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瑞马唑仑与艾司氯胺酮用于小儿术前镇静的临床效果与安全性对比 被引量:3
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作者 吴美潮 杨芳芳 +1 位作者 马行军 蔡宁 《南方医科大学学报》 CAS CSCD 北大核心 2023年第12期2126-2131,共6页
目的通过对比瑞马唑仑与艾司氯胺酮用于小儿术前镇静的临床效果,明确瑞马唑仑用于小儿术前镇静的有效性及安全性。方法选择2022年1月~2023年3月择期全麻下行双侧扁桃体和(或)腺样体切除手术的1~4岁患儿61例随机分为两组,其中瑞马唑仑组(... 目的通过对比瑞马唑仑与艾司氯胺酮用于小儿术前镇静的临床效果,明确瑞马唑仑用于小儿术前镇静的有效性及安全性。方法选择2022年1月~2023年3月择期全麻下行双侧扁桃体和(或)腺样体切除手术的1~4岁患儿61例随机分为两组,其中瑞马唑仑组(R组)30例,艾司氯胺酮组(S组)31例。R组静脉应用瑞马唑仑0.2mg/kg进行术前镇静,S组静脉应用艾司氯胺酮0.5mg/kg进行术前镇静。记录两组患儿镇静后PSAS评分,生命体征(MAP、SpO2、HR),镇静评分,诱导时面罩接受程度评分,镇静起效时间、术后苏醒时间,诱导后MAP、HR,苏醒后Ramsay镇静评分,麻醉期间丙泊酚、瑞芬太尼用量,麻醉苏醒期躁动(EA),术后不良反应(呼吸抑制、恶心、呕吐)及术后第7天、第14天术后不良行为改变(NPOBCs)发生。结果两组患儿镇静后PSAS评分,镇静评分,诱导时面罩接受程度评分,诱导后MAP、HR,苏醒后Ramsay镇静评分,麻醉诱导丙泊酚用量,麻醉苏醒期躁动发生率,及术后第7d、第14d术后不良行为改变发生率对比,差异无统计学意义(P>0.05)。与S组对比,R组镇静起效时间略长,麻醉苏醒时间短,麻醉维持丙泊酚及瑞芬太尼用量多(P<0.05)。与镇静前对比,R组镇静后MAP、SpO2、HR变化不大,差异无统计学意义(P>0.05);S组镇静后MAP、HR升高,差异有统计学意义(P<0.05),而SpO2变化不大,差异无统计学意义(P>0.05)。结论与0.5mg/kg艾司氯胺酮相比,静脉注射0.2mg/kg瑞马唑仑用于1~4岁小儿术前镇静起效时间略长,苏醒时间短,血流动力学更平稳,具有可行性及安全性。 展开更多
关键词 瑞马唑仑 艾司氯胺酮 儿童 术前镇静
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Clinical study of prevention of urine retention after subabdominal surgery by electro-acupuncture acupoints Yin Ling Quan(SP 9),Zhao Hai(KI 6) with the assistance of subarachnoid acupoint anesthesia
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作者 Peng Dengfa Wang Lianjun +2 位作者 Shi Jingwen Cai Lingling wu meichao 《World Journal of Integrated Traditional and Western Medicine》 2017年第2期9-13,共5页
OBJECTIVE:To explore the prevention of urine retention after subabdominal surgery by electro-acupuncture Yin Ling Quan(SP 9),Zhao Hai(KI 6) acupoints with the assistance of subarachnoid acupoint anesthesia by observin... OBJECTIVE:To explore the prevention of urine retention after subabdominal surgery by electro-acupuncture Yin Ling Quan(SP 9),Zhao Hai(KI 6) acupoints with the assistance of subarachnoid acupoint anesthesia by observing the postoperative voiding time and urine volume of postoperative patients undergoing Electroacupuncture plus subarachnoid block anesthesia.METHODS:60 cases of preoperative expected for subarachnoid block surgery patients were randomly divided into two groups,the treatment group and the control group,with 30 cases in each group.The control group underwent routine subarachnoid anesthesia after surgery without acupuncture treatment group;The treatment group was treated with acupuncture bilateral Yin Ling Quan and Zhaohai acupoints 15 minutes before anesthesia,and then received unilateral electric anesthesia instrument treatment,the intensity of the patient was tolerable(generally 1.5 ~ 2.0 m A),and the routine subarachnoid block anesthesia was performed;The first urination time,urine volume,lower abdominal pain and assistant catheterization were recorded in the two groups.RESULTS:The first postoperative voiding time of the treatment group was significantly earlier compared with that of the control group,there was significant difference(P<0.05);the amount of urine was significantly more than that of the control group in reservation time,there was significant difference(P<0.05);the abdominal pain was light in the treatment group,there was significant difference(P<0.05);the cases of assisted catheterization of the control group were significantly more thanthose of the treatment group,there was significant difference(P< 0.05).CONCLUSION:Electro-acupuncture Yin Ling Quan(SP 9),Zhao Hai(KI 6) acupoints with the assistance of subarachnoid acupoint anesthesia could significantly reduce the urine retention after subabdominal surgery in postoperative patients with ubarachnoid block anesthesiau,accelerate the recovery of bladder function and promote early postoperative urination in addition to relieving the abdominal symptoms after operation. 展开更多
关键词 ELECTRO-ACUPUNCTURE Yin Ling Quan(SP 9) Zhao Hai(KI 6) Subarachnoid acupoint anesthesia Urinary retention
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Clinical study of Cangbai Shiduqing Granul in reversing drug resistance of ureaplasma urealyticum
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作者 Zhang Yingchun Li Yuanwen +5 位作者 Li Wei Zhou Zhiqiang Zhao Yajing wu meichao Shi Jingwen Cai Lingling 《World Journal of Integrated Traditional and Western Medicine》 2017年第2期5-8,共4页
