目的对比开腹与腹腔镜下手术治疗对胃肠肿瘤患者的营养状况以及术后并发症的影响分析。方法选取2014年2月至2015年2月在青岛市第三人民医院进行治疗的胃肠肿瘤患者100例作为研究对象,采用腹腔镜手术进行治疗的患者为观察组50例,采用传...目的对比开腹与腹腔镜下手术治疗对胃肠肿瘤患者的营养状况以及术后并发症的影响分析。方法选取2014年2月至2015年2月在青岛市第三人民医院进行治疗的胃肠肿瘤患者100例作为研究对象,采用腹腔镜手术进行治疗的患者为观察组50例,采用传统开腹手术进行治疗的患者为对照组50例。比较两组患者的手术相关指标(包括:近端切缘、远端切缘、手术时间、术中出血量、切除淋巴结数)、术后恢复相关指标(包括:术后镇痛天数、患者住院天数、术后首次下床活动时间、术后排气时间),同时比较两组患者手术前后营养状况主观评价(subjective global assessment,SAG)得分和客观营养状况指标(包括总白蛋白、白蛋白、转铁蛋白、前白蛋白),以及术后并发症发生情况。结果观察组患者的手术时间显著长于对照组患者(P<0.05),而术中出血量、术后镇痛天数、术后首次下床活动时间、术后排气时间、住院天数少于对照组(P<0.05),此外,两组间的近端切缘、远端切缘及切除淋巴结等差异无统计学意义(P>0.05)。随访结果表明,两组患者均没有切缘癌残留和手术死亡的病例,但是观察组术后的并发症发生率明显低于对照组(P<0.05);同时,手术前,观察组和对照组患者的SAG评价结果和客观营养状况指标差异无统计学意义(P>0.05),手术后,观察组患者的SAG评价结果和客观营养状况指标显著优于对照组(P<0.05)。结论对于胃肠肿瘤患者采用腔镜下手术进行治疗,有助于患者术后机体早期恢复状况,且创伤性小,术后安全性较高,其可以在有条件的情况下开展。展开更多
The effects of exposure to UV-B radiation, 280-315 nm, and dark or dark repair conditions on the early development of Chondrus ocellatus Holm collected from Qingdao coast were studied under the laboratory condition. A...The effects of exposure to UV-B radiation, 280-315 nm, and dark or dark repair conditions on the early development of Chondrus ocellatus Holm collected from Qingdao coast were studied under the laboratory condition. After being exposed to different doses [0, 36, 72, 108, 144 and 180 J/（m2.d）] of UV-B radiation, one treatment of tetraspores were put back to normal culture condition （PAR）, the other treatment were put into dark condition to repair for 2 h. During the cultivation, the diameter of the tetraspores were recorded every 4 d till the 50th day when vertical branches formed in all treatments. Then at the 50th day, CPDs, phycoerythrin, chlorophyll a and MAAs （Palythine and asterina-330） were measured. The results showed that low doses UV-B radiation could significantly accelerate the growth rate of the rate reduced gradually with UV-B radiation keep on tetraspores of C. ocellatus and the growth increasing. The variation trend of both the phycoerythrin and chlorophyll a concentration reduced significantly （P 〈0.05） once given the UV- B radiation. Under UV-B stress, the CPDs were induced, and the concentrations of CPDs were significant low in dark repair groups. The data of MAAs analyzed by LC/MS in the tetraspores of C. ocellatus suggested that there were two MAAs formed （palythine and asterina-330） after UV-B radiation induced, and low dose of UV-B irradiation could significantly induced the concentration of MAAs. From the growth and development state of the tetraspores, negative effects of UV-B radiation on the dark repair groups were more serious than PAR.展开更多
On December 29, 2006, the revised Law of the People＇s Republic of China on the Protection of Minors（hereinafter referred to as ＂the revised Law＂ for short） was approved at the 25th meeting of the Tenth National P...On December 29, 2006, the revised Law of the People＇s Republic of China on the Protection of Minors（hereinafter referred to as ＂the revised Law＂ for short） was approved at the 25th meeting of the Tenth National People＇s Congress （NPC）, China＇s highest legislature. The revised Law is to become effective on June 1, 2007. Revision of the Law, which was adopted in 1991, took three years to complete, during which period a dozen drafts were produced. The revised Law epitomizes the keen. attention of the State to conspicuous problems in protection of minors and its resolve to overcome them.展开更多
