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Fast-track surgery could improve postoperative recovery in radical total gastrectomy patients 被引量:45
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作者 Fan Feng Gang Ji +6 位作者 Ji-Peng Li Xiao-Hua Li Hai Shi Zheng-Wei Zhao Guo-Sheng Wu Xiao-Nan Liu Qing-Chuan Zhao 《World Journal of Gastroenterology》 SCIE CAS 2013年第23期3642-3648,共7页
AIM: To assess the impact of fast-track surgery (FTS) on hospital stay, cost of hospitalization and complications after radical total gastrectomy. METHODS: A randomized, controlled clinical trial was conducted from No... AIM: To assess the impact of fast-track surgery (FTS) on hospital stay, cost of hospitalization and complications after radical total gastrectomy. METHODS: A randomized, controlled clinical trial was conducted from November 2011 to August 2012 in the Department of Digestive Surgery, Xijing Hospital of Digestive Diseases, the Fourth Military Medical University. A total of 122 gastric cancer patients who met the selection criteria were randomized into FTS and conventional care groups on the first day of hospitalization. All patients received elective standard D2 total gastrectomy. Clinical outcomes, including duration of flatus and defecation, white blood cell count, postoperative pain, duration of postoperative stay, cost of hospitalization and complications were recorded and evaluated.Two specially trained doctors who were blinded to the treatment were in charge of evaluating postoperative outcomes, discharge and follow-up. RESULTS: A total of 119 patients finished the study, including 60 patients in the conventional care group and 59 patients in the FTS group. Two patients were excluded from the FTS group due to withdrawal of consent. One patient was excluded from the conventional care group because of a non-resectable tumor. Compared with the conventional group, FTS shortened the duration of flatus (79.03 ± 20.26 hvs 60.97 ± 24.40 h, P = 0.000) and duration of defecation (93.03 ± 27.95 h vs 68.00 ± 25.42 h, P = 0.000), accelerated the decrease in white blood cell count [P < 0.05 on postoperative day (POD) 3 and 4], alleviated pain in patients after surgery (P < 0.05 on POD 1, 2 and 3), reduced complications (P < 0.05), shortened the duration of postoperative stay (7.10 ± 2.13 dvs 5.68 ± 1.22 d,P = 0.000), reduced the cost of hospitalization (43783.25 ± 8102.36 RMBvs 39597.62 ± 7529.98 RMB,P = 0.005), and promoted recovery of patients. CONCLUSION: FTS could be safely applied in radical total gastrectomy to accelerate clinical recovery of gastric cancer patients. 展开更多
关键词 fast-track surgery GASTRIC cancer RADICAL total GASTRECTOMY PERIOPERATIVE care Outcomes
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Fast-track rehabilitation vs conventional care in laparoscopic colorectal resection for colorectal malignancy: A meta-analysis 被引量:26
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作者 Ping Li Fang Fang +3 位作者 Jia-Xun Cai Dong Tang Qing-Guo Li Dao-Rong Wang 《World Journal of Gastroenterology》 SCIE CAS 2013年第47期9119-9126,共8页
AIM:To evaluate the fast-track rehabilitation protocol and laparoscopic surgery(LFT)vs conventional care strategies and laparoscopic surgery(LCC).METHODS:Studies and relevant literature comparing the effects of LFT an... AIM:To evaluate the fast-track rehabilitation protocol and laparoscopic surgery(LFT)vs conventional care strategies and laparoscopic surgery(LCC).METHODS:Studies and relevant literature comparing the effects of LFT and LCC for colorectal malignancy were identified in MEDLINE,the Cochrane Central Register of Controlled Trials and EMBASE.The complications and re-admission after approximately 1 mo were assessed.RESULTS:Six recent randomized controlled trials(RCTs)were included in this meta-analysis,which related to 655 enrolled patients.These studies demonstrated that compared with LCC,LFT has fewer complications and a similar incidence of re-admission after approximately 1 mo.LFT had a pooled RR of 0.60(95%CI:0.46-0.79,P<0.001)compared with a pooled RR of 0.69(95%CI:0.34-1.40,P>0.5)for LCC.CONCLUSION:LFT for colorectal malignancy is safe and efficacious.Larger prospective RCTs should be conducted to further compare the efficacy and safety of this approach. 展开更多
关键词 Laparoscopic SURGERY fast-track REHABILITATION Enhanced recovery COLORECTAL SURGERY Complications READMISSION
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Fast-track program vs traditional care in surgery for gastric cancer 被引量:41