Ureaplasma Urealyticum(UU) can not only cause a wide range of nongonococcalinfectionsto urogenital tract,but also lead to infertility,sterility,intrauterinefetal infection,abortion or other bad consequences.For males,... Ureaplasma Urealyticum(UU) can not only cause a wide range of nongonococcalinfectionsto urogenital tract,but also lead to infertility,sterility,intrauterinefetal infection,abortion or other bad consequences.For males,UU may cause prostatitis,epididymitis and other diseases.With great harm to the human health,UU infection has been taken as one of the most important STDs in China for prevention and cure.However,the drug resistance of UU is increasingly stronger with the widespread use of antibiotics.Many nongonococcal patients with mycoplasma infection often fail to be cured after a long time of treatment,and drug sensitive tests find that,multidrug resistance brings physical and mental pains to patients all the time.Luckily,integrated Chinese traditional and western medicine greatly improves the cure rate,though the mechanism is not clear.There have been many studies on the reversion action and mechanism of TCM on the antibiotic resistance of bacteria,but studies on the reversion to UU drug resistance are deficient.Here we chose some voluntary patients with multidrug resistance as the research objects,who received treatment in my hospital in recent 3 years.They were given the oral administration of self-prescribed Cangbai Shiduqing Granule.Then,Cangbai Shiduqing Granule's reversion effect on UU drug resistance,namely,the sensitivity transformation situation of drug-resistant antibiotics,was observed.And the observation results are presented in the paper. 展开更多
关键词 Ureaplasmaurealyticum(uu) Drug resistance REVERSION ANTIBIOTICS
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The progress of treatment of children's psoriasis
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作者 Xu Weiwei Cai Lingling +4 位作者 wu Di wu meichao Li Ping Wang Yan Peng Dengfa 《World Journal of Integrated Traditional and Western Medicine》 2017年第4期9-12,共4页
Psoriasis is a chronic recurrent inflammatory skin disease, with erythema based on silver-white scales as the main clinical features. The incidence of psoriasis in children has gradually increased, and the clinical ma... Psoriasis is a chronic recurrent inflammatory skin disease, with erythema based on silver-white scales as the main clinical features. The incidence of psoriasis in children has gradually increased, and the clinical manifestations are not typical. Moreover, the drug sensitivity and tolerance of children are different with that of adults. This article reviews the treatment of children's psoriasis in China and abroad. 展开更多
关键词 PROGRESS TREATMENT CHILDREN PSORIASIS
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Clinical Observation on Brachial Plexus Block with “One Injection Two Points” Method Guiding by Ultrasound
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作者 Huang Qiang Cai Lingling +10 位作者 Shi Wenjing Fang Zhiyuan wu meichao Sun Zhaohui Sun Yulan Li Yong Lu Shangting Xu Hui HWANG DONGWOOK Wang Hongliang Zhang Tao 《World Journal of Integrated Traditional and Western Medicine》 2017年第1期14-17,共4页
OBJECTIVE: To compare the clinical effect of brachial plexus block with "One Injection Two Points" guided under ultrasound and the conventional method guiding by ultrasound. METHODS: 70 patients were randomi... OBJECTIVE: To compare the clinical effect of brachial plexus block with "One Injection Two Points" guided under ultrasound and the conventional method guiding by ultrasound. METHODS: 70 patients were randomized evenly into 2 groups, with 35 patients in each group, while the Experiment Group(Group B) received One Injection Two Points" method, the Control Group(Group A) received the conventional method.The nerve block every 5 s, the success rate of anesthesia, the dosage of local anesthetics, second remedial anesthesia, adverse reactions, etc.were recorded. RESULTS: Group B was superior to group A in the success rate of anesthesia; There were 6 patients in group A who required constant pump injection of Remifentanil to remedy, while no patients in Group B needed remedy treatment. There were no serious adverse reactions in both groups.CONCLUSIONS: The clinical effect of brachial plexus block with "One Injection Two Points" method guided under ultrasoundguiding by ultrasound was superior to that of the conventional method. 展开更多
