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    Clinical effect and influencing factors of intravenous thrombolysis with ateplase in patients with acute cerebral infarction aged 80 years and over
    LI Yin-zhen, ZHANG Jing-wen, ZHENG Yong-qiang
    Practical Geriatrics    2021, 35 (5): 463-466.   DOI: 10.3969/j.issn.1003-9198.2021.05.008
    Abstract268)      PDF (4255KB)(9069)      
    Objective To investigate the clinical efficacy, safety and influencing factors of intravenous thrombolysis with ateplase (rt-PA) in the elderly patients with acute cerebral infarction. Methods A total of 117 patients with acute cerebral infarction with onset time less than 4.5 hours admitted to our hospital from January 2017 to October 2020 were retrospectively analyzed, including 81 males and 36 females. According to age, 83 patients were assigned in control group (<80 years old) and 34 patients in observation group(≥80 years old). All patients of the two groups were given intravenous thrombolysis with 0.9 mg/kg rt-PA. The acute efficacy [improvement of National Institute of Health stroke scale (NIHSS) score within 14 days], short-term efficacy (Modified Rankin Scale score within 90 days) and safety of rt-PA in the two groups were compared. The influencing factors for the prognosis of intravenous thrombolysis were analyzed by multiple Logistic regression. Results There were no significant differences in curative effect, the incidence rate of complications induced by thrombolysis and mortality after thrombolytic therapy between the two groups (P>0.05). The incidence rate of complications not induced by thrombolysis in observation group was higher than that in control group (20.59% vs 6.02%, P=0.018). Based on multiple Logistic regression analysis, NIHSS score before thrombolysis and complications not inducecd by thrombolysis were independent risk factors for the clinical outcome of intravenous thrombolysis after 90 days. Conclusions Using rt-PA in the thrombolytic time window of the elderly patients with acute cerebral infarction is safe and effective. The score of NIHSS before thrombolysis and complications not induced by thrombolysis shows effects on the prognosis of the patients with acute cerebral infarction aged 80 years old and over.
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    Practical Geriatrics    2024, 38 (1): 72-76.   DOI: 10.3969/j.issn.1003-9198.2024.01.017
    Abstract123)      PDF (1101KB)(6142)      
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    Practical Geriatrics    2023, 37 (10): 1076-1080.   DOI: 10.3969/j.issn.1003-9198.2023.10.026
    Abstract141)      PDF (999KB)(6364)      
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    Practical Geriatrics    2010, 24 (1): 13-.  
    Abstract875)      PDF (1278KB)(10682)      
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    Practical Geriatrics    2023, 37 (10): 978-983.   DOI: 10.3969/j.issn.1003-9198.2023.10.002
    Abstract118)      PDF (1157KB)(4764)      
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    Practical Geriatrics    2024, 38 (2): 109-113.   DOI: 10.3969/j.issn.1003-9198.2024.02.001
    Abstract173)      PDF (1278KB)(3698)      
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    XU Qian, LI Qian-Qian, DAN An-Xia, LIU Cun-Zhi
    Practical Geriatrics    2015, 29 (6): 511-.  
    Abstract163)      PDF (928KB)(5455)      
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    Practical Geriatrics    2023, 37 (9): 878-881.   DOI: 10.3969/j.issn.1003-9198.2023.09.004
    Abstract113)      PDF (1042KB)(4906)      
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    Practical Geriatrics    2024, 38 (1): 68-71.   DOI: 10.3969/j.issn.1003-9198.2024.01.016
    Abstract110)      PDF (1122KB)(3028)      
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    Practical Geriatrics    2024, 38 (3): 232-235.   DOI: 10.3969/j.issn.1003-9198.2024.03.005
    Abstract113)      PDF (1157KB)(2562)      
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    LV Li-Wei
    Practical Geriatrics    2010, 24 (3): 181-.  
