MEDS Basic Medicine最新文献

Effect of ultrasound-guided brachial plexus and superficial cervical plexus nerve block anesthesia in patients with middle clavicle fractures 超声引导下臂丛和颈浅丛神经阻滞麻醉在锁骨中段骨折中的作用

MEDS Basic Medicine Pub Date : 1900-01-01 DOI: 10.23977/medbm.2023.010102

Jun Liu

{"title":"Effect of ultrasound-guided brachial plexus and superficial cervical plexus nerve block anesthesia in patients with middle clavicle fractures","authors":"Jun Liu","doi":"10.23977/medbm.2023.010102","DOIUrl":"https://doi.org/10.23977/medbm.2023.010102","url":null,"abstract":": To investigate the value of ultrasound-guided brachial plexus combined with superficial cervical plexus nerve block anesthesia in the surgery of patients with mid-clavicular fracture. Eighty patients with mid-clavicular fractures admitted to a hospital from January 2020 to December 2022 were selected for the study, and they were randomly divided into a control group and a study group, 40 patients in each group, and both groups were treated with internal fixation of clavicular fractures. The anesthetic effect and anesthesia, heart rate and blood pressure at different time points, serum adrenocorticotropic hormone (ACTH) and cortisol (Cor) levels before surgery and at the time of fracture reduction, and postoperative complications were compared between the two groups. The anesthetic effect of the study group was significantly better than that of the control group ( P <0.05); the onset of anesthesia and sensory block were longer ( P <0.05) and the recovery time of sensation was shorter ( P <0.05) in the control group than in the study group; there was no significant difference between the heart rate and blood pressure of the two groups before anesthesia ( P >0.05), and the heart rate and blood pressure of the control group at the time of stripping the periosteum, at the end of surgery and at 10 min after surgery were significantly different. The heart rate and blood pressure of the control group were higher than those of the study group at the time of stripping the periosteum, at the end of surgery and 10 min after surgery ( P <0.05); before surgery, there was no significant difference in ACTH and Cor levels between the two groups ( P >0.05), and after fracture reduction, ACTH and Cor levels increased in both groups, and the control group was higher than the study group","PeriodicalId":259121,"journal":{"name":"MEDS Basic Medicine","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115784121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of acute generalized exanthematous pustulosis caused by butylphthalide sodium chloride injection and review of the literature 丁苯酞氯化钠注射液致急性全发性脓疱病1例并文献复习

MEDS Basic Medicine Pub Date : 1900-01-01 DOI: 10.23977/medbm.2023.010107

Hui Wang, Fangfang Dong, Chan Zhao

{"title":"A case of acute generalized exanthematous pustulosis caused by butylphthalide sodium chloride injection and review of the literature","authors":"Hui Wang, Fangfang Dong, Chan Zhao","doi":"10.23977/medbm.2023.010107","DOIUrl":"https://doi.org/10.23977/medbm.2023.010107","url":null,"abstract":": A 73-year-old female patient with small artery occlusive cerebral infarction was given atorvastatin calcium tablets 20 mg orally once/d, aspirin enteric-coated tablets 100 mg orally once/d, Clopidogrel bisulfate tablets 75 mg orally once/d, Citicoline sodium tablets 200 mg orally three times/d, and butylphthalide and sodium chloride injection 100 ml intravenously twice/d.nine days later, the body appeared scattered erythema with sharply demarcated and different sizes, which was considered to be caused by butyl phthalein sodium chloride injection or Clopidogrel bisulfate tablets. This drug was discontinued and other drugs continued to be used. Three days later, the body temperature began to rise, reaching over 38 ℃. On the fourth day, the body temperature continued to rise, presenting classical skin lesions: Based on generalized diffuse, edematous erythema, there were dense, superficial, non-follicular yellow-white pustules, some of which formed pus lakes. After a consultation with a dermatologist, the patient was diagnosed with acute generalized exanthematous pustulosis, and treated with intravenous drips of methylprednisolone, human immunoglobin and human albumin, etc. After 3 weeks of symptomatic treatment, the skin lesions were cured. Clopidogrel bisulfate tablets were re-applied after specialist evaluation and no similar lesions occurred.","PeriodicalId":259121,"journal":{"name":"MEDS Basic Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132843131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Research Progress of Urogenic Stem Cells and Exosomes in Chronic Kidney Disease 尿源性干细胞和外泌体在慢性肾脏疾病中的研究进展

MEDS Basic Medicine Pub Date : 1900-01-01 DOI: 10.23977/medbm.2023.010106

Yuanmin Zhang, Sheng Dong

引用次数: 0

Progress in the application of intestinal flora in the treatment of diabetes 肠道菌群在糖尿病治疗中的应用进展

MEDS Basic Medicine Pub Date : 1900-01-01 DOI: 10.23977/medbm.2023.010104

Ruohan Wen, Xingshuo Huang, Houru Liu, De-qing Yu

引用次数: 0

Advances in the Pathogenesis of Knee Osteoarthritis and the Application of Chinese and Western Medicine Treatment 膝关节骨性关节炎发病机制及中西医结合治疗的研究进展

MEDS Basic Medicine Pub Date : 1900-01-01 DOI: 10.23977/medbm.2023.010103

Baotao Sun, J. Dang