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Phenotypic and Genotypic Study of Antibiotic Resistance among Escherichia coli Isolates from Human Urinary Infection Cases in Bojnord Province 博伊诺省人尿路感染大肠埃希菌耐药表型和基因型研究
Q4 Medicine Pub Date : 2019-12-01 DOI: 10.21859/AJCM.26.3.173
M. Amiri, H. Farzin, M. Jamshidian-Mojaver
Background and Objective: Bacterial agents are the most common causes of urinary infection with Escherichia coli as the major causative organism. Accordingly, the current study aimed to determine the antibiotic resistance among Escherichia coli isolates from human urinary infection cases. Materials and Methods: The current experimental study was carried out on 50 specimens of positive cultures with urinary tract infection referred to Imam Reza Hospital Laboratory in Bojnord, Iran. The resistance and susceptibility of the isolates were assessed using disc diffusion method. Moreover, the presence of tetA, blaTEM, Sul1, aac(3)-IV, and aadA1 gens was examined using molecular methods with specific primers. Results: Prevalence of antibiotic resistance to ampicillin, cotrimaxazole, levofloxacin, nalidixic acid, ciprofloxacin, gentamicin, and nitrofurantoin was measured at 84%, 60%, 60%,52%, 44%, 22%, and 6%, respectively. in total, 50 E. coli strains were isolated were examined to determine blaTEM, aac(3)-IV, tetA, Sul, and aadA1 genes using polymerase chain reaction(PCR). Based on the obtained results, the frequency of blaTEM, aac(3)-IV, tetA, Sul1, aac(3)-IV, and aadA1 genes was reported as 24%, 12%,10%, 8%, and 14%, respectively. Conclusion: Disk diffusion agar method can be used as a primary screening method to determine antibiotic susceptibility for Escherichia coli isolates separated from urinary tract infections. In addition, genotypic method can be implemented for the accurate evaluation of the resistance of the isolates.
背景与目的:细菌是泌尿系感染最常见的原因,大肠杆菌是主要的病原菌。因此,本研究旨在确定从人尿路感染病例中分离的大肠杆菌对抗生素的耐药性。材料和方法:目前的实验研究是在伊朗Bojnord伊玛目礼萨医院实验室转诊的50例尿路感染阳性培养标本中进行的。采用圆盘扩散法测定菌株的耐药性和药敏性。此外,利用特异引物的分子方法检测了tetA、blaTEM、Sul1、aac(3)-IV和aadA1等原的存在。结果:氨苄西林、复方新美唑、左氧氟沙星、纳利地酸、环丙沙星、庆大霉素和呋喃妥因的耐药率分别为84%、60%、60%、52%、44%、22%和6%。共分离50株大肠杆菌,采用聚合酶链反应(PCR)检测blaTEM、aac(3)-IV、tetA、Sul和aadA1基因。根据所得结果,blaTEM、aac(3)-IV、tetA、Sul1、aac(3)-IV和aadA1基因的频率分别为24%、12%、10%、8%和14%。结论:圆盘扩散琼脂法可作为尿路感染分离的大肠埃希菌药敏的初步筛选方法。此外,基因型法可以准确评估分离株的耐药性。
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引用次数: 1
Prediction of Refractive Outcome of Second Eye with Partial Adjustment of Intraocular Lens Power of the First Eye 部分调整第一眼人工晶状体度数预测第二眼屈光结果
Q4 Medicine Pub Date : 2019-12-01 DOI: 10.21859/AJCM.26.3.137
N. Bazzazi, P. Pahlevani, M. Alizadeh
Background and Objective: This study aimed at comparing the results of refractive cataract surgery in patients undergoing sequential surgeries in both eyes. Considering the preoperative refraction and final refraction of the first eye, it is possible to correct the refrative result of cataract surgery using the adjustment of the second eye intraocular lens (IOL) power. Materials and Methods: This study was conducted based on a matchedpair clinical-trial design. Regarding the final result of the first eye refraction, the adjustment of the second eye IOL power was determined by 50% of uncorrected refractive error. Finally, the