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排序方式: 共有111条查询结果,搜索用时 31 毫秒
1.
目的 评价魏氏鼻咽通气道在鼾症患者气管插管前经声门上喷射通气应用的安全性与可行性。方法 选择2019年1~11月在解放军第九一○医院拟行全麻的鼾症患者50例,采用随机数字表法分为魏氏声门上喷射通气组(W组)与面罩通气组(M组),每组25例。麻醉诱导后,W组经鼻插入魏氏鼻咽通道行声门上喷射通气,M组双手扣面罩通气。5 min后气管插管,记录在给氧去氮5 min自主呼吸时(T0)、麻醉诱导后无自主呼吸1 min(T1)、2 min(T2)、3 min(T3)、4 min(T4)和5 min后插管后即刻(T5)用超声测量的膈肌波动振幅均值、呼末二氧化碳分压(PETCO2),动脉血气[动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、血氧饱和度(SpO2)];记录过程中SpO2<90%、平均动脉压(MAP)和心率(HR)波动≥术前20%的发生情况,并记录通气相关并发症的发生情况。结果 两组患者膈肌呼吸运动振幅、PaO2、PaCO2和PETCO2指标在T0时差异无统计学意义(P>0.05);W组患者膈肌呼吸运动振幅和PaO2较高,W组患者PaCO2和PETCO2较低,差异有统计学意义(P<0.05);与T0时比较,两组患者T1~T5时膈肌呼吸运动振幅和PaO2升高,PaCO2和PETCO2降低,差异有统计学意义(P<0.05);分组与时间对各指标的差异存在交互作用,差异有统计学意义(P<0.05)。W组患者下颌角皮肤红肿淤青、胃肠胀气的发生率低于M组,差异有统计学意义(P<0.05)。结论 魏氏声门上喷射鼻咽通气道可为鼾症伴有肥胖患者气管插管提供满意的声门上通气效果,且安全性较好。  相似文献   
2.
目的:对肺癌合并糖尿病患者以长春瑞滨为主的联合化疗的疗效分析。方法:随机选取38例肺癌合并糖尿病患者,男20例,女18例,平均年龄(57.2±3.2)岁,肺癌病程平均(2.9±0.2)年;糖尿病程平均(4.3±0.7)年。进行长春瑞滨联合顺铂的 NP 化疗方案,观察疗效。结果:(1)1-4周期治疗有效率分别为27(71.1%)、20(57.9%)、15(42.1%)、8(21.1%)。(2)WBC 减少18例(47.4%),呕吐22例(57.9%),便秘7例(18.4%),神经毒性反应12例(31.6%),治疗4周期后,对应不良反应患者分别为10例(26.3%),13例(34.2%),3例(7.9%),4例(10.5%)。(3)患者生存期4-6月、6-9月、9-12月、1年以上患者分别为19例、10例、7例、2例。中位生存时间(约6个月)明显低于单纯非小细胞癌的中位生存时间(10个月)。结论:长春瑞滨为主的联合化疗方案对初治肺癌合并糖尿病患者的疗效中,总有效率短期尚可,长期应用呈下降趋势。根据个体差异,对症治疗白细胞降低、便秘、呕吐等不良反应,可提高患者耐受性和生活质量。  相似文献   
3.
韦贵康教授在脊柱及相关疾病的手法治疗方面具有独到的治疗理念及丰富的治疗经验,文章介绍了韦贵康教授对脊柱源性血糖异常的相关认识,从"脊督一体观"出发认为脊柱与督脉是一个整体,而血糖水平的异常与及督脉密切相关,进而与脊柱的异常(如脊柱失稳错位与局部软组织的病变等)息息相关,故而对于因脊柱异常所导致的血糖水平异常,则需从调整脊柱相关病变出发,如筋骨调手法等以从根本上祛除血糖水平异常的病因。同时附医案1则。  相似文献   
4.
糖尿病性视网膜病变是糖尿病常见的微血管并发症之一,目前现代医学治疗以控制血糖、血压、血脂、改善微循环等基础治疗方法为主,严重者采取激光光凝、手术或局部糖皮质激素治疗。中医药辅助治疗在减少潜在致盲并发症的发生率,延缓病情进展等方面具有独特的疗效。魏子孝教授参考眼底检查抓住患者“主证”,运用中医药理论辨治糖尿病性视网膜病变,主要针对非急性眼底出血糖尿病性视网膜病变。治疗上注重整体与眼部微观辨证相结合,以滋补肝肾、养血明目为基础,佐以化痰祛瘀、活血利水等祛邪通络之法;注意起居调护,如疏肝理气、润肠通便药物的应用,以避免眼底再次出血,临床效果明显。  相似文献   
5.

