论著

广州市公职人员眼睑黄色瘤患病情况及影响因素分析

Xanthelasma palpebrarum in Guangzhou government employees:Prevalence and risk factors

:500-506
 
      目的 探讨广州市公职人员中眼睑黄色瘤(XP)患病情况与生化检验指标异常的相关性。方法 从2018年来广州市干部和人才健康管理中心体检的公职人员中选取1 090例,其中筛选患XP人员545例,作为病例组,依性别、年龄分层随机抽取的未患XP的人员作为对照组,测定空腹血糖、血脂、甲状腺功能等生化指标,采用回顾性病例对照研究的方式,比较两组相关指标水平。P<0.05为差异有统计学意义。结果 XP的患病率为0.94%(男性为0.89%,女性为1.01%)。男性和女性的XP患病率比较差异无统计学意义(χ2=2.142,P=0.143)。两组间体质量、舒张压、血脂等多项指标上的差异具有统计学意义(P<0.05)。高体质量(OR=1.021,95%CI:1.004~1.038,P=0.017)、高舒张压(OR=1.019,95%CI:1.004~1.035,P=0.011)、低高密度脂蛋白(OR=6.127,95%CI:2.568~14.619,P<0.001)、高低密度脂蛋白(OR=2.084,95%CI:1.456~2.981,P<0.001)是患病的危险因素。结论 广州市公职人员中XP的患病率男性和女性接近;高体质量、高舒张压、高密度脂蛋白水平降低、低密度脂蛋白水平升高是患XP的危险因素。
   Objective To investigate the correlation between xanthelasma palpebrarum(XP)and abnormal biochemical indices in healthy individuals in Guangzhou,China.Methods A retrospective case-control study was conducted,selecting 1 090 individuals from a total of 58 053 who underwent health examinations at the Guangzhou Cadre and Talent Health Management Centre in 2018.The case group consisted of 545 individuals diagnosed with XP,while the control group included age- and sex-matched individuals without XP,randomly selected from the same database.Biochemical indices analyzed included fasting blood glucose,blood lipids,liver and kidney function,thyroid indicators,body weight,and blood pressure.Statistical significance was set at P<0.05.Results The prevalence of XP was 0.94%(0.89% in men and 1.01% in women).No significant difference was observed in the prevalence of XP between men and women(χ2=2.142,P=0.143).Similarly,no significant differences were observed in thyroid-stimulating hormone(P=0.937),free triiodothyronine(P=0.216),free thyroxin(P=0.206),or fasting blood glucose levels(P=0.668)between the case and control groups.However,significant differences were noted in body weight,diastolic blood pressure,blood lipid levels,and liver and renal biochemical indicators between the two groups(P<0.05).Specifically,higher body weight(OR=1.021,95%CI:1.004–1.038,P=0.017),higher diastolic blood pressure(OR=1.019,95%CI:1.004–1.035,P=0.011),lower high-density lipoprotein(OR=6.127,95%CI:2.568–14.619,P<0.001),and higher low-density lipoprotein(OR=2.084,95%CI:1.456–2.981,P<0.001)were identified as risk factors for XP.Conclusions The prevalence of XP did not differ between males and females.However,high body weight,high diastolic blood pressure,low high-density lipoprotein,and high low-density lipoprotein are risk factors for XP.


论著

广州市某三甲医院老年住院患者服务需求现状及影响因素分析

Current status and influencing factors of elderly patients’ service needs in Guangzhou