mean spherical equivalent (SE) of the first and second eyes were determined, and the differences were analyzed using a paired t-test at a significant level of 95%. Results: A total of 470 candidates who underwent bilateral sequential cataract surgery were investigated in this study. The refractive errors ranged from -8.25 to + 6.50 and from -6.75 to +7.25 for the first and second eyes, respectively. The mean values of SE for the first and second eyes were 2.55 and 2.48 preoperatively, and 1.13 and 0.47 postoperatively, respectively. Moreover, there was a significant difference between the two groups
背景与目的:本研究旨在比较双眼连续手术患者的屈光性白内障手术结果。考虑到第一只眼睛的术前屈光和最终屈光,可以通过调整第二只眼睛的人工晶状体(IOL)度数来纠正白内障手术的重建结果。材料与方法:本研究采用配对临床试验设计。关于第一只眼睛折射的最终结果,第二只眼睛IOL度数的调整由50%的未校正的折射误差决定。最后,确定了第一只眼睛和第二只眼睛的平均球面当量(SE),并使用95%的显著水平的配对t检验分析了差异。结果:本研究共调查了470名接受双侧连续白内障手术的候选人。第一眼和第二眼的屈光误差分别为-8.25至+6.50和-6.75至+7.25。第一眼和第二眼的SE平均值术前分别为2.55和2.48,术后分别为1.13和0.47。此外,两组之间存在显著差异
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引用次数: 0
Preemptive Dexamethasone Reduces Pediatric Post-Tonsillectomy Pain: A Triple-Blind Randomized Clinical Trial 先发制人地塞米松减轻儿童扁桃体切除术后疼痛:一项三盲随机临床试验
Q4 Medicine Pub Date : 2019-12-01 DOI: 10.21859/AJCM.26.3.131
Rohollah Abbasi, J. Yazdani, M. Ahmadi, J. Jahanshahi, M. H. Bakhshaei, A. Moradi, F. Hashemian
Background and Objective: Adenotonsillectomy is one of the most commonly performed surgical procedures in children. Although this surgery is technically easy, it can run a high risk of serious complications, such as laryngeal spasm, laryngitis, bleeding, pain, and nausea. The present study aimed to assess the effect of preemptive dexamethasone on pediatric post
背景与目的:扁桃腺切除术是儿童最常见的外科手术之一。尽管这种手术在技术上很容易,但它可能会出现严重并发症,如喉痉挛、喉炎、出血、疼痛和恶心。本研究旨在评估地塞米松在儿科产后的作用
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引用次数: 0
Spontaneous Hemothorax in a Patient with Neurofibromatosis Type 1: A Case Report 1型神经纤维瘤病患者自发性血胸1例报告
Q4 Medicine Pub Date : 2019-12-01 DOI: 10.21859/AJCM.26.3.188
Zohreh Kahramfar, O. Aloosh
Background: Neurofibromatosis type1 (NF-1) is a hereditary autosomal dominant disease that is accompanied by complications, such as benign and malignant tumors and vascular involvement, including pulmonary hypertension, artery stenosis, and pulmonary artery aneurysm. Spontaneous hemothorax is a rare and lethal complication of NF-1 due to vasculopathy as stenosis or aneurysmal modifications of large intrathoracic vessels, and dysplastic alterations of small vessels in highly vascularized mesenchymal tumors. Most commonly, tumor-related hemothorax is due to neurofibroma, and the most frequently involved artery is the intercostal artery. Case Presentation: A 48-year-old male referred to our hospital with a chief complaint of dyspnea from a week ago. His symptoms began with pleuritic chest pain followed by dyspnea. The physical examination showed many neurofibromatosis lesions and café-au-lait macules on the skin. Thoracotomy was performed during the hemothorax examination. Moreover, inflammation of the pleura and fibrothorax were reported without any site of bleeding. Conclusion: Vascular complications should be regarded in NF-1. Any patient presents with hemodynamic disorder or pleural effusion should be examined and treated promptly.
