2.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.
5.Effects of endovascular cooling in different degrees on severe traumatic brain injury in dogs
Jian SUN ; Zhixia YANG ; Sheng YUE ; Hongmei SUN ; Zhiping WANG
Chinese Journal of Anesthesiology 2012;32(4):416-419
Objective To investigate the effects of endovascular cooling in different degrees on severe traumatic brain injury in dogs.Methods Eighteen dogs of both sexes,weighing 12-15 kg,were randomly divided into 3 groups ( n =6 each):hypothermia at 31 ℃ group (group A),hypothermia at 35 ℃ group (group B) and normothermia group (group C).The model of severe traumatic brain injury was established according to the improved Feeney's free-fall method.Six hours of endovascular cooling was performed using an endovascular cooling system in A and B groups.The cerebrospinal fluid (CSF) was collected before traumatic brain injury (T0),and at 24,48 and 72 h after traumatic brain injury (T1-3) for measurement of the concentrations of neuron-specific enolase (NSE),S-100β,myelin basic protein (MBP),aspartate (Asp),glutamie acid (Glu),glycine ( G ly) and gammaaminobutyric acid (GABA).Results The concentrations of NSE,S-100β,MBP,Asp,Glu and Gly in CSF were significantly lower at T1-3,while the concentration of GABA in CSF was significantly higher at T1-3 in groups A and B than in group C (P <0.05 or 0.01).The concentrations of NSE,Asp,Glu and Gly in CSF were significantly lower at T1-3,while the concentration of GABA in CSF was significantly higher at T1-3 in group B than in group A ( P <0.05 or 0.01).Conclusion Endovascular cooling can reduce severe traumatic brain injury in dogs,and the efficacy is better when the temperature is reduced to 35 ℃ than that when reduced to 31 ℃.
8.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.