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Extreme cardiomegaly induced by rheumatic heart disease Scopus
期刊论文 | 2018 , 363 | BMJ (Online)
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GB/T 7714 Zhang, Wei , Pei, Fei , Zhang, Pengbo . Extreme cardiomegaly induced by rheumatic heart disease [J]. | BMJ (Online) , 2018 , 363 .
MLA Zhang, Wei 等. "Extreme cardiomegaly induced by rheumatic heart disease" . | BMJ (Online) 363 (2018) .
APA Zhang, Wei , Pei, Fei , Zhang, Pengbo . Extreme cardiomegaly induced by rheumatic heart disease . | BMJ (Online) , 2018 , 363 .
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Anaesthetic management for pheochromocytoma resection in a 5-year-old boy with cerebral haemorrhage and intestinal obstruction SCIE PubMed Scopus
期刊论文 | 2017 , 67 (12) , 1933-1935 | JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION | IF: 0.718
WoS CC Cited Count: 1
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Pheochromocytoma is rarely seen under the age of 8 years and the anaesthesia for pheochromocytoma surgery is challenging. We present the perioperative management of a 5-year-old boy with intestinal obstruction and two episodes of cerebral haemorrhage who presented for pheochromocytoma resection and enterolysis. Important issues in the management of this patient included choice of vasoactive agents and anaesthetics, control of blood pressure and intracranial pressure, preioperative fluid management, and monitoring technique. Imbalance of fluid and electrolyte disturbance as well as a potentially inevitable drop in blood pressures after complete excision of tumour further complicate patient care. Knowledge of different medical issues involved in this case and their potential impact on anaesthetic management is paramount for safe perioperative patient care.

Keyword :

Pheochromocytoma Intraoperative monitoring Cerebral haemorrhage Paediatrics General anaesthesia

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GB/T 7714 Sun, Peipei , Guan, Xinjiang , Li, Wei et al. Anaesthetic management for pheochromocytoma resection in a 5-year-old boy with cerebral haemorrhage and intestinal obstruction [J]. | JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION , 2017 , 67 (12) : 1933-1935 .
MLA Sun, Peipei et al. "Anaesthetic management for pheochromocytoma resection in a 5-year-old boy with cerebral haemorrhage and intestinal obstruction" . | JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION 67 . 12 (2017) : 1933-1935 .
APA Sun, Peipei , Guan, Xinjiang , Li, Wei , Li, Siyuan , Li, Peng , Zhang, Pengbo . Anaesthetic management for pheochromocytoma resection in a 5-year-old boy with cerebral haemorrhage and intestinal obstruction . | JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION , 2017 , 67 (12) , 1933-1935 .
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PRETREATMENT WITH MINOCYCLONE RESTORES NEUROGENESIS ON THE SUBVENTRICULAR ZONE AND SUBGRANULAR ZONE OF THE HIPPOCAMPUS AFTER KETAMINE EXPOSURE ON NEONATAL RATS SCIE PubMed Scopus
期刊论文 | 2017 , 352 , 144-154 | NEUROSCIENCE | IF: 3.382
WoS CC Cited Count: 9 SCOPUS Cited Count: 9
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Ketamine is commonly used for anesthesia in pediatric patients. Recent studies indicated that ketamine exposure in the developing brain can induce neuroapoptosis and disturb normal neurogenesis, which will result in long-lasting cognitive impairment. Minocycline exerts neuroprotection against a wide range of toxic insults in neurodegenerative disease models. In the present,study, we investigated whether the disturbed neurogenesis and behavioral deficits after ketamine neonatal exposure could be alleviated by minocycline. Postnatal day (PND)7 Sprague Dawley rat pups randomly received either normal saline, ketamine, or minocycline 30 min prior to ketamine administration, respectively. The rats were decapitated at PND14 for the detection of neurogenesis in the subventricular zone (SVZ) and subgranular zone (SGZ) of the hippocampus by immunostaining. The protein expression of p-Akt, p-GSK-3 beta in the SVZ and SGZ at 12 h after anesthesia, PND10 and PND14 were assessed by western blotting analysis. At PND 42-47, spatial learning and memory abilities were measured by the Morris water maze in all groups. Our data showed that ketamine exposure in neonatal rats resulted in neurogenetic damage and persistent cognitive deficits, and that pretreatment with minocycline eliminated the brain development damage and improved the behavioral function in adult rats. Moreover, the protection of minocycline is associated with the PI3K/Akt signaling pathway. (C) 2017 IBRO. Published by Elsevier Ltd. All rights reserved.

