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1.
Rev. bras. med. esporte ; 28(6): 800-802, Nov.-Dec. 2022. tab
Article in English | LILACS-Express | LILACS | ID: biblio-1376753

ABSTRACT

ABSTRACT Introduction The dancesport is an emerging sports competition that integrates competitive sports and dance; college students have been using the training for aesthetic purposes in body delineation. However, the biochemical alterations are still underexplored. Objective Explore the physiological and biochemical changes caused by dancesport. Methods The volunteers were submitted to a two-week high-intensity dancesport protocol. Changes in physiological and biochemical indicators were monitored before and after the experiment. Results The athletes exhibited individual changes in biochemical indicators (P<0.05), with emphasis on an increase in hemoglobin (from 152.3g/L to 169.2g/L). The physiological indices also changed significantly, with an average body fat reduction of over 5%. Conclusion Dancesport proved to help improve its practitioners' physical and biochemical function. Evidence Level II; Therapeutic Studies - Investigating the results.


RESUMO Introdução A dança esportiva é uma competição esportiva emergente que integra esportes competitivos e dança; estudantes universitárias têm recorrido aos treinos para fins estéticos no delineamento corporal, porém as alterações bioquímicas ainda são pouco exploradas. Objetivo Explorar as alterações fisiológicas e bioquímicas ocasionadas pela dança esportiva. Métodos As voluntárias foram submetidas a um protocolo de dança esportiva de alta intensidade com duração de duas semanas. As alterações nos indicadores fisiológicos e bioquímicos foram monitoradas antes e depois do experimento. Resultados Os atletas exibiram alterações individuais nos indicadores bioquímicos (P<0,05), com ênfase no aumento de hemoglobina (de 152,3g/L para 169,2g/L). Os índices fisiológicos também mudaram significativamente, com uma redução de gordura corporal média superior a 5%. Conclusão A dança esportiva mostrou-se útil para melhorar a função física e bioquímica de seus praticantes. Nível de evidência II; Estudos Terapêuticos - Investigação de Resultados.


RESUMEN Introducción El baile deportivo es una competición deportiva emergente que integra el deporte de competición y la danza; estudiantes universitarias han estado utilizando el entrenamiento con fines estéticos en la delineación del cuerpo, sin embargo, las alteraciones bioquímicas son todavía poco exploradas. Objetivo Explorar las alteraciones fisiológicas y bioquímicas causadas por la danza deportiva. Métodos Las voluntarias fueron sometidos a un protocolo de danza deportiva de alta intensidad de dos semanas. Los cambios en los indicadores fisiológicos y bioquímicos fueron monitoreados antes y después del experimento. Resultados Los atletas mostraron cambios individuales en los indicadores bioquímicos (P<0,05), destacando el aumento de la hemoglobina (de 152,3g/L a 169,2g/L). Los índices fisiológicos también cambiaron significativamente, con una reducción media de la grasa corporal de más del 5%. Conclusión La danza deportiva demostró ser útil para mejorar la función física y bioquímica de sus practicantes. Nivel de evidencia II; Estudios terapéuticos - Investigación de resultados.

2.
Rev. bras. med. esporte ; 28(5): 546-549, Set.-Oct. 2022. tab
Article in English | LILACS-Express | LILACS | ID: biblio-1376681

ABSTRACT

ABSTRACT Introduction: Recent research shows the CORE is the central link in the kinetic chain of aerobic gymnastics. The athlete's synchronized performances depend not only on strength but also on the balance and precision of the movements that start from this area. Although the importance of this muscle group is recognized, there is no consensus about the most effective protocol to increase performance in aerobic gymnastics athletes. Objective: Develop and verify the influence of a protocol for CORE training on the aerobic gymnasts' balance. Methods: This paper selects high-level aerobic gymnastics athletes and randomly divides them into experimental and control groups. The experiment was conducted over eight weeks. The experimental group adopted systematic core strength training methods, and the control group continued with traditional conventional strength training methods. Volunteers were tested for physical fitness before and after the experiment. Results: Aerobic gymnastics athletes' physical fitness and athletic abilities were significantly improved after training. Conclusion: The CORE training protocol in aerobic gymnastics athletes increased the execution quality in complex movements. Evidence Level II; Therapeutic Studies - Investigating the result.


