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自制一种戴手套手术体位臀垫在腹腔镜直肠癌手术中的应用
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作者 胡建群 胡珍 +3 位作者 刘群 叶玲 彭惠 黄永生 《医疗装备》 2023年第21期118-121,共4页
目的探讨一种自制戴手套手术体位臀垫在腹腔镜直肠癌手术患者中的应用效果。方法选择2021年1月至2022年11月于医院行腹腔镜直肠手术患者82例,采用随机抽样法,将患者平均分为对照组(41例)和观察组(41例)。对照组采用传统手术体位垫,观察... 目的探讨一种自制戴手套手术体位臀垫在腹腔镜直肠癌手术患者中的应用效果。方法选择2021年1月至2022年11月于医院行腹腔镜直肠手术患者82例,采用随机抽样法,将患者平均分为对照组(41例)和观察组(41例)。对照组采用传统手术体位垫,观察组采用自制戴手套手术体位臀垫。对比两组手术相关指标(手术时长和术后住院时间)、术后臀部压红、疼痛情况、术后并发症、术后舒适度以及手术医师的满意度。结果观察组的手术时长和术后住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组术后臀部压红、疼痛情况均少于对照组,差异有统计学意义(P<0.05)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组术后舒适度高于对照组,差异有统计学意义(P<0.05)。观察组医师满意度高于对照组,差异有统计学意义(P<0.05)。结论自制戴手套手术体位臀垫有利于腹腔镜直肠癌手术患者的恢复,可提高患者术后舒适度及医师的满意度。 展开更多
关键词 自制体位臀垫 腹腔镜 直肠癌 膀胱截石位
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Investigation on Flow Accelerated Corrosion Mitigation for Secondary Circuit Piping of the Third Qinshan Nuclear Power Plant 被引量:3
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作者 ZHAO Liang hu jianqun +1 位作者 WU Zhigang WANG Kin 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2011年第2期214-219,共6页
Flow accelerated corrosion(FAC) is the main failure cause of the secondary circuit carbon steel piping in nuclear power plants.The piping failures caused by FAC have resulted in numerous unplanned outages and tragic... Flow accelerated corrosion(FAC) is the main failure cause of the secondary circuit carbon steel piping in nuclear power plants.The piping failures caused by FAC have resulted in numerous unplanned outages and tragic fatalities.The existing researches focus on the main factors contributing to FAC,which include metallurgical factors,environmental factors and hydrodynamic factors. Some effective FAC management methods and programs with long term monitoring and inspection data analysis are recommended.But a comprehensive FAC management system should be developed in order to mitigate and manage FAC systematically.In this paper,the FAC influencing factors are analyzed in combination with the operating conditions of the secondary circuit piping in the Third Qinshan Nuclear Power Plant(TQNPP),China(Third Qinshan Nuclear Power Company Limited,China).A comprehensive FAC mitigation and management system is developed for TQNPP secondary circuit piping.The system is composed of five processes,viz.materials substitution,water chemical optimization,long-term monitor strategy for the susceptible piping,integrity evaluation of the local thinning defects,and repair or replacement.With the implementation of the five processes,the material of FAC sensitive pipe fittings are modified from carbon steel to stainless steel,N_2H_4 and NH_3 are finally selected as the water chemical regulator of secondary circuit,the secondary circuit pips are classified according to FAC susceptibility in order to conduct long term monitoring strategy,and an integrity evaluation flow for local thinning caused by FAC in carbon steel piping is developed.If the component with local thinning defects is not fit-for-service,corresponding repair or replacement should be conducted.The comprehensive FAC mitigation and management system with five interrelated processes would be a cost-effective method of increasing personnel safety,plant safety and availability. 展开更多
关键词 flow accelerated corrosion nuclear power plant secondary circuit piping
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