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The Effect on Activated Sludge of Chemical Coagulants Applied in Synchronization Dephosphorization 被引量:2
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作者 Yasong Chen 《Journal of Environmental Protection》 2013年第12期1423-1427,共5页
Combined with the practical experience of wastewater treatment plant, the chemical coagulants have inhibition effects on microorganism activity, with the influence degree of PAC (polyaluminium chloride) > AlCl3>... Combined with the practical experience of wastewater treatment plant, the chemical coagulants have inhibition effects on microorganism activity, with the influence degree of PAC (polyaluminium chloride) > AlCl3> Fe2(SO4)3. In synchronization dephosphorization, the inhibition rates of PAC in 10 ppm and 20 ppm are 11.9% and 33% respectively;while the inhibition rates of AlCl3 and Fe2(SO4)3 in 20 ppm are 15.8% and 8.5% respectively, compared with 9.6% and 5.4% in 10 ppm. Backwash wastewater from sand filter after adding coagulants has no direct inhibition effect on microorganism, but it results in inorganic components increase in active sludge. By taking North STP as an example, the VSS/SS ratio reduced from 0.65 after coagulants application to 0.54. 展开更多
关键词 SYNCHRONIZATION DEPHOSPHORIZATION CHEMICAL coagulants Oxygen UPTAKE Rate (OUR) Activated Sludge
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Use of Natural Coagulants in Removing Organic Matter, Turbidity and Fecal Bacteria from Hospital Wastewater by Coagulation-Flocculation Process
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作者 Lyde A. S. Tometin Odilon M. Nonfodji +3 位作者 Waris K. Chouti Marius Dannon Akim Aboubakari Jacques K. Fatombi 《Journal of Water Resource and Protection》 CAS 2022年第11期719-730,共12页
Hospital wastewater represents an infectious and toxic risk to human health and the environment due to its contents. Most hospitals in developing countries, including Benin, do not have a wastewater treatment plant. I... Hospital wastewater represents an infectious and toxic risk to human health and the environment due to its contents. Most hospitals in developing countries, including Benin, do not have a wastewater treatment plant. In this study, the wastewater from two hospitals in northern Benin was characterized and then treated with Azadirachta indica leaves, Moringa oleifera and Luffa cylindrica seeds by coagulation/flocculation process. The wastewater characteristics showed that the collected samples are greatly polluted by organic matter and fecal bacteria such as Escherichia coli, Enterococcus fecal and Total coliforms. Jar-test results revealed that 95.74%, 78%, 49.19% of turbidity, 51.35%, 38.32%, 22.19% of COD, 93.16%, 85.26%, 83.30% against Escherichia coli, 92.11%, 90.93%, 94.60% against total Coliforms and 99.37%, 91%, 99%, 55.07% against Enterococcus were removed from hospital wastewater using Moringa oleifera, Luffa cylindrica seed and Azadirachta indica leaves respectively at dose of 100 mg/L. The results highlighted that the natural coagulants could be successfully used for the removal of turbidity and fecal bacteria from hospital wastewater. 展开更多
