不同浓度罗哌卡因术后臂丛神经镇痛的效果观察

Objective To compare the antalgic effects of ropivacaine in various doses on brachial plexus nerves. Methods 87 patients undergoing upper arm surgery were enrolled in this study. The patients were unpremed-itated. The patients were randomized to receive ropivacaine of 0.30,0.25 or 0.20% (group Ⅰ,Ⅱ and Ⅲ) with mor-phine of 0.1mg/ml and Lidocaine of 10mg/ml. In order to analygesia of brachial plexus nerves,the rejecting of load dose is firstly 10ml,the total dose is 10ml/24h interval every time,the antalgic time is about 50 hours. To compare the antalgic effects of ropivacaine in various doses based on standard of VAS. Based on standard of Bromage to assess the situation of motor neuron blocking. Results According to standard of VAS in 6,12,24 and 48 hours after underwent surgery, the group Ⅲ is more effective than group Ⅰ and group Ⅱ ; according to standard of Bromage, the group Ⅰ is more effective than group Ⅱ and group Ⅲ. it has no adverse reactions to patients. Condusion 0. 25% of ropiva-eaine with morphine of 0.1mg/ml and lidocaine of 10mg/ml have obtained good antalgic effects for patients after un-dergoing upper arm surgery,it is fit for applying in clinic.     

胎儿肾动脉与大脑中动脉阻力比值对妊娠期肝内胆汁淤积症导致胎儿缺氧的诊断价值研究

目的探讨胎儿肾动脉与大脑中动脉阻力比值对妊娠期肝内胆汁淤积症导致胎儿缺氧的诊断价值。方法选取2017年1月~2018年5月期间本院收治的76例妊娠期肝内胆汁淤积症产妇,根据胎心监护和超声诊断结果分为胎儿宫内缺氧组(38例)、非宫内缺氧组(38例);另选择同期在本院产检的38例健康产妇作为对照组。三组产妇均采用彩色多普勒超声检查,探查大脑中动脉(MCA)和肾动脉(RA)的血流频谱,对比三组RA及MCA阻力指数(RI)和搏动指数(PI)和(S/D),并比较两组RA/MCA阻力比值。结果胎儿宫内缺氧组和非宫内缺氧组RA S/D值、RI值、PI值均显著高于对照组,MCA S/D值、RI值、PI值均显著低于对照组,差异均具有统计学意义(P 0.05)。胎儿宫内缺氧组RA S/D值、RI值、PI值均显著高于非宫内缺氧组,MCA S/D值、RI值、PI值均显著低于非宫内缺氧组,差异均具有统计学意义(P 0.05)。胎儿宫内缺氧组和非宫内缺氧组S/D_(RA/MCA)、RI_(RA/MCA)及PI_(RA/MCA)均显著高于对照组,差异均具有统计学意义(P0.05)。胎儿宫内缺氧组S/D_(RA/MCA), RI_(RA/MCA)、及PI_(RA/MCA)均显著高于非宫内缺氧组,差异均具有统计学意义(P 0.05)。结论妊娠期肝内胆汁淤积症导致宫内缺氧胎儿肾动脉与大脑中动脉阻力比值存在明显升高表现,可为该病临床诊断与监测提供一定参考依据。     

不同浓度罗哌卡因术后臂丛神经镇痛的效果观察

Objective To compare the antalgic effects of ropivacaine in various doses on brachial plexus nerves. Methods 87 patients undergoing upper arm surgery were enrolled in this study. The patients were unpremed-itated. The patients were randomized to receive ropivacaine of 0.30,0.25 or 0.20% (group Ⅰ,Ⅱ and Ⅲ) with mor-phine of 0.1mg/ml and Lidocaine of 10mg/ml. In order to analygesia of brachial plexus nerves,the rejecting of load dose is firstly 10ml,the total dose is 10ml/24h interval every time,the antalgic time is about 50 hours. To compare the antalgic effects of ropivacaine in various doses based on standard of VAS. Based on standard of Bromage to assess the situation of motor neuron blocking. Results According to standard of VAS in 6,12,24 and 48 hours after underwent surgery, the group Ⅲ is more effective than group Ⅰ and group Ⅱ ; according to standard of Bromage, the group Ⅰ is more effective than group Ⅱ and group Ⅲ. it has no adverse reactions to patients. Condusion 0. 25% of ropiva-eaine with morphine of 0.1mg/ml and lidocaine of 10mg/ml have obtained good antalgic effects for patients after un-dergoing upper arm surgery,it is fit for applying in clinic.     

