviously correlated with FG,BMI,WC,WHR,WHtR, SBP,DBP.Conclusions(1)Prevalence of hyperlipemia were 42.8%,female were signifleanfly higher than male.(2) hyperlipemia were obviously correlated with higher FG、BMI、WC、WHR、WHtR、SBP、DBP. 展开更多
关键词 WHR Epidemiologic surve of blood lipid level among 1401 residents aged years in rong-gui community
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Ailogeneic hematopoietic cell transplantation for malignant hematological diseases in patients older than 50 years of age
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作者 吴小津 《外科研究与新技术》 2011年第4期297-297,共1页
Objective To investigate the efficiency and safety of allogeneic hematopoietic cell transplantation for malignant hematological diseases in patients older than 50 years of age. Methods From May 2002 to January 2010,35... Objective To investigate the efficiency and safety of allogeneic hematopoietic cell transplantation for malignant hematological diseases in patients older than 50 years of age. Methods From May 2002 to January 2010,35 patients P 】 50 years with malignant hematological diseases received allogeneic hematopoietic 展开更多
关键词 CELL Ailogeneic hematopoietic cell transplantation for malignant hematological diseases in patients older than 50 years of age THAN
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北京市西城区50岁以上居民吸烟与慢病患病情况的关系研究 被引量:3
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作者 田宇 李玉玲 常春 《中国健康教育》 北大核心 2019年第7期623-626,651,共5页
目的了解北京市50岁以上居民的吸烟情况,以及吸烟与慢病患病之间的关系,为有关部门和机构制定政策和开展实践提供参考依据。方法采用三阶段定额抽样方法,对北京市西城区7374名50岁以上户籍居民进行现场问卷调查和体格检查,使用x^2检验... 目的了解北京市50岁以上居民的吸烟情况,以及吸烟与慢病患病之间的关系,为有关部门和机构制定政策和开展实践提供参考依据。方法采用三阶段定额抽样方法,对北京市西城区7374名50岁以上户籍居民进行现场问卷调查和体格检查,使用x^2检验和多因素Logistic回归分析调查人群的社会人口学特征与吸烟之间的关系,以及吸烟与慢病患病之间的关系。结果受访者中,男性吸烟率高于女性(49.64%vs 3.87%,P<0.001),随着男性年龄增加,吸烟率呈下降趋势(P<0.001)。已婚者吸烟率高于未婚及其他(20.66%vs.15.69%,P=0.001)。糖尿病患者吸烟率较高(25.28%vs 21.90%,P=0.008)。脑卒中患者吸烟率较高(11.91%vs 8.75%,P<0.001)。高胆固醇血症患者吸烟率较低(22.48%vs.26.05%,P=0.005)。超重及肥胖患者的吸烟率较高(46.37%vs 41.63%,P=0.004)。多因素Logistic回归结果显示,吸烟是患慢病的重要危险因素(P<0.001)结论吸烟是影响50岁以上居民慢病患病的因素,控烟干预和戒烟支持有待进一步加强,以维持和促进50岁以上居民健康状况。 展开更多
关键词 50岁以上居民 吸烟 慢病
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北京市50岁以上居民高血压病的患病情况及风险因素分析 被引量:6
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作者 尚秀萍 《河北医药》 CAS 2020年第19期3000-3002,3006,共4页
