Analysis of influencing factor of bradycardia after acute cervical spinal cord injury / 中国医师进修杂志

Objective To investigate the influence of bradycardia in patients of acute cervical cord injury. Methods A total of 184 patients with acute cervical cord injury were included. The influences of position and severity of cervical cord injury, combination with cerebral injury or not, with/without hyponatremia and with/without respiratory failureⅡon bradycardia incidence were analyzed by using single factor analysis and logistic regression analysis. Results In 184 patients, 102 patients with bradycardia were enrolled in bradycardia group and 82 patients without bradycardia were enrolled in control group. The position of cervical cord injury and rate of hyponatremia in two groups had no significant differences (P > 0.05). The severity of cervical cord injury, rate of brain trauma and rate of respiratory failureⅡ between two groups had significant differences (P < 0.05). Conclusions The severity of cervical cord injury is important influencing factor of bradycardia after cervical cord injury.With/without respiratory failureⅡand with/without cerebral injury are influencing factors of bradycardia after acute spinal cord injury,which may relate with the severity of cervical cord injury.

Evaluation on analgesic effect of dexmedetomidine in patients at intensive care unit / 中国中西医结合急救杂志

10.3969/j.issn.1008-9691.2013.03.014

The Clinical efficacy of combined therapy of adenosylcobalamin and transcutaneous eletrical nerve stimulation in the treatment of postherpetic neuralgia / 中国康复医学杂志

Objective:To study the Clinical efficacy of combined therapy of adenosylcobalamin and transcutaneous eletrical nerve stimulation(TENS)in the treatment of postherpetic neuralgia(PHN).Method:Sixty patients with PHN were randomly divided into 3 groups:group A treated with TENS.group B treated with adenosylcobalamin,group C treated with adenosylcobalamin and TENS based on the management of groups A and B.The three groups had all been treated for 10d.Result:In observation,visual analogue scale(VAS)and 5 grade pain scores of group C were lower than those of groups A and B;VAS and 5 grade pain scores differences of group C were higher than those of groups A and B:The effective rate of group C(100%)was higher than that of groups A and B respectively.The differences were significant(P<0.05).Conclusion:Combined therapy of adenosylcobalamin and TENS is effective for the treatment of PHN and can alleviate pain and improve sleep.