关键词 Hospital Wastewater Fecal Bacteria Organic Matter Natural coagulants REMOVAL
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Treatment of bleaching wastewater from pulp paper plants in China using enzymes and coagulants 被引量:5
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作者 ZHANG Tong\+1, Shinji Wada\+2, Takao Yamagishi\+2, Ichikawa Hiroyasu\+2, Kenji Tatsumi\+ 2* , ZHAO Qing\|xiang\+1 (1. Department of Environmental Engineering, East China University of Science and Technology, Shanghai 200237,China 2. National Institut 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 1999年第4期480-484,共5页
The treatment of wastewater from pulp\|paper plants in China by horseradish peroxidase was investigated in this study. The effects of horseradish peroxidase and coagulants were discussed in detail. The results indicat... The treatment of wastewater from pulp\|paper plants in China by horseradish peroxidase was investigated in this study. The effects of horseradish peroxidase and coagulants were discussed in detail. The results indicated that enzymes might improve the removal of AOX, TOC and colour for pulp\|paper wastewater and modified chitosan is far more effective than Al\-2(SO\-4)\-3 to remove AOX, TOC and colour. 展开更多
关键词 pulp\|paper WASTEWATER COAGULANT HORSERADISH peroxidase
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Study on coagulation property of metal-polysilicate coagulants in low turbidity water treatment 被引量:9
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作者 杨海燕 崔福义 +1 位作者 赵庆良 马超 《Journal of Zhejiang University Science》 EI CSCD 2004年第6期721-726,共6页
In order to remove the low turbidity present in surface water, a novel metal-polysilicate coagulant was used to treat the raw water taken from Tanjiang River in Guangdong Province. This study on the effects of A1/Fe m... In order to remove the low turbidity present in surface water, a novel metal-polysilicate coagulant was used to treat the raw water taken from Tanjiang River in Guangdong Province. This study on the effects of A1/Fe molar ratio on the performance of a complex compound formed by polysilicic acid, aluminium and ferric salt (PAFS) showed that PAFS with A1/Fe ratio of 10:3 seemed to have the best coagulation performance in removing turbidity and color. Experimental results showed that under the conditions of polymerization time of 15 d, sedimentation time of 12 min, and pH of 6-8,PAFS with A1/Fe molar ratio of 10:3 had the best coagulation efficiency and lowest residual A1 concentration. The turbidity decreased from 23.8 NTU to 3.23 NTU and the residual A1 concentration was only 0.165 mg/L in the product water. It could be speculated that colloidal impurities and particulate A1 were removed by adsorption bridging and electrical neutralization of long chain inorganic polymer coagulants. 展开更多
