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深度神经肌肉阻滞对老年结肠癌患者腹腔镜手术后肠道屏障功能及心肺功能的作用研究 被引量:2
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作者 李光玲 鹿文琪 王海浪 《中国现代医学杂志》 CAS 北大核心 2022年第24期68-73,共6页
目的探讨深度神经肌肉阻滞对老年结肠癌患者腹腔镜手术后肠道屏障功能及心肺功能的作用。方法选取2019年1月—2021年12月在江南大学附属医院行腹腔镜手术的92例老年结直肠癌患者,并随机分为研究组和对照组,各46例。研究组采用深度神经... 目的探讨深度神经肌肉阻滞对老年结肠癌患者腹腔镜手术后肠道屏障功能及心肺功能的作用。方法选取2019年1月—2021年12月在江南大学附属医院行腹腔镜手术的92例老年结直肠癌患者,并随机分为研究组和对照组,各46例。研究组采用深度神经肌肉阻滞,对照组采用中度神经肌肉阻滞。比较两组患者血浆D-乳酸、血浆二胺氧化酶(DAO)、C反应蛋白(CRP)、心率、平均动脉压、动态肺顺应性、氧合指数、手术时间、手术条件评分、术中气腹压、术后拔管时间、术后苏醒时间、术后住院时间、胃肠道排气时间及术后肺部并发症。结果研究组与对照组术前(T1)及术后即刻(T2)、24 h(T3)、48 h(T4)的血浆D-乳酸、DAO、CRP、心率、平均动脉压、动态肺顺应性、氧合指数比较,采用重复测量设计的方差分析,结果:①不同时间点血浆D-乳酸、DAO、CRP、心率、平均动脉压、动态肺顺应性、氧合指数有差异(F=316.49、122.38、251.03、22.183、34.286、67.203和12.052,均P=0.000);②研究组与对照组血浆D-乳酸、DAO、CRP、心率、平均动脉压、动态肺顺应性、氧合指数有差异(F=8.759、6.416、11.620、5.212、4.594、4.006和4.214,均P=0.000),研究组较对照组血浆D-乳酸、DAO、CRP水平低,心率、平均动脉压、动态肺顺应性、氧合指数高,镇痛效果相对较好;③两组血浆D-乳酸、DAO、CRP、心率、平均动脉压、动态肺顺应性、氧合指数变化趋势有差异(F=16.767、9.731、19.937、6.018、5.972、8.141和6.495,均P=0.000)。两组手术时间、术后住院时间比较,差异均无统计学意义(P>0.05)。研究组手术条件评分高于对照组(P<0.05),术中气腹压低于对照组(P<0.05),术后拔管时间、术后苏醒时间、胃肠道排气时间均短于对照组(P<0.05)。研究组肺部并发症总发生率低于对照组(P<0.05)。结论深度神经肌肉阻滞用于老年结肠癌患者腹腔镜手术能够改善肠道屏障功能和心肺功能,促进患者术后恢复,降低肺部并发症发生率。 展开更多
关键词 结肠癌 深度神经肌肉阻滞 老年人 腹腔镜手术 肠道屏障功能 心肺功能
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Comparative study of high temperature anti-oxidation property of sputtering deposited stoichiometric and Si-rich SiC films
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作者 王行行 陆文琪 +1 位作者 张娇 徐军 《Chinese Physics B》 SCIE EI CAS CSCD 2022年第4期700-705,共6页
Stoichiometric and silicon-rich(Si-rich) SiC films were deposited by microwave electron cyclotron resonance(MWECR) plasma enhanced RF magnetron sputtering method.As-deposited films were oxidized at 800℃,900 ℃,and 10... Stoichiometric and silicon-rich(Si-rich) SiC films were deposited by microwave electron cyclotron resonance(MWECR) plasma enhanced RF magnetron sputtering method.As-deposited films were oxidized at 800℃,900 ℃,and 1000 ℃in air for 60 min.The chemical composition and structure of the films were analyzed by x-ray photoelectron spectroscopy(XPS),Raman spectroscopy and Fourier transform infrared spectroscopy(FT-IR).The surface morphology of the films before and after the high temperature oxidation was measured by atomic force microscopy.The mechanical property of the films was measured by a nano-indenter.The anti-oxidation temperature of the Si-rich SiC film is 100 ℃ higher than that of the stoichiometric SiC film.The oxidation layer thickness of the Si-rich SiC film is thinner than that of the stoichiometric SiC film in depth direction.The large amount of extra silicon in the Si-rich SiC film plays an important role in the improvement of its high temperature anti-oxidation property. 展开更多
关键词 SiC ANTI-OXIDATION silicon-rich SPUTTERING
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Structural and electrical properties of reactive magnetron sputtered yttrium-doped HfO_2 films
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作者 张昱 徐军 +3 位作者 周大雨 王行行 陆文琪 Chi-Kyu Choi 《Chinese Physics B》 SCIE EI CAS CSCD 2018年第4期514-519,共6页
Hafnium oxide thin films doped with different concentrations of yttrium are prepared on Si(100) substrates at room temperature using a reactive magnetron sputtering system.The effects of Y content on the bonding str... Hafnium oxide thin films doped with different concentrations of yttrium are prepared on Si(100) substrates at room temperature using a reactive magnetron sputtering system.The effects of Y content on the bonding structure,crystallographic structure,and electrical properties of Y-doped HfO2 films are investigated.The x-ray photoelectron spectrum(XPS) indicates that the core level peak positions of Hf 4 f and O 1 s shift toward lower energy due to the structure change after Y doping.The depth profiling of XPS shows that the surface of the film is completely oxidized while the oxygen deficiency emerges after the stripping depths have increased.The x-ray diffraction and high resolution transmission electron microscopy(HRTEM) analyses reveal the evolution from monoclinic HfO2 phase towards stabilized cubic HfO2 phase and the preferred orientation of(111) appears with increasing Y content,while pure HfO2 shows the monoclinic phase only.The leakage current and permittivity are determined as a function of the Y content.The best combination of low leakage current of 10-7 A/cm^2 at 1 V and a highest permittivity value of 29 is achieved when the doping ratio of Y increases to 9 mol%.A correlation among Y content,phase evolution and electrical properties of Y-doped HfO2 ultra-thin film is investigated. 展开更多