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作者 Zhi-Xing Chen Ae-Huey Jennifer Liu Ying Cen 《World Journal of Gastroenterology》 SCIE CAS 2014年第2期578-583,共6页
AIM:To systematically review the evidence for the effectiveness of fast-track program vs traditional care in laparoscopic or open surgery for gastric cancer.METHODS:PubMed,Embase and the Cochrane library databases wer... AIM:To systematically review the evidence for the effectiveness of fast-track program vs traditional care in laparoscopic or open surgery for gastric cancer.METHODS:PubMed,Embase and the Cochrane library databases were electronically searched for published studies between January 1995 and April 2013,and only randomized trials were included.The references of relevant studies were manually searched for further studies that may have been missed.Search terms included"gastric cancer","fast track"and"enhanced recovery".Five outcome variables were considered most suitable for analysis:postoperative hospital stay,medical cost,duration to first flatus,C-reactive protein(CRP)level and complications.Postoperative hospital stay was calculated from the date of operation to the date of discharge.Fixed effects model was used for meta-analysis.RESULTS:Compared with traditional care,fasttrack program could significantly decrease the postoperative hospital stay[weighted mean difference(WMD)=-1.19,95%CI:-1.79--0.60,P=0.0001,fixed model],duration to first flatus(WMD=-6.82,95%CI:-11.51--2.13,P=0.004),medical costs(WMD=-2590,95%CI:-4054--1126,P=0.001),and the level of CRP(WMD=-17.78,95%CI:-32.22--3.35,P=0.0001)in laparoscopic surgery for gastric cancer.In open surgery for gastric cancer,fast-track program could also significantly decrease the postoperative hospital stay(WMD=-1.99,95%CI:-2.09--1.89,P=0.0001),duration to first flatus(WMD=-12.0,95%CI:-18.89--5.11,P=0.001),medical cost(WMD=-3674,95%CI:-5025--2323,P=0.0001),and the level of CRP(WMD=-27.34,95%CI:-35.42--19.26,P=0.0001).Furthermore,fast-track program did not significantly increase the incidence of complication(RR=1.39,95%CI:0.77-2.51,P=0.27,for laparoscopic surgery;and RR=1.52,95%CI:0.90-2.56,P=0.12,for open surgery).CONCLUSION:Our overall results suggested that compared with traditional care,fast-track program could result in shorter postoperative hospital stay,less medical costs,and lower level of CRP,with no more complications occurring in both laparoscopic and open surgery for gastric cancer. 展开更多
关键词 fast-track program Traditional care Gastric cancer Meta-analysis Laparoscopic and open surgery
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Neuroprotective effect of bispectral index-guided fast-track anesthesia using sevoflurane combined with dexmedetomidine for intracranial aneurysm embolization 被引量:33
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作者 Chao-liang Tang Juan Li +6 位作者 Zhe-tao Zhang Bo Zhao Shu-dong Wang Hua-ming Zhang Si Shi Yang Zhang Zhong-yuan Xia 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第2期280-288,共9页
Dexmedetomidine has sedative, anxiolytic, analgesic, anti-sympathetic, and anti-shivering effects. Dexmedetomidine might be effective in combination with sevoflurane for anesthesia, but prospective randomized controll... Dexmedetomidine has sedative, anxiolytic, analgesic, anti-sympathetic, and anti-shivering effects. Dexmedetomidine might be effective in combination with sevoflurane for anesthesia, but prospective randomized controlled clinical trials with which to verify this hypothesis are lacking. In total, 120 patients who underwent embolization of an intracranial aneurysm were recruited from Anhui Provincial Hospital and Renmin Hospital of Wuhan University of China and randomly allocated to two groups. After intraoperative administration of 2% to 3% sevoflurane inhalation, one group of patients received pump-controlled intravenous injection of 1.0 ~tg/kg dexmedetomidine for 15 minutes followed by maintenance with 0.3 ~tg/kg/h until the end of surgery; the other group of patients only underwent pump-controlled infusion of saline. Bispectral index monitoring revealed that dexmedetomidine-assisted anesthesia can shorten the recovery time of spon- taneous breathing, time to eye opening, and time to laryngeal mask removal. Before anesthetic induction and immediately after laryngeal mask airway removal, the glucose and lactate levels were low, the S100~ and neuron-specific enolase levels were low, the perioperative blood pressure and heart rate were stable, and postoperative delirium was minimal. These findings indicate that dexmedetomidine can effectively assist sevoflurane for anesthesia during surgical embolization of intracranial aneurysms, shorten the time to consciousness and extubation, reduce the stress response and energy metabolism, stabilize hemodynamic parameters, and reduce adverse reactions, thereby reducing the damage to the central nervous system. This trial was registered at the Chinese Clinical Trial Registry (http://www.chictr.org. cn/) (registration number: ChiCTR-IPR- 16008113). 展开更多
