Anesthetic Effect of Sufentanil Combined with Remifentanil in Patients Undergoing Radical Gastrectomy

Objective:To explore and analyze the anesthetic effect of sufentanil combined with remifentanil in patients undergoing radical gastrectomy for gastric cancer.Methods:In this study,100 patients receiving radical gastrectomy for gastric cancer in our hospital were selected as the research subjects,and the period from June 2019 to February 2021 was divided into different anesthesia regimens.Fifty patients receiving remifentanil anesthesia were used as the control group,and 50 patients receiving remifentanil combined with sufentanil anesthesia were used as the research group.The anesthetic effect of the two groups of patients was analyzed and compared.Results:The HR and MAP of the study group at different time after intubation were lower than those of the control group(P<0.05).The changes of HR and MAP before and after intubation in two groups were significant compared with those before intubation(P<0.05).The postoperative VAS score of the study group was significantly better than that of the control group(P<0.05).Conclusions:In radical gastrectomy for gastric cancer,the choice of sufentanil and remifentanil as the anesthesia scheme can effectively stabilize the hemodynamics of patients,relieve the degree of postoperative pain,with obvious clinical value.

Synergistic roles of platinum nanoparticles and sodium ions within beta zeolites in N-alkylation of amines with aromatic alcohols

N-alkylation of amines with alcohols is a promising green route for the synthesis of N-alkylamines, but the designation of highly active and stable heterogeneous catalysts remains one challenge. In this work, we initiated the application of zeolite-encapsulated noble metal nanoparticles(NPs) in the N-alkylation of amines with aromatic alcohols. Platinum(Pt) NPs were directly confined into the framework of BEA zeolite with tunable Si/Al molar ratios and Na^(+) contents. The champion catalyst afforded the extremely high turnover number(TON) of 6,176 and turnover frequency(TOF) of 3,390 h^(-1) plus stable recyclability and broad substrate compatibility. The Na ions modulated the electronic state of Pt NPs to reach a moderate Pt–H strength, which wellbalanced the two crucial steps of dehydrogenation and H-transfer and accounted for the high catalytic performance. The encapsulation of zeolites provided spatial satisfaction for the synergy effect above and enhanced the stabilization of Pt NPs.