Lian Shengqiang, Jianhua Huang,
目的探讨右美托咪啶对全身麻醉妇科腹腔镜手术过程中患者的脑氧代谢和脑血流的影响。方法选择择期全身麻醉下行妇科腹腔镜子宫肌瘤切除术患者40例,ASA分级Ⅰ级,年龄35~50岁,体质量指数(BMI)20~30 kg/m2。采用随机数字表法将其随机分为右美托咪啶组(D组)和对照组(C组),每组20例。D组在麻醉诱导前给予右美托咪啶0.5μg/kg,10 min内泵完,后以0.5μg/(kg·h)维持量泵至手术结束。相同的时间内,对照组给予等量等速氯化钠注射液,操作同右美托咪啶组。于麻醉诱导前(T0)、气腹前(T1)、气腹部后30 min(T2)、气腹后60 min(T3)抽取颈内静脉球部血和桡动脉血做血气分析。比较不同时段动脉血二氧化碳分压(Pa CO2)、颈内静脉血二氧化碳分压(Pjv CO2)、颈内静脉球部血氧分压(Pjv O2)、颈内静脉血氧饱和度(Sjv O2)、颈内静脉球部血氧含量(Cjv O2)、脑动-静脉血氧含量差(Ca-jv DO2)、脑氧耗量(CMRO2)的变化。结果与麻醉前比较,C组气腹前Pjv CO2、Sjv O2、Pjv O2、Cjv O2和Ca-jv DO2等指标变化不明显( ...
Tópico(s): Intraoperative Neuromonitoring and Anesthetic Effects
2016 - Royal College of Physicians | Clinical Medicine
目的探讨右美托咪定联合舒芬太尼用于全身麻醉术后镇痛的效果。方法选取2013年1月至2015年1月全身麻醉术后镇痛患者80例,按照镇痛方案分为观察组和对照组,每组40例。对照组采用枸橼酸舒芬太尼、氯化钠注射液、止吐药静脉自控镇痛泵进行疼痛干预,观察组采用枸橼酸舒芬太尼、盐酸右美托咪定、止吐药静脉自控镇痛泵进行疼痛干预。比较两组患者术后各时期VAS评分情况及不良反应。结果对照组术后2、12 h VAS分数分别为3.1±0.4、2.6±0.6,而观察组分别为2.5±0.3、1.9±0.5,观察组的VAS评分优于对照组,差异有统计学意义(P<0.05)。观察组不良反应率(2.50%)低于照组(20.00%),差异有统计学意义(P<0.05)。结论右美托咪定联合舒芬太尼能有效缓解全身麻醉患者疼痛,镇痛程度显著,不良反应少,安全性较高。
2016 - Royal College of Physicians | Clinical Medicine
目的 探讨整体护理在七氟醚诱导全麻过程中应用对麻醉恢复期临床效果.方法 将我院1或2级上腹部择期手术患者40例随机分为观察组和对照组各20例,对两组患者给予七氟醚诱导全身麻醉,观察组采用整体护理模式并与对照组常规护理进行对照,分别计入麻醉前(T0)、到达插管条件时(T1)、插管时(T2)、插管后1 min(T3)、3 min(T4)、5 min(T5)、10 min(T6)时患者的BIS值、收缩压(SBP)、舒张压(DBP)、HR；手术后对两组患者分别进行SCL-90量表测评.结果 与T0时间点比较,两组在T1时间点的SBP、DBP明显下降(P＜0.05),HR观察组比对照组明显减慢(P＜0.05)；与T1时间点比较,两组T2～T4时间点的SBP、DBP明显升高(P＜0.05),HR观察组比对照组明显增快(P＜0.05)；在T5、T6时间点比较,两组3项指标基本恢复到插管前水平.两组SCL-90评测结果比较,观察组各方面因素均好于对照组,尤其在躯体化、人际关系敏感、抑郁、焦虑、恐怖等方面差异均有统计学意义(P＜0.05).结论 在全麻手术过程中对手术患者进行整体护理具有可操作性,患者无论从躯体还是在心理上均可获益, ...
Tópico(s): Enhanced Recovery After Surgery
2012 - | International journal of nursing
Yi Quan Tan, Wy Keat Tay, Li Yin Ooi, Zui Chih Rachel Teo, Ho Yee Tiong,
... Quan Tan, Wy Keat Tay*, Li Yin Ooi, Zui Chih Rachel Teo, and Ho Yee Tiong Yi Quan TanYi Quan Tan More articles by this author , ... Association Education and Research, Inc.MetricsAuthor Information Yi Quan Tan More articles by this author Wy Keat Tay* More articles by this author Li Yin Ooi More articles by this author Zui Chih Rachel Teo More articles by this author ...
Tópico(s): Bladder and Urothelial Cancer Treatments
2019 - Lippincott Williams & Wilkins | The Journal of Urology
Yanyun Li, Jianghai Lu, Quan Li, Yuying Zhao, Xiao-Ping Pu,
... lindleyana is a traditional Chinese herb, commonly called Zui Yu Cao. The purification and identification of pedicularioside ...
Tópico(s): Plant-based Medicinal Research
2007 - Elsevier BV | European Journal of Pharmacology
... yanjiuhui (Xi’an, 1983), 195.33. Nunome Chōfū, Zui‐Tō shi kinkyū: Tōchō seiken no keisei (Studies ... Tang shu, 51.1343. Tonami Mamoru, et al., Zui‐Tō teikoku to kodai Chōsen (The Sui‐Tang ... York, 1948), 268. Anthony Deblasi, “Striving for Completeness: Quan Deyu and the Evolution of the Tang Intellectual ...
Tópico(s): Japanese History and Culture
2004 - Taylor & Francis | Historian
... by many painting theorists as early as Yao Zui 姚最 (active 557–89) in his Xu Huapin ...
Tópico(s): Chinese history and philosophy
2023 - Taylor & Francis | Ming Studies