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    find Author "程雄" 5 results
    • 德陽地區健康體檢人群中甲狀腺功能檢查的結果分析

      目的 了解德陽地區健康體檢人群中甲狀腺功能檢查(甲功)的異常情況,并分析異常類型及人群分布特點。 方法 收集醫院體檢中心2014年1月-9月體檢人群的甲功檢查報告,結合體檢者個人信息,對甲功指標游離三碘甲狀腺原氨酸、游離甲狀腺素、促甲狀腺素和抗體指標抗甲狀腺球蛋白抗體(TgAb)、促甲狀腺激素受體抗體(TRAb)、抗甲狀腺過氧化物酶抗體(TPOAb)進行統計分析。 結果 在1 220例體檢人群中,甲功指標異常201例(16.48%);臨床甲功異常[甲狀腺功能亢進癥(甲亢)+甲狀腺功能減退(甲減)]檢出率為1.14%,亞臨床甲功指標異常(亞臨床甲亢+亞臨床甲減)檢出率15.33%。甲功指標異常者中57.71%合并抗體指標陽性;1 019例甲功正常者中抗體指標異常183例(17.96%),其中抗體指標陽性率由高到低分別為TPOAb 9.62%、TgAb 8.24%、TRAb 4.12%。甲功指標異常在40~49歲年齡段檢出率最高,達18.48%。 結論 德陽地區健康體檢人群中甲功檢查異常檢出率較高,健康體檢能及時發現亞臨床甲功異常,尤其應該注重40~49歲人群的甲功檢查。

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    • 德陽地區妊娠婦女甲狀腺功能及自身抗體檢測結果分析

      目的了解德陽地區妊娠婦女甲狀腺功能(甲功)異常的發病率及甲狀腺自身抗體的陽性率,為妊娠期甲功異常的早期診斷和干預提供依據。 方法選取2014年3月-9月在德陽市人民醫院產科門診就診的妊娠婦女2 062例作為研究對象,采用電化學發光免疫分析技術檢測促甲狀腺素(TSH)、游離甲狀腺素(FT4)及抗甲狀腺過氧化物酶抗體(TPOAb),根據甲功指標分為甲功異常組和甲功正常組。 結果2 062例妊娠婦女中,甲功異常組688例,占33.4%,分別為亞臨床甲狀腺功能減低(甲減)511例(24.78%),臨床甲減114例(5.53%),亞臨床甲狀腺功能亢進(甲亢)38例(1.84%),臨床甲亢25例(1.21%)。甲功異常組和甲功正常組TPOAb陽性率分別為17.73%(122/688)、8.73%(120/1 374),差異有統計學意義(χ2=30.839,P<0.001)。按臨床甲減、亞臨床甲減、亞臨床甲亢、臨床甲亢的順序TPOAb陽性率有增高的趨勢(χ2趨勢=11.600,P=0.001)。 結論德陽地區妊娠婦女甲功異常發生率較高,主要為亞臨床甲減,較多合并自身抗體異常。將甲功及抗體檢測納入孕期檢查,有利于減少甲狀腺疾病對孕婦和胎兒的危害。

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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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  • 松坂南