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National Science Review 2022年第2期9卷 13-20页

作者： xiao-dong Song Fei yang Hua-Yong Wu Jing Zhang De-cheng Li Feng Liu Yu-Guo Zhao Jin-Ling yang Bing Ju Chong-Fa Cai Biao Huang Huai-Yu Long ying Lu Yue-Yu Sui Qiu-Bing Wang Ke-Ning Wu Feng-Rong Zhang Ming-Kui Zhang Zhou Shi Wan-Zhu Ma Gang Xin Zhi-Ping Qi Qing-Rui Chang En Ci Da-Gang Yuan yang-Zhu Zhang Jun-Ping Bai jia-ying chen jie chen yin-Jun chen Yun-zhong dong chun-Lan Han Ling Li Li-Ming Liu jian-Jun Pan Fu-peng Song Fu-Jun Sun Deng-Feng Wang tian-Wei Wang Xiang-Hua Wei Hong-Qi Wu Xia Zhao Qing Zhou Gan-Lin Zhang State Key Laboratory of Soil and Sustainable Agriculture Institute of Soil Science Chinese Academy of Sciences College of Advanced Agricultural Sciences University of Chinese Academy of Sciences College of Resources and Environment Huazhong Agricultural University Institute of Agricultural Resources and Regional Planning Chinese Academy of Agricultural Sciences College of Natural Resources and Environment South China Agricultural University Northeast Institute of Geography and Agroecology Chinese Academy of Sciences College of Land and Environment Shenyang Agricultural University School of Land Science and Technology China University of Geosciences College of Land Science and Technology China Agricultural University College of Environmental and Resource Sciences Zhejiang University Institute of Digital Agriculture Zhejiang Academy of Agricultural Sciences College of Agriculture Heilongjiang Bayi Agricultural University Tropical Crops Genetic Resources Institute Chinese Academy of Tropical Agricultural Sciences College of Natural Resources and Environment Northwest A & F University College of Resources and Environment Southwest University College of Resources Sichuan Agricultural University College of Resources and Environment Hunan Agricultural University Institute of Agricultural Product Quality Standard and Testing Research Tibet Academy of Agricultural and Animal Husbandry Sciences School of Agricultural Sciences Zhengzhou University Institute of Agriculture Environment and Resources Research Shanxi Academy of Agricultural Sciences College of Resources and Environment Henan Agricultural University College of Resources and Environment China Agricultural University College of Resources and Environmental Sciences Nanjing Agricultural University College of Resources and Environment Shandong Agricultural University Agricultural College Guangxi University College of Grassland and Environment Science Xinjiang Agricultural University College of Geographical Science Qinghai Normal University

Widespread soil acidification due to atmospheric acid deposition and agricultural fertilization may greatly accelerate soil carbonate dissolution and ***,to date,few studies have addressed these ***,we use meta-analysis and nationwide-survey datasets to investigate changes in soil inorganic carbon(SIC) stocks in *** observe an overall decrease in SIC stocks in topsoil(0-30 cm)(11.33 g C m-2yr-1) from the 1980 s to the 2010 *** SIC stocks have decreased by～8.99±2.24%(1.37±0.37 Pg C).The average SIC losses across China(0.046 Pg C yr-1) and in cropland(0.016 Pg C yr-1) account for～17.6%-24.0% of the terrestrial C sink and 57.1% of the soil organic carbon sink in cropland,*** deposition and climate change have profound influences on SIC *** estimate that～19.12%-19.47% of SIC stocks will be further lost by *** consumption of SIC may offset a large portion of global efforts aimed at ecosystem carbon sequestration,which emphasizes the importance of achieving a better understanding of the indirect coupling mechanisms of nitrogen and carbon cycling and of effective countermeasures to minimize SIC loss.

