目的 检索、评价并总结心脏术后患者疼痛管理的最佳证据。方法 系统检索BMJ Best Practice、UpToDate、美国指南网、国际指南网、英国国家卫生与临床优化研究所、加拿大安大略医学会、苏格兰院际间指南网、乔安娜布里格斯研究所(JBI)循...目的 检索、评价并总结心脏术后患者疼痛管理的最佳证据。方法 系统检索BMJ Best Practice、UpToDate、美国指南网、国际指南网、英国国家卫生与临床优化研究所、加拿大安大略医学会、苏格兰院际间指南网、乔安娜布里格斯研究所(JBI)循证卫生保健中心数据库、Cochrane Library、PubMed、Web of Science、中国知网、万方数据库和中国生物医学文献数据库关于心脏术后患者疼痛管理的所有证据,包括指南、系统评价、证据总结、专家共识及相关原始研究。检索时限为建库至2022年6月。采用JBI循证卫生保健中心的文献评价标准和证据分级系统进行文献质量评价及证据级别判定。结果 共纳入11篇文献,其中指南2篇、专家共识4篇、系统评价4篇、随机对照试验1篇。最终从疼痛管理原则、疼痛评估、药物止痛策略、非药物止痛策略共4个方面总结出23条最佳证据。结论 本研究总结了心脏术后患者疼痛管理的最佳证据,可为该类患者术后疼痛管理提供循证依据。展开更多
In order to better understand the thermodynamic properties of magnesium oxysulfate(MOS)cement,pure reagent was analyzed to prepare magnesium sulfide cement,non-isothermal kinetics calculation of the main hydration pro...In order to better understand the thermodynamic properties of magnesium oxysulfate(MOS)cement,pure reagent was analyzed to prepare magnesium sulfide cement,non-isothermal kinetics calculation of the main hydration products was also carried out,and the conversion process of magnesium sulfide cement 517 phase at different temperatures was investigated.Composition of magnesium sulfide cement prepared was measured by XRD technique,and decomposed by a comprehensive thermal analyzer,and DSC curves of magnesium sulfide cement under different temperature rising rates were processed by Kinssinger method and Dolye-Ozawa method.According to the TG-DSC curves of magnesium sulfide cement,the thermal decomposition reaction process can be divided into five stages under normal conditions.The DSC curve was processed by Kinssinger method and Dolye-Ozawa method,and the kinetic analysis was carried out to calculate the 517 phase activation energy of magnesium sulfide cement.The three stages correspond to different activation energies.Therefore,flame retardant mechanism and thermal decomposition mechanism of magnesium sulfide cement based materials are deduced.展开更多
文摘目的 检索、评价并总结心脏术后患者疼痛管理的最佳证据。方法 系统检索BMJ Best Practice、UpToDate、美国指南网、国际指南网、英国国家卫生与临床优化研究所、加拿大安大略医学会、苏格兰院际间指南网、乔安娜布里格斯研究所(JBI)循证卫生保健中心数据库、Cochrane Library、PubMed、Web of Science、中国知网、万方数据库和中国生物医学文献数据库关于心脏术后患者疼痛管理的所有证据,包括指南、系统评价、证据总结、专家共识及相关原始研究。检索时限为建库至2022年6月。采用JBI循证卫生保健中心的文献评价标准和证据分级系统进行文献质量评价及证据级别判定。结果 共纳入11篇文献,其中指南2篇、专家共识4篇、系统评价4篇、随机对照试验1篇。最终从疼痛管理原则、疼痛评估、药物止痛策略、非药物止痛策略共4个方面总结出23条最佳证据。结论 本研究总结了心脏术后患者疼痛管理的最佳证据,可为该类患者术后疼痛管理提供循证依据。
基金Fund by the National Natural Science Foundation of China (No.51778101)the General Program (Key Program,Major Research Plan)of National Natural Science Foundation of China+2 种基金the National Key R&D Program (No.2020YFC1909304)the National Program on Key Basic Research Project of Chinathe Joint Fund Project of National Natural Fund of China (U1908227)。
文摘In order to better understand the thermodynamic properties of magnesium oxysulfate(MOS)cement,pure reagent was analyzed to prepare magnesium sulfide cement,non-isothermal kinetics calculation of the main hydration products was also carried out,and the conversion process of magnesium sulfide cement 517 phase at different temperatures was investigated.Composition of magnesium sulfide cement prepared was measured by XRD technique,and decomposed by a comprehensive thermal analyzer,and DSC curves of magnesium sulfide cement under different temperature rising rates were processed by Kinssinger method and Dolye-Ozawa method.According to the TG-DSC curves of magnesium sulfide cement,the thermal decomposition reaction process can be divided into five stages under normal conditions.The DSC curve was processed by Kinssinger method and Dolye-Ozawa method,and the kinetic analysis was carried out to calculate the 517 phase activation energy of magnesium sulfide cement.The three stages correspond to different activation energies.Therefore,flame retardant mechanism and thermal decomposition mechanism of magnesium sulfide cement based materials are deduced.