Zhonghua wai ke za zhi [Chinese journal of surgery]
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Zhonghua Wai Ke Za Zhi · Oct 2018
Randomized Controlled Trial[Clinical efficacy of ultrasound-guided subacromial drug injection in the treatment of subacromial impingement syndrome].
Objective: To evaluate the clinical effects of ultrasound-guided subacromial injection of two drugs in treatment of subacromial impingement syndrome. Methods: This was a randomized controlled trial study, prospective collection of patients' data who were diagnosed as subacromial impingement syndrome at Orthopedic of Tianjin Fifth Central Hospital from January 2015 to August 2017. To ensure the randomness of the study, patients were randomized into two groups using a random number table. ⋯ NSAID group had better improvement of shoulder abduction degree than corticosteroid group at the 6 weeks after the injection(MD=-11.986, t=-3.238, P=0.002). Conclusions: Ultrasound-guided subacromial injection can reduce pain in patients with subacromial impingement syndrome. The effect of injection of NSAID drugs is the same as corticosteroid drugs, it can avoid hormone-induced complications and reduce the repeat of the punctures.
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Zhonghua Wai Ke Za Zhi · Jul 2017
Randomized Controlled Trial[Clinical study of SMT-Ⅱ video laryngoscope with difficult airway intubation in emergency department].
Objective: To observe the clinical feasibility and security of SMT-Ⅱ video laryngoscope in difficult airway intubation in emergency department. Methods: This study took 90 adults with difficult airway who were admitted to the rescue room of Jingxi court of Beijing Chao-Yang Hospital, Capital Medical University from January 2015 to December 2016. The patients were randomly divided into 2 groups(SMT-Ⅱ video laryngoscope group: n=45, Macintosh direct laryngoscope group: n=45), which were treated with endotracheal intubation and ventilator assisted ventilation. ⋯ There was a significant difference between the two groups at the 5-time points of HR(F=15.857, P=0.000). Conclusions: SMT-Ⅱ video laryngoscope uesd in difficult ariway enable better visualization of the glottic opening, short opertive time, enhance the success rate of intubation. It indicucates that SMT-Ⅱ video laryngoscope is safer than Macintosh direct laryngoscope in patients with difficult airway.
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Zhonghua Wai Ke Za Zhi · Dec 2016
Randomized Controlled Trial[Effect of ultrasound guided patient-controlled paravertebral block on pulmonary function in patients with multiple fractured ribs].
Objective: To investigated the effects of patient controlled intravenous analgesia and ultrasound guided patient-controlled paravertebral block on pulmonary function in patients with multiple fractured ribs. Methods: From May 2015 to March 2016, 60 patients with multiple rib fractures in Ningbo NO.6 Hospital with American Society of Anesthesiologists Ⅱ-Ⅲ underwent internal fixation, including 30 males and 30 females aged from 16 to 70 years(mean age (54.6±15.2) years). All patients were randomly divided into 2 groups (n=30 each): patient controlled intravenous analgesia(PCIA) group and patient controlled thoracic paravertebral block(PCPB) group. ⋯ The pulmonary function was also examined before and 3 days after the operation through FEV1 and FEV1%. Results: Compared with PCIA group at 30 minutes, 60 minutes, 1 day, 2 days, 3 days after analgesia, the level of PaO2 ((85.1±9.7)mmHg vs.(72.4±12.3)mmHg, (90.3±12.4)mmHg vs.(73.5±7.8)mmHg, (94.2±8.2)mmHg vs.(86.1±5.6)mmHg, (98.5±7.0)mmHg vs. (88.8±7.5)mmHg, (99.6±9.8)mmHg vs. (91.3±8.6)mmHg, P<0.05)) and PaO2/FiO2 were significantly increased ((405.1±46.0)mmHg vs. (340.1±58.9)mmHg, (430.5±59.1)mmHg vs. (344.0±65.4)mmHg, (448.3±39.1)mmHg vs. (410.1±26.7)mmHg, (460.1±33.5)mmHg vs. (423.2±36.5)mmHg, (465.1±28.2)mmHg vs. (435.1±40.8)mmHg, P<0.05)), the level of PA-aDO2 was decreased ((22.9±4.6)mmHg vs. (36.6±5.1)mmHg, (17.7±4.7)mmHg vs. (34.5±2.9)mmHg, (13.8±4.1)mmHg vs. (21.9±3.2)mmHg, (13.5±4.6)mmHg vs. (19.2±3.8)mmHg, (12.4±2.0)mmHg vs. (17.7±2.4)mmHg, P<0.05)), and FEV1, FEV1% were significantly increased at 3 days after operation in PCPB group ((2.9±0.4)mmHg vs.(2.2±0.5)mmHg, (78.1±4.7)mmHg vs.(64.8±4.3)mmHg; P<0.01)). Conclusion: Ultrasound guided patient-controlled paravertebral block improves the arterial oxygenation function and accelerates the recovery of pulmonary function in patients with multiple-fractured ribs after internal fixation operation.
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Zhonghua Wai Ke Za Zhi · Oct 2016
Randomized Controlled Trial[Random clinical study about application value of oxycodone in radiofrequency ablation of hepatocellular carcinoma].
Objective: To evaluate the clinical effect and safety of oxycodone hydrochloride in the anesthesia for percutaneous radiofrequency ablation (PRFA) in hepatocellular carcinoma. Methods: Between March and December 2015, 60 cases of hepatocellular carcinoma patients undergoing percutaneous radiofrequency ablation surgery in Peking University Cancer Hospital were randomly divided into three groups: oxycodone group (group Q), fentanyl group (group F) and dezocine group (group D), 20 cases in each group. Respectively intravenously injection oxycodone 0.1 mg/kg, fentanyl 0.001 mg/kg, dezocine 0.1 mg/kg before surgery. ⋯ Intraoperative respiratory depression in group Q and group D were lower than group F (3 cases, 2 cases, 9 cases, χ2=8.012, P=0.018). Conclusions: Oxycodone hydrochloride can be used safely and effectively for radiofrequency ablation. It has favorable hemodynamic stability, lower incidence of respiratory depression, and advantage in terms of postoperative pain.
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Zhonghua Wai Ke Za Zhi · Jul 2015
Randomized Controlled Trial[Effects of two analgesic regimens on the postoperative analgesia and knee functional recovery after unilateral total knee arthroplasty-a randomized controlled trial].
To evaluate the efficacy of continuous femoral block on the postoperative analgesia and functional recovery after total knee arthroplasty (TKA). ⋯ CFNB can alleviate the postoperative pain after TKA with safety, help improving the short-middle-term functions of knee and quality of patients' lives.