Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Dec 2019
Case Reports[Iliocostalis Plane Block in Analgesia for Video-assisted Thoractomy:Report of One Case].
Interfascial plane block is a quick,safe and simple technique that offers effective analgesia for video-assisted thoracotomy. However,the currently described methods still have certain limitations. We explored the application of a novel interfascial plane block method-iliocostal plane block in video-assisted thoracotomy,along with the use of stained cadaveric anatomy,with an attempt to shed new light on the analgesia for video-assisted thoracotomy.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Dec 2019
Review[N-methyl-D-aspartate Receptor:Potential Role in TreatingNeuraxial Opioid Induced Pruritus].
Neuraxial opioid administration is one of the most common methods of anesthesia and analgesia,while itching is the most troublesome adverse effect. The current treatments for neuraxial opioid-induced pruritus still have certain limitations. ⋯ Based on our recent findings on N-methyl-D-aspartate(NMDA)receptors and pruritus caused by neuraxial opioids,we provide new ideas for the treatment of itching caused by neuraxial opioids. Since NMDA receptors may play a key role in neuraxial opioid-induced pruritus,NMDA receptor antagonists can have certain therapeutic advantages.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Dec 2019
[Validation of NoSAS Score and Obstructive Sleep Apnea Hypopnea Syndrome Screening Model for Female Snorers in Females with Obstructive Sleep Apnea].
Objective To evaluate the NoSAS score and the obstructive sleep apnea hypopnea syndrome(OSAHS)screening model for female snorers with obstructive sleep apnea(OSA)in females and compare the performance of these two tools. Methods A total of 425 females with suspected OSA who underwent overnight polysomnography(PSG)were consecutively recruited into this study. The above two questionnaires were completed. ⋯ The area under curve of the OSAHS screening model of female snorers was significantly larger than that of NoSAS score(P =0.002,P =0.003,P =0.019). Conclusions Both the NoSAS score and the OSAHS screening model for female snorers have a moderate performance in diagnosing OSA in females,although the OSAHS screening model for female snorers has better performance. However,the sensitivity of the OSAHS screening model needs to be further improved.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Aug 2019
Comparative Study[Evaluation and Comparison of SHA.LIN,S.T.O.N.E.Nephrolithometry Scoring System,and Clinical Research Office of the Endourological Society Nephrolithometry Nomogram for Predicting Stone Free Rate and Postoperative Outcomes after Percutaneous Nephrolithotomy].
To compare the accuracy of SHA. LIN,S. T. ⋯ N. E.in predicting SFR. However,they can not predict postoperative complications.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Jun 2019
Randomized Controlled Trial[Impacts of Different Nostril for Nasotracheal Intubation with Video Laryngoscopy].
Objective To compare the impacts of different nostril on nasotracheal intubation with video laryngoscopy. Methods Totally 120 ASA grade I maxillofacial surgery patients were equally randomized into two groups:group A(left nostril)and group B(right nostril). After rapid induction of anesthesia,the nasal intubation was completed by Tosight video laryngoscope,and the success rate of the first attempt of the tube passing through the nasal cavity was recorded and compared between these two groups. ⋯ The total intubation time was(35.1±9.2)s in group A and(34.0±7.8)s in group B(t=0.663,P=0.509). Intubation-related epistaxis was found in 16 cases(27.1%)in group A and in 17 cases(28.3%)in group B(χ2 =0.022,P=0.882). Conclusion Different nasal approaches have no effect on nasal intubation.