关键词 Y-doped HfO2 ultra-thin film HIGH-K x-ray photoelectron spectrum
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Intensive statin versus low-dose statin + ezetimibe treatment for fibrous cap thickness of coronary vulnerable plaques 被引量:3
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作者 Pei-Na Meng De-lu Yin +5 位作者 wen-qi lu Tian Xu Wei You Zhi-Ming Wu Xiang-Qi Wu Fei Ye 《Chinese Medical Journal》 SCIE CAS CSCD 2020年第20期2415-2421,共7页
Background:Acute coronary syndromes mainly result from abrupt thrombotic occlusion caused by atherosclerotic vulnerable plaques (VPs) that suddenly rupture or erosion. Fibrous cap thickness (FCT) is a major determinan... Background:Acute coronary syndromes mainly result from abrupt thrombotic occlusion caused by atherosclerotic vulnerable plaques (VPs) that suddenly rupture or erosion. Fibrous cap thickness (FCT) is a major determinant of the propensity of a VP to rupture and is recognized as a key factor. The intensive use of statins is known to have the ability to increase FCT;however, there is a risk of additional adverse effects. However, lower dose statin with ezetimibe is known to be tolerable by patients. The present study aimed to investigate the effect of intensive statin vs. low-dose stain + ezetimibe therapy on FCT, as evaluated using optical coherence tomography. Method:Patients who had VPs (minimum FCT <65 μm and lipid core >90°) and deferred from intervention in our single center from January 2014 to December 2018 were included in the trial. They were divided into the following two groups: intensive statin group (rosuvastatin 15-20 mg or atorvastatin 30-40 mg) and combination therapy group (rosuvastatin 5-10 mg or atorvastatin 10-20 mg + ezetimibe 10 mg). At the 12-month follow-up, we compared the change in the FCT (ΔFCT%) between the two groups and analyzed the association of ΔFCT% with risk factors. Fisher exact test was used for all categorical variables. Student’s t test or Mann-Whitney U-test was used for analyzing the continuous data. The relationship between ΔFCT% and risk factors was analyzed using linear regression analysis. Result:Total 53 patients were finally enrolled, including 26 patients who were in the intensive statin group and 27 who were in the combination therapy group. At the 12-month follow-up, the serum levels of total cholesterol (TC), total triglyceride, low-density lipoprotein (LDL-C), hypersensitive C-reactive protein (hs-CRP), and lipoprotein-associated phospholipase A2 (Lp-PLA2) levels were reduced in both the groups. The ΔTC%, ΔLDL-C%, and ΔLp-PLA2% were decreased further in the combination therapy group. FCT was increased in both the groups (combination treatment group vs. intensive statin group: 128.89 ± 7.64 vs. 110.19 ± 7.00 μm, t = -9.282, P < 0.001) at the 12-month follow-up. The increase in ΔFCT% was more in the combination therapy group (123.46% ± 14.05% vs. 91.14% ± 11.68%, t = -9.085, P < 0.001). Based on the multivariate linear regression analysis, only the serum Lp-PLA2 at the 12-month follow-up ( B = -0.203, t = -2.701, P = 0.010), ΔTC% ( B = -0.573, t = -2.048, P = 0.046), and Δhs-CRP% ( B = -0.302, t = -2.963, P = 0.005) showed an independent association with ΔFCT%. Conclusions:Low-dose statin combined with ezetimibe therapy maybe provide a profound and significant increase in FCT as compared to intensive statin monotherapy. The reductions in Lp-PLA2, ΔTC%, and Δhs-CRP% are independently associated with an increase in FCT. 展开更多
关键词 STATINS EZETIMIBE Fibrous cap thickness Coronary vulnerable plaques Optical coherence tomography
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