:1736-1744
 
       目的   调查老年人照护服务需求现状并分析其影响因素,为构建基于需求为导向的老年照护服务体系提供参考依据。方法  采用便利抽样法,选取广州市某三甲医院212名老年人作为调查对象,采用日常生活能力量表、Fried衰弱评估量表及自行编制的老年人需求评估问卷进行调查。结果   老年人对运动与营养(1.96±0.90分)、心理慰藉(2.63±0.85分)、安宁服务(2.73±1.07分)的需求水平较高。多因素线性回归分析结果显示养老方式、日常生活活动能力、爱好数量、性别、衰弱等级、有无主要照顾者是照护服务需求的影响因素(P均<0.05),可解释61.5%的变异量。   老年人的照护服务需求受多种因素的影响。应根据老年人的不同特征,构建供需匹配的多元化,多层次照护体系。
       Objective  To investigate the status quo of care service needs of the elderly and analyze its influencing factors,so as to provide a reference for the construction of a needs-oriented care service system for the elderly.Methods  A total of 212 elderly people from a tertiary hospital in Guangzhou were selected by convenience sampling method and investigated with the Activity of Daily Living scale,Fried frailty scale and the self-designed elderly needs assessment questionnaire.Results  Elderly patients had higher demands for exercise,nutrition,psychological comfort and hospice services.The results of multivariate analysis showed that the influencing factors of care service demand included pension style,activities of daily living,number of hobbies,gender,frailty level,and having main caregivers(all P<0.05),which could explain 61.5% of the variation.Conclusions  The care needs of elderly patients are affected by many factors.A diversified and multi-level care system with matching supply and demand should be constructed according to the different characteristics of the elderly.
论著

广州番禺地区鹦鹉热衣原体肺炎的临床特征及疗效分析

Clinical characteristics and treatment efficacy of Chlamydia psittaci pneumonia in Panyu district of Guangzhou

:1574-1580
 
        目的   分析广州番禺地区鹦鹉热衣原体肺炎患者临床表现、实验室及胸部CT特征、并发症以及治疗方案,为其临床诊治提供参考。方法   回顾性分析2022年1月—2024年7月在广州市番禺区何贤纪念医院通过二代测序技术确诊的10例鹦鹉热感染患者的临床资料。结果  5例(5/10)患者有明确的鸟类或禽类接触史,8例(8/10)患者以发热为首发症状,发热(10/10)、咳嗽、咳痰(10/10)、呼吸困难(7/10)、相对缓脉(8/10)是主要临床表现。患者白细胞计数通常正常或轻微升高;多数患者存在有不同程度的电解质紊乱(10/10)及肝功能损伤(8/10)、乳酸脱氢酶升高(8/10),白蛋白显著降低(8/10)和C反应蛋白显著升高(10/10)。最常见的胸部CT异常为多肺叶受累的斑片状或片状实变,而重症患者多合并双侧胸腔积液。大多数患者经四环素或喹诺酮类单用,或者四环素联用β-内酰胺类抗菌药物治疗,预后良好。结论   有鸟类或禽类接触史、以发热为首发或主要症状、存在相对缓脉、白细胞计数升高不明显等临床特征可有助于区分鹦鹉热衣原体肺炎与其他传统细菌性肺炎,但这并不能确诊。二代测序技术是确诊鹦鹉热衣原体感染的很好方法,可以缩短诊断延误时间并改善患者预后。
       Objective  To describe the clinical,laboratory and chest CT characteristics as well as the complications and treatments of Chlamydia psittaci pneumonia patients in Panyu district of Guangzhou,to provide  reference for clinical diagnosis and treatment.Methods  A retrospective study was conducted on the clinical characteristics of Chlamydia psittaci pneumonia patients who were diagnosed by next-generation sequencing in Panyu Hexian Memorial Hospital of Guangzhou form January 2022 to July 2024.Results  Half patients had a definite history of bird or poultry exposure.Fever(100%),cough,sputum(100%),dyspnea(70%),relative bradycardia(80%)were the main clinical presentation.The total white cell counts were usually normal or slightly increased.Most patients had electrolyte disturbance(100%),liver function impairment(80%),lactic dehydrogenase increased(80%),albumin decreased(80%)and C reactive protein increased remarkably(100%).The most common chest CT abnormality was patchy or flaky hyper densities and consolidation,bilateral pleural effusion was common in severe patients.All patient exhibited good recovery after being treated with tetracycline or quinolone alone,or tetracycline in combination with other antibiotics.Conclusions  These characteristics may help distinguish Chlamydia psittaci pneumonia from other traditional bacterial pneumonia,but they are not definitive.Next-generation sequencing may be a promising approach to confirm Chlamydia psittaciinfection,which can shorten the diagnostic delay time and improve the prognosis of patients.
专家共识

