目的观察纳布啡联合酮咯酸氨丁三醇预防性镇痛对鼻内镜手术患者术后疼痛及恢复质量的影响。方法选取2019年6月-2020年4月该院择期行鼻内镜下鼻中隔偏曲矫形术治疗的患者46例,随机分为纳布啡联合酮咯酸氨丁三醇组(NK组)和酮咯酸氨丁三醇...目的观察纳布啡联合酮咯酸氨丁三醇预防性镇痛对鼻内镜手术患者术后疼痛及恢复质量的影响。方法选取2019年6月-2020年4月该院择期行鼻内镜下鼻中隔偏曲矫形术治疗的患者46例,随机分为纳布啡联合酮咯酸氨丁三醇组(NK组)和酮咯酸氨丁三醇对照组(C组),每组23例。两组患者均于麻醉诱导前10 min行预防性镇痛,NK组分别静脉注射纳布啡0.13 mg/kg和酮咯酸氨丁三醇30 mg,C组静脉注射酮咯酸氨丁三醇30 mg。术中采用丙泊酚和瑞芬太尼全凭静脉麻醉。记录术后24 h内视觉模拟评分(VAS)、Ricker镇静-躁动评分(SAS)、术后24 h补救镇痛药物消耗量及补救镇痛率、术前1 d (T_0)、术后1 d (T_1)和术后2 d (T_2) 19点至21点的40项恢复质量评分量表(QoR-40)以及术后24 h不良反应发生率。结果NK组术后2、4、8、12和24 h VAS评分、术后24 h补救镇痛药物消耗量和补救镇痛率及术后2、4、8和12 h SAS评分均低于C组,两组比较,差异均有统计学意义(P <0.05);NK组T_1时点QoR-40评分中身体舒适度、疼痛和总评分及T_2时点身体舒适度、自理能力、心理支持、疼痛和总评分较高,两组比较,差异均有统计学意义(P <0.05);两组术后24 h不良反应发生率比较,差异无统计学意义(P> 0.05)。结论鼻内镜手术患者使用纳布啡联合酮咯酸氨丁三醇可达到术后预防性镇痛的作用,并能促进术后早期恢复。展开更多
Objective: To analyze the impact of combined Watson care theory intervention on the psychological state and quality of life in patients with terminal lung cancer. Methods: 72 patients with terminal lung cancer admitte...Objective: To analyze the impact of combined Watson care theory intervention on the psychological state and quality of life in patients with terminal lung cancer. Methods: 72 patients with terminal lung cancer admitted from March 2021 to January 2024 were selected, which were divided into research group (life review combined with Watson care theory intervention) and control group (conventional intervention), with 36 cases each. Compare the nursing effect between the two groups. Results: The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) scores were significantly lower than those of the control group, and the quality of life score was significantly higher than that of the control group (P < 0.05). Conclusion: Life review combined with Watson care theory intervention can improve the psychological state and improve the quality of life of patients with terminal lung cancer.展开更多
In the current practical science, the accuracy in the formability of metal alloys being the goal when using electromagnetic forming (EMF) technology, which is a high-speed processing technology that uses Lorentz force...In the current practical science, the accuracy in the formability of metal alloys being the goal when using electromagnetic forming (EMF) technology, which is a high-speed processing technology that uses Lorentz forces to achieve plastic deformation of sheet metal;according to the previous analysis, the results have shown that in most cases, the Lorentz force acting on the workpiece (metal) is not uniform, there are uneven axial deformations of the metal plates which prevent the rapid advancement of today’s technology. In this article, we presented some advanced analyzes which will lead us to improve the technical solution for the problems of non-uniform axial deformations of the metals in the traditional tube electromagnetic forming technology (EMF). A field shaper is used as a practical forming tool to influence the magnetic field and magnetic pressure distribution, thereby improving the forming ability and result during the electromagnetic forming (EMF) process and we see that induced eddy current control is realized by changing the structural parameters of the magnetic field shaper;which improves the strength and controllability of the magnetic force that acts on the workpiece;thereby a greater radial magnetic pressure can be achieved with field shaper than the case without it;the field shaper regulates the electromagnetic force, the distribution of the magnetic pressure decreases, and the uniform force area of the tube increases which effectively enhances the uniform range of the pipe electromagnetic bulging and the electromagnetic induction coupling between the coil and the metallic workpiece is generally required to produce the Lorentz forces. Using COMSOL Multiphysics® simulation software helped us to accurately represent the real world, simulating multiple physical effects that happened in this model during the process.展开更多