关键词 nerve regeneration DEXMEDETOMIDINE SEVOFLURANE bispectral index fast-track anesthesia embolization of intracranial aneurysm stress response NEUROPROTECTION neural regeneration
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Effects of multimodal fast-track surgery on liver transplantation outcomes 被引量:26
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作者 Jian-Hua Rao Feng Zhang +5 位作者 Hao Lu Xin-Zheng Dai Chuan-Yong Zhang Xiao-Feng Qian Xue-Hao Wang Ling Lu 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS CSCD 2017年第4期364-369,共6页
BACKGROUND: Fast-track surgery and enhanced recovery after surgery have been applied to many surgical procedures; however, data on fast-track surgery and enhanced recovery after surgery following liver transplantation... BACKGROUND: Fast-track surgery and enhanced recovery after surgery have been applied to many surgical procedures; however, data on fast-track surgery and enhanced recovery after surgery following liver transplantation is limited. This study aimed to conduct a prospective study to determine the effects of fast-track surgery on prognosis after liver transplantation. METHODS: This was a prospective, single-blinded, randomized study. One hundred twenty-eight patients undergoing liver transplantation were selected for the fast-track (FT group, n=54) or conventional process (NFT group, n=74). The primary endpoints were intensive care unit (ICU) stay and hospital stay. The secondary endpoints were as follows: operative time, anhepatic phase time, intraoperative blood loss, intraoperative blood transfusion volume, postoperative complications, readmission rate, and postoperative mortality. RESULTS: There was no significant difference in preoperative demographics between the two groups. The median ICU stay was 2 days (range 1-7 days) in the FT group and 5 days (range 3-12 days) in the NFT group (P<0.01). Furthermore, the hospital stay was also significantly reduced in the FT group (P<0.01). The operative time, anhepatic phase time, intraoperative blood loss, and intraoperative blood transfusion volume were decreased in the FT group compared with the NFT group (P<0.05). Based on Spearman correlation analysis, the ICU stay and hospital stay may be positively correlated with operative time, anhepatic phase time and intraoperative blood loss. There were no differences in the incidence of postoperative complications, readmissions, and postoperative mortality between the two groups. CONCLUSION: Fast-track procedures effectively reduce the ICU stay and hospital stay without adversely affecting prognosis. This study demonstrated that fast-track protocols are safe and feasible in liver transplantation. 展开更多
关键词 fast-track surgery liver transplantation surgical drainage ICU days hospital stay
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Safety of fast-track rehabilitation after gastrointestinal surgery:Systematic review and meta-analysis 被引量:15
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作者 Liu-Hua Wang Chun-Ming Lu +3 位作者 Fang Fang Dao-Rong Wang Ping Li Yan Wang 《World Journal of Gastroenterology》 SCIE CAS 2014年第41期15423-15439,共17页
AIM: To compare the safety of fast-track rehabilitation protocols (FT) and conventional care strategies (CC), or FT and laparoscopic surgery (LFT) and FT and open surgery (OFT) after gastrointestinal surgery.
关键词 fast-track rehabilitation protocols Laparoscopic surgery Open surgery Enhanced recovery Gastrointestinal surgery COMPLICATIONS READMISSION Anastomotic leak Wound infection OBSTRUCTION
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Fast-track program in laparoscopic liver surgery:Theory or fact? 被引量:18
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作者 Belinda Sánchez-Pérez José Manuel Aranda-Narváez +5 位作者 Miguel Angel Suárez-Muoz Moises elAdel-delFresno José Luis Fernández-Aguilar Jose Antonio Pérez-Daga Ysabel Pulido-Roa Julio Santoyo-Santoyo 《World Journal of Gastrointestinal Surgery》 SCIE CAS 2012年第11期246-250,共5页
