BACKGROUND The background of this study was analgesia in natural delivery.The combined spinal-epidural anesthesia has obvious analgesic effect on the parturients in natural labor,and combined spinal-epidural anesthesi...BACKGROUND The background of this study was analgesia in natural delivery.The combined spinal-epidural anesthesia has obvious analgesic effect on the parturients in natural labor,and combined spinal-epidural anesthesia has been widely used in anesthesia for various diseases.AIM To study the effects of combined spinal-epidural anesthesia on anxiety,labor analgesia,and motor blocks in parturients during natural delivery.METHODS A total of 120 women who gave birth at Changning District Maternal and Child Health Hospital between December 2021 to December 2022 were included;a random number table approach was employed to divide the women into a control group and a joint group,with each group consisting of 60 women.The control group was given epidural anesthesia,while the joint group was given combined spinal-epidural anesthesia.The visual analog scale(VAS)was used to evaluate the degree of maternal pain.Comparisons were made between the two groups’conditions of childbirth and the duration of labor.Apgar scores were used to evaluate the status of the newborns at birth;Self-rating Anxiety Scale(SAS)and General Self-Efficacy Scale(GSES)scores,umbilical artery blood gas analysis indices and stress indices were compared between the two groups;and the frequencies of motor block and postpartum complications were analyzed.RESULTS In comparison to the control group,in the joint group,the VAS scores for the first,second,and third stages of labor were lower(P<0.05).The rates of conversion to cesarean section and postpartum blood loss in the joint group were lower than those in the control group(P<0.05).No significant differences were observed in the Apgar score,the duration of the first stage of labor,or the total duration of labor between the two groups(P>0.05).The second and third stages of labor in the joint group were shorter than those in the control group(P<0.05).When compared to the control group,the postpartum SAS score of the joint group was lower,while the GSES score was greater(P<0.05).Between the control group and the joint group,the differences observed in pH,arterial carbon dioxide partial pressure,arterial oxygen partial pressure,or arterial hydrogen ion concentration were not significant(P>0.05).Nitric oxide,cortisol,and adrenaline levels were lower in the joint group than in the control group(P<0.05).There were no substantial differences in Bromage grade or rate of complications between the two groups(P>0.05).CONCLUSION For parturients during natural delivery,combined spinal-epidural anesthesia can reduce anxiety,provide labor analgesia,shorten labor time,and reduce postoperative stress levels but did not result in a motor block.展开更多
Background: Pectoral nerves (PECS) block has been reported to be effective for a perioperative analgesia for breast cancer surgery. In addition, we may consider that the PECS block is also effective for motor function...Background: Pectoral nerves (PECS) block has been reported to be effective for a perioperative analgesia for breast cancer surgery. In addition, we may consider that the PECS block is also effective for motor function in postoperative period. Therefore, we investigated the effect of PECS block for motor function in postoperative period. Methods: This study selected the patients performed the breast cancer surgery between April and September, 2015. The study surveyed the difficulty of movement of the upper limbs at postoperative day 5 (D5) and postoperative month 6 (M6) by performing telephone survey. We counted the number of patients who complained of the difficulty of movement of the upper limbs. All results were compared using the chi- squared test. P < 0.05 was considered statistically significant. Results: 93 patients received only general anesthesia (G group). 85 patients received PECS block with general anesthesia (P group). The number of the P group at D5 was 2 patients. On the other hand, the number of the G group was 15 patients (P = 0.042). In the same way, the number of the P group M6 was no patient. On the other hand, the number of the G group was 10 patients (P = 0.043). Conclusion: A PECS block is effective for motor function recovery in the early postoperative period after breast cancer surgery.展开更多
a Pole voltage waveforms (VA20 and VA40) for modulation index 0.4 (middle trace is A-phase voltage waveform) x-axis: 1 div.=10ms, y-axis: 1 div.= 100V b Normalized harmonic spectrum for pole voltage of Fig. 9a c A-pha...a Pole voltage waveforms (VA20 and VA40) for modulation index 0.4 (middle trace is A-phase voltage waveform) x-axis: 1 div.=10ms, y-axis: 1 div.= 100V b Normalized harmonic spectrum for pole voltage of Fig. 9a c A-phase current and phase voltage for modulation index 0.4 (reference space vector is in inner layer)展开更多
