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CONCERT-CL闭环靶控输注系统对腹腔镜胃肠手术患者术后胃肠功能及免疫功能的影响
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作者 王芳琪 雷林军 +3 位作者 付茂璟 魏子钦 王晓敏 谢妍 《海南医学》 CAS 2024年第5期641-645,共5页
目的 探讨CONCERT-CL闭环靶控输注系统在腹腔镜胃肠手术患者中的应用效果及对患者术后胃肠功能和免疫功能的影响。方法 选取2022年8月至2023年5月上海市徐汇区中心医院收治的80例腹腔镜胃肠手术患者作为研究对象,按随机数表法分为观察... 目的 探讨CONCERT-CL闭环靶控输注系统在腹腔镜胃肠手术患者中的应用效果及对患者术后胃肠功能和免疫功能的影响。方法 选取2022年8月至2023年5月上海市徐汇区中心医院收治的80例腹腔镜胃肠手术患者作为研究对象,按随机数表法分为观察组和对照组各40例。两组患者均采用相同的麻醉方案,但观察组患者采用CONCERT-CL闭环靶控输注系统进行麻醉管理,而对照组患者则采用开放式麻醉维持。比较两组患者的围术期相关指标、胃肠功能和围术期白细胞分化抗原(CD) TT细胞数量和自然杀伤细胞(NK)细胞数量,同时比较两组患者术后不良反应发生情况。结果 观察组患者的手术时间、麻醉时间分别为(183.60±30.15) min、(206.69±10.54) min,对照组分别为(189.12±43.85) min、(211.65±16.83) min,差异均无统计学意义(P>0.05);观察组患者术中丙泊酚用量和顺式阿曲库铵用量分别为(13.34±2.00) mg/kg、(0.26±0.09) mg/kg,明显低于对照组的(15.96±1.41) mg/kg、(0.35±0.11) mg/kg,拔管即刻警觉-镇静(OAA/S)评分和术中BIS时间为40~60的占比分别为(3.46±0.25)分、(82.60±4.22)%,明显高于对照组的(3.12±0.46)分、(64.02±3.65)%,差异均有统计学意义(P<0.05);观察组和对照组患者的肠鸣音恢复[(22.60±4.52) h vs (30.57±6.84) h]、腹痛缓解[(26.88±4.11) h vs (30.17±2.94) h]、术后首次排气时间[(32.69±4.25) h vs (44.35±1.68) h]比较,观察组明显短于对照组,差异均有统计学意义(P<0.05);术后12 h,观察组和对照组患者的CD4+TT数量[(35.69±1.54)%vs (32.01±6.21)%]、NK细胞数量[(20.36±2.41)%vs (18.73±2.65)%]比较,观察组明显高于对照组,CD8+TT数量[(27.01±1.79)%vs (29.28±3.87)%]比较,观察组明显低于对照组,差异均有统计学意义(P<0.05);观察组患者的不良反应总发生率为5.00%,略低于对照组的10.00%,但差异无统计学意义(P>0.05)。结论 CONCERT-CL闭环靶控输注系统在腹腔镜胃肠手术患者中的应用能够降低术中麻醉维持药物用量,患者苏醒速度更快。同时还能够促进患者术后胃肠功能的恢复,并且对免疫功能起到一定改善作用。 展开更多
关键词 concert-CL闭环靶控输注系统 腹腔镜胃肠手术 麻醉患者 胃肠功能 免疫功能
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台湾图书馆联盟发展的经验与启示——以CONCERT为例
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作者 丁伟国 《鸡西大学学报(综合版)》 2014年第10期154-156,共3页
图书馆联盟是以实现资源共享为目的的图书馆联合体,以CONCERT为例,从基本情况、联盟服务、联盟管理等方面对其进行研究,探讨了其成功发展的经验,并得到一些启示,以促进我国图书馆联盟的建设。
关键词 图书馆联盟 资源共享 concert 台湾地区
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Concert-1闭环肌松注射系统输注不同剂量米库氯铵在耳鼻喉手术中的疗效及安全性比较 被引量:4
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作者 温晶 张晓东 尚颖 《安徽医药》 CAS 2021年第10期2013-2017,共5页
目的探究Concert-1闭环肌松注射系统输注不同剂量米库氯铵在耳鼻喉手术中的疗效及安全性差异。方法回顾分析2018年1月至2019年6月在保定市第二医院行全麻下耳鼻喉手术的病人临床资料,根据治疗剂量分为高剂量组(0.25 mg/kg)、常规剂量组(... 目的探究Concert-1闭环肌松注射系统输注不同剂量米库氯铵在耳鼻喉手术中的疗效及安全性差异。方法回顾分析2018年1月至2019年6月在保定市第二医院行全麻下耳鼻喉手术的病人临床资料,根据治疗剂量分为高剂量组(0.25 mg/kg)、常规剂量组(0.20 mg/kg)及低剂量组(0.15 mg/kg),各40例,并应用Concert-1闭环肌松注射系统进行对应剂量米库氯铵注射。记录两组病人肌松起效时间、恢复时间,米库氯铵注射前后血流动力学变化、血液组胺浓度变化及两组病人不良反应发生情况。结果三组病人肌松起效时间比较具有显著差异,其中高剂量组肌颤搐抑制达75%(ThD75)(135.25±15.61)s、肌颤搐抑制达90%(ThD90)(150.25±21.54)s及肌颤搐抑制达最大阻滞程度时间(ThDmax)(168.16±19.78)s均最快,低剂量组ThD75(158.71±17.24)s、ThD90(179.67±24.67)s及ThDmax(190.18±21.13)s最慢,比较差异有统计学意义(F=26.513、18.692、36.425,均P<0.001);三组病人肌松恢复时间Th R25、RI及TOFr90比较差异无统计学意义(P>0.05);米库氯铵注射后5 min,高剂量组收缩压(SBP)(113.79±23.31)mmHg出现明显降低,心率(HR)(96.47±11.97)次/分明显升高,与常规剂量组SBP(126.67±23.97)mmHg、HR(84.36±10.59)次/分和低剂量组SBP(98.72±0.84)mmHg、HR(82.49±10.54)次/分比较差异有统计学意义(F=5.818、18.804,均P<0.05);米库氯铵注射后5 min,三组病人血液组胺浓度均显著升高,其中高剂量组(1.57±0.26)ng/mL>常规剂量组(1.34±0.25)ng/mL>低剂量组(1.07±0.21)ng/mL,组间比较差异有统计学意义(P<0.05),三组米库氯铵用量、手术时间总时间及不良发应总发生率比较差异无统计学意义(P>0.05)。结论Concert-1闭环肌松注射系统输注0.20 mg/kg、0.25 mg/kg米库氯铵均能提供耳鼻喉手术中满意的肌松效果,且安全性相当,临床可根据病人机体耐受情况选择合适剂量。 展开更多
