目的探讨呼气末正压(PEEP)、Trendelenburg体位及两者联合应用对喉罩全身麻醉患者颈内静脉横截面积(CSA)的影响。方法择期喉罩全身麻醉患者60例,随机分为4组:PEEP 0 cm H_2O(1 cm H_2O≈98 Pa,P0组)、Trendelenburg体位(T组)、PEEP 10 c...目的探讨呼气末正压(PEEP)、Trendelenburg体位及两者联合应用对喉罩全身麻醉患者颈内静脉横截面积(CSA)的影响。方法择期喉罩全身麻醉患者60例,随机分为4组:PEEP 0 cm H_2O(1 cm H_2O≈98 Pa,P0组)、Trendelenburg体位(T组)、PEEP 10 cm H_2O(P10组)和Trendelenburg体位联合PEEP 10 cm H_2O(C组)。患者先后于4个分组方案下接受右侧颈部超声检查,记录各个分组的颈内静脉CSA、平均动脉压(MAP)、心率(HR)和血管活性药使用次数。结果所有患者的右侧颈内静脉清晰可见。与P0组相比,T组、P10组和C组患者颈内静脉CSA均有增加(均<0.01);与C组比较,P10组颈内静脉CSA显著减小(<0.05)。4组MAP差异有统计学意义(<0.05),与P0组比较,C组MAP降低(<0.05)。结论 10 cm H_2O PEEP和Trendelenburg体位均能显著增加喉罩全身麻醉患者右侧颈内静脉CSA,联合应用可能影响循环稳定。展开更多
Introduction: The end of pregnancy is a high-risk period for both mother and foetus. Rigorous monitoring can prevent complications before delivery. Materials and Method: We conducted a descriptive cross-sectional obse...Introduction: The end of pregnancy is a high-risk period for both mother and foetus. Rigorous monitoring can prevent complications before delivery. Materials and Method: We conducted a descriptive cross-sectional observational study. It took place in the delivery room of the Teacher hospital Mother and Child of Jeanne Ebori Fondation from the 01 October 2020 to 01 October 2021. All patients followed at the Functional Investigation Centre (FIC) of the CHUMEFJE and who gave birth in that same hospital were included. Data were collected on the basis of pregnancy diaries, the fic register and delivery room registers. They were analysed using SPSS Statistical Software. Results: During the period of our study, 4086 parturients arrived in the delivery room. Of these, 150 were followed up at the FIC, giving a prevalence of 3.7%. The majority of parturients (48%) had only one prenatal contact. 6 (4%) patients underwent pelvic scans, and 4 (2.6%) presented with a narrowed pelvis. A vaginal delivery was performed in 80% of cases, and of the caesarean sections, 9 (30%) could be scheduled. The maternal prognosis was marred by one post-partum complication of hypertension, and newborns with poor adaptation to life outside the womb accounted for 3.3% of cases. Conclusion: The Functional Investigation Centre makes it possible to detect anomalies at the end of pregnancy with a view to better planning of delivery.展开更多
目的探讨癌症患者临终沟通障碍现状,分析其影响因素,为临床医护人员实施家庭干预提供理论依据。方法本研究为横断面研究,采用方便抽样法,选取2022年12月—2023年5月本市3所三级甲等综合医院的354例癌症患者,使用一般资料问卷、中文版临...目的探讨癌症患者临终沟通障碍现状,分析其影响因素,为临床医护人员实施家庭干预提供理论依据。方法本研究为横断面研究,采用方便抽样法,选取2022年12月—2023年5月本市3所三级甲等综合医院的354例癌症患者,使用一般资料问卷、中文版临终沟通障碍-家庭版量表(difficulties in end of life discussions-family inventory,DEOLD-FI)、家庭功能评定量表(family assessment device,FAD)和中文版癌症自我管理效能感量表(strategies used by people to promote health,SUPPH)对其进行调查。采用方差分析、独立样本t检验、Pearson相关分析进行单因素分析;采用多重线性回归分析癌症患者临终沟通障碍的影响因素。结果320例癌症患者完成研究。癌症患者临终沟通障碍得分为(76.5±16.0)分,处于中等水平。多重线性回归分析显示,年龄越大者、自我管理效能感越高者、家庭功能越好者其临终沟通障碍越低,合并3种及以上基础疾病者其临终沟通障碍最低。结论癌症患者临终沟通障碍处于中等水平,医护人员应针对原因,通过家庭、医院和社工等多方合作,降低癌症患者的临终沟通障碍水平。展开更多
