Objective To evaluate the length of hospital stay and the incidences of complications after omentoplasty with non-omentoplasty for the patients with esophageal cancer.Methods The databases including Pubmed,Embase,The Cochrane Library,Web of Science,CBM,CNKI,VIP and Wanfang data were searched for collecting randomized controlled trials on the omentoplasty.According to the inclusive and exclusive criteria,the datas were extracted.Two reviewers independently screened literatures and assessed the qualities of the included studies and extracted data.Meta-analysis was performed by using of RevMan 5.2 software.Results A total of 6 RCTs including 2 167 patients from 206 original articles were included in this analysis.In terms of the anastomotic leakage after esophagectomy and the hospital stays,the incidence of anastomotic leakage (OR =0.19,95％ CI:0.09 ～ 0.39,Z =4.55,P ＜ 0.000 01) and hospital stays (MD =-1.91,95％ CI:-2.26--1.57,Z =10.87,P ＜ 0.000 01) with omentoplasty was significantly lower than those of the non-omentoplasty,with significant differences.However,in terms of anastomotic stricture (OR =0.76,95％ CI:0.29-2.01,Z=0.55,P=0.58) and mortality rate (OR =0.72,95％ CI:0.24-2.21,Z=0.57,P=0.57),there wrer no significant differences.Conclusion Comparing with non-omentoplasty,the use of omentoplasty has beneficial effects for the postoperative complication such as anastomotic leakage and hospital stays,and does not increase the incidence of anastomotic stricture and mortality rate.

0.05),but the rate of depression and anxiety were significantly higher in the study group(P

The guidelines for standard nursing in the PET/MR imaging examination included preparation of examination,injecting drug,observing during scanning,post scanning care,management of adverse reaction of contrast agent and radiation protection.The purpose of these guidelines could were to provide the practical and effective management for nursing care in PET/MR imaging,and offer a framework for nurses that could provide useful and helpful in clinical practice and research.

OBJECTIVETo study the conduction of Gong tonality vibromusic sound wave along meridians in healthy human body, and investigate differences of the sensitivity of different meridians and genders to this vibromusic message.

METHODSEmit the Gong tonality music signal under the water and then investigate the responses of different acupoints and control points at the tissue of the same level to the vibromusic sound wave.

RESULTSThere were differences of sensitivity to music waves at source acupoints on the foot, sensitivity of Zusanli (ST 36) was significantly higher than its control point (P < 0.05), and there was difference between genders in the sensitivity of Sanyinjiao (SP 6) and Yinlingquan (SP 9) to music sound wave.

CONCLUSIONGong tonality vibromusic sound wave can conduct along meridians in healthy human body, and there are differences between different meridians and different genders in the sensitivity to the music sound wave.

OBJECTIVETo understand the receiving sensibility of the points on the hand's six channels for music sound wave in the healthy persons, so as to provide experimental basis for exploring the mechanism of music treatment.

METHODSBy the radiating and receiving sound wave system, the total receiving music sound (RMS) power of the music sound wave were measured at the points of the hand's six channels and non-acupuncture in 34 healthy undergraduates.

RESULTSThere was the specific receiving sensibility at Taiyuan (LU 9). The total RMS power of the music sound wave at Daling (PC 7) and Shaohai (HT 3) in the female was stronger than that in the male.

CONCLUSIONThere is the difference in the receiving sensibility of the music sound wave at the different acupoints of different channels.

OBJECTIVE: To compare the pathomorphologic changes between the pancreas in acute necrotizing pancreatitis (ANP) and that in acute deaths of rats (within 48 hours) so as to find the distinctions. METHODS: The animal models of ANP and other acute deaths (electroshock, mechanic asphyxia/strangle, and acute poisoning with tetramine) were established according to the criteria. Half-quantitative grading and image quantitative analysis methods were employed to observe the gross and microscopic changes of the pancreases. RESULTS: Three features including inflammation infiltrate, fat necrosis and calcium deposit in the ANP group were considerably different from that in other acutely died rat group (P<0.05). CONCLUSION Inflammation infiltrate, fat necrosis and calcium deposit are the most important pathologic features found in ANP by common light microscope, distinguishing ANP from postmortem pancreatic autolysis.
Animals ; Autolysis ; Female ; Forensic Pathology ; Male ; Pancreas/pathology* ; Pancreatitis, Acute Necrotizing/pathology* ; Poisoning/pathology* ; Postmortem Changes ; Rats ; Rats, Sprague-Dawley

Objective:To investigate the clinical application of ultrafine thoracic drainage tube(Abel, 8FR, 20 cm) after pulmonary uniportal video-assisted thoracoscopic surgery lung tumors.Methods:A total of 2 031 patients who doing lung tumor surgery in the Department of Thoracic Surgery of the First Hospital of Lanzhou University from May 2015 to July 2020 were retrospectively enrolled. According to the types of thoracic drainage tubes, they were divided into the ultrafine drainage tube group(1 026 cases) and the conventional drainage tube group(1 005 cases). The groups were compared in terms of postoperative thoracic drainage at 24 h, 48 h and 72 h, postoperative hospital stay, drainage time, postoperative pain index at three days, postoperative analgesia times and postoperative complications.Results:There was no significant difference between two groups in terms of the postoperative thoracic drainage at 24h, 48h, 72h and drainage time( P>0.05). Notably, there were significant differences between two groups in terms of the postoperative hospital stay, postoperative pain index at three days, postoperative analgesia times and postoperative complications( P<0.05). Conclusion:The use of ultrafine thoracic drainage tube after lung tumor surgery is safe and reliable, can better postoperative drainage, achieve the purpose of relieving pain, speeding up postoperative rehabilitation, and convenient nursing, worthy of clinical promotion and application.

