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咪达唑仑口服溶液比右美托咪定喷鼻更有效缓解儿童术前焦虑 被引量:7
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作者 吴雄志 王宣 +3 位作者 徐四七 居霞 王胜斌 陈永权 《中国临床药理学与治疗学》 CAS CSCD 2023年第6期666-670,共5页
目的:比较咪达唑仑口服溶液与右美托咪定喷鼻对儿童术前焦虑的影响。方法:选取2022年6~12月在我院拟行择期手术患儿90例,采用随机数字表法分为咪达唑仑口服溶液组、右美托咪定喷鼻组和生理盐水滴鼻组,麻醉前30 min,咪达唑仑口服溶液组0.... 目的:比较咪达唑仑口服溶液与右美托咪定喷鼻对儿童术前焦虑的影响。方法:选取2022年6~12月在我院拟行择期手术患儿90例,采用随机数字表法分为咪达唑仑口服溶液组、右美托咪定喷鼻组和生理盐水滴鼻组,麻醉前30 min,咪达唑仑口服溶液组0.5 mg/kg咪达唑仑口服溶液口服,右美托咪定喷鼻组2μg/kg右美托咪定喷鼻,生理盐水滴鼻组2 mL生理盐水滴鼻。记录3组患儿药物接受度。记录3组患儿给药前(T_(1))、与父母分开时(T_(2))、麻醉诱导时(T_(3))、术后24 h(T_(4))改良耶鲁术前焦虑量表(modified Yale preoperative anxiety scale‐short form,m-YPAS-SF)评分。记录3组患儿麻醉诱导时的麻醉诱导期合作度量表(induction compliance checklist,ICC)评分。记录3组患儿苏醒时间和PACU停留时间。结果:与右美托咪定喷鼻组和生理盐水滴鼻组比较,咪达唑仑口服溶液组药物接受度评分较低(P<0.05),T_(2)、T_(3)和T_(4)的m-YPAS-SF评分较低(P<0.05),ICC评分较低(P<0.05),苏醒时间较长(P<0.05),PACU停留时间无明显差异(P>0.05)。结论:咪达唑仑口服溶液比右美托咪啶喷鼻更易被患儿接受,更有效缓解术前焦虑,但苏醒时间较长。 展开更多
关键词 咪达唑仑口服溶液 右美托咪定 术前焦虑 儿童
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聚乙烯亚胺-硫脲-豆蛋白复合材料吸附铅、镉的性能 被引量:2
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作者 吴雄志 魏根胜 +3 位作者 庞晓霞 胡存杰 金文英 梁俊烨 《分析试验室》 CAS CSCD 北大核心 2020年第5期560-565,共6页
以硫脲、聚乙烯亚胺和大豆分离蛋白(SPI)为原料制备了多孔大豆蛋白复合材料(TPS)并进行表征。研究了TPS对Pb2+,Cd2+的微柱分离富集性能。优化实验条件后,TPS对Pb2+,Cd2+可实现定量吸附,吸附容量分别为20. 56和25. 13 mg/g,富集系数分别... 以硫脲、聚乙烯亚胺和大豆分离蛋白(SPI)为原料制备了多孔大豆蛋白复合材料(TPS)并进行表征。研究了TPS对Pb2+,Cd2+的微柱分离富集性能。优化实验条件后,TPS对Pb2+,Cd2+可实现定量吸附,吸附容量分别为20. 56和25. 13 mg/g,富集系数分别为200,150倍,经过100次吸附和解吸循环后TPS吸附性能未发生改变,准二级动力学方程适合描述材料对Pb2+,Cd2+的吸附行为。建立了微柱分离富集-石墨炉原子吸收光谱测定Pb2+,Cd2+的新方法,Pb2+,Cd2+的检出限分别为0. 2和0. 06 ng/mL,线性范围分别为0. 02~0. 25μg/mL和0. 001~0. 015μg/mL。该方法成功应用于国标样品、鱿鱼和海水中Pb2+,Cd2+分析。 展开更多
关键词 大豆蛋白复合材料 吸附 石墨炉原子吸收光谱法(GFAAS)
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肺超声评分预测PACU患者气管拔管后新发低氧血症的准确性 被引量:4
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作者 张平 吴雄志 +4 位作者 章扬 杜兴祥 侯本超 杨馨怡 陈世彪 《中华麻醉学杂志》 CAS CSCD 北大核心 2021年第8期924-927,共4页
目的评价肺超声评分(LUSS)预测PACU患者气管拔管后新发低氧血症的准确性。方法择期腹部手术患者333例,性别不限,年龄18~89岁,ASA分级Ⅰ~Ⅲ级,分别于术前(T0)和入PACU(T1)时行肺超声检查(LUS),评分记为LUSS0和LUSS1。于气管拔管后20 min(... 目的评价肺超声评分(LUSS)预测PACU患者气管拔管后新发低氧血症的准确性。方法择期腹部手术患者333例,性别不限,年龄18~89岁,ASA分级Ⅰ~Ⅲ级,分别于术前(T0)和入PACU(T1)时行肺超声检查(LUS),评分记为LUSS0和LUSS1。于气管拔管后20 min(T2)时行动脉血气分析,PaO_(2)/FiO_(2)<300 mmHg为低氧血症组,PaO_(2)/FiO_(2)≥300 mmHg为非低氧血症组。采用多因素logistic回归和受试者工作特征(ROC)曲线分析,评估LUSS预测PACU患者气管拔管后新发低氧血症的准确性。结果PACU患者气管拔管后新发低氧血症发生率为9.0%。多因素logistic回归分析结果显示,LUSS1和BMI是PACU患者气管拔管后新发低氧血症的独立危险因素,LUSS1的ROC曲线下面积为0.873(P<0.01,95%CI 0.812~0.935)。LUSS1<7分的患者气管拔管后新发低氧血症风险低(LR-=0.15,95%CI 0.05~0.45),LUSS1>10分的患者气管拔管后新发低氧血症风险高(LR+=17.25,95%CI 7.35~40.51)。结论LUSS可有效预测PACU患者气管拔管后低氧血症的发生。 展开更多
关键词 超声检查 低氧血症
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新工科背景下“一体三翼”教学法在仪器分析课程教学中的应用
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作者 闫力强 吴雄志 张连明 《广东化工》 2025年第5期183-185,共3页
