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静脉辅助硬膜外麻醉在老年智力障碍髋部手术中的效果评价 被引量:7
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作者 王小锐 李阳阳 +6 位作者 郭玉娜 万亮 郭文艳 李伯谦 于素丽 王立杰 张立涛 《中国医刊》 CAS 2015年第7期103-105,共3页
目的对有智力障碍的老年髋部骨折患者选择硬膜外麻醉,观察麻醉的效果及安全性。方法选择智力障碍老年患者下肢骨科手术80例,随机分为A组(硬膜外组)和B组(全麻组),麻醉前A组应用舒芬太尼复合咪达唑仑充分镇静、镇痛后,选择硬膜外麻醉;B... 目的对有智力障碍的老年髋部骨折患者选择硬膜外麻醉,观察麻醉的效果及安全性。方法选择智力障碍老年患者下肢骨科手术80例,随机分为A组(硬膜外组)和B组(全麻组),麻醉前A组应用舒芬太尼复合咪达唑仑充分镇静、镇痛后,选择硬膜外麻醉;B组选择静脉麻醉。监测并记录两组患者术中的收缩压、舒张压、心率、血氧饱和度和不良事件,评价两种麻醉方法的效果和不良反应。结果与患者静脉注药前即刻(T1)比较,两组注药后5分钟(T2)、10分钟(T3)、30分钟(T4)时收缩压、舒张压均显著下降(P<0.05),血氧饱和度均升高显著(P<0.05);T2时间点,B组收缩压显著低于A组;T5时间点B组收缩压、舒张压显著高于A组(P<0.05)。A组无不良反应病例,所有患者在术后10分钟恢复自主意识;B组出现10例收缩压下降超过20%,6例术后呼吸抑制。结论在应对智障老年患者髋部骨科手术麻醉时,充分镇静、镇痛后实施硬膜外麻醉效果好,对患者循环系统影响较全身麻醉小,更安全。 展开更多
关键词 老年智力障碍 髋部骨科手术 硬膜外麻醉
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Clinical Research on Comprehensive Treatment of Senile Vascular Dementia 被引量:19
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作者 陈利平 王发渭 +2 位作者 左芳 贾建军 焦伟国 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2011年第3期178-181,共4页
Objective:To observe the curative effect of combined Chinese medicine,acupuncture and rehabilitation therapy on vascular dementia(VD),and to compare the Western medicine piracetam.Methods:Total 134 VD patients screene... Objective:To observe the curative effect of combined Chinese medicine,acupuncture and rehabilitation therapy on vascular dementia(VD),and to compare the Western medicine piracetam.Methods:Total 134 VD patients screened in reference to the standard for VD diagnosis in DSM-IV were randomly divided into a Chinese medicine plus rehabilitation group(32 cases),a Chinese medicine plus acupuncture group(33 cases),a Chinese medicine and acupuncture plus rehabilitation group(37 cases) and a Western medicine piracetam group(32 cases).Mini Mental State Examination(MMSE) and Bless Behavior Scale(BBS) were used to assess changes in intelligence disorder before treatment and after 12-week treatment.Results:BBS score,living ability and daily habit were enhanced after treatment in all groups.Cognitive function and behavioral ability were improved with similar total curative effects in all the 4 groups.Directional ability and short-term memory ability were significantly enhanced after treatment(P<0.05) in both the Chinese medicine plus rehabilitation group and the Chinese medicine plus acupuncture group groups.Living ability was significantly improved after treatment in the Chinese medicine and acupuncture plus rehabilitation group(P<0.01).However,no obvious difference was shown before and after treatment in the piracetam group.Conclusion:The improvement of living ability in the comprehensive treatment group is better than that in the other groups.Chinese medicine and acupuncture plus rehabilitation treatment can improve intelligence and living ability of senile VD patients. 展开更多
关键词 Shenlong Jiannao Decoction vascular dementia memory function comprehensive treatment
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