关键词 凝固特性 金属聚硅酸盐 絮凝剂 饮用水处理 残余铝
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Heparin and other anticoagulants in amniotic fluid embolism(AFE):Literature review and concept of the therapy 被引量:1
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作者 Mieczyslaw Uszynski Waldemar Uszynski 《Open Journal of Obstetrics and Gynecology》 2013年第7期593-598,共6页
Aim: The objective of this study is to review all the reported outcomes of heparin application in amniotic fluid embolism (AFE) so far and to find out why, when and how heparin or other anticoagulants should be used i... Aim: The objective of this study is to review all the reported outcomes of heparin application in amniotic fluid embolism (AFE) so far and to find out why, when and how heparin or other anticoagulants should be used in AFE. Material and methods: We searched Medline (from 1969 to 2011), using two key words: 1) amniotic fluid embolism;2) amniotic fluid embolism and heparin. The search for the former produced 1127 replies, of which 208 were case reports of AFE. In response to the other key word, there were 94 articles. We looked through all the articles, selecting those relevant for our study. Results: In the years 1969-2011, 208 AFE cases were reported. Heparin (unfractionated heparin) or low molecular weight heparin (LMWH) was applied in 20 cases (9.6%), being the main drug in 11 cases (5.3%) and in 6 cases as a component of spectacular treatment of AFE (surgical treatment and extracorporal membrane oxygenation). In one of these cases anithrombin (AT) with LMWH was used. In one patient heparin therapy was considered to be unsuccessful and hence recombinant plasminogen activator (rt-PA) was instituted. All the patients survived. Conclusions: 1) The attempts to use heparin in AFE could be defined as promising, although the number of treated patients is too small for conclusion;2) The postulate to use heparin at the very onset of AFE (a bolus of 10,000 U followed by monitored intravenous infusion) has serious justification: one of the pathways of AFE is the target for heparin (coagulation pathway). 展开更多
关键词 Amniotic Fluid Embolism Disseminated Intravascular Coagulation HEPARIN Low Molecular Weight Heparin ANTITHROMBIN
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PREPARATION OF ASYMMETRIC POLYETHERKETONE FLAT AND HOLLOW FIBER MEMBRANES FOR GAS SEPARATION USING ACETIC ACID BASED COAGULANTS
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作者 杨继萍 Philip J.Brown 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2008年第3期263-273,共11页
Membranes for gas separation have developed significantly in the last twenty years,however,there is still a need for high temperature and chemically resistant membranes that exhibit good selectivity and gas permeabili... Membranes for gas separation have developed significantly in the last twenty years,however,there is still a need for high temperature and chemically resistant membranes that exhibit good selectivity and gas permeability.Our study examines the fundamental properties of polyetherketone (PEK,a thermally stable and chemically resistant polymer) membranes prepared using concentrated sulphuric acid (98% H_2SO_4) as the solvent.Non-solvents used in the work included acetic acid,ethanol,methanol,glycerol,and wat... 展开更多
