期刊文献+
共找到1,132篇文章
< 1 2 57 >
每页显示 20 50 100
Joint optimization of LORA and spares stocks considering corrective maintenance time 被引量:10
1
作者 Linhan Guo Jiujiu Fan +1 位作者 Meilin Wen Rui Kang 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2015年第1期85-95,共11页
Level of repair analysis(LORA) is an important method of maintenance decision for establishing systems of operation and maintenance in the equipment development period. Currently, the research on equipment of repair... Level of repair analysis(LORA) is an important method of maintenance decision for establishing systems of operation and maintenance in the equipment development period. Currently, the research on equipment of repair level focuses on economic analysis models which are used to optimize costs and rarely considers the maintenance time required by the implementation of the maintenance program. In fact, as to the system requiring high mission complete success, the maintenance time is an important factor which has a great influence on the availability of equipment systems. Considering the relationship between the maintenance time and the spares stocks level, it is obvious that there are contradictions between the maintenance time and the cost. In order to balance these two factors, it is necessary to build an optimization LORA model. To this end, the maintenance time representing performance characteristic is introduced, and on the basis of spares stocks which is traditionally regarded as a decision variable, a decision variable of repair level is added, and a multi-echelon multiindenture(MEMI) optimization LORA model is built which takes the best cost-effectiveness ratio as the criterion, the expected number of backorder(EBO) as the objective function and the cost as the constraint. Besides, the paper designs a convex programming algorithm of multi-variable for the optimization model, provides solutions to the non-convex objective function and methods for improving the efficiency of the algorithm. The method provided in this paper is proved to be credible and effective according to the numerical example and the simulation result. 展开更多
关键词 level of repair spares convex optimization multi-echelon multi-indenture(MEMI)
在线阅读 下载PDF
System optimization-oriented spare parts dynamic configuration model for multi-echelon multi-indenture system 被引量:9
2
作者 Minzhi Ruan Hua Li Jian Fu 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2017年第5期923-933,共11页
In order to optimize the spares configuration project at different stages during the life cycle, the factor of time is considered to relax the assumption of the spares steady demand in multi-echelon technique for reco... In order to optimize the spares configuration project at different stages during the life cycle, the factor of time is considered to relax the assumption of the spares steady demand in multi-echelon technique for recoverable item control (METRIC) theory. According to the method of systems analysis, the dynamic palm theorem is introduced to establish the prediction model of the spares demand rate, and its main influence factors are analyzed, based on which, the spares support effectiveness evaluation index system is studied, and the system optimization-oriented spares dynamic configuration method for multi-echelon multi-indenture system is proposed. Through the analysis of the optimization algorithm, the layered marginal algorithm is designed to improve the model calculation efficiency. In a given example, the multi-stage spares configuration project during its life cycle is gotten, the research result conforms to the actual status, and it can provide a new way for the spares dynamic optimization. 展开更多
关键词 system optimization spare parts dynamic demand support effectiveness multi-echelon multi-indenture layered marginal algorithm
在线阅读 下载PDF
Collaborative optimization of maintenance and spare ordering of continuously degrading systems 被引量:6
3
作者 Wei Zhou Dongfeng Wang +1 位作者 Jingyu Sheng Bo Guo 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2012年第1期63-70,共8页
A collaborative optimization model for maintenance and spare ordering of a single-unit degrading system is proposed in this paper based on the continuous detection. A gamma distribution is used to model the material d... A collaborative optimization model for maintenance and spare ordering of a single-unit degrading system is proposed in this paper based on the continuous detection. A gamma distribution is used to model the material degradation. The degrading decrement after the imperfect maintenance action is assumed as a random variable normal distribution. This model aims to ob- tain the optimal maintenance policy and spare ordering point with the expected cost rate within system lifecycle as the optimization objective. The rationality and feasibility of the model are proved through a numerical example. 展开更多
关键词 collaborative optimization maintenance spare order- ing degrading system.
