智能电力监控系统在医院的应用

本文分析了医院的供电系统特征,介绍了智能电力监控系统的构成,并分析了应用智能电力监控系统对医院的供电可靠性、电力经济运行、故障隐患提前识别的作用.     

门诊智能排队系统的设计与应用

随着医院快速发展,门诊人次急剧上升,传统的门诊手工分诊叫号模式已不能适应现代化医院管理的需求.文章通过实践介绍了门诊智能排队系统的系统流程、构成、功能及系统应用.门诊智能排队系统的应用,指出解决了患者排队无序、环境嘈杂等现象,提高了工作效益.     

门诊智能导医系统研究及应用

目的：解决大型医院门诊就诊流程的复杂性,就医效率低下,优化资源配置,提升服务质量.方法：结合多年门诊的管理经验,充分利用医院信息平台的互动性,建立门诊智能导医系统.结果：门诊智能导医系统自动识别患者所处的诊疗环节,判断患者的下一个诊疗环节涉及的功能单元,进行语音及地图导诊.结论：门诊智能导医系统提高了就诊效率、缩短了滞院时间,适合在大型门诊推广应用.     

医院门诊智能寻呼排队系统的构建

为营造公平、合理、有效的门诊就诊环境，建立精确候诊就医通道，通过中国移动集团寻呼功能，结合医院信息系统（HIS），建立了医院门诊智能寻呼排队系统。该系统利用就诊业务流程实现了医院门诊管理的实时、快捷和通畅，提高了服务效率，提升了医院良好的窗口服务形象。     

智能无线抽血传呼系统的开发与应用

目的为更好地、合理地安排病人抽血,开发智能无线抽血传呼系统软件.方法利用无线电磁波通讯技术和数据库技术,采用模块化的结构方式,开发智能无线抽血传呼系统软件.软件主要包括:传呼系统、显示系统、语音系统及号票打印系统等四部分.结果此软件的应用,避免了人工排队,使医院的候诊环境安静有序、减轻了医护人员的工作压力.结论可为医院的现代化管理提供有效手段.     

浅谈RSS智能片剂发药系统在我院药房的应用实践

目的为规范医院病区药房单剂量口服摆药机的应用提供新的参考思路.方法阐述我院引进RSS智能片剂发药系统主要构造、发药系统的工作流程及运行情况,并讨论其优势及不足.结果应用RSS智能片剂发药系统可提高口服摆药的速率和准确性,改善卫生状况,减少药品污染,但成本略高.结论 RSS智能片剂发药系统摆药,实现了医院病区药房口服单剂量摆药信息智能化,适合病区药房使用,方便和满足患者服药需求,提升了医院服务层次.     

基于医院信息化系统的IT智能运维平台的设计和实现

随着科技全球化和卫生信息化建设的不断推进,医院信息化系统的建设得到了很大程度上的扩展和推进,在提高医院经济利益的同时,也为医生的工作减轻了负担。但是,因此也增加了医院信息化系统的维护和管理工作的压力。针对这些压力,设计和实现了一套IT智能运维平台的方案,从对威胁到医院信息化系统的问题源头进行提前预警和自动修复以及通过智能分析决策系统和JIRA事务平台,更方便地为医生和维护人员的工作提供服务。     

GE数字化医院临床信息系统解决方案

数字化医院是我国医院现代化发展的必然趋势,数字化医院工程将有助于医院实现资源整合、流程优化,降低运营成本,提高服务质量、工作效率和管理水平。全面数字化医院是一个庞大而又复杂的系统,其整体框架包括：智能楼宇管理系统,     

GE数字化医院临床信息系统解决方案

数字化医院是我国医院现代化发展的必然趋势,数字化医院工程将有助于医院实现资源整合、流程优化,降低运营成本,提高服务质量、工作效率和管理水平全面的数字化医院是一个庞大而又复杂的系统,其整体框架包括了: 智能楼宇管理系统: 包括医疗、楼宇、通讯自动化系统. IT基础架构:包括容灾系统,医疗数据归档备份系统等. 信息整合平台:利用信息集成平台,实现各应用系统的数据交互与共享,实现各业务部门之间的业务协同.     

医院洁净手术室智能监控系统的设计与实现

随着信息技术和自动化技术的发展,实现手术室的智能监控有助于提高工作效率和确保手术安全进行.本文简要介绍了"医院洁净手术室智能监控系统"的设计理念及其相关功能,给出了系统的硬件配置和软件实现.     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.