1.Research of Perioperative Muscle Relaxant Monitor.
Junhan LUO ; Jilun YE ; Xu ZHANG
Chinese Journal of Medical Instrumentation 2020;44(3):231-235
Muscle relaxant monitor is a research hotspot in the field of clinical anesthesiology. According to the research status at home and abroad, combing the developing history of muscle relaxant monitor, detecting principle, a variety of electrical stimulation mode, and a variety of detection ways, this study reviews and analyzes the advantages and disadvantages of various testing methods and application status, provides technical research foundation for the degree of nerve block for quantitative assessment of muscle relaxant monitor instrument design. Meanwhile, we advocate that clinicians should use quantitative muscle relaxant monitor as much as possible in the perioperative period to reasonably guide the use of muscle relaxants so as to reduce the risk of complications caused by residual effects of muscle relaxants and provide more scientific and accurate digital guidance for assessing the degree of muscle relaxants of patients.
Anesthesiology
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Electric Stimulation
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Humans
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Monitoring, Physiologic
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Muscle, Skeletal
2.Development of a New Type of Atherosclerosis Detection Device.
Kejian DOU ; Jilun YE ; Xu ZHANG ; Junhan LUO
Chinese Journal of Medical Instrumentation 2020;44(4):311-314
This paper describes how to develop a practical new type of atherosclerosis detection device, which can realize real-time measurement and analysis of human atherosclerosis. According to the mechanism of human atherosclerosis, the design objectives of the system are formulated to determine the construction of the platform. The system calculates the pulse wave velocity by measuring the pulse wave of human fingers and toes, adds four blood pressure measurements to the system design, calculates the ankle-brachial index, and comprehensively measures and analyses the degree of human arteriosclerosis.
Ankle
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Atherosclerosis
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Blood Flow Velocity
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Blood Pressure
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Brachial Artery
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Humans
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Pulse Wave Analysis
3.Evaluation application of death indicators and unplanned return indicators based on provincial diagnosis-related groups platform
Chang XU ; Junhan ZHUANG ; Qiang FU ; Zhaohui CHENG ; Miao CAI ; Xiaojun LIN ; Bin LUO ; Yun CHEN ; Wanting ZHONG
Chinese Journal of Hospital Administration 2020;36(2):117-121
Objective:To explore the relationship between death indicators and unplanned return indicators on healthcare quality evaluation.Methods:A total of 836 976 medical record data were collected from 31 tertiary public general hospitals in a diagnosis-related groups(DRG) data platform in 2017. Multiple death indices(low and low-risk risk group mortality, high-risk group mortality, crude mortality, and risk adjusted mortality) and unplanned return indices(31-day unplanned readmission rate and 31-day unplanned return to surgery rate) were calculated. Pearson′s correlation coefficient was used to examine the relationships among those indices.Results:Death indicators were correlated with each other, but the unplanned readmission rate was not correlated with the unplanned reoperation rate( r=0.305). There was no correlation between unplanned re-entry rate and death rate. The correlation coefficients were as follows: unplanned readmission rate versus low and low-risk group mortality( r=-0.227), versus high-risk group mortality( r=-0.098), versus actual mortality( r=-0.130), versus risk adjusted mortality( r=0.010); unplanned reoperation rate versus low and low-risk group mortality( r=0.105), versus high-risk group mortality( r=0.030), versus actual mortality( r=-0.004), versus risk adjusted mortality( r=-0.141). Conclusions:The indicators of death and the indicators of unplanned return are not the same in terms of actual management technology and evaluation effect. They are complementary to each other and can form an ideal combination of quality evaluation indicators.
4.Progress and Application of Bioelectrical Impedance Measurement Methods.
Zhongbiao SUN ; Jilun YE ; Xu ZHANG ; Junhan LUO ; Xiaoman CHE ; Rou WU
Chinese Journal of Medical Instrumentation 2021;45(3):296-300
The bioelectrical impedance measurement is a detection technique that uses the electrical characteristics and changes in human tissues and organs to detect biomedical information related to human physiological and pathological conditions. This article makes a comprehensive introduction from the aspects of impedance cardiography, electrical impedance respiratory monitoring, electrical impedance tomography, electrical impedance gastric dynamics detection technique, contact impedance and so on, as well as comprehensively introduces the progress and application status of bioelectrical impedance measurement methods.
Electric Impedance
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Humans
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Monitoring, Physiologic
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Tomography