目的:慢性肾脏疾病中肾性高血压常见,危害大且不易控制,本文就临床护理实践进行总结。方法:肾性高血压患者男性82例,女性74例,予限水盐摄入,饮食疗法,休息与心理护理,以及合理的降压药治疗,加强观察等。结论:肾性高血压控制不佳者,在降压药使用基础上注意休息,控制水钠入量,并加强其心理治疗,解除心理负担,有利于控制血压。
ObjectiveTo analyze the disease burden and evolving trends for gastric cancer in China and worldwide from 1990 to 2021. MethodsBased on the 2021 Global Burden of Disease (GBD) database, we analyzed the burden of gastric cancer using indicators such as incidence, mortality, disability-adjusted life years (DALYs), years of life lost (YLLs), and years lost due to disability (YLDs). Joinpoint regression analysis was used to calculate the average annual percentage change (AAPC) of these indicators to show trends over time. ResultsIn 2021, the standardized incidence rate of gastric cancer was 14.33 (per 100 000) worldwide and 29.05 (per 100 000) in China, with corresponding standardized mortality rates of 11.20 (per 100 000) and 21.51 (per 100 000). The incidence and mortality rates of gastric cancer worldwide and in China gradually increased with age. Currently, in China, there was a notable decrease in the age-standardized DALYs rate (AAPC=–2.76%, P<0.05), YLLs rate (AAPC=–2.78%, P<0.05), and YLDs rate (AAPC=–1.25%, P<0.05), while standardized global rates of DALYs (AAPC=–2.42%, P<0.05), YLLs (AAPC=–2.44%, P<0.05), and YLDs (AAPC=–1.56%, P<0.05) had all shown significant decreases. These AAPC values above indicated a general attenuation in the gastric cancer burden across all age groups, both in China and worldwide. ConclusionsDespite these signs of a decline in disease burden indicators for gastric cancer in China and worldwide, the number of cases and deaths in gastric cancer remains substantial coupled with the heavy burden on the healthcare system. Therefore, increased efforts in early detection and prevention strategies are of utmost importance to further reduce the impact of this malignant disease.