    Abstract1062)      PDF (1007KB)(6597)      
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    Practical Geriatrics    2024, 38 (3): 299-303.   DOI: 10.3969/j.issn.1003-9198.2024.03.021
    Abstract90)      PDF (1073KB)(2366)      
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    Epidemiological characteristics of chronic respiratory diseases in the elderly
    LI Xiang, LI Xuan, TIAN Yingxuan
    Practical Geriatrics    2025, 39 (3): 217-222.   DOI: 10.3969/j.issn.1003-9198.2025.03.001
    Abstract70)      PDF (1169KB)(170)      
    Chronic respiratory diseases impose a heavy burden on the elderly, which significantly influence their quality of life. This article reviews the epidemiological characteristics and risk factors of some common chronic respiratory diseases, including chronic airway inflammation, lung cancer, idiopathic pulmonary fibrosis and tuberculosis, aiming to provide insights for clinical prevention and treatment of chronic respiratory diseases in the elderly.
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    Practical Geriatrics    2024, 38 (2): 119-122.   DOI: 10.3969/j.issn.1003-9198.2024.02.003
    Abstract155)      PDF (1125KB)(2633)      
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    Effects of social isolation, sleep quality and their interaction on cognitive function in the elderly
    WU Gen-li, ZHANG Li, ZHAO Ya-xuan
    Practical Geriatrics    2023, 37 (5): 495-499.   DOI: 10.3969/j.issn.1003-9198.2023.05.015
    Abstract129)      PDF (1039KB)(2917)      
    Objective To explore the effect of social isolation, sleep quality and their interaction on cognitive function in the elderly. Methods From October to December 2021, stratified sampling method was used to select 520 elderly people from Bengbu City. Lubben Social Network Scale, Pittsburgh Sleep Quality Index and Montreal Cognitive Assessment-Basic were used to evaluate the social isolation, sleep quality and cognitive function of the elderly, and Logistic regression analysis and interaction analysis were used to analyze the association among them. Results A total of 506 elderly were enrolled in the study finally. Among the 506 elderly, 166(32.8%) presented with social isolation, 138(27.3%) with sleep disorders, and 116(22.9%) with cognitive dysfunction. After adjusting age, education level, living status, marital status, and combined chronic diseases, the results of binary Logistic regression analysis showed that social isolation(OR=3.637, 95%CI:2.174-6.205) and sleep disorder(OR= 3.308, 95%CI:1.970-5.556) were the influencing factors of cognitive dysfunction in the elderly. The results of interaction analysis showed that the risk of cognitive impairment in the elderly with social isolation and sleep disorder was 11.811(95%CI:5.923-23.552) times higher than that in the elderly without social isolation and sleep disorder, with a relative excess risk due to interaction(RERI) of 8.167(95%CI:0.199-16.134), with an attributable proportion of interaction(AP)of 0.640(95%CI:0.379-0.902), with the synergy index(S) of 3.276(95%CI:1.374-7.814). Conclusions Social isolation and sleep quality are the risk factors of cognitive function in the elderly, and their effects on cognitive function have additive interaction.
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    Practical Geriatrics    2024, 38 (4): 334-337.   DOI: 10.3969/j.issn.1003-9198.2024.04.003
    Abstract103)      PDF (1197KB)(2169)      
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    XIE Xiang-Ming
    Practical Geriatrics    2015, 29 (6): 452-.  
    Abstract235)      PDF (1032KB)(5459)      
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    Practical Geriatrics    2024, 38 (2): 193-197.   DOI: 10.3969/j.issn.1003-9198.2024.02.021
    Abstract110)      PDF (1061KB)(2322)      
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    Practical Geriatrics    2024, 38 (4): 325-329.   DOI: 10.3969/j.issn.1003-9198.2024.04.001
    Abstract115)      PDF (1070KB)(2141)      
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    Practical Geriatrics    2021, 35 (5): 507-508.   DOI: 10.3969/j.issn.1003-9198.2021.05.019
    Abstract218)      PDF (4255KB)(2597)      
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    Practical Geriatrics    2024, 38 (3): 223-227.   DOI: 10.3969/j.issn.1003-9198.2024.03.003
    Abstract123)      PDF (1187KB)(2004)      
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    Practical Geriatrics    2020, 34 (11): 1213-.  