目的分析北京市50岁以上居民高血压病的患病情况及风险因素。方法采用随机分层抽样法,选取北京市西城区展览路地区6个社区3000名50岁以上常住居民为研究对象,以问卷调查的方式了解居民的基本资料,同时对其进行体格检查与血压测量,统计... 目的分析北京市50岁以上居民高血压病的患病情况及风险因素。方法采用随机分层抽样法,选取北京市西城区展览路地区6个社区3000名50岁以上常住居民为研究对象,以问卷调查的方式了解居民的基本资料,同时对其进行体格检查与血压测量,统计高血压病患病率,并以单因素和多因素非条件Logistic回归分析高血压病的风险因素。结果3000名居民中,患高血压病923例,患病率30.8%,其中包括男578例(38.8%),女345例(22.8%),男性患病率高于女性(χ^2=89.969,P=0.000);男、女性居民的高血压病患病率均有随年龄增长而提升的趋势,且各年龄层男性居民的患病率均明显高于女性,差异有统计学意义(P<0.05)。高血压病居民与非高血压病居民的性别、年龄、体质量、吸烟史、饮酒史、高钠饮食、运动锻炼、高血压病家族史比较,差异有统计学意义(P<0.05)。Logistic回归分析发现,性别、年龄、吸烟史、饮酒史、高钠饮食、高血压病家族史是高血压病的风险因素,体质量、运动锻炼是高血压病的保护因素。结论北京市50岁以上居民高血压病的患病率为30.8%,性别、年龄、吸烟史、饮酒史、高钠饮食、高血压病家族史是该病的风险因素,应有针对性地采取相应措施予以干预,以降低高血压病患病率。 展开更多
关键词 北京市 50岁以上 居民 高血压病 患病情况 风险因素
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2022年浙江省≥50岁居民流感和肺炎球菌疫苗接种情况及其影响因素分析
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作者 刘紫欣 王慎玉 +4 位作者 闫晓彤 徐锦杭 徐越 汪胜 张雪海 《中国公共卫生》 CAS CSCD 北大核心 2024年第1期44-49,共6页
目的了解2022年浙江省≥50岁居民流感和肺炎球菌疫苗接种情况及其影响因素,为有效提高该地区中老年人群流感和肺炎球菌疫苗的接种率提供参考依据。方法于2022年6月采用多阶段随机抽样方法在浙江省7个区/县35个社区/村抽取2200名≥50岁... 目的了解2022年浙江省≥50岁居民流感和肺炎球菌疫苗接种情况及其影响因素,为有效提高该地区中老年人群流感和肺炎球菌疫苗的接种率提供参考依据。方法于2022年6月采用多阶段随机抽样方法在浙江省7个区/县35个社区/村抽取2200名≥50岁居民对其流感和肺炎球菌疫苗接种情况进行问卷调查,并采用多因素非条件logistic回归模型分析影响浙江省≥50岁居民流感和肺炎球菌疫苗接种情况的主要因素。结果浙江省最终纳入分析的2100名≥50岁居民中,接种流感疫苗和肺炎球菌疫苗者分别为776人和116人,流感疫苗和肺炎球菌疫苗接种率分别为36.95%和5.52%。多因素非条件logistic回归分析结果显示,高中及以上文化程度、知晓流感及其疫苗知识、享受流感疫苗免费接种政策和有医生推荐接种的居民更意愿接种流感疫苗;享受肺炎球菌疫苗免费接种政策和有医生推荐接种的居民更意愿接种肺炎球菌疫苗。浙江省≥50岁居民接种流感疫苗的主要原因为社区通知接种[590人次(76.03%)]、家人建议接种[400人次(51.55%)]和自己想要预防疾病[350人次(45.49%)],未接种的主要原因为对疫苗不了解[816人次(61.63%)]、担心有副作用[321人次(24.24%)]和感觉没有必要[296人次(22.36%)];接种肺炎球菌疫苗的主要原因为社区通知接种[85人次(73.28%)]、家人建议接种[67人次(57.76%)]和自己想要预防疾病[51人次(43.97%)],未接种的主要原因为对疫苗不了解[1270人次(64.01%)]、感觉没有必要[450人次(22.68%)]和担心有副作用[442人(22.28%)]。结论2022年浙江省≥50岁居民流感和肺炎球菌疫苗接种率均较低,是否享受疫苗免费接种政策和是否有医生推荐接种疫苗是该地区≥50岁居民流感和肺炎球菌疫苗接种情况的共同影响因素。 展开更多
关键词 流感疫苗 肺炎球菌疫苗 接种情况 影响因素 50岁居民 浙江省
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1991-2009年中国九省区居民膳食营养素摄入状况及变化趋势(三) 50~79岁居民膳食能量摄入状况及变化趋势 被引量:12
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作者 张伋 张兵 +3 位作者 王惠君 杜文雯 张继国 翟凤英 《营养学报》 CAS CSCD 北大核心 2011年第4期335-339,共5页