关键词 Polyetherketones Membranes Gas permeation Internal coagulant effect Morphology
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Minimization of Residual Aluminum in Drinking Water by Using Nontoxic Polysilicate Coagulants
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作者 胡翔 《High Technology Letters》 EI CAS 1999年第1期91-95,共5页
IntroductionAluminumsaltsandtheirpolymersarewidelyusedascoagulantsindrinkingwatertreatment,whichresultsinmor... IntroductionAluminumsaltsandtheirpolymersarewidelyusedascoagulantsindrinkingwatertreatment,whichresultsinmoreresidualaluminum... 展开更多
关键词 Inorganic polymer COAGULANT Complex POLYSILICATE COAGULANT POLYSILICATE iron POLYSILICATE ferric ALUMINUM COAGULATION
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Ellagic Acid-induced Hypercoagulable State in Animals:a Potentially Useful Animal Hypercoagulable Model for Evaluation of Anticoagulants 被引量:1
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作者 Na Liu Jun-tian Liu Qiang-zong Zhang 《Chinese Medical Sciences Journal》 CAS CSCD 2010年第4期237-242,共6页
Objective To establish and evaluate a hypercoagulable animal model for the assessment of anticoagulants. Methods Forty mice, thirty-two rats, and twenty-four rabbits were randomly and equally divided into control grou... Objective To establish and evaluate a hypercoagulable animal model for the assessment of anticoagulants. Methods Forty mice, thirty-two rats, and twenty-four rabbits were randomly and equally divided into control group (saline) and three ellagic acid (EA)-treated groups (low, middle, and high doses). In the mice, bleeding time (BT) was estimated with tail transaction, and clotting time (CT) with template method. Prothrombin time (PT) and the activated partial thromboplastin time (APTT) in rats and rabbits were measured by means of Quick's one-stage assay and modified APTT assay respectively. In addition, thrombin activity was estimated in rats with PT assay using a hemagglutination analyzer. The circulating platelet aggregates were de- tected in rabbits through platelet counting and presented as the circulating platelet aggregate ratio (CPAR). Results EA shortened BT and CT in mice, PT and APTT in rats, and increased thrombin activity and CPAR, all in a dose-dependent manner. EA also brought reduction of PT and APTT in rabbits in dose- and time-dependent manners. Conclusion EA could induce hypercoagulable state through activating coagulation system and platelets in mice, rats, and rabbits. 展开更多
关键词 动物模型 鞣花酸 状态 活化部分凝血活酶时间 抗凝剂 血小板计数 凝血酶原时间 时间依赖性
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Preparation of New Poly Silicate Iron Coagulants and Their Coagulation Property on Micro-polluted Water 被引量:6