RESUMO Introdução: Pesquisas recentes demonstram que o CORE é o elo central na cadeia cinética da ginástica aeróbica. As apresentações sincronizadas dos atletas dependem não só da força quanto também do equilíbrio e precisão dos movimentos que partem dessa área. Embora reconheça-se a importância desse grupo muscular, não há um consenso sobre o protocolo mais eficaz para aumentar o desempenho em atletas de ginástica aeróbica. Objetivo: Desenvolver um protocolo de treinamento do CORE e verificar sua influência sobre o equilíbrio dos atletas em ginástica aeróbica. Métodos: Este artigo seleciona atletas de ginástica aeróbica de alto nível e os divide aleatoriamente em grupos experimentais e de controle. A experiência foi conduzida em 8 semanas. O grupo experimental adotou métodos sistemáticos de treinamento de força central, e o grupo de controle continuou com os métodos tradicionais de treinamento de força convencional. Os voluntários foram testados quanto à aptidão física antes e depois do experimento. Resultados: A aptidão física e as habilidades atléticas dos atletas de ginástica aeróbica foram significativamente aprimoradas após o treinamento. Conclusão: O protocolo de treinamento do CORE em atletas de ginástica aeróbica elevou a qualidade de execução nos movimentos complexos. Nível de evidência II; Estudos Terapêuticos - Investigação de Resultados.


RESUMEN Introducción: Investigaciones recientes demuestran que el CORE es el eslabón central de la cadena cinética de la gimnasia aeróbica. Las presentaciones sincronizadas de las atletas dependen no sólo de la fuerza sino también del equilibrio y la precisión de los movimientos que parten de esta zona. Aunque se reconoce la importancia de este grupo muscular, no hay consenso sobre el protocolo más eficaz para aumentar el rendimiento de las gimnastas aeróbicas. Objetivo: Desarrollar un protocolo de entrenamiento del CORE y comprobar su influencia en el equilibrio de los atletas en la gimnasia aeróbica. Métodos: Este trabajo selecciona a atletas de gimnasia aeróbica de alto nivel y los divide aleatoriamente en grupos experimental y de control. El experimento se realizó durante 8 semanas. El grupo experimental adoptó métodos sistemáticos de entrenamiento de la fuerza central, y el grupo de control continuó con los métodos tradicionales de entrenamiento de la fuerza convencional. Los voluntarios fueron sometidos a pruebas de aptitud física antes y después del experimento. Resultados: La aptitud física y las capacidades atléticas de los atletas de gimnasia aeróbica mejoraron significativamente después del entrenamiento. Conclusión: El protocolo de entrenamiento CORE en atletas de gimnasia aeróbica elevó la calidad de ejecución en movimientos complejos. Nivel de evidencia II; Estudios terapéuticos - Investigación de resultados.

3.
Chinese Journal of School Health ; (12): 805-808, 2022.
Article in Chinese | WPRIM | ID: wpr-934794

ABSTRACT

Abstract@#School aged children grow and develop rapidly, and adequate nutrition is the material basis for their normal intellectual and physical development. It is necessary to formulate the dietary guidelines for school aged children on the basis of the dietary guidelines for the general population, and revise in time according to the changes in the nutritional health status of school aged children. The revision of the dietary guidelines for school aged children is based on the content of Dietary Guidelines for Chinese School aged Children (2016). In addition, according to the revision principles and procedures of the Dietary Guidelines for Chinese Residents, as well as comprehensive consideration of the current prominent dietary and nutritional problems of school aged children in China, Dietary Guidelines for Chinese School aged Children (2022) is finally issued after evidence based researches, discussion and consultation. Dietary Guidelines for Chinese School aged Children (2022) highlights the improvement of nutritional literacy, the cultivation of healthy eating behaviors, the building of healthy food environment, as well as updating the recommendation concerning diet and active physical activity. Dietary pagodas for school aged children of different three ages including 6-10 years, 11-13 years and 14-17 years are added to the guideline. The Guideline provides practical references for parents, teachers, school health workers, medical staff in child health services and workers in centers for disease control and prevention.