在线阅读 下载PDF
Mission-oriented dynamic optimization model of carrying spares for warship redundant system 被引量:6
4
作者 RUAN Minzhi LI Hua WANG Junlong 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2018年第3期539-548,共10页
Redundancy is a common structure for warship system,and it is an effective way to improve the reliability of the system.In this paper, warship system is taken as the object of study,based on the system reliability equ... Redundancy is a common structure for warship system,and it is an effective way to improve the reliability of the system.In this paper, warship system is taken as the object of study,based on the system reliability equivalence principle, a spares demand rate calculation method for redundant system is proposed through structure transformation. According to the system analysis method, the general modeling data structure of spares support echelon and system indenture is established, and the mission success probability is taken as the optimization target to build the dynamic optimization model of carrying spares during the process of multi-phase. By introducing the Lagrange multiplier, the spares weight, volume and cost are transformed to the single target of the spares total scale, and the initial Lagrange factors and its dynamic adjustment policy is proposed. In a given example, the main influence factors of the carrying spares project are analyzed, and the study results are in accordance with the reality, which can provide a new approach to mission-oriented carrying spares optimization for the redundant system. 展开更多
关键词 REDUNDANCY reliability equivalence WARSHIP carrying spares OPTIMIZATION
在线阅读 下载PDF
Joint optimization of maintenance inspection and spare provisioning for aircraft deteriorating parts 被引量:4
5
作者 Jing Cai Xin Li Xi Chen 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2017年第6期1133-1140,共8页
With the wide application of condition based maintenance(CBM) in aircraft maintenance practice, the joint optimization of maintenance and inventory management, which can take full advantage of CBM and reduce the aircr... With the wide application of condition based maintenance(CBM) in aircraft maintenance practice, the joint optimization of maintenance and inventory management, which can take full advantage of CBM and reduce the aircraft operational cost, is receiving increasing attention. In order to optimize the inspection interval, maintenance decision and spare provisioning together for aircraft deteriorating parts, firstly, a joint inventory management strategy is presented, then, a joint optimization of maintenance inspection and spare provisioning for aircraft parts subject to the Wiener degradation process is proposed based on the strategy.Secondly, a combination of the genetic algorithm(GA) and the Monte Carol method is developed to minimize the total cost rate.Finally, a case study is conducted and the proposed joint optimization model is compared with the existing optimization model and the airline real case. The results demonstrate that the proposed model is more beneficial and effective. In addition, the sensitivity analysis of the proposed model shows that the lead time has higher influence on the optimal results than the urgent order cost and the corrective maintenance cost, which is consistent with the actual situation of aircraft maintenance practices and inventory management. 展开更多
关键词 joint optimization maintenance spare provision aircraft part Wiener process
在线阅读 下载PDF
Location and allocation problem for spare parts depots on integrated logistics support 被引量:4
6
作者 WEN Meilin LU Bohan +1 位作者 LI Shuyu KANG Rui 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2019年第6期1252-1259,共8页
In equipment integrated logistics support(ILS), the supply capability of spare parts is a significant factor. There are lots of depots in the traditional support system, which makes too many redundant spare parts and ... In equipment integrated logistics support(ILS), the supply capability of spare parts is a significant factor. There are lots of depots in the traditional support system, which makes too many redundant spare parts and causes high cost of support. Meanwhile,the inconsistency among depots makes it difficult to manage spare parts. With the development of information technology and transportation, the supply network has become more efficient. In order to further improve the efficiency of supply-support work and the availability of the equipment system, building a system of one centralized depot with multiple depots becomes an appropriate way.In this case, location selection of the depots including centralized depots and multiple depots becomes a top priority in the support system. This paper will focus on the location selection problem of centralized depots considering ILS factors. Unlike the common location selection problem, depots in ILS require a higher service level. Therefore, it becomes desperately necessary to take the high requirement of the mission into account while determining location of depots. Based on this, we raise an optimal depot location model. First, the expected transportation cost is calculated.Next, factors in ILS such as response time, availability and fill rate are analyzed for evaluating positions of open depots. Then, an optimization model of depot location is developed with the minimum expected cost of transportation as objective and ILS factors as constraints. Finally, a numerical case is studied to prove the validity of the model by using the genetic algorithm. Results show that depot location obtained by this model can guarantee the effectiveness and capability of ILS well. 展开更多
关键词 location problem spare parts depot integrated logis tics support genetic algorithm.
