1.Comparison of the effects of remifentanil and fentanyl in the urology endoscopic anesthesia
Maolin WANG ; Xiao WU ; Jinli GUO ; Zhaojiang YANG ; Shangming WANG
Chinese Journal of Primary Medicine and Pharmacy 2018;25(15):1990-1993
Objective To compare the effects of remifentanil and fentanyl in urologic surgery under endoscopic anesthesia and the incidence of adverse reactions in patients.Methods A total of 170 patients undergoing urological surgery admitted to the Second People 's Hospital of Jinzhong from February 2015 to April 2016 were randomly divided into the study group and control group according to the digital table ,with 85cases in each group. Remifentanil and fentanyl was used in the study group and control group respectively .The preoperative anesthesia was performed in the patients who received anesthesia before and after tracheal intubation and before and after tracheal intubation,and the time of induction of anesthesia ,the operation time and the time of postoperative wakefulness were compared between the two groups.Pressure and heart rate changes ,the incidence of adverse reactions were recorded and compared between the two groups.The amount of anesthesia ,anesthesia surgery costs and the amount of bleeding during surgery were compared.Results The induction time of anesthesia in the study group was significantly shorter than that in the control group (9.8min vs.6.9min,t=12.029,P<0.05).The mean arterial pressure and heart rate in the study group were significantly larger than those in the control group ( all P<0.05).The incidence rate of adverse reactions in the study group was significantly lower than that in the control group (5.9% vs.12.9%,χ2=7.935,P<0.05).The cost and blood loss of the study group were significantly lower than those of the control group (2 871.4 CNY vs.3 014.9 CNY;23.4mL vs.32.7mL,t=20.391,17.907,all P<0.05).Conclusion The application of remifentanil in preoperative anesthesia of urologic surgery can save time ,reduce the economic burden of patients and the incidence of adverse reactions in patients.It is worthy of widely recommended in clinic.
2.Ethical Conflicts About Emergency Treatment in Disaster Medicine
Chinese Medical Ethics 2001;(2):28-29
the paper discussed the unavoidable ethical conflicts during disaster medical treatment:Equal right to treatment enjoyed by everyone vs.priority for those who need emergency treatment;Humanity principle vs.relinquishment of invalid treament;Informed consent principle vs.emergency treatment;Life rescue vs.life quality improvement during treatment.
3.The Important Category of the Modern Medical Ethics Theory -Honest-trust
Hongjuan LIANG ; Zhaojiang GUO ; Gang LI ; Ji MIN
Chinese Medical Ethics 1996;0(01):-
Honest-trust plays an important role in the Chinese outstanding morals and culture, however the credit crisis is an outstanding problem in the professional ethics construction. Honest-trust is the soul of professional ethics construction, which is accountable, self-disciplining, honorable and extensive, therefore it should become the important category of the modern medical theory. And it is an effective way to disclose information and set up the honest-trust file for promoting the professional ethics construction.
4.Brief Intradution about Army Medical Ethics
Chinese Medical Ethics 1996;0(01):-
This paper makes an inquiry into the form development mission and the role etc. about army medical ethics, expecting to exert little strength for the professional moral conutruc-tion of army medical units.
5.Hospice:a transitional alternafive for euthanasia
Chinese Medical Ethics 1995;0(02):-
The paper differentiates the advantages and disadvantages of active euthanasia made:Before legalizing euthanasia,hospice can be a transitional alternative and will benefit the.
6.On Grass Creates of our Army Medical Morals In The Land Revolution War
Chinese Medical Ethics 1995;0(02):-
Our army medical morals was engendered and developed along with our army medical treatment work.This text is tight and tight hold the "a thought","twice important history affairs","two standard points"and "a slogan",tally up developments experience of the Land Revolution,expatiated process and the basically composition of the mode.
7.The Comparative Study of Doctor-Patient Relationship between China and Britain under the Background of Modern Health Care System
Chinese Medical Ethics 1995;0(02):-
The study of relationship between Doctor and Patient is a classical one in the field of medical ethics. Different countries have different cultures, national mentalities, social systems and health care systems. Therefore, the Doctor-Patient relationship differs. Knowing the differences, we can use for references. Based on this, the paper did a comparative research between China and Britain under the background of modern health care system.
8.Linguistic Skills are Required in Medical Ethics
Chinese Medical Ethics 1995;0(02):-
This article discusses the basic characteristics and essential ingredients of linguistic skills,furthermore it illustrates the special linguistic requirements of clinical medicine,such as properly encourging,respectfully listening,sincerely smiling etc.Medical staff should pay attention to the following details: (1)using rational and heartful language to express carefulness and friendship;(2)severing honestly;(3)using“body languge”correctly
9.Meditation on the Foundation Micro-Regulating Model of Medical Morality
Hongjuan LIANG ; Zhaojiang GUO ; Gang LI ; Ji MIN
Chinese Medical Ethics 1995;0(03):-
The construction of medical morality is linked closely with medical management.The foundation of micro-regulating model of medical morality can strengthen the management of medical morality,and make up for the deficiencies of the construction of medical morality;meanwhile,it can also enlarge the connatation of medical morality construction.
10.A Study on Ethical Principles of Medical Language
Chinese Medical Ethics 1995;0(04):-
This article discusses the relevant premise which builds up the ethical principles of medical language.It advances that a sense of giving respect,sympathy,protection and convenient to patients should be established under the guide of the basic principles of the socialist medical ethics and the ethical principles of medical practice.The article also proposes that amicable,scientific,civilized,common and prudent words be used as far as possible in spoken,written and body language during the course of medical treatment.If we do that,a harmonious doctor-patient relationship is likely to be built up and the qualities of medical treatment will be improved.

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