中华老年医学杂志最新文献_第6页

Drug treatment of psychotic symptoms and agitation behavior in patients with dementia 痴呆患者精神病症状和激动行为的药物治疗

中华老年医学杂志 Pub Date : 2019-11-14 DOI: 10.3760/CMA.J.ISSN.0254-9026.2019.11.004

Lijun Jiang

引用次数: 0

Effect of Rosuvastatin on fasting plasma glucose after coronary stent implantation in elderly patients 瑞舒伐他汀对老年冠状动脉支架植入术后空腹血糖的影响

中华老年医学杂志 Pub Date : 2019-11-14 DOI: 10.3760/CMA.J.ISSN.0254-9026.2019.11.006

Fangfang Wu, Xiaoyan Zhao, Jin-li Zhang, Zhengrong Li, Yuqiang Wang, Tao Tian

{"title":"Effect of Rosuvastatin on fasting plasma glucose after coronary stent implantation in elderly patients","authors":"Fangfang Wu, Xiaoyan Zhao, Jin-li Zhang, Zhengrong Li, Yuqiang Wang, Tao Tian","doi":"10.3760/CMA.J.ISSN.0254-9026.2019.11.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.11.006","url":null,"abstract":"Objective \u0000To investigate the effect of Rosuvastatin on fasting plasma glucose after coronary stent implantation in elderly patients with non-diabetes mellitus. \u0000 \u0000 \u0000Methods \u0000A total of 216 non-diabetic elderly patients undergoing coronary stent implantation in our hospital from November 2015 to April 2018 were enrolled, with a follow-up in the cardiovascular department after discharge from the Hospital.The demographic data, follow-up time, and laboratory results at hospital admission and the last outpatient visit were collected retrospectively. \u0000 \u0000 \u0000Results \u0000At the end of follow-up, Fasting plasma glucose(FPG)was increased in 191 patients with normal baseline FPG level as compared with the baseline level(t=-3.783, P=0.000). The incidence of new-onset diabetes was higher in the pre-diabetes group than in the normal blood glucose group(24.0% vs.2.6%, χ2=16.72, P=0.000). \u0000 \u0000 \u0000Conclusions \u0000Rosuvastatin increases fasting blood glucose levels in elderly non-diabetic patients after coronary stent implantation.Pre-diabetes may increase the risk for rosuvastatin-associated new-onset diabetes. \u0000 \u0000 \u0000Key words: \u0000Coronary artery disease; Blood glucose","PeriodicalId":9997,"journal":{"name":"中华老年医学杂志","volume":"38 1","pages":"1216-1219"},"PeriodicalIF":0.0,"publicationDate":"2019-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42794796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of efficacy of active forced-air warming for preventing perioperative hypothermia between the elderly and young patients 主动强制空气加热预防老年和青年围手术期低体温的疗效比较

中华老年医学杂志 Pub Date : 2019-11-14 DOI: 10.3760/CMA.J.ISSN.0254-9026.2019.11.022

Wenping Peng, Shun Huang, Ning Yang

{"title":"Comparison of efficacy of active forced-air warming for preventing perioperative hypothermia between the elderly and young patients","authors":"Wenping Peng, Shun Huang, Ning Yang","doi":"10.3760/CMA.J.ISSN.0254-9026.2019.11.022","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.11.022","url":null,"abstract":"Objective \u0000To observe whether the active forced-air warming has the same efficacy on the prevention of perioperative hypothermia in the elderly as compared with young patients. \u0000 \u0000 \u0000Methods \u0000This was a prospective, randomized, controlled clinical trial.Forty patients scheduled for abdominal surgery under general anesthesia were allocated to two groups: the elderly group and the young group(n=20, each). All patients received active forced-air warming at 20-30 min before induction of anaesthesia till leaving the operation room.Blood products and peritoneal lavage fluids were warmed to 37℃, and other intravenous fluids were at room-temperature.The core temperatures were recorded after entering the operation room(baseline), before induction of anaesthesia, at 15 min intervals after induction of anaesthesia, at the end of surgery and before leaving the operation room.The postoperative shivering and adverse reactions were also recorded. \u0000 \u0000 \u0000Results \u0000The core temperature was lower in elderly patients than in young patients at baseline and at each time points after 30 min of induction of anaesthesia(P<0.05). In elderly patients, the core temperature was significantly lower before leaving operation room than at the baseline(t=2.353, P=0.03), but in young patients, no significant difference was found in the core temperature between at the baseline and before leaving operation room(t=0.233, P=0.818). The incidence of intra-operative hypothermia was higher in elderly patients than in young patients(40.0% or 8/20 vs.5.0% or 1/20, c2=7.025, P=0.008). \u0000 \u0000 \u0000Conclusions \u0000During abdominal surgery under general anesthesia, active forced-air warming cannot effectively prevent perioperative hypothermia in elderly patients as compared with young patients. \u0000 \u0000 \u0000Key words: \u0000Anesthesia, general; Body temperature regulation","PeriodicalId":9997,"journal":{"name":"中华老年医学杂志","volume":"38 1","pages":"1282-1284"},"PeriodicalIF":0.0,"publicationDate":"2019-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46897537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics of intestinal flora in the elderly patients with coronary heart disease versus coronary heart disease-complicated heart failure 老年冠心病患者与冠心病合并心力衰竭患者肠道菌群的特点

