Advanced Emergency Medicine (E-Journal)
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Application and Prospect of Robotic Technology in Medical Clinic
Get PDFIn the process of gradually improving the level of clinical medical treatment and continuously developing industrial technology, the application of less invasive and non-invasive surgical methods in medical clinic is increasingly widespread. In the face of this situation, the inevitable trend of the development of surgery has been inclined to minimally invasive surgery. Under the background of a large number of new technologies in the clinical application of medicine, the application space of surgical minimally invasive surgery technology has become more and more extensive. The first successful laparoscopic cholecystectomy in 1987 is an important sign of the arrival of the era of minimally invasive surgery. The research and development of surgical robots based on this is a predictor of the gradual beginning of the era of surgical information processing. At this time, it will inevitably promote the qualitative improvement of surgical accuracy, and a new era of minimally invasive surgery will gradually open. At present, the latest “Da Vinci†surgical robot developed by ISRG company has been widely used in medical clinic
Application Effect of Limited Fluid Resuscitation in Emergency Patients with Multiple Trauma Complicated with Shock
Get PDFThis article explores the methods and effects of limited fluid resuscitation in the treatment of hemorrhagic shock caused by multiple trauma, which is common in clinic. 80 patients with multiple trauma complicated with shock were randomly selected from the emergency department of our hospital and divided into the observation group and the control group, with 40 members in each group. Patients in the observation group were treated with limited fluid resuscitation, while those in the control group were treated with aggressive fluid resuscitation. By comparing the therapeutic effects of the two groups, it is concluded that the therapeutic effect of the observation group is significantly better than that of the control group. Therefore, adopting limited fluid resuscitation in the clinical treatment of patients with multiple trauma complicated with shock can realize faster recovery, as well as protect patients’ coagulation function, effectively reducing complications and mortality. Moreover, it can also reduce the injury of trauma perfusion to the body, ensuring the recovery of patients
Advances in the Relationship between Tau Protein and Morphine De-pendence in Cognitive Dysfunction
Get PDFMorphine is an opioid drug. Long-term use can cause morphine dependence or addiction, and there are cognitive dysfunction such as abnormal mental behavior, decline in learning and memory, and decline in executive ability. The occurrence of this disease is related to many factors, such as oxidative stress, hippocampal neuronal injury, mitochondrial function injury, etc. Tau protein is a microtubule-associated protein involved in nervous system development. Studies have found that hyperphosphorylation of tau proteins can cause apoptosis of hippocampal neurons[1], and tau proteins can cause oxidative stress[2]. Therefore, tau proteins play an important role in the pathogenesis of cognitive disorders. The relationship between morphine dependence and cognitive dysfunction is now reviewed
Discussion on the Effect of Introducing Clinical Pharmacists to Guide Clinical Medication in ICU
Get PDFObjective: to investigate the effect of clinical pharmacists in ICU. Methods: 108 ICU patients from January 2018 to March 2020 were divided into the control group and the observation group, with 54 cases in each group. The control group used the previous medication route, while the observation group introduced clinical pharmacists to guide clinical medication. The infection rate and adverse reaction rate of the two groups were compared. Results: the infection rate of the observation group was 3.70%, and that of the control group was 14.81%, which was significantly lower than that of the control group (P<0.05). The adverse reaction rate of the observation group was 5.56%, and that of the control group was 18.52%, which was significantly lower than that of the control group (P<0.05). Conclusion: the introduction of clinical pharmacists to guide clinical medication in ICU can effectively control the infection, and reduce various adverse reactions during drug use, so as to realize the scientific and standardized use of drugs, and improve the efficiency and safety of drug use
MicroRNAs and Lipid Metabolism
Get PDFLipid metabolism is closely related to the occurrence and development of various diseases, and microRNAs, as important post-transcriptional regulatory factors, are involved in various biological processes of adipocyte differentiation and lipid metabolism to regulate lipid metabolism. In this paper, the effects of miRNAs on adipocyte differentiation, lipid synthesis, decomposition and transport reported in recent years are reviewed, with the hope of promoting the mechanism of microRNA in lipid metabolism disorders
Evaluation of the Anti-Inflammatory Effects of Glucocorticoids
