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find Author "谭玲" 5 results
  • 经皮二氧化碳分压监测在小儿围手术期中的应用进展

    目的经皮二氧化碳在小儿围手术期中使用具有无创、方便、持续监测的优点,尤其是应用于重症患儿有其独特的优势,在肺功能障碍和循环功能不稳定的患儿中,能够更准确地反映其通气功能。另外,在围手术期应用弥补了存在拔管后或运送,病房期间的监测空白期,全程保护患儿的围手术期安全,而且其在评估酸血症方面也有一定的实用价值。

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  • 咪达唑仑应用于小儿术前镇静的研究进展

    咪达唑仑是一种苯二氮类药物,具有抗焦虑、镇静、催眠、中枢性肌肉松弛及顺行性遗忘作用。由于其起效快,安全性好,被广泛地应用于小儿术前镇静。通过概括咪达唑仑药物代谢动力学特点以及有关镇静-躁动双向反应,镇静成功率,与术后烦躁、术后认知功能改变的关系等,旨在了解咪达唑仑在小儿术前镇静中的应用进展及药物特性,为临床用药提供参考。

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  • Evaluation of the operation status of clinical departments in a hospital by using comprehensive evaluation model

    ObjectiveTo evaluate the operation status of the clinical departments of a hospital through the establishment of the evaluation index system and comprehensive evaluation model.MethodsThe data on workload, service difficulty, service efficiency, health economics and other related indicators of the clinical departments of a hospital from January to June 2018 were collected. The comprehensive evaluation model was constructed by comprehensive scoring method. The data of each index were centralized, then the comprehensive evaluation model of clinical departments was established and the scores were calculated by weighted summation. Microsoft Excel 2010 and SPSS 17.0 software were used for data processing.ResultsThere were certain differences in comprehensive scores and detailed indicators among different clinical departments. Ranked by comprehensive scores, the top three surgical departments were Department of Thoracic Surgery (1.45), Department of Breast Surgery (1.32), and Department of Vascular Surgery (1.22), and the top three internal departments were Department of Oncology (5.76), Department of Cardiology (3.47), and Department of Hematology (3.41).ConclusionsIn general, there are some differences in the operating conditions among different departments. There are also differences in the detailed indicators among different departments. The results can be used to find out problems and gaps, and finally improve the operation of the departments.

    Release date:2020-02-03 02:30 Export PDF Favorites Scan
  • Impact of diagnosis-related group / diagnosis-intervention packet medical insurance payment method reform on hospitals and the improving strategies of hospitals

    Judging from the latest policies related to the medical insurance payment reform of the state and Sichuan province, the reform of medical insurance diagnosis-related group (DRG)/diagnosis-intervention packet (DIP) payment methods is imperative. The impact of DRG/DIP payment method reform on public hospitals is mainly analyzed from the aspects of hospital cost accounting and control, quality of filling in the first page of medical cases, coding accuracy, standard of medical practice, development of diagnosis and treatment technology innovation business, multi-departmental linkage mechanism, competition between hospitals, performance appraisal mechanism, and negotiation and communication mechanism. We should put forward hospital improvement strategies from the top-level design of the whole hospital and from the aspects of improving the quality of the first page of the cases and the quality of the coding, strengthening the cost accounting and control of the disease, carrying out in-hospital and out-of-hospital training, establishing a liaison model, finding gaps with benchmark hospitals, enhancing the core competitiveness of innovative technologies, and improving internal performance appraisal, etc., to promote the high-quality development of hospitals.

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  • Research progress of matrix metalloproteinase in pulmonary tuberculosis

    Tuberculosis is a chronic infectious diseases caused by Mycobacterium tuberculosis. Its high morbidity and mortality have posed a serious threat to global public health. Matrix metalloproteinase (MMP) is a proteolytic enzyme involved in regulating extracellular matrix degradation and remodeling. MMP is highly expressed in pulmonary tuberculosis, and its expression is regulated by genes, epigenetic modifications, cellular signaling pathways, immune regulation, and cellular environment. MMP is a potential target for the treatment of pulmonary tuberculosis. Therefore, this article summarizes the expression and related mechanisms of MMP in pulmonary tuberculosis, aiming to provide a reference for the diagnosis and treatment of pulmonary tuberculosis.

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