Keyword :

ketamine GSK-3 beta brain development Akt neuroprotection minocycline

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GB/T 7714 Lu, Yang , Giri, P. K. , Lei, Shan et al. PRETREATMENT WITH MINOCYCLONE RESTORES NEUROGENESIS ON THE SUBVENTRICULAR ZONE AND SUBGRANULAR ZONE OF THE HIPPOCAMPUS AFTER KETAMINE EXPOSURE ON NEONATAL RATS [J]. | NEUROSCIENCE , 2017 , 352 : 144-154 .
MLA Lu, Yang et al. "PRETREATMENT WITH MINOCYCLONE RESTORES NEUROGENESIS ON THE SUBVENTRICULAR ZONE AND SUBGRANULAR ZONE OF THE HIPPOCAMPUS AFTER KETAMINE EXPOSURE ON NEONATAL RATS" . | NEUROSCIENCE 352 (2017) : 144-154 .
APA Lu, Yang , Giri, P. K. , Lei, Shan , Zheng, Juan , Li, Weisong , Wang, Ning et al. PRETREATMENT WITH MINOCYCLONE RESTORES NEUROGENESIS ON THE SUBVENTRICULAR ZONE AND SUBGRANULAR ZONE OF THE HIPPOCAMPUS AFTER KETAMINE EXPOSURE ON NEONATAL RATS . | NEUROSCIENCE , 2017 , 352 , 144-154 .
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盐酸羟考酮复合罗哌卡因用于剖宫产术后硬膜外自控镇痛的研究
期刊论文 | 2017 , (1) , 40-44 | 国际麻醉学与复苏杂志
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目的 探讨剖宫产术后患者使用盐酸羟考酮复合罗哌卡囚行硬膜外自控镇痛(patient controlled epiduralanalgesia,PCEA)的安全性、可行性以及治疗效果. 方法 选择择期剖宫产产妇60例,采用蛛网膜下腔联合硬膜外麻醉(combined spinal epidural anesthesia,CSEA),术后连接恒速镇痛泵与硬膜外导管.所有产妇采用随机数字表法分为3组(每组20例):芬太尼复合罗哌卡因组(FR组),2 mg/L芬太尼+0.15%罗哌卡因;盐酸羟考酮复合罗哌卡因组(OR组),100 mg/L盐酸羟考酮+0.15%罗哌卡因;盐酸羟考酮复合低浓度罗哌卡因组(ORL组),100 mg/L盐酸羟考酮+0.1%罗哌卡因.镇痛泵参数为:背景剂量2 ml/h,单次剂量为2 ml,锁定时间为30 min.记录产妇入手术室时(T0)、手术开始时(T1)及术后2 h(T2)、4 h(T3)、8 h(T4)、16 h(T5)、24 h(T6)、48 h(T7)和去除镇痛泵后2 h(Ts)共9个时间点的MAP、HR、下肢运动神经阻滞评分(Bromage评分)、产妇静息时和按摩子宫时的VAS评分,统计药物总用量及副作用发生例数. 结果 按摩子宫时,VAS评分OR组[(3.4±0.5)分]和ORL组[(3.3±0.6)分]较FR组[(5.3±0.6)分]明显减轻(P<0.05);OR组和ORL组患者在整个镇痛期间镇痛药物用量[(103±5) ml和(102±6) ml]较FR组[(124±7)ml]明显减少(P<0.05);VAS评分和药物用量方面,OR组和ORL组差异无统计学意义(P>0.05).结论 盐酸羟考酮复合罗哌卡因用于剖宫产术后硬膜外自控镇痛安全可行,并且可以减少局部麻醉药的浓度和用量.

Keyword :

