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米库氯胺在腹腔镜全子宫切除术中维持深度肌松的应用价值 被引量:2
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作者 林贵平 魏颖 +2 位作者 王菁 姚文水 周敏 《深圳中西医结合杂志》 2021年第18期123-125,共3页
目的:探讨米库氯铵在腹腔镜全子宫切除术中维持深度肌松的应用价值。方法:选择福建省妇幼保健院2020年6月至2021年1月择期行腹腔镜全子宫切除术患者60例,采用随机数字表法分为米库氯铵组(M组)和罗库溴铵组(R组),每组30例,比较两组患者... 目的:探讨米库氯铵在腹腔镜全子宫切除术中维持深度肌松的应用价值。方法:选择福建省妇幼保健院2020年6月至2021年1月择期行腹腔镜全子宫切除术患者60例,采用随机数字表法分为米库氯铵组(M组)和罗库溴铵组(R组),每组30例,比较两组患者的肌松时效指标,血流动力学指标等。结果:M组患者的各个肌松监测指标均明显短于R组,差异均具有统计学意义(P<0.05);拔管时,M组患者的肌松残余率显著低于R组,差异具有统计学意义(P<0.05);两组患者麻醉诱导前、气管插管时、手术结束时、气管拔管时、拔管后30 min各时间点的心率(HR)及平均动脉压(MAP)比较,差异均无统计学意义(P>0.05)。结论:腹腔镜全子宫切除术时使用米库氯铵维持深度肌松,可以取得较好的效果,且术后恢复快,肌松残余率低。 展开更多
关键词 深度肌松 米库氯铵 罗库溴铵 腹腔镜手术 全子宫切除术
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PDCA循环管理模式在引导科研人员发表高质量论文中的应用 被引量:3
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作者 林桂平 邓婉君 陈翠薇 《医学信息》 2021年第16期12-14,共3页
在新时期破除“唯论文”精神下,摒弃低水平、重复、无意义的论文,鼓励发表高质量论文成为学术导向,如何引导医院科研人员发表高质量论文值得深入分析探讨。本文以我院应用PDCA循环管理模式的情况为例,分析医院科研活动中高质量论文发表... 在新时期破除“唯论文”精神下,摒弃低水平、重复、无意义的论文,鼓励发表高质量论文成为学术导向,如何引导医院科研人员发表高质量论文值得深入分析探讨。本文以我院应用PDCA循环管理模式的情况为例,分析医院科研活动中高质量论文发表问题,采取科学引导、平台搭建以及强化管理、人才引育等多项针对性措施,应用后科研人员论文质量得到切实提升,年均高质量期刊论文发表量达20篇,措施溢出效应明显,亦调动临床医生的科研积极性,并提出下一轮PDCA循环管理的方向,以进一步引导医院科研人员发表高质量论文。 展开更多
关键词 PDCA 高质量论文 科研人员
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Estrogen receptor alpha gene polymorphism associated with type 2 diabetes mellitus and the serum lipid concentration in Chinese women in Guangzhou 被引量:14
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作者 HUANG Qin WANG Ting-huai +5 位作者 LU Wen-sheng MU Pan-wei YANG Yan-fang LIANG Wei-wen LI Cai-xia lin gui-ping 《Chinese Medical Journal》 SCIE CAS CSCD 2006年第21期1794-1801,共8页
Background Estrogen might play an important role in type 2 diabetes mellitus pathogenesis. A number of polymorphisms have been reported in the estrogen receptor alpha (ERα) gene (also named ESR1), including the ... Background Estrogen might play an important role in type 2 diabetes mellitus pathogenesis. A number of polymorphisms have been reported in the estrogen receptor alpha (ERα) gene (also named ESR1), including the XbaⅠ and PvuⅡ restriction enzyme polymorphisms of ESR1, which may be involved in disease pathogenesis. The aim of this study was to determine whether ER0t gene polymorphisms are associated with type 2 diabetes mellitus and serum lipid level. Methods Two hundred and ninety-nine patients with type 2 diabetes mellitus were compared with three hundred and forty-one health controls of Guangzhou in China, both were male and postmenopausal female residents at 51--70 years. ESR1 genotyping was performed using polymerase chain reaction (PCR) and PvulI and XbaI restriction fragment length polymorphism (PCR-RFLP) analysis. Results ESR1 allelic frequencies of P, p and X, x alleles were 0.408, 0.592; 0.360, 0.640 in the type 2 diabetes mellitus group and 0.318, 0.682; 0.328, 0.672 in the control group, respectively. In case-control study, there was significant difference in PvuⅡ, but not XbaⅠ, allele frequency between the type 2 diabetes mellitus and control groups (P=0.001 and P=0.122). When the group was separated into men and women, the difference was significant in women (P〈0.001) but not in men (P=0.854) with the PvulI genotype, and the effect of PvulI variant on the development of type 2 diabetes mellitus was improved with aging. In addition, PvulI genotype was associated with blood glucose [fasting blood glucose (FBG), postprandial blood glucose (PBG)] and serum lipid [total cholesterol (TC) and low density lipoprotein (LDL)-c] concentration in healthy women. Conclusions PvuII polymorphism of ESRI increases susceptibifity to type 2 diabetes mellitus in Chinese Guangzhou women. ESR1 variants may also impact serum lipid metabolism, which might provide a mechanism connecting ESR1 to type 2 diabetes. 展开更多
关键词 type 2 diabetes estrogen receptor alpha postmenopausal women gene polymorphism PATHOGENESIS
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