关键词 Clinical observation Ultrasound-guided Brachial plexus block "One Injection Two Points" method
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Research progress of Chinese medicine in treatment of IPF(idiopathic pulmonary fibrosis)
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作者 Luo Haili Cai Lingling +5 位作者 Sun Song Cao Ting wu meichao wu Zhisong Fan Maorong Wang Shuchen 《World Journal of Integrated Traditional and Western Medicine》 2017年第2期18-21,共4页
Idiopathic pulmonary interstitial fibrosis is one of the respiratory refractory diseases,and the incidence rate is on the rise.At present,the effect of western medicine is not ideal and the side effects are obvious,wh... Idiopathic pulmonary interstitial fibrosis is one of the respiratory refractory diseases,and the incidence rate is on the rise.At present,the effect of western medicine is not ideal and the side effects are obvious,while the traditional Chinese medicine shows good curative effect on the disease.This paper makes a summary on the traditional Chinese medicine theory in treating idiopathic pulmonary interstitial fibrosis in recent years. 展开更多
关键词 Idiopathic pulmonary interstitial fibrosis Chinese medicine Research progress
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Efficacy comparison between anterior subcutaneous and submuscular transposition of ulnar nerve in treating moderate-severe cubital tunnel syndrome
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作者 Huang Wei Chen Quanxin +4 位作者 wu meichao Qu Tian'ge Wang Feifei Ma Jie Cai Lingling 《World Journal of Integrated Traditional and Western Medicine》 2017年第2期14-17,共4页
OBJECTIVE:To explore the optimal surgery in treating moderate-severe cubital tunnel(CuTS) syndrome by comparing the clinical efficiency of decompression and anterior subcutaneous transposition of ulnar nerve and decom... OBJECTIVE:To explore the optimal surgery in treating moderate-severe cubital tunnel(CuTS) syndrome by comparing the clinical efficiency of decompression and anterior subcutaneous transposition of ulnar nerve and decompression and anterior submuscular transposition of ulnar nerve,and to provide a theoretical basis for the appropriate surgical programs in treating moderate-severe Cu TS.METHODS:47 consecutive cases of moderate-severe Cu TS were surgically treated in our department from January 2014 to January 2017.All patients were divided into two groups by the doctor in our department.21 Cu TS cases were treated with decompression and anterior subcutaneous transposition of ulnar nerve,and other 26 cases were treated with decompression and anterior submuscular transposition of ulnar nerve.All the patients were followed 1 month,3 months and 6 months after operation to evaluate the recovery degree of ulnar nerve function and the clinical efficiency of the two methods was compared.RESULTS:Clinical symptoms of two groups were significant alleviated.There was no significant statistical difference between two groups in the clinical efficiency.CONCLUSION:Completely releasing of nerve truck is the most important step in treating mediate-severe Cu TS.Theclinical results of the two methods are similar,but the anterior subcutaneous transposition of ulnar nerve is more easy to operate and can be widely used. 展开更多
关键词 Cubital ttmnel syndrome Anterior subcutaneous transposition of ulnar nerve Anterior submuscular transposition of ulnar nerve
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Experience of Professor Li Yuanwen in treating psoriasis
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作者 Cai Ling-ling Li Ping +6 位作者 Wang Yan XU Kaituo Shi Jingwen Lin Weihua Wang Dongqi wu meichao Li Yuanwen 《World Journal of Integrated Traditional and Western Medicine》 2016年第4期16-18,共3页
Professor Li has combined TCM and modern medicine in the treatment of skin diseases for more than 30 years and has accumulated rich experience.We summarize some of his clinical experience in treating psoriasis.
