ABSTRACT
Objective To explore the effects of modified finger exercise on limb pain and numbness in patients after transradial percutaneous coronary intervention (PCI). Methods From March to June 2017,patients underwent PCI in a tertiary hospital in Beijing were enrolled,and divided into the experimental group(37 cases) and the con-trol group (38 cases). The experimental group was treated with modified finger exercise together with routine care, while the control group was provided with routine care. Palm circumference,numbness and pain of the limb were observed and analyzed. Results The pain of the experimental group was lower than the control group(Z=-3.935,-2.986,-2.854,P<0.05) at 0.5 h,2 h and 4h after PCI. The numbness of the experimental group was lower than the control group (Z=-2.756,-4.876,-3.310,P<0.05) at 2h and 4h after PCI and 1h after removal of the hemostasis equipment. However,there was no significant difference in swelling between two groups (F=1.627,P>0.05). Conclusion The modified finger exercise can ease limb discomfort and reduce pain and numbness of the affected limb after PCI.
ABSTRACT
Objective To observe the transformation features of children with complete atrioventricular block(CAVB), and to improve the diagnosis and treatment of this disease.Methods Seventeen children with primary diagnosis of CAVB were reviewed by retrospective and follow-up study and the clinical characteristics, treatment schemes and prognosis were evaluated.Results Four cases of congenital CAVB lived normally without obvious symptoms in the tracing period from 6 months to 9 years;1 case had the onset of Adams-Stokes syndrome induced by diarrhea;3 cases of the CAVB caused by virus myocarditis turned into sinus rhythm after comprehensive therapy;2 cases persistently presented with the CAVB Complicated with enlarged heart;1 case gave up treatment after deterioration, and one case died.Three cases of temporary CAVB after the open heart operation turned to sinus rhythm in transitory time, while other two cases presented with permanent CAVB and treated with epicardium pacemaker,among whom one had the pacemaker replaced for one time in the 8-year follow-up,and the follow-up of other cases were intermitted.Conclusions The congenital CAVB in the study group with normal QRS interphase and no obvious symptom might not require treatment but follow-up is needed. While infants with heart malformation and wide QRS wave could not endure the low ventricular rhythm are in high risk. Virus myocarditis induced CAVB children tend to present the Adams-Stokes syndrome, and require effective treatments. Partial cases of the CAVB caused by open heart operation may turn to normal sinus rhythm in 2-4 weeks after surgery. cases has persistent CAVB for over 4 weeks, or Adams-Stokes syndrome onset after the surgery demand epicardium pacemaker treatment.
ABSTRACT
Objective Study the ideal drug to treat age depen de nt epileptic ncephalopathy (ADEE) in earlier period. Methods fi fty-four patients with ADEE were studyed.21 cases used with single topiramate(T PM) as initial treatment and 27 cases used with TPM and antiepileptic drug(AEDs ) .Results Seizure was fully controlled in 11 patients with TPM m onotherapy and in 4 patients with TPM as adjunction.The differences was signif icant(P