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AP1000 Operation Procedures System and Development 被引量:1
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作者 F. Wen 《Journal of Energy and Power Engineering》 2011年第8期711-717,共7页
This paper makes a brief introduction on AP1000 operation procedure system, including procedure classification, function and composition. In addition, key points of work flow process and the advantages of AP1000 opera... This paper makes a brief introduction on AP1000 operation procedure system, including procedure classification, function and composition. In addition, key points of work flow process and the advantages of AP1000 operation procedures are described, among which the application of CPS (computerized procedure system) on AP1000 operation area and human factor engineering are highlighted. Moreover, based on current situation, this paper offers several suggestions on procedure development for Sanmen AP 1000 nuclear power project, i.e. first, ensure the quality of operation procedures; then determine the way how we are going to use operation procedures in English version; finally realize CPS Chinesization and localization gradually by digesting and absorbing API000 technology. 展开更多
关键词 AP1000 operation procedures CPS
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Operational procedures of auricular point sticking technology 被引量:1
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作者 Hong CHEN Shanshan LIU +2 位作者 Kexin LIU Suna LI Ling TANG 《Journal of Integrative Nursing》 2022年第2期97-102,共6页
As an external treatment technique of traditional Chinese medicine(TCM),auricular point sticking,which is rooted in holographic biology theory and TCM viscera and meridian theory,is a safe and effective treatment meth... As an external treatment technique of traditional Chinese medicine(TCM),auricular point sticking,which is rooted in holographic biology theory and TCM viscera and meridian theory,is a safe and effective treatment method.This article introduces the technology overview and development process.The auricular point sticking technique for constipation is taken as an example to specify the basic requirements,assessment,operational points,acupoint selection and matters needing attention during the implementation of the auricular acupressure technique,providing a reference for the operating procedures of this technique in the clinical treatment of other diseases such as insomnia,diarrhea,colds,hypertension,headache,and dysmenorrhea. 展开更多
关键词 Auricular acupressure auricular point massage auricular point sticking operating procedures TECHNOLOGY traditional Chinese medicine nursing
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Technical operation specification for pricking-cupping therapy
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作者 Jiaji LI Jingjin XU +3 位作者 Jing ZHANG Ling TANG Hong CHEN Ye LI 《Journal of Integrative Nursing》 2023年第3期223-227,共5页