a Pole voltage waveforms (VA20 and VA40) for modulation index 0.4 (middle trace is A-phase voltage waveform) x-axis: 1 div.=10ms, y-axis: 1 div.= 100V b Normalized harmonic spectrum for pole voltage of Fig. 9a c A-pha...a Pole voltage waveforms (VA20 and VA40) for modulation index 0.4 (middle trace is A-phase voltage waveform) x-axis: 1 div.=10ms, y-axis: 1 div.= 100V b Normalized harmonic spectrum for pole voltage of Fig. 9a c A-phase current and phase voltage for modulation index 0.4 (reference space vector is in inner layer)展开更多
分段并联供电的长定子直线电机在进行定子段供电切换时,电机参数发生改变,在高速运行期间会出现电流超调或断相情况,动子过分段时电机推力波动大。该文仿真分析几种动子过分段供电切换方法的特点,提出一种分段并联供电长定子直线电机定...分段并联供电的长定子直线电机在进行定子段供电切换时,电机参数发生改变,在高速运行期间会出现电流超调或断相情况,动子过分段时电机推力波动大。该文仿真分析几种动子过分段供电切换方法的特点,提出一种分段并联供电长定子直线电机定子段供电切换方法,在电路拓扑中仅需要将同一变流器交替供电的定子段中性点相连接,切换开关采用双向晶闸管,切换策略为在定子段切换过程中各相电流依次过零开通和关断。该方法抑制了切换过程中变流器的电流断续或波动,减小了电机推力波动。通过采用比例–积分–谐振(proportional integral resonance,PIR)控制器,抑制电机电感不平衡带来的电流2倍频波动。以一台双三相永磁同步直线电机为例,进行仿真实验,并验证该方法的有效性。展开更多
Although some patients have successful peripheral nerve regeneration,a poor recovery of hand function often occurs after peripheral nerve injury.It is believed that the capability of brain plasticity is crucial for th...Although some patients have successful peripheral nerve regeneration,a poor recovery of hand function often occurs after peripheral nerve injury.It is believed that the capability of brain plasticity is crucial for the recovery of hand function.The supplementary motor area may play a key role in brain remodeling after peripheral nerve injury.In this study,we explored the activation mode of the supplementary motor area during a motor imagery task.We investigated the plasticity of the central nervous system after brachial plexus injury,using the motor imagery task.Results from functional magnetic resonance imaging showed that after brachial plexus injury,the motor imagery task for the affected limbs of the patients triggered no obvious activation of bilateral supplementary motor areas.This result indicates that it is difficult to excite the supplementary motor areas of brachial plexus injury patients during a motor imagery task,thereby impacting brain remodeling.Deactivation of the supplementary motor area is likely to be a serious problem for brachial plexus injury patients in terms of preparing,initiating and executing certain movements,which may be partly responsible for the unsatisfactory clinical recovery of hand function.展开更多
基金Changning District Health Commission Medical Key(Characteristic)Specialized Program,No.20192003.
文摘BACKGROUND The background of this study was analgesia in natural delivery.The combined spinal-epidural anesthesia has obvious analgesic effect on the parturients in natural labor,and combined spinal-epidural anesthesia has been widely used in anesthesia for various diseases.AIM To study the effects of combined spinal-epidural anesthesia on anxiety,labor analgesia,and motor blocks in parturients during natural delivery.METHODS A total of 120 women who gave birth at Changning District Maternal and Child Health Hospital between December 2021 to December 2022 were included;a random number table approach was employed to divide the women into a control group and a joint group,with each group consisting of 60 women.The control group was given epidural anesthesia,while the joint group was given combined spinal-epidural anesthesia.The visual analog scale(VAS)was used to evaluate the degree of maternal pain.Comparisons were made between the two groups’conditions of childbirth and the duration of labor.Apgar scores were used to evaluate the status of the newborns at birth;Self-rating Anxiety Scale(SAS)and General Self-Efficacy Scale(GSES)scores,umbilical artery blood gas analysis indices and stress indices were compared between the two groups;and the frequencies of motor block and postpartum complications were analyzed.RESULTS In comparison to the control group,in the joint group,the VAS scores for the first,second,and third stages of labor were lower(P<0.05).The rates of conversion to cesarean section and postpartum blood loss in the joint group were lower than those in the control group(P<0.05).No significant differences were observed in the Apgar score,the duration of the first stage of labor,or the total duration of labor between the two groups(P>0.05).The second and third stages of labor in the joint group were shorter than those in the control group(P<0.05).When compared to the control group,the postpartum SAS score of the joint group was lower,while the GSES score was greater(P<0.05).Between the control group and the joint group,the differences observed in pH,arterial carbon dioxide partial pressure,arterial oxygen partial pressure,or arterial hydrogen ion concentration were not significant(P>0.05).Nitric oxide,cortisol,and adrenaline levels were lower in the joint group than in the control group(P<0.05).There were no substantial differences in Bromage grade or rate of complications between the two groups(P>0.05).CONCLUSION For parturients during natural delivery,combined spinal-epidural anesthesia can reduce anxiety,provide labor analgesia,shorten labor time,and reduce postoperative stress levels but did not result in a motor block.
