Objective: To compare and analyze the effect and safety of double tube laryngeal mask and endotracheal intubation general anesthesia in fast track anesthesia for limb orthopaedic surgery in children with cerebral pals...Objective: To compare and analyze the effect and safety of double tube laryngeal mask and endotracheal intubation general anesthesia in fast track anesthesia for limb orthopaedic surgery in children with cerebral palsy. Methods: 78 children with cerebral palsy undergoing limb orthopedic surgery were randomly divided into laryngeal mask group and intubation group, with 39 cases in each group. The perioperative hemodynamic indexes, anesthesia effect related indexes, anesthesia related complications or adverse reaction rates of the two groups were observed and compared between the two groups. Results: When the two groups of children entered the room, there was no significant difference in MAP and HR (P > 0.05);MAP and HR of children in the intubation group were higher than those in the laryngeal mask anesthesia group (P Conclusion: Laryngeal mask is used to establish the airway of intravenous general anesthesia in limb orthopaedic surgery of children with cerebral palsy, which is conducive to the stability of children’s circulatory and respiratory system, to reduce the impact of narcotic drugs on children, to reduce the incidence of postoperative anesthesia related complications, and to improve the anesthetic effect. It meets the requirements of fast track anesthesia, and can be widely used in clinical practice.展开更多
Objective:To explore and analyze on how to prevent and treat deep vein thrombosis of the lower limbs in patients with complications after orthopedic trauma surgery.Methods:The research patients were selected from the ...Objective:To explore and analyze on how to prevent and treat deep vein thrombosis of the lower limbs in patients with complications after orthopedic trauma surgery.Methods:The research patients were selected from the cases of surgical treatment of orthopedic trauma in the hospital during the past two years,and a total of 58 patients were selected.The patients were randomly divided into two groups,with 29 patients in the control group treated with conventional clinical methods;and the other 29 patients were assigned to the experimental group,where targeted preventive and therapeutic measures were administered.During the research,the number of complications of postoperative deep vein thrombosis of the lower limbs and the corresponding treatment efficacy were compared between the two groups of patients.Results:According to the results of clinical experiments,the probability of patients in the experimental group suffering from deep vein thrombosis of the lower limbs after surgery was significantly lower than that of the control group(P<0.05);in addition,when complications of deep venous thrombosis of the lower limbs occurred,the treatment efficacy of the patients in the experimental group was 96.55%,and the treatment efficacy of the patients in the control group was 82.76%.There was a significant difference between the two groups(P<0.05).Conclusion:Through clinical experiments to study and analyze the prevention and treatment measures of deep vein thrombosis in patients with complications after orthopedic trauma surgery,this research proves that active and comprehensive preventive and treatment measures can effectively reduce the number of complications and improve surgery treatment efficacy.展开更多
目的:采用Meta分析方法评价机器人辅助步态训练(RAGT)对脑性瘫痪(CP)儿童的下肢运动功能的影响。方法:计算机检索Cochrane Library、PubMed、Web of Science、Embase、中国学术期刊全文数据库(CNKI)、万方数据库(Wanfang Data)、维普中...目的:采用Meta分析方法评价机器人辅助步态训练(RAGT)对脑性瘫痪(CP)儿童的下肢运动功能的影响。方法:计算机检索Cochrane Library、PubMed、Web of Science、Embase、中国学术期刊全文数据库(CNKI)、万方数据库(Wanfang Data)、维普中文期刊全文数据库(VIP)和中国生物医学文献数据库(CBM⁃disc)中关于RAGT治疗CP儿童的临床随机对照试验(RCTs),文献检索时限为从建库至2021年12月。主要结局指标包括CP儿童粗大运动功能评定GMFM-D区评分、GMFM-E区评分、伯格平衡量表(BBS)评分、功能性步行量表(FAC)评分、步速、六分钟步行试验(6MWT)评分、改良Ashworth量表(MAS)评分。由2名研究者独立按照纳入、排除标准筛选文献,完成对纳入文献的资料提取、质量评价和风险评估。根据Cochrane协作网提供的系统评价手册,采用RevMan 5.3软件进行Meta分析,通过P值和I²检验综合判断是否存在异质性,当P≥0.1,I²≤50%时,采用固定效应模型;当P<0.1,I²>50%时,采用随机效应模型。结果:本研究共纳入10项RCTs,纳入390例患者,其中对照组187例,试验组203例。Meta分析结果显示,与对照组比较,试验组GMFM-D区评分更高[SMD=0.58,95%CI(0.29,0.88),P=0.0001],GMFM-E区评分更高[SMD=0.47,95%CI(0.18,0.77),P=0.001],BBS评分更高[MD=5.85,95%CI(4.00,7.70),P<0.00001],FAC评分更高[MD=0.57,95%CI(0.24,0.91),P=0.0008],步速更快[MD=0.06,95%CI(0.02,0.10),P=0.009],6MWT评分更高[MD=80.18,95%CI(23.00,137.36),P=0.006];2组MAS评分比较,差异无统计学意义[MD=-0.10,95%CI(-0.32,0.12),P=0.39]。结论:RAGT可有效改善CP儿童的粗大运动功能、平衡功能和步行功能等下肢运动功能。由于纳入研究的局限性,下一步研究仍需要开展高质量、多中心、大样本的RCTs,为临床提供更可靠的循证依据。展开更多
