搜索到10172篇“ ASPIRATION“的相关文章
Recent development of aspiration pump in the aspiration thrombectomy system
2024年
Vascular embolic diseases are associated with blockage of blood supply to vital organs and thus are lethal.Aspiration thrombectomy is becoming the primary choice for revascularization in the treatment of vascular occlusions condition.As the power source in the aspiration thrombectomy procedure,the aspiration pump directly influences the outcome of the operation.This research surveyed the current technical developments of the aspiration pump in China through reviewing information obtained from the patent database and technical literatures,commented on the issues in the current patent designs,and gave suggestions for future design improvement.This study can be used as a reference for researchers and developers of medical devices besides the neurosurgeons.
Chen WeiJing DongHongyi YangJinghong ShiHuihui FangYangjie ZuoYubing Shi
关键词:THROMBUSTHROMBECTOMY
Dosage Formula in Anesthesia for Manual Intrauterine Aspiration Post-Abortion in Resource-Limited Settings
2024年
Setting: Provincial General Reference Hospital of Bukavu, General Reference Hospital of Panzi, General Reference Hospital of Ciriri, General Reference Hospital of Nyatende and Biopharm Hospital Center. Objective: Contribute to the improvement of the anesthetic ECP of patients benefiting from MVA for incomplete abortion, Describe the methodology used for adoption of the dosage formula in Anesthesia for MVA, present the mathematical demonstration leading to the dosage formula in anesthesia for MVA. Materials and Methods: Our study was descriptive by mathematical demonstration of obtaining the equilibrium constant of the dosage formula of bipuvacaine 0.1% and Fentanyl 50 µg% adapted to the weight and specific size of patients treated anesthetically in MVA cases for incomplete abortion. We also carried out an operational research by first determining the interval where our equilibrium constant is included and secondly by means of the ends of the intervals found correlated to the ends of intervals of possible weights and sizes in the being normal human female of childbearing age to arrive at the real numerical value of the equilibrium constant of the BUKAVU Dosage Formula in the case of anesthesia for MVA during the management of incomplete abortions. Results: TWO-STAGE OPERATIONAL RESEARCH: • Determination of the interval where the equilibrium constant x = −0.95 x x by crossing the means between the extremes of volumes of anesthetic drugs giving a satisfactory sensory block without hemodynamic disturbance and the extremes of normal weight and height for women of childbearing age. We ended up with X = 0.37. Conclusion: At the end of our study which had the general objectives of contributing to the improvement of the anesthetic PEC of patients receiving MVA for incomplete abortion and specific objectives of describing the methodology used for adoption of the dosage formula in Anesthesia for MVA and present the mathematical demonstration which resulted in the dosage formula in nesthesia for MVA, it appears that the
