目的:探讨CO2气腹压力和氧疗对妇科宫腹腔镜联合手术后肩痛的影响。方法:选取2011年6月-2014年6月于笔者所在医院行妇科宫腹腔镜联合手术的142例患者作为研究对象,将其按照随机硬币法平均分为对照组和观察组,每组71例。对照组患者...目的:探讨CO2气腹压力和氧疗对妇科宫腹腔镜联合手术后肩痛的影响。方法:选取2011年6月-2014年6月于笔者所在医院行妇科宫腹腔镜联合手术的142例患者作为研究对象,将其按照随机硬币法平均分为对照组和观察组,每组71例。对照组患者行常规手术,CO2气腹压力调整在14 mm Hg,依据患者情况给予吸氧;观察组患者则予以合理调节气腹压力10-12 mm Hg,术后对患者持续低流量吸氧,持续8-12 h左右;最后对两组患者颈肩痛发生以及发生程度进行观察、比较。结果:术后,对照组71例患者有36例患者发生肩痛,发生率为50.7%;观察组71例患者中有19例患者发生肩痛,发生率为26.8%,观察组的肩痛发生率明显低于对照组,差异有统计学意义(字2=8.576,P=0.003)。同时观察组患者术后疼痛时间持续久者、VAS评分高者均少于对照组,比较差异均有统计学意义(P〈0.05)。结论:取患者适当手术体位、合理控制气腹压力、延长患者术后氧疗等诸多综合举措,均可以有效防治、减轻妇科宫腹腔镜联合手术后肩痛的发生及疼痛程度。展开更多
Geophysical techniques play key roles in the measuring, monitoring, and verifying the safety of CO2 sequestration and in identifying the efficiency of CO2-enhanced oil recovery. Although geophysical monitoring techniq...Geophysical techniques play key roles in the measuring, monitoring, and verifying the safety of CO2 sequestration and in identifying the efficiency of CO2-enhanced oil recovery. Although geophysical monitoring techniques for CO2 sequestration have grown out of conventional oil and gas geophysical exploration techniques, it takes a long time to conduct geophysical monitoring, and there are many barriers and challenges. In this paper, with the initial objective of performing CO2 sequestration, we studied the geophysical tasks associated with evaluating geological storage sites and monitoring CO2 sequestration. Based on our review of the scope of geophysical monitoring techniques and our experience in domestic and international carbon capture and sequestration projects, we analyzed the inherent difficulties and our experiences in geophysical monitoring techniques, especially, with respect to 4D seismic acquisition, processing, and interpretation.展开更多
文摘目的:探讨CO2气腹压力和氧疗对妇科宫腹腔镜联合手术后肩痛的影响。方法:选取2011年6月-2014年6月于笔者所在医院行妇科宫腹腔镜联合手术的142例患者作为研究对象,将其按照随机硬币法平均分为对照组和观察组,每组71例。对照组患者行常规手术,CO2气腹压力调整在14 mm Hg,依据患者情况给予吸氧;观察组患者则予以合理调节气腹压力10-12 mm Hg,术后对患者持续低流量吸氧,持续8-12 h左右;最后对两组患者颈肩痛发生以及发生程度进行观察、比较。结果:术后,对照组71例患者有36例患者发生肩痛,发生率为50.7%;观察组71例患者中有19例患者发生肩痛,发生率为26.8%,观察组的肩痛发生率明显低于对照组,差异有统计学意义(字2=8.576,P=0.003)。同时观察组患者术后疼痛时间持续久者、VAS评分高者均少于对照组,比较差异均有统计学意义(P〈0.05)。结论:取患者适当手术体位、合理控制气腹压力、延长患者术后氧疗等诸多综合举措,均可以有效防治、减轻妇科宫腹腔镜联合手术后肩痛的发生及疼痛程度。
基金supported by National 863 Program Grant 2012AA050103 and Grant 2011KTCQ03-09
文摘Geophysical techniques play key roles in the measuring, monitoring, and verifying the safety of CO2 sequestration and in identifying the efficiency of CO2-enhanced oil recovery. Although geophysical monitoring techniques for CO2 sequestration have grown out of conventional oil and gas geophysical exploration techniques, it takes a long time to conduct geophysical monitoring, and there are many barriers and challenges. In this paper, with the initial objective of performing CO2 sequestration, we studied the geophysical tasks associated with evaluating geological storage sites and monitoring CO2 sequestration. Based on our review of the scope of geophysical monitoring techniques and our experience in domestic and international carbon capture and sequestration projects, we analyzed the inherent difficulties and our experiences in geophysical monitoring techniques, especially, with respect to 4D seismic acquisition, processing, and interpretation.