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1.
Opt Lett ; 47(1): 66-69, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34951884

RESUMO

The development of super-resolution imaging has driven research into biological labeling, new materials' characterization, and nanoscale sensing. Here, we studied the photoinduced charge state conversion of nitrogen-vacancy (NV) centers in nanodiamonds (NDs), which show the potential for multifunction sensing and labeling at the nanoscale. Charge state depletion (CSD) nanoscopy is subsequently demonstrated for the diffraction-unlimited imaging of NDs in biological cells. A resolution of 77 nm is obtained with 50 nm NDs. The depletion laser power of CSD nanoscopy is approximately 1/16 of stimulated emission depletion (STED) microscopy with the same resolution. The results can be used to improve the spatial resolution of biological labeling and sensing with NDs and other nanoparticles.


Assuntos
Nanodiamantes , Lasers , Luz , Microscopia , Nitrogênio
2.
Pharmgenomics Pers Med ; 14: 1403-1413, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34785928

RESUMO

Objective: Gene polymorphism is closely related to tumor development, therapeutic response and prognosis. The relationship between regenerating gene 1A (Reg1A) polymorphism and nasopharyngeal carcinoma (NPC) is unclear. This retrospective study aimed to analyze the association between Reg1a polymorphisms and metastasis, radiation sensitivity and survivals in patients with NPC. Methods: A total of 308 patients who had received radiotherapy at the Affiliated Xinhua Hospital, Hainan Medical College, between January 2010 and December 2018 with NPC, were enrolled for assessment of Reg1a polymorphisms through direct DNA sequencing. Results: In the polymorphism of gene REG1A, patients with rs10165462 20CC genotype had later T stages (OR = 4.051, 95% CI: 1.775-9.244, P = 0.001), whereas carriers with rs12072 2922CC genotype had earlier T stages (OR = 1.891, 95% CI: 1.018-3.514, P = 0.044) after adjustments for age and gender, respectively. Among rs10165462 20 C/T polymorphism, 20TT wild-type was associated with better radiation response (P = 0.0019), and multivariate analysis showed that it was the only genotype of polymorphism that was significantly associated with better radiation response (OR = 0.265, 95% CI: 0.096-0.727, P = 0.01). Patients with the 20TT wild-type had a better five-year overall survival (60.9%) rate and five-year progression-free survival (60.8%) than those with the 20CC genotype (41.8% and 39.4%, P = 0.01 and P = 0.004, respectively). Patients with variant alleles (CC + CT) had significantly poorer OS (45.2%) and PFS (41.8%) compared with wild-type (TT) carriers (60.9% and 60.8%; P = 0.037 and P = 0.015, respectively). As for rs12072, patients with variant alleles (TT + TC) had significantly adverse OS and PFS compared with wild-type (CC) carriers (62.5% vs 44.8% and 62.5% vs 42.9%; P = 0.024 and P = 0.027, respectively). Cox regression showed that rs10165462 20CT was the only prognostic factor for OS (HR = 1.642, 95% CI 1.038-2.598, P = 0.034) and PFS (HR = 1.705, 95% CI 1.080-2.692, P = 0.022). Conclusion: Reg1a polymorphisms may be a predictor of radiation response, local invasion, OS and PFS in patients with NPC who undergo radiotherapy treatment.

3.
Nat Commun ; 12(1): 6389, 2021 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-34737279

RESUMO

Focusing electromagnetic field to enhance the interaction with matter has been promoting researches and applications of nano electronics and photonics. Usually, the evanescent-wave coupling is adopted in various nano structures and materials to confine the electromagnetic field into a subwavelength space. Here, based on the direct coupling with confined electron oscillations in a nanowire, we demonstrate a tight localization of microwave field down to 10-6λ. A hybrid nanowire-bowtie antenna is further designed to focus the free-space microwave to this deep-subwavelength space. Detected by the nitrogen vacancy center in diamond, the field intensity and microwave-spin interaction strength are enhanced by 2.0 × 108 and 1.4 × 104 times, respectively. Such a high concentration of microwave field will further promote integrated quantum information processing, sensing and microwave photonics in a nanoscale system.

