腹腔镜手术联合药物治疗子宫内膜异位症的临床疗效分析

目的评价腹腔镜手术联合药物治疗子宫内膜异位症的临床疗效。方法选取东莞市第三人民医院于2015年1月至2017年1月收治的150例子宫内膜异位症患者,按随机盲选法分为两组,对照组75例给予腹腔镜手术治疗,观察组75例给予腹腔镜手术联合药物治疗,对比两组临床治疗效果。结果在治疗总有效率方面,观察组为94.67%,明显要比对照组的70.67%高,两组数据差异有统计学意义(P<0.05)。在不良反应发生率方面,观察组为5.33%,明显要比对照组的22.67%低,两组数据差异有统计学意义(P<0.05)。结论对于子宫内膜异位症患者,采取腹腔镜手术联合药物进行治疗,具备显著疗效,能够降低不良反应发生率,因此,值得在临床中采纳及应用。     

对黏连性肠梗阻患者术后实施综合护理干预后的护理质量评价

目的探讨对黏连性肠梗阻患者术后实施综合护理干预后的护理质量。方法选取2014年1月至2014年12月期间在湖北省团风县人民医院接受治疗的腹部手术患者100例,将患者随机分为观察组与对照组,每组患者50例。其中对照组实施常规护理,观察组实施综合护理干预,比较两组患者的临床护理效果。结果观察组患者黏连性肠梗阻发生率低于对照组,胃肠道功能的恢复时间均短于对照组,组间比较差异具有统计学意义(P0.05)。结论腹部手术患者术后实施综合护理干预可减轻对胃肠道功能的影响,降低黏连性肠梗阻的发生几率。     

腹腔镜治疗卵巢囊肿的临床效果分析

目的探讨腹腔镜治疗卵巢囊肿的临床应用价值。方法选取天津市武清区中医医院于2012年6月到2017年2月收治的40例以腹腔镜方式治疗的卵巢囊肿患者为研究组,随机抽取同时期的进行开腹治疗的卵巢囊肿患者40例作为对照组。结果研究组患者在手术所需时间,手术过程中出血量,肛门的排气时间及住院天数方面明显优于对照组,对比结果存在显著的差异,具有统计学意义(P0.05)。另外,研究组患者治疗的总有效率达到97.5%,临床治疗效果明显优于对照组的82.5%,两组患者临床疗效情况对比有明显差异,具有统计学意义(P0.05)。结论腹腔镜手术作为一种新兴的微创技术,由于它手术时间短、出血少、恢复快、创伤小等特点,且具有良好的耐受性,成功的替代了常规开腹手术,已成为治疗卵巢囊肿的首选。     

腹腔镜子宫全切术对妇科良性肿瘤患者机体细胞免疫功能的影响

手术创伤可不同程度地干扰机体免疫功能,影响机体对外来微生物的识别和清除,从而影响术后疾病的恢复和预后,其影响程度与创伤程度相关,也有报道与手术切口的长度成正比[1].腹腔镜技术避免了腹腔脏器与外界环境的直接接触,并能最大限度地缩小手术切口.     

微小型甲状腺癌手术治疗的临床效果体会

目的探讨微小型甲状腺癌手术治疗的临床效果体会。方法将2014年3月—2015年3月在广州市番禺区中心医院肿瘤科治疗的70例微小型甲状腺癌患者随机分为两组,对照组采用开放性手术治疗,观察组采用内镜手术治疗,比较两组患者的治疗效果、术中各项指标、并发症发生率。结果两组患者治疗有效率无明显差异(P0.05);观察组手术时间、术中出血量、切口长度、住院时间与对照组相比,均有明显差异(P0.05);观察组术后切口感染、低钙抽搐、呼吸困难、喉返神经损伤等并发症发生率明显低于对照组,差异有统计学意义(P0.05)。结论微小型甲状腺癌采用内镜手术治疗效果更佳,利于患者的术后恢复,并发症的发生率也更低,具有积极的临床意义。     

妇科恶性肿瘤围手术期预防下肢深静脉血栓的治疗研究

目的探讨预防下肢深静脉血栓治疗对妇科恶性肿瘤患者的临床影响,为临床工作提供参考和依据。方法选取2014年5月—2015年9月间入住孝感市中心医院接受治疗的妇科恶性肿瘤患者70例,随机分成对照组和治疗组,每组35例。其中对照组患者给予常规治疗,治疗组患者给予预防下肢深静脉血栓治疗。对两组患者下肢深静脉血栓发生率以及患者、家属治疗满意率进行比较分析。结果经过治疗,治疗组仅有1例患者发生下肢深静脉血栓,经治疗康复出院,所有患者均未出现肺部栓塞;对照组患者共有13例发生下肢深静脉血栓,3例出现肺部栓塞,对照组患者下肢深静脉血栓发生率显著高于治疗组;同时治疗组患者及家属满意率显著高于对照组,以上差异均具有统计学意义(P0.05)。结论预防下肢深静脉血栓治疗可以显著降低妇科恶性肿瘤患者发病率,同时可以显著提高患者及家属的满意率,值得在临床工作中推广和应用。     