Pricking-cupping therapy is a Traditional Chinese Medicine(TCM)nursing technology that can adjust the viscera of the human body,make the meridians smooth,and Yin and Yang balanced mainly by means of relieving heat and... Pricking-cupping therapy is a Traditional Chinese Medicine(TCM)nursing technology that can adjust the viscera of the human body,make the meridians smooth,and Yin and Yang balanced mainly by means of relieving heat and detoxification,harmonizing Qi and blood,promoting blood circulation and removing blood stasis,dredging meridians and activating collaterals,reducing swelling and pain,purging heat and calming shock,clearing heat,and opening orifices.Pricking-cupping therapy has a long history and wide application.After thousands of years of development,it has made great progress.They are widely used to treat lumbar disc herniation,herpes zoster,acute arthritis,migraine,and other diseases in China.Through the clinical practice and theoretical exploration of physicians of past dynasties,the therapeutic mechanism and application scope of pricking-cupping therapy have been greatly enriched.Modern TCM practitioners have conducted in-depth researches on the operation norms of the therapy on the basis of the ancients,hoping to grasp the essence of the disease more accurately and make the rational use of the operation technology of the therapy. 展开更多
关键词 Bloodletting puncture CUPPING external treatment of traditional Chinese medicine operating procedures pricking-cupping therapy Traditional Chinese Medicine nursing technology
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Operating procedures of traditional Chinese medicine breast massage
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作者 Jingjin XU Hong CHEN +3 位作者 Jing ZHANG Jiaji LI Ye LI Ling TANG 《Journal of Integrative Nursing》 2023年第2期151-154,共4页
Traditional Chinese medicine breast massage,also known as breast Tuina or manual expression of breast milk,is a technique of using certain manipulations to act on specific positions or acupoints of the breast to promo... Traditional Chinese medicine breast massage,also known as breast Tuina or manual expression of breast milk,is a technique of using certain manipulations to act on specific positions or acupoints of the breast to promote blood and lymphatic circulation of breast and facilitate the discharge of stagnant milk.This technique is widely used in China to treat breastfeeding problems such as breast engorgement,mastitis,and postpartum hypogalactia.In this article,we introduce the definition and standardization process of breast massage,elaborate the operating procedures of breast massage in detail,and summarize and discuss the current situation of its clinical application,so as to provide a reference for its wide application and in‑depth research. 展开更多
关键词 Breast massage breast milk expression operating procedures traditional Chinese medicine TUINA
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Technical operation specification for cupping therapy
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作者 Yongchun WEI Yali WANG +2 位作者 Haiyan E Kaiye ZHANG Ling TANG 《Journal of Integrative Nursing》 2023年第2期155-160,共6页
Cupping,as one of the characteristic therapies of traditional Chinese medicine,has been applied for more than 2000 years and has a unique curative effect in clinic.With the evolution of the times,the types and operati... Cupping,as one of the characteristic therapies of traditional Chinese medicine,has been applied for more than 2000 years and has a unique curative effect in clinic.With the evolution of the times,the types and operation techniques of cupping method are also iterating.In the process of its inheritance and development,cupping technology is also known by more and more people.Starting from the development and efficacy of cupping method,this paper introduces the clinical operation steps and precautions of cupping method in detail,and lists the representative diseases such as lumbar muscle strain,herpes zoster,and ankylosing spondylitis,to provide reference for clinical application. 展开更多
