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负压吸引鞘与普通鞘在输尿管软镜治疗肾结石中的效果对比 被引量:13
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作者 张羽白 王赫 +2 位作者 杨磊 安瑞华 孙长华 《微创泌尿外科杂志》 2021年第5期312-315,共4页
目的:对比负压吸引鞘与普通软镜鞘在输尿管软镜碎石术中的效果。方法:纳入哈尔滨工业大学附属哈尔滨市第一医院泌尿外科2017年8月至2019年12月肾结石患者200例,随机数表法分为负压吸引鞘组和普通鞘组,每组100例。对比两组患者术中情况... 目的:对比负压吸引鞘与普通软镜鞘在输尿管软镜碎石术中的效果。方法:纳入哈尔滨工业大学附属哈尔滨市第一医院泌尿外科2017年8月至2019年12月肾结石患者200例,随机数表法分为负压吸引鞘组和普通鞘组,每组100例。对比两组患者术中情况、感染相关指标、结石残余情况。结果:负压吸引鞘组与普通鞘组相比,手术时间[(44.91±16.54)vs.(54.20±19.78)min]、输尿管损伤(0例vs.2例)、术后即刻血白细胞[(10.3±4.2)×10^(9)/L vs.(12.8±5.0)×10^(9)/L]、术后即刻降钙素原[(1.64±1.22)μg/L vs.(2.43±3.33)μg/L]、白细胞回落至正常范围时间[(1.23±1.07)d vs.(1.72±1.14)d]、降钙素原回落至正常范围时间[(1.26±0.96)d vs.(1.68±1.11)d]、术后最高体温[(37.19±0.95)℃vs.(37.78±1.17)℃]、快速序贯器官衰竭评分(qSOFA)评分≥2(2例vs.9例);术后第1天结石残余率(13%vs.27%)、术后30天结石残余率(3%vs.9%)均优于普通鞘组,差异有统计学意义。感染性休克数据未获得统计学意义,但负压吸引鞘组在趋势与数量上均显示出相对更佳的结果。结论:可以直视置鞘、并能够负压吸引灌注液体与结石碎片的负压吸引鞘在输尿管软镜碎石术中效果更佳,可提高结石清除率,降低并发症发生率,安全性较高。 展开更多
关键词 输尿管软镜 脓毒血症 输尿管损伤 结石残留
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TRIZ理论在乙醇燃料电池阳极催化剂设计制备中的应用
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作者 安瑞花 隋凝 +3 位作者 肖海连 白强 刘漫红 王丽娜 《山东化工》 CAS 2019年第13期19-20,22,共3页
本文先介绍了直接乙醇燃料电池的研究现状及目前所面临的主要问题。而后通过列举实例系统阐述了TRIZ理论如何与直接乙醇燃料电池相结合,开发新型催化剂,突破现存困难。本文针对现有催化体系催化效率低这一主要问题,运用TRIZ理论中的复... 本文先介绍了直接乙醇燃料电池的研究现状及目前所面临的主要问题。而后通过列举实例系统阐述了TRIZ理论如何与直接乙醇燃料电池相结合,开发新型催化剂,突破现存困难。本文针对现有催化体系催化效率低这一主要问题,运用TRIZ理论中的复合原理、多孔原理和局部质量原理,解决了催化效率低的困难。并通过测试结果进行检验,发现催化性能比商业钯碳(495mA·mg^-1)高出9.48倍,这一过程进一步拓宽了人们对TRIZ理论的认识,为其更好的指导科学研究发挥作用。 展开更多
关键词 TRIZ理论 因果分析 矛盾矩阵 直接燃料电池
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Overactive bladder symptom score to evaluate efficacy of solifenacin for the treatment of overactive bladder symptoms 被引量:7
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作者 Liu Ming Wang Jianye +22 位作者 Yang Yong an ruihua Wen Jianguo Guan Zhichen Zheng Shaobin Wang Dongwen Song Bo Liao Limin Guo Hongqian Xiao Jiaquan Sun Yinghao Shen Zhoujun Kong Chuize He Dalin Huang Yiran Wang Xiaofeng Zhang Xu Li Hanzhong Huang Jian Zhao Xiaokun Zeng Puqing Song Xishuang Ye Zhangqun 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第2期261-265,共5页
Background Overactive bladder (OAB) is a series of symptoms with high prevalence in elderly people.This study was conducted using the overactive bladder symptom score (OABSS) to evaluate the efficacy of solifenaci... Background Overactive bladder (OAB) is a series of symptoms with high prevalence in elderly people.This study was conducted using the overactive bladder symptom score (OABSS) to evaluate the efficacy of solifenacin succinate for the treatment of OAB.Methods This was a prospective,multicenter,single-arm,12-week study that enrolled 241 OAB patients.The patients received 5-10 mg/day solifenacin.Changes in OABSS,symptoms from voiding diary,perception of bladder condition (PPBC) score,international prostate symptom score (IPSS) and quality of life (QOL) were evaluated at weeks 0,4,and 12.The relationship between OABSS and PPBC score or parameters of voiding diary was also evaluated.Results At baseline,the mean OABSS for all patients was 9.41±2.40,and was reduced significantly at week 12 (-3.76 points; 61.21%,P <0.0001).The OABSS subscore,PPBC score,IPSS,and QOL were also significantly reduced during the study (P <0.0001).The overall incidence of adverse events was 19.91% (44 cases).The gastrointestinal system was the most commonly affected (11.31%).Around 5.88% of the cases had adverse events related to the genitourinary system.There was a strong correlation between OABSS and urinary symptoms that was recorded in the 3-day voiding dairy.Conclusions We showed that solifenacin was clinically effective for relieving OAB symptoms,considering the balance between efficacy,patients' well-being,and tolerability.OABSS integrates four OAB symptoms into a single score and can be a useful tool for research and clinical practice. 展开更多
关键词 overactive bladder muscarinic antagonists symptom score
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