Rule of Chinese medicine syndrome differentiation in the patients with thoracic diseases at perioperation stage / 中国结合医学杂志

<p><b>OBJECTIVE</b>To study the rule of syndrome differentiation in the patients with thoracic diseases at perioperation stage.</p><p><b>METHODS</b>A standard was created referring to the related literature, and it was applied to differentiate the Chinese medicine syndrome in 150 patients before and three days after thoracic operation.</p><p><b>RESULTS</b>Before operation, Chinese medicine syndromes were as differentiated as phlegm type in 45.3%, blood stasis type in 17.3%, and qi-stagnancy type in 16.0%. The patients with asthenia syndrome markedly increased after operation, accounting for 34.0% (51 patients, including qi-, yin-, and blood-deficiency syndromes). The most frequently seen intermixed syndromes were qi-deficiency with phlegm-stasis syndrome and Pi ()-deficiency with phlegm-dampness syndrome. The intermixed syndromes revealed in 37.5% and 42.0% of the patients before and after operation, respectively.</p><p><b>CONCLUSIONS</b>The syndrome in the patients with thoracic disease before operation was mostly the excessive syndrome, mainly the phlegm syndrome type; at postoperation stage, Chinese medicine syndrome in patients become asthenia in essence with excessive superficiality, which is mostly revealed as Pi-deficiency with phlegm-dampness.</p>

Effect of Yiqi Bufei recipe see text on patients with pulmonary incompetence after pneumonectomy / 中国结合医学杂志

<p><b>OBJECTIVE</b>To study the effect of Yiqi Bufei Recipe ([see text], YBR) on surgical tolerability, pulmonary compensatory function and post-operation rehabilitation in patients with pulmonary incompetence (PI) after pneumonectomy.</p><p><b>METHODS</b>YBR intervention was applied to 60 patients with PI after pneumonectomy (as test group), the pulmonary and cardiac functions changes before and after operation, occurrence of postoperative complications, mortality, and the number of hospitalization days and intensive care unit (ICU) confinement period were observed. Meantime, for the negative and positive controls, the same parameters were observed comparatively in 60 patients with normal lung function, and in 60 patients with PI undergoing a similar operation but untreated with Chinese herbs.</p><p><b>RESULTS</b>Lung function in the test group showed insignificant change before and after operation (P >0.05), while significant decrease was seen in the two control groups (P<0.05). Furthermore, the incidences of post-operation complications and mortality as well as the number of hospitalization days and the ICU confinement period in the test group were significantly lower than those in the positive control group respectively (P <0.05).</p><p><b>CONCLUSION</b>YBR could relieve lung injury after pneumonectomy, improve surgical tolerability, reduce the length of postoperative hospitalization days and ICU confinement period, and lower the incidence of postoperative complications and mortality in patients with PI after pneumonectomy.</p>

Memory alloy embracing fixator in treatment of multiple fractured ribs and flail chest / 世界急诊医学杂志（英文）

BACKGROUND: With the development of internal fixation materials, simple operation with internal fixation has become a tendency. Ni-Ti shape memory alloy embracing fixator has such advantages as slight injury, easy operation, security, reliable fixation, and better histocompatibility. The present study was to explore curative effect and postoperative results of Ti-Ni shape memory alloy embracing fixator in patients with multiple fractured ribs and flail chest. METHODS: The curative effect and long-term follow-up results were observed after internal fixation with a shape memory alloy embracing fixator in patients with multiple fractured ribs and flail chest from January 2006 to December 2009. RESULTS: All patients were cured with an average hospital stay of 10.31±3.14 days. Post-operative pain was less severe than preoperative pain (P=0.02).The rate of postoperative complications such as atelectasis, pulmonary infection, etc was 17.65％. There were fewer long-term complications and less influence on daily work and life. CONCLUSIONS: It is practical to perform an operation for fracture of multiple ribs using a Ti-Ni shape memory alloy embracing fixator. The fixator, which is less traumatic, simple, safe, and reliable, has a good-histocompatibility and fewer postoperative complications.

Clinical observation on intervention of Yiqi Bufei Recipe in patients with severe pulmonary function incompetence after lung resection / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To observe the effect of Yiqi Bufei Recipe (YBR) on clinical symptoms, pulmonary function and recovery in patients with severe pulmonary function incompetence (PFI) after lung resection (LR).</p><p><b>METHODS</b>The clinical symptoms were observed, the pulmonary function examined and blood-gas analysis conducted in 30 patients with PFI after LR (the treatment group) and in 30 cases with normal pulmonary function after LR (the control group).</p><p><b>RESULTS</b>In the treatment group, clinical manifestations including cough, dyspnea, frequency of oxygen inhalation, and mobility, as well as the results of blood-gas analysis were improved after operation, while pulmonary function changed insignificantly. There was no significant difference in occurrence of postoperative complications and in-hospital mortality between the two groups (P > 0.05).</p><p><b>CONCLUSION</b>YBR can relieve acute lung injury caused by LR and improve the tolerance of patients with PFI for operation, which is benificial for postoperative recovery.</p>