关键词 CUPPING nursing technology operating procedures traditional Chinese medicine
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Enhancing Operational Efficiency: Exploring the Integration of SOPs Using Virtual Reality and Smart Glasses Technology in Food Manufacturing
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作者 Somil Nishar 《Intelligent Control and Automation》 2023年第3期37-44,共8页
This paper explores the integration of Standard Operating Procedures (SOPs) using virtual reality and smart glasses technology in food manufacturing. The study employs a thorough methodology, combining observational i... This paper explores the integration of Standard Operating Procedures (SOPs) using virtual reality and smart glasses technology in food manufacturing. The study employs a thorough methodology, combining observational insights to develop a comprehensive SOP. Implementation at different firms resulted in significant improvements, reducing product waste and enhancing overall efficiency. The use of virtual reality further augments SOP adoption. The findings underscore SOPs’ transformative influence, offering a tangible solution to challenges in the food production sector. Recommendations include regular SOP reviews and ongoing training for sustained success. Different firms exemplify SOPs as indispensable tools for operational excellence. 展开更多
关键词 Smart Manufacturing Standard Operating procedures 5S Six Sigma Lean Manufacturing Augmented Reality Smart Glasses Food Manufacturing TR Toppers Industry 4.0
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The Efficacy and Safety of Dinoprostone Vaginal Insert for Labor Induction Following Optimization of Standard Operating Procedure: A Retrospective Study in China
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作者 Ping Jin Bao-Min Yin 《Journal of Clinical and Nursing Research》 2023年第4期110-119,共10页
Background:The study aimed to assess the efficacy and safety of dinoprostone vaginal insert in labor induction following optimization of standard operating procedure(SOP)and to discover independent predictors of vagin... Background:The study aimed to assess the efficacy and safety of dinoprostone vaginal insert in labor induction following optimization of standard operating procedure(SOP)and to discover independent predictors of vaginal delivery.Methods:This study comprised 551 pregnant women who required cervical ripening with dinoprostone before induction of labor.Using univariate and multivariate analyses,independent predictors of vaginal delivery were identified.Results:443 of the 551 women(80.4%)gave birth vaginally.Vaginal delivery was predicted by maternal age(24-30 vs.<24,P<0.001;30-35 vs.<24,P=0.03),gestational age(P=0.005),birth weight(P<0.001),parity(P=0.001),pre-pregnancy BMI(P<0.001),premature rupture of membranes(P=0.001),meconium-stained amniotic fluid(P<0.001),fundal height(P<0.001)and the Bishop score(P<0.001).None of the women exhibited severe postpartum hemorrhage.Conclusions:The maternal age,gestational age,birth weight,parity,body mass index,premature membrane rupture,amniotic fluid contamination,fundal height,and the Bishop score were independent predictors of vaginal delivery.These may guide the clinical use of dinoprostone for induction of labor. 展开更多
