Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Aug 2011
[Treatment of combination atlantoaxial fractures with posterior fusion plus atlantoaxial pedicle screw].
To explore the clinical feasibility, approach, efficacy and indications of posterior fusion plus pedicle screw fixation in the treatment of combination atlantoaxial fractures. ⋯ Posterior atlantoaxial pedicle screw and rod fixation may provide immediate three-dimensional rigid fixation of atlantoaxial joint. This technique is more effective than other previously reported approaches.
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Zhonghua yi xue za zhi · Aug 2011
Randomized Controlled Trial[Oral controlled-release oxycodone for uterine cramping pain after cesarean section].
To evaluate whether combined oral oxycodone hydrochloride controlled-release tablets plus paracetamol and tramadol hydrochloride tablets is better than epidural analgesia with respect to uterine cramping pain control and side effects after cesarean section. ⋯ Postoperative pain control after cesarean section with the above combined regimen is superior to EDA in terms of a lower cost and a higher level of maternal satisfaction.
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Zhonghua yi xue za zhi · Aug 2011
[Autologous bone grafting plus screw fixation for medial tibial defects in total knee arthroplasty].
To investigate the efficacy of autologous bone grafting plus screw fixation to reconstruct the medial tibial defects in total knee arthroplasty (TKA). ⋯ As an easy and effective way of reconstructing the medial tibial bone defects, autologous bone grafting plus screw fixation can restore knee mechanical axis and stability. But in OA patients with tibial sclerosis, the complications of tibial component lateral migration, joint line elevation and splitting tibia fractures should be avoided during the reconstruction.
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Zhonghua yi xue za zhi · Jul 2011
Randomized Controlled Trial[Application of sedation with a low dose of dexmedetomidine during intrathecal anesthesia in elderly patients].
To explore the feasibility and safety of sedation with a low dose of dexmedetomidine (DEX) during intrathecal anesthesia in the elderly patients. ⋯ Sedation with a small dose of DEX during intrathecal anesthesia in elderly patients is both feasible and efficacious. But studies of larger sample sizes are warranted to confirm its safety.
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Zhonghua yi xue za zhi · Jul 2011
[Accuracy of transthoracic Doppler echocardiography in the estimation of pulmonary artery systolic pressures].
To investigate the qualitative accuracy of pulmonary artery systolic pressure (PASP) as estimated by transthoracic Doppler echocardiography (TDE). ⋯ Due to a frequent rate of inaccurate estimation of PASP, TDE can not replace right heart catheterization. TDE tends to underestimate PASP and results in a diagnostic misclassification of degree.