目的:探讨ACS患者TyG、SII与冠状动脉狭窄程度的关系,从而为预测ACS患者冠脉狭窄程度提供一定参考价值。方法:纳入2022年2月~2024年2月于安徽某三甲医院接受冠脉造影发现冠脉狭窄的ACS患者200例,根据Gensini评分进行分组,分为冠脉轻度狭窄组(90分,n = 68);另选取同期行冠脉造影未见狭窄的100例ACS患者作为对照。收集患者性别、年龄、BMI、血小板计数、淋巴细胞计数、中性粒细胞计数、空腹血糖、血脂、超敏肌钙蛋白、射血分数等指标。比较狭窄组与对照组的数据资料。采用Spearman相关性分析探究SII、TyG与冠状动脉病变程度的相关性。绘制受试者工作特征(Receiver operating characteristic, ROC)曲线分析TyG、SII对冠状动脉病变程度的预测价值。结果:1. ACS患者FBG、TC、TG、LC、NC、PLT、hs-cTnI高于对照患者,差异有统计学意义(P Objective: This study aims to explore the association between the Triglyceride-Glucose Index (TyG), Systemic Immune-Inflammation Index (SII), and the extent of coronary artery stenosis in individuals diagnosed with acute coronary syndrome (ACS). Methods: A total of 200 ACS patients with coronary artery stenosis confirmed by coronary angiography at a tertiary hospital in Anhui Province from February 2022 to February 2024 were enrolled. They were divided into three groups based on Gensini scores: mild stenosis group (90 points, n = 68). Additionally, 100 ACS Individuals who underwent coronary angiography during the same timeframe and showed no evidence of stenosis were designated as the control group. Data on gender, age, BMI, platelet count, lymphocyte count, neutrophil count, fasting blood glucose, blood lipids, high-sensitivity troponin, and ejection fraction were collected. A comparative analysis was conducted between the stenosis group and the control group. To assess the association between SII, TyG, and the extent of coronary artery disease, Spearman correlation analysis was employed. Addi
德国全科医师的培训制度经过多年的探索和完善,目前已经形成了一套系统化、规范化、科学化的教学及考核评价反馈体系。我国全科医师培训起步晚,亟待规范、完善和发展。本文梳理了在德国学习全科医学培训时期的模式和考核体系,德国全科医师培养采用以CanMEDS框架(Canada Medical Education Direction System)为基础的学习模式,采用反馈-培训机制,通过建立可信任的专业活动(EPAs),来落实核心能力导向的医学教育训练与评估,常用的考核方式主要为标准化病人(SP)考核和直接观察操作技能考核(DOPS),这对我国的全科培训制度的完善有很好的借鉴意义。
