Objective Comparing different medication pro ject of continuous epidural analgesia for the patient after lumbar verte bra opera-tion,to decrease the complications and promote analgesia effects.Methods150cases with AS...Objective Comparing different medication pro ject of continuous epidural analgesia for the patient after lumbar verte bra opera-tion,to decrease the complications and promote analgesia effects.Methods150cases with ASAⅠ～Ⅱgrade,lumbar intervertebral disc e x-tirpation and /or vertebral canal decompression,were divided into 5gro ups.A group:0.0625%bupivacaine;B group:0.125%bupiva-caine;C group:0.0625%bupivacaine and 1mg morphine;D group:0.125%bupivacaine and 1mg morphine;E group:n o analgesia.Record the occurrence of RR,MAP,HR,VAS score and side effects.Results The analgesia effects of all groups were satisfying,but the oc-currence of urine retention increased in B,C,D group,and the occurrence of nausea and vomit increased obviou sly in C,D group.Conclusions The continuous epidural analgesia w ith simple 0.0625%for patients afte r lumbar vertebral operation is best.展开更多
Objective： To compare the biomechanical effects between oblique Ban-pulling manipulation and lumbar erection-rotation manipulation in sitting position in treating lumbar intervertebral disc herniation （LIDH）. Meth...Objective： To compare the biomechanical effects between oblique Ban-pulling manipulation and lumbar erection-rotation manipulation in sitting position in treating lumbar intervertebral disc herniation （LIDH）. Methods： A three-dimensional finite element model of L3-S1 was developed to carry out a comparative study between oblique Ban-pulling manipulation and lumbar erection and rotation manipulation in sitting position. The disc protrusion was assumed to be on the rear left of L4 disc, and the manipulations were performed on the right side. The loading process was simulated by two steps, in the first step, only the compression loading was imposed, and in the second step, both the compression loading and axial rotation moment were imposed. The displacement and stress distribution in L4 disc were investigated. Results： The values of stress and displacement in the second step were lower than those in the first step in each manipulation. The stress and displacement differences between the two steps were respectively 1.79 times and 3.03 times larger in oblique Ban-pulling manipulation than those in lumbar erection-rotation manipulation in sitting position. Conclusion： Oblique Ban-pulling manipulation may result in a better biomechanical effect than lumbar erection-rotation manipulation in sitting position for LIDH.展开更多
Objective： To compare the clinical efficacy of abdomen acupuncture with body acupuncture for treating lumbar intervertebral disc protrusion. Methods： One hundred and thirty three patients were randomly allocated to ...Objective： To compare the clinical efficacy of abdomen acupuncture with body acupuncture for treating lumbar intervertebral disc protrusion. Methods： One hundred and thirty three patients were randomly allocated to a treatment group of 67 cases and a control group of 66 cases. The patients in the treatment group received abdomen acupuncture and those in the control group, body acupuncture. The improvements in the symptoms were compared after treatment. Results： The efficacy rate was 95.5% in the treatment group and 86.4% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. The cure rate after one course of treatment was significantly higher in the treatment group than in the control group （P〈0.05）. Conclusion： Abdomen acupuncture has a good effect on lumbar intervertebral disc protrusion with a short course of treatment.展开更多
文摘Objective Comparing different medication pro ject of continuous epidural analgesia for the patient after lumbar verte bra opera-tion,to decrease the complications and promote analgesia effects.Methods150cases with ASAⅠ～Ⅱgrade,lumbar intervertebral disc e x-tirpation and /or vertebral canal decompression,were divided into 5gro ups.A group:0.0625%bupivacaine;B group:0.125%bupiva-caine;C group:0.0625%bupivacaine and 1mg morphine;D group:0.125%bupivacaine and 1mg morphine;E group:n o analgesia.Record the occurrence of RR,MAP,HR,VAS score and side effects.Results The analgesia effects of all groups were satisfying,but the oc-currence of urine retention increased in B,C,D group,and the occurrence of nausea and vomit increased obviou sly in C,D group.Conclusions The continuous epidural analgesia w ith simple 0.0625%for patients afte r lumbar vertebral operation is best.
基金supported by Natural Science Foundation of Guangdong Province, China, No. 2014A030313392~~
文摘Objective： To compare the biomechanical effects between oblique Ban-pulling manipulation and lumbar erection-rotation manipulation in sitting position in treating lumbar intervertebral disc herniation （LIDH）. Methods： A three-dimensional finite element model of L3-S1 was developed to carry out a comparative study between oblique Ban-pulling manipulation and lumbar erection and rotation manipulation in sitting position. The disc protrusion was assumed to be on the rear left of L4 disc, and the manipulations were performed on the right side. The loading process was simulated by two steps, in the first step, only the compression loading was imposed, and in the second step, both the compression loading and axial rotation moment were imposed. The displacement and stress distribution in L4 disc were investigated. Results： The values of stress and displacement in the second step were lower than those in the first step in each manipulation. The stress and displacement differences between the two steps were respectively 1.79 times and 3.03 times larger in oblique Ban-pulling manipulation than those in lumbar erection-rotation manipulation in sitting position. Conclusion： Oblique Ban-pulling manipulation may result in a better biomechanical effect than lumbar erection-rotation manipulation in sitting position for LIDH.
文摘Objective： To compare the clinical efficacy of abdomen acupuncture with body acupuncture for treating lumbar intervertebral disc protrusion. Methods： One hundred and thirty three patients were randomly allocated to a treatment group of 67 cases and a control group of 66 cases. The patients in the treatment group received abdomen acupuncture and those in the control group, body acupuncture. The improvements in the symptoms were compared after treatment. Results： The efficacy rate was 95.5% in the treatment group and 86.4% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. The cure rate after one course of treatment was significantly higher in the treatment group than in the control group （P〈0.05）. Conclusion： Abdomen acupuncture has a good effect on lumbar intervertebral disc protrusion with a short course of treatment.