关键词： China soil inorganic carbon stocks global change carbonate soil acidification

Consensus statement on layout and delivery of automatic external defibrillator in China

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Journal of Hainan Medical University 2020年第15期26卷 18-23页

作者： Yu Cao Song chen Yan-Fen Chai xiao-Hui chen Yu-Guo chen Shao-Wen cheng Wen-Wei cheng Bang-Han Ding yang Deng jie Fu Bang-jiang Fang Mai-ying Fan Li Gui Ping Gong Wei Guo shu-Bin Guo Liang Huang Ji-Yuan Han zhong Ji Xian-Fei Ji Xin-Cai Ji Hong-Xu Jin Xin-Jun jiang Wang-Xiang jiang jia-Liang Liu xiao-Ran Liu Zhi Liu Chuan-Zhu Lv Feng Lu Tan-Shi Li Xin Li Yong Li Shang-Lun Li shuang-Ming Li xiao-Gang Li Bao-Jun Li Pei-Wu Li chun-Sheng Li Zhi-Jun Li Chang-Luo Li Xiang-Min Li yin-Ping Li Zong-Jun Lu Zu-Xun Lu zhong-Qiu Lu Zhi-Qian Luo xiao-Xing Liao jian-Bo lei Tao Ma Yu Ma Yue-Feng Ma Qing-Bian Ma Lin-Hao Ma Jun-Qi Ma Shi-nan Nie jie-Miao Ou-yang peng peng Qiao Pei shu-Ming Pan Guo-zhong Qing Li-jie Qin Wu-ying Qiao Fei Shao Wei Song Xing-Yue Song Zhen-Ju Song Rong-Ju Sun De-Ya Shang Du-Juan Sha Gui-Lan Tao Guo-Gang tian ying-Ping tian jian-Guang tian Chao-yang Tong Zi-Ren tang Meng-Xiong tang Guo-Ping Wu Zhi Wan Tao Wang Xin Wang peng Wang zhong Wang Tong Wang Ri-Xing Wang yi-Xin Wang xiao-Dan Wang Ling Wu Wei Wei Hua Xiang Feng Xu Jun Xu jie Xu Miao-Rong Xie shuo-Gui Xu Tie Xu Feng Yu Wen yi Li-Shan yang Shi-jiao Yan Jin-jian Yao Shou-chun Yan Xue-zhong Yu Xian-Zhi Ye Xian-Liang Yan Fu-Bing Zhou Rong-Bin Zhou Ming Zhou Qiang Zhou Jin Zhou Ping Zhou Chang-Ju Zhu Hua-dong Zhu Ji-Hong Zhu Hong Zhang Mao Zhang Hua Zhang Na Zhang Guo-Qiang Zhang Guo-Xiu Zhang Jin-Song Zhang Wen-Wu Zhang Wen-zhong Zhang jian-Feng Zhang yi-Min Zhu Jun Zeng Yuan Zheng Zhi-jie Zheng Shen Zhao Yan Zhao Min Zhao Bin Zhao xiao-dong Zhao xiao-Jing Zhao Hong-Ke Zeng Sheng-Qiang Zou The Chinese Society of Emergency Medicine Research Unit of Island Emergency Medicine Chinese Academy of Medical SciencesHainan Medical University Key Laboratory of Emergency and Trauma of Ministry of Education Hainan Medical UniversityHaikouHainanChina Emergency and Trauma College Hainan Medical UniversityHaikouHainanChina Department of Emergency Hainan Clinical Research Center for Acute and Critical DiseasesThe Second Affiliated Hospital of Hainan Medical UniversityHaikouHainanChina Key Laboratory of Hainan Trauma and Disaster Rescue Key Laboratory of Trauma of Hainan Medical University

*** Sudden cardiac death(SCD)refers to sudden death due to a variety of cardiac *** is manifested as a sudden loss of consciousness,cardiac arrest,and respiratory arrest and generally shows early symptoms that are atypical and not easily detected[1].According to a recent study,nearly 544000 patients suffer from SCD every year in China[2].

