目的探讨超声引导下双侧胸腰筋膜平面阻滞(TLIPB)对行经皮椎间孔镜腰椎间盘切除术(PTED)的椎间盘源性腰痛(DLBP)患者的围术期镇痛效果。方法选取57例椎间盘源性腰痛患者,使用计算机生成的随机编号将患者分为A组(对照组)28例患者,B组(超...目的探讨超声引导下双侧胸腰筋膜平面阻滞(TLIPB)对行经皮椎间孔镜腰椎间盘切除术(PTED)的椎间盘源性腰痛(DLBP)患者的围术期镇痛效果。方法选取57例椎间盘源性腰痛患者,使用计算机生成的随机编号将患者分为A组(对照组)28例患者,B组(超声引导下双侧胸腰筋膜平面阻滞组)29例患者。比较两组患者术前(t_(0))、术后2 h(t_(1))、术后6 h(t_(2))、术后12 h(t_(3))及术后24 h(t_(4))静息和翻身时视觉模拟疼痛评分(VAS)的差异。比较两组患者术前及术后24 h 15项恢复质量评分(QoR-15)的差异。比较两组患者入室后(T_(0))、切皮时(T_(1))、椎间孔成形时(T_(2))、外科医生认定疼痛最剧烈时(T_(3))、手术结束时(T_(4))的平均动脉压(MAP)和心率(HR)变化的差异。记录术中及术后24 h内不良事件。结果所有患者均顺利完成手术和超声引导下双侧TLIPB,无椎间隙感染,无脊髓、神经根和血管损伤,无恶心呕吐等严重并发症。两组患者组内术后各时间点静息及翻身时VAS评分及术后24 h QoR-15评分均较术前显著降低,差异有统计学意义(P<0.05)。两组患者术前及术后各时间点静息时VAS评分差异无统计学意义(P>0.05)。两组患者术后2 h、术后6 h及术后12 h翻身时VAS评分差异有统计学意义(P<0.05),其余时间点差异无统计学意义(P>0.05)。两组患者术前及术后24 h QoR-15评分相比差异有统计学意义(P<0.05),且两组患者术后24 h QoR-15评分相比差异有统计学意义(P<0.05)。两组患者椎间孔成形时(T_(2))和外科医生认定疼痛最剧烈时(T3)时MAP及HR差异有统计学意义(P<0.05)。结论超声引导下双侧胸腰筋膜平面阻滞可以有效缓解PTED术后疼痛,减少围术期应激反应及不良事件的发生,加速患者术后康复。展开更多
Eleven tertiarv alkaloids were isolated from Corvdalis decumbens rhizome Their structures were identified as protopine(Ⅶ),allocryptopine(Ⅷ),cryptopine (Ⅸ),muramine(ⅩⅦ);(+)-tetrahydropalmatine(Ⅲ),(+)-kikemanine (...Eleven tertiarv alkaloids were isolated from Corvdalis decumbens rhizome Their structures were identified as protopine(Ⅶ),allocryptopine(Ⅷ),cryptopine (Ⅸ),muramine(ⅩⅦ);(+)-tetrahydropalmatine(Ⅲ),(+)-kikemanine (Ⅳ),(一)-scoulerine (ⅩⅧ),(十)-bulbo- capnine (ⅩⅨ),and(一)一capnoidine(Ⅰ),(一)一bicuculline(Ⅴ),(+) coriumidine(ⅩⅣ), respecti vely。 Among these,cryptopine,muramine,(+)-kikemanine,(-)-scoulerine,(一)capnoidine,(一)一bicuculline were isolated for the first time from this plant展开更多
Doctor Ramin Khadem, Chairman of Board of Trustees (BOT) of International Space University (ISU)visited China Aerospace Science and Technology Corporation (SASC) headquarters in Beijing on October 14,2005.Mr.Che...Doctor Ramin Khadem, Chairman of Board of Trustees (BOT) of International Space University (ISU)visited China Aerospace Science and Technology Corporation (SASC) headquarters in Beijing on October 14,2005.Mr.Chen Xuechuan,Director of Human Resources Department,CASC received manufacture of space systems such as launch vehicles, satellites and spaceships.展开更多
文摘目的探讨超声引导下双侧胸腰筋膜平面阻滞(TLIPB)对行经皮椎间孔镜腰椎间盘切除术(PTED)的椎间盘源性腰痛(DLBP)患者的围术期镇痛效果。方法选取57例椎间盘源性腰痛患者,使用计算机生成的随机编号将患者分为A组(对照组)28例患者,B组(超声引导下双侧胸腰筋膜平面阻滞组)29例患者。比较两组患者术前(t_(0))、术后2 h(t_(1))、术后6 h(t_(2))、术后12 h(t_(3))及术后24 h(t_(4))静息和翻身时视觉模拟疼痛评分(VAS)的差异。比较两组患者术前及术后24 h 15项恢复质量评分(QoR-15)的差异。比较两组患者入室后(T_(0))、切皮时(T_(1))、椎间孔成形时(T_(2))、外科医生认定疼痛最剧烈时(T_(3))、手术结束时(T_(4))的平均动脉压(MAP)和心率(HR)变化的差异。记录术中及术后24 h内不良事件。结果所有患者均顺利完成手术和超声引导下双侧TLIPB,无椎间隙感染,无脊髓、神经根和血管损伤,无恶心呕吐等严重并发症。两组患者组内术后各时间点静息及翻身时VAS评分及术后24 h QoR-15评分均较术前显著降低,差异有统计学意义(P<0.05)。两组患者术前及术后各时间点静息时VAS评分差异无统计学意义(P>0.05)。两组患者术后2 h、术后6 h及术后12 h翻身时VAS评分差异有统计学意义(P<0.05),其余时间点差异无统计学意义(P>0.05)。两组患者术前及术后24 h QoR-15评分相比差异有统计学意义(P<0.05),且两组患者术后24 h QoR-15评分相比差异有统计学意义(P<0.05)。两组患者椎间孔成形时(T_(2))和外科医生认定疼痛最剧烈时(T3)时MAP及HR差异有统计学意义(P<0.05)。结论超声引导下双侧胸腰筋膜平面阻滞可以有效缓解PTED术后疼痛,减少围术期应激反应及不良事件的发生,加速患者术后康复。
文摘Eleven tertiarv alkaloids were isolated from Corvdalis decumbens rhizome Their structures were identified as protopine(Ⅶ),allocryptopine(Ⅷ),cryptopine (Ⅸ),muramine(ⅩⅦ);(+)-tetrahydropalmatine(Ⅲ),(+)-kikemanine (Ⅳ),(一)-scoulerine (ⅩⅧ),(十)-bulbo- capnine (ⅩⅨ),and(一)一capnoidine(Ⅰ),(一)一bicuculline(Ⅴ),(+) coriumidine(ⅩⅣ), respecti vely。 Among these,cryptopine,muramine,(+)-kikemanine,(-)-scoulerine,(一)capnoidine,(一)一bicuculline were isolated for the first time from this plant
文摘Doctor Ramin Khadem, Chairman of Board of Trustees (BOT) of International Space University (ISU)visited China Aerospace Science and Technology Corporation (SASC) headquarters in Beijing on October 14,2005.Mr.Chen Xuechuan,Director of Human Resources Department,CASC received manufacture of space systems such as launch vehicles, satellites and spaceships.