目的:探讨中医针灸联合微创手术治疗高血压脑出血患者的效果。方法:选取2018年2月—2022年2月贵州中医药大学第一附属医院收治的116例高血压脑出血患者作为研究对象,按照随机数表法将患者分为观察组和对照组,各58例,对照组予以微创手术...目的:探讨中医针灸联合微创手术治疗高血压脑出血患者的效果。方法:选取2018年2月—2022年2月贵州中医药大学第一附属医院收治的116例高血压脑出血患者作为研究对象,按照随机数表法将患者分为观察组和对照组,各58例,对照组予以微创手术治疗,观察组在此基础上联合中医针灸治疗。比较两组患者临床疗效,治疗前后神经功能、日常生活功能、下肢功能、氧化应激指标水平及生活质量。结果:观察组临床总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组神经功能、日常生活功能、下肢功能、氧化应激、生活质量比较,差异无统计学意义(P>0.05);治疗后,两组美国国立卫生院卒中量表(National Institutes of Health stroke scale,NIHSS)评分、超氧化物歧化酶(superoxide dismutase,SOD)、丙二醛(malondialdehyde,MDA)水平较治疗前降低,日常生活能力量表(activity of daily living scale,ADL)评分、功能性步行量表(functional ambulation category scale,FAC)评分、Fugl-Meyer运动功能评定量表(Fugl-Meyer assessment,FMA)评分及社会功能、心理功能、躯体功能、物质生活评分较治疗前升高,且观察组NIHSS评分、SOD、MDA水平低于对照组,ADL评分、FAC评分、FMA评分及社会功能、心理功能、躯体功能、物质生活评分高于对照组,差异有统计学意义(P<0.05)。结论:中医针灸联合微创手术治疗高血压脑出血患者,有利于提高临床疗效,促进神经功能、日常生活功能及下肢功能的恢复,同时改善氧化应激反应,提高生活质量。展开更多
Spastic paralysis of the limb mainly results from the central lesion,in which spastic cerebral palsy is the common cause.Due to durative muscle spasm in spastic cerebral palsy,it is often accompanied by the formation ...Spastic paralysis of the limb mainly results from the central lesion,in which spastic cerebral palsy is the common cause.Due to durative muscle spasm in spastic cerebral palsy,it is often accompanied by the formation of secondary musculoskeletal deformities,resulting in limb motor disability.Based on its pathogenesis,surgical treatment is currently applied:selective posterior rhizotomy(SPR)or orthopedic surgery.The primary purpose of early orthopedic surgery was simply to correct limb deformities,which usually led to the recurrence of deformity as a result of the presence of spasticity.With the application of SPR,high muscle tone was successfully relieved,but limb deformity was still present postoperatively.Therefore,this study aimed to elaborate on the management of orthopedic surgery,common deformities of the lower limb,and orthopedic operative methods;discuss the relationship between SPR and orthopedic procedure for limb deformity;and focus on the indications,timing of intervention,and postoperative outcome of different surgical methods.展开更多
文摘Objective: To compare and analyze the effect and safety of double tube laryngeal mask and endotracheal intubation general anesthesia in fast track anesthesia for limb orthopaedic surgery in children with cerebral palsy. Methods: 78 children with cerebral palsy undergoing limb orthopedic surgery were randomly divided into laryngeal mask group and intubation group, with 39 cases in each group. The perioperative hemodynamic indexes, anesthesia effect related indexes, anesthesia related complications or adverse reaction rates of the two groups were observed and compared between the two groups. Results: When the two groups of children entered the room, there was no significant difference in MAP and HR (P > 0.05);MAP and HR of children in the intubation group were higher than those in the laryngeal mask anesthesia group (P Conclusion: Laryngeal mask is used to establish the airway of intravenous general anesthesia in limb orthopaedic surgery of children with cerebral palsy, which is conducive to the stability of children’s circulatory and respiratory system, to reduce the impact of narcotic drugs on children, to reduce the incidence of postoperative anesthesia related complications, and to improve the anesthetic effect. It meets the requirements of fast track anesthesia, and can be widely used in clinical practice.