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作者 L.P. Wang X.F. Yan +4 位作者 X. XU A.B. Xu H. Qi Z.D. Zou N.Y. Gao 《Journal of Environmental Science and Engineering》 2011年第1期1-4,共4页
关键词 微污染水处理 聚硅酸铁 混凝剂 氯化铁 混凝性能 扫描电子显微镜 聚合硫酸铁 制备
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On-line optical determination of floc size of Fe(Ⅲ) coagulants 被引量:2
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作者 WANG Yan GAO Bao-yu YUE Qin-yan ZHOU Wei-zhi CHU Yong-bao 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2005年第6期921-925,共5页
This study investigated the floc aggregation, average floc size, floc size variance and floc growth velocity when ferric chloride (FeCl3) and polyferric chloride (PFC) were used to treat the simulated water sample... This study investigated the floc aggregation, average floc size, floc size variance and floc growth velocity when ferric chloride (FeCl3) and polyferric chloride (PFC) were used to treat the simulated water samples. The factors including coagulant dose, ionic strength and solution pH, which affect the floc aggregation, were studied. Experiments were carried out in a bench-scale reactor using photometric dispersion analyzer (PDA). Results showed that there were great differences between the floc aggregation of PFC and FeCl3. The average floc size and floc growth velocity of PFC were much larger than those of FeCl3. Compared with FeCl3, PFC gave a better coagulation performance in wider range of pH, dosage and ionic strength. It was also found that the coagulation efficiency of PFC did not depend on average floc size but on floc growth velocity. 展开更多
关键词 废水处理 凝结剂 离子浓度 PFC
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The effects of coagulants on the structure of PBO materials
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作者 李金焕 黄玉东 孟琳 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2006年第5期541-544,共4页
PBO materials possess super mechanical properties and high thermal and chemical resistance due to their special rigid-rod backbones with heterocyclic chemical structure and supermolecular microstructure. But these str... PBO materials possess super mechanical properties and high thermal and chemical resistance due to their special rigid-rod backbones with heterocyclic chemical structure and supermolecular microstructure. But these structures may be affected by a series of preparing technologies, among which the coagulant is even more important. In this paper the chemical and microstructure changes of PBO materials coagulated with different solvents were investigated. Analyses of molecular weight and chemical structure of PBO coagulated indicate that the heterocyclic ring of PBO will experience cleavage in coagulation and in this stage water plays an important role. The final structure of PBO materials may involve several intermediate structures lying between benzoxazole and the open ring. Wide-angle X-ray diffraction (WAXD) 2θ scans and scanning probe microscope (SPM) show that the microstructure of PBO materials coagulated in solvents with different properties will change a lot and those coagulants with the smaller rate of diffusion like methanol can cause more ordered molecule alignment containing fewer voids. 展开更多