广州地区“港澳药械通”伦理审查共识

Consensus on ethical review of Hong Kong and Macao Drug and Medical Device Access in Guangzhou

:1467-1472
 
       为规范广州地区“港澳药械通”伦理审查工作,满足临床用药用械需求,保障患者用药用械安全,广州市医学会医学伦理分会、广州市医院协会“港澳药械通”工作专业委员会组织行业专家,结合相关政策法规要求与本地实践经验,广泛征求专家意见,经多次讨论,形成《广州地区“港澳药械通”伦理审查共识》。共识涵盖适用范围、术语和定义、伦理审查的原则、伦理审查的类别、伦理审查的流程、伦理审查的方式及多医疗机构申请的伦理审查等方面。共识旨在为广州地区“港澳药械通”指定医疗机构的伦理审查工作提供指导,统一审查标准,提高审查效率与质量,切实保护患者的合法权益,促进临床急需进口港澳药械的安全合理使用,从而促进粤港澳大湾区医疗健康事业发展。
       To standardize the ethical review process of the “Hong Kong and Macao Drugs and Medical Devices Access” in Guangzhou,meet the clinical demand for drugs and medical devices,and ensure the safety of patients’ use of drugs and medical devices,the Medical Ethics Branch of Guangzhou Medical Association and the “Hong Kong and Macao Drugs and Medical Devices Access” Professional Committee of Guangzhou Hospital Association organized industry experts,combined with  relevant policy and regulatory requirements and local practical experience,widely solicited expert opinions,the “Consensus on Ethical Review of Drugs and Medical Devices for Hong Kong and Macao in Guangzhou” were formed after several discussions.The consensus content covers aspects such as the scope of application,terms and definitions,principles of ethical review,categories of ethical review,procedures of ethical review,methods of ethical review,and Ethical Review for Multi-institutional Applications.The consensus aims to provide guidance for the ethical review work of designated medical institutions for the “Hong Kong and Macao Drugs and Medical Devices Access” in the Guangzhou area,unify the review standards,improve the efficiency and quality of the review,effectively protect the legitimate rights and interests of patients,promote the safe and rational use of clinically urgently imported medicines and medical devices Hong Kong Macao,and thereby promote the development of medical and health care in the Guangdong-Hong Kong-Macao Greater Bay Area.
论著

广州市越秀区青少年近视特点和危险因素分析

Analysis on the characteristics and risk factors of myopia among adolescents in Yuexiu District,Guangzhou