AIM:To analyze our results after the introduction of a fast-track(FT) program after laparoscopic liver surgery in our Hepatobiliarypancreatic Unit.METHODS:All patients(43) undergoing laparoscopic liver surgery between... AIM:To analyze our results after the introduction of a fast-track(FT) program after laparoscopic liver surgery in our Hepatobiliarypancreatic Unit.METHODS:All patients(43) undergoing laparoscopic liver surgery between March 2004 and March 2010 were included and divided into two consecutive groups:Control group(CG) from March 2004 until December 2006 with traditional perioperative cares(17 patients) and fast-track group(FTG) from January 2007 until March 2010 with FT program cares(26 patients).Primary endpoint was the influence of the program on the postoperative stay,the amount of re-admissions,morbidity and mortality.Secondarily we considered duration of surgery,use of drains,conversion to open surgery,intensive cares needs and transfusion.RESULTS:Both groups were homogeneous in age and sex.No differences in technique,time of surgery or conversion to open surgery were found,but more malignant diseases were operated in the FTG,and then transfusions were higher in FTG.Readmissions and morbidity were similar in both groups,without mortality.Postoperative stay was similar,with a median of 3 for CG vs 2.5 for FTG.However,the 80.8% of patients from FTG left the hospital within the first 3 d after surgery(58.8% for CG).CONCLUSION:The introduction of a FT program after laparoscopic liver surgery improves the recovery of patients without increasing complications or re-admissions,which leads to a reduction of the stay and costs. 展开更多
关键词 LIVER SURGERY LAPAROSCOPY fast-track
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Effects of nursing care in fast-track surgery on postoperative pain, psychological state, and patient satisfaction with nursing for glioma 被引量:14
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作者 Yan-Hong Deng Yi-Mei Yang +2 位作者 Jian Ruan Lin Mu Shi-Qiang Wang 《World Journal of Clinical Cases》 SCIE 2021年第20期5435-5441,共7页
BACKGROUND The brain is the most complex organ in the human body.Treatment for a glioma always involves a multi-disciplinary team.Nursing care in fast-track surgery or enhanced recovery after surgery is such kind of w... BACKGROUND The brain is the most complex organ in the human body.Treatment for a glioma always involves a multi-disciplinary team.Nursing care in fast-track surgery or enhanced recovery after surgery is such kind of work implemented by an interdisciplinary team to provide services to patients to improve their outcomes.AIM To explore the effects of nursing care in fast-track surgery on postoperative pain,psychological state,and patient satisfaction with nursing for glioma.METHODS From June 2018 to June 2020,138 patients who underwent operation for glioma at Cancer Hospital Affiliated to Chongqing University were selected.They were categorized into groups according to different nursing care that they received.Of them,69 patients receiving nursing care in fast-track surgery were included in an experimental group,and 69 patients receiving conventional postoperative nursing were included in a control group.Visual analogue scale was used to evaluate postoperative pain in the two groups immediately after the operation and at 3 d after the operation.Self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the psychological status of patients immediately after operation and on the 3rd postoperative day.A self-made satisfaction scale for patient satisfaction with nursing was used to evaluate and compare patient satisfaction with nursing between the two groups.RESULTS Time to excretion,time to out-of-bed activities,and length of hospital stay were significantly shorter in the observation group than in the control group(P<0.05).There was no significant difference in duration of operative time or intraoperative bleeding between the two groups(P>0.05).There was no significant difference in postoperative pain score between the two groups(P>0.05).The pain score was significantly lower in the observation group than in the control group at 3 d after the operation(P<0.05).There was no significant difference in postoperative SAS or SDS score between the two groups(P>0.05).SAS and SDS scores were significantly lower in the observation group than in the control group at 3 d after operation(P<0.05).The rate of patient satisfaction with nursing was 94.2%in the observation group,which was significantly higher than that(81.2%)of the control group(P<0.05).CONCLUSION Nursing care in fast-track surgery can relieve postoperative pain,anxiety,and depression,and improve patient satisfaction with nursing in patients with glioma,which is worthy of clinical application. 展开更多