背景:1型神经纤维瘤病(NF-1)是一种常染色体显性遗传病,常伴有并发症,如良性和恶性肿瘤及血管受累,包括肺动脉高压、动脉狭窄和肺动脉动脉瘤。自发性血胸是NF-1的一种罕见且致命的并发症,由于血管病变,如胸内大血管狭窄或动脉瘤样改变,以及高度血管化的间充质肿瘤小血管的发育不良改变。最常见的是,肿瘤相关性血胸是由神经纤维瘤引起的,最常见的累及动脉是肋间动脉。病例介绍:一名48岁男性,一周前以呼吸困难主诉来我院就诊。他的症状开始是胸膜炎性胸痛,接着是呼吸困难。体格检查显示皮肤上有许多神经纤维瘤病变和卡萨梅-au-lait斑疹。在血胸检查时行开胸术。此外,胸膜和纤维胸的炎症均未见出血。结论:NF-1应考虑血管并发症。任何出现血流动力学紊乱或胸腔积液的患者都应及时检查和治疗。
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引用次数: 0
Evaluation of Drain Placement Outcomes in Patients Requiring Splenectomy 脾切除术患者引流管放置效果的评价
Q4 Medicine Pub Date : 2019-09-15 DOI: 10.29252/AJCM.26.2.93
M. Eskandarlou, Vahid Hamzeie
Background and Objective: Splenectomy is one of the most common abdominal surgeries following internal and hematologic diseases, as well as trauma which is along with some complications. This study aimed to investigate the effects and outcomes of drain placement after splenectomy, open splenorrhaphy, or laparoscopy. Materials and Methods: This descriptive cross-sectional study included patients with various indications who underwent splenectomy with midline or left subcostal incisions in Besat Hospital, Hamadan, Iran, during 20172018. It should be noted that the patients underwent drain insertion, and the final outcomes were evaluated after surgery. Regarding the aim of the study, variables, such as hospital stay duration, postoperative infection, the incidence of collection and dehiscence, the duplication of surgical procedures, and secretion levels on days 1 to 5 post-operation were assessed using checklists and clinical examinations. All data were analyzed using SPSS software (version 21.0). A P-value less than 0.05 was considered statistically significant. Results: According to the results, the mean age of the patients was 42.12±20.26 years. Moreover, out of 31 patients under study, 21 cases were male. In total, 16 (51.6%) and 15 (48.4%) patients underwent splenectomy using subcostal and midline incisions, respectively. The indications for surgery in patients included idiopathic thrombocytopenic purpura (n=10, 32.3%), hemolytic anemia (n=2, 6.45%), trauma (n=7, 22.6%), spleen mass (n=2, 6.5%), diagnostic procedure (n=3, 9.7%), splenomegaly (n=5, 16.1%), and hematological problems along with biliary stone disease (n=2, 6.45%). Regarding the surgical complications, the wound site collection (n=6, 6.45%) and left sub-diaphragmatic and Morison's pouch collection (n=6, 19.35%) were reported in this study. It should be noted that the duplication of the surgery was performed only in one patient, and all the cases had drainage secretions until the third day. Conclusion: The insertion of the drain after splenectomy not only prevents complications, such as hematoma, seroma, or pancreatic secretion collection below the left diaphragm but also informs the surgeon, in some cases, about bleeding after surgery. Therefore, it seems that the benefits of drain placement may outweigh the risks of not using it.
