ABSTRACT
BACKGROUND: Anesthesia plays an essential role in the successful surgical procedures for hand trauma. Compared with general anesthesia, brachial plexus block shows lots of benefits for the upper extremity. Specifically, ultrasound-guided selective proximal and distal brachial plexus block may overcome the issues of incomplete block and failure of anesthesia in such circumstances. The present study assessed the efficacy of ultrasound-guided selective proximal and distal brachial plexus block in clinical practice. AIM: To explore the efficacy of ultrasound-guided selective proximal and distal brachial plexus block in rapid recovery surgery for hand trauma. METHODS: A total of 68 patients with traumatic hand injuries treated at our hospital from January 2018 to June 2019 were selected. They were divided into an observation group and a control group with 34 patients in each group. The observation group underwent selective brachial plexus block guided by ultrasound and the control group underwent conventional brachial plexus block. The analgesic efficacy, intraoperative complications, wound healing time, and length of hospital stay were compared between the two groups under different anesthesia. RESULTS: The percentage of cases with analgesia graded as "excellent or very good" was higher in the observation group than in the control group (P < 0.05). Moreover, the incidence of intraoperative complications was lower and the wound healing time and length of hospital stay were shorter in the observation group than in the control group (P < 0.05). CONCLUSION: Ultrasound-guided selective proximal and distal brachial plexus block has remarkable analgesic efficacy in patients with traumatic hand injuries. It can reduce the incidence of intraoperative complications, promote wound healing, and shorten the length of hospital stay.
ABSTRACT
To examine the effects of seasonal changes and precipitation on the concentrations of various nitrogen and phosphorus forms in Dianchi Lake, the concentrations of various nitrogen and phosphorus forms of atmospheric deposition were determined by UV spectrophotometry. Additionally, the contributions of nitrogen and phosphorus to water pollution in Dianchi Lake were discussed. The results showed that the atmospheric depositional nitrogen concentration in Dianchi Lake is generally consistent with the characteristics of the low rainy season and high dry season. The nitrogen and phosphorus load of atmospheric deposition was positively correlated with rainfall. Seasonal changes were mainly characterized by low dry season and high rainy season. The atmospheric depositional nitrogen load was dominated by dissolved inorganic nitrogen, which accounted for 63.70% of the total nitrogen deposition load. The phosphorus load was mainly PP, which accounted for 45.54% of the total phosphorus precipitation load. Excessive fertilization and loss of nitrogen and phosphorus from fertilizers are the major sources of nitrogen and phosphorus in atmospheric wet deposition. Combined with data from rivers entering the lake, the settlements of TN and TP in the atmospheric deposition of Dianchi Lake were 6.14% and 12.76% of the river load, respectively. Therefore, the primary source of pollution in Dianchi Lake was still the load brought by the river into the lake. However, the nitrogen and phosphorus fluxes in the atmospheric deposition of Dianchi Lake were at intermediate levels compared with other regions, so this contribution requires further investigation.
ABSTRACT
A comprehensive survey of the pollution characteristics of persistent organic pollutants (POPs) in the surface water and surface sediment of Baiyangdian Lake was carried out. The survey showed that:â The concentrations of the polycyclic aromatic hydrocarbons(PAHs), organic chlorine pesticides (OCPs), and polybrominated diphenyl ethers (PBDEs) in the surface water of Baiyangdian Lake were 71.32-228.27 ng·L-1, 2.62-6.13 ng·L-1, and 0-6.5 ng·L-1, respectively, and those in the surface sediment were 163.20-861.43 ng·g-1, 2.25-6.07 ng·g-1, and 230.96-1224.13 pg·g-1, respectively. On comparison with historical data, the concentrations of PAHs and OCPs in both the surface water and surface sediment were found to be decreasing, while compared with the domestic and foreign lakes, the concentration of PBDEs in the surface sediment was at a low level. â¡ The main source of PAHs, both in the surface water and surface sediment in Baiyangdian Lake, originated from fuel discharge and combustion sources. HCHs compose the main part of OCPs in both the surface water (93.76%) and surface sediment (63.10%). In the surface water body, HCHs mainly originated from the degradation of industrial HCHs; in some sites HCHs originated from atmospheric long-distance transmission and the usage of Lindane, while DDTs originated from historical residues. In surface sediment, HCHs mainly originated from the usage of new Lindane, with little industrial HCHs, and DDTs mainly originated from historical residues, while new DDTs may have been used in some sites. BDE-2 (65.80%) composed the main part of PBEDs in the surface water, and it mainly originated from atmospheric long-distance transmission and degradation of high brominated diphenyl ethers; BDE-209 (63.82%) constituted the main part of PBDEs in the surface sediment, and it mainly originated from the commercial Deca-BDEs.⢠Ecological Risk Assessment show that there was no obvious ecological risks in Baiyangdian Lake, but in some sites POPs may cause ecological risks; these sites should be monitored more frequently.
