west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "朱涛" 22 results
  • 日间腹腔镜胆囊切除术多模式镇痛的临床进展

    日间腹腔镜胆囊切除术(ALC)是安全、有效节约资源、提高医院效率的术式,正在逐渐被接受并迅速发展。足够的术后镇痛效果是决定ALC患者术后是否出现疼痛相关并发症、是否可以早期安全离院的重要因素。多模式镇痛是伍用不同镇痛药物或镇痛方法,有效减少伤害刺激及其应激反应,稳定机体内环境,同时较单模式镇痛具有更少副作用,以实现最佳镇痛效果,提高患者术后恢复质量。ALC患者24 h内离院的特殊性,促使国内外ALC围手术期镇痛技术已逐渐由单模式镇痛向多模式镇痛转变。现探讨ALC术后疼痛特点及疼痛产生机制,并对目前ALC多模式镇痛现状及其进展作一综述,进而对其发展趋势进行展望,为临床ALC合理运用多模式镇痛提供参考。

    Release date: Export PDF Favorites Scan
  • The Diagnostic Value of the Fractional Exhaled Nitric Oxide for Asthma

    Objective To determine the diagnostic value of fractional exhaled nitric ( FeNO)measurement in diagnosis of bronchial asthma. Methods The patients with unkown-cause respiratory symptoms including wheezing, cough, and breathlessness were enrolled from August to September in 2008.FeNO was measured by nitric oxide analyzer ( NIOX; Aerocrine AB; Solna, Sweden) . Bronchial challenge test ( BCT) or bronchodilator test was defined as golden standard for asthma diagnosis. The value of FeNO was assessed and the optimal operating point of FeNO testing was determined by the means of the receiver operating characteristic ( ROC) curves. Results A total of 101 patients were enrolled, in which 48 cases were diagnosed as asthma by positive yield in BCT ( in 38 cases) or bronchodilator test ( in 10 cases) . The severity of airway hyperresponsiveness ( AHR) judged by BCT was mild in 15 cases, moderate in 15 cases and severe in 8 cases. The levels of FeNO of asthma group were higher than those of non-asthma group [ ( 68. 19 ±43. 00) ppb vs ( 19. 52 ±10. 60) ppb, P lt; 0. 05] . A linear correlation of FeNO with lnPD20 FEV1 was revealed in the cases with AHR. Area under ROC curve was 0. 9. The optimal diagnostic cutoff point was 36. 5 ppb which was capable of differentiating asthma and non-asthma with sensitivity of 92. 7% ,specificity of 83. 3% , positive predictive value of 79. 17% , negative predictive value of 94. 34% and accuracy of 87. 13% . Conclusion FeNO test may be helpful in the diagnosis of asthma with high sensitivity and specificity.

    Release date:2016-09-14 11:23 Export PDF Favorites Scan
  • 颈内静脉穿刺引起血栓一例

    Release date: Export PDF Favorites Scan
  • 胸腹贯通伤患者麻醉体会一例

    Release date:2017-03-27 11:42 Export PDF Favorites Scan
  • 患者不选择做无痛胃镜检查的原因调查及分析

    目的 调查分析患者不选择做无痛胃镜检查的原因,加强健康宣教,使患者正确认识无痛胃镜检查。 方法 采用便利抽样法选取 2015 年 5 月—7 月在四川大学华西医院行普通胃镜检查的 244 例患者进行《不选择做无痛胃镜检查原因》调查。 结果 患者未选择行无痛胃镜检查的三大主要原因为:担心麻醉副反应 67 例(27.46%);医生未告知,不知晓可做无痛胃镜 64 例(26.23%);认为没有必要行无痛胃镜 40 例(16.39%)。 结论 医务人员未能向患者及家属提供正确且有效的无痛胃镜相关健康教育,应在各个环节给予相应改善。

