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罗哌卡因在临床麻醉及疼痛治疗中的应用价值
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作者 关振洲 《中国医药指南》 2023年第5期124-126,共3页
目的 将罗哌卡因应用于临床麻醉中,分析患者的手术疼痛度改善状况,以提升临床应用价值。方法 试验选取了2019年1月至2020年12月开展硬膜外麻醉联合静脉麻醉的手术患者作为研究对象。通过回顾性分析对78例患者采用随机数字表法,以公平性... 目的 将罗哌卡因应用于临床麻醉中,分析患者的手术疼痛度改善状况,以提升临床应用价值。方法 试验选取了2019年1月至2020年12月开展硬膜外麻醉联合静脉麻醉的手术患者作为研究对象。通过回顾性分析对78例患者采用随机数字表法,以公平性开展为前提进行分组调查。对照组患者采用0.25%的罗哌卡因方案,观察组则为0.20%罗哌卡因方案,分析手术效果。结果从麻醉应用结果上看,观察组患者的术后24 h的视觉模拟疼痛度(VAS)评分为(4.00±1.20)分,对照组为(5.70±1.60)分,组间对比差异有统计学意义(P<0.05)。在术后拔管时间、术后患者意识恢复以及自主呼吸恢复用时上,观察组患者分别为(19.60±5.50)min、(11.20±5.10)min和(7.20±4.10)min,对照组则为(20.10±5.80)min、(11.30±5.10)min和(7.20±4.20)min,差异无统计学意义(P>0.05)。在不良事件的发生率上,观察组的发生率为7.69%(3/39),而对照组则为12.82%(5/39),差异有统计学意义(P<0.05)。在心率、平均动脉压、脉搏氧饱和度对比中,两组患者术后差异无统计学意义(P>0.05)。结论从整体情况来看,0.20%罗哌卡因能够保持术中患者血流动力学的稳定,且整体安全性高,更适合于麻醉维持。 展开更多
关键词 罗哌卡因 麻醉剂量 疼痛 自主呼吸恢复用时
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小剂量丙泊酚应用于静脉术后镇痛及临床麻醉的效果观察
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作者 周剑锋 周鑫 《中文科技期刊数据库(文摘版)医药卫生》 2023年第11期74-76,共3页
观察在静脉术后镇痛及临床麻醉期间应用小剂量丙泊酚的效果。方法 在2021年1月~2023年1月期间选取92例静脉术后镇痛及临床麻醉的患者分为两组,对照组采用右美托咪啶,研究组采用丙泊酚,对比患者临床指标。结果 研究组术后恢复用时更短;... 观察在静脉术后镇痛及临床麻醉期间应用小剂量丙泊酚的效果。方法 在2021年1月~2023年1月期间选取92例静脉术后镇痛及临床麻醉的患者分为两组,对照组采用右美托咪啶,研究组采用丙泊酚,对比患者临床指标。结果 研究组术后恢复用时更短;研究组VAS评分更低;研究组不良反应率更低;研究组满意度更高,差异具有统计学价值(P<0.05)。结论 在静脉术后镇痛及临床麻醉期间,应用丙泊酚取得的临床效果总体上优于右美托咪啶,其对于患者预后健康的保障具有良好的促进作用,基于此,该药物值得受到医疗工作者的关注并在临床领域中加以推广。 展开更多
关键词 静脉术后镇痛 丙泊酚 恢复用时 VAS评分 不良反应率
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腹腔镜胰体尾切除术10例临床分析
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作者 龚海军 肖仲贤 +3 位作者 余春华 鲁钢 贺青 张银才 《系统医学》 2021年第4期103-105,共3页
目的观察和分析腹腔镜胰体尾切除术操作方法以及治疗效果。方法选取31例自2018年5月—2019年10月进行手术治疗在该院接受胰体尾切除术患者,将之分为对比组(n=21)与研究组(n=10),对比组应用开腹胰体尾切除术,研究组应用腹腔镜胰体尾切除... 目的观察和分析腹腔镜胰体尾切除术操作方法以及治疗效果。方法选取31例自2018年5月—2019年10月进行手术治疗在该院接受胰体尾切除术患者,将之分为对比组(n=21)与研究组(n=10),对比组应用开腹胰体尾切除术,研究组应用腹腔镜胰体尾切除术,比较两组手术相关指标以及术后并发症发生情况。结果研究组手术时间(286.23±49.38)min较对比组(230.15±52.12)min长,差异有统计学意义(t=7.332,P<0.05);研究组其他各项手术相关指标均优于对比组,术中失血量[(351.22±78.35)mL vs(185.23±73.45)mL]更少,术后进食时间[(4.23±1.35)d vs(3.01±1.30)d],术后排气时间[(3.51±1.33)d vs(2.29±1.28)d]及总住院时间[(15.26±2.13)d vs(11.23±2.08)d]均明显更短,差异有统计学意义(t=21.038、3.015、4.282、6.348,P<0.05)。两组并发症发生率经对比差异无统计学意义(P>0.05)。结论腹腔镜胰体尾切除术治疗效果优于开腹胰体尾切除术,临床应用价值较高。能够使患者从中获益,可缩短患者术后恢复时间,具有一定的应用价值。 展开更多
关键词 腹腔镜胰体尾切除术 手术指标 术后恢复用时 术后并发症
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胆总管不同闭合方式对腹腔镜胆囊切除同期胆总管取石患者预后影响观察
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作者 郭岗 耿红超 《中国疗养医学》 2020年第1期109-110,共2页
目的观察胆总管不同闭合方式对腹腔镜胆囊切除同期胆总管取石患者预后的影响.方法选取2017年2月至2019年3月某院胆囊结石合并胆总管结石患者157例,按胆总管闭合方式不同分为间断组和连续组,两组均实施腹腔镜胆囊切除同期胆总管切开取石... 目的观察胆总管不同闭合方式对腹腔镜胆囊切除同期胆总管取石患者预后的影响.方法选取2017年2月至2019年3月某院胆囊结石合并胆总管结石患者157例,按胆总管闭合方式不同分为间断组和连续组,两组均实施腹腔镜胆囊切除同期胆总管切开取石术,且术后均实施胆总管闭合,其中间断组78例采取微乔线间断缝合,连续组79例采取微乔线连续缝合,分析比较两组术中失血量、住院用时、胆总管缝合用时、手术用时、肠道功能恢复用时及术后并发症发生情况.结果连续组住院用时、胆总管缝合用时、肠道功能恢复用时较间断组短,术中失血量较间断组少(P<0.05);连续组并发症总发生率(1.27%)与间断组(5.13%)比较,差异无统计学意义(P>0.05).结论对腹腔镜胆囊切除同期胆总管取石患者采取微乔线连续缝合,能减小手术损伤,缩短康复进程,且预后情况较好. 展开更多
关键词 微乔线连续缝合 腹腔镜胆囊切除术 胆总管切开取石术 胆总管缝合用时 肠道功能恢复用时
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Effects of Vegetation Restoration on Soil Organic Carbon in China:A Meta-analysis 被引量:7
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作者 GONG Li LIU Guohua +3 位作者 WANG Meng YE Xin WANG Hao LI Zongshan 《Chinese Geographical Science》 SCIE CSCD 2017年第2期188-200,共13页