    Abstract232)      PDF (4482KB)(4020)      
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    Study on the predictive value of Padua score for venous thromboembolism in elderly inpatients
    GAO Wei-fei, LI Peng, QIAO Zhen, MA Li-na
    Practical Geriatrics    2023, 37 (8): 803-805.   DOI: 10.3969/j.issn.1003-9198.2023.08.012
    Abstract115)      PDF (1045KB)(2543)      
    Objective To assess the predictive value of Padua score for venous thromboembolism(VTE) in the elderly inpatients. Methods A retrospective analysis was performed and 150 elderly inpatients in Department of General Practice of Hangzhou Third People's Hospital from January 2018 to June 2021 were included. All of them underwent CT pulmonary angiography or venous ultrasound of both upper(lower)limbs, and were divided into VTE group and non-VTE group. The baseline data including age, gender, underlying disease, Padua score, D-dimer, mean platelet volume(MPV), albumin were collected and compared between the two groups. Multivariate Logistic regression was used to analyze the risk factors of VTE. Receiver operating characteristic (ROC) curve analysis was carried out to assess the predictive value of Padua score. Results There were statistically significant differences in Padua score, age, hypertension, acute infection, D-dimer, MPV and albumin between the two groups. Multivariate Logistic regression analysis showed that aged ≥85 years old was the independent risk factor for VTE of elderly inpatients. The area under the curve (AUC) of Padua score to predict the incidence of VTE was 0.631, with a cut-off value of 4.5, and the Youden index was 0.36. Conclusions The predictive value of Padua score for VTE in elderly inpatients is limited.
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    Practical Geriatrics    2023, 37 (9): 956-959.   DOI: 10.3969/j.issn.1003-9198.2023.09.022
    Abstract69)      PDF (1030KB)(1939)      
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    Practical Geriatrics    2023, 37 (9): 873-877.   DOI: 10.3969/j.issn.1003-9198.2023.09.003
    Abstract149)      PDF (1107KB)(2228)      
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    WU Ming-Hua
    Practical Geriatrics    2015, 29 (10): 796-.  
    Abstract439)      PDF (1096KB)(5473)      
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    Practical Geriatrics    2023, 37 (10): 1041-1043.   DOI: 10.3969/j.issn.1003-9198.2023.10.016
    Abstract93)      PDF (1199KB)(2385)      
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    Practical Geriatrics    2020, 34 (2): 205-.  
    Abstract232)      PDF (3269KB)(3816)      
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    Practical Geriatrics    2023, 37 (5): 528-531.   DOI: 10.3969/j.issn.1003-9198.2023.05.023
    Abstract101)      PDF (1008KB)(1951)      
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    Research progress of calprotectin S100A8/S100A9 in Alzheimer's disease
    WU Jinli, YANG Xiaojuan
    Practical Geriatrics    2025, 39 (2): 197-201.   DOI: 10.3969/j.issn.1003-9198.2025.02.020
    Abstract48)      PDF (1039KB)(1399)      
    Alzheimer's disease(AD) is characterized by progressive memory loss. Based on the emerging theory of microbe-gut-brain axis, the changes in intestinal flora might activate the intestinal inflammation. Calprotectin, as a marker of intestinal inflammation, is a key substance in the brain-gut axis of AD. Its subunits S100A8 and S100A9 are also closely related to the Aβ theory and neuroinflammation theory in AD, respectively. Therefore, this article reviews the main functions of S100A8/S100A9 protein and its new research progress in AD-related pathogenesis, risk factors, prevention and treatment, in order to provide new research directions for the treatment of AD.
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