Background： There is an unmet need for a reliable method of airway randomized controlled two-center study was designed to evaluate the management for patients in the lateral position. This prospective feasibility of ...Background： There is an unmet need for a reliable method of airway randomized controlled two-center study was designed to evaluate the management for patients in the lateral position. This prospective feasibility of intubation using a flexible fiberoptic bronchoscope in the lateral position during surgery. Methods： Seventy-two patients scheduled for elective nonobstetric surgery in the lateral decubitus position requiring tracheal intubation under general anesthesia at Lishui Central Hospital of Zhejiang Province and Jiaxing First Hospital of Zhejiang Province from April I, 2015, to September 30, 2015, were enrolled in this study. Patients were randomly assigned to the supine position group （Group S, n = 38） and the lateral position group （Group L, n = 34）. Experienced anesthetists performed tracheal intubation with a fiberoptic bronchoscope after general anesthesia. The time required for intubation, intubation success rates, and hemodynamic changes was recorded. Between-group differences were assessed using the Student＇s t-test, Mann-Whitney U-test, or Chi-square test. Results： The median total time to tracheal intubation was significantly longer in Group S （140.0 [135.8, 150.0] s） compared to Group L （33.0 [24.0, 38.8] s） （P 〈 0.01）. The first-attempt intubation success rate was significantly higher in Group L （97%） compared to Group S （16%）. Hemodynamic changes immediately after intubation were more exaggerated in Group S compared to Group L （P = 0.02）. Conclusion： Endotracheal intubation with a flexible fiberoptic bronchoscope may be an effective and timesaving technique for patients in the lateral position. Trial Registration： Chinese Clinical Trial Register, ChiCTR-IIR- 16007814; http：//www.chictr.org.cn/showproj.aspx？proj= 13183.展开更多
Objective: To observe the clinical efficacy of acupoint injection plus medication in treating recurrent facial dermatitis(RFD). Methods: Fifty-eight patients with RFD were randomized into a treatment group and a contr...Objective: To observe the clinical efficacy of acupoint injection plus medication in treating recurrent facial dermatitis(RFD). Methods: Fifty-eight patients with RFD were randomized into a treatment group and a control group, 29 in each. The treatment group was intervened by acupoint injection with BCG-PSN plus oral administration of Fexofenadine Hydrochloride, and the control group was by Fexofenadine Hydrochloride only. The clinical efficacies were compared between the two groups, and a follow-up study was conducted to investigate the recurrence rate. Results: The total effective rate was 96.6% in the treatment group versus 65.5% in the control group, and the difference was statistically significant(P<0.01). Of the cured and improved patients in the treatment group, the recurrence rates were 10.7%, 25.0%, and 32.1% respectively 3 months, 6 months, and 12 months after treatment, versus 31.6%, 36.8%, and 73.7% in the control group, and the differences were statistically significant(P<0.05). Conclusion: Acupoint injection plus medication is an effective method in treating RFD.展开更多
文摘Background： There is an unmet need for a reliable method of airway randomized controlled two-center study was designed to evaluate the management for patients in the lateral position. This prospective feasibility of intubation using a flexible fiberoptic bronchoscope in the lateral position during surgery. Methods： Seventy-two patients scheduled for elective nonobstetric surgery in the lateral decubitus position requiring tracheal intubation under general anesthesia at Lishui Central Hospital of Zhejiang Province and Jiaxing First Hospital of Zhejiang Province from April I, 2015, to September 30, 2015, were enrolled in this study. Patients were randomly assigned to the supine position group （Group S, n = 38） and the lateral position group （Group L, n = 34）. Experienced anesthetists performed tracheal intubation with a fiberoptic bronchoscope after general anesthesia. The time required for intubation, intubation success rates, and hemodynamic changes was recorded. Between-group differences were assessed using the Student＇s t-test, Mann-Whitney U-test, or Chi-square test. Results： The median total time to tracheal intubation was significantly longer in Group S （140.0 [135.8, 150.0] s） compared to Group L （33.0 [24.0, 38.8] s） （P 〈 0.01）. The first-attempt intubation success rate was significantly higher in Group L （97%） compared to Group S （16%）. Hemodynamic changes immediately after intubation were more exaggerated in Group S compared to Group L （P = 0.02）. Conclusion： Endotracheal intubation with a flexible fiberoptic bronchoscope may be an effective and timesaving technique for patients in the lateral position. Trial Registration： Chinese Clinical Trial Register, ChiCTR-IIR- 16007814; http：//www.chictr.org.cn/showproj.aspx？proj= 13183.
基金support of Lishui Central Hospital of Zhejiang Province
文摘Objective: To observe the clinical efficacy of acupoint injection plus medication in treating recurrent facial dermatitis(RFD). Methods: Fifty-eight patients with RFD were randomized into a treatment group and a control group, 29 in each. The treatment group was intervened by acupoint injection with BCG-PSN plus oral administration of Fexofenadine Hydrochloride, and the control group was by Fexofenadine Hydrochloride only. The clinical efficacies were compared between the two groups, and a follow-up study was conducted to investigate the recurrence rate. Results: The total effective rate was 96.6% in the treatment group versus 65.5% in the control group, and the difference was statistically significant(P<0.01). Of the cured and improved patients in the treatment group, the recurrence rates were 10.7%, 25.0%, and 32.1% respectively 3 months, 6 months, and 12 months after treatment, versus 31.6%, 36.8%, and 73.7% in the control group, and the differences were statistically significant(P<0.05). Conclusion: Acupoint injection plus medication is an effective method in treating RFD.