:541-547
 
目的 探讨广州市越秀区青少年近视特点和危险因素,为降低青少年近视发病率提供参考依据。方法 本项目采用分层随机整群抽样的研究方法,抽取分布于广州市越秀区2 774名青少年作为研究对象,根据近视检查情况将其分为近视组(n=1 657)与非近视组(n=1 117),通过问卷调查的方式,分析青少年近视整体现况、流行病学特征以及影响青少年近视发生、发展的相关行为和因素。结果 2 774名青少年中,1 657名近视,检出率为59.73%;其中女生为872名,多于男生的785名;幼儿园、小学生、初中生、高中生近视人数分别为20名、446名、484名、707名,呈升高趋势。学段、校内用眼环境、校外用眼环境、读写姿势、电子屏幕使用情况、近距离用眼情况、户外活动及睡眠情况、近视检查及矫治情况是广州市越秀区青少年近视的影响因素(P<0.05)。广州市越秀区青少年近视程度均与学段、校外用眼环境、电子屏幕使用情况、户外活动及睡眠情况、近距离用眼情况呈正相关(P<0.05),与校内用眼环境、读写姿势、近视检查及矫治情况呈负相关(P<0.05)。对不同预后组间存在统计学差异的因素进行Logistic多因素分析后得到,学段、校内用眼环境、校外用眼环境、读写姿势、电子屏幕使用情况、近距离用眼情况、户外活动及睡眠情况、近视检查及矫治情况是广州市越秀区青少年近视的相关影响因素(P<0.05)。结论 广州市越秀区青少年近视发生人群呈现高龄化,学段、校内用眼环境、校外用眼环境、读写姿势、电子屏幕使用情况、近距离用眼情况、户外活动及睡眠情况、近视检查及矫治情况是青少年近视的相关影响因素,建议加强组织学生到户外进行多种课间户外体育活动,同时鼓励家长在校外从自身做起,树立爱眼护眼好榜样,与学校共同保护孩子的视力。
Objective To explore the characteristics and risk factors of myopia among adolescents in Yuexiu District,Guangzhou,and to provide reference for reducing the incidence of myopia among adolescents.Methods This project adopted stratified random cluster sampling to select 2 774 adolescents distributed in Yuexu District,Guangzhou as the research objects,which were divided into myopia group(n=1 657)and non-myopia group(n=1 117)according to the myopic examination.Through questionnaire survey,the overall situation and epidemiological characteristics of myopia among adolescents in our district were comprehensively known,in order to explore the related behaviors and factors affecting the occurrence and development of myopia among adolescents in our district,explore reasonable intervention measures,and put forward scientific and effective myopia prevention and control technical means and strategies.Results Among 2 774 adolescents,1 657 were nearsighted(59.73%).Among them,872 were female and 785 were male.The number of myopia in kindergarten,primary school,middle school and high school students were 20,446,484 and 707 respectively,showing an increasing trend.School period,eyes use environment in school and outside school,reading and writing posture,situations of electronic screen use,close distance eye use,outdoor activities and sleep,myopia examination and correction were the relevant influencing factors on myopia of adolescents in Yuexui District of Guangzhou(P<0.05).The myopia degree of adolescents in Yuexiu District of Guangzhou was positively correlated with school period,out-of-school eyes use environment,electronic screen use,outdoor activities and sleep conditions,and close distance eyes use(P<0.05),and negatively correlated with in-school eyes use environment,reading and writing posture,myopia examination and correction conditions(P<0.05).After Logistic multivariate analysis of the factors with statistical difference between different prognostic groups,school period,eyes use environment in school and outside school,reading and writing posture,electronic screen use,close distance eyes use,outdoor activities and sleep conditions,myopia examination and correction were the relevant influencing factors on myopia of adolescents in Yuexui District of Guangzhou(P<0.05).Conclusions In Yuexiu District,Guangzhou,the population with myopia is gradually moving to a younger age.School period,eyes use environment in school and outside school,reading and writing posture,electronic screen use,close distance eyes use,outdoor activities and sleep condition,myopia examination and correction are the relevant influencing factors.It is recommended to strengthen the organization of students to go outdoors for a variety of outdoor sports activities between classes,while encouraging parents to set a good example of eye care outside the school and work with the school to protect their children’s eyesight.
医院管理

广州某三甲医院脑梗死住院费用及其影响因素分析

Analysis of hospitalization expenses and influencing factors of cerebral infarction in a tertiary general hospital in Guangzhou