关键词： cardiac death respiratory

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输尿管镜致输尿管损伤16例原因分析

中国内镜杂志 2005年第5期11卷 537-538,541页

作者：李春邱建忠郑洁黄小佳彭瑞元于海宽深圳市宝安人民医院泌尿外科广东深圳518101

目的探讨输尿管镜所致的输尿管损伤的原因及预防方法。方法回顾分析1998年8月起,该院开展输尿管镜以来所致的输尿管损伤16例的临床资料。结果该组16例中,输尿管口撕裂6例,输尿管穿孔7例,输尿管黏膜袖状剥离1例,输尿管断裂1例,黏膜下隧道... 详细信息

目的探讨输尿管镜所致的输尿管损伤的原因及预防方法。方法回顾分析1998年8月起,该院开展输尿管镜以来所致的输尿管损伤16例的临床资料。结果该组16例中,输尿管口撕裂6例,输尿管穿孔7例,输尿管黏膜袖状剥离1例,输尿管断裂1例,黏膜下隧道1例。结论选择合适的病例进行输尿管镜碎石术是减少其并发症的前提;术中保持视野清晰,正确进镜碎石是手术成功的关键;留置支架管能减少输尿管狭窄的发生。

关键词：输尿管镜输尿管损伤输尿管结石

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输尿管镜下气压弹道碎石术治疗尿道结石

中国内镜杂志 2005年第4期11卷 420-421页

作者：邱建忠李春李晓铭彭瑞元黄小佳于海宽深圳市宝安人民医院泌尿外科广东深圳518101

目的探讨输尿管镜下气压弹道碎石术对尿道结石的治疗。方法总结输尿管镜下气压弹道碎石术治疗38例尿道结石的临床资料。结果全组病例均一次性碎石成功,无任何并发症发生。结论输尿管镜下气压弹道碎石术治疗尿道结石是一种十分简单、快... 详细信息

目的探讨输尿管镜下气压弹道碎石术对尿道结石的治疗。方法总结输尿管镜下气压弹道碎石术治疗38例尿道结石的临床资料。结果全组病例均一次性碎石成功,无任何并发症发生。结论输尿管镜下气压弹道碎石术治疗尿道结石是一种十分简单、快捷、高效、安全的治疗方法。

关键词：输尿管镜气压弹道碎石术尿道结石

心血管疾病研究者对动物实验伦理认知度调查与分析

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实验动物科学 2013年第1期30卷 31-34页

作者：崔永春田忠唐跃孙嘉康吴爱丽刘晓鹏罗富良中国医学科学院北京协和医学院阜外心血管病医院心血管病研究所(心血管转化医学国家重点实验室) 北京100037

目的了解不同层次心血管疾病研究者对于现有实验动物福利保护和动物伦理知识的认知,为动物实验伦理培训提供新策略,为进一步完善实验动物福利保护措施和伦理规制提供依据。方法选择从2009年1月1日至2012年6月30日在中国医学科学院阜外... 详细信息

目的了解不同层次心血管疾病研究者对于现有实验动物福利保护和动物伦理知识的认知,为动物实验伦理培训提供新策略,为进一步完善实验动物福利保护措施和伦理规制提供依据。方法选择从2009年1月1日至2012年6月30日在中国医学科学院阜外心血管病医院动物实验中心开展动物实验的197名研究者开展问卷调查,根据《北京市实验动物福利伦理审查指南》自行设计调查问卷,并对结果进行分析。结果对动物福利与伦理知识的认知得分,54.3%良好,35.5%合格,10.2%不合格,不合格者均为年龄20～30岁之间无动物实验科研经历的研究生。结论研究者对动物福利与伦理认知度参差不齐,有必要加强实验动物伦理培训,尤其是对有动物实验需求的新入学的研究生。

关键词：心血管疾病动物实验伦理认知影响因素

CEPC Technical Design Report

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Radiation Detection Technology and Methods 2024年第1期8卷 I0003-I0016,1-1091页

