Objective:To observe the effects of different anesthesia depths on the level of plasma cortisol during operation and the score of postoperative MMSE in elderly patients underwent radical gastrectomy.Methods: A total o...Objective:To observe the effects of different anesthesia depths on the level of plasma cortisol during operation and the score of postoperative MMSE in elderly patients underwent radical gastrectomy.Methods: A total of eighty seven elderly patients undergoing radical gastrectomy were enrolled in this study. Continuous infusion of propofol and remifentanil for anesthesia and maintenance of propofol were divided into two groups: BIS-I (BIS: 45-55) and BIS-II (BIS: 55-65) by adusting the doses of propofol. The data were recorded as following, thewhole dosage of propofol, the time of extubation and the score of VAS. The level of plasma cortisol was finished at the time of incision and tracheal intubation. MMSE scores were recorded on the day before operation and follow-up at 3 and 7 d postoperatively. Record the patient's operation to discharge time, postoperative complications.Results: The concentration of cortisol in BIS-I group was higher than that in BIS-II group. There was no significant difference in extubation time, extubation VAS score and MMSE score after operation.Conclusion:There were no significant differences in the BIS values between 45 and 65 for the elderly patients undergoing upper abdominal surgery, and there were no significant differences in the patients' postoperative stress, wake, extubation, early postoperative pain scores and postoperative cognitive function. BIS values in 45-55 compared to 55-65 patients with low plasma cortisol levels may be associated with better control of stress levels, to maintain the BIS value between 45-55 anesthesia depths is more reasonable.展开更多
The trichlorozirconium η~2-hydrazonides（R=H, A; R=CH_3, B） were synthesized through the finely controlled stoichiometrical reactions of anhydrous zirconium tetrachloride with the lithium salt of either 1-（furan-2-...The trichlorozirconium η~2-hydrazonides（R=H, A; R=CH_3, B） were synthesized through the finely controlled stoichiometrical reactions of anhydrous zirconium tetrachloride with the lithium salt of either 1-（furan-2-ylmethylene）-2-phenylhydrazonide or 1-（furan-2-ylethylidene）-2-phenyl hydrazonide in the solvent tetrahydrofuran（THF）, respectively. These complexes were highly sensitive to air and moisture due to solely using less bulky ligand of hydrazonides. The molecular structures of the title complexes, determined by means of single crystal X-ray diffraction, were found to be the distorted pentagonal bipyramid geometry around zirconium atom, with three chlorides and the hydrazonato ligand acting as the η~2-coordination mode as well as two incorporated THF molecules. Upon activation with either methylaluminoxane（MAO） or modified methylaluminoxane（MMAO）, both complexes A and B exhibited catalytic activities toward ethylene polymerization, producing polyethylenes with ultra-high molecular weights.展开更多
文摘Objective:To observe the effects of different anesthesia depths on the level of plasma cortisol during operation and the score of postoperative MMSE in elderly patients underwent radical gastrectomy.Methods: A total of eighty seven elderly patients undergoing radical gastrectomy were enrolled in this study. Continuous infusion of propofol and remifentanil for anesthesia and maintenance of propofol were divided into two groups: BIS-I (BIS: 45-55) and BIS-II (BIS: 55-65) by adusting the doses of propofol. The data were recorded as following, thewhole dosage of propofol, the time of extubation and the score of VAS. The level of plasma cortisol was finished at the time of incision and tracheal intubation. MMSE scores were recorded on the day before operation and follow-up at 3 and 7 d postoperatively. Record the patient's operation to discharge time, postoperative complications.Results: The concentration of cortisol in BIS-I group was higher than that in BIS-II group. There was no significant difference in extubation time, extubation VAS score and MMSE score after operation.Conclusion:There were no significant differences in the BIS values between 45 and 65 for the elderly patients undergoing upper abdominal surgery, and there were no significant differences in the patients' postoperative stress, wake, extubation, early postoperative pain scores and postoperative cognitive function. BIS values in 45-55 compared to 55-65 patients with low plasma cortisol levels may be associated with better control of stress levels, to maintain the BIS value between 45-55 anesthesia depths is more reasonable.
基金financially supported by the National Natural Science Foundation of China(Nos.21272142 and U1362204)the Natural Science Foundation of Shanxi Province(No.2015011015)
文摘The trichlorozirconium η~2-hydrazonides（R=H, A; R=CH_3, B） were synthesized through the finely controlled stoichiometrical reactions of anhydrous zirconium tetrachloride with the lithium salt of either 1-（furan-2-ylmethylene）-2-phenylhydrazonide or 1-（furan-2-ylethylidene）-2-phenyl hydrazonide in the solvent tetrahydrofuran（THF）, respectively. These complexes were highly sensitive to air and moisture due to solely using less bulky ligand of hydrazonides. The molecular structures of the title complexes, determined by means of single crystal X-ray diffraction, were found to be the distorted pentagonal bipyramid geometry around zirconium atom, with three chlorides and the hydrazonato ligand acting as the η~2-coordination mode as well as two incorporated THF molecules. Upon activation with either methylaluminoxane（MAO） or modified methylaluminoxane（MMAO）, both complexes A and B exhibited catalytic activities toward ethylene polymerization, producing polyethylenes with ultra-high molecular weights.
