1.Meta Analysis of Efficacy of Kangfuxin Liquid in the Treatment of Chronic Atrophic Gastritis
Journal of Medical Research 2017;46(7):133-136
Objective To evaluate the clinical effectiveness treatment of chronic gastritis by Kangfuxin liquid.Methods Computer -based online was used to retrieve Cochrane library,PubMed,CNKI,Wanfang data,VIP database(since build library retrieval time),to find the Kangfuxin liquid and add and subtract randomized controlled trials for the treatment of CAG Meta analysis was performed to evaluate the data by using RevMan5.3 software.Results Six articles were included in the study,a total of 742 patients.Meta analysis results showed that the total effective rate of Kangfuxin liquid in the treatment of chronic atrophic gastritis was better than that of routine drugs (OR =6.00,95 % CI:3.65-9.86,P < 0.05).The helicobacter pylori eradication rate of Kangfuxin liquid in the treatment of chronic atrophic gastritis was better than that of routine drugs(OR =3.71,95% CI:1.89-7.29,P < 0.05).The effect of Kangfuxin liquid together with traditional triple therapy was better than traditional triple therapy (OR =6.15,95 % CI:3.24-11.68,P < 0.05).Conclusion The effect of Kangfuxin liquid in the treatment of chronic atrophic gastritis is more outstanding than conventional drug treatment.
2.Aortic Root Imaging and Clinical Application in 15 Patients With Transcatheter Aortic Valve Implantation--A Single Center Early Experience
Moyang WANG ; Liang XU ; Hanjun PEI ; Siyong TENG ; Haitao ZHANG ; Bin LV ; Hao WANG ; Yuejin YANG ; Yongjian WU
Chinese Circulation Journal 2014;(9):714-717
Objective: To study the aortic root imaging and clinical application in 15 patients with transcatheter aortic valve implantation (TAVI).
Methods: A total of 15 patients with severe aortic valve stenosis received TAVI in our hospital from 2011-03 to 2013-11 were studied. The CT scan and transthoracic echocardiography were conducted to measure the aortic root anatomy and the differences of annulus size between CT and echocardiography were calculated. The prosthetic valves were selected based on CT measurement. The pre-operative accuracy of measurement was evaluated by the follow-up study at 6 months after operation.
Results: The CT measured pre-operative aortic annulus short diameter was (21.5 ± 2.4) mm, long diameter was (27.3 ± 2.7) mm, the average inner diameter was (24.4 ± 2.4) mm, left ventricular out lfow (LVOF) tract long diameter was (28.3 ± 4.5) mm, the average inner diameter of LVOF was (24 ± 3.5), ascending aorta diameter was (35.3 ± 4.4) mm. The Venus Medtech A-Valve implanted in 8 patients with #26 and in 7 patients with #29. The average inner diameter of aortic annulus measured by CT was larger than transthoracic echocardiography, P<0.001. During 6 months follow-up period, no patients had aortic root rupture, coronary obstruction, moderate and severer aortic and peri-aortic regurgitation. There were 4 patients with atrio-ventricular block and received permanent pacemaker implantation.
Conclusion: There is a difference for aortic annulus size by CT and transthoracic echocardiography measurements. CT may presisely assess the aortic root morphology and provide strong support for TAVI.
3.Simultaneous hybrid coronary revascularization versus off-pump coronary artery bypass grafting for diabetic patients with multivessel coronary artery disease
SHEN Liuzhong ; SONG Zhizhao ; HU Shengshou ; XU Bo ; WU Yongjian ; LV Feng ; XIONG Hui ; LI Lihuan
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2017;24(12):916-922
Objective To compare the in-hospital and midterm outcomes after simultaneous hybrid coronary revascularization (HCR) with off-pump coronary artery bypass grafting (OPCAB) in diabetic patients with multivessel coronary artery disease. Methods One hundred thirty-two diabetic patients with multivessel coronary artery disease underwent one-stop HCR at Fuwai Hospital from January 2010 to January 2015. These patients were 1∶2 matched with those who underwent OPCAB using propensity score matching. Results Simultaneous HCR had less chest tube drainage (618 (420, 811) ml vs. 969 (711, 1 213)ml, P<0.001), lower transfusion rate (19.7% vs. 34.1%, P=0.026), shorter mechanical ventilation time (11.6 (8.2, 14.8) h vs. 16.0 (12.1, 18.7) h, P<0.001), and shorter stay in intensive care unit (21.5 (18.8, 42.0) h vs. 44.6 (23.7, 70.1) h, P<0.001) than OPCAB. During over median 40 months follow-up, simultaneous HCR offered similar major adverse cardiac or cerebrovascular events (MACCE) rate (6.8% vs 9.0%, P=0.826), but lower stroke rate (0%vs 3.0%, P=0.029), compared with OPCAB. Conclusion For selected patients with diabetes, simultaneous HCR provides a safe and effective revascularization alternative. It decreases perioperative invasiveness and incurred similar and favorable midterm outcomes with OPCAB.