关键词 Dinoprostone vaginal insert Induction of labor Standard operating procedure Vaginal delivery
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吸入性烧伤导致的喉气管狭窄疗效分析
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作者 邢园 郭志华 《中国耳鼻咽喉头颈外科》 CSCD 2024年第10期668-671,共4页
目的探讨成年人吸入性烧伤导致喉气管狭窄的外科治疗方法和效果。方法回顾性分析2008年9月~2022年3月就诊于西安交通大学附属红会医院,由吸入性烧伤导致的16例喉气管狭窄患者临床资料,男10例,女6例,年龄17~57岁,平均38.4岁。支撑喉镜下... 目的探讨成年人吸入性烧伤导致喉气管狭窄的外科治疗方法和效果。方法回顾性分析2008年9月~2022年3月就诊于西安交通大学附属红会医院,由吸入性烧伤导致的16例喉气管狭窄患者临床资料,男10例,女6例,年龄17~57岁,平均38.4岁。支撑喉镜下喉剪或激光切除瘢痕并球囊扩张4例;气道前壁加宽喉气管重建术9例,其中肋软骨加宽4例,肌皮瓣2例,甲状软骨翼板3例;气管-气管端端吻合1例,环气管吻合1例,甲状软骨气管吻合1例。结果拔管13例,拔管率81.25%(13/16),失败3例,失败率为18.75%(3/16)。T型硅胶管放置时间为9~24个月,平均12.5个月。随访3个月~10年,所有拔管者均未见复发,进食、呼吸正常。结论对于成年人吸入性烧伤导致的喉气管狭窄患者进行气道重建选择好恰当的手术时机及对应的手术方法,效果满意,T型管放置时间要长。 展开更多
关键词 烧伤 吸入性(Burns Inhalation) 喉狭窄(Laryngostenosis) 气管狭窄(Tracheal Stenosis) 外科手术(Surgical procedures Operative) 治疗结果(Treatment Outcome)
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Standard Operating Procedure of Houttuynia cordata Thunb.Plastic Greenhouse Cultivation 被引量:1
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作者 钟军 戴林建 《Agricultural Science & Technology》 CAS 2016年第7期1571-1576,共6页
This standard operating procedure stipulated the natural condition of pro- ducing area, cultivation technique, disease and pest control, harvest, quality stan- dard, packaging, transportation and storage of H. cordata... This standard operating procedure stipulated the natural condition of pro- ducing area, cultivation technique, disease and pest control, harvest, quality stan- dard, packaging, transportation and storage of H. cordata, in order to provide a ba- sis for the standard cultivation of H. cordata. 展开更多
关键词 Houttuynia cordata l'hunb Plastic Greenhouse Standardization produc- tion Standard Operating procedure
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低温等离子射频消融联合下鼻甲骨折外移术治疗阻塞性睡眠呼吸暂停低通气综合征的疗效观察
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作者 欧阳杰 王小琴 《中国耳鼻咽喉头颈外科》 CSCD 2024年第2期127-128,共2页
目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者接受低温等离子射频消融联合下鼻甲骨折外移术后睡眠及经鼻持续气道正压通气(nasal continuous positive airway pressure,nCPAP)治疗耐受性的改善情况。方法选择40例OSAHS合并双侧... 目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者接受低温等离子射频消融联合下鼻甲骨折外移术后睡眠及经鼻持续气道正压通气(nasal continuous positive airway pressure,nCPAP)治疗耐受性的改善情况。方法选择40例OSAHS合并双侧下鼻甲肥大的患者作为研究对象,均在局麻下接受下鼻甲低温等离子射频消融联合骨折外移术。术前及术后2周分别采用多导睡眠监测(PSG)、鼻阻力仪、autoCPAP呼吸机及视觉模拟量表(VAS)测定睡眠呼吸暂停低通气指数(AHI)、最低血氧饱和度(lowest oxygen saturation,LSaO_(2))、鼻气道阻力及nCPAP治疗耐受性。结果与术前比较,术后2周时患者AHI降低至(35.17±9.72)次/h,LSaO_(2)提高至(83.21±6.58)%,鼻气道阻力降低至(0.55±0.09)kPa·s/cm^(3),VAS评分升高至8.32±1.17,差异比较均有统计学意义(P均<0.05)。结论低温等离子射频消融联合下鼻甲骨折外移术能有效降低OSAHS患者的鼻阻力,提高nCPAP治疗的耐受性,改善OSAHS患者的睡眠情况。 展开更多
关键词 睡眠呼吸暂停 阻塞性(Sleep Apnea Obstructive) 外科手术(Surgical procedures Operative) 对比研究(Comparative Study) 治疗结果(Treatment Outcome) 下鼻甲射频消融术(radiofrequency ablation of inferior turbinate)
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声门下异位甲状腺1例
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作者 林春兰 陈十燕 +4 位作者 王茂鑫 黄燕秋 龚宏勋 杨帆 陈贤明 《中国耳鼻咽喉头颈外科》 CSCD 2024年第10期675-676,共2页
