1.Rapid diagnosis of venous catheterization complications: an ultrasound imaging study
Xieqing YANG ; Minghui LIU ; Baihua ZHAO ; Yang TAN ; Guotao WANG ; Jieyu LIU
Journal of Chinese Physician 2017;19(6):817-820
Objective To explore the value of ultrasound imaging in complications associated with venous catheterization.Methods Patients (n =853) underwent ultrasound imaging examination after venous catheterization.Ultrasonography manifestations of venous catheterization complications and clinical curative effect were analyzed and summarized.Results Phlebitis,thrombus and mechanical complications were found by ultrasound imaging examination.Pneumothorax,hemothorax,arterial puncture and hematoma were among the main mechanical complications.Among the 853 patients,85 cases (9.96%) were found to have complications by ultrasound examination,with 35 cases (4.10%) of phlebitis,26 cases (3.05%) of catheter-related thrombus and 24 cases (2.81%) of mechanical complications.Conclusions In summary,a variety of venous catheterization complications can be diagnosed using ultrasound imaging non-invasively,effectively and efficiently.Real-time ultrasound imaging examination can dynamically monitor the develop ment and evolution of venous catheterization complications and effectively evaluate outcomes.
2.A retrospective analysis of abdominal acupuncture for casino workers with sleep disorder in chronic fatigue syndrome
Yu KUI ; Jing ZHAO ; Weiyi YANG ; Cong WANG ; Pingwen LI ; Wenzhong MO ; Xianmin ZHOU ; Jieyu TAN
International Journal of Traditional Chinese Medicine 2014;(6):498-501
Objective To retrospectively analyze the effect of abdominal acupuncture for the casino workers with sleep disorder in chronic fatigue syndrome and analyze the correlation between them.Method 65 patients were all from the Acupuncture Department of Health Center of the Black Sand, Macao Health Bureau, 2011 October to 2013 January, who were diagnosed with sleep disorder in chronic fatigue syndrome and in accordance with the inclusion criteria. They were received abdominal acupuncture treatment for 4 weeks. Pittsburgh sleep quality index(PSQI) and Fatigue Assessment Instrument(FAI)were adopted to evaluate the effect before treatment 、after treatment and one month follow-up. Multiple regression analysis model was used to analyze the correlation of each factor of FAI and PSQI. Results Compared with before treatment (13.78± 3.23), the total score of PSQI after treatment(8.66 ± 4.26)and follow-up(8.26 ± 4.66) were significant decreased(P<0.05);the score of 6 dimensions(sleep quality, Time to fall asleep, sleep time, sleep efficiency, sleep disorders daytime function) after treatment and follow-up were significant decreased(P<0.05),compared with those before treatment;the FAI score after treatment (92.60±14.64) and follow-up(90.75±14.75) were significant lower(P<0.05)than those before treatment (147.55±7.03) .Multiple regression analysis showed that 4 dimensions of PSQI (sleep quality, sleep time, sleep disorders, daytime function)had close relationship with FAI score(r=0.373~0.702, P<0.05). Conclusion Abdominal acupuncture can improve the casino workers' sleep disorder in chronic fatigue syndrome and is worth of further study.
3.Clinical analysis of short-term efficacy in senile sudden deafness.
Xiaojun ZHANG ; Jianyong ZHOU ; Guopeng TAN ; L V JIEYU ; Feipeng YAN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2013;27(22):1272-1275
OBJECTIVE:
To analysis the short-term medicinal treating effects in senile sudden deafness.
METHOD:
According the age. The sudden deafness patients were divided into to groups, older age-group (age > or = 60, a total of 70 cases), control group (age < 60, a total of 70 cases), period of treatment was 7 days, the result of pure tone test were reviewed, compared the improvement before and after treatment.
RESULT:
After treatment, the average hearing threshold of the older age-patients was improved. There was statistical difference (P < 0.05); effective rate of the senile sudden deafness patients (disease time < or = 7 days) was 61.76%, (disease time > 7 days) was 38.89%. There was statistical difference (P < 0.05); the total effective rate of the senile sudden deafness patients was 49.9%; the senile sudden deafness patients which following moderate deafness (hearing threshold < 55 dB), effective rate was 52%, control group was 84.62%. There was statistical difference (P < 0.05), but there was no significant difference in the patients with severe hearing loss.
CONCLUSION
The Course of disease has important significance for the prognosis of the senile sudden deafness patients. As soon as possible to improve peripheral vascular microcirculation, the prognosis could be improve conspicuously the prognosis of the senile sudden deafness patients were worse than the young patients.
Age Factors
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Aged
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Combined Modality Therapy
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Female
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Hearing Loss, Sudden
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therapy
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Humans
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Male
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Middle Aged
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Presbycusis
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therapy
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Treatment Outcome