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维生素C在食管碘染色内镜黏膜下剥离术中的应用
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作者 段香梅 刘爱民 +3 位作者 况晶 杨雪澜 任权 沈文拥 《中国内镜杂志》 2022年第12期32-37,共6页
目的探讨维生素C在食管碘染色内镜黏膜下剥离术(ESD)中的临床应用效果。方法回顾性分析重庆大学附属涪陵医院2020年1月-2021年9月68例食管癌前病变患者的临床资料,均在碘染色后行ESD。术前胃内注入0.4%维生素C生理盐水40 mL,再行食管碘... 目的探讨维生素C在食管碘染色内镜黏膜下剥离术(ESD)中的临床应用效果。方法回顾性分析重庆大学附属涪陵医院2020年1月-2021年9月68例食管癌前病变患者的临床资料,均在碘染色后行ESD。术前胃内注入0.4%维生素C生理盐水40 mL,再行食管碘染色,碘染色完成病变标记后,用0.4%维生素C生理盐水20 mL冲洗食管,再用生理盐水冲洗,然后行手术的患者为A组(n=31);食管碘染色完成病变范围标记,常规生理盐水冲洗碘液,然后行手术的患者为B组(n=37)。分析两组患者手术时间、标本横径、咽喉部不适、胸腹部疼痛评分、镇痛药物使用率和术后胃体内镜下黏膜情况。结果A组和B组患者咽喉部不适、手术时间和标本横径比较,差异均无统计学意义(P>0.05);A组和B组胸腹部疼痛评分分别为(1.29±0.59)和(3.54±1.26)分,两组患者比较,差异有统计学意义(t=9.13,P=0.001);A组镇痛药使用率为0.00%(0/31),与B组镇痛药使用率13.51%(5/37)比较,差异有统计学意义(P=0.042);两组患者内镜下胃体黏膜情况变化比较,差异有统计学意义(χ^(2)=26.15,P=0.000)。结论食管碘染色ESD术前胃底注入维生素C生理盐水,碘染色完成病变标记后,再予以维生素C生理盐水冲洗,可明显减轻患者术后疼痛,增加患者舒适感,值得在临床推广应用。 展开更多
关键词 食管 内镜黏膜下剥离术 碘染色 维生素C 疼痛
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Effects of Health Qigong Exercise on Depression and Anxiety in Patients with Parkinson’s Disease
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作者 Xiying Li Alyx Taylor +8 位作者 Jinming Li Ting Wang jing kuang Zhihao Zhang Xiaolei Liu Tingting Liu Xia Qin Shenghua Lu Liye Zou 《International Journal of Mental Health Promotion》 2022年第6期855-867,共13页
Objective: This study explored the effects of Health Qigong exercise on depression and anxiety in patients withParkinson’s disease (PD). Methods: A total of 42 volunteers who met the inclusion criteria were recruited... Objective: This study explored the effects of Health Qigong exercise on depression and anxiety in patients withParkinson’s disease (PD). Methods: A total of 42 volunteers who met the inclusion criteria were recruited andrandomly allocated into the experimental group and the control group. The experimental group carried out60-minute sessions of Health Qigong exercise five times a week for 12 weeks while the control group did not performany regular physical exercise. Data on cognitive impairment, psychomotor retardation, somatic anxiety,weight loss and sleep disorders, the sum score of the 17-item Hamilton Depression Rating Scale (HDRS-17), stateanxiety, trait anxiety as well as the sum score of the State-Trait Anxiety Inventory (STAI) were collected for threerepeated measurements (baseline, 6, and 12 weeks). Results: Significant differences were observed in depression,state anxiety, trait anxiety, cognitive impairment and psychomotor retardation in the experimental group but nodifference in somatic anxiety, weight loss and sleep disorders. Conclusion: Health Qigong exercise can pose positivepsychological effects and alleviate the depression and anxiety in patients with Parkinson’s disease. It can beapplied as an accessible supplement to the existent drug treatment for PD. 展开更多
关键词 Health Qigong parkinsons disease DEPRESSION ANXIETY
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