4.
Rev Sci Instrum ; 92(4): 044904, 2021 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-34243481

RESUMO

The nitrogen-vacancy center in diamond has been broadly applied in quantum sensing since it is sensitive to different physical quantities. Meanwhile, it is difficult to isolate disturbances from unwanted physical quantities in practical applications. Here, we present a fiber-based quantum thermometer by tracking the sharp-dip in the zero-field optically detected magnetic resonance spectrum in a high-density nitrogen-vacancy ensemble. Such a scheme can not only significantly isolate the magnetic field and microwave power drift but also improve the temperature sensitivity. Thanks to its simplicity and compatibility in implementation and robustness, this quantum thermometer is then applied to the surface temperature imaging of an electronic chip with a sensitivity of 18mK/Hz. It thus paves the way to high sensitive temperature measurements in ambiguous environments.

5.
Ear Nose Throat J ; : 145561321989432, 2021 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-33474979

RESUMO

OBJECTIVES: The aim of the research is to create an experimental data set of coronal section images of a human head. METHODS: The head of a 49-year-old male cadaver was scanned by computed tomography (CT), then perfused with a green filling material via the bilateral common carotid artery, before being frozen and embedded. The head was sectioned along the coronal plane by a computer-controlled 5520 engraving and milling machine, capable of either 0.03-mm or 0.06-mm interspacing. All images were captured with a Canon 5D-Mk III digital camera. RESULTS: A total of 3854 section images were obtained, each with a resolution of 5760 × 3840 pixels. The number of section images at 0.03- and 0.06-mm interspacing were 1437 and 2417, respectively. All the images were stored in JPG and RAW formats. The image size of each RAW format was about 24.5 MB, whereas for JPG format, the equivalent size was about 5.9 MB. All the RAW and JPG images together occupied 117.35 GB of disk space. CONCLUSIONS: The interspacing of this data set section was thinner than those of any comparable studies, and the image resolution was higher, too. This data set was also the first to take coronal sections of the human head. The data set contains image information from the smallest structures within the human head and can satisfy the needs of future developments and applications, such as the virtual operation training systems for otolaryngology, ophthalmology, stomatology, and neurosurgery, and help develop medical teaching software and maps.

6.
Appl Opt ; 59(21): 6291-6295, 2020 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-32749291

RESUMO

The nitrogen vacancy (NV) center in diamond is studied widely for magnetic field and temperature sensing at the nanoscale. Usually, the fluorescence is recorded to estimate the spin state of the NV center. Here we applied a time-gating technique to improve the contrast of the spin-dependent fluorescence. A NIR pulsed laser pumped the stimulated emission of the NV center and depleted the spontaneous emission that was excited by a green laser. We changed the relative delay between the NIR laser and the green laser. Then the spontaneous emission of the NV center in varied time windows was extracted by comparing the fluorescence intensities with and without the NIR laser. The results showed that the spin-dependent fluorescence contrast could be improved by approximately 1.8 times by applying the time gating. The background of the environment was eliminated due to temporal filtering. This work demonstrates that the stimulated emission assisted time-gating technique can be used to improve the performance of an NV center sensor in a noisy environment.

7.
Zhongguo Zhong Yao Za Zhi ; 45(14): 3459-3466, 2020 Jul.
Artigo em Chinês | MEDLINE | ID: mdl-32726062

RESUMO

The present study was performed to establish the UPLC fingerprints of Bolbostemmatis Rhizoma and determine the contents of three saponins by quantitative analysis of multi-components by single marker(QAMS), and provide basis for quality evaluation of Bolbostemmatis Rhizoma. The analysis was carried out on an analytical column of Waters Cortecs T3(2.1 mm×100 mm,1.6 µm)with gradient elution by acetonitrile-0.1% phosphoric acid solution, at a flow rate of 0.3 mL·min~(-1). The detection wavelength was 203 nm, the column temperature was 30 ℃ and the injection volume was 1 µL. The UPLC fingerprints of Bolbostemmatis Rhizoma were established and evaluated by similarity calculation, cluster analysis and principal component analysis. The relative calibration factors of toberoside B and toberoside C were determined with toberoside A as internal reference. The content was calculated by relative calibration factors to develop a method of QAMS. Comparing the results of QAMS with those of ESM, the accuracy and feasibility of one-eva-luation and multi-evaluation can be determined. RESULTS:: showed that the fingerprints of 19 batches of Bolbostemmatis Rhizoma have four common peaks with similarities ranging from 0.754 to 1.000. Cluster analysis and principal component analysis classified 19 batches of Bolbostemmatis Rhizoma into three categories, which was consistent with the similarity evaluation results. The relative deviation between the content of tubeicosides B and C in 19 batches of Bolbostemmatis Rhizoma determined by QAMS and ESM is less than 5.0%, indicating that there was no significant difference between the two methods. Therefore, the UPLC fingerprints combined with QAMS and similarity evaluation can be effectively used to evaluate the quality of Bolbostemmatis Rhizoma.