:950-957
 
目的 分析广州某三甲医院脑梗死患者住院费用的变化以及影响因素,为有效减轻患者疾病经济负担提供参考依据。方法 提取广州某三甲医院2015—2022年出院诊断ICD-10前三位编码为I63的病案首页数据,并采用IBM SPSS 20.0软件对费用结构进行描述性统计分析,以多重线性回归分析患者住院费用的影响因素。结果 2015—2022年脑梗死患者的平均住院费用年均增长率为2.86%;费用结构以药品费为主,占比逐年下降,至2022年占比为27.74%,技术劳务性费用占比逐年增加,至2022年占比为47.41%;住院费用主要受医院感染情况、住院天数以及支付方式等因素影响(F=990.10,P<0.001)。结论 脑梗死患者的住院费用结构显著优化,但患者的疾病经济负担仍然较重,且费用受多种因素的综合影响。建议通过提高医疗质量与服务效能,并严格落实临床路径管理,减少不必要的检查以及耗材使用,以期最大程度地减轻患者的负担。
Objective To analyze the structural changes and influencing factors of the hospitalization expenses for patients with cerebral infarction in a tertiary general hospital in Guangzhou,and provide a scientific basis for reducing economic burden of the patients.Methods The front page data of medical records with the main diagnosis of I63 were collected in the sample hospital.Descriptive statistics analysis of hospitalization expenses structure and multiple linear regression analysis of the influencing factors were carried out by SPSS 20.0.Results The annual growth rate of average hospitalization expenses of cerebral infarction patients from 2015 to 2022 in the sample hospital was 2.86% per year.The highest proportion of hospitalization expenses was medicine fee,the proportion of which declined year by year with a minimum 27.74% in 2022.The proportion of technical labor costs accelerated year by year with a maximum 47.41% in 2022.This study revealed the main factors influencing hospitalization expenses were hospital internal infection or not,length of stay,payment method and so on(F=990.10,P<0.001).Conclusions The structure of hospitalization expenses for cerebral infarction patients was significantly optimized,but the economic burden of patients was still heavy affected by a combination of factors.In order to minimize the burden of patients,hospitals should improve medical quality and service efficiency and implement clinical pathway management strictly,to reduce unnecessary inspections and consumables.
论著

FRAX®评估广州社区中老年人群骨折风险的回顾性研究

A retrospective study of FRAX in predicting the fracture risk of senile people in Guangzhou community

:18-22
 
目的 应用FRAX®工具评估广州社区中老年人发生骨质疏松性骨折的风险。方法 回顾性研究1 140例广州社区中老年人的临床资料,应用FRAX®工具计算未来10年发生主要骨质疏松性骨折及髋部骨折的风险,分析不同危险因素与骨折风险的关系。结果 广州社区中老年人群10年内发生主要骨质疏松性骨折概率为(4.2±3.6)%,髋部骨折概率为(1.3±2.4)%。主要骨质疏松性骨折风险及髋部骨折风险、OSTA值均随着年龄增长而增加。多因素回归分析结果显示: 年龄、性别、既往骨折、继发性骨质疏松、股骨颈T值、跌倒对主要部位骨折及髋部骨折风险具有独立性预测意义。结论 FRAX®工具可用于评估广州社区中老年人骨质疏松性骨折风险,建议在社区中老年人健康体检时应用FRAX®工具进行骨折风险评估。
Objective To predict the osteoporotic fracture risk in senile people in Guangzhou communities by FRAX,the fracture risk assessment tool published by WHO. Methods Clinical data of 1140 cases were collected for the retrospective analysis. The FRAX tool was uesed to calculate the 10-year probability of a major osteoporotic and hip fracture.The relationship between different risk factors and the fracture risk predicted by FRAX was analyzed. Results The 10-year probability of major osteoporotic fractures was (4.2±3.6)%, and the 10-year probability of hip fractures was (1.3±2.4)%.The 10-year probability of the major osteoporotic and hip fracture increased with age.Multivariate regression analysis showed that age,gender,previous fracture,secondary osteoporosis,T-score of femoral neck BMD and fall were independent predictors of the 10-year probability of major osteoporotic fracture and hip fracture. Conclusion The FRAX tool may be effectively applied to assess the fracture risk of senile population in Guangzhou communities.We recommedated that FRAX-tool should be included in routine health check-up.
医院管理

广州市越秀区3所综合医院93例医疗损害责任纠纷案件法院审理浅析

Analysis of the court trial of 93 cases of medical damage liability disputes in three general hospitals in Yuexiu District,Guangzhou