1临床资料患者,女,62岁,以气喘8个月,加重1个月有余为主诉就诊。患者于入院前8个月无明显诱因出现气喘、呼吸困难、气短,无咳嗽、咳痰,无胸闷、胸痛、咯血,无发热、乏力等不适,活动后加重,自行服用“感冒药”(具体不详)后缓解,未予以重... 1临床资料患者,女,62岁,以气喘8个月,加重1个月有余为主诉就诊。患者于入院前8个月无明显诱因出现气喘、呼吸困难、气短,无咳嗽、咳痰,无胸闷、胸痛、咯血,无发热、乏力等不适,活动后加重,自行服用“感冒药”(具体不详)后缓解,未予以重视。入院前1个余月,患者新冠病毒感染后感觉气喘明显加重,伴低热。于2023-01-28就诊于联勤保障部队第九〇〇医院耳鼻咽喉头颈外科。 展开更多
关键词 外科手术(Surgical procedures Operative) 异位甲状腺(ectopic thyroid tissue) 声门下(subglottic)
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Modified Sugiura procedure for the management of 160 cirrhotic patients with portal hypertension 被引量:6
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作者 You-Gang Ma, Xiao-Song Li, Jun Zhao, Han Chen and Meng-Chao Wu Department of Second Biliary Surgery, Eastern Hepa-tobiliary Hospital, Shanghai 200438, China 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2004年第3期399-401,共3页
BACKGROUND: Portal hypertension is a common diseasewith a high mortality and serious effect on the life quality ofpatients. Presently, shunt and disconnection are commonlyused for surgical treatment of portal hyperten... BACKGROUND: Portal hypertension is a common diseasewith a high mortality and serious effect on the life quality ofpatients. Presently, shunt and disconnection are commonlyused for surgical treatment of portal hypertension. The aimof this study was conducted to analyze the results of a modi-fied Sugiura procedure for the management of 160 cirrhoticpatients with portal hypertension.METHODS: The results of a modified Sugiura procedurefor the treatment of 160 cirrhotic patients with portal hyper-tension from January 1991 to July 2002 were retrospectivelyanalyzed.RESULTS: The operative mortality for the procedure waszero. Postoperative intra-abdominal bleeding was noted in2 patients, drowned lung in 1, pneumonia in 1, and splenicvenous thrombosis in 4. Of the 160 patients, 157 (98%)were followed up from 6 months to 11.5 years. Of the 157patients, only one died of hepatic coma 6 years after opera-tion, and 3 of rebleeding. The absolute and relative survivalrates were 97.5% (156/160) and 99% (159/160), respective-ly. The absolute and relative occurrence rates of hepatic co-ma were 2.5% (4/160) and 0.6% (1/157), respectively. Theabsolute and relative occurrence rates of rebleeding were3.8% (6/160) and 1.9% (3/157) , respectively. In 96 of 116Child B patients (82.8%), liver function improved frompreoperative class B to A 3 months after operation. Sixty-five patients were subjected to gastroscopy and 22 patients,esophageal barium photography 6 months after operation.Gastro-esophageal varices disappeared in 56 patients(64.4%, 56/87), obviously improved in 30 (34.5%, 30/87),and unchanged in 1 (1.2%, 1/87). The occurrence rate ofportal hypertensive gastropathy (PHG) was 13.9% (9/65).CONCLUSION: Our results showed that the modifiedSugiura procedure is effective in the treatment of portal hy-pertension, with a low rate of operative complication,bleeding recurrence, and hepatic coma. 展开更多
关键词 hypertension portal surgical procedure operative
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Establishment and implementation of safety check project for invasive procedures outside the operating room
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作者 Yan Hou Xiaoyu Di +2 位作者 Chanell Concepcion Xiaoyan Shen Ying Sun 《International Journal of Nursing Sciences》 CSCD 2021年第2期199-203,I0005,共6页