仪器分析课程是化学、生物、材料、环境和医学等专业的基础必修课,在培养学生的分析能力和实践操作能力方面发挥着举足轻重的作用。随着分析技术的进步、应用需求的扩展以及人才培养要求的提高,通常的教学模式逐步不能满足新型复合型人... 仪器分析课程是化学、生物、材料、环境和医学等专业的基础必修课,在培养学生的分析能力和实践操作能力方面发挥着举足轻重的作用。随着分析技术的进步、应用需求的扩展以及人才培养要求的提高,通常的教学模式逐步不能满足新型复合型人才培养的要求,需要建立更加有效的教学体系,不断提升教学效果和人才培养质量。在新工科建设背景下,我们探索在仪器分析课程教学中采用“一体三翼”教学法,坚持以学生为主体(一体),突出实践能力、创新能力和思政素质(三翼)的培养。该教学方法能有效地调动学生的学习兴趣和主动参与性,不仅提升了学生的专业知识和技能,还能全面提高实践能力、创新能力和综合素质。 展开更多
关键词 仪器分析 课程改革 实践能力 创新能力 思想政治
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基于ABAQUS的软土地区长螺旋施工过程桩周土体孔压变化规律分析 被引量:1
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作者 胡瑞丰 周保良 +2 位作者 吴雄志 亢永强 常淑敏 《勘察科学技术》 2022年第5期24-27,共4页
软土地区长螺旋钻孔泵压素混凝土桩施工会引起桩周土体孔隙水压力变化,进而造成桩周土体沉降、窜孔、缩颈等一系列工程环境问题,严重阻碍了这一技术在该地区的推广应用。该文通过ABAQUS软件对桩周土体进行流固耦合分析,研究钻孔施工过... 软土地区长螺旋钻孔泵压素混凝土桩施工会引起桩周土体孔隙水压力变化,进而造成桩周土体沉降、窜孔、缩颈等一系列工程环境问题,严重阻碍了这一技术在该地区的推广应用。该文通过ABAQUS软件对桩周土体进行流固耦合分析,研究钻孔施工过程中桩周土体孔隙水压力的变化规律,得到钻孔施工过程使桩周土体孔压存在先上升后下降的总体变化趋势,且土体内部各点最大孔压均超过上覆土重,土体强度下降明显。所得结论对工程应用具有一定的指导意义。 展开更多
关键词 软土地区 长螺旋钻孔桩 孔隙压力 ABAQUS 流固耦合分析
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Synergetic effects of aqueous extracts of Fuzi(Radix Aconiti Lateralis Preparata) and Tubeimu(Rhizoma Bolbostemmatis) on MDA-MB-231 and SKBR3 cells 被引量:9
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作者 Chen Dan Cao Rui +4 位作者 He Jinghua Guo Yuan Wang Liping Ji Wei wu xiongzhi 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2016年第1期113-124,共12页
OBJECTIVE: To test the synergistic effects of the aqueous extract of Tubeimu (Rhizoma Bolbosternmatis) and Fuzi (Radix Aconiti Lateralis Preparata) on MDA-MB-231 and SKBR3 breast cancer cells.METHODS: A combined... OBJECTIVE: To test the synergistic effects of the aqueous extract of Tubeimu (Rhizoma Bolbosternmatis) and Fuzi (Radix Aconiti Lateralis Preparata) on MDA-MB-231 and SKBR3 breast cancer cells.METHODS: A combined index was created for the effects of Tubeimu (Rhizoma Bolbostemmatis) and Fuzi (Radix Aconiti Lateralis Preparata) extracts. Cell proliferation was performed by trypan blue exclusion and 3-(4,5-dimethylthiazol-2-yl)-5-(3- carboxy- methoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) assays. Flow cytometry was used to assess cell cycle distribution and apoptosis. Cell migration was determined by wound-healing and transwell assays. Confocal microscopy was used to detect E-cadherin and actin filaments. RESULTS: The aqueous extract from Tubeimu (Rhizoma Bolbostemmatis)and Fuzi (Radix Aconiti lateralis Preparata) exerted synergetic effects on the growth of MDA-MB-231 cells and G1 phase arrest. When exposed to extracts at concentrations of 62.5 :62.5 and 62.5:31.3 μg/mL, the combination index was 0.83 and 0.74, respectively. Interestingly, 62.5: 31.3 μg/mL of combined drugs enhanced the inhibitory effect of Tubeimu (Rhizoma Bolbostemmatis) on the migration of SKBR3 cells and reduced the stimulative effect of Fuzi (Radix Aconiti Lateralis Preparata) (P 〈 0.01), in which cells showed an increased expression of E-cadherin and reorganization of actin filaments (P 〈 0.001). 