关键词 絮凝 PBO 混凝剂 机械性能
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Matrix-isolated Nanocomposites Alumina-Silicon and Iron-Silicon Flocculants-Coagulants
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作者 Kudryavtsev Pavel Kudryavtsev Nikolay Figovskiy Oleg 《Journal of Physical Science and Application》 2017年第2期36-41,共6页
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Facile synthesis of composite polyferric magnesium-silicate-sulfate coagulant with enhanced performance in water and wastewater
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作者 Xiangtao Huo Rongxia Chai +2 位作者 Lizheng Gou Mei Zhang Min Guo 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2024年第3期574-584,共11页
The coagulation process is a widely applied technology in water and wastewater treatment.Novel composite polyferric mag-nesium-silicate-sulfate(PFMS)coagulants were synthesized using Na_(2)SiO_(3)·9H_(2)O,Fe_(2)(... The coagulation process is a widely applied technology in water and wastewater treatment.Novel composite polyferric mag-nesium-silicate-sulfate(PFMS)coagulants were synthesized using Na_(2)SiO_(3)·9H_(2)O,Fe_(2)(SO_(4))_(3),and MgSO_(4) as raw materials in this paper.The effects of aging time,Fe:Si:Mg,and OH:M molar ratios(M represents the metal ions)on the coagulation performance of the as-pre-pared PFMS were systematically investigated to obtain optimum coagulants.The results showed that PFMS coagulant exhibited good co-agulation properties in the treatment of simulated humic acid-kaolin surface water and reactive dye wastewater.When the molar ratio was controlled at Fe:Si:Mg=2:2:1 and OH:M=0.32,the obtained PFMS presented excellent stability and a high coagulation efficiency.The removal efficiency of ultraviolet UV254 was 99.81%,and the residual turbidity of the surface water reached 0.56 NTU at a dosage of 30 mg·L^(-1).After standing the coagulant for 120 d in the laboratory,the removal efficiency of UV254 and residual turbidity of the surface wa-ter were 88.12%and 0.68 NTU,respectively,which accord with the surface water treatment requirements.In addition,the coagulation performance in the treatment of reactive dye wastewater was greatly improved by combining the advantages of magnesium and iron salts.Compared with polyferric silicate-sulfate(PFS)and polymagnesium silicate-sulfate(PMS),the PFMS coagulant played a better decolor-ization role within the pH range of 7-13. 展开更多
关键词 polyferric-magnesium-silicate-sulfate composite coagulants water and wastewater excellent stability high coagulation ef-ficiency DECOLORIZATION
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甲状腺功能异常对凝血系统的影响及治疗药物相互作用研究进展
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作者 蒋敏 边原 龙恩武 《医药导报》 CAS 2024年第1期85-90,共6页