4.
Chinese Journal of School Health ; (12): 194-197, 2019.
Article in Chinese | WPRIM | ID: wpr-819301

ABSTRACT

Objective@#To understand the status on fast food consumption among grade 4 and grade 5 primary school students in six cities of China, and to provide evidence for nutrition education and intervention strategies.@*Methods@#A multi-stage stratified cluster random sampling method was used to select 12 197 grade 4 and grade 5 primary school students from 72 primary schools in Beijing, Guangzhou, Nanjing, Chongqing, Jinan and Harbin. All the participants were investigated with a self-administered questionnaire survey of dietary behaviors.@*Results@#Students consumed western fast food 1.48 times a week and Chinese fast food 2.08 times a week on average, which shows significant differences (χ2=643.86, P<0.05). The main reasons for choosing Chinese fast food were delicious(73.8%), nutritious(69.9%), safe and clean(52.2%), convenient (45.9%) and eating surrounding (41.4%), and for western fast food were delicious(80.1%), eating surrounding(53.0%), convenient(44.2%), safe and clean (41.6%) and nutritious(40.6%). Boys paid more attention to deliciousness and convenience, girls paid more attention to cleanliness and nutrition. About 43.9% of the students were aware of the high calorie in western fast food.@*Conclusion@#The consumption of fast food is popular among primary students. Schools and other relevant departments should launch nutrition education, deliver sufficient nutrition knowledge,help students establishing a good diet habit and reduce the consumption of western fast food with high calories.

5.
Chinese Journal of School Health ; (12): 190-193, 2019.
Article in Chinese | WPRIM | ID: wpr-819300

ABSTRACT

Objective@#To understand food intake frequency among primary students in six cities of China, and to provide evidence for nutrition education and intervention strategies.@*Methods@#A multi-stage stratified cluster random sampling method was used to select 12 197 grade 4 and grade 5 primary school students from 72 primary schools in Beijing,Guangzhou,Nanjing,Chongqing,Jinan,Harbin. All the participants were administered with a self-administered questionnaire on dietary behaviors.@*Results@#For the fourth and fifth grade primary school students, the highest proportion of "almost every day" was fresh vegetable(83.2%), and the highest proportion of "nearly eaten" was oat (50.2%). There was a remarkable difference between children of different genders, areas and grades. The intake of whole grains, meat and poultry, fishery products, eggs, soybeans and nutritional supplements of boys was higher than that of girls, while the intake of oats, fresh vegetables, fruits, fungi and algae of girls was higher than that of boys. The intake of oats, vegetables, fruits, fungi and algae, meat and poultry, milk of central urban areas students was higher than that of suburban areas students, while the intake of fishery products, soybeans and nutritional supplements of suburban areas students was higher than that of central urban areas students. The intake of oats, fresh vegetables, fruits, meat and poultry, eggs, milk and soybeans of fifth grade students was higher than that of fourth grade students, while the intake of whole grains, fishery foods and nutritional supplements of grade 4 students was higher than that of grade 5 students. The differences were all statistically significant(P<0.05).@*Conclusion@#The frequency of food intake varies among students of different genders, urbanities and grades. School teachers, parents and community workers should make efforts targeting at students with different characteristics to enhance nutritional literacy and cultivate healthy eating behaviors.

6.
Chinese Journal of School Health ; (12): 186-189, 2019.
Article in Chinese | WPRIM | ID: wpr-819299

ABSTRACT

Objective@#To understand nutrition knowledge,related attitude and behavior among primary students in six cities of China, and to provide evidence for nutrition education and intervention strategies.@*Methods@#A multi-stage stratified cluster random sampling method was used to select 12 197 grade 4 and grade 5 primary school students from 72 primary schools in 6 cities of China, whom were administered with a questionnaire survey on nutrition knowledge, practice and practice.@*Results@#Average nutritional knowledge was relatively low (12.0±6.4), practice score was moderate(11.4±2.4), while nutritional attitude was relatively high(17.0±2.4). The nutritional KAP scores of girls were higher than those of boys; the nutritional knowledge and practice scores of urban students were higher than those of suburban students; the nutritional knowledge score of fifth-grade students was higher than that of fourth-grade students(P<0.05). The overall nutritional knowledge awareness rate was 26.1%, with the highest in knowledge of whole grains(73.9%). About 83.5% of the students held positive nutritional attitude, 97.6% considered nutritional knowledge important. The overall rate of healthy eating behavior of students was 88.1%. Most students had breakfast almost every day(88.5%). About 34.9%, 38.0%,46.1% and 50.5% were reported of rarely consumption in snacks, fast food and drinks. Students in urban area and grade 5 were more likely have breakfast. Girls reported higher rates of having breastfast and low consumption of snack food and beverage while boys reported higher consumption of fast food. Students from suburban areas reported high consumption of western fast food but lower beverage(P<0.05). The score of students’ nutritional knowledge was positively correlated to attitude, so as attitude and practice(P<0.05).@*Conclusion@#Insufficient nutritional knowledge and unhealthy dietary behavior is observed in primary school students in China. Nutritional K-A-P varies in students with different gender, area and grade. Specific nutritional education in school-setting should be developed accordingly to culture healthy lifestyle among primary school students.