盐酸羟考酮 剖宫产术 硬膜外自控镇痛

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GB/T 7714 王武涛 , 赵玲 , 舒雅 et al. 盐酸羟考酮复合罗哌卡因用于剖宫产术后硬膜外自控镇痛的研究 [J]. | 国际麻醉学与复苏杂志 , 2017 , (1) : 40-44 .
MLA 王武涛 et al. "盐酸羟考酮复合罗哌卡因用于剖宫产术后硬膜外自控镇痛的研究" . | 国际麻醉学与复苏杂志 1 (2017) : 40-44 .
APA 王武涛 , 赵玲 , 舒雅 , 韩彬 , 雷茜 , 张蓬勃 . 盐酸羟考酮复合罗哌卡因用于剖宫产术后硬膜外自控镇痛的研究 . | 国际麻醉学与复苏杂志 , 2017 , (1) , 40-44 .
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Assessment of different loading doses of dexmedetomidine hydrochloride in preventing adverse reaction after combined spinal-epidural anesthesia SCIE PubMed Scopus
期刊论文 | 2017 , 13 (6) , 2946-2950 | EXPERIMENTAL AND THERAPEUTIC MEDICINE | IF: 1.41
WoS CC Cited Count: 3 SCOPUS Cited Count: 2
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We conducted the present study to investigate the effects of the different loading doses of dexmedetomidine hydrochloride in the prevention of adverse reactions after combined spinal-epidural anesthesia. A total of 200 patients that were admitted to the Department of Obstetrics at the Second Affiliated Hospital of Xi'an Jiaotong University hospital and treated with cesarean section through the use of combined spinal-epidural anesthesia from December, 2014 to June, 2016, were randomly divided into 4 groups. The therapeutic regimens of patients were shown as follows: group A was administered an intravenous pump of 10 ml/l physiological saline in surgery until the end of the delivery. group B was administered 0.2 mu g/kg dexmedetomidine. group C was administered 0.4 mu g/kg dexmedetomidine. group D was administered 0.6 mu g/kg dexmedetomidine. The anesthesia plane was adjusted to the level below the T10 plane. After the onset of anesthesia, participants of each group were treated with an intravenous pump of dexmedetomidine at loading dose. After intravenous pumping for 10 min in each group during the surgery, patients were administered with an intraoperative maintenance dose of 0.2 mu g/kg/h until the end of the delivery. The heart rate (HR), mean arterial pressure (MAP), Narcotrend index (NI), Ramsay sedation score and the incidence of adverse reactions at each time-point of the start of drug administration (T0), 10 min (T2), 30 min (T3), 60 min (T4), 90 min (T5) and the end of surgery (T6) were recorded. Within 24 h post-delivery, the degree of amnesia from using dexmedetomidine until the end of the delivery were followed up. Compared to group A and T0, the HRs of participants at T3-6 in groups B and C were decreased. The MAP at T1 in group D was increased. In groups B and C, the NIs were significantly decreased at T2-6, the Ramsay scores were increased at T3-6, and the differences were statistically significant (P< 0.05). The follow-up within 24 h after delivery showed that the degree of anterograde amnesia from groups B to D was significantly higher than group A, with statistically significant difference (P< 0.05). A combined spinal-epidural anesthesia with 0.6 mu g/kg loading dose of dexmedetomidine, by intravenous pumping within 10 min before cesarean section, can achieve a satisfied sedative effect at 30 min after administration. It maintains the characteristics of intraoperative hemodynamic stability and less adverse reactions. Therefore, it is of great significance to improve the quality of cesarean section delivery.

Keyword :

delivery dexmedetomidine cesarean section

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GB/T 7714 Jiang, Wanwei , Wang, Qinghui , Xu, Min et al. Assessment of different loading doses of dexmedetomidine hydrochloride in preventing adverse reaction after combined spinal-epidural anesthesia [J]. | EXPERIMENTAL AND THERAPEUTIC MEDICINE , 2017 , 13 (6) : 2946-2950 .
MLA Jiang, Wanwei et al. "Assessment of different loading doses of dexmedetomidine hydrochloride in preventing adverse reaction after combined spinal-epidural anesthesia" . | EXPERIMENTAL AND THERAPEUTIC MEDICINE 13 . 6 (2017) : 2946-2950 .
APA Jiang, Wanwei , Wang, Qinghui , Xu, Min , Li, Yu , Yang, Rui , Song, Xiaoyang et al. Assessment of different loading doses of dexmedetomidine hydrochloride in preventing adverse reaction after combined spinal-epidural anesthesia . | EXPERIMENTAL AND THERAPEUTIC MEDICINE , 2017 , 13 (6) , 2946-2950 .
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Cell-Cell Connection Enhances Proliferation and Neuronal Differentiation of Rat Embryonic Neural Stem/Progenitor Cells SCIE PubMed Scopus
期刊论文 | 2017 , 11 | FRONTIERS IN CELLULAR NEUROSCIENCE | IF: 4.3
WoS CC Cited Count: 4 SCOPUS Cited Count: 4
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Cell-cell interaction as one of the niche signals plays an important role in the balance of stem cell quiescence and proliferation or differentiation. In order to address the effect and the possible mechanisms of cell-cell connection on neural stem/progenitor cells (NSCs/NPCs) proliferation and differentiation, upon passaging, NSCs/NPCs were either dissociated into single cell as usual (named Group I) or mechanically triturated into a mixture of single cell and small cell clusters containing direct cell-cell connections (named Group II). Then the biological behaviors including proliferation and differentiation of NSCs/NPCs were observed. Moreover, the expression of gap junction channel, neurotrophic factors and the phosphorylation status of MAPK signals were compared to investigate the possible mechanisms. Our results showed that, in comparison to the counterparts in Group I, NSCs/NPCs in Group II survived well with preferable neuronal differentiation. In coincidence with this, the expression of connexin 45 (Cx45), as well as brain derived neurotrophic factor (BDNF) and neurotrophin 3 (NT-3) in Group II were significantly higher than those in Group I. Phosphorylation of ERK1/2 and JNK2 were significantly upregulated in Group II too, while no change was found about p38. Furthermore, the differences of NSCs/NPCs biological behaviors between Group I and II completely disappeared when ERK and JNK phosphorylation were inhibited. These results indicated that cell-cell connection in Group II enhanced NSCs/NPCs survival, proliferation and neuronal differentiation through upregulating the expression of gap junction and neurotrophic factors. MAPK signals-ERK and JNK might contribute to the enhancement. Efforts for maintaining the direct cell-cell connection are worth making to provide more favorable niches for NSCs/NPCs survival, proliferation and neuronal differentiation.