62.5:62.5 μg/mL extract also synergistically induced apoptosis of MDA-MB-231 cells (P 〈 0.05 and P 〈 0.001). Acting as the main active ingredients in the extract, tubeimoside I and acetylbenzoylaconine at 10:10μg/ mL and 5:2.5 μg/mL also produced inhibitory effects on the proliferation and migration of cells (P 〈 0.01). CONCLUSION: Tubeimu (Rhizoma Bolbostemmatis) and Fuzi (Radix Aconiti Lateralis Preparata) extracts had synergic effects on MDA-MB-231 and SKBR3 cells. 展开更多
关键词 Radix Aconiti Lateralis Preparata Bolbostemma Paniculatum Drugs Chinese Herbal Breast neoplasms MDA-MB-231 SKBR3
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Purple-bluish tongue is associated with platelet counts, and the recurrence of epithelial ovarian cancer 被引量:2
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作者 Hao Jian Zhu Cuihong +4 位作者 Cao Rui Yang Xue Ding Xiuli Man Yanan wu xiongzhi 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2016年第3期321-325,共5页
OBJECTIVE: To evaluate the relationship between purple-bluish tongue and platelet counts, and further to examine their associations with the recurrence of epithelial ovarian cancer.METHODS: A total of 82 epithelial ... OBJECTIVE: To evaluate the relationship between purple-bluish tongue and platelet counts, and further to examine their associations with the recurrence of epithelial ovarian cancer.METHODS: A total of 82 epithelial ovarian cancer patients were enrolled in this study. Cluster analysis was used for grouping patients' P_(RGB)(Red-R;Green-G; Blue-B; Average percentage of RGB, P_(RGB))values. Receiver operating characteristic(ROC)curve was performed for detecting the diagnostic standard of purple-bluish tongue. χ~2 test was used to assess the relationship between purple-bluishtongue and platelet counts, and the recurrence of epithelial ovarian cancer. The perioperative(preoperative) platelet level was examinedwith tongue image and disease recurrence.RESULTS: Tongue images were classified into two groups basing on P_(RGB) values of images by cluster analysis. The numbers of cases in cluster "1"(normal color tongue) was 16 and cluster "2"(purple-bluish tongue) was 66. Two groups of P_(RGB) values, classified by cluster analysis, were significantly correlated with vision-based tongue color recognition(Kappa = 0.852, P 0.001). ROC curve showed that the ratio of P_B to PRhad the highest diagnostic value. The sensitivity and the specificity of the ratio of P_B to P_R were 95.3% and 88.9% respectively and the optimal cut-off point was 0.71. Purple-bluish tongue was significantly correlated with increased platelet counts(P 0.001). Both the increased platelet counts(P = 0.01) and purple-bluish tongue were associated with recurrence of epithelial ovarian cancer(P 0.001).CONCLUSION: The ratio of P_B to P_R greater than 0.71 could serve as an indicator for purple-bluish tongue diagnosing used in symptom pattern identification in Traditional Chinese Medicine. Purple-bluish tongue, associated with increased platelet counts, was also closely correlated with the recurrence of epithelial ovarian cancer. 展开更多
