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.
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.Appilication of Femoral Neck Anteversion in Developmental Dislocation of the Hip by Digital Anatomy
jian-jun, CHU ; zong-sheng, YIN ; yong, HU ; wei, WANG
Journal of Applied Clinical Pediatrics 2006;0(23):-
Objective To discuss the femoral neck anteversion(FNA) of developmental dislocation of the hip(DDH) and guide operation with visual and digitalized picture in the dimensional(3D) CT.Methods Ninety children with unilateral DDH were selected,and they were analyzed using 3D CT.Children whose FNA exceed 45 degree received the subtrochanter osteotomy with images from different direction,FNA of hip was measured respectively before and after operation and was measured in normal and abnormal hips respectively,FNA of hip received respectively statistical treatment.Ninety patients (90 hips) were followed up ranging from 3 months to 2 years with the mean of 13 months.Results In the group younger than 18 months,the FNA whose in normal hips was(19.40?3.512)degree,the FNA while(68.45?12.272)degree in dysplasia hips respectively,the FNA measured after operation was (20.45?2.940) degree;in the group elder than 6 years,there were significantly statistical differences,the FNA in normal hips was(19.44?3.561)degree,in dysplasia hips respectively was(73.49?12.678)degree,while the FNA measured after operation was(18.28?1.931)degree.Clinical assessment was performed according to Mckay′s classification.The results showed that the overall excellent or good rate was 95.6%.Conclusions 3D CT method is a new accurate and convenient and reduplicative method for measuring FNA.It will be more helpful for related operations when 3D images are considered.