Keyword :

MAPK cell-cell connection neuronal differentiation proliferation NSCs/NPCs

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GB/T 7714 Jiao, Qian , Li, Xingxing , An, Jing et al. Cell-Cell Connection Enhances Proliferation and Neuronal Differentiation of Rat Embryonic Neural Stem/Progenitor Cells [J]. | FRONTIERS IN CELLULAR NEUROSCIENCE , 2017 , 11 .
MLA Jiao, Qian et al. "Cell-Cell Connection Enhances Proliferation and Neuronal Differentiation of Rat Embryonic Neural Stem/Progenitor Cells" . | FRONTIERS IN CELLULAR NEUROSCIENCE 11 (2017) .
APA Jiao, Qian , Li, Xingxing , An, Jing , Zhang, Zhichao , Chen, Xinlin , Tan, Jing et al. Cell-Cell Connection Enhances Proliferation and Neuronal Differentiation of Rat Embryonic Neural Stem/Progenitor Cells . | FRONTIERS IN CELLULAR NEUROSCIENCE , 2017 , 11 .
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The force analysis for superparamagnetic nanoparticles-based gene delivery in an oscillating magnetic field EI SCIE Scopus
期刊论文 | 2017 , 427 , 85-89 | JOURNAL OF MAGNETISM AND MAGNETIC MATERIALS | IF: 3.046
WoS CC Cited Count: 1 SCOPUS Cited Count: 2
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Due to the peculiar magnetic properties and the ability to function in cell-level biological interaction, superparamagnetic nanoparticles (SMNP) have been being the attractive carrier for gene delivery. The superparamagnetic nanoparticles with surface-bound gene vector can be attracted to the surface of cells by the Kelvin force provided by external magnetic field. In this article, the influence of the oscillating magnetic field on the characteristics of magnetofection is studied in terms of the magnetophoretic velocity. The magnetic field of a cylindrical permanent magnet is calculated by equivalent current source (ECS) method, and the Kelvin force is derived by using the effective moment method. The results show that the static magnetic field accelerates the sedimentation of the particles, and drives the particles inward towards the axis of the magnet. Based on the investigation of the magnetophoretic velocity of the particle under horizontally oscillating magnetic field, an oscillating velocity within the amplitude of the magnet oscillation is observed. Furthermore, simulation results indicate that the oscillating amplitude plays an important role in regulating the active region, where the particles may present oscillating motion. The analysis of the magnetophoretic velocity gives us an insight into the physical mechanism of the magnetofection. It's also helpful to the optimal design of the magnetofection system.

