Bibliographic record
Abstract
目的 观察经尿道前列腺切除术(TURP)、经尿道输尿管取石术(URL)和微创经皮肾穿刺取石术(MPCNL)患者术后疼痛程度与规律.方法随机选择一期择期手术成年患者分为4组,Ⅰ组:ⅠLU组为左URL(52例),ⅠRU组右URL(57例),ⅠDU组双侧URL(15例);Ⅱ组:ⅡLP组左MPCNL(66例),ⅡRP组右MPCNL(63例);Ⅲ组TURP(59例);Ⅳ组:ⅣT组TURP(30例),ⅣP 组MPCNL(34例),两亚组均术毕静注氯诺昔康8 mg,继以术后静脉自控镇痛治疗(PCIA) (0.04%,2 ml/h).以视觉模拟评分法(VAS)测评术后24h内最大疼痛程度(Pmax)、术后第24h时点的疼痛程度(P24)和McGill疼痛问卷(MPQ)查询.结果Ⅱ组各亚组与Ⅲ组、Ⅱ组各亚组与Ⅰ组各亚组的Pmax或P24组间比较均有统计学差异(p<0.05);ⅣT的Pmax或P24均小于Ⅲ组(p<0.05),ⅣP的Pmax或P24均小于ⅡLP或ⅡRP(p<0.05),Ⅰ～Ⅲ组术后24h需应用镇痛药者分别为12例(9.7%)、27例(20.9%)和4例(7.3%),各组中应用与无应用镇痛药患者的Pmax或P24组间比较均有显著统计学差异(p<0.05),Ⅰ和Ⅲ组为会阴部胀痛,Ⅱ组为术侧腰部钝痛与胀痛.结论 TURP和MPCNL患者术后应积极进行疼痛治疗,氯诺昔康能有效地缓解术后疼痛。
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".