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腰方肌阻滞与髂筋膜阻滞对老年人全髋关节置换术后镇痛效果的比较研究 被引量:27
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作者 马楚洲 陈琼仪 +2 位作者 林梓霞 张长椿 张舟 《中国现代医学杂志》 CAS 2019年第7期97-101,共5页
目的比较超声引导下腰方肌阻滞与髂筋膜阻滞在老年人全髋关节置换术后镇痛效果。方法选择单次蛛网膜下腔麻醉下行单侧全髋关节置换术的老年患者60例为研究对象。ASA分级Ⅱ、Ⅲ级,采用随机数字表法将患者分成两组:A组术毕使用0.25%罗哌卡... 目的比较超声引导下腰方肌阻滞与髂筋膜阻滞在老年人全髋关节置换术后镇痛效果。方法选择单次蛛网膜下腔麻醉下行单侧全髋关节置换术的老年患者60例为研究对象。ASA分级Ⅱ、Ⅲ级,采用随机数字表法将患者分成两组:A组术毕使用0.25%罗哌卡因30 ml行超声引导下后方穿刺入路腰方肌阻滞(QL3),B组术毕使用行0.25%罗哌卡因30 ml行超声引导下髂筋膜阻滞;每组30例。术后均留置静脉自控镇痛泵。记录患者一般情况,分别记录A组与B组操作完成时间,术后6 h(T_1)、8 h(T_2)、12 h(T_3)、24 h(T_4)患者的静息状态及被动运动VAS评分;舒芬太尼使用累计量;麻醉相关并发症;术后24 h患者麻醉满意度评价。结果两组患者术后不同时间点的静息及被动运动VAS评分比较,差异有统计学意义(P<0.05)。A组术后T_1、T_2、T_3、T_4静息及被动运动VAS评分均低于B组(P<0.05)。A组静脉自控镇痛泵舒芬太尼使用量少于B组(P<0.05)。A组恶心呕吐发生率低于B组(P<0.05)。A组总体满意度高于B组。结论超声引导下腰方肌阻滞在老年人全髋关节置换术术后镇痛效果好,安全可行,能减少术后静脉镇痛药物的使用量,提高患者的总体满意度。 展开更多
关键词 关节成形术 置换 超声引导 腰方肌阻滞 老年人 髂筋膜阻滞 术后镇痛
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Dynamic manipulation of multimodal emission in Er^(3+)-activated non-core-shell structure for optical thermometry and information security 被引量:1
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作者 Xuan Liu zi-xia lin +3 位作者 Yin-Biao Shi Xiao-Yan Wang Ming-Ye Ding Xiao-Fei Yang 《Rare Metals》 SCIE EI CAS CSCD 2024年第4期1702-1712,共11页
Regulating luminescent dynamics of lanthanide-based luminescent materials via external stimuli is of great significance in the fields of optical thermometry and high-level anti-counterfeiting.However,it is still a hug... Regulating luminescent dynamics of lanthanide-based luminescent materials via external stimuli is of great significance in the fields of optical thermometry and high-level anti-counterfeiting.However,it is still a huge challenge to realize multimodal emissions with tunable color outputs from a single activator in simple structures via smart dynamic control of photon transition processes.Herein,we present a mechanistic strategy to achieve multimodal luminescence of Er^(3+)activators with color-switchable outputs in a non-core-shell host.Under the control of excitation dynamics(λ_(ex)=980,808,1532,377 nm),the population among the intermediate en ergy levels of Er^(3+)and the interaction between Er^(3+)and Yb^(3+)could be precisely modulated through energy transfer and migration processes,leading to the generation of colortunable multimodal luminescence upon diverse excitation modes(non-steady-state,single-/dual-wavelength steady,thermal activation).Inspired by its special luminescent performance,the as-obtained material exhibits great potential in noncontact thermometry,multimodal anticounterfeiting,and high-capacity information encryption by performing a series of proof-of-concept experiments.Our findings might provide a conceptual model to modulate the luminescent dynamics in a simple-structured system for the generation of color-adjustable multimodal emissions,which is convenient for the development of advanced luminescent materials toward versatile cuttingedge applications. 展开更多
关键词 Lanthanide ions Multimodal emission UPCONVERSION Downshifting ANTI-COUNTERFEITING Luminescent thermometry
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