中华老年医学杂志 Pub Date : 2019-11-14 DOI: 10.3760/CMA.J.ISSN.0254-9026.2019.11.007

Li Feixiang, Zhao Yang

{"title":"Characteristics of intestinal flora in the elderly patients with coronary heart disease versus coronary heart disease-complicated heart failure","authors":"Li Feixiang, Zhao Yang","doi":"10.3760/CMA.J.ISSN.0254-9026.2019.11.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.11.007","url":null,"abstract":"Objective \u0000To investigate characteristics of intestinal flora in elderly patients with coronary heart disease (CHD) versus CHD plus complicated heart failure (HF). \u0000 \u0000 \u0000Methods \u0000The 80 CHD patients admitted into our hospital from April 2017 to April 2018 were consecutively enrolled in this prospective study.They were divided into the CHD group (without HF, n=40) and the HF group (CHD plus HF, n=40), and 40 healthy elderly people taking health examination during the same period were considered as the control group.The 0.5 g stool specimen from each observer was collected.The specific DNA fragments of 16S rDNA/18S rDNA/ITS/ function genes were amplified, the Polymerase Chain reaction(PCR)amplified products were sequenced by Illumina Genome Analyzer IIx.And the sequencing results were followed by Read splicing, OTU clustering, alpha diversity analysis and species diversity analysis.Finally, the sample species information was obtained. \u0000 \u0000 \u0000Results \u0000The mean abundances of gut microflora in CHD group and in HF group were lower than in control group (P<0.05). The abundance of phylum bacteroidetes was higher in the control group (66.41±3.25)% than in the CHD group (45.21±9.07)% and in HF groups (27.29±13.27)%(P<0.05). And the abundance of phylum firmicutes was lower in the control group than in the CHD and HF groups (P<0.05). LEfSe analysis showed that the flora with high abundances in the healthy elderly group were mainly Bacteroides, Bacteroidia and Bacteroidales.Ruminococcus and Clostridium occurred mainly in the CHD group, and Firmicutes and Enterobacte occurred mainly in CHD plus heart failure group. \u0000 \u0000 \u0000Conclusions \u0000The intestinal flora disturbance occurs in elderly patients with coronary heart disease or CHD with heart failure. \u0000 \u0000 \u0000Key words: \u0000Coronary artery disease; Heart failure; Bacteria; Gastrointestinal tract","PeriodicalId":9997,"journal":{"name":"中华老年医学杂志","volume":"38 1","pages":"1220-1222"},"PeriodicalIF":0.0,"publicationDate":"2019-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43489660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Comparison of the clinical effects among single-incision laparoscopic appendectomy, laparoscopic appendectomy and open appendectomy in elderly patients with acute appendicitis 单切口腹腔镜阑尾切除术、腹腔镜阑尾切除术及开放式阑尾切除术治疗老年急性阑尾炎的临床效果比较