Objective:This study aimed to describe the implementation of the surgical safety check policy and the surgical safety checklist for invasive procedures outside the operating room(OR)and evaluate its effectiveness.Meth... Objective:This study aimed to describe the implementation of the surgical safety check policy and the surgical safety checklist for invasive procedures outside the operating room(OR)and evaluate its effectiveness.Methods:In 2017,to improve the safety of patients who underwent invasive procedures outside of the OR,the hospital quality and safety committee established the surgery safety check committee responsible for developing a new working plan,revise the surgery safety check policy,surgery safety check Keywords:Invasive procedures outside the operating room Safety management Surgical safety checklist Patient safety form,and provide training to the related staff,evaluated their competency,and implemented the updated surgical safety check policy and checklist.The study compared the data of pre-implementation(Apr to Sep 2017)and two post-implementation phases(Apr to Sep 2018,Apr to Sep 2019).It also evaluated the number of completed surgery safety checklist,correct signature,and correct timing of signature.Results:The results showed an increase in the completion rate of the safety checklist after the program implementation from 41.7%(521/1,249)to 90.4%(3,572/3,950),the correct rates of signature from 41.9%(218/521)to 99.0%(4,423/4,465),and the correct timing rates of signature from 34.4%(179/521)to 98.5%(4,401/4,465),with statistical significance(P<0.01).Conclusion:Implementing the updated surgery safety check significantly is a necessary and effective measure to ensure patient safety for those who underwent invasive procedures outside the OR.Implementing surgical safety checks roused up the clinical staff's compliance in performing safety checks,and enhanced team collaboration and communication. 展开更多
关键词 Invasive procedures outside the operating ROOM Safety management Surgical safety checklist Patient safety
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Investigation and analysis of clinical trial research nurse to perform standard operating procedures
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作者 Yan Lin Yan-Yun Wu +2 位作者 M ei-Hua Wu Xiu-Yu Yang Ming Zhou 《Chinese Nursing Research》 CAS 2016年第2期77-79,共3页
Objective: The aim of this study was to investigate the situations and factors that cause nurses not to follow standard operating procedures (SOPs) during the clinical trial process. Methods: Five cases involving ... Objective: The aim of this study was to investigate the situations and factors that cause nurses not to follow standard operating procedures (SOPs) during the clinical trial process. Methods: Five cases involving patients enrolled in a clinical trial were divided into two groups, pre-SOP training and post-SOP training, to compare and observe the process problems and whether nurses fol- lowed SOPs in clinical trials. The causes of problems were analyzed and corrective measures were proposed. Results: Our results indicate significant improvement in compliance with SOPs after training. There were three occurrences of irregular behavior after training compared with 21 occurrences of irregular behavior before training. Conclusions: The quality of clinical trials can be improved if nurses strictly follow SOPs. 展开更多
