医学杂志英摘要

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《美国医学协会杂志》上。2005年5月4日,293(17):2118 - 25所示。针灸治疗偏头痛患者:一项随机对照试验。林德K1,施特伦,更加与众不同,霍普,Brinkhaus B,C威特,Wagenpfeil年代,Pfaffenrath V,哈姆MG,Weidenhammer W,Willich SN,Melchart D。作者信息文摘背景:针刺疗法被广泛用于预防偏头痛发作,但现有证据的好处是稀缺。摘要目的:探讨针灸的有效性与假针灸和没有针灸治疗偏头痛患者。设计,设置,和病人:三组,随机,对照试验(2002年4月- 2003年1月),包括302名患者(88%的女性),意味着(SD)(11)43岁,偏头痛,基于国际头痛协会标准。18岁患者治疗门诊中心在德国。干预措施:针灸,针灸,或者等待列表控件。针灸,针灸是由专业医生和由12届每个病人超过8周。患者头痛日记完成前4周后12周随机化和随机化后一周21到24。主要结果测量:中度或重度头痛天强度差异前4周与周之间的随机化后9到12。结果:基线和周9到12之间,平均(SD)的天数与中度或严重的头痛强度下降了()天从基线的()天针灸组相比减少()天从基线的()天假针灸组,()天从一个基线如果()天在等候名单上。检测中没有发现区别针灸与假针灸组(天,95%置信区间,至天;P = .96点)时是有区别的针灸组与等待名单组(天;95%置信区间, - 天;P <措施)。反应者的比例(减少头痛天至少50%)针灸组51%,假针灸组53%,15%在等待列表中。结论:针灸比没有针灸更有效减少偏头痛，虽然比等待名单控制干预措施更有效。

[ Abstract ]Objective: To evaluate the effect of continuous paravertebral analgesia after 60 patients who only did nephrectomy,aged between 30 and 65, and weighed from 45kg to 80kg in both ASA was I or II. The patients were also divided into two groups randomly: The control group (CEA group ) and the continuous paravertebral nerve block group (PVB group ). and each group has 30 patients. Both groups were injected with 250ml ropivacaine continuously, and adopted the intravenous morphine patient-controlled analgesia blood was tested, the VAS in still and in movement was evaluated seperatedly after 6/12/24/48 hours of teh nephrectomy, and the accumulated marphine usage and the cases of complication of the patients after 48 hours were : Compared with CEA, PVB has significant higher PaO2, has the same VAS in still state with the CEA while different VAS in movement, and the accumulated usage of marphine is , the PVB has less patients showing nausea,vomiting,pruritus and orthostatic. In addition, the patients in PVB have short interval (P＜) for the first flatus. Conclusion: Compared with CEA, using PVB for analgesia after the nephrectomy can reduce marphine usage and reduce related thoracic , amides ; pain after surgery ; analgesic我觉得我今天一定是心情大好....不然怎么会这么花时间去做这个呢....要不要用，你自己看着办吧...

Objective: the curative effect of continuous paravertebral nerve block analgesia evaluation after nephrectomy. Methods: the quasi simple nephrectomy in 60 patients, ASA grade I or II grade, age 30 to 65 years of age, body weight 45 ~ 80 kg, sex not limited. Using the method of random number table, the patients were divided into 2 groups: control group (group CEA) and continuous paravertebral nerve block group (group PVB), 30 cases of each group. The two groups were continuous infusion of ropivacaine 250ml, and the use of intravenous morphine patient-controlled analgesia assisted. After 6, 12, 24 and 48 h, respectively, blood gas, and to assess the quiet and motion state of the VAS scores, statistics at 48 h after operation, two groups of patients with total amount of morphine and complications of case number. Results: compared with CEA group, PVB group, PaO2 increased, PaCO2 decreased, in a quiet state no difference in VAS score, significant differences in the state of motion, reduce the number of cumulative dosage of morphine, nausea, vomiting, skin itching, orthostatic hypotension, postoperative anal exhaust time interval to first short (P < ). Conclusion: open nephrectomy after using PVB analgesia and CEA analgesia can reduce postoperative morphine consumption, low rate of complications.

Objective To evaluate acute and long2term angiographic and clinical outcomes of longstent or multiple overlapped stents (length ≥ 20 mm) implantation for diffuse atherosclerosis lesions inoctogenarians. Methods Long stent or multiple overlapped stents implantation was performed on 111diffuse native coronary lesions ( Group O : 47 lesions in 44 octogenarians ; Group Y: 64 lesions in 58 patientsaged under 60) . Baseline demographic , lesion characteristic , angiographic and procedural details weresimilar in these 2 groups. Six2month clinical and angiographic follow2up was completed in all cases. In2hospital and long2term outcomes were evaluated. Results Procedure success was 100 %for both had in2hospital major adverse cardiac events (MACE) . There was no significant difference inangiographic binary restenosis ( ≥50 % diameter stenosis) rate between the groups at follow2up ( Group Ovs. Group Y, 1218 % vs1 1019 % at 32month , 2918 % vs. 2616 % at 62month , P > 0105) . The rates oftarget lesion revascularization and MACE at follow2up were less in Group Y, but it showed no statisticalsignificance (718 % vs. 1016 % and 816 % vs. 1114 % at 32month , 1516 % vs. 2314 % and 2017 % % at 62month , respectively , P > 0105) . Conclusions Long stent implantation for diffuse lesionsin octogenarians appears safe and feasible , with high procedural success and favorable long2term outcomes.