甲状腺功能异常患者的凝血指标可出现异常,存在潜在发生血栓或出血的风险。甲状腺功能亢进患者存在显著的血管内皮功能紊乱并引起血栓风险,但关于甲状腺功能减退对凝血功能的影响仍存在争议。甲状腺功能异常对凝血系统的潜在风险可能干... 甲状腺功能异常患者的凝血指标可出现异常,存在潜在发生血栓或出血的风险。甲状腺功能亢进患者存在显著的血管内皮功能紊乱并引起血栓风险,但关于甲状腺功能减退对凝血功能的影响仍存在争议。甲状腺功能异常对凝血系统的潜在风险可能干扰抗凝药物治疗安全性,同时甲状腺疾病治疗药物与抗凝药物之间的相互作用也对患者的用药安全造成影响。该文基于既往研究文献分析甲状腺功能异常与凝血功能相关性,评估和探讨甲状腺功能异常对凝血系统的影响及相关治疗药物相互作用,以期为甲状腺功能紊乱合并凝血功能异常患者的诊治提供参考。 展开更多
关键词 甲状腺功能亢进症 甲状腺功能减退症 抗甲状腺药 甲状腺素 抗凝药 促凝药 药物相互作用 凝血系统
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全自动凝血分析仪在子痫前期患者凝血功能检测中的临床应用
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作者 王涛 刘崇东 高志琪 《长春中医药大学学报》 2024年第1期95-98,共4页
目的 探究全自动凝血仪在子痫前期患者凝血功能检测中的应用。方法 选取本院2019年3月-2022年3月期间的120例子痫前期患者设为研究组。轻度患者70例,重度患者50例,设为轻度组和重度组。同期选取正常妊娠孕妇120例设为对照组。采用CS-510... 目的 探究全自动凝血仪在子痫前期患者凝血功能检测中的应用。方法 选取本院2019年3月-2022年3月期间的120例子痫前期患者设为研究组。轻度患者70例,重度患者50例,设为轻度组和重度组。同期选取正常妊娠孕妇120例设为对照组。采用CS-5100全自动凝血分析仪对活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(Fib)、凝血酶时间(TT)、D-二聚体(D-D)、纤维蛋白原降解产物(FDP)、抗凝血酶-Ⅲ(AT-Ⅲ)水平进行检测;计算不同浓度凝血七项不精密度CV值;测定APTT、PTTT日间不精密度;评判Fib、D-D、FDP、AT-Ⅲ的携带污染率,观察检测结果。结果 与对照组和轻度组相比,研究组和重度组的APTT、PT、TT、AT-Ⅲ水平降低,Fib、D-D、FDP水平升高(P <0.05);APTT、PT、Fib不同浓度(正常、中度、高度)水平的批内不精密度分别为0.475%~2.664%、0.632%~1.066%、1.995%~3.615%;单水平项目TT、D-D、FDP、AT-Ⅲ的CV批内分别为0.712%、4.241%、6.301%、5.441%;APTT、PT、TT日间不精密度较好,但Fib CV略大;Fib、D-D、FDP指标水平的判定标准均≤10%。结论 对子痫前期患者通过全自动凝血仪进行凝血七项检测,能够显著评估患者凝血功能状态,对于评估患者疾病严重程度具有关键作用,能够为临床治疗提供坚实依据,有利于后续治疗方案的制定。 展开更多
关键词 子痫前期 凝血七项 全自动凝血仪 不精密度 携带污染率
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含细颗粒悬浮物矿井水的混凝沉淀参数优化
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作者 侯嫔 秦浩铭 +4 位作者 刘昊 徐东莹 贾舒涵 张周爱 王建兵 《矿业科学学报》 CSCD 2024年第2期278-285,共8页
针对宝日希勒露天煤矿矿井水中悬浮颗粒物粒径小、难去除的问题,采用单因素与正交实验方法确定了混凝沉淀工艺的最佳参数,分析了矿井水中细颗粒物的混凝机理。结果表明,混凝沉淀的最佳工艺参数为聚合氯化铝(PAC)投加量50 mg/L,非离子型... 针对宝日希勒露天煤矿矿井水中悬浮颗粒物粒径小、难去除的问题,采用单因素与正交实验方法确定了混凝沉淀工艺的最佳参数,分析了矿井水中细颗粒物的混凝机理。结果表明,混凝沉淀的最佳工艺参数为聚合氯化铝(PAC)投加量50 mg/L,非离子型聚丙烯酰胺(NPAM)投加量5.0 mg/L,快速搅拌(300 r/min)时间1 min,慢速搅拌(50 r/min)时间8 min,静置时间5 min;在最佳工艺条件下,悬浮物(SS)质量浓度为5.0 mg/L,去除率为99.1%,相比单独投加PAC时,10μm以下的细颗粒物去除率提高了25.9%,矿井水的ζ电位由-40.9 mV降低至-16.3 mV,说明细颗粒物的混凝机理主要为PAC吸附电中和作用和聚丙烯酰胺(PAM)吸附架桥作用。 展开更多
关键词 矿井水 细颗粒 悬浮物 混凝沉淀 参数优化 ζ电位 混凝机理
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油田废水的混凝处理技术研究进展
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作者 金鑫 史彩通 +8 位作者 许兰洲 岳雯 商亚博 黄俊玮 许路 石烜 白雪 宋吉娜 金鹏康 《工业水处理》 CAS CSCD 2024年第3期1-9,共9页
国内油田的开发关乎国家能源安全,油田开发与生产过程会产生大量废水,油田废水的高效处理与资源化利用是我国石油工业绿色低碳发展的关键。目前,混凝工艺因其成熟、经济、实用等特点成为油田废水处理中不可缺少的一项技术。综述了混凝... 国内油田的开发关乎国家能源安全,油田开发与生产过程会产生大量废水,油田废水的高效处理与资源化利用是我国石油工业绿色低碳发展的关键。目前,混凝工艺因其成熟、经济、实用等特点成为油田废水处理中不可缺少的一项技术。综述了混凝工艺处理油田废水的研究现状与进展,重点介绍了油田废水处理中常用的混凝工艺,阐述了典型混凝剂在油田废水中的应用,并列举了新型复合混凝剂的处理效果与特点,在此基础上梳理了用于提升混凝效果的工艺技术。此外,结合实际工程应用,着重分析了混凝工艺处理油田废水存在的问题以及未来发展方向,以期为油田废水混凝处理技术的研究、开发与应用提供参考。 展开更多
关键词 油田废水 混凝工艺 混凝剂
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凝固剂及加工条件对豆腐凝胶形成及品质影响研究进展
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作者 孙冰玉 郑欣茹 +6 位作者 刘琳琳 吕铭守 黄雨洋 朱颖 曲敏 朱秀清 石彦国 《食品工业科技》 CAS 2024年第3期388-396,共9页