关键词 Clinical trialStandard operating procedures (SOP)NurseInvestigationAnalysis
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颈部多间隙感染12例临床分析
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作者 汤翠华 韩鹰鹏 +2 位作者 孙开 李章雨 刘丽岱 《中国耳鼻咽喉头颈外科》 CSCD 2023年第9期605-606,共2页
目的总结颈部多间隙感染患者的临床特点和治疗经验。方法回顾性分析吉林市人民医院耳鼻咽喉头颈外科收治的12例颈部多间隙感染患者的详细临床资料,对其感染来源、实验室结果、影像学检查、治疗方式、疗效等进行总结和分析。结果男10例,... 目的总结颈部多间隙感染患者的临床特点和治疗经验。方法回顾性分析吉林市人民医院耳鼻咽喉头颈外科收治的12例颈部多间隙感染患者的详细临床资料,对其感染来源、实验室结果、影像学检查、治疗方式、疗效等进行总结和分析。结果男10例,女2例,2例牙源性感染,白细胞及C反应蛋白均不同程度升高,颈部增强CT可见局部软组织肿胀、密度不均,部分患者可见气体影或边缘及分隔样强化。6例保守治疗,6例手术治疗,所有患者均治愈出院,无死亡病例。结论颈部多间隙感染患者根据病情轻重选择保守或手术治疗,手术治疗的关键在于彻底清创引流,合理应用抗生素和规律控制血糖,必要时多科联合治疗以提高治愈率。 展开更多
关键词 颈(Neck) 外科手术(Surgical procedures Operative) 清创术(Debridement) 引流 体位(Drainage Postural) 保守疗法(Conservative Treatment) 多间隙感染(multi-spaceinfection)
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颈交感链神经鞘瘤的诊断和治疗
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作者 师娟 贺凯璇 +3 位作者 刘玉和 刘良发 路承 李万鑫 《中国耳鼻咽喉头颈外科》 CSCD 2023年第8期524-526,共3页
目的探讨术中是否保留颈交感链对颈交感链神经鞘瘤(cervical sympathetic chain neurilemmoma,CSCL)患者预后的影响。方法回顾性分析2018年4月~2022年5月首都医科大学附属北京友谊医院诊治的5例CSCL患者病例资料,分析临床表现、诊断要... 目的探讨术中是否保留颈交感链对颈交感链神经鞘瘤(cervical sympathetic chain neurilemmoma,CSCL)患者预后的影响。方法回顾性分析2018年4月~2022年5月首都医科大学附属北京友谊医院诊治的5例CSCL患者病例资料,分析临床表现、诊断要点、手术经验、术后并发症及转归情况。结果5例CSCL患者术中均先试行包膜内核除术,4例成功保留颈交感链,术后4~14 d出现霍纳综合征(Horner syndrome,HS),术后1~3个月恢复正常,患者未有第一口综合征(first bite syndrome,FBS)并发症;1例切断颈交感链,术后3 d出现HS,随访21个月未恢复,患者出现严重的FBS并发症,随访21个月无明显减轻。所有患者中位随访时间14个月,未发现复发。结论CSCL手术时应首先尝试包膜内核除,如果能成功保留颈交感链,可以避免FBS并发症,尽管术后会出现HS,但仍可恢复。 展开更多
关键词 颈(Neck) 神经鞘瘤(Neurilemmoma) 外科手术(Surgical procedures Operative) 手术后并发症(Postoperative Complications) 包膜内核除术(intracapsular enucleation)
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成人鳃裂畸形患者临床分析
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作者 王耀文 谢奇伟 +3 位作者 程鹏 胡慈浩 陈旭东 唐世雄 《中国耳鼻咽喉头颈外科》 CSCD 2023年第8期527-528,532,共3页
目的探讨成人鳃裂畸形的临床特征、检查手段及疗效。方法回顾性分析2011年11月~2021年12月宁波大学附属第一医院手术的25例成人鳃裂畸形患者,分析治疗疗效及术后并发症情况。结果成人鳃裂畸形男女比例为7∶18,病程(113.92±154.20)... 目的探讨成人鳃裂畸形的临床特征、检查手段及疗效。方法回顾性分析2011年11月~2021年12月宁波大学附属第一医院手术的25例成人鳃裂畸形患者,分析治疗疗效及术后并发症情况。结果成人鳃裂畸形男女比例为7∶18,病程(113.92±154.20)个月。囊肿型16例,瘘管型9例。第一鳃裂来源5例,第二鳃裂来源17例,第三鳃裂来源3例。就诊于耳鼻咽喉头颈外科18例、口腔科6例、甲状腺外科1例。MRI检查可显示病变及走行。术后复发7例(28%),其中囊肿型者1例,瘘管型者6例。3例累及腮腺、面神经;2例累及同侧甲状腺、颈鞘、喉返神经。所有患者均手术治愈,无面瘫、声嘶等并发症。结论成人鳃裂畸形就诊科室分布广,涉及解剖复杂,相关科室提高对该病的认知程度和外科处理能力,避免漏诊误诊,减少疾病复发及相关并发症的出现。 展开更多
关键词 成人(Adult) 诊断(Diagnosis) 外科手术(Surgical procedures Operative) 鳃裂囊肿(branchial cleft cyst) 鳃裂瘘管(branchial fistula)
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药物诱导睡眠内镜定位辅助下手术治疗阻塞性睡眠呼吸暂停低通气综合征的效果及对摄氧情况的影响
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作者 唐继光 李建委 李道广 《中国耳鼻咽喉头颈外科》 CSCD 2023年第12期808-810,共3页
目的 探讨分析药物诱导睡眠内镜(drug-induced sleep endoscopy,DISE)定位辅助下手术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的效果及对摄氧情况的影响。方法 2017年6月~2022年6月六安市中医医院收治的OSAHS患者100例,以数字表... 目的 探讨分析药物诱导睡眠内镜(drug-induced sleep endoscopy,DISE)定位辅助下手术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的效果及对摄氧情况的影响。方法 2017年6月~2022年6月六安市中医医院收治的OSAHS患者100例,以数字表法随机分2组,对照组50例和观察组50例,对照组根据Müller检查结果进行手术,观察组根据DISE定位辅助进行手术,比较分析两组治疗情况。结果 观察组较对照组治疗总有效率更高[94.00%(47/50)vs.78.00%(39/50)](χ2=5.316,P<0.05);治疗后观察组呼吸暂停低通气指数(AHI)低于对照组[(9.38±2.94)次/h vs.(13.45±3.68)次/h],最低血氧饱和度(LSaO2)[(85.72±3.17)%vs.(79.63±2.47)%]、△VE/△SaO2[(-0.25±0.04)L/(min·%)vs.(-0.31±0.06)L/(min·%)]均高于对照组(t=6.110、10.716、5.883,P<0.05);治疗后观察组匹兹堡睡眠质量指数(PSQI)量表评分较对照组低(2.32±0.35 vs.4.19±0.48),Calgary睡眠呼吸暂停生活质量指数(SAQLI)量表评分(6.09±0.53vs.4.84±0.49)高于对照组(t=22.259、12.245,P<0.05);治疗后观察组超敏C反应蛋白(hs-CRP)低于对照组[(0.49±0.08)mg/L vs.(0.78±0.11)mg/L],胰岛素样生长因子1(IGF-1)较对照组高[(72.58±9.63)mmol/L vs.(64.82±11.57)mmol/L](t=15.076、3.645,P<0.05)。结论 DISE定位辅助下手术治疗OSAHS能提高治疗效果,促进患者摄氧情况、睡眠状态及生活质量改善,也能进一步调节血清相关因子水平,值得推广。 展开更多