Background

The objective of this study was to evaluate three-dimensional morphology of acetabular lunate surface in patients with dysplastic hip using three-dimensional computed tomography (CT), and to compare the lunate surface morphology between the normal and dysplastic hips.

Methods

Sixty seven dysplastic hips in symptomatic patients and 61 normal hips in healthy volunteers who underwent three-dimensional CT scanning were included in this study. The size and shape of the lunate surface was measured with a fully automated imaging technique using Mimics16.0 software; lunate surface morphology was compared between the normal and dysplastic hips on the radial spherical coordinate system.

Results

A general trend of inferomedial rotation of the lunate surface was observed in dysplastic hips. Dysplastic hips showed a remarkable decrease in total absolute and relative size of the lunate surface as compared to that in normal hips. The dysplastic hips were divided into four groups: superior area decrease group (SD); anterosuperior area decrease group (ASD); global area decrease group (GD); global area increase group (GI). The arc of the global increase (GI) subgroup (26.86%) was increased, while that of the remaining three subgroups was decreased as compared to that in the normal acetabulum group.

Conclusion

Three-dimensional information and fundamental morphological features of the lunate surface in dysplastic hips were significantly different from those in the normal group. These findings may aid precise computational biomechanical analysis, preoperative planning for periacetabular osteotomy (PAO), achievement of satisfactory cartilaginous congruency, and judgment of postoperative prognosis in addition to postoperative treatment evaluation.  相似文献   
6.
要永卿  石玲 《辽宁中医杂志》2014,(12):2521-2522
目的:探索名中医魏绍斌教授治疗月经不调的辨证经验,继承并发扬名医学术思想。方法:采集魏绍斌教授门诊104例月经不调患者的临床辨证及处方情况,采用SPSS 13.0软件进行聚类分析。结果:104例月经不调患者"太过"以阴虚血热及湿热扰冲证型多见,处方以生脉散、二至丸、失笑散、四妙散、坤茜汤多见,"不及"以肾虚血亏证型多见,处方以五子衍宗丸、圣愈汤、四物汤多见。结论:魏绍斌教授临床采用"太过"、"不及"论治月经不调,清其太过,补其不足,取得良好疗效。  相似文献   
7.
8.

OBJECTIVES:

Exposure to lead and cadmium in developing countries is considered to be a public health emergency. The present study was designed to investigate children’s exposure to lead and cadmium in Changchun, China.

METHODS:

A total of 1619 blood samples were collected at random from 1426 children between one and 14 years of age, and 204 adults from Changchun, China. Blood lead and cadmium levels were determined using atomic absorption spectrophotometry.

RESULTS:

The average blood lead level in children was 60.29 μg/L, with boys exhibiting higher blood lead levels than girls. The average blood cadmium level in children was 1.26 μg/L, and differences were not observed between boys and girls.

CONCLUSIONS:

Children from Changchun exhibited relatively low blood lead and cadmium levels compared with children from other cities, and higher lead and lower cadmium levels than adults. This may be related to leaded gasoline environmental pollution and children’s hand-to-mouth activities.  相似文献   
9.
目的:参考 USP、EP,探讨并建立酒石酸长春瑞滨的细菌内毒素标准与检查方法(凝胶法)。方法按《中国药典》(2010年版)二部附录Ⅺ E 细菌内毒素检查方法进行。结果经验证,酒石酸长春瑞滨的细菌内毒素限值确定为 L <2.0IU/mg(以长春瑞滨计),通过稀释法可消除干扰,无干扰浓度为0.035mg/mL(以长春瑞滨计)。结论可按此标准采用本法对本品进行细菌内毒素检查。  相似文献   
10.

Background

Studies that have investigated the association between vitamin D receptor (VDR) gene polymorphisms and intervertebral disc degeneration (IDD) have yielded inconsistent results.

Methods

To investigate the association between VDR gene polymorphisms and IDD, a systematic literature search for relevant published studies was performed on PubMed, Embase, Web of Science, Cochrane library, Wan-Fang, and CNKI databases. A random effects model was used for heterogeneous data; while a fixed effect model was used for homogenous data. Odds ratios (OR) and 95% confidence intervals (CI) were calculated to evaluate the strength of the association.

Results

We observed no association between VDR FokI, TaqI-ApaI polymorphisms and IDD. However, on subgroup analysis by ethnicity, VDR FokI mutation was associated with a significantly lower risk for IDD [dominant model: OR = 0.78, 95% CI = 0.65–0.93; heterozygote model: OR = 0.76, 95% CI = 0.63–0.92; allele model: OR = 0.86, 95% CI = 0.75–0.98] among Caucasians.

Conclusion

These results suggest that the VDR FokI polymorphism may be associated with IDD among Caucasians. However, the association between VDR TaqI-ApaI polymorphisms and IDD in Asians is still not clear. Further well-designed studies are needed to arrive at a definitive conclusion.  相似文献   
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