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<p><b>BACKGROUND</b>Coronary heart disease (CHD) is the most common type of heart disease and cause of heart attacks. This study investigated the epidemiological characteristics of CHD and its risk factors in Jiaozhou, Shandong province, to ultimately find a way of reducing the prevalence of cardiovascular disease, and to provide a theoretical basis for establishing a cardiovascular disease management path under the regional medical collaborative mechanism.</p><p><b>METHODS</b>A questionnaire survey was performed including 1 952 people aged 35 years or older who were questioned by means of stratified, cluster, proportional sampling to investigate the prevalence of CHD and its risk factors. The data were inputted into SPSS11.0 statistical software for processing and analysis. We advised the local medical institutions to establish health files for the residents with CHD and risk factors. They were followed up regularly. Their risk factors and life-style were monitored, and advice was given as to proper medications. Green channels were established, and the patients were transmitted in a timely manner to superior hospitals for better treatment if the necessary treatments were not available in the local hospitals. The control of risk factors was observed after the follow-up for half a year.</p><p><b>RESULTS</b>In Jiaozhou, the rates of coronary artery disease, hypertension, diabetes, hyperlipidemia and overweight were 8.15%, 28.54%, 11.43%, 35.46%, and 18.70% respectively. The rates of hypertension, diabetes, hyperlipidemia and overweight were higher than the data published in "The report of Chinese cardiovascular disease 2012"; which are 24%, 9.7%, 18.6%, and 9.7%, respectively. The control of risk factors improved significantly after the guidance of the residents lifestyle and medication for six months.</p><p><b>CONCLUSIONS</b>The high prevalence of coronary artery disease in Jiaozhou is closely related to age, gender, diet structure, family history of cardiovascular disease, hypertension, diabetes, hyperlipidemia, overweight, and unhealthy lifestyle. Under the regional medical coordination mechanism, the collaborative management of cardiovascular disease can provide new management concepts for the areas short of medical resources, so as to reduce the prevalence of cardiovascular disease.</p>
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , China , Epidemiology , Coronary Disease , Epidemiology , Incidence , Risk FactorsABSTRACT
Objective To analyze the deep venous thrombosis incentives.Methods The pathogenic factors of 80 cases with deep vein thrombosis were retrospectively analyzed,and risk factors for deep vein thrombosis were explored.Results The incidence of women over the age of 40-70 years old,male age over 60-80 years of age,the incidence rate in women under the age of 50 males,50 females over the age of incidence than men.The incidence of deep venous thrombosis in patients with parts of the left lower limb 55 cases,28 cases of right lower extremity,lower extremity seven cases.80 patients incentives can be found in 76 cases,35 cases of surgery-induced,accounting 43.75％,of which 19 cases of trauma,tumor surgery in 5 cases,10 cases of other diseases surgery;trauma induced 21 cases,accounting for 26.27％ ; higher BP 9 patients,accounting for 11.25 ％ ;4 patients had a history of previous thrombotic,accounting for 5.00％ ;3 cases of infectious diseases,accounting for 3.75 ％ ;4 cases of diabetes,accounting for 5％.There were 4 cases of unexplained,accounting for 5.00％.Conclusion Surgery,trauma,cancer,hypertension,diabetes,infectious diseases and past history of thrombosis are the important risk factors of deep vein thrombosis.Surgery and trauma patients in case of wound healing is not affected,getting out of bed is needed as soon as possible.
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Objective To explore clinical effect of laparoscopic colorectal resection treatment of ulcerative colitis.Methods The total laparoscopic colorectal resection in the treatment of 22 cases of ulcerative colitis were ret-rospectively reviewed the clinical data analysis .Results 22 patients were successfully operated , no conversion to open surgery cases or deaths;after 1 to 2 days to ambulation,length of hospital stay (12.5 ±2.8)d;without abdominal bleeding ,adhesions ,anastomotic leakage ,pelvic infections and other complications ,one case stoma early infection ,and anti-infective therapy by dressing better .All patients had been followed up ,daily life could take care of themselves , were to resume normal work after recovery .Conclusion Laparoscopic colorectal resection full UC recent surgery works well ,which is a safe and feasible minimally invasive surgical procedures .
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(0.05)).There were 5 cases(4.7%) of upper limb edema and functional handicap in PAL group,and 12 cases(11.7%) of upper limb edema and functional handicap in TAL group,there was a statistical difference between PAL group and TAL group(P