超声引导腹横肌平面阻滞在老年腹腔镜阑尾手术患者麻醉中的效果

本研究探讨全麻联合超声引导下腹横肌平面阻滞麻醉下实施老年腹腔镜阑尾手术的麻醉效果。选取实施全麻下腹腔镜阑尾切除术的患者160例,采用前瞻性随机试验方案,将纳入患者分为超声组和对照组各80例,两组均采用静脉全麻方式下腹腔镜手术治疗,超声组患者在上述麻醉方式基础上联合超声引导下腹横肌平面阻滞麻醉,对照组在上述麻醉方式基础上联合解剖方式定位下腹横肌平面阻滞麻醉,术后两组均采用静脉自控镇痛。结果显示,超声组在超声引导下实施腹横肌平面阻滞的操作时间短于对照组,超声引导下实施阻滞更加精准,超声组的阻滞起效时间较对照组更短(P<0.05);在麻醉相关药物(丙泊酚、瑞芬太尼)的用量方面超声组均低于对照组,超声组患者的麻醉药物使用量更低(P<0.05);术后6 h、12 h静息状态下的VAS评分超声组均低于对照组,术后2 h、6 h、12 h咳嗽状态下VAS评分超声组均低于对照组(P<0.05)。全麻联合超声引导下腹横肌平面阻滞麻醉较解剖定位下腹横肌平面阻滞操作更加精准,麻醉效果更好,患者术后疼痛程度更低,舒适度更高。     

外伤性颅骨缺损并脑积水同期手术治疗分析

目的探讨同期手术治疗外伤性颅骨缺损并脑积水的临床疗效。方法从天津市北辰医院收治的外伤性颅骨缺损并脑积水的患者当中抽取84例作为临床研究对象,根据治疗方式不同分为两组,对照组42例,分期行脑室-腹腔分流术和颅骨修补术;观察组42例,同期行脑室-腹腔分流术和颅骨修补术,比较两组患者的治疗效果。结果观察组患者的治疗总有效率明显高于对照组,并发症发生率明显低于对照组,结果对比具有显著差异(P0.05)。结论同期手术治疗外伤性颅骨缺损并脑积水的临床效果良好。     

阿托伐他汀联合缬沙坦对慢性肾炎的临床疗效分析

目的研究阿托伐他汀联合缬沙坦对慢性肾炎的临床疗效。方法以2014年1月—2016年6月慢性肾炎患者90例随机分为两组。单一药物组采用缬沙坦治疗,联合用药组采用阿托伐他汀联合缬沙坦治疗。比较两组患者慢性肾炎治疗总有效率;治疗前和治疗后患者肾功能指标、舒张压、收缩压的差异。结果联合用药组患者慢性肾炎治疗总有效率高于单一药物组,P0.05;治疗前两组肾功能指标、舒张压、收缩压比较无显著差异,P0.05;治疗后联合用药组肾功能指标、舒张压、收缩压改善幅度更大,P0.05。结论阿托伐他汀联合缬沙坦对慢性肾炎的临床疗效确切,可有效改善患者血压和肾功能,值得推广应用。     

健康教育对盆腔炎患者的临床影响分析

目的分析健康教育对盆腔炎住院患者的积极影响。方法选取2013年4月—2014年11月江门市人民医院接收的87例盆腔炎患者为研究对象,将其分为对照组(44例)施以常规护理,观察组(43例)在对照组基础上进行健康教育,对两组患者的健康教育知识掌握程度、疗效及护理满意度进行比较。结果观察组疾病认知达标率为95.35%,对照组81.82%(P0.05);观察组总有效率为93.02%,对照组79.55%(P0.05)。结论健康教育可有效提高盆腔炎患者对疾病认知程度,提高治疗效果,进而增加护理满意度。     

替硝唑联合盐酸左氧氟沙星对慢性盆腔炎患者的临床治疗价值

目的研究分析替硝唑联合盐酸左氧氟沙星对慢性盆腔炎患者的临床治疗价值。方法选取2015年9月至2016年9月期间在江西省共青城市人民医院治疗的90例慢性盆腔炎患者作为研究对象,采用随机数字表法将90例患者分为观察组和对照组,每组各为45例,评价两组治疗效果,评价指标包括治疗有效率和不良反应发生率。结果观察组患者治疗有效率比对照组高,两组数据比较差异有统计学意义(P0.05);观察组患者不良反应发生率比对照组低,两组数据比较差异有统计学意义(P0.05)。结论替硝唑联合盐酸左氧氟沙星对慢性盆腔炎患者的临床治疗价值较高,值得推荐采纳。     