    Release date:2017-09-22 03:44 Export PDF Favorites Scan
  • 术后认知功能障碍外周血循环生物标志物概述

    术后认知功能障碍(postoperative cognitive dysfunction,POCD)是一种麻醉和手术后常见的神经系统并发症,尤其是在老年患者中发病率高,严重影响患者的生活质量和远期转归。目前对 POCD 的诊断主要依靠神经心理学测试,然而这一方法对于 POCD 的诊断通常较晚,因此寻找高特异性和敏感性的生物学标志物对于及时预测、发现和治疗 POCD 至关重要。该文对目前外周血循环中所发现的各类 POCD 生物学标志物,如蛋白质、多肽、脂类、甾体和核酸等及其可能涉及的机制进行了综述。

    Release date:2017-11-24 10:58 Export PDF Favorites Scan
  • Risk of bias assessment tool 2.0 for cluster-randomized trials and crossover trials (revised version 2021): an interpretation

    The risk of bias assessment tool 2.0 (RoB 2.0) for analyzing cluster randomized trials and crossover trials (revised version 2021) has been updated. The current paper briefly delineates the history of the RoB 2.0 tool and includes an explanation and interpretation of the updated contents and software operation process for use with cluster randomized trials and crossover trials. Compared with the previous versions, the updated RoB 2.0 tool (revised version 2021) has the advantage of precise language and is easily understood. Thus, the updated RoB 2.0 tool merits popularization and further general application.

    Release date: Export PDF Favorites Scan
  • Clinical research progress on brain natriuretic peptide and amino-terminal pro-brain natriuretic peptide

    Brain natriuretic peptide (BNP) and amino-terminal pro-brain natriuretic peptide (NT-proBNP) were the main members of the natriuretic peptide family. BNP has the effects of diuretic sodium, reducing sympathetic nervous system activity, dilating blood vessels, and improving the pathological remodeling of heart. Plasma BNP/NT-proBNP levels have been widely used in the diagnosis, severity assessment, prognosis prediction and treatment guidance of heart failure. In recent years, BNP/NT-proBNP has become a research hotspot in the diagnosis and and prognosis judgment of atrial fibrillation, recurrence of atrial fibrillation after radiofrequency ablation and cardioversion and congenital heart disease in infants and children, prediction of postoperative complications, and drug development. This article reviews the latest advances in clinical application and research progress on BNP/NT-proBNP.

    Release date: Export PDF Favorites Scan
  • 肺动脉高压的治疗进展

    Release date: Export PDF Favorites Scan
  • Implementation qualitative studies of artificial intelligence based on NASSS framework in the real perioperative world: a systematic review

    ObjectiveTo systematically review the qualitative research on the obstacles and promoting factors of artificial intelligence implementation in the real perioperative world. MethodsComputer searches were conducted on PubMed, CINAHL, Scopus, Web of Science, ACM Digital Library, Cochrane Library, CNKI, WanFang Data, and VIP databases to collect perioperative studies related to the clinical application of artificial intelligence. The search period was from database establishment until December 31, 2023. Based on the SPIDER model, the quality of the included literature was evaluated using the JBI Epidemiological Scale. The NASSS framework was used to integrate and analyze the qualitative factors discovered during the implementation of the perioperative artificial intelligence system, and a problem item pool was established. ResultsA total of 22 articles were included, and perioperative stakeholders mainly focused on perioperative artificial intelligence technology users such as anesthesiologists, anesthesiologists, and surgeons. The field of perioperative artificial intelligence services mainly focused on robot surgery. The JBI evaluation score was 4-8 points. The NASSS implementation factor framework consisted of 7 core themes and 27 secondary items. ConclusionIt is undeniable that perioperative artificial intelligence has a positive impact on the prognosis, medical quality, and efficiency of surgical patients. However, its clinical application will face influences from adopters, organizational structures, social culture, and other aspects, which will ultimately affect its implementation effect. The existing qualitative research on the influencing factors of perioperative artificial intelligence systems in clinical implementation has problems such as limited quantity, moderate quality, and lack of scientific research based on a systematic implementation factor framework. Conducting scientific and standardized application research will have a guiding effect on the future use of perioperative artificial intelligence and is expected to improve its final service effectiveness.

    Release date: Export PDF Favorites Scan
3 pages Previous 1 2 3 Next

Format

Content