中华老年医学杂志 Pub Date : 2019-11-14 DOI: 10.3760/CMA.J.ISSN.0254-9026.2019.11.018

Jian Feng, N. Cui

{"title":"Comparison of the clinical effects among single-incision laparoscopic appendectomy, laparoscopic appendectomy and open appendectomy in elderly patients with acute appendicitis","authors":"Jian Feng, N. Cui","doi":"10.3760/CMA.J.ISSN.0254-9026.2019.11.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.11.018","url":null,"abstract":"Objective \u0000To compare the clinical effects among single-incision laparoscopic appendectomy(SILA), laparoscopic appendectomy(LA)and open appendectomy(OA)in the treatment of elderly patients with acute appendicitis. \u0000 \u0000 \u0000Methods \u0000A total of 98 consecutive elderly patients undergoing appendectomy in our hospital from November 2014 to December 2016 were retrospectively selected.Among them, 31 patients underwent SILA, 35 underwent LA and 32 underwent OA.The operation time, the first exhaust time after operation, length of hospital stay, Numerical Rating Scale(NRS)pain score, wound infection rate and incidence of postoperative complications were compared between the three groups. \u0000 \u0000 \u0000Results \u0000The postoperative venting time and length of hospital stay were shorter, NRS was less, wound infection rate and incidence of postoperative complications were lower in the SILA and LA groups than in the OA group[(21.5±5.2) h, (22.1±5.4) h vs.(24.8±5.8) h, (4.5±1.3) d, (4.8±1.4) d vs.(9.4±1.5) d, (3.7±0.5), (4.1±0.7) vs. (6.3±0.9), 0%, 0% vs. 12.5%, 9.7% or 3/31, 14.3% or 5/35 vs. 43.8% or 14/32, respectively, P<0.05), while the operative time was less in the LA and OA groups than in the SILA group(45.4±10.5) min, (48.6±1.4) min vs.(73.2±12.3)min, P<0.05). The incision NRS pain score was lower in the SILA group than in the LA and OA groups(3.7±0.5 in SILA vs.4.1±0.7 in LA vs. 6.3±0.9 in OA, P<0.05). \u0000 \u0000 \u0000Conclusions \u0000LA has advantages of less trauma, less pain, quicker recovery, fewer complications and beautiful incisions.SILA has less pain than LA, but needs longer operative time.SILA is worthy of promotion in the treatment of acute appendicitis especially in the elderly, but still needs further improvement. \u0000 \u0000 \u0000Key words: \u0000Appendicitis; Laparoscope; Appendectomy","PeriodicalId":9997,"journal":{"name":"中华老年医学杂志","volume":"38 1","pages":"1266-1269"},"PeriodicalIF":0.0,"publicationDate":"2019-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43832117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of transverse colon artery malformation with multiple digestive tract diseases 横结肠动脉畸形合并多发性消化道疾病1例

中华老年医学杂志 Pub Date : 2019-11-14 DOI: 10.3760/CMA.J.ISSN.0254-9026.2019.11.027

Li Zhang, G. Shi, Lianguo Fu

引用次数: 0

Correlation between nonalcoholic fatty liver disease fibrosis score and unstable plaques of carotid in elderly patients with nonalcoholic fatty liver disease 老年非酒精性脂肪肝患者颈动脉不稳定斑块与非酒精性肝纤维化评分的相关性

中华老年医学杂志 Pub Date : 2019-11-14 DOI: 10.3760/CMA.J.ISSN.0254-9026.2019.11.014

Yanan Wei, L. Deng

{"title":"Correlation between nonalcoholic fatty liver disease fibrosis score and unstable plaques of carotid in elderly patients with nonalcoholic fatty liver disease","authors":"Yanan Wei, L. Deng","doi":"10.3760/CMA.J.ISSN.0254-9026.2019.11.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.11.014","url":null,"abstract":"Objective \u0000To investigate the correlation between nonalcoholic fatty liver disease(NAFLD)fibrosis score(NFS)and unstable plaques of carotid in elderly NAFLD patients. \u0000 \u0000 \u0000Methods \u0000The clinical and carotid plaques data of 191 elderly(≥60 years old)admitted into our department between July 2016 and January 2018 were retrospectively collected.With NFS 0.676 as a cut-off point, the patients were divided into a liver fibrosis group(NFS ≥0.676, n=65)and a non-liver fibrosis group(NFS<0.676, n=126). Based on quartiles of NFS, the patients were divided into four groups: the Q1 group(NFS<-0.865, n=48), the Q2 group(-0.865≤NFS<0.100, n=48), the Q3 group(0.1≤NFS<1.070, n=47), the Q4 group(NFS≥1.070, n=48). The correlation of NFS with the property of carotid plaques was analyzed. \u0000 \u0000 \u0000Results \u0000The detection rate of unstable carotid plaques was increased along with the increase of NFS(F=8.573, P=0.004). The detection rate of unstable carotid plaques was higher in the liver fibrosis group than in the non-liver fibrosis group(78.5% or 51/65 vs.60.3% or 76/126, χ2=5.883, P=0.015). Multiple logistic regression analysis showed that liver fibrosis(NFS≥0.676)was independently correlated with unstable carotid plaques(β=0.816, 95%CI: 1.110~4.607, OR=2.261, P=0.025)after adjusting for possible confounding factors including age, gender, diabetes mellitus, hypertension, total cholesterol, triglyceride, high-density lipoprotein, low-density lipoprotein. \u0000 \u0000 \u0000Conclusions \u0000NFS is correlated with unstable carotid plaques in elderly NAFLD patients, and the higher NFS is the independent risk factor for unstable carotid plaques for elderly NAFLD patients with NFS higher than 0.676.We should pay more attention to the evaluation of unstable carotid plaques. \u0000 \u0000 \u0000Key words: \u0000Fatty liver; Liver cirrhosis; Carotid arteries","PeriodicalId":9997,"journal":{"name":"中华老年医学杂志","volume":"38 1","pages":"1251-1253"},"PeriodicalIF":0.0,"publicationDate":"2019-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46313857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of probiotics on gut microflora, immune function and inflammatory index in patients with critical cerebral infarction 益生菌对危重脑梗死患者肠道菌群、免疫功能和炎症指数的影响

