ChatGPT is essentially a technical tool.However,unlike the previous technical tools,it is more anthropomorphic and can be taken as another deepening of application of digital technology in human life.Its advantages ar...ChatGPT is essentially a technical tool.However,unlike the previous technical tools,it is more anthropomorphic and can be taken as another deepening of application of digital technology in human life.Its advantages are beyond all doubt.Its deeper limitation and possible harm lie in that it will alienate natural people’s thinking and psychology of receiving world information,to certain extent.To overcome the new split between rationality and sensibility brought by ChatGPT,we need stronger and more independent natural creativity of human beings,and poetry is the best way to cultivate this creativity of human beings.There are three ways for poetic thinking to strengthen human creativity:creatively understand and use content of the dialogue with ChatGPT with poetic thinking;integrate poetic thinking and machine thinking;have to create a new way of thinking in the era of ChatGPT,by transcending machine thinking through poetic thinking.展开更多
目的:探讨目标导向液体治疗(GDFT)在腹腔镜肝脏手术中的应用及对术后认知功能的影响。方法:选取笔者所在医院拟行腹腔镜肝脏手术的80例患者为研究对象,采用随机数字表法将其分为常规组和GDFT组,各40例。比较两组不同时间点MAP、HR、CVP...目的:探讨目标导向液体治疗(GDFT)在腹腔镜肝脏手术中的应用及对术后认知功能的影响。方法:选取笔者所在医院拟行腹腔镜肝脏手术的80例患者为研究对象,采用随机数字表法将其分为常规组和GDFT组,各40例。比较两组不同时间点MAP、HR、CVP、CI、血乳酸(Lac)、尿素氮(BUN)水平。比较两组术中相关指标、手术前后MMSE评分及POCD发生情况。结果:两组不同时间点MAP、HR比较差异均无统计学意义(P>0.05)。T_(2)时,GDFT组CVP高于常规组,T_(3)时低于常规组,差异均有统计学意义(P<0.05)。T_(2)、T_(3)时,GDFT组CI高于常规组,差异均有统计学意义(P<0.05)。T_(3)、术后24 h,GDFT组Lac均明显低于常规组,差异有统计学意义(P<0.05)。两组不同时间点BUN比较差异均无统计学意义(P>0.05)。两组手术时间、出血量、尿量、晶体输液量、输液总量比较差异均无统计学意义(P>0.05)。GDFT组胶体输液量明显少于常规组,差异有统计学意义(P<0.05)。GDFT组术后1、3 d MMSE评分均明显高于常规组,差异有统计学意义(P<0.05)。两组POCD发生率比较差异无统计学意义(P>0.05)。结论:GDFT技术应用于腹腔镜肝脏手术,可维持血流动力学及重要脏器血流灌注的稳定,对脑组织有保护作用,有利于改善患者术后认知功能。展开更多
文摘ChatGPT is essentially a technical tool.However,unlike the previous technical tools,it is more anthropomorphic and can be taken as another deepening of application of digital technology in human life.Its advantages are beyond all doubt.Its deeper limitation and possible harm lie in that it will alienate natural people’s thinking and psychology of receiving world information,to certain extent.To overcome the new split between rationality and sensibility brought by ChatGPT,we need stronger and more independent natural creativity of human beings,and poetry is the best way to cultivate this creativity of human beings.There are three ways for poetic thinking to strengthen human creativity:creatively understand and use content of the dialogue with ChatGPT with poetic thinking;integrate poetic thinking and machine thinking;have to create a new way of thinking in the era of ChatGPT,by transcending machine thinking through poetic thinking.
文摘目的:探讨目标导向液体治疗(GDFT)在腹腔镜肝脏手术中的应用及对术后认知功能的影响。方法:选取笔者所在医院拟行腹腔镜肝脏手术的80例患者为研究对象,采用随机数字表法将其分为常规组和GDFT组,各40例。比较两组不同时间点MAP、HR、CVP、CI、血乳酸(Lac)、尿素氮(BUN)水平。比较两组术中相关指标、手术前后MMSE评分及POCD发生情况。结果:两组不同时间点MAP、HR比较差异均无统计学意义(P>0.05)。T_(2)时,GDFT组CVP高于常规组,T_(3)时低于常规组,差异均有统计学意义(P<0.05)。T_(2)、T_(3)时,GDFT组CI高于常规组,差异均有统计学意义(P<0.05)。T_(3)、术后24 h,GDFT组Lac均明显低于常规组,差异有统计学意义(P<0.05)。两组不同时间点BUN比较差异均无统计学意义(P>0.05)。两组手术时间、出血量、尿量、晶体输液量、输液总量比较差异均无统计学意义(P>0.05)。GDFT组胶体输液量明显少于常规组,差异有统计学意义(P<0.05)。GDFT组术后1、3 d MMSE评分均明显高于常规组,差异有统计学意义(P<0.05)。两组POCD发生率比较差异无统计学意义(P>0.05)。结论:GDFT技术应用于腹腔镜肝脏手术,可维持血流动力学及重要脏器血流灌注的稳定,对脑组织有保护作用,有利于改善患者术后认知功能。