艾司洛尔预防颈丛阻滞后心血管副反应的临床观察

目的：观察艾司洛尔对预防颈丛阻滞后心血管反应的效果。方法：60例颈部手术患者,随机分为艾司洛尔组(观察组、n=30),生理盐水组(对照组、n=30),颈丛阻滞药液为1％利多卡因加0．25％布比卡因混合液、总量20ml。两组均以C4一针法行双侧颈浅丛和颈深丛阻滞。观察组颈丛阻滞后即静推艾司洛尔0．5mg／kg,1min静推,对照组颈丛阻滞后即静推生理盐液5ml。结果：观察组明显优于对照组。结论：艾司洛尔能有效地预防颈丛阻滞引起的一过性窦性心动过速和高血压,降低心肌耗氧量和心律失常的发生率。     

不同浓度罗哌卡因术后臂丛神经镇痛的效果观察

Objective To compare the antalgic effects of ropivacaine in various doses on brachial plexus nerves. Methods 87 patients undergoing upper arm surgery were enrolled in this study. The patients were unpremed-itated. The patients were randomized to receive ropivacaine of 0.30,0.25 or 0.20% (group Ⅰ,Ⅱ and Ⅲ) with mor-phine of 0.1mg/ml and Lidocaine of 10mg/ml. In order to analygesia of brachial plexus nerves,the rejecting of load dose is firstly 10ml,the total dose is 10ml/24h interval every time,the antalgic time is about 50 hours. To compare the antalgic effects of ropivacaine in various doses based on standard of VAS. Based on standard of Bromage to assess the situation of motor neuron blocking. Results According to standard of VAS in 6,12,24 and 48 hours after underwent surgery, the group Ⅲ is more effective than group Ⅰ and group Ⅱ ; according to standard of Bromage, the group Ⅰ is more effective than group Ⅱ and group Ⅲ. it has no adverse reactions to patients. Condusion 0. 25% of ropiva-eaine with morphine of 0.1mg/ml and lidocaine of 10mg/ml have obtained good antalgic effects for patients after un-dergoing upper arm surgery,it is fit for applying in clinic.     

不同浓度罗哌卡因术后臂丛神经镇痛的效果观察

Objective To compare the antalgic effects of ropivacaine in various doses on brachial plexus nerves. Methods 87 patients undergoing upper arm surgery were enrolled in this study. The patients were unpremed-itated. The patients were randomized to receive ropivacaine of 0.30,0.25 or 0.20% (group Ⅰ,Ⅱ and Ⅲ) with mor-phine of 0.1mg/ml and Lidocaine of 10mg/ml. In order to analygesia of brachial plexus nerves,the rejecting of load dose is firstly 10ml,the total dose is 10ml/24h interval every time,the antalgic time is about 50 hours. To compare the antalgic effects of ropivacaine in various doses based on standard of VAS. Based on standard of Bromage to assess the situation of motor neuron blocking. Results According to standard of VAS in 6,12,24 and 48 hours after underwent surgery, the group Ⅲ is more effective than group Ⅰ and group Ⅱ ; according to standard of Bromage, the group Ⅰ is more effective than group Ⅱ and group Ⅲ. it has no adverse reactions to patients. Condusion 0. 25% of ropiva-eaine with morphine of 0.1mg/ml and lidocaine of 10mg/ml have obtained good antalgic effects for patients after un-dergoing upper arm surgery,it is fit for applying in clinic.     