背景与目的:脾切除术是继内科和血液系统疾病、创伤和一些并发症之后最常见的腹部手术之一。本研究旨在探讨脾切除术、开放性脾修补术或腹腔镜手术后放置引流管的效果和结果。材料和方法:这项描述性横断面研究纳入了2017年至2018年在伊朗哈马丹贝萨特医院接受中线或左侧肋下切口脾切除术的各种适应症患者。值得注意的是,患者接受了引流管插入术,并在手术后评估最终结果。关于研究的目的,使用检查表和临床检查评估了住院时间、术后感染、收集和裂开的发生率、手术程序的重复以及术后第1至5天的分泌物水平等变量。所有数据均使用SPSS软件(版本21.0)进行分析。P值小于0.05被认为具有统计学意义。结果:根据结果,患者的平均年龄为42.12±20.26岁。此外,在接受研究的31名患者中,21名为男性。总共有16名(51.6%)和15名(48.4%)患者分别接受了肋下和中线切口的脾切除术。患者的手术指征包括特发性血小板减少性紫癜(n=10,32.3%)、溶血性贫血(n=2,6.45%)、创伤(n=7,22.6%,本研究报告了伤口部位收集(n=6,45%)和左侧膈下和Morison氏囊收集(n=619.35%)。需要注意的是,只有一名患者进行了重复手术,所有病例在第三天之前都有引流分泌物。结论:脾切除后插入引流管不仅可以预防并发症,如血肿、浆膜瘤或左膈下胰腺分泌物收集,而且在某些情况下,还可以告知外科医生术后出血。因此,放置排水管的好处可能大于不使用排水管的风险。
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引用次数: 0
A Case Report of Effect of Physical Therapy on Temporomandibular Joint Dysfunction Following Mandibular Symphyseal Fracture 物理治疗治疗下颌骨联合骨折后颞下颌关节功能障碍1例
Q4 Medicine Pub Date : 2019-09-15 DOI: 10.29252/AJCM.26.2.125
M. Asadi, Gholamreza Hajvalie
Background: Temporomandibular joint (TMJ) dysfunction following Mandibular fractures can lead to limitation of jaw movement especially month opening, pain, and muscular atrophy. In this regard, the current study aimed to determine the effect of manual mobilization along with other physiotherapy modalities on the improved function of TMJ in a patient with Mandibular symphyseal fracture. Case Presentation: A 16-year-old girl with a complaint of severe jaw pain and disability of mouth opening was referred to physical therapy clinic of Besat Hospital affiliated to Hamadan University of Medical Sciences. The patient underwent an open surgical treatment due to mandibular symphyseal fracture. A visual analog scale was used for the measurement of pain intensity and the maximal mouth opening was obtained by measuring the distance of the maxillary and mandibular central incisal edges using a dental ruler scaled in millimeters. Thereafter, physical therapy treatment was administered to both TM joints for five sessions every other day. The physiotherapy sessions included Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, hot pack, and Maitland manual mobilization techniques. The patient demonstrated significant reduction in pain and improved maximal mouth opening upon the completion of 5-session physical therapy treatment. Conclusion: Physical therapy treatment which includes physical modalities along with manual mobilization techniques may be an effective method in the management of TMJ dysfunctions following mandibular symphyseal fracture leading to faster improvement in the function of this joint.
背景:下颌骨折后颞下颌关节(TMJ)功能障碍可导致下颌活动受限,尤其是月张开、疼痛和肌肉萎缩。在这方面,目前的研究旨在确定手动松动术和其他物理治疗方式对下颌联合骨折患者TMJ功能改善的影响。病例介绍:一名16岁女孩因严重颌骨疼痛和口腔开放障碍被转诊至哈马丹医学科学大学附属贝萨特医院的物理治疗诊所。该患者因下颌骨交感神经骨折接受了开放性手术治疗。使用视觉模拟量表测量疼痛强度,并通过使用以毫米为单位的牙尺测量上颌和下颌中央切迹边缘的距离来获得最大开口。此后,每隔一天对两个TM关节进行五次物理治疗。理疗课程包括经皮神经电刺激(TENS)、超声波、热敷和Maitland手动动员技术。患者在完成5个疗程的物理治疗后,疼痛明显减轻,最大口腔张开度得到改善。结论:物理治疗包括物理方式和手动松动技术,可能是治疗下颌联合骨折后颞下颌关节功能障碍的有效方法,从而更快地改善该关节的功能。
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引用次数: 0
Adherence to Hypertension Treatment and its Determinants in Patients Referred to a Tertiary Cardiology Center in Urmia, Iran 伊朗乌尔米亚三级心脏病学中心的高血压治疗依从性及其决定因素
Q4 Medicine Pub Date : 2019-09-01 DOI: 10.21859/AJCM.26.2.83
R. Bagheri, S. Masudi, S. Salarilak, K. Khademvatani, H. Khalkhali