文摘目的对比开腹与腹腔镜下手术治疗对胃肠肿瘤患者的营养状况以及术后并发症的影响分析。方法选取2014年2月至2015年2月在青岛市第三人民医院进行治疗的胃肠肿瘤患者100例作为研究对象,采用腹腔镜手术进行治疗的患者为观察组50例,采用传统开腹手术进行治疗的患者为对照组50例。比较两组患者的手术相关指标(包括:近端切缘、远端切缘、手术时间、术中出血量、切除淋巴结数)、术后恢复相关指标(包括:术后镇痛天数、患者住院天数、术后首次下床活动时间、术后排气时间),同时比较两组患者手术前后营养状况主观评价(subjective global assessment,SAG)得分和客观营养状况指标(包括总白蛋白、白蛋白、转铁蛋白、前白蛋白),以及术后并发症发生情况。结果观察组患者的手术时间显著长于对照组患者(P<0.05),而术中出血量、术后镇痛天数、术后首次下床活动时间、术后排气时间、住院天数少于对照组(P<0.05),此外,两组间的近端切缘、远端切缘及切除淋巴结等差异无统计学意义(P>0.05)。随访结果表明,两组患者均没有切缘癌残留和手术死亡的病例,但是观察组术后的并发症发生率明显低于对照组(P<0.05);同时,手术前,观察组和对照组患者的SAG评价结果和客观营养状况指标差异无统计学意义(P>0.05),手术后,观察组患者的SAG评价结果和客观营养状况指标显著优于对照组(P<0.05)。结论对于胃肠肿瘤患者采用腔镜下手术进行治疗,有助于患者术后机体早期恢复状况,且创伤性小,术后安全性较高,其可以在有条件的情况下开展。
文摘The effects of exposure to UV-B radiation, 280-315 nm, and dark or dark repair conditions on the early development of Chondrus ocellatus Holm collected from Qingdao coast were studied under the laboratory condition. After being exposed to different doses [0, 36, 72, 108, 144 and 180 J/（m2.d）] of UV-B radiation, one treatment of tetraspores were put back to normal culture condition （PAR）, the other treatment were put into dark condition to repair for 2 h. During the cultivation, the diameter of the tetraspores were recorded every 4 d till the 50th day when vertical branches formed in all treatments. Then at the 50th day, CPDs, phycoerythrin, chlorophyll a and MAAs （Palythine and asterina-330） were measured. The results showed that low doses UV-B radiation could significantly accelerate the growth rate of the rate reduced gradually with UV-B radiation keep on tetraspores of C. ocellatus and the growth increasing. The variation trend of both the phycoerythrin and chlorophyll a concentration reduced significantly （P 〈0.05） once given the UV- B radiation. Under UV-B stress, the CPDs were induced, and the concentrations of CPDs were significant low in dark repair groups. The data of MAAs analyzed by LC/MS in the tetraspores of C. ocellatus suggested that there were two MAAs formed （palythine and asterina-330） after UV-B radiation induced, and low dose of UV-B irradiation could significantly induced the concentration of MAAs. From the growth and development state of the tetraspores, negative effects of UV-B radiation on the dark repair groups were more serious than PAR.
文摘On December 29, 2006, the revised Law of the People＇s Republic of China on the Protection of Minors（hereinafter referred to as ＂the revised Law＂ for short） was approved at the 25th meeting of the Tenth National People＇s Congress （NPC）, China＇s highest legislature. The revised Law is to become effective on June 1, 2007. Revision of the Law, which was adopted in 1991, took three years to complete, during which period a dozen drafts were produced. The revised Law epitomizes the keen. attention of the State to conspicuous problems in protection of minors and its resolve to overcome them.