作者： Waleed Abdallah Tiago Carlos Adorno de Freitas Konstantin Afanaciev Shakeel Ahmad Ijaz Ahmed xiaocong Ai Abid Aleem Wolfgang Altmannshofer Fabio Alves Weiming An Rui An Daniele Paolo Anderle Stefan Antusch Yasuo Arai Andrej Arbuzov Abdesslam Arhrib Mustafa Ashry Sha Bai Yu Bai yang Bai Vipul Bairathi Csaba Balazs Philip Bambade Yong Ban Tripamo Bandyopadhyay Shou-Shan Bao Desmond P.Barber Ayse Bat Varvara Batozskaya Subash Chandra Behera Alexander Belyaev Michele Bertucci xiao-Jun Bi Yuanjie Bi tianjian Bian Fabrizio Bianchi Thomas Biekotter Michela Biglietti Shalva Bilanishvili Deng Binglin Denis Bodrov Anton Bogomyagkov Serge Bondarenko Stewart Boogert Maarten Boonekamp Marcello Borri Angelo Bosotti Vincent Boudry Mohammed Boukidi Igor Boyko Ivanka Bozovic Giuseppe Bozzi Jean-Claude Brient Anastasiia Budzinskaya Masroor Bukhari Vladimir Bytev Giacomo Cacciapaglia Hua Cai Wenyong Cai Wujun Cai yijian Cai yizhou Cai Yuchen Cai Haiying Cai Huacheng Cai Lorenzo Calibbi Junsong Cang Guofu Cao jianshe Cao Antoine Chance Xuejun Chang Yue Chang Zhe Chang Xinyuan Chang Wei Chao Auttakit Chatrabhuti yimin Che Yuzhi Che Bin chen Danping chen Fuqing chen Fusan chen Gang chen Guoming chen Hua-Xing chen Huirun chen Jinhui chen Ji-Yuan chen Kai chen Mali chen Mingjun chen Mingshui chen Ning chen Shanhong chen Shanzhen chen Shao-Long chen Shaomin chen Shiqiang chen tianlu chen Wei chen Xiang chen xiaoyu chen Xin chen Xun chen Xurong chen Ye chen ying chen Yukai chen Zelin chen Zilin chen Gang chen Boping chen chunhui chen Hok Chuen cheng Huajie cheng Shan cheng Tongguang cheng Yunlong Chi Pietro Chimenti Wen Han Chiu Guk Cho Ming-chung Chu xiaotong Chu Ziliang Chu Guglielmo Coloretti Andreas Crivellin Hanhua Cui xiaohao Cui Zhaoyuan Cui Brunella D'Anzi Ling-Yun Dai Xinchen Dai Xuwen Dai Antonio De Maria Nicola De Filippis Christophe De La Taille Francesca De Mori Chiara De Sio Elisa Del Core shuangxue Deng Wei-tian Deng Zhi Deng Ziyan Deng Bhupal Dev tang Dewen Biagio Di Micco Ran Ding Siqin Dingl Yadong Ding Haiyi dong jianin AGH University of Science and Technology Faculty of Physics and Applied Computer ScienceKrakow Anhui University HefeiAnhui Applied Physics Department Federal Urdu University of ArtsScience and TechnologyIslamabad Banaras Hindu University Institute of ScienceVaranasi Bandirma Onyedi Eylul University Bandirma Beihang University Beijing Beijing Computational Science Research Center Beijing Beijing Conveyi LTD Beijing Beijing Glass Research Institute Co. LtdBeijing Beijing Institute of Technology Beijing Beijing Normal University Beijing Brown University ProvidenceRI Budker Institute of Nuclear Physics Novosibirsk Cadi Ayyad University Laboratory of Fundamental and Applied PhysicsPolydisciplinary FacultyMarrakech Cairo University Giza Center for Theory and Computation National Tsing Hua UniversityHsinchu Central China Normal University WuhanHubei Central South University ChangshaHunan Centro de Fisica Teorica de Particulas Universidade Tecnica de LisboaLisboa chengdu KaitengSifang Digital Radio&TV Equipment Co. LtdChengduSichuan China academy of engineering physics MianyangSichuan China building materials academy Beijing China Center of Advanced Science and Technology Beijing China Institute of Atomic Energy Beijing China Jiliang University HangzhouZhejiang China Nuclear Instrument CO. LTDBeijing China University of Geosciences Beijing China University of Geosciences WuhanHubei China University of Mining and Technology XuzhouJiangsu China West Normal University NanchongSichuan Chongqing University Department of PhysicsChongqing Chulalongkorn University Bangkok City University of Hong Kong Department of PhysicsHong Kong Cockcroft Institute Daresbury Cornell University IthacaNY CPPM(AMU/IPhU&CNRS/INP) Marseille Dalian Minzu University DalianLiaoning Dalian University of Technology Department of PhysicsDalian Deutsches Elektronen-Synchrotron DESY Hamburg Dzhelepov Laboratory of Nuclear Problems of Joint Institute for Nuclear Research(DLNP JINR) Dubna East China University Of Science And Technol