Background and Objective: Adherence to antihypertension medications is an important factor in the control of hypertension. In this regard, the present study aimed to estimate the extent of medication adherence in hypertensive patients and its determinants in the special clinic of Seyed-al Shohada Cardiovascular Tertiary Hospital in Urmia, Iran. Materials and Methods: In this cross-sectional study, a total of 650 hypertensive patients were investigated during October to December 2016. In this study, two questionnaires were used to collect the data. The first questionnaire included the demographic and clinical characteristics, smoking status, family history of hypertension, and blood pressure measurements. The eight-item Morisky medication adherence scale was used to measure the extent of medication adherence of the participants. Moreover, the Chi-square test and logistic regression model were employed to identify the determinants of medication adherence. Results: Mean value of the participant age was reported as 59.5±10.4 years, and 63.5% of the subjects were female. Overall, 48%, 30.8%, and 21.2% of the subjects were reported with complete, moderate, and poor adherence, respectively. Among the investigated determinants, age (OR=1.02, 95% CI: 1.01-1.05), occupational status (OR=1.83, 95% CI: 1.19-2.83), absence of adverse effects of the drugs (OR=1.83, 95% CI: 1.02-2.71), use of two drugs (OR=1.75, 95% CI: 1.12-2.74), use of three drugs and more (OR=2.25, 95% CI: 1.30-3.88), and history of angioplasty (OR=1.80, 95% CI: 1.19-2.71) were associated with good adherence (i.e., complete and moderate) in this study. Only 39.4% of all participants had controlled level of hypertension. Conclusion: According to the obtained results, the patients with hypertension had good medication adherence. The determinants effective in medication adherence outlined in this study can help identify patients with low extent of adherence.
背景与目的:坚持服用降压药物是控制高血压的重要因素。在这方面,本研究旨在评估伊朗乌尔米亚Seyed al-Shohada心血管三级医院特殊诊所高血压患者的药物依从性程度及其决定因素。材料和方法:在这项横断面研究中,在2016年10月至12月期间,共调查了650名高血压患者。在本研究中,使用了两份问卷来收集数据。第一份问卷包括人口统计学和临床特征、吸烟状况、高血压家族史和血压测量。使用八项Morisky药物依从性量表来测量参与者的药物依从性程度。此外,采用卡方检验和逻辑回归模型来确定药物依从性的决定因素。结果:参与者年龄的平均值为59.5±10.4岁,63.5%的受试者为女性。总体而言,48%、30.8%和21.2%的受试者报告的完全、中度和不良依从性分别为。在所调查的决定因素中,年龄(OR=1.02,95%CI:1.01-1.05)、职业状况(OR=1.83,95%CI:1.19-2.83)、药物无不良反应(OR=1.93,95%CI:1.02-2.71)、使用两种药物(OR=1.75,95%CI:1.12-2.74)、使用三种及以上药物(OR=2.25,95%CI:1.30-3.88),和血管成形术史(OR=1.80,95%CI:1.19-2.71)与良好的依从性(即完全和中度)相关。只有39.4%的参与者的高血压水平得到控制。结论:高血压患者用药依从性良好。本研究中概述的药物依从性的有效决定因素有助于识别依从性低的患者。
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引用次数: 3
Effect of Benign Paroxysmal Positional Vertigo on Auditory-Verbal Memory 良性发作性位置性眩晕对听觉言语记忆的影响
Q4 Medicine Pub Date : 2019-09-01 DOI: 10.21859/AJCM.26.2.105
Mohsen Ahadi, N. Rezazadeh, Elahe Mosharaf Dehkordi
Background and Objective: Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo with peripheral origin, and its psychologic consequences frequently ignored by clinicians. In this regard, the present study aimed to investigate the effects of BPPV on patient auditory-verbal memory. Materials and Methods: In this cross-sectional study, a total of 40 volunteer patients with acute vertigo underwent auditory and vestibular function tests. In addition, after the confirmation of BPPV, the Persian version of Dizziness Handicap Inventory was completed by all the subjects. Then, the Persian version of the Rey Auditory-Verbal Learning Test was conducted on the participants. Results: The obtained results showed that the level of disability caused by BPPV could lead to a decrease in the capacity of auditory-verbal memory in comparison to that in normal individuals. Conclusion: Patients with BPPV who suffer from severe rotator vertigo have higher number of problems in learning through auditory-verbal memory in comparison to normal individuals. Moreover, suffering from acute vertigo as an unpleasant physical condition can lead to considerable cognitive consequences in these patients.
