目的:观察肝移植手术中采用不同剂量的氨甲环酸(TXA)对患者纤溶功能的影响。方法 :60例拟行肝移植的患者随机、双盲分为3组(n=20),对照组(C组)、TXA1组(T1组)、TXA2组(T2组)。C组:手术前经静脉给予10 m L生理盐水,随后20 m L/h泵注至新...目的:观察肝移植手术中采用不同剂量的氨甲环酸(TXA)对患者纤溶功能的影响。方法 :60例拟行肝移植的患者随机、双盲分为3组(n=20),对照组(C组)、TXA1组(T1组)、TXA2组(T2组)。C组:手术前经静脉给予10 m L生理盐水,随后20 m L/h泵注至新肝期120 min;T1组和T2组则给予1 g TXA共10m L,随后T1组为10 mg/(kg·h),T2组为20 mg/(kg·h)泵注至新肝期120 min。于手术前(T0)、手术120 min(T1)、无肝期30 min(T2)、新肝期60 min(T3)测凝血酶原时间、纤维蛋白原、纤维蛋白降解产物、D-二聚体,记录术中出血量,新鲜冰冻血浆、纤维蛋白原用量,血栓栓塞事件。结果:T2、T3时纤维蛋白降解产物和D-二聚体水平T2组<T1组<C组,T2组的出血量和新鲜冰冻血浆输注量小于其他两组(P<0.05),3组血栓栓塞发生率相似(P>0.05)。结论:术中输注TXA可抑制纤溶功能、不增加栓塞发生率;大剂量效果更好,减少术中出血,减少新鲜冰冻血浆的输注。展开更多
目的:评估左布比卡因硬膜外复合全身麻醉对结肠手术的影响。方法:择期行结肠癌手术的60例患者随机、双盲分为4组,对照组(S组)、0.125%左布比卡因组(L1组)、0.25%左布比卡因组(L2组)及0.5%左布比卡因组(L3组),各15例。S组硬外注射首量生...目的:评估左布比卡因硬膜外复合全身麻醉对结肠手术的影响。方法:择期行结肠癌手术的60例患者随机、双盲分为4组,对照组(S组)、0.125%左布比卡因组(L1组)、0.25%左布比卡因组(L2组)及0.5%左布比卡因组(L3组),各15例。S组硬外注射首量生理盐水10 m L,随后5 m L/h泵注至术毕,L1、L2、L3组则选用左布比卡因。硬膜外穿刺后行麻醉诱导,记录入室5 min、插管1 min、切皮、探查、开刀1 h、术毕、拔管、离开复苏室八个时点的平均血压、心率,并测血糖、皮质醇,记录麻醉时间、复苏室时间,出血量、输液量、不良反应,异丙酚、瑞芬太尼、麻黄素、芬太尼总量。结果:S组复苏时间长于其他3组,L1组瑞芬太尼、芬太尼大于L2、L3组,L3组麻黄素大于其他3组;L1组血糖高于L2、L3组,皮质醇高于L3组,L3组低血压例数高于其他3组。结论:0.25%左布比卡因硬膜外输注可减少应激反应,节俭阿片药物,减少复苏时间,不增加麻黄素使用。展开更多
[Objective] To evaluate the control effect of yellow sticky cards and sex pheromone on Plutella xylostella and Liriomyza spp.,which can provide reference for large area extension of the technique.[Method] The integrat...[Objective] To evaluate the control effect of yellow sticky cards and sex pheromone on Plutella xylostella and Liriomyza spp.,which can provide reference for large area extension of the technique.[Method] The integrated assessment of trapping efficiency of colored sticky cards and sex pheromone on Liriomyza spp.and Plutella xylostella was conducted by field surveys and structured interview in Tonghai County,Yunnan Province,China.[Result] The results showed that yellow sticky cards and sex pheromone have strong power of trapping Liriomyza spp.and Plutella xylostella（3 414±720 and（219±157） head/piece,respectively）;the control cost by the usage of pesticide is the highest,（10 099.5±2 752.5） yuan/hm^2,yellow sticky cards and sex pheromone takes the second place,（1 125.0±465.0） yuan/hm^2,the control cost by the usage of yellow sticky cards is the lowest,（450.0 ±186.0）yuan/hm^2.Without the usage of yellow sticky cards and sex pheromone,pesticide application times and costs are（15.0±2.7） times and（12 070.5±2 136.0） yuan/hm^2;combined with usage of yellow sticky cards and sex pheromone,pesticide application times and costs reduce by 5.7 times and 4 618.5 yuan/hm^2.The ratio of trapped beneficial insects and target pests was 1 ∶1 131,which showed that the negative effect of yellow sticky cards and sex pheromone on the non-target insects was very limited.[Conclusion] The trapping approach has become popular among all the local farmers.Looking at the above factors,the trapping technology has strong application prospect and promotion value in pest control field.展开更多
