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maintenance hemodialysis mhd patients
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     56 on maintenance hemodialysis.
     其中维持性血液透析(HD)患者56例,接受肾替代治疗前(ND)患者27例。
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     The characteristics of maintenance hemodialysis in the elderly.
     老年维持性血液透析的特点和分析
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     Psychological status in maintenance hemodialysis patients.
     维持性血透患者的心理状态研究
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     Nutritional status of the maintenance hemodialysis patients
     维持性血液透析病人的营养状况
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     Nursing of the exercise of patients with maintenance hemodialysis
     维持性血液透析患者运动的护理
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  maintenance hemodialysis mhd patients
Hepatic hemosiderosis in maintenance hemodialysis (MHD) patients
      


Serum calcium, ionized calcium, phosphorus, intact parathyroid hormone and whole blood ionized calcium were monitored in 18 maintenance hemodialysis (MHD) patients, and the effects of a 3-week Shengu-capsule treatment and a 4-hour high calcium hemodialysis treatment on the above parameters were observed. Results showed that hypoealcemia is an important etiological factor of secondary, parathyroidism(2-HPT), and that 2-HPT could be ameliorated by elevating serum calcium. Although...

Serum calcium, ionized calcium, phosphorus, intact parathyroid hormone and whole blood ionized calcium were monitored in 18 maintenance hemodialysis (MHD) patients, and the effects of a 3-week Shengu-capsule treatment and a 4-hour high calcium hemodialysis treatment on the above parameters were observed. Results showed that hypoealcemia is an important etiological factor of secondary, parathyroidism(2-HPT), and that 2-HPT could be ameliorated by elevating serum calcium. Although more dietary calcium, high calcium hemodialysis, vitamin D metabolite and calcium phosphorus binder administration could all be effective in correcting hypocalcemia, calcium phosphorus binders should be the first choice.

本文监测了18例维持性血透患者的血清总钙(Ca)、校正离子钙(nCa_-~(2+))、全血离子钙(bCa_-~(2+))、血清磷(P)、血清全段甲旁腺激素(I-PTH),并观察口服肾骨胶囊3周及高钙透析4h对以上指标的影响。结果表明:低钙血症是血透患者继发甲旁亢的重要原因,提升血钙可抑制多数患者的甲旁腺功能。纠正低血钙的方法中以口服钙磷结合剂为首选,只有纠正了低钙、高磷血症后甲旁腺功能仍不得控制者可推荐使用活性维生素D治疗。二者对防治高钙血症都具有重要意义。

The proliferative response of T-lymphocyte to exogenous IL-2 was studied in 18 maintenance hemodialysis(MHD) patients.The results showed: the proliferative response of T-lymphocyte to exogenous IL-2 in MHD patients markedly reduced as compared to normal controls(P<0. 001 ).The proliferative response of T-lymphocyte to exogenous IL-2 in patients after a single hemodialysis was significantly higher than that in the pre-hemodialysis patients (P<0. 001...

The proliferative response of T-lymphocyte to exogenous IL-2 was studied in 18 maintenance hemodialysis(MHD) patients.The results showed: the proliferative response of T-lymphocyte to exogenous IL-2 in MHD patients markedly reduced as compared to normal controls(P<0. 001 ).The proliferative response of T-lymphocyte to exogenous IL-2 in patients after a single hemodialysis was significantly higher than that in the pre-hemodialysis patients (P<0. 001 ).but was still significantly lower than that in the normal control group(P<0. 001).

报告18例维持性血液透析(MHD)患者T淋巴细胞对外源性白细胞介素-2(IL-2)的增殖反应。结果显示:MHD患者T淋巴细胞对外源性IL-2的增殖反应较正常对照组明显下降(P<0.001)。与单次血透前比较,单次血透后MHD患者的T淋巴细胞对外源性IL-2的增殖反应虽有明显提高(P<0.05),但仍显著低于正常对照组(P<0.01)。

To study psychological status of maintenance hemodialysis (MHD) patients and carry out psychotherapy in China. Methods 92 MHD patients from six dialysis units in Beijing were investigated by means of three psychological re ting scales; symptom check list 90 (SCL-90), multidimentional health locus of control (MHLC), Eysenck personality questionaire (EPQ) and one questionair of quality of life specific for end-stage renal disease (ESRD) patients. The result of this study...

To study psychological status of maintenance hemodialysis (MHD) patients and carry out psychotherapy in China. Methods 92 MHD patients from six dialysis units in Beijing were investigated by means of three psychological re ting scales; symptom check list 90 (SCL-90), multidimentional health locus of control (MHLC), Eysenck personality questionaire (EPQ) and one questionair of quality of life specific for end-stage renal disease (ESRD) patients. The result of this study was compared with the data from HD centers in USA and Canada. Results A higher proportion of psychological disturbance especially in anxiety was found in our MHD patients than those in USA ( P <0.01). The psychological disturbance was significantly correlated with chance externality dimention of MHLC( P <0.01). Patients with high scores for neuroticism of EPQ trended towards appearance of depression and anxiety. A lower objective quality of life was showed in our MHD patients compared with those in Canada. But there was not a significant difference in overall life satisfaction between both groups. The objective quality of life in our MHD patients was significantly correlated with both psychological and somatic status ( P < 0.01) and psychological disturbance was associated with somatic symptoms ( P < 0.01). Conclusion Our MHD patients shared some common psychological features with those in USA and Canada, and they had some special psychological characteristics. We should take care of both somatic and psychological health of MHD patients to improve their quality of life.

研究我国血透患者的心理状况并进行针对性的心理治疗。方法 采用症状自评量表(SCL90-R)、多维度健康状况心理控制源量表(MHLC)、艾森克个性问卷(EPQ)及终末期肾脏病(ESRD)患者专用的生活质量表对北京六个医院透析中心的92名维持性血透患者进行了心理状态的研究,并与美国及加拿大相同的研究进行了比较分析。结果 本组的血透存在着抑郁、焦虑、恐怖等心理障碍,出现心理障碍的比例显著高于美国同类患者(P<0.01),且焦虑的发生率高于美国同类患者(P<0.01)。这些障碍与MHLC中机遇项分(CED)显著相关(P<0.01)。EPQ中神经质项分高者倾向于发生抑郁、焦虑等心理障碍。本组的血透患者客观生活质量较加拿大同类患者低(P<0.01),但在总的生活满意度上没有显著性差异。生活质量与心理及躯体因素均呈显著相关,心理障碍与躯体症状也显著相关(P<0.01)。结论 本组的血透患者心理状态与美国加拿大同类患者相比既有相同之处,又有特殊之处。我们应该兼顾病人的躯体和精神两方面的健康,努力提高他们的生活质量。

 
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