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find Author "程雄" 5 results
  • 德阳地区健康体检人群中甲状腺功能检查的结果分析

    目的 了解德阳地区健康体检人群中甲状腺功能检查(甲功)的异常情况,并分析异常类型及人群分布特点。 方法 收集医院体检中心2014年1月-9月体检人群的甲功检查报告,结合体检者个人信息,对甲功指标游离三碘甲状腺原氨酸、游离甲状腺素、促甲状腺素和抗体指标抗甲状腺球蛋白抗体(TgAb)、促甲状腺激素受体抗体(TRAb)、抗甲状腺过氧化物酶抗体(TPOAb)进行统计分析。 结果 在1 220例体检人群中,甲功指标异常201例(16.48%);临床甲功异常[甲状腺功能亢进症(甲亢)+甲状腺功能减退(甲减)]检出率为1.14%,亚临床甲功指标异常(亚临床甲亢+亚临床甲减)检出率15.33%。甲功指标异常者中57.71%合并抗体指标阳性;1 019例甲功正常者中抗体指标异常183例(17.96%),其中抗体指标阳性率由高到低分别为TPOAb 9.62%、TgAb 8.24%、TRAb 4.12%。甲功指标异常在40~49岁年龄段检出率最高,达18.48%。 结论 德阳地区健康体检人群中甲功检查异常检出率较高,健康体检能及时发现亚临床甲功异常,尤其应该注重40~49岁人群的甲功检查。

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  • 德阳地区妊娠妇女甲状腺功能及自身抗体检测结果分析

    目的了解德阳地区妊娠妇女甲状腺功能(甲功)异常的发病率及甲状腺自身抗体的阳性率,为妊娠期甲功异常的早期诊断和干预提供依据。 方法选取2014年3月-9月在德阳市人民医院产科门诊就诊的妊娠妇女2 062例作为研究对象,采用电化学发光免疫分析技术检测促甲状腺素(TSH)、游离甲状腺素(FT4)及抗甲状腺过氧化物酶抗体(TPOAb),根据甲功指标分为甲功异常组和甲功正常组。 结果2 062例妊娠妇女中,甲功异常组688例,占33.4%,分别为亚临床甲状腺功能减低(甲减)511例(24.78%),临床甲减114例(5.53%),亚临床甲状腺功能亢进(甲亢)38例(1.84%),临床甲亢25例(1.21%)。甲功异常组和甲功正常组TPOAb阳性率分别为17.73%(122/688)、8.73%(120/1 374),差异有统计学意义(χ2=30.839,P<0.001)。按临床甲减、亚临床甲减、亚临床甲亢、临床甲亢的顺序TPOAb阳性率有增高的趋势(χ2趋势=11.600,P=0.001)。 结论德阳地区妊娠妇女甲功异常发生率较高,主要为亚临床甲减,较多合并自身抗体异常。将甲功及抗体检测纳入孕期检查,有利于减少甲状腺疾病对孕妇和胎儿的危害。

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  • The Practice of an Urban Public Hospital Using "Internet Thinking" to Proceed the Reform

    There are more than 6 800 urban public hospitals in China, which are the main subject of our country's medical service, but the process and efficiency need to be improved because of the siphon effect of resources and the limit of service scope. The use of internet thinking and technology will solve this problem effectively. Based on the fact, Deyang People's Hospital planned "internet+" system according to the requirement of the medical and health system reform, to solve the problems such as service efficiency, doctor-patient communication, multi-spot disciple, hierarchical medical system, delicacy management, etc. Through the concrete practice of elevating the efficiency of outpatient and emergency care services, it is recognized that the application of internet thinking and technology can not only accelerate the medical and health system reform, but also subvert the traditional medical pattern, integrate the regional medical resource, and enlarge the scope of medical services. It provides a sharp weapon to push forward the reform of urban public hospitals.

    Release date:2016-10-28 02:02 Export PDF Favorites Scan
  • Volunteer Organization and Management of Front-line Hospital of Grade III Level A in Wenchuan Earthquake

    Objective To summarize the organization management and performance of volunteers taking part in the medical succor in People’s Hospital of Deyang City after 2 weeks of Wenchuan earthquake, in order to provide some reference for public health events in the future. Method Collecting some basic information, job flowing, workload, and management system of volunteers in the hospital from 12th to 26th, May, 2008, and so on, and then using Microsoft EXCEL to set up database for general analysis, in order to summarize management’s characteristics of volunteer organization and effects in hospital medical rescue. Result There are 6 838 persons that took part in the volunteer work, and this work can be divided into 3 phases according to the difference of the organization and management methods, they are 1 day later, 2-3 days later, 4-14 days later after earthquake. These volunteers assisted hospital finishing rescue, treatment and nursing for more than 1 870 wounded persons, transferring more than 441 wounded persons, and some works of logistic service, epidemic situation prevention and control, mentality intervention. Conclusion Different work tasks in different phases for volunteers after 2 weeks earthquake. Organizing and managing volunteers in different phases according to different work tasks to benefit the work performance.

    Release date:2016-09-07 02:09 Export PDF Favorites Scan
  • Organizing and Commanding the Medical Treatment of 1950 Injured Patients at the People’s Hospital of Deyang City following the Wenchuan Earthquake

    Objective To analyze data for 1950 injured patients in the People’s Hospital of Deyang City following the Wenchuan earthquake, to provide relavent evidence to inform future decision-making in relation to establishing and improving frontline hospitals in disaster areas. Methods The basic situation of the wounded inpatients and the total situation of medical rescue were analyzed with data provided by the Department of Information at the hospital from May 12th to July 12th 2008. Microsoft EXCEL was used for data input and SPSS 11.0 was used for statistical analysis. Results By July 12th, a total of 1950 injured patients and 1378 inpatients had been treated in the hospital. Most inpatients were treated during the first week after the earthquake (about 65.6%), with the number of the inpatients reaching a peak of 703 on the first day, May 12th. The majority of the wounded inpatients were from the Mianzhu, Shifang and Jingyang districts of Deyang city. The diagnosis on admission included fracture (45.9%), craniocerebral injury (20.9%) and thoracoabdominal injury (14.7%). There were 48 deaths including 30 pre-hospital deaths, 10 emergency deaths and 8 inpatient deaths. There were 441 patients who were transported and transferred to the 2nd and 3rd hospitals from the People’s Hospital of Deyang City, which was the first hospital to organize the large-scale transporting of patients in the whole province. There were 1378 inpatients from the disaster area and 726 healthcare workers were sent to the disaster area to provide medical rescue. Psychological treatment was provided to more than 5000 inpatients, inhabitants, healthcare workers and army members. Conclusion  The People’s Hospital of Deyang City successfully has accomplished a difficult task as the hospital nearest to the disaster area and played an important role during emergency medical rescue.

    Release date:2016-09-07 02:09 Export PDF Favorites Scan
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