Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Jul 2013
Randomized Controlled Trial[Effects of parecoxib sodium analgesia on serum concentrations of neuron-specific enolase and S-100β and postoperative cognitive function of elderly patients undergoing acute replacement of femoral head].
To explore the effects of parecoxib sodium analgesia on serum concentrations of neuron-specific enolase (NSE) and S-100β and postoperative cognitive function of elderly patients undergoing acute replacement of femoral head. ⋯ Parecoxib sodium analgesia reduces the rate of POD and POCD in elderly patients with neuroprotective effects.
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Zhonghua yi xue za zhi · Jul 2013
Comparative Study[Unilateral versus bilateral pedicle fixation at the level of fracture in the treatment of thoracolumbar fractures with mild to moderate instability].
To evaluate the efficacies of unilateral versus bilateral pedicle screw fixation through the pedicle of fractured vertebra plus short-segment pedicle instrumentation (SSPI) in the treatment of thoracolumbar fractures. ⋯ Pedicle screw fixation through the pedicle of fractured vertebra plus SSPI is an excellent surgical therapeutic choice for patients with a LSC range of 5-7 thoraclumbar fractures. The efficacies of unilateral and bilateral pedicle screw fixation at fracture level are the same.
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Zhonghua yi xue za zhi · Jul 2013
Comparative Study[Lateral position one-stage combined anteroposterior approach versus posterior approach with subtotal corpectomy, decompression, and reconstruction of spine in the treatment of thoracolumbar burst fractures].
To compare the medium and long-term outcomes of lateral position one-stage plus anteroposterior versus posterior approach with subtotal corpectomy, decompression, and reconstruction of spine in the treatment of thoracolumbar burst fractures. ⋯ Lateral position one-stage plus anteroposterior and posterior approaches with subtotal corpectomy, decompression, and reconstruction of spine are adequate surgical treatments for thoracolumbar burst fractures. But the latter has the major advantages of less perioperative volume of blood loss, fewer complications, shorter operative duration and better pulmonary functions.
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Zhonghua yi xue za zhi · Jul 2013
[Occurrence of complex sleep apnea during continuous positive airway pressure therapy].
To explore the occurrence of complex sleep apnea syndrome in patients with obstructive sleep apnea during continuous positive airway pressure titration and evaluate their polysomnographic characteristics. ⋯ Complex sleep apnea syndrome is common among Chinese patients with obstructive sleep apnea. Compared with those with non-complex sleep apnea, complex sleep apnea patients have reduced sleep time and worse sleep quality during continuous positive airway pressure therapy.
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Zhonghua yi xue za zhi · Jul 2013
Randomized Controlled Trial Comparative Study[Comparison of the efficacy of different types of laryngeal mask airways in patients undergoing laparoscopic gynecological surgery].
To compare the efficacy of laryngeal mask airway Supreme, ProSeal and I-gel in patients undergoing laparoscopic gynecological surgery. ⋯ The three LMA can all be used effectively for gynecological laparoscopic surgery. LMA I-gel and LMA ProSeal can provide higher airway sealing pressure. LMA I-gel provides adequate ventilation during operation with fewer complications.