目的比较羟考酮与舒芬太尼对宫腔镜手术患者术后恢复质量QoR-40的影响。方法选取2019年3~5月我院择期行宫腔镜手术患者80例。将患者随机分为羟考酮组(O组)和舒芬太尼组(SF组),每组40例。麻醉诱导O组静脉给予羟考酮0.1 mg/kg,SF组静脉给...目的比较羟考酮与舒芬太尼对宫腔镜手术患者术后恢复质量QoR-40的影响。方法选取2019年3~5月我院择期行宫腔镜手术患者80例。将患者随机分为羟考酮组(O组)和舒芬太尼组(SF组),每组40例。麻醉诱导O组静脉给予羟考酮0.1 mg/kg,SF组静脉给予舒芬太尼0.1μg/kg,两组均丙泊酚维持麻醉。主要观察指标:患者术后24 h QoR-40评分;次要观察指标:术后24 h内不良反应(呼吸抑制,恶心、呕吐,寒战)。结果与SF组比较,O组患者术后24 h QoR-40评分较高[(187.2±3.1)vs.(175.1±5.2),P<0.05],其中,O组患者身体舒适度、情绪状态、心理支持和疼痛感受方面评分较高(P<0.05),而两组自理能力评分差异无统计学意义(P>0.05)。与SF组比较,O组患者术后呼吸抑制,恶心、呕吐,寒战发生率较低(P<0.05)。结论与舒芬太尼0.1μg/kg静脉注射相比,羟考酮0.1 mg/kg静脉注射的宫腔镜手术患者术后24 h QoR-40评分更高,术后呼吸抑制,恶心、呕吐,寒战更少,患者术后恢复质量得到改善。展开更多
In 2014,a 40-ha undisturbed plot was established in the Beijing Songshan Nature Reserve.The spatial distribution and spatial associations of five dominant tree species of different height classes were examined using s...In 2014,a 40-ha undisturbed plot was established in the Beijing Songshan Nature Reserve.The spatial distribution and spatial associations of five dominant tree species of different height classes were examined using spatial point pattern analysis and the effects of these species on local community diversity assemblages were examined using the ISAR method.The dominant species were characterized by an aggregated distribution at spatial scales of 0–50 m.At smaller spatial scales,trees in larger height classes had significant positive and negative effects on the diversity of the lower height classes.However,at larger spatial scales this effect was diminished.At small scales(0–10 m),accumulator species had positive effects on species diversity,maintained an over-representative proportion of diversity in their proximity,and supported the ecological niche theory.At the larger scale(10–50 m),neutral species were dominant and had positive effects on species diversity,though repeller species,which had negative effects on species diversity,also contributed to diversity.Neutral and accumulator species together determined local species diversity,but the relative importance of the two was closely related to spatial scale.A combination of the ecological niche theory and neutral processes together determines species coexistence and biodiversity of an undisturbed pine forest.展开更多
文摘目的比较羟考酮与舒芬太尼对宫腔镜手术患者术后恢复质量QoR-40的影响。方法选取2019年3~5月我院择期行宫腔镜手术患者80例。将患者随机分为羟考酮组(O组)和舒芬太尼组(SF组),每组40例。麻醉诱导O组静脉给予羟考酮0.1 mg/kg,SF组静脉给予舒芬太尼0.1μg/kg,两组均丙泊酚维持麻醉。主要观察指标:患者术后24 h QoR-40评分;次要观察指标:术后24 h内不良反应(呼吸抑制,恶心、呕吐,寒战)。结果与SF组比较,O组患者术后24 h QoR-40评分较高[(187.2±3.1)vs.(175.1±5.2),P<0.05],其中,O组患者身体舒适度、情绪状态、心理支持和疼痛感受方面评分较高(P<0.05),而两组自理能力评分差异无统计学意义(P>0.05)。与SF组比较,O组患者术后呼吸抑制,恶心、呕吐,寒战发生率较低(P<0.05)。结论与舒芬太尼0.1μg/kg静脉注射相比,羟考酮0.1 mg/kg静脉注射的宫腔镜手术患者术后24 h QoR-40评分更高,术后呼吸抑制,恶心、呕吐,寒战更少,患者术后恢复质量得到改善。
基金supported by the Beijing Common Construction Project Research and demonstrations on the regression technique for minimum populations of wild plants(2016YFC0503106)
文摘In 2014,a 40-ha undisturbed plot was established in the Beijing Songshan Nature Reserve.The spatial distribution and spatial associations of five dominant tree species of different height classes were examined using spatial point pattern analysis and the effects of these species on local community diversity assemblages were examined using the ISAR method.The dominant species were characterized by an aggregated distribution at spatial scales of 0–50 m.At smaller spatial scales,trees in larger height classes had significant positive and negative effects on the diversity of the lower height classes.However,at larger spatial scales this effect was diminished.At small scales(0–10 m),accumulator species had positive effects on species diversity,maintained an over-representative proportion of diversity in their proximity,and supported the ecological niche theory.At the larger scale(10–50 m),neutral species were dominant and had positive effects on species diversity,though repeller species,which had negative effects on species diversity,also contributed to diversity.Neutral and accumulator species together determined local species diversity,but the relative importance of the two was closely related to spatial scale.A combination of the ecological niche theory and neutral processes together determines species coexistence and biodiversity of an undisturbed pine forest.
