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COVID-19疫情期间采用气体负压引流缓解眼科手术中患者佩戴医用口罩导致的呼吸不适
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作者 李德华 李贡辉 +6 位作者 伍子建 林牡丹 李美玲 林培敏 游玲 张铭志 吴政根 《国际眼科杂志》 CAS 北大核心 2021年第12期2032-2037,共6页
目的:报告COVID-19疫情期间局部麻醉下眼科手术的预防措施,评估眼科手术中佩戴医用口罩患者的呼吸情况。方法:招募60例需要眼科手术治疗的中国患者,在眼科局部麻醉手术期间给予医用口罩作为COVID-19预防措施之一。采用吸氧和气体负压引... 目的:报告COVID-19疫情期间局部麻醉下眼科手术的预防措施,评估眼科手术中佩戴医用口罩患者的呼吸情况。方法:招募60例需要眼科手术治疗的中国患者,在眼科局部麻醉手术期间给予医用口罩作为COVID-19预防措施之一。采用吸氧和气体负压引流的方法缓解患者佩戴口罩存在的潜在呼吸不适感,并进行呼吸舒适度评分。结果:佩戴医用口罩患者出现轻到中度呼吸不适,总体平均得分为2.34±0.73分。吸氧和气体负压引流缓解了呼吸不适(总平均得分为0.15±0.75分,P<0.001)。呼吸不适或呼吸不适缓解度不存在性别和手术时间差异。术中出现负压气体引流失败会导致严重呼吸不适。结论:吸氧和气体负压引流可维持局部麻醉下佩戴医用口罩患者的呼吸循环。在COVID-19疫情期间建议接受眼科局部麻醉手术的患者佩戴医用口罩,以保护眼科医护人员。 展开更多
关键词 COVID-19 眼科手术 医用口罩 气体负压吸引
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Effect of electroacupuncture "Shenmen" on the expression of cAMP and cGMP in the myocardium, hippocampus and serum of rats with acute myocardial ischemia
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作者 Li-Na Zhao Zhi-Ming Jiang +6 位作者 Li-Bin wu Min-Jun Wang Xiao-Tong Wei Fan Zhang Hai-Ling Cui Jie Wang zi-jian wu 《Journal of Hainan Medical University》 2021年第13期1-6,共6页
Objective:Discussion on the protectiion of electroacupuncture"Shenmen"on heart and brain injury induced by acute myocardial ischemia in rats from the perspective of the expression of cyclic adenosine monopho... Objective:Discussion on the protectiion of electroacupuncture"Shenmen"on heart and brain injury induced by acute myocardial ischemia in rats from the perspective of the expression of cyclic adenosine monophosphate(cAMP)and cyclic guanosine monophosphate(cGMP).Methods:Thirty male SD rats were randomly divided into normal group,model group,and electroacupuncture group.The electrocardiogram was recorded by the Powerlab 8-lead physiological recording system.The left anterior descending coronary artery was ligated to replicate the rat myocardial ischemia model.The acupuncture group was treated with electroacupuncture on the second day after the model was replicated.After the last electroacupuncture treatment,rat myocardium,hippocampus tissue and abdominal aortic blood were collected,and enzyme-linked immunosorbent assay was used to detect the levels of cAMP and cGMP in myocardium,hippocampus tissue and serum content.Results:Compared with the normal group,the cAMP content in the myocardial tissue of the model group was significantly increased,and the cAMP content in the hippocampus tissue and serum was significantly reduced;compared with the model group,the cAMP content in the myocardial tissue of the electroacupuncture group was decreased,and the hippocampus tissue Compared with the normal group,the content of cGMP in the myocardial tissue and serum of the model group increased,and the content of cGMP in the hippocampus decreased.Compared with the model group,the content of cGMP in the hippocampus of the electroacupuncture group was increased.The cGMP content increased,the serum cGMP content was significantly reduced,and the difference in the cGMP content in myocardial tissue was not statistically significant.Conclusion:Electroacupuncture at"Shenmen"acupoint can significantly improve the expression of cAMP,cGMP and myocardial cAMP in the serum and hippocampus of model rats with acute myocardial ischemia-induced heart and brain injury,but has a lower effect on myocardial cGMP content. 展开更多
关键词 Acute myocardial ischemia ELECTROACUPUNCTURE SHENMEN CAMP CGMP
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Moxibustion Treatment for Knee Osteoarthritis: A Meta-Analysis
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作者 Xiao-Jia Li Pan Liu +6 位作者 Li-Na Zhao Zhi-Ming Jiang Rong-Lin Cai Qing Yu Jie Wang Ling Hu zi-jian wu 《Journal of Hainan Medical University》 2019年第22期42-48,共7页
Objective:To systematically evaluate the efficacy of Moxibustion in the treatment of knee osteoarthritis, and to provide a reasonable supplementary scheme for clinical medical treatment by analyzing the results of Mox... Objective:To systematically evaluate the efficacy of Moxibustion in the treatment of knee osteoarthritis, and to provide a reasonable supplementary scheme for clinical medical treatment by analyzing the results of Moxibustion in the treatment of knee osteoarthritis and related experimental studies.Methods:Computerized retrieval of CNKI, Wanfang, PubMed and other databases from January 2009 to June 2019, published clinical controlled trials of Moxibustion in the treatment of knee osteoarthritis, and retrospective references of the required literature to improve the relevant literature retrieval, if there are documents that can not be downloaded, Manual search was carried out and the literature was included after quality evaluation. Meta-analysis was carried out with Review Manager 5.3 software.Results:A total of 1207 patients with knee osteoarthritis were included in 15pieces of literature. (1) In terms of total effective rate, moxibustion was superior to conventional Western drugs. Meta-analysis showed that RR=1.21,95%CI [1.14,1.28],Z=6.44,P < 0.00001;(2) In VAS score, moxibustion was superior to conventional Western drugs, meta-analysis of two groups: WMD=-2.71, 95% CI [-4.90, -0.52], Z=2.43,P < 0.05;(3) In WOMAC score, moxibustion was superior to conventional Western drugs, meta-analysis of two groups: WMD=-6.79,95%CI [-12.35,-1.23],Z=2.39,P < 0.05;(4) WOMAC pain. In terms of pain score, moxibustion was superior to conventional Western drugs. Meta-analysis showed that WMD=-1.34,95%CI [-2.50,-0.17],Z=2.25,P < 0.05;(5) knee joint function. On the contrary, moxibustion was superior to conventional Western drugs. Meta-analysis showed that WMD = 12.54, 95% CI [6.93, 18.15], Z = 4.28,P < 0.01;(6) In Lysholm index, moxibustion was superior to conventional Western drugs. Meta-analysis showed that WMD = 12.13, 95% CI [6.87, 17.39], Z = 4.52,P < 0.01;(7) In Lequesne index, moxibustion was superior to conventional Western drugs. Routine western drugs, meta-analysis: WMD =-4.22, 95% CI [-5.74, -2.70], Z = 5.45,P < 0.01.Conclusions: The efficacy of Moxibustion in the treatment of knee osteoarthritis is better than that of conventional western drug therapy, but a large sample size and high quality randomized controlled trials are still needed to verify and analyze. 展开更多
关键词 MOXIBUSTION KNEE OSTEOARTHRITIS META-ANALYSIS
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