为有效积累和重用航空橡塑密封结构案例中蕴含的知识,提出基于模型的定义(Model Based Definition,MBD)的航空橡塑密封结构案例库构建方法。首先,基于航空橡塑密封结构行业设计标准和MBD的三维建模与标注方法,建立基于MBD的航空橡塑密...为有效积累和重用航空橡塑密封结构案例中蕴含的知识,提出基于模型的定义(Model Based Definition,MBD)的航空橡塑密封结构案例库构建方法。首先,基于航空橡塑密封结构行业设计标准和MBD的三维建模与标注方法,建立基于MBD的航空橡塑密封结构案例内容框架和表示,通过SolidWorks MBD模块实现航空橡塑密封结构案例的MBD表示;然后,提取航空橡塑密封结构MBD案例表示中的几何特征和语义特征,设计“几何+语义”的案例检索算法;最后,开发的基于MBD的航空橡塑密封结构案例库原型系统及其应用表明,基于MBD的航空橡塑密封结构案例表示与检索实现了知识的积累和重用。展开更多
Objective:To explore the safety and effectiveness nursing of 12 h discharged daytime laparoscopic cholecystectomy guided by enhanced recovery after surgery(ERAS)concept.Methods:Included 180 cases from the 12 h dischar...Objective:To explore the safety and effectiveness nursing of 12 h discharged daytime laparoscopic cholecystectomy guided by enhanced recovery after surgery(ERAS)concept.Methods:Included 180 cases from the 12 h discharged daytime laparoscopic cholecystectomy patients which assessmended and guided by ERAS,with the 180 case of routine cholecystectomy patients as control group at the same time.To quantitatively analyze the related indexes of perioperative period and ERAS concept,and evaluate the clinical safety,and effectiveness.Results:It displayed no significant differences in average age,gender distribution,duration of gallbladder related disease and distribution of clinical symptoms between the two groups(P>0.05).There were also no significant differences in preoperative smoking history,hypertension history,cardio-cerebrovascular history,abdominal operation history and disease composition ratio between the two groups(P>0.05).None of the patients had conversion to laparotomy.Compared with the conventional surgery group,there were no significant differences in the average amount of intraoperative blood loss,operation time and muscle strength before returning to the ward in patients with ERAS guided day surgery(P>0.05).When compared with the conventional surgery group,ERAS guided day surgery group had no significant difference in muscle strength between the two groups when going under the ground(t=1.64,P=0.082).Also,the level of peripheral white blood cells in patients with ERAS guided day surgery group was not significantly increased at 6 h after surgery.Meanwhile,liver function related indexes,transaminase,total bilirubin,indirect bilirubin were not significantly abnormal(P>0.05).Conclusion:12 h daytime laparoscopic cholecystectomy guided by ERAS concept can improve the clinical efficacy of patients with cholecystolithiasis,which is safe and feasible.展开更多
文摘为有效积累和重用航空橡塑密封结构案例中蕴含的知识,提出基于模型的定义(Model Based Definition,MBD)的航空橡塑密封结构案例库构建方法。首先,基于航空橡塑密封结构行业设计标准和MBD的三维建模与标注方法,建立基于MBD的航空橡塑密封结构案例内容框架和表示,通过SolidWorks MBD模块实现航空橡塑密封结构案例的MBD表示;然后,提取航空橡塑密封结构MBD案例表示中的几何特征和语义特征,设计“几何+语义”的案例检索算法;最后,开发的基于MBD的航空橡塑密封结构案例库原型系统及其应用表明,基于MBD的航空橡塑密封结构案例表示与检索实现了知识的积累和重用。
基金Research and Application of Clinical Diagnosis and Treatment Technology in Capital(Z211100002921025)。
文摘Objective:To explore the safety and effectiveness nursing of 12 h discharged daytime laparoscopic cholecystectomy guided by enhanced recovery after surgery(ERAS)concept.Methods:Included 180 cases from the 12 h discharged daytime laparoscopic cholecystectomy patients which assessmended and guided by ERAS,with the 180 case of routine cholecystectomy patients as control group at the same time.To quantitatively analyze the related indexes of perioperative period and ERAS concept,and evaluate the clinical safety,and effectiveness.Results:It displayed no significant differences in average age,gender distribution,duration of gallbladder related disease and distribution of clinical symptoms between the two groups(P>0.05).There were also no significant differences in preoperative smoking history,hypertension history,cardio-cerebrovascular history,abdominal operation history and disease composition ratio between the two groups(P>0.05).None of the patients had conversion to laparotomy.Compared with the conventional surgery group,there were no significant differences in the average amount of intraoperative blood loss,operation time and muscle strength before returning to the ward in patients with ERAS guided day surgery(P>0.05).When compared with the conventional surgery group,ERAS guided day surgery group had no significant difference in muscle strength between the two groups when going under the ground(t=1.64,P=0.082).Also,the level of peripheral white blood cells in patients with ERAS guided day surgery group was not significantly increased at 6 h after surgery.Meanwhile,liver function related indexes,transaminase,total bilirubin,indirect bilirubin were not significantly abnormal(P>0.05).Conclusion:12 h daytime laparoscopic cholecystectomy guided by ERAS concept can improve the clinical efficacy of patients with cholecystolithiasis,which is safe and feasible.