在线阅读 下载PDF
Joint optimization of inspection-based and age-based preventive maintenance and spare ordering policies for single-unit systems 被引量:3
7
作者 MA Weining ZHAO Fei +2 位作者 LI Xin HU Qiwei SHANG Bingcong 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2022年第5期1268-1280,共13页
This paper presents a joint optimization policy of preventive maintenance(PM)and spare ordering for single-unit systems,which deteriorate subject to the delay-time concept with three deterioration stages.PM activities... This paper presents a joint optimization policy of preventive maintenance(PM)and spare ordering for single-unit systems,which deteriorate subject to the delay-time concept with three deterioration stages.PM activities that combine a non-periodic inspection scheme with age-replacement are implemented.When the system is detected to be in the minor defective stage by an inspection for the first time,place an order and shorten the inspection interval.If the system has deteriorated to a severe defective stage,it is either repaired imperfectly or replaced by a new spare.However,an immediate replacement is required once the system fails,the maximal number of imperfect maintenance(IPM)is satisfied or its age reaches to a pre-specified threshold.In consideration of the spare’s availability as needed,there are three types of decisions,i.e.,an immediate or a delayed replacement by a regular ordered spare,an immediate replacement by an expedited ordered spare with a relative higher cost.Then,some mutually independent and exclusive renewal events at the end of a renewal cycle are discussed,and the optimization model of such a joint policy is further developed by minimizing the long-run expected cost rate to find the optimal inspection and age-replacement intervals,and the maximum number of IPM.A Monte-Carlo based integration method is also designed to solve the proposed model.Finally,a numerical example is given to illustrate the proposed joint optimization policy and the performance of the Monte-Carlo based integration method. 展开更多
关键词 maintenance optimization imperfect maintenance(IPM) three-stage failure process spare ordering
在线阅读 下载PDF
Joint optimization of inspection, maintenance, and spare ordering policy considering defective products loss 被引量:2
8
作者 HAN Mengying YANG Jianhua ZHAO Xiao 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2021年第5期1167-1179,共13页
