Zhonghua yi xue za zhi
-
Zhonghua yi xue za zhi · Jan 2017
[Effect of dexmedetomidine alone for postoperative analgesia after laparoscopic cholecystectomy].
Objective: To investigate the effect of dexmedetomidine alone for postoperative analgesia after laparoscopic cholecystectomy. Methods: Forty patients scheduled for elective laparoscopic cholecystectomy in First Hospital of Ninghai County, American Society of Anesthesiologists (ASA) gradeⅠor Ⅱ, were randomly divided into dexmedetomidine group (Group D, n=20) and fentanyl group (Group F, n=20). The patient controlled analgesia (PCA) pumps were used after the operation. ⋯ The pain treatment satisfactory score (PTSS) in Group D was (8.1±1.3) points, higher than that in Group F (6.1±1.5) points (t=4.426, P<0.05). Meanwhile, there was no statistic difference in the incidence of respiratory depression and dizziness in both groups (P>0.05). Conclusion: Intravenous infusion of dexmedetomidine alone at 0.2 μg·kg(-1)·h(-1) after laparoscopic cholecystectomy not only reduces postoperative pain, but also enhances satisfaction with pain control and improves the recovery of gastrointestinal function.
-
Zhonghua yi xue za zhi · Jan 2017
[Radiographic and clinical assessment of supracondylar humeral fractures resulted from sports in children].
Objective: To investigate the radiographic and clinical assessment for supracondylar humeral fractures resulted from sports in children. Methods: The medical records of 166 patients with displaced supracondylar humerus fractures treated in Shengjing Hospital of China Medical University from January 2015 to December 2015 were reviewed. The etiology of 56 of 166 cases was relevant to the sports. ⋯ Conclusions: Sports is the common reason of supracondylar humeral fracture requiring surgical treatment in children. CT is valuable for the diagnosis of supracondylar humeral fracture. Good functional results in the short-term follow-up can be found after closed reduction and percutaneous lateral-entry pinning.