Get PDFThe purpose of this article is to study the pros and cons of glucocorticoids in anti-inflammatory effects and to evaluate them. Because inflammation can play a positive role in removing pathogens and recovering the body on the one hand, it can also bring about adverse reactions such as redness, swelling, heat, and pain. Therefore, understanding the pros and cons of glucocorticoids in anti-inflammatory effects has the guiding significance in the clinical drug use.Based on the complexity of the clinical effects of glucocorticoids on the patient’s body, this article first analyzes the specific symptoms of inflammation, which are mainly manifested as redness, swelling, heat, pain, and dysfunction, and then analyzes the mechanism of inflammation, which is mainly due to body fluid leakage and the role of cytokines.Then, based on the symptoms and mechanism of inflammatory episodes, the inflammatory episodes are divided into fatal and non-fatal attacks, and three dosage regimens are designed. On this basis, the three dosage regimens were evaluated in the treatment of fatal and non-fatal seizures from four indicators of safety, effectiveness, stability, and uniformity, and the following evaluation results were obtained.In the treatment of fatal diseases, the evaluation weight of the A program is 0.587384, the evaluation weight of the B program is 0.202727, and the evaluation weight of the C program is 0.209809. In the treatment of non-fatal diseases, the evaluation weight of the A plan is 0.5462, the B plan is 0.261573, and the C plan is 0.192148.Analyze the three programs in the fatal disease situation and the non-fatal disease situation respectively, and draw the experimental conclusion that the comprehensive evaluation result of the A program is better than the B and C programs whether it is to treat fatal or non-fatal diseases. In the treatment of fatal diseases, the C program is slightly better than the B program, and in the treatment of non-fatal diseases, the B program is better than the C program
Analysis of Anti Infection Effect of Piperacillin Tazobactam and Cefoperazone Sulbactam in Elderly Patients with Coronary Heart Disease
Get PDFObjective: to analyze the anti infection effect of piperacillin tazobactam and cefoperazone sulbactam in elderly patients with coronary heart disease. Methods: the experiment was carried out in groups from January 2019 to December 2020. The control group (cefoperazone sulbactam) and the study group (piperacillin tazobactam) were divided into two groups. The experimental patients were 98 elderly patients with coronary heart disease (49 cases in each group). Two groups of comparative indicators: pathogen clearance rate, incidence of adverse reactions. Results: the pathogen clearance rate of the study group was 94.63%, and that of the control group was 81.48%, which was higher than that of the control group (P < 0.05). The incidence of adverse reactions was 3.57% in the study group and 16.33% in the control group, which was lower in the study group than in the control group (P < 0.05). Conclusion: piperacillin tazobactam is better than cefoperazone sulbactam in the treatment of anti infection in elderly patients with coronary heart disease, which can better remove pathogenic bacteria, control various adverse reactions during drug treatment, and ensure the effectiveness and safety of drug use
Analysis of the Application of Artificial Intelligence in Medical Imaging
Get PDFMedical imaging technology is considered one of the most critical diagnostic tools in the clinical analysis, and its imaging results provide medical interventions with the changes of patients' tissues and organs to support the diagnosis. With the development of computer technology, the application of artificial intelligence (AI) technology in clinical diagnosis has become increasingly more widespread. In order to enhance the quality of medical imaging work, this paper mainly analyzes the application effect of AI in medical imaging, further discovering the significance of the application of artificial intelligence in medical imaging
Effect of Tibetan Compound Wuwei manna bath on langxiu disease
Get PDFObjective To observe the effect of Tibetan Compound Wuwei manna bath in the treatment of langxiu disease. Methods 96 patients with “langxiu†disease in our hospital from January 2020 to January 2021 were randomly selected for the study, according to the computer random method, 48 cases were divided into a group and group B were treated with Tibetan medicine compound five flavor manna bath. Then the therapeutic effect and adverse reactions of the two groups were compared. Results: after treatment, the treatment effect of group B was better than that of group A, and the incidence of adverse reactions of group B was lower than that of group A. P ＜ 0.05； Conclusion: the patients with langxiu disease were treated with Tibetan medicine compound Wuwei manna bath,It can effectively improve the treatment effect and reduce the occurrence of adverse reactions, which is worthy of wide promotion and application
Comparison of Dronedarone and Amiodarone in Maintaining Sinus Rhythm of Paroxysmal Atrial Fibrillation
Get PDFObjective: To compare the Dronedarone and the Amiodarone in maintaining the sinus rhythm of paroxysmal atrial fibrillation. Method 80 cases of paroxysmal atrial fibrillation patients were randomly divided into the dronedarone group and the amiodarone group. All patients were monitored for ambulatory electrocardiogram, liver and kidney function, thyroid function and other adverse reactions after 1 month and 3 months. Results: After 1 month, there was no statistical difference in arrhythmias recurrence, thyroid dysfunction, liver and kidney dysfunction, other adverse reactions(P&gt;0.05). After 3 months, the amiodarone group was superior to the downturn in control arrhythmias recurrence, while the traders’ group were better than the amiodarone group in the thyroid dysfunction (P&lt;0.05). Conclusion: Compared with amiodarone, the advantage of drawdown is that it has fewer side effects, especially thyroid dysfunction