中华老年医学杂志 Pub Date : 2019-11-14 DOI: 10.3760/CMA.J.ISSN.0254-9026.2019.11.013

Cuiping Zhou, Jiaqi Liu, D. Gao, Fang Liu

{"title":"Effects of probiotics on gut microflora, immune function and inflammatory index in patients with critical cerebral infarction","authors":"Cuiping Zhou, Jiaqi Liu, D. Gao, Fang Liu","doi":"10.3760/CMA.J.ISSN.0254-9026.2019.11.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.11.013","url":null,"abstract":"Objective \u0000To observe the effects of probiotics on gut microecology, immune function, and inflammatory index in patients with critical cerebral infarction. \u0000 \u0000 \u0000Methods \u0000A total of 70 patients with critical cerebral infarction treated in our hospital from January 2015 to January 2019 were retrospectively studied.They were randomly divided into a control group(n=35)receiving routine treatment and an observation group(n=35)receiving routine treatment added to capules containing live Bifidobacterium, Lactobacillus, and Enterococcus for 4 weeks.The changes of gut microflora, immune function and inflammatory index were compared between the two groups. \u0000 \u0000 \u0000Results \u0000The number of Bifidobacterium, Lactobacillus, and Enterococcus colonies were significantly increased and the colony count of yeast was decreased in the observation group after treatment versus pre-treatment(P 0.05). The level of CD4+ and CD4+/CD8+ ratio were significantly higher in observation group than in the control group(P<0.05), and the level of CD8+ was lower in observation than in the control group(P<0.05)after treatment.The levels of hemoglobin(Hb), total protein(TP), albumin(Alb), interleukin(IL)-6 and tumor necrosis factor(TNF)were decreased in the two groups, but the decrement of the levelsof IL-6 and TNF was more marked in the observation group than in the control group(P<0.05), However, the levels of Hb, TP, A1b in the observation group were lower tan those in te control group(all P<0.05). \u0000 \u0000 \u0000Conclusions \u0000Probiotics can significantly improve the intestinal flora and immune function, release the deterioration of nutritional status, and inhibit the inflammatory response in patients with critical cerebral infarction, which is worthy of clinical promotion. \u0000 \u0000 \u0000Key words: \u0000Brain infarction; Immune function; Inflammation","PeriodicalId":9997,"journal":{"name":"中华老年医学杂志","volume":"38 1","pages":"1247-1250"},"PeriodicalIF":0.0,"publicationDate":"2019-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49319754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

One case of familial neuronal intranuclear inclusion disease presenting with paroxysmal disturbance of consciousness 家族性神经元核内包涵体病伴阵发性意识障碍1例

中华老年医学杂志 Pub Date : 2019-11-14 DOI: 10.3760/CMA.J.ISSN.0254-9026.2019.11.028

Q. Tong, X. Tian, Xiaofeng Zhu, Jinlong Zheng

引用次数: 0

Relationship of common mood and behavioral symptoms with cognitive disorders in the elderly: Latest research progression 老年人常见情绪和行为症状与认知障碍的关系:最新研究进展

中华老年医学杂志 Pub Date : 2019-11-14 DOI: 10.3760/CMA.J.ISSN.0254-9026.2019.11.003

Huali Wang, N. Zhang, Xiancang Ma, Heng-ge Xie, Xin-yu Yu

引用次数: 0