This paper proposes a joint inspection-based maintenance and spare ordering optimization policy that considers the problem of integrated inspection,preventive maintenance,spare ordering,and quality control for a four-... This paper proposes a joint inspection-based maintenance and spare ordering optimization policy that considers the problem of integrated inspection,preventive maintenance,spare ordering,and quality control for a four-state single-unit manufacturing system.When an inspection detects a minor defect,a second phase inspection is initiated and a regular order is placed.Product quality begins to deteriorate when the system undergoes a severe defect.To counter this,an advanced replacement of the minor defective system is carried out at the Jth second phase inspection.If a severe defect is recognized prior to the Jth inspection,or if system failure occurs,preventive or corrective replacement is executed.The timeliness of replacement depends on the availability of spare.We adopt two modes of ordering:a regular order and an emergency order.Meanwhile,a threshold level is introduced to determine whether an emergency order is preferred even when the regular order is already ordered but has not yet arrived.The optimal joint inspection-based maintenance and spare ordering policy is formulated by minimizing the expected cost per unit time.A simulation algorithm is proposed to obtain the optimal two-phase inspection interval,threshold level and advanced replacement interval.Results from several numerical examples demonstrate that,in terms of the expected cost per unit time,our proposed model is superior to some existing models. 展开更多
关键词 maintenance two-phase inspection spare ordering three-stage failure process delay-time model
在线阅读 下载PDF
An Optimal Replacement Policy for a System with Finite Spares 被引量:1
9
作者 Zhao Jianmin(Shijiazhuang Mechanical Engineering College, 050003, P. R. China )Zhao JianhuaShijiazhuang Education College, 050000, P. R. China 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 1999年第3期76-81,共6页
This paper develops a new replacement policy for a system with multiple spare units.An optimal replacement period is determined by maximizing the mean time to failure of the system.We show that there exists a finite a... This paper develops a new replacement policy for a system with multiple spare units.An optimal replacement period is determined by maximizing the mean time to failure of the system.We show that there exists a finite and unique optimal replacement period T for units with strictly increasing failure rates. We also proof that the optimal repIacement period for a system with spares is decreasing in k. Furthermore, an algorithm is presented to get the optimal replacement period and a numerical example is given to illustrate the result. with strictly 展开更多
关键词 REPLACEMENT OPTIMIZATION spare
在线阅读 下载PDF
A General Repairable Spare Part Demand Model Based on Quasi Birth and Death Process 被引量:3
10
作者 HUANG Zhuo LIANG Liang GUO Bo 《自动化学报》 EI CSCD 北大核心 2006年第2期200-206,共7页