Objective To evaluate the efficacy and safety of edaravone combined with cattle encephalon glycoside and ignotin in the treatment of severe traumatic brain injury .Methods A total of 74 cases with severe traumatic brain injury were divided into control group ( n =37 ) and treatment group ( n =37 ) .Control group was given cattle encephalon glycoside and ignotin injection 10 mL, intravenous infusion, qd.Treat-ment group was received edaravone 30 mg, intravenous infusion , qd, on the basis of control group .Two groups were treated for two cycles with 28 d per cycle.The clinical efficacy , brain ede-ma area, the scores of acute physiology and chronic health evaluation Ⅱ(APACHE-Ⅱ), glasgow coma scale(GCS) and activities of daily living scale (ADL), levels of glial fibrillary acidic protein (GFAP), S100 calcium -binding protein( S100β) , heme oxygenase 1 ( HO -1 ) , matrix metalloproteinase -9 ( MMP -9 ) , hematocrit ( HCT ) and erythrocyte sedimentation rate ( ESR ) and incidence of adverse drug reactions were compared in two groups . Results After treatment, the total effective rate in treatment group was 94.59%(35/37), which was significantly higher than that in control group [ 81.08%( 30/37 ) , P<0.05 ] .There was no significant difference of the HCT in control group after and before treatment [(44.30 ±5.19)%vs (46.03 ±5.50)%, P>0.05], and the level of HCT in treatment group after treatment was significantly lower than that before treatment [ ( 40.15 ±4.44 )% vs (46.15 ±5.47)%, P<0.05].After treatment, the main observation indexes in treatment and control group: brain edema area were ( 12.46 ±1.42 ) , ( 18.46 ±1.96 ) cm2; APACHE -Ⅱ score were ( 10.19 ±1.13 ) , ( 13.57 ± 1.52 ) point;serum GFAP were ( 6.54 ±0.67 ) , ( 13.77 ±1.42 ) ng? L-1; serum S100 βwere ( 0.07 ±0.01 ) , (0.09 ±0.01) μg? L-1; serum HO -1 were (4.73 ±0.49), (11.74 ±1.25)μg? L-1; serum MMP -9 were (137.67 ±15.53), (167.65 ±17.53)g? mL-1 and ESR were (3.01 ±0.33), (3.88 ±0.48)mm? h -1, also those indexes in treatment group after treatment were significantly lower than those in control group (P<0.05).After treat-ment , among the treatment and control group , the scores of GCS were ( 15.33 ±1.62 ) , ( 9.63 ±0.98 ) point and scores of ADL were (57.24 ±6.01), (46.35 ±4.72) point, and those indexes in treatment group after treatment were significantly higher than those in control group ( P<0.05 ) .The adverse drug reactions were based on abnormal liver function, nausea, vomiting and rash for two groups.Also, the incidences of adverse drug reactions in treatment and control group were 8.11%, 18.92%, respectively , without significant difference ( P > 0.05 ) . Conclusion Edaravone combined with cattle encephalon glycoside and ignotin have a definitive clinical efficacy and safety for the treatment of severe traumatic brain injury .

Objective To investigate the clinical features of recurrent epileptic seizures and perioperative management principles and methods of neurosurgical patients with recurrent epileptic seizures.Methods The clinical data,reasons for aggravated seizures,seizure characteristics,and treatment methods and results of 9 patients with recurrent epileptic seizures were analyzed retrospectively.Results Of all the 9 patients,3 were combined with glioma,1 with arachnoid cyst,1 with cavernous hemangioma and 1 with encephalomalacia; epilepsy history was noted in 7 patients; frontal lobe epilepsy was noted in 7,and temporal lobe epilepsy in 2.The reasons for seizure aggravation included drug-decrement(n=3),recent-diagnosed brain tumor(n=2)and surgical operation during intracranial electrode implantation(n=1); and unknown reason was noted in the other 3.Epileptic seizure types included partial seizure and secondary generalized seizure; the frequency of seizure ranged from 3 minutes of interval to several hours of interval.Patients given multiple antiepileptic drugs,including oral and parenteral administration,received good seizure-control; and levetiracetam showed good curative effect during the treatment.Conclusion Recurrent seizures show drug refractory,and is hard to control.The AEDs having good curative effect in partial seizure should be combined used in these patients with higher dosage than conventional initial dose; intravenous and intramuscular administration can be used; the seizures should be controlled as soon as posible.Levetiracetam has good curative effect on patients with recurrent seizures for its fast oral-absorption,rapid onset of action and good antiepileptic effect.

Objective To investigate the effect of endovascular interventional therapy on intracranial aneurysm.Methods We retrospectively analyzed the clinical information and treatment efficacy of 48 patients (53 aneurysms) experienced interventional embolism therapy; these patients were admitted to and received treatment in our hospital from January 2001 to December 2009.Results Among the 53 aneurysms of 48 patients,40 aneurysms were obliterated completely,6 aneurysms 95％ obliterated,5 aneurysms 90％ obliterated and 2 aneurysms failed; 2 aneurysms ruptured and no death was noted during the operation.Six to 12 months after the operation,follow-up of the 46 patients indicated that 2 were recurred under CMA or DSA; 2 was severely disabled; 5 had mild neurological deficits; and the other enjoyed good results.Conclusion Endovascular embolization ofaneurysms is a minimally invasive method with low risk; individualized embolism therapy can improve the prognosis.