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超声引导下右美托咪定腹横肌筋膜平面阻滞用于腹腔镜结肠切除术后患者镇痛的效果观察 被引量:12
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作者 曾繁培 李晓玲 李冰 《临床合理用药杂志》 2018年第20期9-10,17,共3页
目的探讨超声引导下右美托咪定腹横肌筋膜平面阻滞用于腹腔镜结肠切除术后患者镇痛的效果。方法选取医院收治的拟行腹腔镜结肠切除术的结肠肿瘤患者80例,随机分为观察组和对照组,每组40例。2组术后均行超声引导下双侧腹横肌平面阻滞,观... 目的探讨超声引导下右美托咪定腹横肌筋膜平面阻滞用于腹腔镜结肠切除术后患者镇痛的效果。方法选取医院收治的拟行腹腔镜结肠切除术的结肠肿瘤患者80例,随机分为观察组和对照组,每组40例。2组术后均行超声引导下双侧腹横肌平面阻滞,观察组在此基础上加用右美托咪定。比较2组镇痛效果和不良反应发生情况。结果观察组阻滞后1 h、4 h、12 h的VAS评分均低于对照组(P<0.01)。Ramsay镇静评分高于对照组(P<0.01)。观察组术后24 h内舒芬太尼用量、镇痛泵按压次数均少于对照组,住院时间短于对照组(P<0.01)。2组均未见严重不良反应。结论超声引导下右美托咪定腹横肌筋膜平面阻滞用于腹腔镜结肠切除术后患者的镇痛镇静效果明显,可促进患者术后恢复,安全性高,值得临床推广应用。 展开更多
关键词 右美托咪定 超声 腹横肌筋膜平面阻滞 腹腔镜结肠切除术 镇痛
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Effect of Moderate Oxygen Preconditioning on Pulmonary Function and Electrophysiological Properties of Hippocampal Neurons in Rats with Lung Cancer
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作者 zeng fan-pei ZHANG Jing-min LAI Ru-jing 《Chinese Journal of Biomedical Engineering(English Edition)》 CAS 2024年第2期69-75,共7页
Objective:To observe the effect of moderate oxygen preconditioning on pulmonary function and electrophysiological properties of hippocampal neurons in rats with lung cancer.Methods:By establishing a lung cancer surger... Objective:To observe the effect of moderate oxygen preconditioning on pulmonary function and electrophysiological properties of hippocampal neurons in rats with lung cancer.Methods:By establishing a lung cancer surgery model in rats,the experimental animals were randomly divided into model group,surgery group,oxygen treatment group A,oxygen treatment group B,and oxygen treatment group C.Lung cancer group was not treated,lung cancer surgery group underwent surgery to remove lung tissue,oxygen treatment group A received oxygen pre-treatment at a concentration of 1-3 L/min,oxygen treatment group B received oxygen pre-treatment at a concentration of 4-5 L/min,and oxygen treatment group C received oxygen pre-treatment at a concentration of 6-8 L/min.After operation,Morris water maze behavior was observed,lung function indicators were measured by lung function test,and the amplitude and frequency of micro-excitatory postsynaptic current of hippocampal neurons in rats were detected by electrophysiological membrane clamp.Results:Lung cancer surgery would have an effect on the spatial memory in lung cancer rats,and the spatial memory ability of oxygen-treated group A,group B and group C was improved compared with that of the surgery group.FEV 0.3(forced expiratory capacity at0.3 s)and FVC(forced vital capacity)in the oxygen-treated group B were significantly higher than those in the model group,in which the improvement of FEV 0.3 and FVC reached(3.32±0.42)m L and(3.79±0.82)m L,respectively.The FEV 0.3/FVC ratio of87.04±1.44 in oxygen-treated group B was higher than that of the model group and surgery group.The post-synaptic current frequency(3.73±0.27)Hz and post-synaptic current(13.74±0.26)p A of oxygen-treated group B were also significantly increased compared to other groups(P<0.05).Conclusion:Moderate oxygen preconditioning,especially at a concentration of 4-5 L/min,can exert protective effects on lung and hippocampal neurons in a rat model of lung cancer surgery,helping to improve lung function and alleviate the electrophysiological damage of hippocampal neurons. 展开更多
关键词 oxygen preconditioning lung cancer PNEUMONECTOMY lung function neurons
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