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        west china medical publishers
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        find Keyword "建立" 6 results
        • 兩種腹膜后腔建立方法的比較

          【摘要】 目的 比較氣囊法組和直接法組建立腹膜后腔的臨床價值。 方法 對2005年5月-2008年12月32例后腹腔鏡手術建立腹膜后腔的臨床資料進行比較,統計分析兩種腹膜后腔建立方法在時間、空間大小、食指經穿刺孔能否觸及腎臟、并發癥發生率、出血量等的差別。 結果 兩種方法均成功建立腹膜后腔。氣囊法組建立腹膜后腔時間平均為(13.17±1.40) min,直接法組為(4.45±1.20) min。氣囊法組腹膜后腔空間為(396.00±13.33) mL,直接法組為(85.50±6.05) mL。氣囊法組食指經穿刺孔能觸及腎臟6例(50%),直接法組無1例(0%)。組間比較,差異有統計學意義(Plt;0.01)。兩組患者建立空間后經觀察均為少量滲血,氣囊法組發生氣囊爆裂1例。 結論 直接法組在時間上明顯優于氣囊法組,與氣囊法組比較并未增加相關并發癥,但建立的空間較小;在熟練掌握了氣囊法組后可以運用直接法組建立腹膜后腔。

          Release date:2016-09-08 09:50 Export PDF Favorites Scan
        • ESTABLISHMENT AND EVALUATION OF HYDROCEPHALUS MODEL IN DOGS

          Objective To establish and evaluate a hydrocephalus model in dogs. Methods Twelve healthy adult male mongrel dogs (weight, 10-15 kg) were randomly divided into the control group (n=6) and the experimental group (n=6). All the dogs were given CT and neurological examination to exclude congenital ventricular enlargement and neurological abnormity before they received hydrocephalus induction. Surgical procedures included the exposing of the foramen magnum area, the opening of the atlantooccipita anadesma, and the injecting of silicone oil (0.3 ml/kg) into the fourth ventricle through a silicone tube. Normal saline was injected in the control group. The Tarlov neurological fitness assessment and the Evan’s ratio were used to evaluatethe degree of hydrocephalus at 3, 14 and 56 days after operation. Results In the experimental group, the dogs were dull and unsteady in walking,and they drank and ate less. The lateral ventricle began to expand 3 days afteroperation, and then the temple horn of the lateral ventricle and the third ventricle were also affected 14 days after operation. The ventricles were enlarged progressively after operation. The Tarlov scores measured at 3, 14 and 56 days afteroperation had a significant difference at the same time point between the control group(5.83±0.75,6.50±0.55,6.00±0.63) and the experimental group (4.00±0.89,4.83±1.17,4.50±1.05,P<0.01), but had no significant difference within the same group at different time points (P>0.05). The Evan’s ratios measured at 3, 14 and 56 days after operation were 0.33±0.04,0.39±006,0.44±0.03,respectively,in the experimental group; and were 0.27±0.06,0.25±0.09, 0.26±0.05,respectively,in the control group. There was a significant difference atthe same time point between the two groups, and at different time points within the experimental group (P<0.05).Conclusion The dog model of hydrocephalus induced by the injecting of silicone oil into the fourth ventricle has a highsuccess rate, and the model is appropriate for the studies on diagnosis and therapy of hydrocephalus. 

          Release date:2016-09-01 09:23 Export PDF Favorites Scan
        • 無痛病房的建立及管理進展

          【摘要】 通過對無痛病房概念、模式、管理及疼痛護理方式的全面闡述,指出無痛病房的建立,需要以醫護人員的共同參與和多學科的合作為基礎,需要有一套完善科學的管理制度、操作流程及評價體系為支撐,規范有效的疼痛護理方法與機制,是患者獲得疼痛治療與護理的重要保證。

          Release date:2016-09-08 09:26 Export PDF Favorites Scan
        • 藥劑科在突發事件中應急機制的建立及應用

          【摘要】 近年來全球各類重大突發事件屢屢發生,對人類生命安全和社會經濟發展構成了極大威脅,成為全世界關注的焦點,如2003 年中國等國家和地區發生SARS及四川5?12汶川大地震等。建立應對突發事件的應急機制,制定完備的應急預案、應急體系,成為各行業面臨的新挑戰。醫療機構關系人民生命健康,在各類突發事件中具有極其重要的作用,而完善的藥學應急管理體系的建立,對于保障整個突發事件醫療工作的正常運行是不可或缺的重要一環。藥劑科探討建立的應對突發事件應急機制預案和完善應急體系,成為業內人員共同關注的新課題。

          Release date:2016-09-08 09:24 Export PDF Favorites Scan
        • Establishment of AdriamycinResistance Cell Substrain SMMC7721/Adriamycin of Human Hepatocellular Carcinoma and Research of Its Characteristics

          ObjectiveTo establish multidrugresistance cell substrain of human hepatocellular carcinoma and to investigate its characteristics.MethodsSMMC7721 cell strain was cultured in Adriamycin(ADM). The multidrugresistance cell substrain SMMC7721/ADM was harvested after a long period of culture by gradually increasing the concentration of ADM and its characteristics were investigated. Results①The drug resistance of SMMC7721/ADM to ADM increased by 33.3 times, to Vincristine 16.8 times, to Diamminedichloroplatinum 2.8 times. ②The drug resistance cell substrain had almost the same growth velocity as its parental generation. The doubling time was 32.0 hours and 30.5 hours respectively. They had the analogous growth curves. ③The obvious difference between the drug resistance cell substrain and its parental generation was that the former’s microvilli became thick, short and scattered by scanning and transmitting electron microscopy. ④The multidrug resistance cell substrain kept the characteristics of hepatocellular carcinoma, it could be transplanted into the subcutaneous tissue of nude mice. ⑤The drug resistance of the cell substrain reduced to 28.0% and 9.2%after removal of the drug for 1 month and 2 months respectively, its drug resistance could remain stable (35.4 times) after 2 months of culture in ADM (0.04 μg/ml).ConclusionThe SMMC7721/ADM cell substrain has the stable fundamental characteristics of a drug resistance cell strain.

          Release date:2016-08-28 04:43 Export PDF Favorites Scan
        • Validation of multivariate selection method in clinical prediction models: based on MIMIC database

          ObjectiveTo verify the influence of different variable selection methods on the performance of clinical prediction models. MethodsThree sample sets were extracted from the MIMIC database (acute myocardial infarction group, sepsis group, and cerebral hemorrhage group) using the direct entry of COX regression, step by step forward, step by step backward, LASSO, and ridge regression, based on random forest. These existing six methods of variable importance algorithm, and the optimal variable set of different selected methods were used to construct the model. Through the C index, the area under the ROC curve (AUC value) and the calibration curve, and the results within and between groups were compared. ResultsThe variables and numbers selected by the six variable selection methods were different, however, whether it was within or between groups did not reflect which method had the advantage of significantly improving the performance of the model. ConclusionsPrior to using the variable selection method to establish a clinical prediction model, we should first clarify the research purpose and determine the type of data. Combining medical knowledge to select a method that can meet the data type and simultaneously achieve the research purpose.

          Release date:2022-01-27 05:31 Export PDF Favorites Scan
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