The Circular Electron Positron Collider(CEPC)is a large scientific project initiated and hosted by China,fostered through extensive collaboration with international *** complex comprises four accelerators:a 30 GeV Linac,a 1.1 GeV Damping Ring,a Booster capable of achieving energies up to 180 GeV,and a Collider operating at varying energy modes(Z,W,H,and tt).The Linac and Damping Ring are situated on the surface,while the subterranean Booster and Collider are housed in a 100 km circumference underground tunnel,strategically accommodating future expansion with provisions for a potential Super Proton Proton Collider(SPPC).The CEPC primarily serves as a Higgs *** its baseline design with synchrotron radiation(SR)power of 30 MW per beam,it can achieve a luminosity of 5×10^(34)cm^(-2)s^(-1)per interaction point(IP),resulting in an integrated luminosity of 13 ab^(-1)for two IPs over a decade,producing 2.6 million Higgs *** the SR power to 50 MW per beam expands the CEPC's capability to generate 4.3 million Higgs bosons,facilitating precise measurements of Higgs coupling at sub-percent levels,exceeding the precision expected from the HL-LHC by an order of *** Technical Design Report(TDR)follows the Preliminary Conceptual Design Report(Pre-CDR,2015)and the Conceptual Design Report(CDR,2018),comprehensively detailing the machine's layout,performance metrics,physical design and analysis,technical systems design,R&D and prototyping efforts,and associated civil engineering ***,it includes a cost estimate and a preliminary construction timeline,establishing a framework for forthcoming engineering design phase and site selection *** is anticipated to begin around 2027-2028,pending government approval,with an estimated duration of 8 *** commencement of experiments and data collection could potentially be initiated in the mid-2030s.

关键词： initiated exceeding precise

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膝关节骨折患者康复模式的前瞻性多中心研究

中国骨与关节杂志 2016年第3期5卷 199-204页

作者：李涛周谋望侯树勋吴新宝田耘喇高燕李玲唐金树朱加亮郭险峰吕艳伟李淳德王宁华谢欲晓林朋李中实海涌赵会薛庆云顾新马华松陆明马远征李大伟北京大学第三医院 100083 解放军总医院第一附属医院北京100048 北京积水潭医院 100035 北京大学第一医院 100034 中日友好医院北京100029 首都医科大学附属北京朝阳医院北京100020 北京医院 100730 解放军第306医院北京100101 解放军第309医院北京100091

目的探讨膝关节骨折术后采用不同康复模式的治疗效果,提出适宜的膝关节骨折术后早期康复模式。方法纳入9家医院因膝关节骨折进行手术治疗后的279例患者作为研究对象,分为对照组和观察组。对照组采用现行骨科康复模式,观察组采用骨科康... 详细信息

目的探讨膝关节骨折术后采用不同康复模式的治疗效果,提出适宜的膝关节骨折术后早期康复模式。方法纳入9家医院因膝关节骨折进行手术治疗后的279例患者作为研究对象,分为对照组和观察组。对照组采用现行骨科康复模式,观察组采用骨科康复一体化模式进行术后康复。分别在术后5天、12周、24周行视觉模拟评分(visual analague scale,VAS)、关节活动度评定;术后12周、24周行HSS(hospital for special surgery)功能和Berg平衡量表评定。结果膝关节骨折患者VAS评分观察组术后5天(4.35±3.17)分,术后12周(1.07±1.17)分,术后24周(0.45±0.78)分与对照组术后5天(4.05±2.03)分,术后12周(1.35±1.44)分,术后24周(0.58±0.99)分,差异无统计学意义(P>0.05)。Berg评分观察组术后12周(46.62±9.08)分,术后24周(53.78±4.90)分,对照组术后12周(43.27±12.35)分,术后24周(52.44±6.40)分,差异无统计学意义(P>0.05)。观察组膝关节主动屈曲活动度术后5天(45.16±32.33)°,术后12周(115.23±18.07)°,均优于对照组术后5天(30.36±32.15)°,术后12周(109.71±25.31)°(P=0.006,P=0.041),术后24周两组差异无统计学意义;膝关节主动伸直活动度观察组术后5天(1.50±4.67)°,术后12周(2.01±4.34)°,术后24周(1.06±3.64)°,对照组术后5天(1.14±5.66)°,术后12周(2.08±5.26)°,术后24周(1.03±4.10)°,差异无统计学意义(P>0.05);HSS评分观察组术后12周(73.52±14.46)分,术后24周(91.35±9.94)分,对照组术后12周(71.14±14.15)分,术后24周(90.11±10.24)分,差异无统计学意义(P>0.05),HSS"功能"维度观察组术后12周(16.12±5.26)分,显著优于对照组(13.88±5.40)分(P=0.003)。结论骨科康复一体化模式不增加膝关节骨折术后患者的疼痛,可更好地改善膝关节骨折患者术后功能指标,适合作为膝关节骨折术后早期康复模式。