Vegetation restoration has been proposed as an effective method for increasing both plant biomass and soil carbon(C) stocks. In this study, 204 publications(733 observations) were analyzed, focusing on the effects of ... Vegetation restoration has been proposed as an effective method for increasing both plant biomass and soil carbon(C) stocks. In this study, 204 publications(733 observations) were analyzed, focusing on the effects of vegetation restoration on soil organic carbon(SOC) in China. The results showed that SOC was increased by 45.33%, 24.43%, 30.29% and 27.98% at soil depths of 0–20 cm, 20–40 cm, 40–60 cm and > 60 cm after vegetation restoration, respectively. Restoration from both cropland and non-cropland increased the SOC content. The conversion of non-cropland was more efficient in SOC accumulation than the conversion of cropland did, especially in > 40 cm layers. In addition, the conversion to planted forest led to greater SOC accumulation than that to other land use did. Conversion period and initial SOC content extended more influence on soil C accumulation as the main factors after vegetation restoration than temperature and precipitation did. The SOC content significantly increased with restoration period after long-term vegetation restoration(> 40 yr), indicating a large potential for further accumulation of carbon in the soil, which could mitigate climate change in the near future. 展开更多
关键词 soil carbon content vegetation restoration land-use change conversion period restoration approach China
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NAND flash service lifetime estimate with recovery effect and retention time relaxation 被引量:1
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作者 步凯 陈怡然 +2 位作者 徐晖 易伟 谢启友 《Journal of Central South University》 SCIE EI CAS 2014年第8期3205-3213,共9页
A service life model of NAND flash and threshold voltage shift process is proposed to calculate the service life and endurance.The relationships among achievable program/erase(P/E) cycles,recovery time,bad block rate ... A service life model of NAND flash and threshold voltage shift process is proposed to calculate the service life and endurance.The relationships among achievable program/erase(P/E) cycles,recovery time,bad block rate and storage time are analyzed.The achievable endurance and service life of a NAND flash are evaluated based on a flash cell degradation and recovery model by varying recovery time,badblock rate,and storage time.It is proposed to improve the service lifetime of solid state disk by both relaxing the bad block rate limitation and retention time while extending the recovery time.The results indicate that endurance can be improved by 17 times if the storage time guarantee is reduced from 10 a to 1 a with 105 s recovery time inserted between cycles. 展开更多
关键词 NAND flash ENDURANCE RETENTION recovery effect program/erase (P/E) cycle
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Realization of 40 GHz Short Time Windows and Their Applications in High Speed Optical Time Division Multiplexing Systems 被引量:1
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作者 Li Yan Wu Jian 《China Communications》 SCIE CSCD 2012年第8期40-51,共12页