文摘Objective:To explore and analyze on how to prevent and treat deep vein thrombosis of the lower limbs in patients with complications after orthopedic trauma surgery.Methods:The research patients were selected from the cases of surgical treatment of orthopedic trauma in the hospital during the past two years,and a total of 58 patients were selected.The patients were randomly divided into two groups,with 29 patients in the control group treated with conventional clinical methods;and the other 29 patients were assigned to the experimental group,where targeted preventive and therapeutic measures were administered.During the research,the number of complications of postoperative deep vein thrombosis of the lower limbs and the corresponding treatment efficacy were compared between the two groups of patients.Results:According to the results of clinical experiments,the probability of patients in the experimental group suffering from deep vein thrombosis of the lower limbs after surgery was significantly lower than that of the control group(P<0.05);in addition,when complications of deep venous thrombosis of the lower limbs occurred,the treatment efficacy of the patients in the experimental group was 96.55%,and the treatment efficacy of the patients in the control group was 82.76%.There was a significant difference between the two groups(P<0.05).Conclusion:Through clinical experiments to study and analyze the prevention and treatment measures of deep vein thrombosis in patients with complications after orthopedic trauma surgery,this research proves that active and comprehensive preventive and treatment measures can effectively reduce the number of complications and improve surgery treatment efficacy.
文摘目的:探讨中医针灸联合微创手术治疗高血压脑出血患者的效果。方法:选取2018年2月—2022年2月贵州中医药大学第一附属医院收治的116例高血压脑出血患者作为研究对象,按照随机数表法将患者分为观察组和对照组,各58例,对照组予以微创手术治疗,观察组在此基础上联合中医针灸治疗。比较两组患者临床疗效,治疗前后神经功能、日常生活功能、下肢功能、氧化应激指标水平及生活质量。结果:观察组临床总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组神经功能、日常生活功能、下肢功能、氧化应激、生活质量比较,差异无统计学意义(P>0.05);治疗后,两组美国国立卫生院卒中量表(National Institutes of Health stroke scale,NIHSS)评分、超氧化物歧化酶(superoxide dismutase,SOD)、丙二醛(malondialdehyde,MDA)水平较治疗前降低,日常生活能力量表(activity of daily living scale,ADL)评分、功能性步行量表(functional ambulation category scale,FAC)评分、Fugl-Meyer运动功能评定量表(Fugl-Meyer assessment,FMA)评分及社会功能、心理功能、躯体功能、物质生活评分较治疗前升高,且观察组NIHSS评分、SOD、MDA水平低于对照组,ADL评分、FAC评分、FMA评分及社会功能、心理功能、躯体功能、物质生活评分高于对照组,差异有统计学意义(P<0.05)。结论:中医针灸联合微创手术治疗高血压脑出血患者,有利于提高临床疗效,促进神经功能、日常生活功能及下肢功能的恢复,同时改善氧化应激反应,提高生活质量。
文摘Spastic paralysis of the limb mainly results from the central lesion,in which spastic cerebral palsy is the common cause.Due to durative muscle spasm in spastic cerebral palsy,it is often accompanied by the formation of secondary musculoskeletal deformities,resulting in limb motor disability.Based on its pathogenesis,surgical treatment is currently applied:selective posterior rhizotomy(SPR)or orthopedic surgery.The primary purpose of early orthopedic surgery was simply to correct limb deformities,which usually led to the recurrence of deformity as a result of the presence of spasticity.With the application of SPR,high muscle tone was successfully relieved,but limb deformity was still present postoperatively.Therefore,this study aimed to elaborate on the management of orthopedic surgery,common deformities of the lower limb,and orthopedic operative methods;discuss the relationship between SPR and orthopedic procedure for limb deformity;and focus on the indications,timing of intervention,and postoperative outcome of different surgical methods.