背景与目的:良性阵发性位置性眩晕(BPPV)是外周源性眩晕最常见的病因,其心理后果经常被临床医生忽视。在这方面,本研究旨在研究BPPV对患者听觉-言语记忆的影响。材料和方法:在这项横断面研究中,共有40名急性眩晕的志愿者患者接受了听觉和前庭功能测试。此外,在确认BPPV后,所有受试者都完成了波斯版的眩晕障碍量表。然后,对参与者进行了波斯版的雷伊听觉言语学习测试。结果:与正常人相比,BPPV引起的残疾程度可能导致听觉-言语记忆能力下降。结论:与正常人相比,患有严重旋转性眩晕的BPPV患者在通过听觉-言语记忆进行学习方面存在更多问题。此外,急性眩晕是一种令人不快的身体状况,会对这些患者产生相当大的认知后果。
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引用次数: 0
Comparison of Efficacy of Clotrimazole 1% Cream with Sertaconazole 2% Cream in Treatment of Adult Seborrheic Dermatitis 1%克霉唑乳膏与2%舍他康唑乳膏治疗成人脂溢性皮炎的疗效比较
Q4 Medicine Pub Date : 2019-09-01 DOI: 10.21859/AJCM.26.2.67
P. Alirezaei, N. Jiryaee, Ali Abbas Shabbak
Background and Objective: Seborrheic dermatitis is a common inflammatory skin disease characterized by erythema, scaling, and pruritus. Antifungals are among the most commonly prescribed drugs for the treatment of this disease. In this regard, the present study investigated the efficacy of two medications including clotrimazole 1% and sertaconazole 2% in the treatment of adult seborrheic dermatitis. Materials and Methods: This double-blinded randomized clinical trial was performed on 100 patients over the age of 18 with seborrheic dermatitis referring to Farshchian hospital, Hamadan, Iran. Patients were randomly assigned to two groups. The participants in one group received sertaconazole twice a day for four weeks and another group received clotrimazole within this period of time. After two weeks, the patients were examined in terms of clinical symptoms and side effects of medications. Moreover, they were reexamined for recurrence of disease after the completion of treatment and four weeks later. Furthermore, the level of patients' satisfaction was evaluated four weeks after treatment. Results: Mean and standard deviation of Scoring Index 7.16±2.20 and 6.45±2.10 before treatment (P=0.184), 4.08 ± 1.82 and 2.78 ± 2.14 two weeks after treatment (P<0.001), and 2.62 ± 2.13 and 0.89 ± 1.09 four weeks after the end of treatment (P<0.001). Additionally, the relapse rate in clotrimazole and sertaconazole groups was found to be 32% and 21.7%, respectively. Furthermore, the complication rate was reported as 8% and 8.5% in clotrimazole group and sertaconazole group, respectively (P=0.220). Moreover, the rate of good satisfaction in clotrimazole and sertaconazole groups was reported as 38% and 71.1% (P<0.001), respectively. Conclusion: Based on the results of the study, the frequency of complications and recurrence of disease in patients treated with sertaconazole was comparable to treatment with clotrimazole. However, sertoconazole was found to be more effective and bring more satisfaction to
背景与目的:脂溢性皮炎是一种常见的炎症性皮肤病,以红斑、鳞屑、瘙痒为特征。抗真菌药物是治疗这种疾病最常用的处方药之一。在这方面,本研究调查了包括1%克霉唑和2%舍他康唑在内的两种药物治疗成人脂溢性皮炎的疗效。材料和方法:这项双盲随机临床试验在伊朗哈马丹Farshchian医院对100名18岁以上脂溢性皮炎患者进行。患者被随机分为两组。一组受试者接受舍曲康唑治疗,每天两次,持续四周,另一组在这段时间内接受克霉唑治疗。两周后,对患者进行临床症状和药物副作用检查。此外,在治疗结束后和四周后,他们再次检查疾病复发情况。此外,在治疗后四周对患者的满意度进行评估。结果:治疗前评分指数的平均值和标准差分别为7.16±2.20和6.45±2.10(P=0.014),治疗后两周评分指数的均值和标准差为4.08±1.82和2.78±2.14(P<0.001),治疗结束后四周评分指数的均数和标准差均为2.62±2.13和0.89±1.09(P=0.001)。此外,克霉唑组和沙他康唑组的复发率分别为32%和21.7%。此外,克霉唑组和舍他康唑组的并发症发生率分别为8%和8.5%(P=0.0220)。克霉唑和舍他康唑组的良好满意率分别为38%和71.1%(P<0.001)。结论:根据研究结果,舍塔康唑治疗患者的并发症发生率和疾病复发率与克霉唑治疗相当。然而,舍托康唑被发现更有效,给
