Objective To explore the clinical significance of two new indexes including approximate entropy of oxygen saturation (SpO2ApEn) and saturation impairment time index (SITi) in assessing the severity of hypoxemia in obstructive sleep apnea hypopnea syndrome (OSAHS) patients.In addition,to investigate the correlation betewwn new indexes and other parameters.Methods The six hour polysomnography (PSG) of 500 patients with OSAHS and snorers in our hospital was retrospectively analyzed.According to the level of apnea hypopnea index (AHI),subjects were divided into four subgroups,namely 113 healthy controls,121 mild OSAHS,118 moderate OSAHS,and 148 severe OSAHA patients.SpO2 ApEn and SITi values among the four groups were compared.the correlations between SpO2 ApEn,SITi and other parameters were analyzed,including AHI,oxygen desaturation index (ODI),the lowest oxygen saturation(LSpO2) and the duration of oxygen saturation lower than 90％ (T ＜ 90％).Next,taking AHI as the gold standard,the significance of SpO2ApEn and SITi in assessing the severity of hypoxemia in OSAHS patients was explored by ROC curve analysis.Results SpO2ApEn and SITi between two each groups were significantly different (P ＜ 0.001) and increased synchronously with AHI.Spearman correlation analysis showed that SpO2ApEn and SITi had a good correlation with AHI (correlation coefficient r =0.765,r =0.678,P ＜ 0.O1).SpO2ApEn and SITi also had a good correlation with ODI,LSpO2and T ＜ 90％.According to the ROC analysis,the Boundary values of SpO2ApEn for mild,moderate and severe OSAHS patients were 16.70,17.81,and 20.03,respectively,and the corresponding SITi values were 3.685,4.055,and 4.445.Conclusion In this study,SpO2ApEn and SITi increased synchronously with AHI,SpO2ApEn and SITi had good correlations with AHI,ODI,LSpO2and T ＜90％.SpO2ApEn and SITi have important clinical significance for assessment of hypoxia severity in OSAHS patients.

Female ; Humans ; Infant ; Leishmaniasis, Visceral

Humans ; Infant ; Male ; Toxoplasmosis ; etiology

Objective To understand the experiences of the disabled ages occurring safety risks in the communities.Methods Phenomenology method was used.13 disabled ages who occurred safety risks in Chongqing participated in semi-structured and in-depth interview,regarding their experiences of occurring safety risks.The data were analyzed using Colaizzi method.Results Four themes were found,including enduring mental stress,lack of safety knowledge,expecting perfection of society support system,desiring to achieve self-worth.Conclusions The nurses in the communities should provide better guidance for the disabled ages as well as the caregivers,for improving their living quality.

Information of the acupuncture treatment ofdepression in 93 ancient books has been made statistics with computer Results showed that Heart Meridian, Pericardium Meridian, Bladder Meridian, Governor Vessel,Conception Vessel, Spleen Meridian and Stomach Meridian have been used frequently; as to areas, the medi al aspect of upper limbs, head and face, medial aspect of legs, upper back, chest and abdomen have been mostly selected; as to treatment methods, needling,moxibustion and blood-letting therapies have been utilized.

The data concerning the treatment of diarrhea by acupuncture in 62 ancient books are computerized and thus show that the ancient acupuncturists primarily used the acupoints of the conception vessel, stomach meridian, bladder meridian, and the foot yin meridians.As to the location, the acupoints on the abdomen, back,exterior side of leg and the hands and feet are used. The common techniques are moxibustion, hot compression,needling, blood letting, navel application and so on.

The information concerning dormant papule in 93 ancient medical books is statistically computerized and shows that there are totally 29 items of information and 25 acupoints (55 times in frequency) in connection with dormant papule. The commonly used acupoints are Quchi (LI 11), Jianyu (LI 15), Tianjing (TE 10), etc, which are around joints, on the upper body, on the lateral aspect or on the ends of the limbs. The commonly used meridians are Large Intestine Meridian, Pericardium Meridian,Triple Energizer Meridian, and Gallbladder Meridian. The commonly used parts are the lateral aspect of arm, the dorsum of hand, the external aspect of leg, the medial aspect of arm, and the palm.

This paper makes a statistical analysis on the acupuncture treatment of stranguria recorded in 62 ancient books with computer. The statistics show that the frequently treated meridians are Conception Vessel,three yin meridians of foot, and Bladder Meridian; the commonly treated areas are lower abdomen, midial aspects of legs, and lower back; the commonly used techniques are moxibustion, and needling.

This paper makes a statistical analysis on the acupuncture treatment of dementia recorded in 93 ancient books. The statistics show that the common acupoints are Shenmen ( HT 7), Shaoshang ( LU 11 ),Dazhong ( KI4), Yinbai ( SP 1 ), Houxi ( SI 3 ), Xinshu (BL 15), Yongquan (KI 1), Jiuwei (CV 15) and Baihui (GV 20); the common meridians are the Heart Meridian, Bladder Meridian and Kidney Meridian; the common areas are palm, medial side of leg, upper back and head; the acupoints of the heart meridian are frequently used, especially those in the distal end;heavy moxibustion functions to open orifices and needling to regulate qi.