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右美托咪定复合瑞芬太尼在内镜逆行胰胆管造影术老年患者中的麻醉效果 被引量:2
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作者 隋金玲 张爱萍 许旭东 《中华消化病与影像杂志(电子版)》 2022年第6期357-360,共4页
目的探讨右美托咪定复合瑞芬太尼在老年患者内镜逆行胰胆管造影术(ERCP)麻醉中的效果。方法选取2021年4月至2022年4月常州市中医医院收治的拟行ERCP诊疗的老年胆总管结石患者62例,依据随机数字表法分成对照组31例,采用丙泊酚联合瑞芬太... 目的探讨右美托咪定复合瑞芬太尼在老年患者内镜逆行胰胆管造影术(ERCP)麻醉中的效果。方法选取2021年4月至2022年4月常州市中医医院收治的拟行ERCP诊疗的老年胆总管结石患者62例,依据随机数字表法分成对照组31例,采用丙泊酚联合瑞芬太尼麻醉,试验组31例,采用右美托咪定复合瑞芬太尼麻醉。观察比较两组各项指标。结果试验组较对照组离开手术室时间、清醒时间、苏醒时间、手术时间更短;与术前比,术中两组SBP、DBP、HR水平均升高,对照组较试验组更高(P<0.05);术中两组RR水平均降低,对照组较试验组更低(P<0.05);与术前相比,术后6~12 h两组疼痛评分呈依次降低趋势,试验组低于对照组(P<0.05);术后6 h、12 h两组镇静评分呈依次升高趋势,试验组高于对照组(P<0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论老年患者行ERCP术中应用右美托咪定复合瑞芬太尼可有效缓解患者疼痛,提高镇静效果,稳定生命体征。 展开更多
关键词 内镜逆行胰胆管造影术 右美托咪定 丙泊酚 瑞芬太尼
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The spatiotemporal changes of marshland and the driving forces in the Sanjiang Plain, Northeast China from 1980 to 2016 被引量:3
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作者 Zhen Li Miao Liu +2 位作者 Yuanman Hu Zhenshan Xue jinling sui 《Ecological Processes》 SCIE EI 2020年第1期263-275,共13页
Background:Wetland loss is a global concern due to its enormous ecosystem services.Marshland,a typical natural wetland,which is concentrated in the Sanjiang Plain,has undergone dramatic loss in the last several decade... Background:Wetland loss is a global concern due to its enormous ecosystem services.Marshland,a typical natural wetland,which is concentrated in the Sanjiang Plain,has undergone dramatic loss in the last several decades.The spatiotemporal changes in marshland were studied based on Landsat images of the Sanjiang Plain from 1980 to 2016 with the land use maps in 1980,1995,2000,2005,2010,and 2016 using land use dynamic degree and landscape indices.The driving forces of marshland loss,including biophysical factors,socio-economic factors,and land management,were analyzed with boosted regression trees(BRTs)methods.Results:The area of marshland loss was 7372 km^(2),which accounted for 65.7%of the area of marshland in 1980;however,the paddy field area was expanded by 22,313 km^(2).The lost marshland was mainly converted to dry farmland(47.5%)and paddy field(47.2%)during 1980-2016.Both the landscape pattern of the study area and marshland became increasingly fragmented.The relatively important factors responsible for marshland loss were biophysical factors,socio-economic factors,and land management,which accounted for 65.2%,25.5%,and 8.4%,respectively.The most important driving forces with high“relative influence”were“distance to river,”which accounted for 20.6%of the total variance explained.The“relative influence”of potential crop yield and ditch density reached 20.2%and 8.4%,respectively.Conclusion:Significant land use changes have occurred in the Sanjiang Plain over the past 37 years,with characteristics of rapid paddy field expansion and drastic marshland loss.Meanwhile,marshland fragmentation continued to increase.Reclamation was the main reason for the large-scale marshland loss.Biophysical factors influenced the decisions regarding the locations of marshland loss.Moreover,climate factors(i.e.,average annual precipitation and average annual temperature)also played an important role in marshland loss.These results can provide helpful knowledge for understanding the patterns and reasons for marshland loss and protecting and managing strategies for wetlands restoration. 展开更多
关键词 Land use change Marshland loss Driving forces The Sanjiang Plain
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