目的:探讨术中唤醒麻醉脑功能区神经外科手术患者术后麻醉并发症发生情况及相关影响因素。方法:选取2014年1月-2015年6月我院行术中唤醒麻醉脑功能区神经外科手术92例作为研究对象,根据术后有无麻醉并发症发生,分为并发症组、无并发症...目的:探讨术中唤醒麻醉脑功能区神经外科手术患者术后麻醉并发症发生情况及相关影响因素。方法:选取2014年1月-2015年6月我院行术中唤醒麻醉脑功能区神经外科手术92例作为研究对象,根据术后有无麻醉并发症发生,分为并发症组、无并发症组。记录术后麻醉并发症发生情况,采用logistic回归分析观察影响术中唤醒麻醉脑功能区神经外科手术患者术后麻醉并发症发生的相关危险因素。结果:本研究31例出现术后麻醉并发症,发生率为33.70%,其中躁动17例(18.48%),恶心呕吐5例(5.43%),寒战3例(3.26%),心律失常、呼吸道梗阻、苏醒延迟各2例(2.17%)。本文并发症组31例,无并发症组61例。经单因素logistic回归分析显示,年龄、合并疾病、麻醉药物使用类型、术前美国麻醉医师协会(american society of anesthesiologists, ASA)分级、术后48 h视觉模拟评分(visual analogue score, VAS)是影响术中唤醒麻醉脑功能区神经外科手术患者术后麻醉并发症发生的相关因素( P <0.05)。多因素logistic回归分析显示,年龄≥60岁、麻醉药物使用依托咪酯、术前ASA分级Ⅱ级~Ⅲ级、术后48 h VAS评分≥5分是影响术中唤醒麻醉脑功能区神经外科手术患者术后麻醉并发症发生的独立危险因素( P <0.05)。结论:术中唤醒麻醉脑功能区神经外科手术患者术后躁动较为常见,年龄、麻醉药物使用类型、术前ASA分级、术后48 h VAS评分为影响术后麻醉并发症发生的独立危险因素,临床应高度重视。展开更多
An inclusive measurement was performed for 30 MeV/u ^(40)Ar+^(58,64)Ni and ^(115)In.By employing the degree of freedom of N/Z,the production mechanism of the high energy component of the intermediate mass fragments(IM...An inclusive measurement was performed for 30 MeV/u ^(40)Ar+^(58,64)Ni and ^(115)In.By employing the degree of freedom of N/Z,the production mechanism of the high energy component of the intermediate mass fragments(IMFs:3≤Z≤13)has been discussed.Special attention has been paid to the target dependence of N/Z ratio of the energetic fragments.These IMFs may be produced by a projectile fragmentation process with energy dissipation.展开更多
Two low-lying isomeric states in 169Ta have been identified via ^(159)Tb(l6O,6nγ)^(169)Ta reaction.Their half-lives are measured to be 28±5ns for the 9/2^(-)level and 17±4 ns for the 5/2^(-)level by using t...Two low-lying isomeric states in 169Ta have been identified via ^(159)Tb(l6O,6nγ)^(169)Ta reaction.Their half-lives are measured to be 28±5ns for the 9/2^(-)level and 17±4 ns for the 5/2^(-)level by using the delayedγ-γcoincidence method.These two isomeric states are considered to be the bandheads with 9/2-[514]and 1/2-[541]configurations,respectively.Possible neutron quasiparticle configuration for the ground state of ^(169)W is discussed.展开更多
High spin states of the odd-odd ^(162)Lu nucleus have been studied via ^(147)Sm(^(19)F,4nγ)reaction at 95MeV beam energy.Level scheme for yrast band based on π[h_(11/2)]v[i_(13/2)]quasiparticle configuration was est...High spin states of the odd-odd ^(162)Lu nucleus have been studied via ^(147)Sm(^(19)F,4nγ)reaction at 95MeV beam energy.Level scheme for yrast band based on π[h_(11/2)]v[i_(13/2)]quasiparticle configuration was established up to I^(π)-(23^(-))for the first time.This band shows the signature inversion in energy before backbending generally appeared in this mass region.It is stressed that the signature splitting in 162Lu is larger than that in 160 Tm nucleus.展开更多
High spin states in ^(170)Ta have been studied via ^(159)Tb(^(16)O,5nγ)^(170)Ta reaction at 105MeV beam energy.Three rotational bands have been observed among which one coupled band and an unfavoredΔI=2 transition s...High spin states in ^(170)Ta have been studied via ^(159)Tb(^(16)O,5nγ)^(170)Ta reaction at 105MeV beam energy.Three rotational bands have been observed among which one coupled band and an unfavoredΔI=2 transition sequence of the semidecoupled band are identified in this work.The effects of theπ1/2^(-)[541]proton intruder orbital are qualitatively discussed.展开更多
