BACKGROUND The trigeminocardiac reflex(TCR)is usually caused by an increased parasympathetic tone when pressure or traction is applied to the surrounding tissue of the trigeminal nerve.However,the inexperienced anesth...BACKGROUND The trigeminocardiac reflex(TCR)is usually caused by an increased parasympathetic tone when pressure or traction is applied to the surrounding tissue of the trigeminal nerve.However,the inexperienced anesthesiologists may have challenges on the management of TCR patients.CASE SUMMARY This is the case of an 18-year-old woman diagnosed with hemangioma of the upper lip.During the operation,about 1 h after surgery started,a constant 1:1 premature ventricular complex was detected,and blood pressure was decreased when approaching the deeper part with more strong traction for exposure of the part.Although the management of arrhythmias,such as lidocaine and atropine,was injected,arrhythmia induced by surgical stimulation could not be eliminated completely.As the traction repeated,bradycardia was also repeated,despite injecting additional atropine.Therefore,the anesthesiologist and the surgeon decided to perform the operation only to the extent that the vascular tissue was selectively removed only at the site without the reflex.CONCLUSION With TCR,anesthesiologists should perform appropriate monitoring.In addition to proper drug administration,surgeons should be consulted to cope with stopping the surgery and setting the scope of the surgery even if the site is superficial.展开更多
目的：观察中医特色二联疗法对膝骨性关节炎患者功能的影响。方法：将符合纳入标准的72例膝骨性关节炎患者随机分为观察组（特色二联组）和对照组（常规组）,每组各36例。对照组主要包括口服抗骨增生胶囊每次5粒,早中晚各1次/d;口服维生...目的：观察中医特色二联疗法对膝骨性关节炎患者功能的影响。方法：将符合纳入标准的72例膝骨性关节炎患者随机分为观察组（特色二联组）和对照组（常规组）,每组各36例。对照组主要包括口服抗骨增生胶囊每次5粒,早中晚各1次/d;口服维生素C片,2片/次,早中晚各1次/d;注射玻璃酸钠在膝关节每次2 m L,1次/周。观察组是在对照组基础上进行中药溻渍和艾灸,溻渍一般控制在30 min左右,1次/d;艾灸选取内外膝眼、阴陵泉、足三里等穴位,每个穴位1次3壮,一般控制在30 min左右。两组均每周连续治疗5 d,疗程4周。分别于治疗前、治疗4周后进行骨性关节炎指数the Western Ontario and Mc Maste universities（WOMAC）评分,统计治疗效果,并于治疗后3个月随访1次。结果：治疗4周及随访3个月时观察组较对照组疼痛、僵硬、功能障碍评分均明显下降（均P〈0.05）。4周后观察组有效率为91.6%,对照组有效率为72.2%,观察组有效率明显优于对照组（P〈0.05）;3个月随访时观察组有效率为88.8%,对照组有效率为69.4%,观察组有效率明显优于对照组（P〈0.05）。结论：中医特色二联疗法可提高膝骨性关节炎患者临床疗效,有效改善关节功能。展开更多
文摘BACKGROUND The trigeminocardiac reflex(TCR)is usually caused by an increased parasympathetic tone when pressure or traction is applied to the surrounding tissue of the trigeminal nerve.However,the inexperienced anesthesiologists may have challenges on the management of TCR patients.CASE SUMMARY This is the case of an 18-year-old woman diagnosed with hemangioma of the upper lip.During the operation,about 1 h after surgery started,a constant 1:1 premature ventricular complex was detected,and blood pressure was decreased when approaching the deeper part with more strong traction for exposure of the part.Although the management of arrhythmias,such as lidocaine and atropine,was injected,arrhythmia induced by surgical stimulation could not be eliminated completely.As the traction repeated,bradycardia was also repeated,despite injecting additional atropine.Therefore,the anesthesiologist and the surgeon decided to perform the operation only to the extent that the vascular tissue was selectively removed only at the site without the reflex.CONCLUSION With TCR,anesthesiologists should perform appropriate monitoring.In addition to proper drug administration,surgeons should be consulted to cope with stopping the surgery and setting the scope of the surgery even if the site is superficial.
文摘目的：观察中医特色二联疗法对膝骨性关节炎患者功能的影响。方法：将符合纳入标准的72例膝骨性关节炎患者随机分为观察组（特色二联组）和对照组（常规组）,每组各36例。对照组主要包括口服抗骨增生胶囊每次5粒,早中晚各1次/d;口服维生素C片,2片/次,早中晚各1次/d;注射玻璃酸钠在膝关节每次2 m L,1次/周。观察组是在对照组基础上进行中药溻渍和艾灸,溻渍一般控制在30 min左右,1次/d;艾灸选取内外膝眼、阴陵泉、足三里等穴位,每个穴位1次3壮,一般控制在30 min左右。两组均每周连续治疗5 d,疗程4周。分别于治疗前、治疗4周后进行骨性关节炎指数the Western Ontario and Mc Maste universities（WOMAC）评分,统计治疗效果,并于治疗后3个月随访1次。结果：治疗4周及随访3个月时观察组较对照组疼痛、僵硬、功能障碍评分均明显下降（均P〈0.05）。4周后观察组有效率为91.6%,对照组有效率为72.2%,观察组有效率明显优于对照组（P〈0.05）;3个月随访时观察组有效率为88.8%,对照组有效率为69.4%,观察组有效率明显优于对照组（P〈0.05）。结论：中医特色二联疗法可提高膝骨性关节炎患者临床疗效,有效改善关节功能。