关键词 睡眠呼吸暂停 阻塞性(Sleep Apnea Obstructive) 治疗结果(Treatment Outcome) 外科手术(Surgical procedures Operative) 药物诱导睡眠内镜(drug-induced sleep endoscopy) 摄氧能力(oxygen ability)
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The Application of Forward Control Nursing in Anesthesia, Recovery, and Rehabilitation of Thoracoscopic Lung Cancer Radical Surgery
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作者 Wanqiu Gong Lan Xie 《Journal of Cancer Therapy》 2023年第10期409-415,共7页
Objective: To explore the clinical application effect of formulating the operating room nursing work procedure sheet for elderly lung cancer patients in thoracoscopic radical surgery. Methods: A total of 85 elderly pa... Objective: To explore the clinical application effect of formulating the operating room nursing work procedure sheet for elderly lung cancer patients in thoracoscopic radical surgery. Methods: A total of 85 elderly patients with lung cancer treated in our hospital from May 2022 to May 2023 were included as the study population for this research. They were divided into a study group of 42 cases and a regular group of 43 cases. The regular group of elderly patients received routine nursing care, while the study group of elderly patients was provided with the operating room nursing care work procedure sheet. The surgical duration, intraoperative blood loss, time to mobilization, and postoperative complication rate were compared and analyzed between the two groups. Results: Compared to the regular group, the study group had significantly shorter surgical duration and time to mobilization, as well as less intraoperative blood loss (P < 0.05). The overall incidence of postoperative complications in the study group (4.76%) was significantly lower than that in the regular group (19.05%) (P Conclusion: Formulating the operating room nursing work procedure sheet for elderly lung cancer patients can effectively improve surgical efficiency, reduce the incidence of postoperative complications, and promote patient prognosis in thoracoscopic radical surgery. Therefore, this model is worth promoting and adopting in clinical practice. 展开更多
关键词 Elderly Lung Cancer Operating Room Nursing Work procedure Sheet Thoracoscopic Radical Surgery
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鼻内镜下经鼻开窗术治疗大型上颌骨囊肿 被引量:20
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作者 王朝山 孔繁勇 +1 位作者 李力 王彩云 《中国耳鼻咽喉头颈外科》 CSCD 2015年第1期47-48,共2页
上颌骨囊肿是常见的良性病变,根据组织来源和发病部位分为牙源性上颌骨囊肿和非牙源性上颌骨囊肿,其中以牙源性囊肿多见。非牙源性囊肿主要包括鼻腭囊肿、正中囊肿、鼻前庭囊肿等。临床上多有患侧面颊部及鼻翼隆起,表面骨质破坏吸收,触... 上颌骨囊肿是常见的良性病变,根据组织来源和发病部位分为牙源性上颌骨囊肿和非牙源性上颌骨囊肿,其中以牙源性囊肿多见。非牙源性囊肿主要包括鼻腭囊肿、正中囊肿、鼻前庭囊肿等。临床上多有患侧面颊部及鼻翼隆起,表面骨质破坏吸收,触之有明显的囊性感。传统治疗方法为经唇龈切口行囊肿完整切除或加上颌窦病变刮除术,手术创伤较大且部分患者出现术后瘘口及复发。大型囊肿为直径>3.5 cm以上的囊肿[1],针对此种囊肿, 展开更多
关键词 鼻疾病(Nose Diseases) 内窥镜检查(Endoscopy) 外科手术(Surgical procedures Operative) 上颌骨(Maxilla) 囊肿(Cysts)
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