关键词 米库氯铵 耳鼻喉外科手术 肌松弛 concert-1闭环肌松注射系统 安全性
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The chemical origin of temperature-dependent lithium-ion concerted diffusion in sulfide solid electrolyte Li_(10)GeP_(2)S_(12) 被引量:4
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作者 Zhong-Heng Fu Xiang Chen +7 位作者 Nan Yao Xin Shen Xia-Xia Ma Shuai Feng Shuhao Wang Rui Zhang Linfeng Zhang Qiang Zhang 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2022年第7期59-66,I0003,共9页
Solid-state batteries have received increasing attention in scientific and industrial communities,which benefits from the intrinsically safe solid electrolytes(SEs).Although much effort has been devoted to designing S... Solid-state batteries have received increasing attention in scientific and industrial communities,which benefits from the intrinsically safe solid electrolytes(SEs).Although much effort has been devoted to designing SEs with high ionic conductivities,it is extremely difficult to fully understand the ionic diffusion mechanisms in SEs through conventional experimental and theoretical methods.Herein,the temperature-dependent concerted diffusion mechanism of ions in SEs is explored through machinelearning molecular dynamics,taking Li_(10)GeP_(2)S_(12) as a prototype.Weaker diffusion anisotropy,more disordered Li distributions,and shorter residence time are observed at a higher temperature.Arrhenius-type temperature dependence is maintained within a wide temperature range,which is attributed to the linear temperature dependence of jump frequencies of various concerted diffusion modes.These results provide a theoretical framework to understand the ionic diffusion mechanisms in SEs and deepen the understanding of the chemical origin of temperature-dependent concerted diffusions in SEs. 展开更多
关键词 Solid-state batteries Solid electrolytes concerted diffusion Machine-learning molecular dynamics
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CONCERTED H-BONDING TEMPLATE SYNTHESIS OF AN ORDERED LADDER POLYSILSESQUIOXANE 被引量:1
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作者 张榕本 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2006年第5期539-544,共6页
A novel soluble regular ladder poly(benzoyl-3-aminopropyl) silsesquioxane (LPBAS) was facilely prepared under effective assistance of concerted H-bonding self-assembly of amido groups of side chains and silanol gr... A novel soluble regular ladder poly(benzoyl-3-aminopropyl) silsesquioxane (LPBAS) was facilely prepared under effective assistance of concerted H-bonding self-assembly of amido groups of side chains and silanol groups, respectively, of a new template monomer [1,3-bis(benzoyl-3-aminopropyl)-1,1,3,3-tetraethoxydisiloxane] (M). The ordered ladder structure of LPBAS is manifested in: (1) the presence of two Bragg peaks representing the ladder width (d) and ladder thickness (t) in X-ray diffraction (XRD) pattern; (2) narrow base-line width (w = 6) of resonance absorption for -CH2SiO3/2 moiety in 29Si-NMR and (3) high glass transition temperature Tg = 1 12℃ in differential scanning calorimetry (DSC) analysis. 展开更多