关键词：膝关节骨折康复治疗结果多中心研究前瞻性研究

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肘关节骨折患者康复模式的前瞻性多中心研究

中国骨与关节杂志 2016年第4期5卷 261-266页

作者：李涛周谋望侯树勋吴新宝田耘喇高燕刘京宇李玲唐金树朱加亮郭险峰吕艳伟李淳德王宁华谢欲晓林朋李中实海涌赵会薛庆云顾新马华松陆明马远征李大伟北京大学第三医院康复科 100191 解放军总医院附属第一医院骨科北京100048 北京积水潭医院创伤骨科 100035 北京大学第三医院骨科 100191 解放军总医院附属第一医院康复科北京100048 北京积水潭医院康复科 100035 北京大学第一医院骨科 100034 北京大学第一医院康复科 100034 中日友好医院康复科北京100029 中日友好医院骨科北京100029 首都医科大学附属北京朝阳医院骨科北京100020 首都医科大学附属北京朝阳医院康复科北京100020 北京医院骨科 100730 北京医院康复科 100730 解放军第306医院骨科北京100101 解放军第306医院康复科北京100101 解放军第309医院骨科北京100091

目的探讨肘关节骨折术后采用不同康复模式的治疗效果,提出适宜的肘关节骨折术后早期康复模式。方法在9家医院因肘关节骨折129例行手术治疗后的患者作为研究对象,采用队列研究方法,分为对照组和观察组。对照组采用现行骨科康复模式,观察... 详细信息

目的探讨肘关节骨折术后采用不同康复模式的治疗效果,提出适宜的肘关节骨折术后早期康复模式。方法在9家医院因肘关节骨折129例行手术治疗后的患者作为研究对象,采用队列研究方法,分为对照组和观察组。对照组采用现行骨科康复模式,观察组采用骨科康复一体化模式进行术后康复。分别在术后5天、12周、24周进行视觉模拟评分(visual analague scale,VAS)、关节活动度评定,术后12周、24周进行HSS(hospital for special surgery)功能评定。结果 VAS评分观察组:术后5天(3.94±2.12)分,术后12周(1.04±1.46)分,术后24周(0.38±0.76)分;对照组:术后5天(3.12±1.54)分,术后12周(1.12±1.28)分,术后24周(0.75±1.12)分,差异无统计学意义(P>0.05)。主动屈曲和伸直活动度观察组:屈曲术后5天(72.07±28.08)°,术后12周(107.55±24.11)°,术后24周(120.40±22.56)°;伸直术后5天(18.97±18.68)°,术后12周(15.59±17.51)°,术后24周(10.51±14.66)°;对照组(屈曲术后5天(68.24±28.29)°,术后12周(107.50±20.64)°,术后24周(117.82±18.66)°;伸直术后5天(17.54±25.34)°,术后12周(18.24±22.43)°,术后24周(14.27±23.99)°,差异无统计学意义(P>0.05)。前臂旋前和旋后术后5天及术后12周时观察组:旋前术后5天(51.50±30.95)°,术后12周(77.76±13.23)°;旋后术后5天(47.00±30.92)°,术后12周(77.14±15.67)°;对照组:旋前术后5天(42.22±29.67)°,术后12周(74.55±18.52)°;旋后术后5天(41.50±30.31)°,术后12周(71.98±21.99)°,差异无统计学意义(P>0.05);术后24周时观察组旋前(83.06±7.41)°,旋后(82.77±7.65)°,显著优于对照组旋前(78.30±14.59)°,旋后(73.56±22.67)°(P=0.035,P=0.005)。HSS评分术后12周观察组(77.00±15.06)分,对照组(68.14±19.35)分,差异无统计学意义(P>0.05);术后24周HSS评分观察组(89.73±9.17)分,显著优于对照组(78.57±20.39)分(P=0.015)。结论骨科康复一体化模式不增加肘关节骨折术后患者的疼痛,并能够更好地改善肘关节骨折术后患者功能指标,适合作为肘关节骨折术后早期康复模式。