关键词 Nursing care in fast-track surgery GLIOMA Visual analogue scale Self-rating anxiety scale Self-rating depression scale
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Fast-track surgery in elderly patients undergoing colorectal cancer radical resection 被引量:6
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作者 Hong-Yan Kong Ai-Ling Yang +4 位作者 Cai-Ya Ying Zhen-Fang Kong Ling-Ling Yuan Shan-Shan Hu Shun Zhang 《International Journal of Nursing Sciences》 2014年第4期381-384,共4页
Purpose:To investigate the efficacy of applying fast-track surgery(FTS)to elderly patients undergoing radical resection of colorectal cancer.Methods:Elderly patients undergoing radical resection of colorectal cancer r... Purpose:To investigate the efficacy of applying fast-track surgery(FTS)to elderly patients undergoing radical resection of colorectal cancer.Methods:Elderly patients undergoing radical resection of colorectal cancer received FTS(n=31)or routine(n=31)nursing care.The time to first anal exhaust,oral feeding and leaving the bed,duration of postoperative hospital stay and the incidence of complications were compared between the two groups.Results:Patients receiving FTS nursing demonstrated significantly shorter times to exhaust,oral feeding and leaving the bed compared with those receiving routine nursing(all p<0.01).Furthermore,there were significantly fewer incidences of postoperative pulmonary and urinary tract infections and intestinal adhesion in patients receiving FTS nursing(all p<0.05).Conclusion:Application of FTS in elderly patients undergoing radical resection of colorectal cancer facilitates an early rehabilitation after surgery,but places higher demands on nursing care. 展开更多
关键词 Aged Colorectal neoplasms fast-track surgery Nursing care
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Effect of fast-track surgery in gynecological laparoscopy:a randomized controlled trial 被引量:3
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作者 Xue-Ping Zhu Sha-Sha Zhao Jie-Dan Qin 《Frontiers of Nursing》 CAS 2020年第3期235-238,共4页
Objective:To evaluate the value of fast-track surgery(FTS)in gynecological laparoscopy during the perioperative period.Methods:The clinical data of 234 patients who underwent gynecological laparoscopy from January to ... Objective:To evaluate the value of fast-track surgery(FTS)in gynecological laparoscopy during the perioperative period.Methods:The clinical data of 234 patients who underwent gynecological laparoscopy from January to December in 2018 were collected.Of note,117 patients received a routine nursing method(control group),and 117 patients received the FTS nursing method(observation group).Results:Compared with the control group,FTS group had a quicker postoperative bowel function recovery,earlier to get out of bed,and a lower anxiety level(P<0.05);The incidence of postoperative nausea and vomiting of two groups had no statistical difference.Conclusions:The application of FTS in gynecological laparoscopy is safe,effective,and worth promoting. 展开更多
关键词 fast-track surgery perioperative period ANXIETY LAPAROSCOPY GYNECOLOGICAL POSTOPERATIVE
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Fast-track protocols in laparoscopic liver surgery:Applicability and correlation with difficulty scoring systems
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作者 Ruben Ciria Ana Padial +2 位作者 María Dolores Ayllón Carmen García-Gaitan Javier Briceño 《World Journal of Gastrointestinal Surgery》 SCIE 2022年第3期211-220,共10页
BACKGROUND Few series have reported the utility of fast-track protocols(FTP)in minimally invasive liver surgery.AIM To report the applicability of FTP in minimally invasive liver surgery and to correlate with difficul... BACKGROUND Few series have reported the utility of fast-track protocols(FTP)in minimally invasive liver surgery.AIM To report the applicability of FTP in minimally invasive liver surgery and to correlate with difficulty scores.METHODS The series of patients undergoing minimally invasive liver surgery from 2014 was analyzed.Iwate,Southampton and Gayet’s scores were compared as predictors of FTP adherence.Accomplishment of FTP was considered within 24-h,48-h and 72-h.Multivariate models were performed to define discharge<24 h,<72 h,complications and readmissions.RESULTS From 160 cases,78 were candidates for FTP,of which 22(28.2%),19(24.4%)and 14(17.9%)were discharged in<24-h,48-h and 72-h,respectively(total=71.5%).Iwate,Southampton and Gayet’s scores achieved area under the receiver operating characteristic values for<24-h stay of 0.780,0.687 and 0.698,respectively.Sensitivity and specificity values for the best score(Iwate)were 87.7%and 66.7%,respectively(cutoff=5.5).In multivariate models,<72 h stay and complications revealed body mass index as a risk factor independent from difficulty scores.CONCLUSION The development of aggressive FTP is feasible and<24-h stay can be achieved even in moderate and advanced complexity cases.Difficulty scores,including body mass index value,may be useful to predict which cases may adhere to these protocols. 展开更多