目的分析中国九省区50~79岁中老年居民膳食能量的摄入状况及能量来源的变化趋势,为膳食指南和营养素参考摄入量的修订提供依据。方法以1991、1993、1997、2000、2004、2006和2009年"中国健康与营养调查"项目中连续三天24小... 目的分析中国九省区50~79岁中老年居民膳食能量的摄入状况及能量来源的变化趋势,为膳食指南和营养素参考摄入量的修订提供依据。方法以1991、1993、1997、2000、2004、2006和2009年"中国健康与营养调查"项目中连续三天24小时膳食回顾调查数据为基础。有完整膳食调查资料的50~79岁健康居民作为研究对象。分析能量摄入量及能量来源的变化趋势。结果中国九省区50~79岁居民平均每日能量摄入量在1991-2009年间总体呈缓慢下降趋势,男性由10103 kJ(2416 kcal)下降至9761 kJ(2334 kcal),女性由8825 kJ(2100 kcal)下降至8262 kJ(1975 kcal),年龄越高、体力活动水平越低者能量摄入量越少,同年龄同等体力活动水平的女性能量摄入少于男性。50~79岁居民膳食脂肪供能比逐年增高,2006年之后超过30%,并且轻体力活动者膳食能量密度更高。从能量的食物来源看,谷类食物占总能量的比例逐年下降至55%以下,动物性食物逐年增高至14%。1991-2009年间能量摄入的城乡差异逐渐减弱。结论 1991-2009年间,中国50~79岁居民的膳食能量摄入量呈现下降趋势,但膳食结构趋向于能量密度增高;谷类供能比降低,动物性食物供能比增高;能量摄入情况的城乡差异逐渐减弱。 展开更多
关键词 50~79岁居民 能量摄入 变化趋势
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上海市金山区50岁以上人群中甲状腺结节患者B超检查特点分析 被引量:4
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作者 宗兵 龚建鸣 +5 位作者 戚金辉 沈建良 袁绍峰 卢江昆 胡玉宏 于伟 《实用预防医学》 CAS 2018年第1期50-53,共4页
目的了解上海市金山区50岁以上人群甲状腺结节患者结节特点并据此提出健康干预和防治建议。方法2013年1-12月,通过分层整群随机抽样,对该区5个乡镇下属的13个居委会或村的2 362名50岁以上的居民进行问卷调查和甲状腺B超检查,运用SPSS 2... 目的了解上海市金山区50岁以上人群甲状腺结节患者结节特点并据此提出健康干预和防治建议。方法2013年1-12月,通过分层整群随机抽样,对该区5个乡镇下属的13个居委会或村的2 362名50岁以上的居民进行问卷调查和甲状腺B超检查,运用SPSS 22.0进行数据分析。结果甲状腺结节患病率为40.6%,女性患病率(45.5%)显著高于男性(33.0%)(P<0.05);随年龄组增大,多发结节在50~岁、60~岁和70~岁人群中的比例依次为29.2%、32.0%和41.9%,呈升高趋势(P<0.05);60~岁(32.2%)和70~岁(42.1%)人群的双侧结节的比例高于50~岁(28.8%)(P<0.05);60~岁(23.4%)结节介于良恶性之间的比例高于50~岁(14.4%)(P<0.05)。结论金山区50岁以上人群甲状腺结节患病率女性高于男性,多发结节比例随年龄组增大呈现上升趋势,结节处于良恶性之间的患者比例较高,需引起卫生行政部门和医疗机构的重点关注。 展开更多
关键词 甲状腺结节 50岁以上人群 B超检查 特点
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2013年上海市金山区50岁及以上人群甲状腺结节患病情况及影响因素分析 被引量:3
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作者 于伟 潘良明 +5 位作者 卢江昆 宗兵 吴鸣 曹艳 金花 袁绍峰 《实用预防医学》 CAS 2018年第10期1176-1179,共4页
目的了解金山区50岁及以上人群甲状腺结节的患病情况及影响因素并据此提出健康干预和防治建议。方法2013年1-12月,通过分层整群随机抽样,对该区5个乡镇下属的13个居委或村的2 362名50岁及以上的居民进行问卷调查和甲状腺B超检查,运用SPS... 目的了解金山区50岁及以上人群甲状腺结节的患病情况及影响因素并据此提出健康干预和防治建议。方法2013年1-12月,通过分层整群随机抽样,对该区5个乡镇下属的13个居委或村的2 362名50岁及以上的居民进行问卷调查和甲状腺B超检查,运用SPSS 22.0进行统计学分析。结果本次研究中共检出患者960名(40.64%),女性患病率(45.45%)高于男性(32.97%)(χ~2=36.16,P<0.001),随着年龄的增长,女性的患病率逐渐增加(χ~2趋势=4.44,P=0.035)。logistic回归分析显示:≥70岁人群的患病风险是50~60岁的1.32倍(95%CI:1.02~1.70),男性中60~70岁的是50~60岁的1.69倍(95%CI:1.11~2.57),≥70岁的是50~60岁的1.69倍(95%CI:1.06~2.69),男性中食用海带紫菜类食物<3次/周的风险是不食用的1.46倍(95%CI:1.01~2.10),女性中饮酒的患病风险是不饮酒的3.72倍(95%CI:1.19~11.64)。结论卫生行政部门和医疗机构应加强对该人群尤其是高龄人群和女性的关注以发现更多潜在患者;加强社区宣教,提倡健康的生活方式,避免摄入过量含碘食物,女性人群应限酒或戒酒。 展开更多
关键词 甲状腺结节 患病率 50岁及以上居民 影响因素
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