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异丙酚和依托咪酯复合瑞芬太尼对老年食管白斑胃镜下治疗患者呼吸功能及应激的影响分析 被引量:6
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作者 李新鹏 王世民 《世界华人消化杂志》 CAS 2019年第13期822-827,共6页
背景随着社会发展和科技进步,患者对胃镜的舒适度要求不断提高,且更加关注其可能造成的不良反应,越来越多的患者要求行无痛胃镜的检查和治疗.老年患者由于年龄增长及机体退行性改变,出现血管耐受性、重要脏器功能下降,对麻醉药物的要求... 背景随着社会发展和科技进步,患者对胃镜的舒适度要求不断提高,且更加关注其可能造成的不良反应,越来越多的患者要求行无痛胃镜的检查和治疗.老年患者由于年龄增长及机体退行性改变,出现血管耐受性、重要脏器功能下降,对麻醉药物的要求更高,因此选择正确的麻醉药物十分重要.目的对比观察异丙酚和依托咪酯复合瑞芬太尼对老年食管白斑胃镜下治疗患者呼吸功能及应激的影响.方法选取2018-04/2018-10间在天津市宁河区医院内镜中心行无痛胃镜下治疗的200例老年食管白斑患者,年龄为62-73岁,采用随机数表法分为对照组和研究组,每组100例患者,对照组采用异丙酚复合瑞芬太尼麻醉,研究组采用依托咪酯复合瑞芬太尼麻醉.对比两组患者治疗前、治疗结束时血清中血氧饱和度(oxygen saturation, SPO2)、应激激素(促肾上腺皮质激素、糖皮质激素、血管紧张素),治疗时血流动力学,治疗时不良反应及停止麻醉后恢复自主呼吸时间的差异.结果治疗前两组血清中应激激素水平基本一致,治疗结束时研究组患者血清中应激激素(促肾上腺皮质激素、糖皮质激素、血管紧张素)的水平明显低于对照组(P <0.05);研究组术中血流动力学更加稳定(P <0.05);研究组术中SPO2也明显高于对照组(P <0.05);出现不良反应的次数也明显减少(P <0.05);但对照组恢复自主呼吸时间明显短于研究组(P <0.05).结论依托咪酯复合瑞芬太尼麻醉较异丙酚复合瑞芬太尼麻醉在老年食管白斑患者行胃镜治疗中炎症因子、应激激素减少,血流动力学更加稳定,且术中SPO2维持好,不良反应发生少,可以在老年食管白斑患行胃镜治疗中推荐使用,但异丙酚复合瑞芬太尼麻醉术后恢复自主呼吸较快. 展开更多
关键词 异丙酚 依托咪酯 瑞芬太尼 老年 食管白斑 胃镜 呼吸功能
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A Central Limit Theorem for m-dependent Random Variables under Sublinear Expectations 被引量:3
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作者 xin-peng li 《Acta Mathematicae Applicatae Sinica》 SCIE CSCD 2015年第2期435-444,共10页
In this paper, we prove a central limit theorem for m-dependent random variables under sublinear expectations. This theorem can be regarded as a generalization of Peng's central limit theorem.
关键词 central limit theorem m-dependence G-normal distribution
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Enhanced Mechanics in Injection Molded Isotactic Polypropylene/Polypropylene Random Copolymer Blends via Introducing Network-like Crystal Structure
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作者 Bi-qiang Jin xin-peng li +4 位作者 Ming Jin Da-shan Mi Fei-fei Wang Chao Xia 张杰 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2016年第2期164-173,共10页
The crystallization behavior, rheological behavior, mechanical properties and microstructures of injection molded isotactic polypropylene (iPP), polypropylene random copolymer (co-PP) and iPP/co-PP blends were inv... The crystallization behavior, rheological behavior, mechanical properties and microstructures of injection molded isotactic polypropylene (iPP), polypropylene random copolymer (co-PP) and iPP/co-PP blends were investigated. Differential scanning calorimetry (DSC) and dynamic rheological analysis illustrated that iPP and co-PP were compatible in the blends and co-PP uniformly dispersed in the/PP phase. Polarizing optical microscope (POM) was adopted to observe the crystal size and morphology evolution. The results of mechanical properties and scanning electron microscopy (SEM) indicated that the crystal size of iPP in iPP/co-PP blends (10 wt% co-PP + 90 wt% iPP and 30 wt% co-PP + 70 wt% iPP) radically decreased after the incorporation of co-PP. During crystallization, the molecular chain segments of co-PP could penetrate iPP spherulites and form a network-like crystalline structure. The network-like crystal structure could effectively transmit stress and consume more energy to overcome intermolecular forces to resist stretching. In this way, the strength would improve to a certain degree. The impact fracture mechanism of iPP/co-PP blends is quasi ductile fracture by multiple crazes. Our work discovered that the blends containing 10 wt% and 30 wt% ofco-PP exhibited prominent toughness and reinforcement. 展开更多
关键词 Network-like Morphology TOUGHNESS Polypropylene random copolymer.
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Simultaneously Improving the Tensile and Impact Properties of Isotactic Polypropylene with the Cooperation of co-PP and β-nucleating Agent through Pressure Vibration Injection Molding 被引量:2
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作者 Man Zhou xin-peng li +3 位作者 Ming Jin Chao Xia Kai-zhi Shen 张杰 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2016年第8期1001-1013,共13页
In this article, crystalline morphology and molecular orientation of isotactic polypropylene (iPP), random copolymerized polypropylene (co-PP) and ,β-nucleating agent (β-NA) composites prepared by pressure vib... In this article, crystalline morphology and molecular orientation of isotactic polypropylene (iPP), random copolymerized polypropylene (co-PP) and ,β-nucleating agent (β-NA) composites prepared by pressure vibration injection molding (PVIM) have been investigated via polarized light microscopy, scanning electron microscopy, wide-angle X-ray diffraction and differential scanning calorimetry. Results demonstrated that the interaction between co-PP and iPP molecular chains was beneficial for the mechanical improvement and the introduction of β-NA further improved the toughness of iPP. In addition, after applying the pressure vibration injection molding (PVIM) technology, the shear layer thickness increased remarkably and the tensile strength improved consequently. Thus, the strength and toughness of iPP/co-PP/β-NA composites prepared by PVIM were simultaneously improved compared to those of the pure iPP prepared by conventional injection molding (CIM): the impact toughness was increased by five times and tensile strength was increased by 9 MPa. This work provided a new method to further enhance the properties of iPP/co-PP composites through dynamic processing strategy. 展开更多
关键词 Mechanical properties Orientation structures Periodical shear field Morphology.
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