关键词 concerted H-bonding template SELF-ASSEMBLY Ladder polysilsesquioxane.
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Acne Treated by point Injection of One's Own Blood Concerted with Ear-Acupuncture-Pressure: Observation on 70 Cases
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作者 Wang Libo Jiang Xinhua Niu Chuiju(Central Hospital of Forestry of Mudanjiang,Heilongjang 157011 ) 《中国针灸》 CAS CSCD 北大核心 1995年第S2期297-298,共2页
AcneTreatedbyPointInjectionofOne'sOwnBloodConcertedwithEar-Acupuncture-Pressure:Observationon70Cases¥WangLib... AcneTreatedbyPointInjectionofOne'sOwnBloodConcertedwithEar-Acupuncture-Pressure:Observationon70Cases¥WangLibo;JiangXinhua;Niu... 展开更多
关键词 Observation ACUPUNCTURE INJECTION concerted EAR ACNE CASES One OWN Pressure
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Perfect Combination of Architectural Functions and Flow Lines: Study on Roof Garden of Frank Gehry's Walt Disney Concert Hall
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作者 WANG Haiou 《Journal of Landscape Research》 2016年第2期21-22,26,共3页
By exploring the space and the design techniques of roof garden in Frank Gehry's Walt Disney Concert Hall, this paper made further research on the combination of architectural functions and pedestrian fl ow lines,... By exploring the space and the design techniques of roof garden in Frank Gehry's Walt Disney Concert Hall, this paper made further research on the combination of architectural functions and pedestrian fl ow lines, and attempted to summarize the unique design techniques of Frank Gehry by analyzing his works, improve and develop design theories of roof garden, and attract more attention from the public to roof garden design. 展开更多
关键词 Walt Disney concert Hall Roof garden Space form FUNCTION Flow lines
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MOLECULAR POLARIZATION INDUCTION IN CONCERTED MECHANISM OF ALKOXY MIGRATION
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作者 Guo Qiang CHEN Biochemistry Section, Basic Department, Zhejiang AgricuLturat University, Hangzhou 310029 《Chinese Chemical Letters》 SCIE CAS CSCD 1991年第12期933-934,共2页
The rearrangement of α-substituted phenyl-α, α′-dimethoxypropanones (R1) was recently proved to he an [1, 3] siqmatropic migration of methoxy group by study of LFER, solvent effect, crossover experiment, and by ot... The rearrangement of α-substituted phenyl-α, α′-dimethoxypropanones (R1) was recently proved to he an [1, 3] siqmatropic migration of methoxy group by study of LFER, solvent effect, crossover experiment, and by other means. The rearrangement catalysed by trace of totuenesulfonic acid gave a negligible value of the Hammett reaction constant. Further experimental results show that the electronic effect of substituent on the aromatic ring for the rearrangement in neutral medium is much greater (Table 1). We propose sigmatropic migration 展开更多
关键词 CHEN MOLECULAR POLARIZATION INDUCTION IN concertED MECHANISM OF ALKOXY MIGRATION