Serge IbulaRivain ItekeBerthe BarhayigaDoddie TsansyaRoger CishugiJean Jacques KalongoSandra SagbozeJean Paul CikwanineDieudonné Sengeyi
关键词:DOSAGEANESTHESIA
抽吸取栓术与抽吸结合支架取栓术治疗脑前循环栓塞疗效比较
2024年
目的比较抽吸取栓术和抽吸结合支架取栓术治疗脑前循环栓塞的疗效和安全性。方法收集广州市番禺区中心医院2020年1月至2022年6月诊断脑前循环栓塞且接受急诊取栓手术治疗的病例,根据取栓方式不同,分为抽吸取栓组(40例)和抽吸结合支架取栓组(64例)。比较两组NIHSS评分、良好预后率(mRS评分≤2分),取栓后血管再通率(mTICI评分≥2b),围手术期并发症等。结果术前较术后、术前较出院NIHSS评分变化,以及出院时、90 d良好预后率,抽吸取栓组显著优于抽吸结合支架取栓组。两组血管再通率、不良事件发生率无显著差异。结论对于前循环脑栓塞患者,抽吸取栓术相较抽吸联合支架取栓术可能具有更好的神经功能缺损改善效果及预后,两者在血管再通率和围手术期并发症发生率方面无显著差异。
陈俊臣曹文英罗燕君何婉仪朱真真彭志强
关键词:前循环脑栓塞
常规吸痰联合定期床旁纤维支气管镜下吸痰治疗重症肺炎机械通气患者的效果评价
2024年
目的:探讨常规吸痰联合定期床旁纤维支气管镜下吸痰治疗重症肺炎机械通气患者的效果。方法:选取2020年6月—2022年6月思南县人民医院收治的82例重症肺炎机械通气患者。根据随机数表法将其分为对照组和观察组,各41例。对照组给予常规吸痰,观察组在对照组基础上给予定期床旁纤维支气管镜下吸痰。比较两组治疗后临床疗效,治疗前及治疗2周后血气分析指标、相关指标及恢复情况。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗2周后,观察组血氧分压(PaO_(2))高于对照组,二氧化碳分压(PaCO_(2))低于对照组,差异有统计学意义(P<0.05)。治疗2周后,观察组氧浓度(FiO_(2))、呼气末正压(PEEP)均低于对照组,氧合指数(PaO_(2)/FiO_(2))高于对照组,差异有统计学意义(P<0.05)。观察组抗菌药物应用时间、肺部炎症吸收时间、机械通气时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。结论:定期床旁纤维支气管镜下吸痰联合常规吸痰可提高重症肺炎机械通气患者疗效,纠正血气分析指标异常,促进肺部炎症吸收,缩短抗菌药物应用及住院时间。
简旭龙
关键词:重症肺炎吸痰血气分析
脑卒中患者隐性误吸风险管理研究进展被引量:2
2024年
从脑卒中患者发生隐性误吸的风险因素(年龄、吞咽障碍、意识障碍、疾病与治疗性因素、机械通气、气管插管与气管切开、照护因素)、不良结局(吸入性肺炎、营养不良与恐惧)及防范措施(吞咽功能康复训练、营养管理、集束化护理、知识与技能培训)三方面进行综合论述,旨在为护理人员更好地护理脑卒中患者、预防隐性误吸提供参考。
林苗远卢琼娜肖乐尧林文娟
关键词:脑卒中吞咽障碍吸入性肺炎风险管理
成人ICU患者显性误吸影响因素分析被引量:1
2024年
目的探讨成人ICU患者发生显性误吸的影响因素,为识别高危人群、降低显性误吸发生率提供参考。方法选取成人ICU患者798例,利用单因素分析和logistic回归分析探讨显性误吸的影响因素。结果成人ICU患者显性误吸发生率为16.9%,机械通气、胃残余量、腹腔内压力、误吸史、呕吐是危险因素(均P<0.05)。结论成人ICU患者有发生显性误吸的风险,需重点关注机械通气、有误吸史及呕吐的患者,减少胃残余量和降低腹腔内压力,以减少显性误吸。
王彩虹刘霞琴覃双文陆秀红李玲黄德斌
关键词:成人误吸机械通气腹腔内压力呕吐
多目标维度期望顺差、环境不确定性对研发国际化影响
2024年
研发国际化是企业寻求技术突破、提升创新绩效的重要战略决策。基于2007年至2021年中国制造业上市公司数据,探讨了经营期望顺差与财富期望顺差对研发国际化的影响,以及环境不确定性的调节作用。研究发现,经营期望顺差对研发国际化具有显著的正向影响;财富期望顺差对研发国际化具有显著的负向影响。环境不确定性在经营期望顺差与研发国际化的正向关系中起到了促进作用,但弱化了财富期望顺差与研发国际化的负向关系。研究结论从理论上将绩效反馈的应用拓展到多目标维度,加强了绩效反馈理论对企业决策的解释力,在实践上对推进研发国际化研究具有启示意义。
陈昕
关键词:环境不确定性
成人危重症患者误吸预防与管理的最佳证据总结
2024年
目的 系统检索、评价及整合成人危重症患者误吸预防与管理的相关证据,并汇总形成最佳证据,为误吸的预防与管理提供依据。方法 遵照“6S”金字塔模型,自上而下系统检索BMJ Best Practice,UpToDate,澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库,加拿大安大略省注册护士协会,国际指南协作网,美国指南网,英国国家卫生与临床优化研究所,苏格兰校际指南网,PubMed,Embase,Cochrane Library,CINAHL,中国临床指南文库,医脉通,中国生物医学文献数据库,中国知网,万方数据库和维普数据库。纳入有关危重症患者误吸预防与管理的临床决策、指南、证据总结、专家共识/专家推荐、系统评价/Meta分析、随机对照试验,检索时限为2013年1月至2023年8月。由2名接受过循证护理学培训的研究者独立进行文献筛选、质量评价、证据提取与整合。结果 共纳入33篇研究,包括临床决策4篇、指南4篇、证据总结5篇、专家共识8篇、系统评价/Meta分析9篇、随机对照试验3篇。涉及误吸风险评估、气道管理、口腔卫生管理、体位管理、肠内营养管理、药物管理与干预、拔管后误吸的预防、误吸的诊断与处理、误吸培训与团队管理9个方面,共36条证据。结论 该证据总结可为医护人员对危重症患者误吸的预防及管理工作提供循证依据,促进ICU误吸的科学、规范化管理。
宣泽慧牛意柔周黎雪肖倩