This paper aims at two problems which exist in most of repairable spare part demand models at present: the exponential distribution as the basic assumption and one typical distribution corresponding to a model. A gene... This paper aims at two problems which exist in most of repairable spare part demand models at present: the exponential distribution as the basic assumption and one typical distribution corresponding to a model. A general repairable spare part demand model built on quasi birth-and-death process is developed. This model assumes that both the operational time of the unit and the maintenance time of the unit follow the continuous time phase type distributions. The first passage time distribution to be out of spares, the first mean time to be out of spares, and an algorithm to get the minimal amount of spares under certain restrictions are obtained. At the end of this paper, a numerical example is given. 展开更多
关键词 可靠性 需求模型 死亡过程 指数分布
在线阅读 下载PDF
Research on Three-Echelon Inventory Model and Algorithm for Valuable Spare Parts in Weapon Equipment 被引量:1
11
作者 孙江生 赵方庚 +1 位作者 吕艳梅 连光耀 《Defence Technology(防务技术)》 CAS 2012年第1期52-58,共7页
According to the current situation of repair and supply for valuable spare parts in the weapon equipment of the PLA,using the research results of the repairable spare parts inventory theory,an inventory model of the v... According to the current situation of repair and supply for valuable spare parts in the weapon equipment of the PLA,using the research results of the repairable spare parts inventory theory,an inventory model of the valuable spare parts in three-echelon repair and supply system is established by expanding the classical METRIC model and theory,and the genetic algorithm is utilized to solve the model.In the algorithm,the chromosome representation and initial population production,the crossover and mutation operators are designed.By using an example,a simulation analysis is carried out to verify the model's correctness. 展开更多
关键词 库存模型 遗传算法 武器装备 备件 库存理论 研究成果 度量模型 供电系统
在线阅读 下载PDF
基于红狐优化支持向量机回归的船舶备件预测 被引量:1
12
作者 孟冠军 杨思平 钱晓飞 《合肥工业大学学报(自然科学版)》 北大核心 2025年第1期25-31,共7页
针对以往船舶备件需求预测精度不高,无法满足船舶综合保障的实际问题,文章建立一种基于改进红狐优化算法(improved red fox optimization,IRFO)的支持向量机回归(support vector regression,SVR)的船舶备件预测模型。为进一步提高红狐... 针对以往船舶备件需求预测精度不高,无法满足船舶综合保障的实际问题,文章建立一种基于改进红狐优化算法(improved red fox optimization,IRFO)的支持向量机回归(support vector regression,SVR)的船舶备件预测模型。为进一步提高红狐优化算法(red fox optimization,RFO)的寻优精度,重构其全局搜索公式,并融合精英反向学习策略。采用基准测试函数对IRFO算法进行仿真实验,实验表明,IRFO算法比RFO算法、粒子群算法、灰狼优化算法寻优能力更强,综合性能更优。基于船舶备件历史数据,建立IRFO-SVR船舶备件预测模型,通过对比其他模型的预测结果,表明IRFO-SVR的预测效果更佳。 展开更多
关键词 船舶备件预测 红狐优化算法(RFO) 支持向量机回归(SVR) 精英反向学习
在线阅读 下载PDF
面向成本与可用度的舰船冗余系统与备件库存优化模型
13