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引用次数: 3
Decreased Intima-Media Carotid Artery Thickness after 24 Sessions of Combined Aerobic and Resistance Exercise in Type 2 Diabetic Patients 2型糖尿病患者有氧和阻力联合运动24次后颈动脉内膜-中膜厚度降低
Q4 Medicine Pub Date : 2019-09-01 DOI: 10.21859/AJCM.26.2.75
Soulmaz Rahbar, S. Naimi
Background and Objective: Diabetes type 2 has been estimated as the seventh leading cause of death worldwide. Diabetic patients are 2-3 times more likely to be at the risk of atherosclerosis, compared to normal people. It has been reported that exercise prevents atherosclerosis in diabetic patients. Therefore, the aim of this study was to investigate the effect of exercise on vascular variables of patients with type 2 diabetes. Materials and Methods: This clinical trial was conducted on 40 patients out of 702 volunteers with diabetes who were randomly assigned into two groups of combined (aerobic and resistance) and control. The intervention protocol included 24 30-min sessions of aerobic exercise on the treadmill without any slope during 8 weeks (three sessions per week). The protocol intensity was set at 50-70% maximum heart rate and volunteers wore a weighted vest during exercise. On the other hand, the control group had no exercise for two months. All variables were measured before the intervention and after 24 sessions of the intervention protocol. Results: According to the results, there were no differences between the groups regarding demographic characteristics and a history of type 2 diabetes before the intervention. After 24 sessions, there was a significant decrease in the intima-media thickness. Moreover, the ratio of the intimamedia thickness to the lumen in three sections of Carotid Bulb, Internal Carotid, and Common Carotid was significantly reduced in the combined exercise group, compared to the control group (P<0.05); however, no significant difference was observed in the lumen diameter (P>0.05). All vascular parameters remained unchanged in the control group (P>0.05). Conclusion: In total, 24 sessions of aerobic and resistance exercise had a positive effect on vascular parameters. According to the simulation of a backpack by a weighted vest, the method used in this study was considered as a cheap and useful technique for patients with type 2 diabetes.
背景和目的:2型糖尿病已被估计为全球第七大死因。糖尿病患者患动脉粥样硬化的风险是正常人的2-3倍。据报道,运动可以预防糖尿病患者的动脉粥样硬化。因此,本研究的目的是探讨运动对2型糖尿病患者血管变量的影响。材料与方法:本临床试验选取702名糖尿病志愿者中的40名患者,随机分为两组(有氧组和抵抗组)和对照组。干预方案包括连续8周在无坡度的跑步机上进行24次30分钟的有氧运动(每周3次)。协议强度设定为最大心率的50-70%,志愿者在运动期间穿着加权背心。另一方面,对照组两个月没有锻炼。在干预前和干预方案的24个疗程后测量所有变量。结果:根据结果,两组在人口统计学特征和干预前的2型糖尿病病史方面没有差异。24个疗程后,内膜-中膜厚度显著降低。与对照组相比,联合运动组颈动脉球段、颈内动脉段、颈总动脉段的内膜厚度与管腔的比值显著降低(P0.05)。对照组血管参数无明显变化(P < 0.05)。结论:24次有氧和阻力运动对血管参数有积极影响。根据加重背心对背包的模拟,本研究中使用的方法对于2型糖尿病患者来说是一种廉价且有用的技术。
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