Optical Time Division Multiplexing (OTDM) is known to be capable of transmitting single channel high bit rate data stream with low speed electro-optical components. A cost-effective, compact and stable short time wi... Optical Time Division Multiplexing (OTDM) is known to be capable of transmitting single channel high bit rate data stream with low speed electro-optical components. A cost-effective, compact and stable short time window with low insert loss, low phase noise, low timing-jitter and high speed performance is essential for ultra-high speed OTDM systems using phase and amplitude modulation formats. In this paper, we review three promising methods to obtain 40 GHz short time window including Electro-Absorption Modulator (EAM), Dual-Parallel Mach-Zehnder Modulator (DPMZM) and Fiber Loop-Polarization Modulator (FL-PolM). Sub-picosecond short pulse source generation, optical time division denlaltiplexing and clock recovery are realized respectively by using the short time window based on the three methods. By using DPMZM based pulse source and EAM based Clock Recovery (CR) and dermltiplexer, error free transmission of 640 Goit/s (160 Gbaud/s Pol-Mux DQPSK) single channel signal over 400 km single mode fiber is proven to be experimentally successful. 展开更多
关键词 optical fiber conmmnication optical time division nmltiplexing optical tirre switch
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Clinical application of thoracic small incision in radical operation for lung and esophageal cancer
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作者 Dongming Lu Dong Wang Kaibao Han Chuansheng Zhang Yuan Zhou Hongzhi Sun Gang Xu Jianfeng Zhang 《The Chinese-German Journal of Clinical Oncology》 CAS 2009年第10期596-598,共3页
Objective: The aim of this study was to explore clinical value of thoracic small incision in radical operation for lung and esophageal cancer in assuring same treatment effects with conventional incision. Methods: Col... Objective: The aim of this study was to explore clinical value of thoracic small incision in radical operation for lung and esophageal cancer in assuring same treatment effects with conventional incision. Methods: Collected data of patients was given radical operation for lung and esophageal cancer in our department from January 1, 2006 to January 1, 2007, and performed retrospective analysis, among them, small incision group (improved group) was 143 cases, and conventional group was 167 cases including 6 cases which was changed from small incision to conventional incision in operation. Compared operation time, incision length, intraoperative blood loss, postoperative drainage flow, number of lymph node dissected, recovery time of postoperative upper limb function, postoperative pain, postoperative complications etc. between both groups. Results: Compared with conventional group, intraoperative blood loss, postoperative drainage flow, postoperative pain, recovery time of postoperative upper limb function in improved group was improved significantly, and there was no obvious difference in operation time and number of lymph node dissected between both groups. Conclusion: Small incision in radical operation for lung and esophageal cancer is small trauma, and quick recovery after operation, treatment effects of it is basically similar to that of conventional operation method, however, its application is limited in few cases. 展开更多
关键词 lung tumor esophageal tumor radical operation thoracic small incision
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