关键词 LIVER fast-track Enhanced recovery LAPAROSCOPY
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Pakistan needs to speed up its human immunodeficiency virus control strategy to achieve targets in fast-track acquired immune deficiency syndrome response
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作者 Yasir Waheed Hasnain Waheed 《World Journal of Virology》 2017年第2期46-48,共3页
In last fifteen years remarkable success in the fight against human immunodeficiency virus(HIV) is achieved globally. The number of HIV infections has decreased and the number of people on antiretroviral therapy is in... In last fifteen years remarkable success in the fight against human immunodeficiency virus(HIV) is achieved globally. The number of HIV infections has decreased and the number of people on antiretroviral therapy is increased. This all is possible by strong political commitments and heavy investments in the fight against HIV. Pakistan is among few Asian countries in which HIV cases are increasing year by year since 1990. There are 94000 cases of HIV in Pakistan and only 14000 are registered with government. The main source of HIV infection in Pakistan is the use of contaminated injection equipment among people who inject drugs(PWID). The overall prevalence of HIV among PWID in Pakistan is 27.2%. There are five cities in Pakistan in which HIV prevalence is above 40% in PWIDs. In June 2016, United Nations political declaration on acquired immune deficiency syndrome(AIDS) provided a global mandate to fast-track the AIDS response over the next five years to achieve the targets in Sustainable Development Goals. To achieve the targets in fasttrack AIDS response, the global leaders showed strong commitments to invest $ 26 billion per year by 2020. Pakistan needs to speed up its HIV control program. There is a dire need to locate all HIV positive people and enroll them in the treatment program. Pakistan also needs to calculate exact number of people living with HIV, increase HIV treatment centers and increase HIV awareness. Recently, Global Fund invested handsome money in the fight against HIV. Let's hope the country will have effective HIV control strategy to achieve the HIV elimination target by 2030. 展开更多
关键词 Human IMMUNODEFICIENCY VIRUS People who inject DRUGS fast-track ANTIRETROVIRAL therapy
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Research Progress on the Application of Fast-track Surgery in Perioperative Nursing
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作者 Songhong XIE Bing LIU 《Medicinal Plant》 CAS 2022年第4期39-42,共4页
Fast-track surgery is a combination of multiple disciplines,using a series of evidence-based medical measures to promote the recovery of gastrointestinal function,reduce complications and promote the rapid recovery of... Fast-track surgery is a combination of multiple disciplines,using a series of evidence-based medical measures to promote the recovery of gastrointestinal function,reduce complications and promote the rapid recovery of patients.The concept of accelerated rehabilitation runs through the whole process before,during and after operation,and the perioperative surgical nursing plan is improved,which is expected to provide reference for medical staff to carry out perioperative nursing. 展开更多
关键词 fast-track surgery Perinatal nursing APPLICATION Research progress
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Speeds Criteria vs. Modified Aldrete and Fast-Track Criteria for Evaluating Recovery in Outpatients
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作者 Brent Burke Mark Kyker 《Open Journal of Anesthesiology》 2013年第7期309-314,共6页
