ABSTRACT
Objective To evaluate clinical curative effect of debonding debridement trigonum submentale with needle-knife on vertebro-basilar artery insufficiency (VBI). Methods 131 cases of VBI sufferers were randomly recruited into a control group (63 cases) and a treatment group (68 cases). The treatment group was treated by debonding debridement trigonum submentale with needle-knife; while the control group was treated with puerarin intravenous injection. Observed the changes of clinical symptoms before and after the treatment and examine changes of average of blood flowing speed in left vertebral artery, right vertebral artery, and basilar artery by TCD. Results The total effective rate was 89.71% and 85.71% in the treatment group and the control group respectively. Blood flowing speed of the left vertebral artery, right vertebral artery,and basilar artery average showed remarkable change (P＜0.01) after the treatment in the treatment group,, whose effects were better than the control group (P＜0.05). Conclusion Debonding debridement trigonum submentale with needle-knife has remarkable curative effects on VBI.
ABSTRACT
Objective To explore clinical significance of controlled mechanical ventilation under general anesthesia with blood gas analysis. Methods 90 adult patients who received operation under general anesthesia were ysis was made 30 min after anesthesia and per hour thereafter. The patients whose first arterial blood gas values were abnormal were made another blood gas analysis 25 min after adjusting their respiratory parameters. Results The fist blood gas analysis values of the patients showed that the average PaCO2 value was ( 33.6 ± 12.9 ) mm Hg, only 40. 0% were normal;The average pH value was(7.40 ±0.05) ,66.7% were normal. Ventilation parameters of 36 cases whose first PaCO2 were abnormal were adjusted according to their first PaCO2. The average PaCO2 value of the second blood gas analysis was ( 37. 1 ± 4.6) mm Hg,90. 0% were normal and higher than the first ( P < 0. 05 ). The average pH value was (7.38 ± 0. 02 ),91.1% were normal and it was higher than the first( P < 0. 05). Conclusion It was important for arterial blood gas analysis to direct controlled respiration under general anesthesia.
ABSTRACT
Objective To investigate the clinical effect of treating avascular necrosis of femoral head with comprehensive therapy dominated by medical ozone. Methods Joint cavity of femoral articulation was performed blockage and injected with fluids for eliminating inflammation and reliving pain. After 5 to 10 minutes interval, if the patients did not show any abnormal reaction, medical Ozone with the concentration of 30%, 8 to 10ml, was injected to the joint cavity. Meanwhile, needle-knife therapy was used to reduce pressure inside the cavity. Traditional Chinese medicine was also used for the treatment. Results of all 183 femoral articulations of 135 cases, the therapeutic result of 38 articulations perfect, occupying 20.8% (38/183), 88 were good, occupying 48.1% (88/183), 31 were normal, occupying 16.9% (31/183) and 26 were bad, occupying 14.2% (26/183).The total effective rate was 85.8% (157/183). Conclusion The treatment of avascular necrosis of femoral head with comprehensive therapy dominated by medical ozone had outstanding therapeutic effects.