7.
Chinese Journal of School Health ; (12): 175-178, 2019.
Article in Chinese | WPRIM | ID: wpr-819296

ABSTRACT

Objective@#To understand the status on beverages consumption among grade 4 and grade 5 primary school students in six cities of China, and to provide evidence for nutrition education and intervention strategies.@*Methods@#A multi-stage stratified cluster random sampling method was used to select 12 197 grade 4 and grade 5 primary school students from 72 primary schools in Beijing, Guangzhou, Nanjing, Chongqing, Jinan and Harbin. All the participants were investigated with a self-administered questionnaire survey of dietary behaviors.@*Results@#The proportion of students who consumed beverages at home, school and elsewhere was 92.5%, 51.4% and 70.6% respectively. The most popular beverages at home were milk, fruit & vegetable drinks, tea drinks (69.4%, 46.6%, 39.6%); the most popular beverages at school were milk, fruit & vegetable drinks, tea drinks (30.5%, 13.0%, 12.7%) while the most popular beverages in other places were milk, tea drinks, fruit & vegetable drinks(37.4%, 29.6%, 28.1%). The top five reasons for choosing beverages were taste delicious, healthy & nutritious, clean, choice of peers and family members(72.3%, 50.8%, 38.4%, 21.9%, 21.6%, respectively).@*Conclusion@#Consumption of drinking beverages is popular among students, most of which are unhealthy. Therefore, nutrition education for students and parents should be encouraged aiming to help students choose healthy drinks and eating behaviors.

8.
Chinese Journal of School Health ; (12): 171-174, 2019.
Article in Chinese | WPRIM | ID: wpr-819295

ABSTRACT

Objective@#To understand snack food consumption among students of grade four and grade five in six cities of China, and to provide evidence for conducting nutritional education and making intervention strategies.@*Methods@#A multi-stage stratified cluster random sampling method was used to select 12 197 primary school students in grade four and grade five from 72 primary schools in Beijing,Guangzhou,Nanjing,Chongqing,Jinan,Harbin. All the participants were administered with a self-administered questionnaire survey on dietary behaviors.@*Results@#The proportion of pupils who consumed snack food at home, school and elsewhere was 96.4%, 59.4% and 75.5% respectively. The most popular snacks at home were fruits & vegetables, milk, cereals (72.0%, 71.1%, 68.6%), the most popular snacks at school were fruits & vegetables, milk, cereals (30.0%, 28.2%, 23.8%), the most popular snacks in other places were sugars, cereals and beverages (36.6%, 36.2%, 35.7%). The top five reasons for snack food was being delicious, healthy/nutritious, clean, choices of peers and family members (68.5%, 49.3%, 42.2%, 24.7%, 17.8%, respectively).@*Conclusion@#Snack food consumption is popular among primary students, most of which are unhealthy. Nutrition education for students and parents should be encouraged to promote students to consume snacks reasonably and develop healthy eating behaviors.

9.
Chinese Journal of School Health ; (12): 984-986, 2019.
Article in Chinese | WPRIM | ID: wpr-818435

ABSTRACT

Objective@#To investigate the relationship between neglect , physical abuse and non-suicidal self-injury (NSSI) behaviors among middle school students in rural China.@*Methods@#A total of 14 162 adolescents in Anhui, Guangdong, Yunnan, Heilongjiang and Hubei provinces were selected by multi-stage cluster random sampling method. Data were obtained on demographic information, neglect, physical abuse and non-suicidal self-injury from questionnaire survey.@*Results@#During the past year before survey, 13.5% of participants engaged in self-injury 5 times or more, 15.4% of participants engaged in self-injury 1 to 4 times. Both neglect and physical abuse were significantly associated with self-injury in adolescents(P<0.01). After adjusted for gender, ethnicity, the only-one child, family structure, family economic status, and other variables, multinomial logistic regression showed that neglect and physical abuse were positively associated with self-injury behavior(OR=1.43-3.23). There was a potential dose-response relationship of accumulating physical abuse types and self-injury, with more physical abuse types, the higher risk of self-injury behavior.@*Conclusion@#Neglect and physical abuse experience should be considered as a risk factor for NSSI among adolescents in rural China. Specific intervention targeting neglect and physical abuse should be strengthened to reduce the occurrence of NSSI.