Analysis of Adhesion at the Interface of Steamed Bread and Eggshell

The adhesion phenomenon of polymers occurs in nature and in human activity. In the present paper, an adhesion system of steamed bread and eggshell was observed in formation when steamed bread and eggshells were placed in close contact and cooled slightly in the ambient air. The adhesion phenomena and mechanism of the adhesion interface between the steamed bread and eggshell were investigated and systematically discussed. Strong-bond interfaces were observed by scanning electron microscope (SEM). The formation process and mechanism of the strong-bond adhesion were also analyzed molecular dynamics simulation technology, and the results are discussed. The simulation analyses showed that the starch molecules at the calcite (104) crystal face were diffused in a water vapor environment, and the formation and solidification of multiple hydrogen bonds in the starch chain and oxygen atoms in the calcium carbonate were observed in detail during cooling. The diffusion rate of hydrogen atoms in hydroxyl groups on the calcite surface decreased gradually with the decrease of the cooling temperature of the steamed bread’s upper surface. The strong adhesion of the steamed bread and eggshell is attributed to the synthetic effect of the absorption, diffusion, surface chemistry, and the formation of multiple hydrogen bonds between the starch from the steamed bread and the calcium carbonate crystals in eggshell. The interesting findings are helpful for the design of strong bonds, and provide an idea for new environmentally friendly adhesive materials.     

Dynamic Wetting Properties of Mesh Substrates with Tunable Water Adhesion

In nature, wetting phenomena are present nearly everywhere and are a source of inspiration for liquid transportation. A good understanding of the underlying dynamic phenomena that governs wettability is therefore extremely important for researchers involved in bio-inspired surfaces. Herein, we study the adhesive behavior with water of mesh substrates modified with structured copolymers in order to tune the surfaces from parahydrophobic states (high water adhesion) to superhydrophobic states (low water adhesion). Using the ejection test method (ETM), a new technique that consists of the ejection of water droplets deposited onto a substrate with the aid of a catapult system, we experimentally demonstrate that the elasticity of the mesh substrate can be exploited for efficient vertical actuation of droplets.     

Adhesion of an aromatic thermosetting copolyester with copper foils

Copper foils have been widely used in microelectronic devices. Adequate adhesion between copper foils to various substrates, such as Si, SiO₂, polyimide, is crucial to high performance of these devices. The adhesion between a new high temperature adhesive, aromatic thermosetting copolyester (ATSP), and various copper foils, namely, zinc(Zn)‐coated copper foil, copper foil and nickel (Ni)‐coated copper foil was characterized by a 90° peel strength test. It was found that the peel strength of Zn‐coated copper foil to ATSP was 1050 N/m, which was more than three times higher than copper foil and five times that of Ni‐coated copper foil. Scanning electron microscopy (SEM), atomic force microscopy (AFM) and X‐ray photoelectron spectroscopy (XPS) studies indicated that this higher adhesion results from the stronger mechanical interlocking due to the rougher surface of Zn‐coated copper foil, and from chemical reactions at the interface which occur during the curing process of ATSP on the Zn‐coated copper surface. In contract to the adhesive failure at the ATSP/Cu and ATSP/Ni interfaces, the failure mechanism of ATSP/Zn is both cohesive and adhesive. Copyright © 2004 John Wiley & Sons, Ltd.     

Adhesion Probability of Colloidal Particles with Repulsive Soft Interaction

Computer simulations of the irreversible adhesion of charged colloidal particles at a solid/liquid interface are performed to determine whether the distribution of particles in the vicinity of a preadsorbed (also charged) one follows the Boltzmann law applied to ana prioriuniform adhesion probability, as first assumed by Adamczyket al.(J. Colloid Interface Sci.140, 123 (1990)). If true, this would indicate that the whole information on the deposition process is contained in the potential energy distribution on the adsorbing surface. In general, diffusion in a field of force and the irreversibility of the process induce significant deviations from the Boltzmann-weighted uniform adhesion density. Nevertheless, it is shown that for particles characterized by a small gravitational energy this procedure leads to a reasonable first approximation of the distribution of the particles over the adsorbing surface. This observation thus demonstrates the validity of Adamczyk's assumption and extends its range of applicability to the case of a weak gravitational field.     

异氰酸酯对EPDM橡胶粘接的影响

异氰酸酯对EPDM橡胶粘接的影响;EPDM橡胶;异氰酸酯;粘接