Keyword :

Gene delivery Kelvin force Oscillating magnetic field Cell Magnetofection Superparamagnetic nanoparticles

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GB/T 7714 Sun, Jiajia , Shi, Zongqian , Jia, Shenli et al. The force analysis for superparamagnetic nanoparticles-based gene delivery in an oscillating magnetic field [J]. | JOURNAL OF MAGNETISM AND MAGNETIC MATERIALS , 2017 , 427 : 85-89 .
MLA Sun, Jiajia et al. "The force analysis for superparamagnetic nanoparticles-based gene delivery in an oscillating magnetic field" . | JOURNAL OF MAGNETISM AND MAGNETIC MATERIALS 427 (2017) : 85-89 .
APA Sun, Jiajia , Shi, Zongqian , Jia, Shenli , Zhang, Pengbo . The force analysis for superparamagnetic nanoparticles-based gene delivery in an oscillating magnetic field . | JOURNAL OF MAGNETISM AND MAGNETIC MATERIALS , 2017 , 427 , 85-89 .
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Effect of naloxone on intravenous fentanyl patient-controlled analgesia after laparoscopic cholecystectomy. PubMed
期刊论文 | 2016 , 95 (48) , e5074 | Medicine | IF: 1.804
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This study aims to evaluate the effect of naloxone on intravenous fentanyl patient-controlled analgesia after laparoscopic cholecystectomy under total intravenous anesthesia.A total of 90 patients, who underwent intravenous fentanyl patient-controlled analgesia after laparoscopic cholecystectomy under total intravenous anesthesia, were included into this study. All patients were randomly divided into 3 groups (each group, n=30): naloxone group (naloxone+fentanyl), tropisetron group (tropisetron+fentanyl), and fentanyl group (fentanyl). Patients in each group were given a corresponding dose of naloxone. Postoperative analgesia effect and the incidence of side effects such as nausea and vomiting were observed.Small doses of naloxone or tropisetron combined with fentanyl used for intravenous patient-controlled analgesia can significantly reduce the incidence of nausea and vomiting. Six hours after surgery, visual analogue scale (VAS) scores were significantly lower in patients that underwent intravenous patient-controlled analgesia using low-dose naloxone combined with fentanyl compared with patients who received fentanyl alone; however, the postoperative analgesic effect of tropisetron was not observed. Compared with the combination of tropisetron and fentanyl, low-dose naloxone combined with fentanyl can obviously reduce the incidence of nausea and vomiting in patients who underwent intravenous patient-controlled analgesia after laparoscopic cholecystectomy, and enhance the analgesic effect of fentanyl 6 hours after surgery.Low-dose naloxone can reduce the incidence of nausea and vomiting in patients who underwent laparoscopic cholecystectomy under total intravenous anesthesia, and exhibits a certain synergic analgesic effect.

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GB/T 7714 Zheng Jun , Han Wen , Han Xiao-Dong et al. Effect of naloxone on intravenous fentanyl patient-controlled analgesia after laparoscopic cholecystectomy. [J]. | Medicine , 2016 , 95 (48) : e5074 .
MLA Zheng Jun et al. "Effect of naloxone on intravenous fentanyl patient-controlled analgesia after laparoscopic cholecystectomy." . | Medicine 95 . 48 (2016) : e5074 .
APA Zheng Jun , Han Wen , Han Xiao-Dong , Ma Xiao-Yuan , Zhang Pengbo . Effect of naloxone on intravenous fentanyl patient-controlled analgesia after laparoscopic cholecystectomy. . | Medicine , 2016 , 95 (48) , e5074 .
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不同剂量右美托咪定对髋关节置换术老年高血压患者术后谵妄的影响
期刊论文 | 2016 , (3) , 225-229 | 国际麻醉学与复苏杂志
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目的 评价不同剂量右美托咪定(dexmedetomidine,Dex)对全身麻醉下老年高血压患者术后谵妄(postoperative delirium,POD)的影响. 方法 选择择期行髋关节置换术老年高血压患者120例,年龄65~85岁,采用随机数字表法分为高剂量Dex组(D1组)、低剂量Dex组(D2组)和对照组(C组),每组40例.麻醉诱导前D1组、D2组分别泵注Dex 0.6、0.2 μg/kg负荷量,10 min泵完,分别继续以0.4、0.2 μg·kg-1·h-1维持至手术结束前30 min;C组泵注等量生理盐水.观察时间点为给药前(T0)、给药后10 min(T1)、气管插管时(T2)、气管导管拔除时(T3)、术后6 h(T4)、术后24 h(T5)、术后48 h(T6).记录T0、T1、T2、T3各时点的MAP和HR情况,于T0、T3、T4、T5及T6时点采集静脉血检测血糖(blood glucose,Glu)、皮质醇(cortisol,Cor)和IL-6的血浆浓度,采用谵妄分级量表-98修订版(DRS)评估T4~T6时患者POD的发生情况. 结果 T2、T3时C组MAP [(135±12)、(127±12) mmHg(1 mmHg=0.133 kPa)]、HR[(105±11)、(94±9)次/min]比T0时[(111±11)mmHg、(71±10)次/min]显著升高(P<0.05),T3~T5时C组Glu[(9.8±0.7)、(9.6±0.4)、(10.6±0.6) mmol/L],Cor[(550±55)、(466±59)、(450±44) nmol/L]、IL-6[(175±14)、(115±10)、(81±8) μg/L]比T0时Glu[(4.2±0.4) mmol/L],Cor[(353±37)nrnol/L],IL-6[(58±6)μg/L]显著升高(P<0.05);T1~T3时D1组MAP[(90±10)、(86±10)、(90±9) mmHg],HR [(62±8)、(63±11)、(66±9)次/min]比C组MAP [(121±10)、(135±12)、(127±12) mmHg]、HR[(79±12)、(105±11)、(94±9)次/min]明显降低(P<0.05),T3~T5时D1组Cor[(421 ±39)、(345±35)、(325±35) nmol/L]、IL-6[(82±11)、(106±10)、(67±11) μg/L]比D2组Cor[(466±43)、(399±36)、(369±42) nmol/L],IL-6[(104±12)、(136±14)、(93±11)μg/L]明显降低(P<0.05).与C组比较,D1组、D2组POD的发生率明显降低(P<0.05),与D2组比较,D1组POD发生率明显降低(P<0.05). 结论 持续泵注不同剂量Dex均能维持血流动力学稳定,减少POD的发生;高剂量Dex对POD的防治更有效;其机制可能与其减轻应激反应及抑制炎症反应水平有关.