10.
Chinese Journal of School Health ; (12): 980-983, 2019.
Article in Chinese | WPRIM | ID: wpr-818434

ABSTRACT

Objective@#To explore mediation of emotional regulation in the association between aggression behavior and non-suicide self-injury among rural middle school students.@*Methods@#A multi-stage stratified random cluster sample of 14 291 middle school students from 15 cities in five provinces of China (Anhui, Yunnan, Guangdong, Heilongjiang, Hubei). A structured questionnaire was used to assess non-suicide self-injury, emotional regulation and aggressive.@*Results@#During the past year, about 28.51% of participates reported self-injury, with 13.39% of them had 5 times or more. The five dimensions of aggressive behavior were positively correlated with non-suicide self-injury(P<0.01), emotional regulation was negatively correlated with non-suicide self-injury(P<0.01). The mediating effect of emotional regulation between aggression (physical aggression, verbal aggression, indirect aggression, anger and hostility) and non-suicide self-injury was found significant, the ratio of whose were 25.93%, 22.73%, 19.61%, 27.55% and 18.80%, respectively.@*Conclusion@#Emotional regulation plays a mediating role in adolescent self-injury and aggression, indicating self-injury and aggression could be prevented by enhancing emotional regulation among adolescents.

11.
Chinese Journal of School Health ; (12): 977-979, 2019.
Article in Chinese | WPRIM | ID: wpr-818433

ABSTRACT

Objective@#To explore prevalence and associated factors of neglect among left-behind middle school students in undeveloped area of Guangdong, and to provide scientific basis for effective intervention measures.@*Methods@#A total of 1 105 middle school students were selected from Yangjiang and Qingyuan by random cluster sampling, neglect and left-behind was assessed by a self-reported questionnaire.@*Results@#The prevalence of neglect was 70.9% among left-behind middle school students aged 11-17 years in Yangjiang and Qingyuan areas. Univariate analysis suggested that high parental education, democratic and strict parenting, and frequent contacts with parents associated with low rate of neglect (P<0.05). After adjusted for gender, parental education, parenting style, contact frequency, Logistic regression analysis revealed that parenting discipline(rough, cold, capricious)(OR=2.01, 95%CI=1.23-3.26), contact with parents more than once every two weeks (OR=1.75, 95%CI=1.12-2.72) , peer or self-care (OR=1.85, 95%CI=1.04-3.30) were positively associated with neglect, while higher mother education was negatively associated with neglect.@*Conclusion@#The prevalence of neglect is high among left-behind students in Yangjiang and Qingyuan, which deserves further attention from family, community, school and government to promote healthy development.

12.
Chinese Journal of School Health ; (12): 972-976, 2019.
Article in Chinese | WPRIM | ID: wpr-818432

ABSTRACT

Objective@#To explore the relationship between non-suicidal self-injury and Internet addictive behavior in adolescents.@*Methods@#A cross-sectional survey of 15 538 middle school students across 5 provinces in China. Participants reported self- injury behavior during the past year and the Internet addition behaviors were assessed through Young’s Internet Addiction Test(IAT).@*Results@#The prevalence of self-reported 1-year NSSI, Internet addictive behavior and pre-addictive behaviors was 28.7%, 3.3% and 29.9%, respectively. After controlling for potential confounders, the Internet addition was positively correlated with NSSI, and the risk of all types of NSSI was higher in adolescent with Internet addition than those with mild suspected Internet addictive behavior(OR=1.3-2.8).@*Conclusion@#These findings indicate that Internet addition is associated with the incidence of NSSI in adolescents.