作者 龚立雄 范岩淼 +2 位作者 梁嘉乐 肖杪铃 雷彬文 《海军工程大学学报》 北大核心 2025年第2期1-8,共8页
为有效提高舰船冗余系统可用度,并合理控制舰船保障成本,首先基于马尔科夫(Markov)状态转移过程,考虑了系统部件故障、维修周期以及备件预订过程等参数,建立了k/n舰船冗余系统可用度模型,用于反映系统在不同状态下的可用性;然后,基于全... 为有效提高舰船冗余系统可用度,并合理控制舰船保障成本,首先基于马尔科夫(Markov)状态转移过程,考虑了系统部件故障、维修周期以及备件预订过程等参数,建立了k/n舰船冗余系统可用度模型,用于反映系统在不同状态下的可用性;然后,基于全寿命周期费用,构建了一种考虑冗余度和备件库存配置的可用度与成本优化模型,并提出了一种基于边际优化算法的联合优化方法;最后,通过与单一备件库存优化、单一冗余优化方法以及遗传算法和自适应遗传算法的比较,验证了该方法的可行性和有效性。研究结果表明:所提出的联合优化方法能够显著降低舰船冗余系统全寿命周期费用,为舰船冗余系统的可用度分析和成本控制提供了一种新的思路和工具。 展开更多
关键词 MARKOV过程 可用度 冗余 备件库存 决策系统 全寿命周期费用
在线阅读 下载PDF
基于端到端的航空维修消耗备件库存优化
14
作者 付维方 王宏榕 +1 位作者 张兆民 刘英杰 《科学技术与工程》 北大核心 2025年第28期12287-12295,共9页
为降低航空企业库存成本,考虑维修备件历史需求数据和特征数据,建立一个基于机器学习的端到端多周期库存优化模型。以库存总成本最小为目标,采用动态规划法确定历史最优补货决策;在此基础上构建端到端库存优化模型,其中以TimeXer作为需... 为降低航空企业库存成本,考虑维修备件历史需求数据和特征数据,建立一个基于机器学习的端到端多周期库存优化模型。以库存总成本最小为目标,采用动态规划法确定历史最优补货决策;在此基础上构建端到端库存优化模型,其中以TimeXer作为需求预测模块,XGboost为库存决策模块,两者相互结合提高补货决策科学性。结合大型航空维修企业实例表明,该端到端模型可以有效降低库存成本,针对各类型消耗类航空备件均有较高的实际应用价值和可行性。 展开更多
关键词 库存优化 端到端 TimeXer XGBoost 航空消耗件 机器学习 特征提取 动态规划
在线阅读 下载PDF
超声引导竖脊肌平面阻滞在胰管结石体外震波碎石术中的应用 被引量:1
15
作者 王玥 程勇 +4 位作者 陶海勇 何晓晔 胡柳昕 解小艺 郭建荣 《中国临床药理学与治疗学》 北大核心 2025年第1期85-90,共6页
目的:评价超声引导竖脊肌平面阻滞(ES‐PB)联合少阿片麻醉方案在胰管结石体外震波碎石术(ESWL)中的应用价值。方法:选取2022年3月至2023年4月于本院择期行胰管结石体外震波碎石术患者96例,男60例,女36例,年龄20~65岁,ASAⅠ-Ⅱ级,BMI16~3... 目的:评价超声引导竖脊肌平面阻滞(ES‐PB)联合少阿片麻醉方案在胰管结石体外震波碎石术(ESWL)中的应用价值。方法:选取2022年3月至2023年4月于本院择期行胰管结石体外震波碎石术患者96例,男60例,女36例,年龄20~65岁,ASAⅠ-Ⅱ级,BMI16~30kg/m^(2)。将患者随机分为常规静脉麻醉组(C组,48例)和ESPB+少阿片组(E组,48例)。C组患者接受保留自主呼吸的丙泊酚、瑞芬太尼靶控输注静脉全麻;E组患者在静脉全麻前接受超声引导下双侧ESPB。观察并记录两组血流动力学指标[心率(HR)、平均动脉压(MAP)]的变化;观察两组麻醉效果、瑞芬太尼用量、麻醉恢复质量、术后镇痛效果及围术期不良反应(呼吸抑制、恶心呕吐、皮肤瘙痒等)发生率。结果:与C组比较,E组术中呼吸抑制发生率降低、术中瑞芬太尼用量减少、术后苏醒时间缩短(P<0.05);E组术后静息及咳嗽疼痛视觉模拟评分(VAS)及术后恶心呕吐发生率显著低于C组(P<0.05)。两组患者术中、术后的HR及MAP无统计学差异(P>0.05)。结论:超声引导ESPB用于胰管结石ESWL效果满意,俭省阿片类药且并发症少。 展开更多
关键词 超声引导 竖脊肌平面阻滞 静脉全麻 少阿片 胰管结石 体外震波碎石术
在线阅读 下载PDF
装备备件需求确定研究方法综述
16
作者 游亮 王莉莉 项华春 《火炮发射与控制学报》 北大核心 2025年第4期72-81,共10页
装备备件作为装备维修保障能力生成与提升的重要物质基础,其需求确定研究对于维持装备可用度和保障部队持续作战能力具有十分重要的意义。通过查询国内外相关资料,系统梳理了美军与我军在装备备件需求确定方面的研究历程;重点从“备什... 装备备件作为装备维修保障能力生成与提升的重要物质基础,其需求确定研究对于维持装备可用度和保障部队持续作战能力具有十分重要的意义。通过查询国内外相关资料,系统梳理了美军与我军在装备备件需求确定方面的研究历程;重点从“备什么”“备多少”装备备件需求确定的两个关键问题出发,从定性方法、定量方法、组合方法3个角度对装备备件需求品种确定方法进行综述,从统计数据法、维修策略法、智能与仿真算法3个角度对装备备件需求数量预测方法进行综述,并从装备备件需求确定方法的针对性、实用性、动态性等角度出发,给出装备备件需求确定方法未来可能的发展趋势,可为装备备件需求确定研究提供参考借鉴。 展开更多
关键词 备件 需求确定 预测方法 研究历程
在线阅读 下载PDF
保留子宫“U”形重建术治疗弥漫性子宫腺肌病
17
作者 吴秀秀 谭梦静 +4 位作者 祝茹 张林 潘姗姗 裴菲 刘成成 《中国微创外科杂志》 北大核心 2025年第9期534-538,共5页
目的探讨保留子宫“U”形重建术治疗弥漫性子宫腺肌病的临床疗效。方法2019年10月~2022年9月,采用保留子宫“U”形重建术治疗弥漫性子宫腺肌病48例。矢状面剖开子宫体,直视下“U”形切除肌层腺肌病病灶,重塑内膜腔及子宫。术后1、6、12... 目的探讨保留子宫“U”形重建术治疗弥漫性子宫腺肌病的临床疗效。方法2019年10月~2022年9月,采用保留子宫“U”形重建术治疗弥漫性子宫腺肌病48例。矢状面剖开子宫体,直视下“U”形切除肌层腺肌病病灶,重塑内膜腔及子宫。术后1、6、12个月随访痛经、月经量、血CA125及超声测量子宫体积。结果48例手术均顺利完成,手术时间(115.7±13.6)min,术中出血量(109.4±30.9)ml,总住院时间(8.6±1.7)d。术后均完成1年随访。术后1、6、12个月痛经评分、月经量评分、血CA125、子宫体积均较术前明显下降(均P=0.000),术后1个月血红蛋白较术前明显升高(P=0.000)。48例均无症状复发或超声复发,术后意外妊娠2例。结论保留子宫“U”形重建术治疗弥漫性子宫腺肌病安全、有效,不需要特殊器械,术式简单易操作。 展开更多