豆腐的本质是一种蛋白质凝胶体,是大豆蛋白(主要是7S和11S球蛋白)在热处理下发生变性使蛋白质分子结构展开,再通过盐离子、氢离子或酶等凝固剂作用下发生聚集,形成致密均匀且具有网状结构蛋白凝胶。豆腐凝胶的形成及豆腐品质受多种因素... 豆腐的本质是一种蛋白质凝胶体,是大豆蛋白(主要是7S和11S球蛋白)在热处理下发生变性使蛋白质分子结构展开,再通过盐离子、氢离子或酶等凝固剂作用下发生聚集,形成致密均匀且具有网状结构蛋白凝胶。豆腐凝胶的形成及豆腐品质受多种因素的影响。本文从凝固剂种类(盐类、酸类和酶类凝固剂)以及加工条件(加工原料、制浆方法、豆浆体系pH、热处理条件)角度出发,阐明凝固剂及加工条件对豆腐凝胶形成以及品质的影响研究进展。以期为豆腐制品的工业化生产提供理论指导,为豆腐食品的研究开发与品质调控提供科学依据。 展开更多
关键词 豆腐凝胶 凝固剂 加工条件 形成机理 品质调控
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老年住院病人跌倒伤害事件的特征及影响因素分析
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作者 朱姣 夏丽莉 +3 位作者 许敏铮 刘滢 王迎欣 尤征媛 《实用老年医学》 CAS 2024年第1期81-85,共5页
目的 探讨60岁及以上病人在院期间发生跌倒不良事件后的伤害程度分布特点,分析其与年龄、实验室指标的相关性。方法 回顾性收集2017~2021年在南京医科大学第一附属医院发生跌倒不良事件病人(年龄≥60岁)的临床资料,根据其跌倒后的伤害... 目的 探讨60岁及以上病人在院期间发生跌倒不良事件后的伤害程度分布特点,分析其与年龄、实验室指标的相关性。方法 回顾性收集2017~2021年在南京医科大学第一附属医院发生跌倒不良事件病人(年龄≥60岁)的临床资料,根据其跌倒后的伤害程度将其分为无伤害组、一级伤害组、二级伤害组、三级伤害组。收集入组病人发生跌倒不良事件前7 d内最近一次晨空腹生化、凝血指标、血常规检测结果,分析不同跌倒伤害程度住院老年病人基本资料、实验室指标的差异。采用Spearman相关系数表示不同指标间的相关性;采用二元Logistic回归分析老年住院病人跌倒发生伤害的影响因素。结果 382例老年住院病人跌倒伤害程度分布以一级伤害(150例,39.27%)为主,其次为无伤害(145例,37.96%)、三级伤害(52例,13.61%)、二级伤害(35例,9.16%)。单因素分析显示,不同跌倒伤害程度老年病人的年龄、凝血酶原时间(PT)、国际标准化比值(INR)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)水平差异有统计学意义(P<0.05或P<0.01)。Spearman相关分析显示,老年住院病人的跌倒伤害程度与年龄、PT、INR、APTT、FIB均呈正相关(r=0.188、0.169、0.177、0.147、0.131,均P<0.05)。Logistic回归分析显示,年龄(OR=1.035)、FIB(OR=1.330)为老年住院病人跌倒发生伤害的独立影响因素。结论 老年住院病人跌倒后伤害程度与年龄、凝血功能存在关联,建议将该部分高伤害风险人群作为跌倒风险管理的切入点,实施分层管理。 展开更多
关键词 老年人 跌倒 伤害程度 凝血功能 住院病人
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紫癜性肾炎患儿纤维蛋白原与国际小儿肾脏病研究组病理分级及肾单位微观病变的关系研究
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作者 高敏 丁樱 +5 位作者 吴瑞红 代彦林 徐炎 韩姗姗 黄岩杰 杨晓青 《中国全科医学》 CAS 2024年第20期2491-2497,共7页
背景 临床中紫癜性肾炎(HSPN)患儿多存在纤维蛋白原(FIB)升高现象,但FIB与肾脏病变相关性的研究较少。目的 探讨HSPN患儿FIB与国际小儿肾脏病研究组(ISKDC)病理分级及肾单位部分微观病理变化的相关性,明确FIB能否评估HSPN患儿肾损伤轻... 背景 临床中紫癜性肾炎(HSPN)患儿多存在纤维蛋白原(FIB)升高现象,但FIB与肾脏病变相关性的研究较少。目的 探讨HSPN患儿FIB与国际小儿肾脏病研究组(ISKDC)病理分级及肾单位部分微观病理变化的相关性,明确FIB能否评估HSPN患儿肾损伤轻重。方法 收集2017年12月—2022年12月在河南中医药大学第一附属医院儿科医院肾病病区住院同时行肾活检的HSPN患儿922例,汇总其做肾活检期间的临床信息、FIB及肾脏病理信息,并依据FIB水平将患儿分为A组(偏低)<2.38 g/L、B组(标准)2.38~4.98 g/L、C组(偏高)>4.98 g/L。采用Spearman秩相关分析探究FIB与ISKDC病理分级、肾小球系膜增生比例、新月体增生比例及肾小球急慢性病变情况的相关性;再通过受试者工作特征(ROC)曲线分析FIB对肾单位微观病理变化的预测情况。结果 922例已做肾活检的HSPN患儿中,FIB为(3.48±1.01)g/L。A组113例,FIB偏低率占12.26%;B组734例,FIB标准率占79.61%;C组75例,FIB偏高率占8.13%。ISKDC病理分级中Ⅱa型173例(18.76%)、Ⅱb型29例(3.15%)、Ⅲa型466例(50.54%)、Ⅲb型232例(25.16%)、Ⅳ型及以上22例(2.39%)(其中Ⅳa型2例,Ⅳb型18例,Ⅴ型2例)。Spearman秩相关分析结果显示,HSPN患儿FIB及FIB分组与肾脏病理ISKDC分级(r_(s)=0.146,P<0.001;r_(s)=0.129,P<0.001)呈正相关性。922例HSPN患儿中有911例(98.80%)存在系膜细胞增生,655例(71.04%)存在新月体增生。Spearman秩相关分析结果显示,FIB、FIB分组均与系膜细胞增生率呈弱正相关性(r_(s)=0.092,P=0.005;r_(s)=0.096,P=0.003),与新月体增生率呈正相关性(r_(s)=0.132,P<0.001;r_(s)=0.830,P=0.012)。922例HSPN患儿中肾小球急性病变763例(82.75%)、急慢性病变97例(10.52%)、慢性病变62例(6.73%)。HSPN患儿FIB与肾小球病变的急慢性情况呈正相关(r_(s)=0.145,P<0.001)。同时,HSPN患儿部分肾活检指标FIB比较,差异有统计学意义(P<0.05)。ROC曲线显示,FIB对肾小球硬化的灵敏度最高(灵敏度=0.900,特异度=0.303),FIB最佳截断值为2.835 mg/L;FIB对小管间质纤维化正向预测的ROC曲线下面积(AUC)=0.623,对小管细胞颗粒变性反向预测的AUC=0.641。结论 FIB可作为一项反映HSPN患儿肾脏病理变化轻重的实验室检查指标,能反映肾脏病理分级的轻重,与肾小球硬化、球囊粘连等肾单位微观指标关系密切,可协助临床诊断和治疗。 展开更多
关键词 肾炎 紫癜性肾炎 病理分级 凝血指标 纤维蛋白原
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