1.The clinical analysis of deterioration of the patient's condition about the mild traumatic brain injury
Zhihe TAO ; Shaobin TIAN ; Jinsong CHEN
Chinese Journal of Postgraduates of Medicine 2013;36(z1):60-61
Objective Investigate the risk factors that leading to the progression of the mild traumatic brain injury and the treatment methods.Methods To conduct 68 cases of patients suffering from mild head injury,investigate the risk factors that leading to the progression of the disease,and according to the retrospective to be analyzed.Results The 68 cases of patients suffering from mild head injury,after aggressive and effective treatment,achieved the desired effect.Conclusion Take the reasonable methods to treat patients suffering from mild head injury,observed the changes of disease carefully and closely,check the head CT early,timely and regularly,adjustment the treatment programs timely,could save lives that patients with delayed bleeding or cerebral edema in the brain.
2.Restore the bone flap saved in the abdomen in the early
Zhihe TAO ; Shaobin TIAN ; Jinsong CHEN
Chinese Journal of Postgraduates of Medicine 2013;36(z1):56-57
Objective Investigate the effective for treatment of restore the bone flap saved in the abdomen in the early.Methods To conduct the 88 cases of people with restore the bone flap saved in the abdomen in the early,and according to the retrospective to be analyzed.Results Through the proof of clinical testing that the method of restore the bone flap saved in the abdomen in the early is feasible.Conclusion Select the appropriate cases that with method of restore the bone flap saved in the abdomen in the early could reduce medical costs and rejection.
3.The clinical effect of skin flaP transPlantation to rePair traumatic tissue defects
Jinwei EHEN ; Zhangrong DU ; Shaobin TIAN ; Tiechui WANG
Clinical Medicine of China 2014;(z1):69-70
Objective To investiGate the clinical effect of skin flap transplantation to repair traumatic tissue defects. Methods One hundred and twenty-eiGht cases with skin and soft tissure defects of foot injury were treated from January 2007 to December 20l2. AccordinG to the situation of foot soft tissue defects,there were dorsal metatarsal artery island flap in l7 cases,the medial plantar flap in 8 cases,the flap of lateral foot in 9 cases,the fibula free flap in l4 cases,the sural neurovascular fascia cutaneous island flap in l7 cases,the anterolateral femoral flap in 45cases,and the chest-umbilicus flap in l8 cases. Results One hudred and twenty-eiGht cases of the flap survived completely,and follow-up visit time lasted from 2 month to l year and the satisfactory results of appearance and functions were achieved in 98 cases. Twenty-eiGht cases of flap were somewhat swellinG. Conclusion DependinG on the soft tissue defect in the situation to choose the appropriate skin flap to repair the foot soft tissue defect after trauma have many advantaGes,such as low infection rate,shorter lenGth of stay and the function and pedal contour were reserved maximally .
4.The method of hole drainage surgery in clinical for the treatment of stable subdural hematoma
Zhihe TAO ; Shaobin TIAN ; Jinsong CHEN ; Hongquan NIU
Chinese Journal of Postgraduates of Medicine 2013;36(z1):15-16
Objective Investigate the effective treatment for the stable subdural hematoma.Methods About the patients need for surgical treatment,for the treatment of hole drainage surgery,and according to the retrospective to be analyzed.Results The 68 cases of patients with surgical indications,under local anesthesia to surgery with the method of hole drainage surgery,achieve the desired results and objectives.Conclusions The hole drainage surgery is a simple way,and little chance of complications.As long as select the appropriate cases,during the surgery with standardized operation and at the end of surgery use standardized management,select the method of hole drainage surgery to treat the stable subdural hematoma is feasibility.
5.The effect of aspiration thrombectomy catheter in primary percutaneous coronary intervention after implant different vessel diameter stent
Lie MA ; Zhigang TIAN ; Yumin QIU ; Zhijun LIU ; Qingbin XU ; Guangzhi CONG ; Shaobin JIA
Chongqing Medicine 2014;(19):2432-2433,2436
Objective To assess under different vessel diameter ,the effect of the aspiration thrombectomy catheter in improving the myocardial reperfusion and clinical prognosis in patients with acute myocardial infarction (AMI)who were undergone primary percutaneous coronary intervention(PCI) .Methods 205 patients with AMI immediate implant stents after thrombus suction ,the TIMI flow grade(myocardial infarction thrombolysis treatment test flow classification ) ,postoperative ecg evolution ,incidence of no-reflow MACE in 30 days and MACE in 6 months were compared between conventional thrombus suction group and suction again group(blood vessels of <3 .0 mm and ≥3 .0 mm) .Results The level 3 blood flow rate ,MACE in 6 months in suction again group with blood vessels of ≥3 .0 mm had improved significantly ,but had no beneficial effects in blood vessels of ≥3 .0 mm .Conclusion In AMI patients treated with primary PCI ,application of aspiration thrombectomy catheter with blood vessels of ≥3 .0 mm may im-prove the flow condition before infarction related blood vessels ,reduce MACE .
6.Mindfulness-based relapse prevention for female incarcerated substance abusers with protracted withdrawal syndromes
Huan TIAN ; Cunxin FAN ; Chunhua LUO ; Hong ZENG ; Xiaoyan WU ; Shaobin MA
Chinese Journal of Behavioral Medicine and Brain Science 2011;20(9):806-808
Objective To evaluate effects of mindfulness-based relapse prevention treatment in female incarcerated substance abusers with protracted withdrawal syndromes.Methods 120 female incarcerated substance abusers were selected from compulsory rehabilitation/treatment center,they were randomly assigned by throwing coin to either treatment group or control group.All participants in treatment group got mindfulness-based relapse prevention treatment.At pre- and post-session assessment points,all participants completed the Five Factor Mindfulness Questionnaire and Opiate Protracted Abstinent Symptoms Scale.Two sample t -test and chi-square were used to examine the baselines,repeated measures ANOVA for assessing changes of mindfulness and protracted abstinent syndromes between and within groups.Results No differences between-group were found on mindfulness and protracted abstinent syndromes.Group x Time effects emerged for observe facet (F=27.87,P=0.000),describe facet(F=15.10,P=0.000) and total scores of mindfulness (F =12.05,P=0.001 ),the same as craving symptoms(F=7.53,P=0.007) and sleeping symptoms (F=4.40,P=0.038) of protracted abstinent symptoms.On sleep symptoms,participants in treatment group got(5.7 ±4.0) score before treatment points,got (3.5 ±3.1 )after treatment points.Participants in control group got (4.3 ± 3.6) at pre-session assessment,got (3.7 ± 3.5 ) at post-session assessment,participants in treatment group got better improvement in sleeping symptoms.Physical symptom score of protracted abstinent symptoms among treatment group participants showed a downward trend over time(F=14.89,P =0.000).Conclusion Mindfulness-based relapse prevention treatment can increase mindfulness scores,and improve physical and sleeping problems.Compulsory rehabilitation center is helpful for substance abusers.