Background: The authors have developed criteria utilizing the mnemonic “SPEEDS” (saturation, pain, extremity movement, emesis, dialogue, stable vitals signs) to evaluate and predict which patients would not require ... Background: The authors have developed criteria utilizing the mnemonic “SPEEDS” (saturation, pain, extremity movement, emesis, dialogue, stable vitals signs) to evaluate and predict which patients would not require phase I nursing intervention and could transition to phase II recovery. Methods: Seventy-three adult surgery patients underwent a standardized general anesthetic. Patients were evaluated with the modified Aldrete, Fast-Track and SPEEDS criteria immediately before leaving the OR and then 5, 10, 15 and 30 minutes after arrival in the recovery area. Results: Significantly more patients met phase I bypass criteria when evaluated with Modified Aldrete (90%) and Fast-Track (94%) as compared to SPEEDS (77%) (p 0.0429 modified Aldrete vs. SPEEDS, p 0.0038 Fast-Track vs. SPEEDS). However, SPEEDS was more sensitive having a lower number of patients meeting phase II criteria yet requiring phase I intervention (32%) vs. Fast-track (43%) and Modified Aldrete (44%) (p 0.001 SPEEDS vs. modified Aldrete and Fast-Track). SPEEDS was more accurate (74%) in predicting which patients should move directly to phase II compared to modified Aldrete (42%) (p 0.001) and Fast-track (59%) (p = 0.05). Conclusion: SPEEDS criteria are as specific and more sensitive in determining phase I nursing interventions for ambulatory surgery patients when compared to Fast-Track and modified Aldrete criteria. 展开更多
关键词 Phase I BYPASS Fast Track PACU Nursing Interventions
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丹参红花方联合LMWH对老年髋部骨折快速康复患者凝血功能及下肢血栓预防的治疗价值
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作者 张春晓 王立刚 +2 位作者 王磊 陈烨 胡松峰 《辽宁中医药大学学报》 CAS 2025年第1期139-143,共5页
目的观察丹参红花方联合低分子肝素(low molecular weight heparin,LMWH)在老年髋部骨折快速康复治疗过程中对凝血功能及下肢深静脉血栓(lower extremity deep vein thrombosis,LDVT)的临床影响。方法以绍兴市中医院关节骨科2022年10月... 目的观察丹参红花方联合低分子肝素(low molecular weight heparin,LMWH)在老年髋部骨折快速康复治疗过程中对凝血功能及下肢深静脉血栓(lower extremity deep vein thrombosis,LDVT)的临床影响。方法以绍兴市中医院关节骨科2022年10月—2023年4月收治的68例老年不稳定型股骨颈骨折入院72 h内行全髋关节置换术的快速康复治疗患者为研究对象,随机分为两组,对照组34例予低分子肝素钠术后预防性抗凝治疗,治疗组34例予丹参红花方联合低分子肝素钠治疗。记录两组患者手术前后的凝血酶原时间测定(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)、D-二聚体、血浆AT-Ⅲ的水平变化及LDVT的发生情况,对两组数据进行统计分析。结果最终完成试验60例,治疗组30例,对照组30例。经统计两组患者术前PT、APTT、TT、D-二聚体、血浆AT-Ⅲ的水平差异无统计学意义(P>0.05);术后第1天、术后第5天,治疗组PT、APTT、TT较同期对照组有所延长(P<0.05),D-二聚体水平较同期对照组下降(P<0.05),血浆AT-Ⅲ活性水平较同期对照组明显提高(P<0.05);术后LDVT事件对比,治疗组较对照组减少(P<0.05)。结论老年髋部骨折快速康复治疗患者的治疗过程中,术后运用丹参红花方联合LMWH的患者,能够有效改善患者凝血功能,明显降低术后D-二聚体水平,提高血浆AT-Ⅲ活性水平,减少术后LDVT发生率,在老年髋部骨折快速康复治疗过程中具有积极意义。 展开更多
关键词 丹参红花方 老年髋部骨折 快速康复 活血化瘀法 下肢静脉血栓
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"Fast-track" and "Minimally Invasive" Surgery for Gastric Cancer 被引量:17
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作者 Xin-Xin Liu Hua-Feng Pan +7 位作者 Zhi-Wei Jiang Shu Zhang Zhi-Ming Wang Ping Chen Yan Zhao Gang Wang Kun Zhao Jie-Shou Li 《Chinese Medical Journal》 SCIE CAS CSCD 2016年第19期2294-2300,共7页
Background:Enhanced recovery after surgery (ERAS) protocols or fast-track (FT) programs enable a shorter hospital stay and lower complication rate.Minimally invasive surgery (MIS) is associated with a lesser tr... Background:Enhanced recovery after surgery (ERAS) protocols or fast-track (FT) programs enable a shorter hospital stay and lower complication rate.Minimally invasive surgery (MIS) is associated with a lesser trauma and a quicker recovery in many elective abdominal surgeries.However,little is known of the safety and effectiveness made by ERAS protocols combined with MIS for gastric cancer.The purpose of this study was to evaluate the safety and effectiveness made by FT programs and MIS in combination or alone.Methods:We summarized an 11-year experience on gastric cancer patients undergoing elective laparotomy or minimally invasive gastric resection in standard cares (SC) or FT programs during January 2004 to December 2014.A total of 984 patients were enrolled and assigned into four groups:open gastrectomies (OG) with SC (OG + SC group,n =167);OG with FT programs (OG + FT group,n =277);laparoscopic gastrectomies (LG) with FT programs (LG + FT group,n =248);and robot-assisted gastrectomies (RG) with FT programs (RG + FT group,n =292).Patients&#39; data were collected to evaluate the clinical outcome.The primary end point was the length of postoperative hospital stay.Results:The OG + SC group showed the longest postoperative hospital stay (mean:12.3 days,median:11 days,interquartile range [IQR]:6-16 days),while OG + FT,LG + FT,and RG + FT groups recovered faster (mean:7.4,6.4,and 6.6 days,median:6,6,and 6 days,IQR:3-9,4-8,and 3-9 days,respectively,all P 〈 0.001).The postoperative rehabilitation parameters such as flatus time after surgery (4.7 ± 0.9,3.1 ± 0.8,3.0± 0.9,and 3.1 ± 0.9 days) followed the same manner.After 30 postoperative days&#39; follow-up,the total incidence of complications was 9.6% in OG + SC group,10.1% in OG + FT group,8.1% in LG + FT group,and 10.3% in RG + FT group.The complications showed no significant differences between the four groups (all P 〉 0.05).Conclusions:ERAS protocols alone could significantly bring fast recovery after surgery regardless of the surgical technique.MIS further reduces postoperative hospital stay.It is safe and effective to apply ERAS protocols combined with MIS for gastric cancer. 展开更多
