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Song H.-Y.,The First Hospital of Handan City | Li J.-X.,North Sichuan Medical College | Liu J.,University of Sichuan | Zheng J.-Q.,University of Sichuan | And 3 more authors.
World Chinese Journal of Digestology | Year: 2014

Aim: To evaluate the feasibility and efficacy of patient-controlled analgesia and sedation (PCAS) with remifentanil-propofol mixture for colonoscopy. Methods: Eighty patients were randomly allocated into either a PCAS group or a total intravenous anesthesia (TIVA) group. In the PCAS group, remifentanil-propofol mixture was pumped at 0.01 mL/(kg•min) after an initial bolus of 3 mL of the mixture (1 mL mixture containing propofol 3 mg and remifentanil 10 μg). The amount of each bolus delivered was 1 mL and the lockout time was 1 min. In the TIVA group, patients received fentanyl 1 μg/kg, midazolam 0.02 mg/kg and propofol (dosage titrated). Cardiorespiratory parameters and auditory evoked response index (AAI) were continuously monitored during the procedure. Recovery from anesthesia was assessed with the Aldrete scale and the Observer’s Assessment of Alertness/Sedation Scale. Visual analogue scale (VAS) was used to assess the satisfaction of patients and endoscopists. Results: No statistical differences were observed in the VAS score of patients (9.58 vs 9.50) or satisfaction of endoscopists (9.43 vs 9.30) between the two groups. A significant decline in mean arterial blood pressure and AAI was recorded in the TIVA group (P < 0.05). Recovery time was significantly shorter in the PCAS group (P < 0.01). Conclusion: PCAS with remifentanilpropofol mixture provides better hemodynamic stability, lighter sedation and faster recovery compared with TIVA. © 2014 Baishideng Publishing Group Inc. All rights reserved. Source

Yang X.L.,The First Hospital of Handan City
Zhongguo zhen jiu = Chinese acupuncture & moxibustion | Year: 2010

To observe the efficacy of acupoint catgut embedding therapy combined medication on chronic urticaria induced by Helicobacter pylori (HP) infection. Ninety-two cases were randomly divided into 3 groups, named a medication group (group A, 31 cases), an acupoint catgut embedding group (group B, 30 cases) and a medication combined acupoint catgut embedding group (group C, 31 cases). In group A, the medication was administered orally for antihistamine and anti-HP infection. In group B, catgut embedding was applied on Quchi (LI 11), Xuehai (SP 10), Zusanli (ST 36), etc. In group C, acupoint catgut embedding therapy was applied in combination with medication (medication as group A, acupoint catgut embedding as group B). After 3-month treatment, the efficacy, recurrence rate and HP negative rate were compared among 3 groups. Separately, the effective rates of group A, B, C were 61.3% (19/31), 53.3% (16/30) and 90.3% (28/31); the recurrence rates were 27.3% (3/11), 33.3% (3/9) and 5.9% (1/17); and HP negative rates were 31.3% (10/31), 26.7% (9/30) and 77.4% (24/31). The clinical efficacy and HP negative rate in group C were superior to those in group A and B (P < 0.01, P < 0.05). Acupoint catgut embedding therapy combined medication is significant in efficacy and low in recurrence rate in treatment of chronic urticaria caused by HP infection. Source

Yang X.-L.,The First Hospital of Handan City | Lu S.-J.,The First Hospital of Handan City | Xue J.,The First Hospital of Handan City | Wu Y.-F.,The First Hospital of Handan City | Shi J.-L.,The First Hospital of Handan City
Oncology Letters | Year: 2014

Clear cell sarcoma of soft tissues is a very rare, malignant soft tissue tumor that usually arises in the extremities, with a predilection for the lower limbs. This report presents a 45-year-old male with a painless mass in the right lumbar region for one year. Magnetic resonance imaging showed a 3.6×3.2×1.5-cm soft tissue mass of the right lumbar region. The tumoral cells had pleomorphic nuclei and large amounts of clear cytoplasm, and a proportion of the cells contained melanin. Immunohistochemical analysis was performed, which identified that the cells were positive for S-100, MITF and HMB-45 tumor markers. The patient underwent a postoperative chemotherapy protocol and had no local recurrences at one year post-surgery. Source

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