1.Case of facial paralysis.
Sheng-Qiang WANG ; Jian-Ping WANG
Chinese Acupuncture & Moxibustion 2014;34(7):678-678
3.Clinical efficacy analysis of dorsal root ganglion pulse radio frequency stimulation combined with prega-balin in treatment of postherpetic neuralgia
Wenzhu WANG ; Ran WANG ; Jian LIU ; Sheng YANG
The Journal of Clinical Anesthesiology 2014;(7):663-665
Objective To observe the clinical curative effect of thoracic dorsal root ganglion pulse radio frequency stimulation combined with pregabalin in treatment of postherpetic neuralgia (PHN).Methods Sixty-two PHN patients were randomly divided into the single drug group and combination group (n=31).The pre-and post-treatment VAS values and pittsburgh sleep quality in-dex (PSQI),decreased dosage of tramadol after treatment,adverse reaction during treatment,and long-term therapeutic effects were observed.Results VAS values,PSQI and tramadol dosage de-creased significantly post-treatment in both groups,especially in the combination group (P < 0.05). In addition,the incidence of dizziness,somnolence and ataxia was less,but puncture pain was more in combination group (P < 0.05 ).Long-term therapeutic effects of patients in the combination group were significantly improved.Conclusion Thoracic dorsal root ganglion pulsed radio frequence com-bined with pregabalin is effective in the treatment of PHN.
9.Perioperative management and short-term outcomes for patients aged> 80 years undergoing coronary artery bypass grafting
Jian LIU ; Sheng SHI ; Limin WANG ; Zhongxiang YUAN
Chinese Journal of Geriatrics 2014;33(6):585-587
Objective To review the experience of perioperative management and effect of coronary artery bypass grafting (CABG) for patients of aged>80 years.Methods We studied 118 cases with CABG for patients of age>80 years from January 2002 to December 2012.The other 1034 cases with CABG for patients aged 60-80 years were enrolled as control group.Logistic regression analysis was used to assess the effect of age on operative mortality and morbidity.Results The recent mortality was higher in group aged>80 years [6.8%(8 cases) vs.3.1%(32 cases)].Through multivariate logistic regression,the patients aged>80 years versus control were concerned about some postoperative adverse events as follows:higher mortality (OR =3.45,95 % CI:2.86-4.23),dialysis (OR=3.56,95%CI:3.01-4.32) and re-intubation(OR=3.87,95%CI:3.45-4.87),delayed healing of incision(OR=4.05,95 % CI:3.47 5.74),prolonged mechanical ventilation(OR=3.76,95 % CI:3.435.01),prolonged ICU stay (OR =2.98,95 % CI:2.67 4.12),prolonged hospital stay (OR =2.87,95%CI:2.36-3.96).Conclusions Age>80 years is an important factor of postoperative mortality and morbidity for CABG.We need pay more attention to perioperative management.
10.Surgical treatment of upper cervical vertebra disease from high anterior cervical retropharyngeal approach
Chang-Sheng WANG ; Jian-Hua LIN ; Wei-Hong XU ;
Chinese Journal of Primary Medicine and Pharmacy 2006;0(12):-
Objective To study the clinical result of the surgical treatment of upper cervical vertebra disease from high anterior cervical retropharyngeal approach.Methods Among 14 patients,there were 7 C_(2.3)disc hernia- rions combined with C_(2.3)dislocations,3 Hangman fractures,2 odontoid process fractures and 2 C_3 tumors.All patients underwent the high anterior cervical retropharyngeal approach.10 cases were given discectomy of C_(2.3)or focus clear- ance of C_3,iliac bone autograft or titanium cage filled and internal fixation with titanium plate.2 cases of odontoid process fractures were given anterior screw fixation.Results 14 cases got successful exposure.The decompression, reduction,lesion clearance and fusion with internal fixation were done in all patients.There were no important vascu- lar or nerve injuries.The surgical treatment could improve the spinal cord nerve function to a certain degree for the cases with compression of spinal cord.Conclusion Good exposure of upper cervical spine and effective surgical oper- ation could be achieved from high anterior cervical retropharyngeal approach,with minimal trauma and complication, and it was a favorable approach.