Objective To compare the effects of bilateral and non- bilateral frontal pneumocephalus on acute agitation after craniotomy for brain tumor. Methods The clinical data of 406 brain tumor patients who had underwent craniotomy in Maoming Traditional Chinese Medicine Hospital and Guangdong Provincial People′s Hospital from January 2014 to January 2019 were retrospectively analyzed. The patients were divided into bilateral frontal pneumocephalus group (92 cases) and unilateral frontal pneumocephalus group (314 cases) according to frontal pneumocephalus within 12 hours after operation. Within 24 hours after operation, the sedation-agitation scale (SAS) was evaluated, and SAS≥ 5 scores was defined as acute agitation. Results The incidence of postoperative acute agitation, rate of postoperative sedatives use and postoperative hospital stay in bilateral frontal pneumocephalus group were significantly higher than those in unilateral frontal pneumocephalus group: 23.9% (22/92) vs. 8.6% (27/314), 14.1% (13/92) vs. 3.5% (11/314) and (12.2 ± 2.6) d vs. (8.5 ± 1.6) d, and there were statistical differences (P＜0.01 or ＜0.05). Conclusions Brain tumor patients who had bilateral frontal pneumocephalus after craniotomy are more likely to develop acute agitation.

Objective To explore the clinical effect of supplementing Qi and activating blood circulation in preventing deep venous thrombosis after total hip arthroplasty. Methods A total of 60 inpatients undergoing total hip replacement surgery in our hospital from March 2016 to December 2017 were selected. According to the different treatment methods, they were divided into control group and observation group. There were 30 cases in each group. The observation group was treated with supplementing Qi and activating blood circulation by taking activating blood circulation and diminishing swelling decoction after total hip arthroplasty, and the control group was treated with administrating Asprin orally after total hip replacement. Compared the treatment effect of the two groups. Results After total hip arthroplasty, the excellent and good rate and the incidence of complications in the observation group were all superior to the control group, and the differences were statistically significant(P＜0. 05). Conclusion The use of supplementing Qi and activating blood circulation method to prevent the formation of deep venous thrombosis after total hip arthroplasty is an ideal treatment.