Keyword :

应激 术后谵妄 老年 高血压 右美托咪定

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GB/T 7714 夏勇军 , 白永峰 , 雷茜 et al. 不同剂量右美托咪定对髋关节置换术老年高血压患者术后谵妄的影响 [J]. | 国际麻醉学与复苏杂志 , 2016 , (3) : 225-229 .
MLA 夏勇军 et al. "不同剂量右美托咪定对髋关节置换术老年高血压患者术后谵妄的影响" . | 国际麻醉学与复苏杂志 3 (2016) : 225-229 .
APA 夏勇军 , 白永峰 , 雷茜 , 许凤 , 刘燕 , 田妍静 et al. 不同剂量右美托咪定对髋关节置换术老年高血压患者术后谵妄的影响 . | 国际麻醉学与复苏杂志 , 2016 , (3) , 225-229 .
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全膝关节置换术后不同镇痛方式对老年患者早期认知功能障碍的影响
期刊论文 | 2016 , (4) , 306-308 | 湖北科技学院学报(医学版)
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Abstract :

目的 探讨全膝关节置换术后不同镇痛方式下对老年患者早期认知功能障碍(POCD)发生率的影响.方法 选取我院行全膝关节置换术(TKA)的60例老年患者(年龄≥65岁,ASA分级:Ⅰ~Ⅱ级),根据入院先后顺序随机分为对照组和观察组,每组30例,对照组全膝关节置换术后采用静脉自控镇痛,观察组在对照组基础上辅助连续股神经阻滞镇痛,观察两组患者术后早期认知功能障碍的发生情况.结果 TKA术后,观察组患者的VAS评分、吗啡用量及不良反应的发生率均显著低于对照组(P<0.05或P<0.01);观察组患者术后ld及3d的简易智力状态表(MMSE)评分显著高于对照组,且POCD发生率显著低于对照组,两组差异存在统计学意义(P<0.05或P<0.01).结论 较传统静脉自控镇痛相比,TKA术后连续股神经阻滞镇痛的效果存在明显优势,有助于改善患者的生活质量,值得临床推广.

Keyword :

股神经阻滞 全膝关节置换术 疼痛 老年 认知功能

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GB/T 7714 王波 , 张蓬勃 . 全膝关节置换术后不同镇痛方式对老年患者早期认知功能障碍的影响 [J]. | 湖北科技学院学报(医学版) , 2016 , (4) : 306-308 .
MLA 王波 et al. "全膝关节置换术后不同镇痛方式对老年患者早期认知功能障碍的影响" . | 湖北科技学院学报(医学版) 4 (2016) : 306-308 .
APA 王波 , 张蓬勃 . 全膝关节置换术后不同镇痛方式对老年患者早期认知功能障碍的影响 . | 湖北科技学院学报(医学版) , 2016 , (4) , 306-308 .
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