关键词 子宫腺肌病 保留子宫手术
在线阅读 下载PDF
鞘内吗啡联合布比卡因脂质体收肌管阻滞对全膝关节置换术患者术后镇痛及阿片类药物节约效应的影响
18
作者 李成龙 万仑 +3 位作者 黄丽莎 詹育成 龙诗樱 王峥 《实用医学杂志》 北大核心 2025年第19期3083-3088,共6页
目的探讨小剂量鞘内吗啡(ITM)联合布比卡因脂质体收肌管阻滞(LB-ACB)对全膝关节置换术(TKA)患者术后镇痛效果及阿片类药物节约效应的影响。方法采用随机双盲对照设计,纳入80例TKA患者,随机分为两组。观察组(n=40)用ITM 0.1 mg+LB-ACB;... 目的探讨小剂量鞘内吗啡(ITM)联合布比卡因脂质体收肌管阻滞(LB-ACB)对全膝关节置换术(TKA)患者术后镇痛效果及阿片类药物节约效应的影响。方法采用随机双盲对照设计,纳入80例TKA患者,随机分为两组。观察组(n=40)用ITM 0.1 mg+LB-ACB;对照组(n=40)用生理盐水鞘内注射+LB-ACB。主要观察指标包括术后6、12、24、48、72 h静息/运动VAS评分、48 h吗啡消耗量、首次补救镇痛时间及并发症发生率。结果观察组术后6、12、24、48 h静息VAS与运动VAS评分均显著低于对照组(P<0.05),72 h两组间差异无统计学意义(P>0.05)。观察组48 h吗啡消耗量[(4.58±1.0)mg vs.(9.34±4.8)mg,P=0.027]、补救镇痛率(15.0%vs.47.5%,P=0.002)显著降低,首次补救镇痛时间延迟[(48.8±7.5)h vs.(14.5±5.5)h,P<0.001]。观察组恶心(15.0%vs.35.0%,P=0.039)、呕吐(10.0%vs.27.5%,P=0.045)发生率显著降低,两组皮肤瘙痒、尿潴留及运动阻滞发生率差异无统计学意义(P>0.05)。结论小剂量(0.1 mg)ITM联合LB-ACB可显著改善TKA患者术后镇痛效果,减少阿片类药物用量,降低恶心呕吐风险,且不增加其他并发症,符合加速康复外科理念。 展开更多
关键词 鞘内吗啡 布比卡因脂质体 收肌管阻滞 全膝关节置换术 多模式镇痛 阿片节约效应
在线阅读 下载PDF
积极心理资本在护士业余时间规划与职业压力间的中介效应 被引量:5
19
作者 梁娜娜 赵娟 +3 位作者 任吉顺 张雅君 陶红霞 郑海霞 《护理学杂志》 北大核心 2025年第3期82-85,123,共5页
目的 探讨积极心理资本在护士业余时间规划与职业压力间的中介效应,为护理管理者开展针对性护理人力资源管理,降低护士职业压力提供参考。方法 2024年5-7月,以便利抽样法选取甘肃省4所三级医院827名临床护士作为研究对象,采用工余塑造... 目的 探讨积极心理资本在护士业余时间规划与职业压力间的中介效应,为护理管理者开展针对性护理人力资源管理,降低护士职业压力提供参考。方法 2024年5-7月,以便利抽样法选取甘肃省4所三级医院827名临床护士作为研究对象,采用工余塑造量表、护士工作压力源量表、积极心理资本问卷进行调查。结果 护士业余时间规划得分为(26.84±7.80)分,职业压力得分为(95.76±15.78)分,积极心理资本得分为(112.34±17.92)分;业余时间规划与职业压力得分呈负相关,与积极心理资本得分呈正相关(均P<0.05);职业压力与积极心理资本得分呈负相关(P<0.05)。积极心理资本在护士业余时间规划与职业压力间起部分中介作用,中介效应占总效应的42.42%。结论 护士职业压力处于中等水平,护士业余时间规划可通过积极心理资本间接影响其职业压力。护理管理者应重视护士的积极心理资本水平,帮助护士设定合理的业余时间规划目标,以降低其职业压力。 展开更多
关键词 临床护士 业余时间规划 工余塑造 职业压力 积极心理资本 护理人力资源 护理管理 中介效应
在线阅读 下载PDF
最小血流阻断技术联合3D打印在腹腔镜下保留肾单位手术中的应用效果 被引量:2
20
作者 杨凌博 吕文伟 +2 位作者 胡国森 孙建涛 魏澎涛 《郑州大学学报(医学版)》 北大核心 2025年第2期234-237,共4页
目的:探讨最小血流阻断技术联合3D打印应用于腹腔镜下保留肾单位手术的有效性及安全性。方法:选择2018年1月至2020年12月郑州大学附属洛阳中心医院收治的52例肾癌行部分切除手术的患者,分为两组,A组30例,采用最小血流阻断技术联合3D打... 目的:探讨最小血流阻断技术联合3D打印应用于腹腔镜下保留肾单位手术的有效性及安全性。方法:选择2018年1月至2020年12月郑州大学附属洛阳中心医院收治的52例肾癌行部分切除手术的患者,分为两组,A组30例,采用最小血流阻断技术联合3D打印行腹腔镜下肾部分切除术,B组22例,采用高选择性肾动脉阻断技术联合3D打印行腹腔镜下肾部分切除术。比较两组患者的手术时间、肾动脉分支阻断时间、术中出血量、术后肾功能损伤程度(术后24 h内血肌酐较术前升高值)、术后1 d疼痛评分及并发症发生率等。结果:A组手术时间[(63.1±6.5)min vs(94.4±11.6)min]、术中出血量[(30.2±16.3)mL vs(55.7±13.4)mL]、肌酐升高值[(36.0±22.7)μmol/L vs(54.0±20.7)μmol/L]、术后1 d疼痛评分[(4.1±2.2)vs(5.1±3.7)]及术后并发症发生率(10.0%vs 36.4%)均低于B组,B组肾动脉阻断时间较A组缩短[(17.5±3.1)min vs(20.3±3.6)min]。两组均无手术切缘阳性患者,术后常规随访24~48个月,均未见肿瘤复发及转移,术后1个月后肾功能均恢复正常。结论:最小血流阻断技术联合3D打印应用于腹腔镜下保留肾单位手术可以缩短手术时间、减少出血量,降低围手术期并发症发生率。 展开更多
关键词 最小血流阻断技术 高选择性肾动脉阻断技术 保留肾单位手术
在线阅读 下载PDF
上一页 1 2 57 下一页 到第
使用帮助 返回顶部