关键词 Enhanced Recovery after Surgery fast-track Surgery GASTRECTOMY Minimally Invasive Surgery Optimized Care
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Clinical Application of Fast-Track Surgery with Chinese Medicine Treatment in the Devascularization Operation for Cirrhotic Portal Hypertension 被引量:8
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作者 韦杨年 李年丰 +6 位作者 蔡小勇 卢榜裕 黄飞 莫世发 张洪昌 王明栋 吴发胜 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2015年第10期784-790,共7页
Objective: To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices. Methods: Seventy-two patients with cirrho... Objective: To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices. Methods: Seventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013, and randomly assigned to a conventional group and a fast-track group (fast-track surgery combined with Chinese medicine treatment) using a randomized digital table, 36 cases in each group. Operation and anesthesia recovery time, postoperative hospitalization and quality of life were recorded and compared between groups during the perioperative period. Results: Compared with the conventional group, the fast-track group had longer operation time (253.6±46.4 min vs. 220.6±51.0 min) and anesthesia recovery time (50.5 ± 15.9 rain vs. 23.5± 9.6 min; P〈0.01); less bleeding (311.3±46.8 mL vs. 356.2 ± 57.5 mL; P〈0.01) and less transfusion (1932.3 ± 106.9 mL vs. 2045.6 ± 115.4 mL; P〈0.01); as well as faster recovery of gastrointestinal function, shorter postoperative hospitalization and higher quality of life. There were no serious postoperative complications and no further bleeding occurred. Conclusion: Fast-track surgery combined with Chinese medicine treatment is a safe and feasible approach to accelerate the recovery of patients with cirrhotic portal hypertension in perioperative period of devascularization operation. 展开更多
关键词 fast-track surgery Chinese medicine treatment cirrhotic esophageal varices splenectomy portal-azygous disconnection
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机械臂非奇异快速终端滑模迭代学习轨迹跟踪控制研究
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作者 陈涛 李晓娟 +1 位作者 刘建璇 王立忠 《西安交通大学学报》 EI CAS 北大核心 2025年第1期125-135,147,共12页
针对机械臂建模参数精准性与扰动不确定性的精确轨迹跟踪控制问题,提出了一种非奇异快速终端滑模控制与迭代学习控制相融合的控制方法。首先,为保证跟踪误差的收敛速度,避免收敛中的奇异性问题,设计采用饱和函数趋近律的非奇异快速终端... 针对机械臂建模参数精准性与扰动不确定性的精确轨迹跟踪控制问题,提出了一种非奇异快速终端滑模控制与迭代学习控制相融合的控制方法。首先,为保证跟踪误差的收敛速度,避免收敛中的奇异性问题,设计采用饱和函数趋近律的非奇异快速终端滑模控制器。其次,为进一步提高轨迹跟踪精度,设计误差迭代学习控制器,并对所设计的控制器进行了收敛性分析。最后,在Simulink软件中搭建所提方法的控制系统,进行迭代控制与对比控制仿真实验,并同步开展机械臂跟踪控制真机实验。结果表明:在迭代实验中,关节最大平均稳态误差提升了72%;在对比实验中,与比例微分(PD)型迭代学习控制和PD型线性滑模控制相比,最大平均稳态误差分别提升了97%、51%,最大响应调整时间分别减少70%、50%;在真机实验中,机械臂跟踪误差稳定在[-0.05,0.05] rad区间内。实验结果充分验证了所提控制方法的正确性与有效性,为解决机械臂轨迹跟踪中的不确定性问题提供了一种有效的控制方案。 展开更多
关键词 机械臂 迭代学习控制 非奇异快速终端滑模控制 轨迹跟踪
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Women on Fast-track to Outrun Men
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作者 Katharine Davis 张敏 《当代外语研究》 2005年第1期37-38,共2页
男同胞们,要自强啊!否则,在2156年的奥运会上,女子将会在百米短跑竞赛中跑赢男人!英国牛津大学的Andrew Tatem等流行病学家把自1900年至1928年奥运会上的男子和女子百米短跑记录列表统计,得出了以上惊人的结论。近年来,女子的百米短跑... 男同胞们,要自强啊!否则,在2156年的奥运会上,女子将会在百米短跑竞赛中跑赢男人!英国牛津大学的Andrew Tatem等流行病学家把自1900年至1928年奥运会上的男子和女子百米短跑记录列表统计,得出了以上惊人的结论。近年来,女子的百米短跑速度稳步上升,进步得比男子还快。如按此趋势发展下去的话,152年后,世界上最快的百米短跑健儿将不再是男子。 展开更多
关键词 Women on fast-track to Outrun Men
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基于STM32的频率和功率可调非接触供电超声电源设计 被引量:1
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作者 徐建新 董博博 +4 位作者 刘礼平 林彬 房丰洲 朱学明 杨兰旗 《声学技术》 CSCD 北大核心 2024年第2期224-233,共10页
为解决接触式供电中漏电、磨损、电能传输不良以及超声电源在加工中谐振频率漂移、跟踪速度慢、输出功率不稳定等问题,文章以STM32单片机作为主控系统,设计了一种频率和功率可调的非接触供电超声电源。根据采样反馈电路采集的电压电流... 为解决接触式供电中漏电、磨损、电能传输不良以及超声电源在加工中谐振频率漂移、跟踪速度慢、输出功率不稳定等问题,文章以STM32单片机作为主控系统,设计了一种频率和功率可调的非接触供电超声电源。根据采样反馈电路采集的电压电流相位差和有效值信号,采用锁相环和模糊比例积分(Proportional Integral,PI)控制相结合的方法对频率进行跟踪,并用传统PI控制法控制输出功率。在Matlab软件中搭建电源仿真模型,利用附加电阻、附加电感和附加电容模拟加工过程中负载参数的突变,对有频率调节和功率控制子系统以及没有子系统的电源模型分别进行仿真。仿真结果表明,电源输出功率稳定在248 W。当负载参数发生改变时,电源的谐振频率发生漂移,经过频率自动跟踪子系统的调节后,电源在0.01 s后重新回到谐振状态。此控制算法实现了频率快速跟踪和功率控制。 展开更多
关键词 非接触供电超声波电源 负载参数 频率快速跟踪 功率控制
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