文摘目的观察纳布啡联合酮咯酸氨丁三醇预防性镇痛对鼻内镜手术患者术后疼痛及恢复质量的影响。方法选取2019年6月-2020年4月该院择期行鼻内镜下鼻中隔偏曲矫形术治疗的患者46例,随机分为纳布啡联合酮咯酸氨丁三醇组(NK组)和酮咯酸氨丁三醇对照组(C组),每组23例。两组患者均于麻醉诱导前10 min行预防性镇痛,NK组分别静脉注射纳布啡0.13 mg/kg和酮咯酸氨丁三醇30 mg,C组静脉注射酮咯酸氨丁三醇30 mg。术中采用丙泊酚和瑞芬太尼全凭静脉麻醉。记录术后24 h内视觉模拟评分(VAS)、Ricker镇静-躁动评分(SAS)、术后24 h补救镇痛药物消耗量及补救镇痛率、术前1 d (T_0)、术后1 d (T_1)和术后2 d (T_2) 19点至21点的40项恢复质量评分量表(QoR-40)以及术后24 h不良反应发生率。结果NK组术后2、4、8、12和24 h VAS评分、术后24 h补救镇痛药物消耗量和补救镇痛率及术后2、4、8和12 h SAS评分均低于C组,两组比较,差异均有统计学意义(P <0.05);NK组T_1时点QoR-40评分中身体舒适度、疼痛和总评分及T_2时点身体舒适度、自理能力、心理支持、疼痛和总评分较高,两组比较,差异均有统计学意义(P <0.05);两组术后24 h不良反应发生率比较,差异无统计学意义(P> 0.05)。结论鼻内镜手术患者使用纳布啡联合酮咯酸氨丁三醇可达到术后预防性镇痛的作用,并能促进术后早期恢复。
基金supported by the National Natural Science Foundation of China(No.82274228)National Key R&D Program of China(No.2022YFC3500700)the Feng Foundation of Biomedical Research,and Lingang Laboratory(No.LG-QS-202203-12).
文摘Objective: To analyze the impact of combined Watson care theory intervention on the psychological state and quality of life in patients with terminal lung cancer. Methods: 72 patients with terminal lung cancer admitted from March 2021 to January 2024 were selected, which were divided into research group (life review combined with Watson care theory intervention) and control group (conventional intervention), with 36 cases each. Compare the nursing effect between the two groups. Results: The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) scores were significantly lower than those of the control group, and the quality of life score was significantly higher than that of the control group (P < 0.05). Conclusion: Life review combined with Watson care theory intervention can improve the psychological state and improve the quality of life of patients with terminal lung cancer.
文摘In the current practical science, the accuracy in the formability of metal alloys being the goal when using electromagnetic forming (EMF) technology, which is a high-speed processing technology that uses Lorentz forces to achieve plastic deformation of sheet metal;according to the previous analysis, the results have shown that in most cases, the Lorentz force acting on the workpiece (metal) is not uniform, there are uneven axial deformations of the metal plates which prevent the rapid advancement of today’s technology. In this article, we presented some advanced analyzes which will lead us to improve the technical solution for the problems of non-uniform axial deformations of the metals in the traditional tube electromagnetic forming technology (EMF). A field shaper is used as a practical forming tool to influence the magnetic field and magnetic pressure distribution, thereby improving the forming ability and result during the electromagnetic forming (EMF) process and we see that induced eddy current control is realized by changing the structural parameters of the magnetic field shaper;which improves the strength and controllability of the magnetic force that acts on the workpiece;thereby a greater radial magnetic pressure can be achieved with field shaper than the case without it;the field shaper regulates the electromagnetic force, the distribution of the magnetic pressure decreases, and the uniform force area of the tube increases which effectively enhances the uniform range of the pipe electromagnetic bulging and the electromagnetic induction coupling between the coil and the metallic workpiece is generally required to produce the Lorentz forces. Using COMSOL Multiphysics® simulation software helped us to accurately represent the real world, simulating multiple physical effects that happened in this model during the process.
