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术前碳水营养液在老年粗隆间骨折患者手术麻醉应用中的安全性研究
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作者 吴向荣 吕校宇 +5 位作者 陈昌胜 周金龙 赵俊 邢玲 莫宝庆 汪文娟 《临床和实验医学杂志》 2024年第10期1110-1114,共5页
目的研究术前碳水营养液在老年粗隆间骨折患者手术麻醉中的安全性。方法前瞻性选取2022年4月至2023年5月江苏大学附属高淳医院收治的48例年粗隆间骨折患者作为研究对象。按随机数表法将其分为干预组(n=24)和对照组(n=24)。干预组患者在... 目的研究术前碳水营养液在老年粗隆间骨折患者手术麻醉中的安全性。方法前瞻性选取2022年4月至2023年5月江苏大学附属高淳医院收治的48例年粗隆间骨折患者作为研究对象。按随机数表法将其分为干预组(n=24)和对照组(n=24)。干预组患者在术前8 h禁食固体食物,术前2 h饮用200 mL的术前碳水营养液(碳水化合物含量12.5%的特殊医学用途碳水化合物组件配方食品),对照组患者术前8 h禁食、禁饮。记录两组患者的术前、术后主观状态、胃排空状态、麻醉术中指标(麻醉时间和血气状况)以及入院时和术中的空腹血糖、胰岛素、胰岛素抵抗指数水平。结果术前,干预组口渴患者比例为0,明显低于对照组(54.2%),差异有统计学意义(P<0.05);两组心悸、恐惧、饥饿、肌肉颤抖、头晕患者比例比较,差异均无统计学意义(P>0.05)。术后,两组患者均对于麻醉手术表示满意,未出现恶心、呕吐、头晕、谵妄患者。干预组患者麻醉前胃残余量为(0.23±0.08)mL,显著低于对照组[(0.38±0.11)mL],干预组患者血液的pH值、PaCO_(2)、HCO_(3)^(-)水平分别为7.38±0.04、(43.30±2.35)mmHg、(24.63±0.52)mmol/L,均高于对照组[7.34±0.03、(41.62±2.81)mmHg、(23.70±1.41)mmol/L],差异均有统计学意义(P<0.05)。干预组患者入院时的胰岛素抵抗指数为1.94(1.4,4.9),高于对照组[0.66(0.3,1.8)],入院时和术中的胰岛抵抗指数差值为1.19(0.1,3.4),高于对照组[-0.23(-0.6,1.0)],差异均有统计学意义(P<0.05);两组入院时和术中的血糖和血清胰岛素比较,差异均无统计学意义(P>0.05)。结论术前2 h饮用200 mL术前碳水营养液在老年骨科粗隆间骨折手术的麻醉中具有较高的安全性。 展开更多
关键词 老年人 粗隆间骨折 碳水营养液 麻醉安全性 胃残余量
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Effect of Spraying Nutritional Solution "PRO.SOL" and Chelated Iron on Growth and Flowering of Gazania Plant Gazania splenden L,
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作者 Jamal Ahmed Abbass Mushtaq Talib Faik M. S. AI-Khalili 《Journal of Agricultural Science and Technology(B)》 2013年第11期814-822,共9页
The aim of this research was to study the effect of spraying nutritional solution "PRO.SOL" and chelated iron on vegetative and floral growth characteristics on Gazania plant. Randomized Complete Block Design (R.C.... The aim of this research was to study the effect of spraying nutritional solution "PRO.SOL" and chelated iron on vegetative and floral growth characteristics on Gazania plant. Randomized Complete Block Design (R.C.B.D) was adopted utilizing two applications in three replicates. Three concentration levels of nutritional solution PRO.SOL (10.00, 5.00 and 0.00 mg/L) and four concentration levels of chelated iron (90.00, 60.00, 30.00 and 0.00 mg/L) were applied in this experiment. The interaction between the two factors was also measured. The mean values were compared using L.S.D test at probability level 0.05. Spraying PRO.SOL at concentration 10.00 mg/L or chelated iron concentration level 90.00 mg/L improved growth parameters. There was significant increase in: number of total leaves per plant, shoot dry weight, leaves total chlorophyll content, number of off-shoots, number and length of primary roots, length of the peduncle, number of flowers, number of petals and flower dry weight. Meanwhile leaf carbohydrate contents, phosphorus percentage and leaf iron content were increased significantly compared with the (unsprayed plants). The interaction treatment, spraying nutritional solution PRO.SOL at concentration level 10.00 mg/L with 90 mg Lt chelated iron had a significant increase in all studied growth parameters, i.e., the number of flowers and petals gave 8.33 flowers and 18.67 petals compared with the control treatment which gave 3.33 flowers and 13.00 petals. Meanwhile leaf carbohydrate contents, phosphorus percentage and leaf iron content increased significantly in comparison with the unsprayed plants which gave the least values. 展开更多
关键词 PRO.SOL chelated iron Gazania splenden L..
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