关键词 PSORIASIS EXPERIENCE Li Yuanwen
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Recent advances of TCM treatment of childhood atopic dermatitis
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作者 Xu Weiwei Cai Lingling +2 位作者 Zhang Liyuan wu meichao and Peng Dengfa 《World Journal of Integrated Traditional and Western Medicine》 2017年第3期12-14,共3页
Atopic dermatitis (AD) is a common and frequently encountered disease, which frequently appears in children. According to statistics, the percentage of AD patients between ages of 6 to 20 in dermatology clinics is 3... Atopic dermatitis (AD) is a common and frequently encountered disease, which frequently appears in children. According to statistics, the percentage of AD patients between ages of 6 to 20 in dermatology clinics is 30%^1, and the incidence in school-age children is 2%-3%^2. AD has no corresponding nomenclature in traditional Chinese medicine (TCM). According to the initial time of attack in early childhood, it cma be classified as NaiXuan and TaiXuan; according to the location of the disease (elbow fossa and popliteal fossa), it can be classified as SiWanFeng; according to the specific cases of different characteristics of lesions, it can be classified as ShiChuang, JinYinchuang, XueFengChuang. In TCM, the etiology of AD is complicated. It is generally considered that the pathogenesis of AD is spleen deficiency and damp-heat^3. When children suffer from pathogenic wind, pathogenic dampness, pathogenic heat, or insufficient natural endowment, damp-heat is produced and it injures patients' skin. Also latent damp-heat can deplete the blood and succus in the body, dry the skin and lead to AD. In short, AD can be divided into 3 syndrome types in TCM: syndrome of spleen deficiency, syndrome of damp-heat, syndrome of blood deficiency. At present, the clinical study of AD treated by TCM is increasing, but the study of children's treatment is still rare. This article aims to make a summary of clinical studies of children's AD treated with TCM in recent years. 展开更多
关键词 Childhood atopic dermatitis TCM treatment
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Mechanism of sex hormone level in biological clock disorder induced acne and analysis of TCM Pathogenesis
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作者 Zhang Miaoliang Yang Bilian +6 位作者 wu Di Zhang Liyuan Chen Xueyan Wang Yu'nong wu meichao Jia Yuanning Cai Lingling 《World Journal of Integrated Traditional and Western Medicine》 2016年第2期11-13,共3页
Acne vulgaris is a common chronic inflammatory disease of pilosebaceous units. And sex hormone level disorder has became a hot research topic in the pathogenesis of acne. Studies show that the biological clock disorde... Acne vulgaris is a common chronic inflammatory disease of pilosebaceous units. And sex hormone level disorder has became a hot research topic in the pathogenesis of acne. Studies show that the biological clock disorder can result in the disorder of sex hormone levels which causes or aggravates acne. Biological clock disorder coincides naturally with "sleep rhythm disorder" in Traditional Chinese Medicine(TCM). In this paper, we will discuss the modern medical mechanism of the biological clock disorder resulting in acne from the angle of sex hormones, and analyze the TCM pathogenesis of the disease caused by the disorder of the biological clock. 展开更多
关键词 Acne Biological clock disorder Sex hormone level Etiology and pathogenesis of TCM
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