简介:【摘要】 目的 本文重点围绕健康体检人群1004例血脂异常的调查分析及护理干预进行深入研究。方法 从2020年8月20日起至2021年8月21日止,选取在我院接受体检的健康体检人群1004例血脂异常者为本次研究对象,并以年龄、性别区分后,对血脂异常者进行统计,分析血脂异常是否与年龄及性别有关,另外在研究期间将患者随机分成相同人数的两组,分在研究组的患者实施具有针对性的护理措施,分在参照组患者常规护理干预,对比两组护理效果。结果 不同年龄段人群血脂异常情况存在明显性差异,年龄超过60岁者相比于低于40岁者及40-60者血脂异常人数更多,数据差异较明显,具有统计学意义(P<0.05);从性别上看,血脂异常情况无明显差异性(P>0.05)。两组护理前血脂异常人数相同,在护理后,研究组123例血脂异常者,构成比24.50%显低,参照组300例血脂异常者,构成比59.76%较高,两组差异明显(P<0.05)。
简介:AbstractBackground:Innovative coronavirus disease 2019 (COVID-19) vaccines, with elevated global manufacturing capacity, enhanced safety and efficacy, simplified dosing regimens, and distribution that is less cold chain-dependent, are still global imperatives for tackling the ongoing pandemic. A previous phase I trial indicated that the recombinant COVID-19 vaccine (V-01), which contains a fusion protein (IFN-PADRE-RBD-Fc dimer) as its antigen, is safe and well tolerated, capable of inducing rapid and robust immune responses, and warranted further testing in additional clinical trials. Herein, we aimed to assess the immunogenicity and safety of V-01, providing rationales of appropriate dose regimen for further efficacy study.Methods:A randomized, double-blind, placebo-controlled phase II clinical trial was initiated at the Gaozhou Municipal Centre for Disease Control and Prevention (Guangdong, China) in March 2021. Both younger (n = 440; 18-59 years of age) and older (n = 440; ≥60 years of age) adult participants in this trial were sequentially recruited into two distinct groups: two-dose regimen group in which participants were randomized either to follow a 10 or 25 μg of V-01 or placebo given intramuscularly 21 days apart (allocation ratio, 3:3:1, n = 120, 120, 40 for each regimen, respectively), or one-dose regimen groups in which participants were randomized either to receive a single injection of 50 μg of V-01 or placebo (allocation ratio, 3:1, n = 120, 40, respectively). The primary immunogenicity endpoints were the geometric mean titers of neutralizing antibodies against live severe acute respiratory syndrome coronavirus 2, and specific binding antibodies to the receptor binding domain (RBD). The primary safety endpoint evaluation was the frequencies and percentages of overall adverse events (AEs) within 30 days after full immunization.Results:V-01 provoked substantial immune responses in the two-dose group, achieving encouragingly high titers of neutralizing antibody and anti-RBD immunoglobulin, which peaked at day 35 (161.9 [95% confidence interval [CI]: 133.3-196.7] and 149.3 [95% CI: 123.9-179.9] in 10 and 25 μg V-01 group of younger adults, respectively; 111.6 [95%CI: 89.6-139.1] and 111.1 [95%CI: 89.2-138.4] in 10 and 25 μg V-01 group of older adults, respectively), and remained high at day 49 after a day-21 second dose; these levels significantly exceed those in convalescent serum from symptomatic COVID-19 patients (53.6, 95%CI: 31.3-91.7). Our preliminary data show that V-01 is safe and well tolerated, with reactogenicity predominantly being absent or mild in severity and only one vaccine-related grade 3 or worse AE being observed within 30 days. The older adult participants demonstrated a more favorable safety profile compared with those in the younger adult group: with AEs percentages of 19.2%, 25.8%, 17.5% in older adults vs. 34.2%, 23.3%, 26.7% in younger adults at the 10, 25 μg V-01 two-dose group, and 50 μg V-01 one-dose group, respectively.Conclusions:The vaccine candidate V-01 appears to be safe and immunogenic. The preliminary findings support the advancement of the two-dose, 10 μg V-01 regimen to a phase III trial for a large-scale population-based evaluation of safety and efficacy.Trial Registration:http://www.chictr.org.cn/index.aspx (No. ChiCTR2100045107, http://www.chictr.org.cn/showproj.aspx? proj=124702).
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简介:【摘要】目的:探究分析带状疱疹后遗神经痛(Postherpetic neuralgia,PHN)病人接受中药联合揿针治疗所产生的作用。方法:选用2022年4月至2023年4月间我院的124例PHN病人,随机将其均分成2组,观察组和对照组各62例。对照组按西中药进行治疗,观察组病人采用中药联合揿针加用揿针进行医治。对两组病人的总有效率、不良反应发生率和生活质量评分进行对比分析。结果:干预后观察组的治疗有效率以及生活质量优于观察组(P<0.05);观察组的不良事件发生率比对照组少(P<0.05);干预后,观察组的VAS疼痛评分低于对照组(P<0.05)。结论:中药联合揿针治疗PHN具有显著的临床疗效,可有效提升治疗效果、改善疼痛症状,减少不良反应,为该病的治疗提供一种安全有效的方法。
简介:AbstractObjective:To study the epidemiology of leprosy in China in 2019 and give suggestions to improve future leprosy control activities.Methods:We collected leprosy data from the Leprosy Management Information System in China, which includes data from 31 Chinese provinces, autonomous regions, and municipalities, except for Hong Kong, Macao, and Taiwan. We then performed a descriptive analysis of these data.Results:A total of 464 new leprosy cases were reported nationwide in 2019, with a case detection rate of 0.033/100,000. The proportions of children younger than 15 years, multibacillary cases, and cases with World Health Organization grade 2 disability were 1.3%, 90.3%, and 21.6%, respectively. A total of 2,219 leprosy cases were registered in China by the end of 2019, giving a prevalence rate of 0.158/100,000. Fifty-six counties had a prevalence rate of more than 1/100,000, and most of them were located in Southwest China. There were 31 reported relapse cases.Conclusion:The prevalence of leprosy has improved continuously throughout China, but the southwest region is still an area of concern.