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全麻联合不同浓度罗哌卡因腹横肌平面阻滞对腹腔镜阑尾切除术的镇痛效果分析 被引量:4
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作者 林福星 陈清贵 +1 位作者 马保新 黄颖 《中国药师》 CAS 2023年第11期249-256,共8页
目的 探讨全身麻醉联合不同浓度罗哌卡因腹横肌平面阻滞对腹腔镜阑尾切除术(LA)的镇痛效果。方法 纳入2022年1月至2023年7月厦门大学附属中山医院行LA患者为研究对象。所有患者均行全身麻醉联合罗哌卡因腹横肌平面阻滞。根据罗哌卡因浓... 目的 探讨全身麻醉联合不同浓度罗哌卡因腹横肌平面阻滞对腹腔镜阑尾切除术(LA)的镇痛效果。方法 纳入2022年1月至2023年7月厦门大学附属中山医院行LA患者为研究对象。所有患者均行全身麻醉联合罗哌卡因腹横肌平面阻滞。根据罗哌卡因浓度,将患者分为高浓度组(0.50%,20 mL)、中浓度组(0.375%,20 mL)和低浓度组(0.25%,20 mL)。记录并比较3组患者芬太尼用量、术后出血量、第1次按压镇痛泵时间和按压次数。观察并比较3组患者术后(1,6,12,24 h)生命体征(平均动脉压和心率)、疼痛程度[疼痛数字评分法(NRS)]和舒适度程度[舒适度评分(BCS)],比较患者术后不良反应发生情况。结果 研究共纳入90例LA患者,每组各30例。低浓度组第1次按压镇痛泵时间明显短于中、高浓度组(P <0.05),而按压次数明显高于其他两组(P <0.05)。术后1 h平均动脉压和心率随罗哌卡因浓度升高而显著降低(P<0.05);与术后1 h相比,中、高浓度组患者术后6 h平均动脉压和心率明显升高(P<0.05),此后不再发生明显变化。高浓度组患者在术后4个时间节点上NRS评分均显著低于中、低浓度组(P <0.05);中浓度组患者在术后4个时间节点上NRS评分也显著低于低浓度组(P <0.05)。高浓度组在第1,6,24 h BCS评分显著高于中、低浓度组(P <0.05)。高浓度组不良反应发生率明显高于低、中浓度组(P <0.05);而中、低浓度组在不良反应发生情况上差异无统计学意义(P> 0.05)。结论 全麻联合0.50%罗哌卡因腹横肌平面阻滞对LA患者镇痛效果显著,且舒适度高,但术后不良反应风险较大,需根据实际情况调整方案。 展开更多
关键词 罗哌卡因 腹横肌平面阻滞 腹腔镜下阑尾切除术 镇痛效果
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Effects of Soluble Ions on Hydration of Calcined Flue Gas Desulphurization Gypsum 被引量:3
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作者 fu-xing lin Yan-chi Zhong +3 位作者 Shu-feng Yan Bi-fan lin Jian-hua Wang Zhi-zhong Su 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2020年第6期764-768,I0003,共6页
The influence of various water soluble cations(K^+,Na^+,Ca^2+,Mg^2+)on the hydration of calcined flue gas desulphurization gypsum was investigated.The results show that all cations but Ca^2+can accelerate the hydratio... The influence of various water soluble cations(K^+,Na^+,Ca^2+,Mg^2+)on the hydration of calcined flue gas desulphurization gypsum was investigated.The results show that all cations but Ca^2+can accelerate the hydration of bassanite.The final crystal size is not largely influenced by different salts,except for Na^+,where the giant crystal with length of>130μm is observed.Current study clarifies the influence of different ions on the hydration of bassanite,which could provide sufficient guide for the pre-treatment of original flue gas desulphurization gypsum before actual application. 展开更多
关键词 BASSANITE Flue gas desulphurization HYDRATION Soluble ions
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Magnetic Nano-Amorphous-Iron-Oxide-Based Drug Delivery System with Dual Therapeutic Mechanisms
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作者 Shan Lei Li-an Wang +3 位作者 fu-xing lin Kun Zeng Mo-zhen Wang Xue-wu Ge 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2020年第3期376-384,I0003,共10页
Smart nanoparticles that respond to pathophysiological parameters,such as p H,GSH,and H2O2,have been developed with the huge and urgent demand for the high-efficient drug delivery systems(DDS)for cancer therapy.Herein... Smart nanoparticles that respond to pathophysiological parameters,such as p H,GSH,and H2O2,have been developed with the huge and urgent demand for the high-efficient drug delivery systems(DDS)for cancer therapy.Herein,cubic poly(ethylene glycol)(PEG)-modified mesoporous amorphous iron oxide(AFe)nanoparticles(AFe-PEG)have been successfully prepared as p H-stimulated drug carriers,which can combine doxorubicin(DOX)with a high loading capacity of 948 mg/g,forming a novel multifunctional AFe-PEG/DOX nanoparticulate DDS.In an acidic microenvironment,the AFe-PEG/DOX nanoparticles will not only release DOX efficiently,but also release Fe ions to catalyze the transformation of H2O2 to·OH,acting as fenton reagents.In vitro experimental results proved that the AFe-PEG/DOX nanoparticles can achieve combination of chemotherapeutic(CTT)and chemodynamic therapeutic(CDT)effects on Hela tumor cells.Furthermore,the intrinsic magnetism of AFePEG/DOX makes its cellular internalization efficiency be improved under an external magnetic field.Therefore,this work develops a new and promising magnetically targeted delivery and dual CTT/CDT therapeutic nano-medicine platform based on amorphous iron oxide. 展开更多
关键词 Cubic amorphous iron oxide nanoparticles p H-responsive CHEMOTHERAPY Chemodynamic therapy Magnetically targeted delivery
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