文摘Background: Pectoral nerves (PECS) block has been reported to be effective for a perioperative analgesia for breast cancer surgery. In addition, we may consider that the PECS block is also effective for motor function in postoperative period. Therefore, we investigated the effect of PECS block for motor function in postoperative period. Methods: This study selected the patients performed the breast cancer surgery between April and September, 2015. The study surveyed the difficulty of movement of the upper limbs at postoperative day 5 (D5) and postoperative month 6 (M6) by performing telephone survey. We counted the number of patients who complained of the difficulty of movement of the upper limbs. All results were compared using the chi- squared test. P < 0.05 was considered statistically significant. Results: 93 patients received only general anesthesia (G group). 85 patients received PECS block with general anesthesia (P group). The number of the P group at D5 was 2 patients. On the other hand, the number of the G group was 15 patients (P = 0.042). In the same way, the number of the P group M6 was no patient. On the other hand, the number of the G group was 10 patients (P = 0.043). Conclusion: A PECS block is effective for motor function recovery in the early postoperative period after breast cancer surgery.
文摘a Pole voltage waveforms (VA20 and VA40) for modulation index 0.4 (middle trace is A-phase voltage waveform) x-axis: 1 div.=10ms, y-axis: 1 div.= 100V b Normalized harmonic spectrum for pole voltage of Fig. 9a c A-phase current and phase voltage for modulation index 0.4 (reference space vector is in inner layer)
文摘a Pole voltage waveforms (VA20 and VA40) for modulation index 0.4 (middle trace is A-phase voltage waveform) x-axis: 1 div.=10ms, y-axis: 1 div.= 100V b Normalized harmonic spectrum for pole voltage of Fig. 9a c A-phase current and phase voltage for modulation index 0.4 (reference space vector is in inner layer)
文摘分段并联供电的长定子直线电机在进行定子段供电切换时,电机参数发生改变,在高速运行期间会出现电流超调或断相情况,动子过分段时电机推力波动大。该文仿真分析几种动子过分段供电切换方法的特点,提出一种分段并联供电长定子直线电机定子段供电切换方法,在电路拓扑中仅需要将同一变流器交替供电的定子段中性点相连接,切换开关采用双向晶闸管,切换策略为在定子段切换过程中各相电流依次过零开通和关断。该方法抑制了切换过程中变流器的电流断续或波动,减小了电机推力波动。通过采用比例–积分–谐振(proportional integral resonance,PIR)控制器,抑制电机电感不平衡带来的电流2倍频波动。以一台双三相永磁同步直线电机为例,进行仿真实验,并验证该方法的有效性。
基金supported by the Youth Researcher Foundation of Shanghai Health Development Planning Commission,No.20124319
文摘Although some patients have successful peripheral nerve regeneration,a poor recovery of hand function often occurs after peripheral nerve injury.It is believed that the capability of brain plasticity is crucial for the recovery of hand function.The supplementary motor area may play a key role in brain remodeling after peripheral nerve injury.In this study,we explored the activation mode of the supplementary motor area during a motor imagery task.We investigated the plasticity of the central nervous system after brachial plexus injury,using the motor imagery task.Results from functional magnetic resonance imaging showed that after brachial plexus injury,the motor imagery task for the affected limbs of the patients triggered no obvious activation of bilateral supplementary motor areas.This result indicates that it is difficult to excite the supplementary motor areas of brachial plexus injury patients during a motor imagery task,thereby impacting brain remodeling.Deactivation of the supplementary motor area is likely to be a serious problem for brachial plexus injury patients in terms of preparing,initiating and executing certain movements,which may be partly responsible for the unsatisfactory clinical recovery of hand function.