关键词：肘关节骨折康复多中心研究前瞻性研究

康复指导对腰椎融合内固定术患者围手术期焦虑程度的影响研究

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中国骨与关节杂志 2016年第3期5卷 179-182页

作者：秦江侯树勋周谋望吴新宝李利吕艳伟朱加亮李涛石秀秀胡鸢唐金树任能田宇李淳德王宁华谢欲晓林朋李中实海涌赵会薛庆云顾新马华松陆明马远征李大伟解放军总医院第一附属医院、全军骨科研究所、北京市骨科植入医疗器械工程技术研究中心北京100048 北京大学第三医院 100083 北京积水潭医院 100035 北京大学第一医院 100034 中日友好医院北京100029 首都医科大学附属北京朝阳医院北京100020 北京医院 100730 解放军第306医院北京100101 解放军第309医院北京100091

目的观察单节段腰椎融合内固定术患者围手术期治疗前后焦虑程度的状况,探究术前康复指导对患者术后焦虑程度的影响。方法 2014年8月8日至2015年2月1日,我院收治52例腰椎退行性改变患者,其中男23例,女29例;平均年龄（43.55±12.21）岁,... 详细信息

目的观察单节段腰椎融合内固定术患者围手术期治疗前后焦虑程度的状况,探究术前康复指导对患者术后焦虑程度的影响。方法 2014年8月8日至2015年2月1日,我院收治52例腰椎退行性改变患者,其中男23例,女29例;平均年龄（43.55±12.21）岁,平均病程（14.26±8.31）个月。按观察组和对照组1∶1比例分配,观察组由康复医师、治疗师在术前、术后全程予以康复指导,对照组则由护士进行常规康复指导。术前和术后1周分别采用疼痛视觉模拟评分（visual analogue scale,VAS）和焦虑自评量表（self-rating anxiety scale,SAS）评价两组患者疼痛和焦虑情况,比较两组间的差异并分析两组术前、术后疼痛与焦虑的相关性。结果治疗前观察组与对照组VAS分别为（6.85±1.87）分和（7.38±1.63）分,SAS分别为（46.42±10.82）分和（50.35±10.10）分,两组评分具有可比性（P〉0.05）,术后两组VAS分别下降为（1.19±1.36）分和（1.73±1.43）分,SAS分别下降为（30.08±6.86）分和（35.12±10.08）分,均较治疗前有明显改善,差异有统计学意义（P〈0.05）,且两组组间比较差异有统计学意义（P〈0.05）,观察组优于对照组。此外,在相关性分析中,所有患者VAS与SAS具有相关性（P〈0.05）。25例存在焦虑症状的患者中,以41~50岁女性占绝大多数（18例,72%）,23例（92%）病程〉1年,16例（64%）接受至少2种以上的保守治疗方法,经术前医护人员指导及手术治疗后,轻中度焦虑患者均有明显减少。结论择期手术的患者存在心理焦虑的状态,其中与疼痛、病程、性别以及对疾病的预期转归等因素有关,予以正确术前康复指导,特别是心理疏导,在消除患者恐惧、积极面对手术以及对日后恢复都会起到积极的作用。

关键词：康复腰椎脊柱融合术围手术期焦虑疼痛