13.
Chinese Journal of School Health ; (12): 1308-1310, 2019.
Article in Chinese | WPRIM | ID: wpr-816596

ABSTRACT

Objective@#To investigate the total amount and types of fluid intake among college students in Hebei Province during spring and to provide scientific basis for fluid-intake education.@*Methods@#A simple random sampling method was used to select 156 college students from a college in Hebei Province. The information on amount and type of fluid intake was recorded using the 7-day 24-hour recording method. A separate analysis was performed on people who consumed beverages during the 7 days.@*Results@#The median intake of plain water, milk, sugar-sweetened beverages and other beverages was 866 mL, 43 mL, 43 mL and 2 mL, respectively. The median of plain water, milk, sugar-sweetened beverages and other beverages by the beverage-consumers was 845 mL, 36 mL, 63 mL and 11 mL, respectively. The intake of plain water and sugar-sweetened beverages in male students was significantly higher(Z=2.31, 3.03; 2.31, 2.11, P<0.05), and milk consumption was lower than female students of these two groups of people(Z=-2.73, -2.23, P<0.05). The intake of other beverages in male students was higher than that of female students, but only significant among beverage-consumers(Z=3.31, P<0.01). There was no significant difference in the total amount of different fluid types among different BMI(P>0.05).@*Conclusion@#College students in Hebei Province mainly drink plain water. Sex difference is observed in the types of fluid intake.

14.
Article in Chinese | WPRIM | ID: wpr-777853

ABSTRACT

@#Objective    To investigate the clinical feasibility and safety of uniportal video-assisted thoracoscopic surgery (VATS) without chest tube in enhanced recovery thoracic surgery. Method    The clinical data of patients with pulmonary bulla, pulmonary nodules and mediastinal tumors who underwent uniportal VATS in Department of Thoracic Surgery in the Affiliated Hospital of Inner Mongolia Medical University between January 2015 to May 2018 were retrospectively analyzed. A total of 78 patients did not receive closed thoracic drainage tube (a tube-free group), including 30 males and 48 females aged 32.5±8.3 years, 92 patients closed thoracic drainage tube after operation (a control group), including 38 males and 54 females aged 31.4±13.6 years. The surgery-related indicators, postoperative complications and visual analogue score (VAS) were compared between the two groups. Results    The time of early ambulation and hospital stay after operation in the tube-free group (1.0±0.3 d, 3.3±0.7 d) were significantly shorter than those in the control group (1.8±0.6 d, 5.2±0.8 d) (P=0.000, P=0.000). The VAS pain scores on the first, second and third day after operation in the tube-free group (4.5±1.8, 3.6±2.4, 2.5±1.4) were also significantly lower than those in the control group (6.8±2.2, 5.7±2.9, 3.9±1.2) (P=0.000, P=0.000, P=0.000). Operation time and intraoperative blood loss in the tube-free group (55.3±12.2 min, 21.5±5.1 mL) and the control group (57.1±6.5 min, 22.2±3.5 mL) were not statistically different (P=0.220, P=0.146). There was no pulmonary infection in both groups, and the wound healing rate was 100.0%. There was no significant difference in pneumothorax, pleural effusion, arrhythmia and re-insertion of chest drain between the tube-free group (5 patients, 8 patients, 1 patient, 3 patients) and the control group (1 patient, 4 patients, 2 patients, 1 patient, P=0.145, P=0.134, P=0.885, P=0.499). Conclusion    In strictly screened patients undergoing uniportal thoracoscopic surgery, no thoracic closed drainage tube can relieve postoperative pain, promote early ambulation activities and enhanced recovery of patients.

15.
Article in Chinese | WPRIM | ID: wpr-749802

ABSTRACT

@#Objective    To explore the safety and feasibility of spontaneous breathing anesthesia combined with tubeless uniportal thoracoscopy in pulmonary bullae surgery. Methods    Totally 112 patients with pulmonary bullae in the Affiliated Hospital of Inner Mongolia Medical University from March 2015 to May 2017 were enrolled. According to the random number chosen by computer, the patients were randomly divided into two groups: a tubeless group (spontaneous breathing anesthesia combined with tubeless uniportal thoracoscopy) and a control group (uniportal thoracoscopy by general anesthesia with tracheal intubation) . There were 49 males and 7 females with an average age of 25.5±6.5 years in the tubeless group, and 50 males and 6 females with an average age of 23.5±4.5 years in the control group. The difference of the lowest intraoperative arterial oxygen saturation (SaO2), SaO2 at postoperative one hour, operation time, postoperative awakening time, hospital stay, hospitalization cost and postoperative pain score were analyzed. Results    There was no significant difference between the two groups in the operation time, the lowest SaO2, SaO2 at one hour after the operation and the partial pressure of carbon dioxide (PaCO2). The awakening time and duration of postoperative hospital stay in the tubeless group was shorter than those in the control group (P=0.000). The cost of hospitalization in the tubeless group was less than that in the control group (P=0.000). The discomfort caused by urinary tract and visual analogue score (VAS) in the tubeless group were better than those in the control group. Conclusion    It is safe and feasible to use spontaneous breathing anesthesia combined with tubeless uniportal thoracoscopy in pulmonary  bullae resection.

