1.Precise ultrasound-guided stellate ganglion block combined with ozonated autohemotherapy in the treatment of sudden hearing loss
Xinqiao ZHOU ; Yinbing PAN ; Jianjun YANG ; Min YANG ; Yunqing ZHU ; Min YU ; Xiaokai ZHOU
The Journal of Clinical Anesthesiology 2023;39(11):1142-1146
Objective To investigate the efficacy of precise ultrasound-guided stellate ganglion block(UG-SGB)combined with ozonated autohemotherapy in the treatment of sudden hearing loss.Methods Fifty-seven patients with sudden hearing loss,27 males and 30 females,aged 19-82 years,BMI 20-29 kg/m2,ASA physical status Ⅰ or Ⅱ,were randomly divided into drugs combined with UG-SGB and ozonated autohemotherapy treatment group(group U,n=29)and drugs group(group D,n=28)accord-ing to the random number table.All patients were given drug therapy.In addition to the treatment above,pa-tients in group U also received precise ultrasound-guided stellate ganglion block once on affected side com-bined with ozonated autohemotherapy once daily for 10 consecutive days.Patients in group D received drug therapy only.The average hearing threshold of the two groups was compared before treatment(T0),at dis-charge(T1),1 month(T2),3 months(T3),and 6 months after discharge(T4).The hearing improve-ment of the two groups was also compared at T1-T4 on the basis of T0.Moreover,tinnitus rate of the two groups was recorded T0-T4.In addition,adverse reactions such as toxicosis of local anaesthetics,pneumo-thorax were recorded.Results Compared with T0,the average hearing threshold was reduced significantly in both groups at T1-T4(P<0.05),the incidence of tinnitus was reduced significantly at T1-T4 in both groups(P<0.05).Compared with T,,the average hearing threshold was reduced significantly in group U at T2-T4(P<0.05).The average hearing threshold of group U was lower than that in group D at T1-T4(P<0.05).The hearing improvement in group U was better than that in group D at T2-T4(P<0.05).The proportion of complete hearing recovery in group U was increased significantly than that in group D at T2-T4(P<0.05)The proportion of effective hearing improvement in group U was decreased than that in group D at T3-T4(P<0.05).No obvious adverse reaction was recorded,such as toxicosis of local anaesthetics,pneumothorax.Conclusion Precise ultrasound-guided stellate ganglion block combined with ozonated auto-hemotherapy based on drug treatment significantly improves the average hearing threshold of patients with sudden hearing loss in acute stage and improve their hearing.
2.Development of Vital Signal Monitoring System Based on Accelerometer.
Jian CEN ; Xingliang JIN ; Sanchao LIU ; Huacheng LUO ; Nong YAN ; Xianliang HE ; Yumei MA ; Hanyuan LUO ; Jie QIN ; Yinbing YANG
Chinese Journal of Medical Instrumentation 2023;47(6):602-607
OBJECTIVE:
Reduce the number of false alarms and measurement time caused by movement interference by the sync waveform of the movement.
METHODS:
Vital signal monitoring system based on motion sensor was developed, which collected and processed the vital signals continuously, optimized the features and results of vital signals and transmitted the vital signal results and alarms to the interface.
RESULTS:
The system was tested in many departments, such as digestive department, cardiology department, internal medicine department, hepatobiliary surgery department and emergency department, and the total collection time was 1 940 h. The number of false electrocardiograph (ECG) alarms decreased by 82.8%, and the proportion of correct alarms increased by 28%. The average measurement time of non-invasive blood pressure (NIBP) decreased by 16.1 s. The total number of false respiratory rate measurement decreased by 71.9%.
CONCLUSIONS
False alarms and measurement failures can be avoided by the vital signal monitoring system based on accelerometer to reduce the alarm fatigue in clinic.
Humans
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Monitoring, Physiologic
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Electrocardiography
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Arrhythmias, Cardiac
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Blood Pressure
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Accelerometry
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Clinical Alarms