文摘目的:探讨术中唤醒麻醉脑功能区神经外科手术患者术后麻醉并发症发生情况及相关影响因素。方法:选取2014年1月-2015年6月我院行术中唤醒麻醉脑功能区神经外科手术92例作为研究对象,根据术后有无麻醉并发症发生,分为并发症组、无并发症组。记录术后麻醉并发症发生情况,采用logistic回归分析观察影响术中唤醒麻醉脑功能区神经外科手术患者术后麻醉并发症发生的相关危险因素。结果:本研究31例出现术后麻醉并发症,发生率为33.70%,其中躁动17例(18.48%),恶心呕吐5例(5.43%),寒战3例(3.26%),心律失常、呼吸道梗阻、苏醒延迟各2例(2.17%)。本文并发症组31例,无并发症组61例。经单因素logistic回归分析显示,年龄、合并疾病、麻醉药物使用类型、术前美国麻醉医师协会(american society of anesthesiologists, ASA)分级、术后48 h视觉模拟评分(visual analogue score, VAS)是影响术中唤醒麻醉脑功能区神经外科手术患者术后麻醉并发症发生的相关因素( P <0.05)。多因素logistic回归分析显示,年龄≥60岁、麻醉药物使用依托咪酯、术前ASA分级Ⅱ级~Ⅲ级、术后48 h VAS评分≥5分是影响术中唤醒麻醉脑功能区神经外科手术患者术后麻醉并发症发生的独立危险因素( P <0.05)。结论:术中唤醒麻醉脑功能区神经外科手术患者术后躁动较为常见,年龄、麻醉药物使用类型、术前ASA分级、术后48 h VAS评分为影响术后麻醉并发症发生的独立危险因素,临床应高度重视。
基金Supported by the National Natural Science Foundation of China under Grant No.19205006.
文摘An inclusive measurement was performed for 30 MeV/u ^(40)Ar+^(58,64)Ni and ^(115)In.By employing the degree of freedom of N/Z,the production mechanism of the high energy component of the intermediate mass fragments(IMFs:3≤Z≤13)has been discussed.Special attention has been paid to the target dependence of N/Z ratio of the energetic fragments.These IMFs may be produced by a projectile fragmentation process with energy dissipation.
基金Supported by the State Education Committee of Chinathe National Natural Science Foundation of China under Grant No.19605008.
文摘Two low-lying isomeric states in 169Ta have been identified via ^(159)Tb(l6O,6nγ)^(169)Ta reaction.Their half-lives are measured to be 28±5ns for the 9/2^(-)level and 17±4 ns for the 5/2^(-)level by using the delayedγ-γcoincidence method.These two isomeric states are considered to be the bandheads with 9/2-[514]and 1/2-[541]configurations,respectively.Possible neutron quasiparticle configuration for the ground state of ^(169)W is discussed.
基金Supported by the Research Fund of National Post-Doctor Committeethe China National Education Committeethe Chinese Academy of Sciences.
文摘High spin states of the odd-odd ^(162)Lu nucleus have been studied via ^(147)Sm(^(19)F,4nγ)reaction at 95MeV beam energy.Level scheme for yrast band based on π[h_(11/2)]v[i_(13/2)]quasiparticle configuration was established up to I^(π)-(23^(-))for the first time.This band shows the signature inversion in energy before backbending generally appeared in this mass region.It is stressed that the signature splitting in 162Lu is larger than that in 160 Tm nucleus.
基金Supported by the State Education Commit tee of Chinathe National Natural Science Foundation of China under Grant No 19605008。
文摘High spin states in ^(170)Ta have been studied via ^(159)Tb(^(16)O,5nγ)^(170)Ta reaction at 105MeV beam energy.Three rotational bands have been observed among which one coupled band and an unfavoredΔI=2 transition sequence of the semidecoupled band are identified in this work.The effects of theπ1/2^(-)[541]proton intruder orbital are qualitatively discussed.