16.
Article in Chinese | WPRIM | ID: wpr-742595

ABSTRACT

@#Objective    To compare the clinical effect of three operations for one-stage radical correction of small left ventricle in children with tetralogy of Fallot (TOF). Methods    We retrospectively analyzed the clinical data of 120 patients with left ventricular dysplasia and TOF undergoing one-stage radical surgery in the First Hospital of Hebei Medical University from December 2004 to May 2017. According to the different types of operation used, they were divided into 3 groups, including a routine group (30 patients, 16 males and 14 females, aged 11.58±2.05 months ranging from 3-24 months), a large patch group (40 patients, 22 males, 18 females, aged 11.22±2.24 months ranging from 3-25 months) who were treated with a large patch, and an enlarged ventricular septal defect group (50 patients, 26 males, 24 females, aged 10.17±2.15 months ranging from 3-22 months) using new left ventricular enlargement technique to enlarge ventricular septal defect. The clinical effect of the three operations were compared. Results    The incidence of postoperative low cardiac output syndrome (6.0% vs. 40.0% vs. 50.0%, P<0.05), renal failure (4.0% vs. 37.5% vs. 46.7%, P<0.05), infection rate (10.0% vs. 50.0% vs. 66.7%, P<0.05), mortality (2.0% vs. 12.5% vs. 20.0%, P<0.05), ventilator-assisted time (8.34±5.24 h vs. 36.14±10.91 h vs. 38.58±10.12 h, P<0.05), ICU stay (4.13±1.01 d vs. 7.64±2.11 d vs. 8.03±3.03 d, P<0.05), hospital stay (10.48±4.26 d vs. 21.02±3.23 d vs. 22.52±2.93 d, P<0.05) and hospitalization costs (51 300±9 400 yuan vs. 103 200±39 300 yuan vs. 115 500±35 200 yuan, P<0.05) were less in the enlarged ventricular septal defect group compared with the other two groups. Conclusion    The clinical effect of enlarged ventricular septal defect is better than that of the routine and large patch methods, and long-term efficacy should be further followed up.

17.
Article in English | IMSEAR | ID: sea-165498

ABSTRACT

Dexmedetomidine (Dex) has been demonstrated to provide neuroprotective effect against brain injury in the central nervous system. However, the underlying mechanism of this neuroprotection remains unclear. In this study, we explored whether Dex has the protective potential in rat models of traumatic brain injury(TBI). More importantly, our study further investigated the role of neuronic autophagy induced by PI3K/Akt/mTOR pathway in this neuroprotective action. Adult male Sprague-Dawley rats were subjected to a diffuse cortical impact injury caused by a modified weight-drop device and Dex (15ug/kg, i.v.) was administered immediately after TBI. Wet-dry weight method was used to evaluate brain edema. Motor function outcome was assessed by Neurologic Severity Score and the spatial learning ability was evaluated in a Morris water maze. The co-localization of microtubule-associated protein 1 light chain 3(LC3) and neuronal nuclei (NeuN), or LC3 and mammalian target of rapamycin (mTOR) were analyzed by immunofluorescence respectively. The expression of LC3, Phosphorylated protein kinase B (p-Akt) and p-mTOR were quantified using Western blot analysis. Our results showed treatment of rats exposed to TBI with Dex caused not only marked reduction in cerebral edema, motor and cognitive functions deficits, but also a decrease in LC3 levels and a increase in p-Akt and p-mTOR levels. Taken together, these findings indicated that treatment with Dex after TBI could inhibited neuronic autophagy in the hippocampus mediated by the activation of the PI3K/Akt/mTOR pathway, finally promoting neurological recovery.

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