目的观察罗哌卡因复合右美托咪定腹横肌平面阻滞(TAP)用于腹腔镜疝修补手术患者术后镇痛的效果。方法择期行腹腔镜疝修补手术患者60例,常规气管插管全麻下行手术,手术结束行超声引导下双侧TAP,随机分为两组:罗哌卡因+右美托咪定组(Rpd...目的观察罗哌卡因复合右美托咪定腹横肌平面阻滞(TAP)用于腹腔镜疝修补手术患者术后镇痛的效果。方法择期行腹腔镜疝修补手术患者60例,常规气管插管全麻下行手术,手术结束行超声引导下双侧TAP,随机分为两组:罗哌卡因+右美托咪定组(Rpd组):腹横肌平面内注射右美托咪定1.0μg/kg+0.4%罗哌卡因30 ml;罗哌卡因组(R组):腹横肌平面内注射生理盐水1 ml+0.4%罗哌卡因30 ml。观察两组患者手术切皮、术中1 h、出手术室时的血压、心率(HR);术后即刻、4、6、8、12和24 h视觉模拟疼痛评分(VAS);记录两组患者腹部感觉阻滞时间,及术后恶心、呕吐不良反应发生率。结果两组患者术中及术后各时间点的血流动力学指标无差异(P>0.05),Rpd组术后6、8和12 h Rpd组的VAS评分低于R组(P<0.05),术后即刻、4和24 h VAS评分无差异(P>0.05),腹部感觉阻滞时间Rpd组明显长于R组(P<0.05),术后恶心呕吐发生率两组患者无差异(P>0.05)。结论罗哌卡因复合右美托咪定TAP用于腹腔镜疝修补手术患者,可以显著延长术后镇痛时间。展开更多
生物多样性国际发展援助是在全球范围达成《生物多样性公约》(Convention on Biological Diversity,CBD)目标和联合国可持续发展目标(Sustainable Development Goals,SDGs)的主要途径,也是中国在全球范围践行习近平生态文明思想、参与...生物多样性国际发展援助是在全球范围达成《生物多样性公约》(Convention on Biological Diversity,CBD)目标和联合国可持续发展目标(Sustainable Development Goals,SDGs)的主要途径,也是中国在全球范围践行习近平生态文明思想、参与国际环境治理、维护中国海外发展利益和构建良好国际形象的重要政策工具。当前中国生物多样性对外援助理论和实践尚处于起步阶段,研究基于对全球生物多样性官方发展援助(Official Development Assistance,ODA)融资水平分析,以及全球主要多边和双边生物多样性援助组织政策经验总结,从援助融资、总体布局、重点实施三个层面提出中国生物多样性对外援助总体规划和行动建议,以期为即将于2021年在云南举办的COP15大会上,中国作为东道国提出未来十年全球生物多样性治理国际倡议和国家行动计划提供理论支持。展开更多
The letters and visits system plays a vital role in government work, serving as a crucial tool for supervising law enforcement and administrative conduct, ensuring public officials’ integrity, and promoting governanc...The letters and visits system plays a vital role in government work, serving as a crucial tool for supervising law enforcement and administrative conduct, ensuring public officials’ integrity, and promoting governance by law. As Chinese citizens’ political awareness grows, the volume of letters and visits has increased steadily. This paper reviews the current state of letters and visits information construction, identifies challenges and problems in system integration, presents integration ideas for existing systems, and proposes an innovative approach to letters and visits system integration. This research aims to provide valuable insights and guidance for other units undertaking similar system integration efforts.展开更多
文摘目的观察罗哌卡因复合右美托咪定腹横肌平面阻滞(TAP)用于腹腔镜疝修补手术患者术后镇痛的效果。方法择期行腹腔镜疝修补手术患者60例,常规气管插管全麻下行手术,手术结束行超声引导下双侧TAP,随机分为两组:罗哌卡因+右美托咪定组(Rpd组):腹横肌平面内注射右美托咪定1.0μg/kg+0.4%罗哌卡因30 ml;罗哌卡因组(R组):腹横肌平面内注射生理盐水1 ml+0.4%罗哌卡因30 ml。观察两组患者手术切皮、术中1 h、出手术室时的血压、心率(HR);术后即刻、4、6、8、12和24 h视觉模拟疼痛评分(VAS);记录两组患者腹部感觉阻滞时间,及术后恶心、呕吐不良反应发生率。结果两组患者术中及术后各时间点的血流动力学指标无差异(P>0.05),Rpd组术后6、8和12 h Rpd组的VAS评分低于R组(P<0.05),术后即刻、4和24 h VAS评分无差异(P>0.05),腹部感觉阻滞时间Rpd组明显长于R组(P<0.05),术后恶心呕吐发生率两组患者无差异(P>0.05)。结论罗哌卡因复合右美托咪定TAP用于腹腔镜疝修补手术患者,可以显著延长术后镇痛时间。
文摘生物多样性国际发展援助是在全球范围达成《生物多样性公约》(Convention on Biological Diversity,CBD)目标和联合国可持续发展目标(Sustainable Development Goals,SDGs)的主要途径,也是中国在全球范围践行习近平生态文明思想、参与国际环境治理、维护中国海外发展利益和构建良好国际形象的重要政策工具。当前中国生物多样性对外援助理论和实践尚处于起步阶段,研究基于对全球生物多样性官方发展援助(Official Development Assistance,ODA)融资水平分析,以及全球主要多边和双边生物多样性援助组织政策经验总结,从援助融资、总体布局、重点实施三个层面提出中国生物多样性对外援助总体规划和行动建议,以期为即将于2021年在云南举办的COP15大会上,中国作为东道国提出未来十年全球生物多样性治理国际倡议和国家行动计划提供理论支持。
文摘The letters and visits system plays a vital role in government work, serving as a crucial tool for supervising law enforcement and administrative conduct, ensuring public officials’ integrity, and promoting governance by law. As Chinese citizens’ political awareness grows, the volume of letters and visits has increased steadily. This paper reviews the current state of letters and visits information construction, identifies challenges and problems in system integration, presents integration ideas for existing systems, and proposes an innovative approach to letters and visits system integration. This research aims to provide valuable insights and guidance for other units undertaking similar system integration efforts.
基金the financial supports from the National Natural Science Foundation of China(No.51902239)the Natural Science Foundation of Shaanxi Province,China(No.2020JQ-808)the National Innovation and Entrepreneurship Training Program for College Students,China(No.202110702040)。
