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分次小容量聚乙二醇电解质溶液对于上午接受无痛结肠镜检查患者肠道清洁效果及耐受性的影响 被引量:8
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作者 张燕燕 倪志 +3 位作者 张清勇 张雪菲 陈金湖 张荣春 《中国内镜杂志》 2023年第1期55-61,共7页
目的 对比不同容量的分剂量聚乙二醇电解质(PEG)溶液用于上午接受无痛结肠镜检查者的肠道清洁效果和耐受性。方法 选取2019年7月-2020年12月厦门弘爱医院上午接受无痛肠镜检查的患者520例,肠道清洁剂为PEG溶液,随机将患者分为3.0 L组(1.... 目的 对比不同容量的分剂量聚乙二醇电解质(PEG)溶液用于上午接受无痛结肠镜检查者的肠道清洁效果和耐受性。方法 选取2019年7月-2020年12月厦门弘爱医院上午接受无痛肠镜检查的患者520例,肠道清洁剂为PEG溶液,随机将患者分为3.0 L组(1.0 L+2.0 L)和2.0 L组(0.5 L+1.5 L)。主要观察终点为肠道准备充分程度,采用波士顿肠道准备评分(BBPS),评分≥6分且每一个肠段的评分≥2分为高质量的肠道准备。次要终点包括患者的依从性、不良反应以及腺瘤检出率。结果 最终纳入519例患者,3.0 L组259例,2.0 L组260例。两组患者在高质量肠道准备比率和总体BBPS之间无差异(P> 0.05)。2.0 L组更倾向于可以积极完成或愿意再次接受该方案进行肠道准备(P <0.05)。在不良反应方面,2.0 L组腹胀更少(P=0.000),睡眠缺失更少(P=0.000)。两组患者腺瘤检出率比较,差异无统计学意义(P> 0.05)。末次服用肠道清洁剂的时间至结肠镜检查开始之间的等候时间与肠道黏膜的清洁度呈负相关(P <0.05)。结论将分剂量2.0 L容量的PEG溶液用于上午时段接受无痛结肠镜检查的患者,肠道准备效果满意,与分剂量3.0 L方案效果相似,但2.0 L方案可减轻肠道准备带来的腹部不适,耐受性更好,对患者睡眠影响少。 展开更多
关键词 聚乙二醇电解质 无痛结肠镜检查 肠道准备 波士顿肠道准备评分 腺瘤检出率
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City level CO_(2) and local air pollutants co-control performance evaluation: A case study of 113 key envir on mental protection cities in China 被引量:9
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作者 qing-yong zhang Bo-Feng CAI +5 位作者 Mu-Dan WANG Jun-Xia WANG You-Kai XING Guang-Xia DONG Zhen zhang Xian-Qiang MAO 《Advances in Climate Change Research》 SCIE CSCD 2022年第1期118-130,共13页
‘Co-control',or synergistically reducing CO_(2)and local air polluta nt emissions,is an important strategy for cities to achieve'low carb on'and'blue sky'simultaneously.However,there were few stud... ‘Co-control',or synergistically reducing CO_(2)and local air polluta nt emissions,is an important strategy for cities to achieve'low carb on'and'blue sky'simultaneously.However,there were few studies to evaluate and compare the level of co-control of CO_(2) and local air pollutants in cities year.The present study proposed qualitative and quantitative methods to evaluate the level of co-control of CO_(2)and three local air pollutant(SO_(2).NOX,and particulate matter PM)emissions in key environmental protection cities in China over two periods(2012-2015 and 2015-2018).Statistical analysis found that,though three local air pollutant emissions positively correlated with CO_(2) emission,no significantly positive correlation was found between local air pollutants emission reductions and CO_(2) emission reductions,indicating that co-control effects were poor in general.By using the co-control effect coordinate system,qualitative evaluation showed that less than half of the sample cities could achieve co-control of the total amount of CO_(2) and local air pollutants.By employing the indicator of emission reduction equivalence(EReq),quantitative evaluation showed that the co-control level of the sample cities improved in 2015-2018 compared with 2012-2015.Further regression analysis showed that,reducing coal consumption and economic development significantly enhanced the co-control performance of the observed cities.The present case study proved that the proposed methods for evaluation and comparison of the city co-control performance works well,and can be used in other countries and regions to promote global cities racing to carbon and local air pollutants co-control. 展开更多
关键词 Co-control CO_(2)emission reduction Local air pollutant emission reduction:Performance evaluation Key environmental protection cities
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