目的加速康复外科(ERAS)理念改善老年腰椎间盘突出患者术后认知功能的效果。方法选取2016年7月～2018年6月在我院行手术治疗的120例老年腰椎间盘突出患者,行腰椎后路减压植骨融合内固定术,按照随机数字表法分为试验组和对照组,每组各60...目的加速康复外科(ERAS)理念改善老年腰椎间盘突出患者术后认知功能的效果。方法选取2016年7月～2018年6月在我院行手术治疗的120例老年腰椎间盘突出患者,行腰椎后路减压植骨融合内固定术,按照随机数字表法分为试验组和对照组,每组各60例。试验组行围术期ERAS理念管理,对照组行常规围术期措施。术前12 h及术后12、24、48 h对患者行简易智力状态量表(MMSE)评分,并于术后4、8、24、48 h对患者行视觉模拟(VAS)评分和镇静(Ramsay)评分。结果两组术前12 h MMSE评分比较,差异无统计学意义(P>0.05)。试验组术后12、24、48 h MMSE评分高于对照组,差异有统计学意义(P<0.05);两组术后72 h MMSE评分比较,差异无统计学意义(P>0.05)。试验组术后4、8、24及48 h VAS评分均低于对照组,差异有统计学意义(P<0.05)。结论 ERAS在改善老年腰椎间盘突出患者术后认知功能方面效果显著,其机制可能与ERAS在术前、术中及术后多个环节对患者进行全面关注有关,尤其与VAS及Ramsay评分改善有关。展开更多
[Objective] The research aimed to study the influence of facility agriculture development on the climate variation in Weifang. [Method] Shouguang was selected as the representative station of greenhouse shed planting ...[Objective] The research aimed to study the influence of facility agriculture development on the climate variation in Weifang. [Method] Shouguang was selected as the representative station of greenhouse shed planting zone. By using the precipitation, temperature and relative humidity, etc. in Weifang City during 1961-2010, the climatic variation situations in the whole city and the greenhouse shed planting zone were analyzed. The variation trend and evolution characteristics of climate in the different seasons before and after the facility agriculture plantation were contrasted and analyzed. [Result] The annual rainfall and relative humidity presented the declining trend in the whole city in recent 50 years. The annual average, maximum and minimum temperatures all presented the rising trend. Since the large-scale plantation of greenhouse shed, the declining range of annual rainfall in the greenhouse shed planting zone was lower than that in the whole city, and the declining range of relative humidity was obviously higher than that in the whole city. The rising ranges of annual average, maximum and minimum temperatures were higher than that in the whole city. [Conclusion] The research provided the theory basis for the development of facility agriculture.展开更多
文摘目的加速康复外科(ERAS)理念改善老年腰椎间盘突出患者术后认知功能的效果。方法选取2016年7月～2018年6月在我院行手术治疗的120例老年腰椎间盘突出患者,行腰椎后路减压植骨融合内固定术,按照随机数字表法分为试验组和对照组,每组各60例。试验组行围术期ERAS理念管理,对照组行常规围术期措施。术前12 h及术后12、24、48 h对患者行简易智力状态量表(MMSE)评分,并于术后4、8、24、48 h对患者行视觉模拟(VAS)评分和镇静(Ramsay)评分。结果两组术前12 h MMSE评分比较,差异无统计学意义(P>0.05)。试验组术后12、24、48 h MMSE评分高于对照组,差异有统计学意义(P<0.05);两组术后72 h MMSE评分比较,差异无统计学意义(P>0.05)。试验组术后4、8、24及48 h VAS评分均低于对照组,差异有统计学意义(P<0.05)。结论 ERAS在改善老年腰椎间盘突出患者术后认知功能方面效果显著,其机制可能与ERAS在术前、术中及术后多个环节对患者进行全面关注有关,尤其与VAS及Ramsay评分改善有关。
文摘[Objective] The research aimed to study the influence of facility agriculture development on the climate variation in Weifang. [Method] Shouguang was selected as the representative station of greenhouse shed planting zone. By using the precipitation, temperature and relative humidity, etc. in Weifang City during 1961-2010, the climatic variation situations in the whole city and the greenhouse shed planting zone were analyzed. The variation trend and evolution characteristics of climate in the different seasons before and after the facility agriculture plantation were contrasted and analyzed. [Result] The annual rainfall and relative humidity presented the declining trend in the whole city in recent 50 years. The annual average, maximum and minimum temperatures all presented the rising trend. Since the large-scale plantation of greenhouse shed, the declining range of annual rainfall in the greenhouse shed planting zone was lower than that in the whole city, and the declining range of relative humidity was obviously higher than that in the whole city. The rising ranges of annual average, maximum and minimum temperatures were higher than that in the whole city. [Conclusion] The research provided the theory basis for the development of facility agriculture.