关键词:危重症患者误吸吸入性肺炎
纤维支气管镜肺泡灌洗吸痰术治疗ICU重症肺部感染临床效果分析
2024年
目的:分析在为ICU重症肺部感染(pulmonary infection,PI)患者实施治疗的过程中纤维支气管镜肺泡灌洗吸痰术的临床效果。方法:本研究将2020年1月~2023年1月于医院ICU接受重症PI治疗的患者52例作为实验对象,为了实验研究公平性以电脑随机分组法将患者分为观察组(n=26)与对照组(n=26),观察组实施PL-F520纤维支气管镜肺泡灌洗吸痰术治疗,对照组实施常规吸痰治疗。结果:两组患者治疗效果、住院情况、治疗后肺功能、炎症因子指标存在显著差异,P<0.05;治疗前两组患者肺功能、炎症因子指标并无显著差异,P>0.05。结论:在为ICU重症PI患者实施治疗的过程中PL-F520纤维支气管镜肺泡灌洗吸痰术的临床效果显著,有助于患者症状以及肺功能、炎症因子指标水平提高。
刘纯
Prediction model establishment and validation for enteral nutrition aspiration during hospitalization in patients with acute pancreatitis
2024年
BACKGROUND Acute pancreatitis(AP)is a disease caused by abnormal activation of pancreatic enzymes and can lead to self-digestion of pancreatic tissues and dysfunction of other organs.Enteral nutrition plays a vital role in the treatment of AP because it can meet the nutritional needs of patients,promote the recovery of intestinal function,and maintain the barrier and immune functions of the intestine.However,the risk of aspiration during enteral nutrition is high;once aspiration occurs,it may cause serious complications,such as aspiration pneumonia,and suffocation,posing a threat to the patient’s life.This study aims to establish and validate a prediction model for enteral nutrition aspiration during hospitalization in patients with AP.AIM To establish and validate a predictive model for enteral nutrition aspiration during hospitalization in patients with AP.METHODS A retrospective review was conducted on 200 patients with AP admitted to Chengdu Shangjin Nanfu Hospital,West China Hospital of Sichuan University from January 2020 to February 2024.Clinical data were collected from the electronic medical record system.Patients were randomly divided into a validation group(n=40)and a modeling group(n=160)in a 1:4 ratio,matched with 200 patients from the same time period.The modeling group was further categorized into an aspiration group(n=25)and a non-aspiration group(n=175)based on the occurrence of enteral nutrition aspiration during hospitalization.Univariate and multivariate logistic regression analyses were performed to identify factors influencing enteral nutrition aspiration in patients with AP during hospitalization.A prediction model for enteral nutrition aspiration during hospitalization was constructed,and calibration curves were used for validation.Receiver operating characteristic curve analysis was conducted to evaluate the predictive value of the model.RESULTS There was no statistically significant difference in general data between the validation and modeling groups(P>0.05).The comparison of age,gend
Ping HouHao-Jun WuTang LiJia-Bin LiuQuan-Qing ZhaoHong-Jiang ZhaoZi-Ming Liu
关键词:HOSPITALIZATIONASPIRATION

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王晓凤
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林敏华
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