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腰方肌阻滞与髂筋膜阻滞对老年人全髋关节置换术后镇痛效果的比较研究 被引量:28
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作者 马楚洲 陈琼仪 +2 位作者 林梓霞 张长椿 张舟 《中国现代医学杂志》 CAS 2019年第7期97-101,共5页
目的比较超声引导下腰方肌阻滞与髂筋膜阻滞在老年人全髋关节置换术后镇痛效果。方法选择单次蛛网膜下腔麻醉下行单侧全髋关节置换术的老年患者60例为研究对象。ASA分级Ⅱ、Ⅲ级,采用随机数字表法将患者分成两组:A组术毕使用0.25%罗哌卡... 目的比较超声引导下腰方肌阻滞与髂筋膜阻滞在老年人全髋关节置换术后镇痛效果。方法选择单次蛛网膜下腔麻醉下行单侧全髋关节置换术的老年患者60例为研究对象。ASA分级Ⅱ、Ⅲ级,采用随机数字表法将患者分成两组:A组术毕使用0.25%罗哌卡因30 ml行超声引导下后方穿刺入路腰方肌阻滞(QL3),B组术毕使用行0.25%罗哌卡因30 ml行超声引导下髂筋膜阻滞;每组30例。术后均留置静脉自控镇痛泵。记录患者一般情况,分别记录A组与B组操作完成时间,术后6 h(T_1)、8 h(T_2)、12 h(T_3)、24 h(T_4)患者的静息状态及被动运动VAS评分;舒芬太尼使用累计量;麻醉相关并发症;术后24 h患者麻醉满意度评价。结果两组患者术后不同时间点的静息及被动运动VAS评分比较,差异有统计学意义(P<0.05)。A组术后T_1、T_2、T_3、T_4静息及被动运动VAS评分均低于B组(P<0.05)。A组静脉自控镇痛泵舒芬太尼使用量少于B组(P<0.05)。A组恶心呕吐发生率低于B组(P<0.05)。A组总体满意度高于B组。结论超声引导下腰方肌阻滞在老年人全髋关节置换术术后镇痛效果好,安全可行,能减少术后静脉镇痛药物的使用量,提高患者的总体满意度。 展开更多
关键词 关节成形术 置换 超声引导 腰方肌阻滞 老年人 髂筋膜阻滞 术后镇痛
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In Situ Elimination of Pores During Laser Powder Bed Fusion of Ti–6.5Al–3.5Mo–l.5Zr–0.3Si Titanium Alloy 被引量:4
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作者 Ling zhang Wen-He Liao +2 位作者 Ting-Ting Liu Hui-Liang Wei chang-chun zhang 《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 2022年第3期439-452,共14页
The printing quality of components manufactured using laser powder bed fusion(LPBF)generally depends on the presence of various defects such as massive porosity.Thus,the efficient elimination of pores is an important ... The printing quality of components manufactured using laser powder bed fusion(LPBF)generally depends on the presence of various defects such as massive porosity.Thus,the efficient elimination of pores is an important factor in the production of a sound LPBF product.In this study,the efficacy of two in situ laser remelting approaches to eliminating pores during the LPBF of a titanium alloy Ti–6.5 Al–3.5 Mo–l.5 Zr–0.3 Si(TC11)was assessed both experimentally and computationally.These two remelting methods are surface remelting and layer-by-layer printing and remelting.A multi-track multi-layer phenomenological model was established to analyze the variation of pores with the temperature and velocity fields.The results showed that surface remelting with a high laser power,such as 180 W,can eff ectively eliminate pores within three deposited layers.However,such remelting could not reach defects in deeper regions.Layer-by-layer remelting with a 180 W laser could eff ectively eliminate the pores formed in the previous layer in real time.The results obtained in this study can provide useful guidance for the in situ control of printing defects supported by real-time monitoring,feedback,and operating systems of an intelligent LPBF equipment. 展开更多
关键词 Laser powder bed fusion Ti–6.5Al–3.5Mo–l.5Zr–0.3Si Pores Laser remelting
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