文摘目的探讨右美托咪定复合舒芬太尼在肝癌微波消融术中的应用价值。方法选择60例拟行CT引导下肝癌微波消融的患者,分为Y组30例和C组30例。入室常规监测血压、心率(HR)、脉搏氧饱和度(Sp O2)。实验药物专人配制,右美托咪定按1μg/m L配制,共20 m L,生理盐水20 m L。Y组2 min缓慢静脉注射右美托咪定0.2μg/kg,同法,C组缓慢给予生理盐水0.2 m L/kg静脉注射作为安慰剂。舒芬太尼则按0.1μg/kg作为首量静脉注射。术中按视觉模拟评分法(VAS)评估患者的疼痛程度,评分>3则给予舒芬太尼0.1μg/kg静脉注射,必要时可重复给药。记录入室后5 min(T1)、麻醉开始5 min(T2)、微波消融5 min(T3)、手术结束时(T4)4个时点的血压、HR、Sp O2、舒芬太尼的用量、Wilson镇静分级、麻醉时间、微波消融的时间、围术期出现的不良反应。结果 Y组患者在麻醉诱导后的HR和血压均低于C组,差异有统计学意义(P<0.05);Y组患者的镇静评分高于C组(P<0.05);Y组患者的舒芬太尼用量少于C组(P<0.05);Y组患者恶心、呕吐、胸壁僵直等不良反应的发生率小于C组(P<0.05);而Y组患者呼吸抑制、心动过缓、高血压、低血压等不良反应的发生率与C组相仿(P>0.05)。结论右美托咪定0.2μg/kg复合舒芬太尼有助于增强肝微波消融患者的镇静、镇痛程度,减少舒芬太尼的用量,减少恶心、呕吐、胸壁僵直等不良反应,同时并不会增加呼吸抑制、心动过缓、高血压、低血压等不良反应。
文摘目的:评估左布比卡因硬膜外复合全身麻醉对结肠手术的影响。方法:择期行结肠癌手术的60例患者随机、双盲分为4组,对照组(S组)、0.125%左布比卡因组(L1组)、0.25%左布比卡因组(L2组)及0.5%左布比卡因组(L3组),各15例。S组硬外注射首量生理盐水10 m L,随后5 m L/h泵注至术毕,L1、L2、L3组则选用左布比卡因。硬膜外穿刺后行麻醉诱导,记录入室5 min、插管1 min、切皮、探查、开刀1 h、术毕、拔管、离开复苏室八个时点的平均血压、心率,并测血糖、皮质醇,记录麻醉时间、复苏室时间,出血量、输液量、不良反应,异丙酚、瑞芬太尼、麻黄素、芬太尼总量。结果:S组复苏时间长于其他3组,L1组瑞芬太尼、芬太尼大于L2、L3组,L3组麻黄素大于其他3组;L1组血糖高于L2、L3组,皮质醇高于L3组,L3组低血压例数高于其他3组。结论:0.25%左布比卡因硬膜外输注可减少应激反应,节俭阿片药物,减少复苏时间,不增加麻黄素使用。
基金Supported by Development Program of Misereor Foundation of Germany(335-0311028Z)~~
文摘[Objective] To evaluate the control effect of yellow sticky cards and sex pheromone on Plutella xylostella and Liriomyza spp.,which can provide reference for large area extension of the technique.[Method] The integrated assessment of trapping efficiency of colored sticky cards and sex pheromone on Liriomyza spp.and Plutella xylostella was conducted by field surveys and structured interview in Tonghai County,Yunnan Province,China.[Result] The results showed that yellow sticky cards and sex pheromone have strong power of trapping Liriomyza spp.and Plutella xylostella（3 414±720 and（219±157） head/piece,respectively）;the control cost by the usage of pesticide is the highest,（10 099.5±2 752.5） yuan/hm^2,yellow sticky cards and sex pheromone takes the second place,（1 125.0±465.0） yuan/hm^2,the control cost by the usage of yellow sticky cards is the lowest,（450.0 ±186.0）yuan/hm^2.Without the usage of yellow sticky cards and sex pheromone,pesticide application times and costs are（15.0±2.7） times and（12 070.5±2 136.0） yuan/hm^2;combined with usage of yellow sticky cards and sex pheromone,pesticide application times and costs reduce by 5.7 times and 4 618.5 yuan/hm^2.The ratio of trapped beneficial insects and target pests was 1 ∶1 131,which showed that the negative effect of yellow sticky cards and sex pheromone on the non-target insects was very limited.[Conclusion] The trapping approach has become popular among all the local farmers.Looking at the above factors,the trapping technology has strong application prospect and promotion value in pest control field.
