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皮下持续输注癌痛治疗中国专家共识(2020版) 被引量:17
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作者 刘小立 宛春甫 +14 位作者 马柯 金毅 薛朝霞 程志祥 邹慧超 李金祥 刘慧 姚鹏 孙涛 路桂军 司马蕾 谢广伦 段宝霖 王立奎 史学莲 《中华疼痛学杂志》 2020年第2期85-91,共7页
皮下持续输注癌痛治疗方法主要用于治疗难治性癌痛和爆发痛,以及阿片类药物的剂量滴定和快速调整。患者自控皮下镇痛(PCSA)突出了患者自控镇痛(PCA)技术的特色和皮下途径给药的独特优势,PCA是根据患者的个体情况,预先设置给药参数,由患... 皮下持续输注癌痛治疗方法主要用于治疗难治性癌痛和爆发痛,以及阿片类药物的剂量滴定和快速调整。患者自控皮下镇痛(PCSA)突出了患者自控镇痛(PCA)技术的特色和皮下途径给药的独特优势,PCA是根据患者的个体情况,预先设置给药参数,由患者"主动参与"和"自我管理"的镇痛技术,PCA可维持稳定的血药浓度并有效镇痛,及时治疗爆发痛。皮下组织血管丰富,药物吸收良好,药物直接进入血液循环,避开了消化道的吸收和首过效应;可选择的皮下穿刺部位多,不受血管条件的限制;皮下留置针可较长时间留置,微量药物不易蓄积。患者依从性好,满意度高。由口服转换为皮下途径给药的等效剂量为2∶1,按照此计算等效剂量的2/3量开始实施PCSA,然后再进行个体化滴定。在选择微创给药方法治疗癌痛时,可优先选PCSA。 展开更多
关键词 皮下持续输注 患者自控镇痛(PCA) 患者自控皮下镇痛(PCSA) 癌痛 难治性
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Stimulatory effect of lanthanum nitrate on the root tuber yield of Pseudostellaria heterophylla via improved photosynthetic characteristics 被引量:3
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作者 MA Yingli zou huichao +4 位作者 GU Hui SHI Dawei GAO Wenxiang ZHANG Yufeng XIE Yinfeng 《Journal of Rare Earths》 SCIE EI CAS CSCD 2017年第6期610-620,共11页
The stimulatory effects and associated mechanism of lanthanum nitrate on the root tuber yield of the traditional Chinese medicinal plant Pseudostellaria heterophylla, by means of improved photosynthetic characteristic... The stimulatory effects and associated mechanism of lanthanum nitrate on the root tuber yield of the traditional Chinese medicinal plant Pseudostellaria heterophylla, by means of improved photosynthetic characteristics, were investigated. Field experiments were conducted and the foliage was sprayed with varying concentrations of lanthanum nitrate. The results indicated that growth indexes, chlorophyll and carotenoid contents initially increased, and then decreased in a dose-dependent manner with increasing concentrations of lanthanum nitrate. The fresh and dry weights of root tuber yield per unit area significantly increased by 58.34% and 56.87% with a lanthanum nitrate concentration of 100 mg/L, respectively, compared with the control. Appropriate concentrations of lanthanum nitrate were found to alleviate photosynthetic depression at midday, as well as improve the mean values of photosynthetic rate(Pn), stomatal conductance(Gs) and transpiration rate(Tr) associated with the diurnal variation in photosynthetic parameters, while reducing intercellular CO2 concentration(Ci). During the experiment, the chlorophyll fluorescence parameters Fv/Fm, Fv'/Fm', ΦPSII and qP increased initially and then decreased along with the increasing concentration of lanthanum nitrate, while NPQ followed the opposite trend. Correlation analysis revealed that Pn had a significantly positive relationship with seedling height, ground diameter, chlorophyll and carotenoid contents, Gs and ΦPSII, while a negative relationship was observed with Ci and NPQ. Grey relational analysis(GRA) indicated that photosynthetic pigments, ΦPSII and qP were the primary factors impacting photosynthesis. These results suggested that the application of an appropriate concentration of lanthanum nitrate(100 mg/L) was effective in improving growth, root tuber yield and photosynthetic characteristics of Psendoste llaria(P) heterophylla. The regulatory effect of lanthanum nitrate on photosynthesis was related to the promotion of light energy absorption and conversion, improvement in photochemical efficiency and the alleviation of photoinhibition. The improvement of the non-stomatal limitation factor was the primary basis for the mitigation of midday photosynthetic depression. 展开更多
关键词 photosynthetic lanthanum nitrate chlorophyll tuber stomatal photosynthesis transpiration PSII seedling
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