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China's Traditional Music Enters a New Era——Impression of "China National Concert in Spring Festival of Year of Horse" by HK Zhongyue Orchestra
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《China & The World Cultural Exchange》 2002年第4期34-35,共2页
At 11:00 a.m. of February 10, 2002, the"China National Concert in the Spring Festival ofthe Year of the Horse" was solemnly given in thegolden hall of Vienna. The Hong Kong ChineseFolk Music Orchestra, under... At 11:00 a.m. of February 10, 2002, the"China National Concert in the Spring Festival ofthe Year of the Horse" was solemnly given in thegolden hall of Vienna. The Hong Kong ChineseFolk Music Orchestra, under the direction of thechief inspector and famous conductor 展开更多
关键词 Impression of by HK Zhongyue Orchestra China National concert in Spring Festival of Year of Horse China’s Traditional Music Enters a New Era HK
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Soul Stirring on the Bow String──Min Huifen and Her Erhu Concerto Concert
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《China & The World Cultural Exchange》 1998年第4期4-5,共2页
关键词 Min Huifen and Her Erhu concerto concert Soul Stirring on the Bow String
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MAKE CONCERTED EFFORTS TO BRING OUR HEARTS CLOSER FOR JOINTLY BUILDING BELT AND ROAD KEYNOTE ADDRESS AT THE THEMATIC SESSION ON PEOPLE-TO-PEOPLE CONNECTIVITY, BELT AND ROAD FORUM FOR INTERNATIONAL COOPERATION
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作者 SONG TAO 《Contemporary World》 2017年第3期5-7,共3页
Distinguished Guests,Ladies and gentlemen,Dear friends,Good afternoon.Let me begin by extending my warmest welcome to all of you to this thematic session on peopleto-people connectivity on behalf of the International ... Distinguished Guests,Ladies and gentlemen,Dear friends,Good afternoon.Let me begin by extending my warmest welcome to all of you to this thematic session on peopleto-people connectivity on behalf of the International Department of the CPC Central Committee,the organizer of this event.Thanks to the concerted efforts 展开更多
关键词 In BELT AND ROAD FORUM FOR INTERNATIONAL COOPERATION MAKE concertED EFFORTS TO BRING OUR HEARTS CLOSER FOR JOINTLY BUILDING BELT AND ROAD KEYNOTE ADDRESS AT THE THEMATIC SESSION ON PEOPLE-TO-PEOPLE CONNECTIVITY
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基于体验性的创意写作教学——以课程Mini Concert(或Gig)为例
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作者 罗勋章 《写作》 2018年第6期116-122,共7页
创意写作并非只有爱荷华大学写作工作坊的经验与路径,必须明白创意写作的实质是建构主义教学理论的实践。在大学本科写作教学中,调动学生主体的创造性,激发其创造性欲望,进而完成创造性作品的生产是创意写作的根本所在。Mini Concert(G... 创意写作并非只有爱荷华大学写作工作坊的经验与路径,必须明白创意写作的实质是建构主义教学理论的实践。在大学本科写作教学中,调动学生主体的创造性,激发其创造性欲望,进而完成创造性作品的生产是创意写作的根本所在。Mini Concert(Gig)课就是这种教学路径的有益尝试,它通过对学习主体学生的角色设定:策划人、主持人、演示设计、操作人及学生听(观)众,以教学内容"感受与体验"项目化的活动将教学与育人结合起来,通过体验与创意的融合,贯穿人文精神,培育了学生的协作意识、探索精神,为学生的创意写作活动打开了一个新视野。同时它也是中国传统的"乐教文化"在现代教育语境下的一种尝试。不过作为主导的教师,在活动中处理好"导与观""导与学""导与思"三种关系非常重要。 展开更多
关键词 创意写作 音乐会 体验教学 乐教
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The Jiangyin Concert Hall