:131-138
 
目的 对医疗损害责任纠纷案的法庭审理进行分析,探究医疗损害责任纠纷案件的处理现状,对此过程中医疗机构应当关注的问题进行分析总结,以期为医院应对医疗损害鉴定工作和法官审理医疗损害责任纠纷案提供参考。方法 对广州市三所综合医院2015—2021年共93例医疗损害责任纠纷案的判决书进行描述性分析。结果 93例案例中79例进行了医疗损害鉴定。79例进行医疗损害鉴定的案例中,71例鉴定结论被法院采信,采信率达90%。有29例案件鉴定人出庭(占比36.7%),其中有25例鉴定意见被法院采信,采信率为86.2%,仅有7例案例当事人申请了专家辅助证人出庭。医方大多数最终承担次要及以下责任,占比为73.4%。鉴定结论为责任范围的,法院最后判决偏向于取最高值和中间值(43例出具责任范围的案例中,14例为最高值,13例为中间值)。结论 医疗机构要充分加强对医疗事故技术鉴定和医疗损害鉴定的认识,高度重视医疗损害鉴定工作,尤其加强尸体解剖告知及病历书写管理,充分利用好鉴定人和专家辅助证人出庭两种手段。
Objective To analyze the court trial of medical damage liability disputes,to explore the current situation of medical damage liability disputes,to analyze and summarize the problems encountered in dealing with medical damage disputes,so as to provide some references for hospitals to deal with medical damage disputes.Methods Descriptive statistical analysis performed on the written judgment of 93 cases of medical damage liability disputes in three large comprehensive hospitals in Yuexiu District,Guangzhou from 2015 to 2021.Results In 93 cases,79 cases had expertise of medical malpractice.In 79 expertise,71 of them were adopted,and the acceptance rate was 90%.Among the 29 cases in which the appraisers appeared in court,25 expert opinions were accepted by the court,the acceptance rate was 86.2%.In only 7 cases,the parties applied for expert witnesses to appear in court.In most cases,hospitals ultimately took secondary and lower responsibilities,accounting for 73.4%.If the appraisal conclusion falls within the scope of responsibility,the court's final judgment tends to take the highest and middle values.Conclusions Medical institutions should fully strengthen their understanding of technical identification of medical accidents and medical malpractice identification.Attach great importance to the identification of medical malpractice,especially strengthen the management of autopsy notification and medical record writing,make full use of two methods:appraisers and experts witnesses appearing in court.
眼科专题:近视防控

广州荔湾区398例儿童FTD和PPA与眼轴长相关性研究

Study on the correlation between FTD and PPA with axial length in 398 children from Liwan district,Guangzhou