文摘目的探讨呼气末正压(PEEP)、Trendelenburg体位及两者联合应用对喉罩全身麻醉患者颈内静脉横截面积(CSA)的影响。方法择期喉罩全身麻醉患者60例,随机分为4组:PEEP 0 cm H_2O(1 cm H_2O≈98 Pa,P0组)、Trendelenburg体位(T组)、PEEP 10 cm H_2O(P10组)和Trendelenburg体位联合PEEP 10 cm H_2O(C组)。患者先后于4个分组方案下接受右侧颈部超声检查,记录各个分组的颈内静脉CSA、平均动脉压(MAP)、心率(HR)和血管活性药使用次数。结果所有患者的右侧颈内静脉清晰可见。与P0组相比,T组、P10组和C组患者颈内静脉CSA均有增加(均<0.01);与C组比较,P10组颈内静脉CSA显著减小(<0.05)。4组MAP差异有统计学意义(<0.05),与P0组比较,C组MAP降低(<0.05)。结论 10 cm H_2O PEEP和Trendelenburg体位均能显著增加喉罩全身麻醉患者右侧颈内静脉CSA,联合应用可能影响循环稳定。
文摘Introduction: The end of pregnancy is a high-risk period for both mother and foetus. Rigorous monitoring can prevent complications before delivery. Materials and Method: We conducted a descriptive cross-sectional observational study. It took place in the delivery room of the Teacher hospital Mother and Child of Jeanne Ebori Fondation from the 01 October 2020 to 01 October 2021. All patients followed at the Functional Investigation Centre (FIC) of the CHUMEFJE and who gave birth in that same hospital were included. Data were collected on the basis of pregnancy diaries, the fic register and delivery room registers. They were analysed using SPSS Statistical Software. Results: During the period of our study, 4086 parturients arrived in the delivery room. Of these, 150 were followed up at the FIC, giving a prevalence of 3.7%. The majority of parturients (48%) had only one prenatal contact. 6 (4%) patients underwent pelvic scans, and 4 (2.6%) presented with a narrowed pelvis. A vaginal delivery was performed in 80% of cases, and of the caesarean sections, 9 (30%) could be scheduled. The maternal prognosis was marred by one post-partum complication of hypertension, and newborns with poor adaptation to life outside the womb accounted for 3.3% of cases. Conclusion: The Functional Investigation Centre makes it possible to detect anomalies at the end of pregnancy with a view to better planning of delivery.
文摘目的探讨癌症患者临终沟通障碍现状,分析其影响因素,为临床医护人员实施家庭干预提供理论依据。方法本研究为横断面研究,采用方便抽样法,选取2022年12月—2023年5月本市3所三级甲等综合医院的354例癌症患者,使用一般资料问卷、中文版临终沟通障碍-家庭版量表(difficulties in end of life discussions-family inventory,DEOLD-FI)、家庭功能评定量表(family assessment device,FAD)和中文版癌症自我管理效能感量表(strategies used by people to promote health,SUPPH)对其进行调查。采用方差分析、独立样本t检验、Pearson相关分析进行单因素分析;采用多重线性回归分析癌症患者临终沟通障碍的影响因素。结果320例癌症患者完成研究。癌症患者临终沟通障碍得分为(76.5±16.0)分,处于中等水平。多重线性回归分析显示,年龄越大者、自我管理效能感越高者、家庭功能越好者其临终沟通障碍越低,合并3种及以上基础疾病者其临终沟通障碍最低。结论癌症患者临终沟通障碍处于中等水平,医护人员应针对原因,通过家庭、医院和社工等多方合作,降低癌症患者的临终沟通障碍水平。
