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
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.