工作场所化学因素采样和检测的室间比对结果分析

目的通过分析工作场所化学因素采样规范性和检测准确性,提高采样和检测能力。方法收集本院2013~2015年参加工作场所化学因素现场采样和实验室检测相结合的室间比对结果,对采样流量核查、实验室检测和采样的规范性结果的合格情况进行评价。结果参加工作场所化学因素现场采样和实验室检测相结合室间比对项目共13项,总体合格率(优秀率)为76.9%(30.8%),不同年份的室间比对项目合格率(优秀率)分别为25.0%(0.00%)、100%(20.0%)和100%(75.0%)。采样流量核查项目5项,总体合格率(优秀率)为80.0%(40.0%);采样后样品实验室检测项目6项,总体合格率(优秀率)为66.7%(33.3%);采样的规范性项目2项,均合格。结论采样阶段加强质量控制是检测结果准确性的重要基础;参加工作场所化学因素现场采样和实验室检测的室间比对有利于提升职业卫生技术服务能力。     

2013—2015年某实验室职业卫生检测实验室间比对结果分析

目的 通过实验室间比对活动,发现和解决存在问题,进一步提高职业卫生检测实验室检测能力。 方法 收集惠州市职业病防治院实验室2013-2015年参加职业卫生检测实验室间比对数据,进行汇总分析。 结果 参加职业卫生检测实验室间比对共35项,总体合格率(优秀率)为85.7%(68.6%),2013-2015年的室间比对合格率(优秀率)分别为80.0%(40.0%)、75.0%(41.7%)和94.4%(94.4%),工作场所有机物、非金属无机物、金属、粉尘中游离二氧化硅和生物样品金属检测比对合格率(优秀率)分别为81.3%(62.5%)、66.7%(33.3%)、100%(83.3%)、100%(100%)和83.3%(83.3%),有机物定性分析比对结果合格。比对项目合格率(优秀率)逐年上升。 结论 通过连续参加比对活动,实验室内部质量管理持续改进,使检测工作更加规范、细致和准确,提示今后应继续保持运用有效的质量控制方法切实保障日常检测工作质量。     

不同浓度罗哌卡因术后臂丛神经镇痛的效果观察

Objective To compare the antalgic effects of ropivacaine in various doses on brachial plexus nerves. Methods 87 patients undergoing upper arm surgery were enrolled in this study. The patients were unpremed-itated. The patients were randomized to receive ropivacaine of 0.30,0.25 or 0.20% (group Ⅰ,Ⅱ and Ⅲ) with mor-phine of 0.1mg/ml and Lidocaine of 10mg/ml. In order to analygesia of brachial plexus nerves,the rejecting of load dose is firstly 10ml,the total dose is 10ml/24h interval every time,the antalgic time is about 50 hours. To compare the antalgic effects of ropivacaine in various doses based on standard of VAS. Based on standard of Bromage to assess the situation of motor neuron blocking. Results According to standard of VAS in 6,12,24 and 48 hours after underwent surgery, the group Ⅲ is more effective than group Ⅰ and group Ⅱ ; according to standard of Bromage, the group Ⅰ is more effective than group Ⅱ and group Ⅲ. it has no adverse reactions to patients. Condusion 0. 25% of ropiva-eaine with morphine of 0.1mg/ml and lidocaine of 10mg/ml have obtained good antalgic effects for patients after un-dergoing upper arm surgery,it is fit for applying in clinic.     

不同浓度罗哌卡因术后臂丛神经镇痛的效果观察

Objective To compare the antalgic effects of ropivacaine in various doses on brachial plexus nerves. Methods 87 patients undergoing upper arm surgery were enrolled in this study. The patients were unpremed-itated. The patients were randomized to receive ropivacaine of 0.30,0.25 or 0.20% (group Ⅰ,Ⅱ and Ⅲ) with mor-phine of 0.1mg/ml and Lidocaine of 10mg/ml. In order to analygesia of brachial plexus nerves,the rejecting of load dose is firstly 10ml,the total dose is 10ml/24h interval every time,the antalgic time is about 50 hours. To compare the antalgic effects of ropivacaine in various doses based on standard of VAS. Based on standard of Bromage to assess the situation of motor neuron blocking. Results According to standard of VAS in 6,12,24 and 48 hours after underwent surgery, the group Ⅲ is more effective than group Ⅰ and group Ⅱ ; according to standard of Bromage, the group Ⅰ is more effective than group Ⅱ and group Ⅲ. it has no adverse reactions to patients. Condusion 0. 25% of ropiva-eaine with morphine of 0.1mg/ml and lidocaine of 10mg/ml have obtained good antalgic effects for patients after un-dergoing upper arm surgery,it is fit for applying in clinic.