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《China & The World Cultural Exchange》 1998年第5期26-27,共2页
关键词 The Jiangyin concert Hall
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对尊宝concert 8音箱的分析与评价
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作者 纵横 《实用影音技术》 1999年第1期24-25,共2页
丹麦Jamo的con-cer系列音箱近年在国内外音响大展中均获好评。1996年12月号的英国音响杂志《Hi-Fi Choice》,1997年2月号的美国音响杂志《StereoReview》
关键词 扬声器 concert8 音箱 评价
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退出Concert,AT&T仍将服务全球客户
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《通信世界》 2001年第30期13-13,共1页
关键词 AT&T公司 通信服务 concert公司 运输设施 数据网络
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China: Concerted Action on Auto Emission
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《China Rare Earth Information》 1999年第3期1-2,共2页
关键词 AUTO concerted Action on Auto Emission China
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音乐会Concert
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《中外食品(酒尚)》 2008年第3X期142-145,共4页
天籁之音——中国非物质文化遗产音乐会选粹演出时间:3月1日19:30至3月2日19:30演出地点:国家大剧院音乐厅票价:50元、120元、280元。
关键词 concert 国家大剧院 演出时间 天籁之音 音乐季 民族乐团 中国爱乐乐团 物质文化遗产 音乐堂
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通往未来的CONCERT
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《中国计算机用户》 2002年第6期20-20,共1页
随着计算机与通信技术的发展,针对日益增长的交通需求,近年来西门子公司推出了一种集成性和实用性非常全面和完整的智能交通系统一CONCERT.CONCERT结构如图1所示。
关键词 西门子公司 智能交通系统 concert 计算机网络 通信技术 集成化连接
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Common Goal,Concerted Efforts
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作者 Deng Yaqing 《ChinAfrica》 2016年第1期22-25,共4页
THRONGS of people were overwhelmed by tears and cheers on December 12, 2015 as French Foreign Minister Laurent Fabius, president of the Paris climate change conference, struck a green gavel. It signaled the conclusion... THRONGS of people were overwhelmed by tears and cheers on December 12, 2015 as French Foreign Minister Laurent Fabius, president of the Paris climate change conference, struck a green gavel. It signaled the conclusion of a marathon 13- day negotiation between delegates representing nearly 200 different countries and regions, who had gathered in Paris. The representatives at the 2015 United Nations Climate Change Conference made a deal that will go down in history as a rare moment of worldwide cooperation in the face of a monumental challenge, But as fellow negotiators hugged each other in celebration, grave concerns lurked in the recesses of their minds - this was just the beginning of a war against climate change that is expected to last for generations. 展开更多
关键词 Common Goal concerted Efforts
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Concert for Solo Italian Fabric
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作者 Tom Xue 《China Textile》 2008年第11期18-21,共4页
Known as the biggest national pavilion,in INTERTEXTILE 2008 held in Shanghai New International Expo Center in October,Italian Trade Commission-I.C.E. and their knighthoods came again.
关键词 REDA concert for Solo Italian Fabric
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