关键词 Ovarian epithelial cancer Tongue inspection Cluster analysis RECURRENCE Platelet count
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Lingual flange protrusion:diagnostic marker for metastatic liver cancer
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作者 Ma Yinlu Yang Xue +2 位作者 Zhu Cuihong Cao Rui wu xiongzhi 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2017年第6期782-788,共7页
OBJECTIVE: To investigate the diagnostic significance of lingual flange protrusion for liver metastasis of patients with malignant neoplasia.METHODS: The data of 191 patients with malignant neoplasia were analyzed. Al... OBJECTIVE: To investigate the diagnostic significance of lingual flange protrusion for liver metastasis of patients with malignant neoplasia.METHODS: The data of 191 patients with malignant neoplasia were analyzed. All photos of patients' tongue image were recorded and lingual flange protrusion was the positive standard. χ~2 test for paired data and Kappa test were used to determine the diagnostic value of lingual flange protrusion for metastatic liver cancer. Mann-Whitney U test was used to compare the levels of liver serolog-ical markers. The area under receiver operating characteristic curve(ROC) and logistic regression model were used to analyze the predictive values of lingual flange protrusion, alkaline phosphatase(ALP), and lactate dehydrogenase(LDH) levels.RESULTS: Patients with lingual flange protrusion had a higher risk of liver metastasis than those without it(P < 0.001). There was no significant difference in diagnosis of liver metastasis between lingual flange protrusion and traditional diagnostic criteria(P = 0.541). Kappa was 0.738(P < 0.001). Lingual flange protrusion was significantly correlated with increased serum ALP and LDH levels(P < 0.01).Comparison of ROC curves showed that the diagnostic value of lingual flange protrusion is better than ALP, LDH and the combination of ALP and LDH(P < 0.01). Furthermore, the combined diagnostic values of lingual flange protrusion and ALP,lingual flange protrusion and LDH, and lingual flange protrusion, ALP and LDH are not better than lingual flange protrusion alone(P > 0.05).CONCLUSION: Lingual flange protrusion is a potential diagnostic marker for liver metastasis of patients with malignant neoplasia. 展开更多
关键词 Liver neoplasms TONGUE inspection LINGUAL flange PROTRUSION Alkaline phosphatase Lactate DEHYDROGENASES Gamma-glutamyltrans-ferase
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