:18-25
 
目的 探讨眼底豹纹斑密度(FTD)及视盘旁萎缩弧(PPA)与眼轴长(AL)的相关性,为眼底定量化在儿童近视防控的应用提供科学依据。方法 本研究随机抽取广州市荔湾区两所小学三年级学生作为研究对象,在校园视力筛查的过程中同时采集AL、CR和眼底彩照。使用AI软件对眼底彩照进行量化分析,量化指标包括不同区域和范围的FTD及PPA面积大小,根据眼轴长度分为三组:A组(AL<23 mm);B组(23 mm≤AL<24 mm);C组(24 mm≤AL)。结果 共有398例右眼被纳入统计分析,年龄范围8~11岁,中位数是9岁,男性人数占55.1%。三组组间AL、AL/CR和SE比较均有统计学差异(P<0.05)。A组与B组相比,FTD在后极部整体范围、黄斑中心3 mm区域、黄斑中心3 mm区域上方区域具有统计学差异(P<0.05),C组与B组相比,PPA面积及FTD在后极部整体范围、视盘为中心4.5 mm范围、黄斑为中心直径3 mm和6 mm范围均具有统计学差异(P<0.05),Spearman相关性分析表明,AL与PPA(r=0.443)和FTD(r=0.322)呈正相关(P<0.001)。亚组相关性分析表明,A组仅黄斑为中心直径3 mm上方范围FTD与AL呈正相关(P=0.028),B组PPA、黄斑中心直径3 mm及其上方范围FTD与AL呈正相关(P<0.05),C组仅PPA与AL呈正相关(P=0.005)。结论 眼底定量对于儿童近视防控具有潜在价值,PPA和FTD与AL呈正相关性,不同区域和范围FTD与AL相关性具有一定差异性,黄斑中心直径3 mm范围及其上方范围与眼轴相关性最强。FTD在短眼轴阶段就可以作为生物标记物预测近视严重程度,而PPA主要在长眼轴阶段体现生物标记物的作用。
Objective To investigate the correlation between fundus tessellated density(FTD)and peripapillary atrophy(PPA)with axial length(AL),providing a scientific basis for the application of fundus quantification in the prevention and control of myopia in children.Methods This study randomly selected third-grade students from two primary schools in Liwan District,Guangzhou City,as research subjects.Axial length(AL),corneal radius(CR),and fundus color photographs were collected simultaneously during the school vision screening process.AI software was utilized to perform quantitative analysis on the fundus color photographs,with quantification indicators including the area size of PPA and FTD in different regions and ranges.Subjects were divided into three groups based on axial length:Group A(AL<23 mm);Group B(23 mm≤AL<24 mm);Group C(AL≥24 mm).Results A total of 398 right eyes were included in the statistical analysis,with an age range of 8 to 11,a median age of 9,and 55.1% were male.There were significant statistical differences in AL,AL/CR,and spherical equivalent(SE)among the three groups(P<0.05).Compared with Group B,Group A showed significant statistical differences in FTD in the overall posterior pole,the 3 mm diameter area centered on the fovea,and the superior area of the 3 mm foveal center(P<0.05).Compared with Group B,Group C showed significant differences in PPA area and FTD in the overall posterior pole,the 4.5 mm diameter area centered on the optic disc,and the 3 mm and 6 mm diameter areas centered on the fovea(P<0.05).Spearman correlation analysis indicated that AL was significantly positively correlated with PPA(r=0.443)and FTD(r=0.322)(P<0.001).Subgroup correlation analysis showed that in Group A,only the FTD in the superior area of the 3 mm diameter centered on the fovea was significantly positively correlated with AL(P=0.028).In Group B,PPA and FTD in the 3 mm diameter and superior area centered on the fovea were significantly positively correlated with AL(P<0.05).In Group C,only PPA was significantly positively correlated with AL(P=0.005).Conclusions Fundus quantification holds potential value for the prevention and control of myopia in children.PPA and FTD show significant positive correlations with AL,with varying degrees of correlation in different regions and ranges of FTD with AL.The 3 mm diameter area centered on the fovea and its superior area have the strongest correlation with the eye axis.FTD can serve as a biomarker to predict the severity of myopia in the early stages of eye axis elongation,while PPA primarily manifests as a biomarker in the later stages of elongation.
论著

广州地区某三甲医院急诊综合病区疾病谱分析与护理对策

Disease spectrum analysis and nursing countermeasures in Emergency Comprehensive Ward of a third class hospital in Guangzhou

:87-90
 
目的 了解急诊科综合病区患者疾病分类构成的特点,为护士进行有针对性的培训,并为合理调配护理人员提供依据。方法 对2020年1月—2021年12月我院急诊科综合病区收治的1 901例患者疾病分类、收治时间等进行回顾性调查分析。结果 研究期间急诊综合病区共收治患者1 901例,收治患者以呼吸系统的患者居多,占比47.71%;以循环系统疾病的患者平均发病年龄最高,为(66.434±11.691)岁;全年各月以1月、12月收治病人居多。结论 根据调查分析,有针对性地对护士进行呼吸系统疾病护理技能培训,并在收治高峰期,合理调配护理人员,实施弹性排班,保障患者安全,提高护理质量。
Objective To understand the characteristics of disease classification and composition of patients in Comprehensive Ward of Emergency Department, provide targeted training for nurses, and provide basis for rational deployment of nursing staff. Methods A total of 1 901 patients in the Comprehensive Ward of Emergency Department of our hospital from January 2020 to December 2021 were investigated and analyzed retrospectively according to different diseases and time of admission. Results A total of 1 901 patients were treated in the Emergency Comprehensive Ward during the study period. Most of the patients were with respiratory system disease, accounting for 47.71%. The average onset age of patients with circulatory diseases was the oldest, which was (66.434±11.691). Most patients were admitted in January and December. Conclusions According to the investigation and analysis, nurses should be trained with the skills of respiratory diseases nursing, nursing staff should be reasonably allocated and flexible shift should be scheduled during the peak period of admission, so as to ensure the safety of patients and improve the quality of nursing.
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