Assuntos
Medicamentos de Ervas Chinesas , Cromatografia Líquida de Alta Pressão , Análise de Componente Principal , Controle de Qualidade , Rizoma
8.
Phys Rev Lett ; 124(22): 223603, 2020 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-32567927

RESUMO

Light has shown an incredible capability in precision measurement based on optomechanic interaction in high vacuum by isolating environment noises. However, there are still obstructions, such as displacement and mass estimation error, highly hampering the improvement of absolute accuracy at the nanoscale. Here, we present a nonlinearity based metrology to precisely measure the position and mass of a nanoparticle with optical levitation under 10^{-5} mbar. By precisely controlling the oscillation amplitude of the levitated nanoparticle at the nonlinear regime for high accuracy calibration, we realized a feasible sub-picometer-level position measurement with an uncertainty of 1.0% without the prior information of mass, which can be further applied to weigh the femtogram-level mass with an uncertainty of 2.2%. It will also pave the way to construct a fine-calibrated optomechanic platform in high vacuum for high sensitivity and accuracy measurement in force and acceleration at the nanoscale and the study in quantum superposition at the mesoscopic scale.

9.
Opt Lett ; 45(3): 730-733, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32004296

RESUMO

Two-photon charge state conversion has been utilized to improve the spatial resolution of the sensing and imaging with the nitrogen vacancy (NV) center in diamonds. Here, we studied the charge state conversion of the NV center under picosecond pulsed laser excitation. With the same average power, the charge state conversion rate can be improved approximately 24 times by reducing the repetition rate of the laser pulse from 80 to 1 MHz. Subsequently, a pulsed laser with a low repetition rate was applied for the super-resolution charge state depletion microscopy of the NV center. The average power of the depletion laser was reduced approximately 5 times. It can decrease the optical heating, which affects the accuracy and sensitivity of sensing. With the assistance of an additional near-infrared laser, a resolution of 12 nm was obtained with 1 mW depletion laser power. Combined with spin manipulation, we expect our results can be used for the development of a diffraction-unlimited NV center sensing.

10.
Sichuan Da Xue Xue Bao Yi Xue Ban ; 50(1): 20-26, 2019 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-31037900

RESUMO

OBJECTIVE: To investigate the analgesic mechanism of xylazine by inhibiting the activation of hyperpolarized cyclic nucleotide-gated (HCN) ion channels. METHODS: HCN subchannel 1 (HCN1) knockout mice (HCN1-/-) and HCN1 wild type mice (HCN1+/+) were intraperitoneally injected with physiological saline and xylazine (10, 20, 30, and 40 mg/kg). Mechanical pain test and tail flick test were used to test the analgesic effect of xylazine by using the percentage of the maximal possible effect (%MPE); The control group and test groups of different concentrations of xylazine (12.5, 25, 50, and 100 µmol/L) were set up using HEK 293 cells transfected HCN1 plasmid and HCN subchannel 2 (HCN2) plasmid, respectively. The activated current of hyperpolarized HEK 293 cells expressing HCN1 and HCN2 ion channels and the inhibition rate of xylazine on hyperpolarization-activated currents were recorded using a whole cell patch clamp. RESULTS: The results demonstrated that %MPE of the mechanical pain stimuli test and the thermal radiation stimuli test increased with the higher concentration of xylazine injected for both HCN1+/+ mice and HCN1-/-mice. When injecting xylazine by 30 mg/kg and 40 mg/kg, the %MPE of mechanical pain stimuli test for HCN1-/- mice were %MPE= (62.06±14.72) % and %MPE= (69.92±16.09) %, respectively; and the percentages of tail flick tests were (52.50±1.97) % and %MPE= (64.74±6.34) %, respectively. But for HCN1+/+ mice, the percentages of mechanical pain stimuli test were %MPE= (75.47±8.06) % and %MPE= (86.35±11.31) %; respectively, and the percentage of tail flick tests were %MPE= (57.83±4.82) % and (74.98±9.35) %. The analgesic effect results of the mechanical pain test and tail flick test of HCN1+/+ mice were significantly different from HCN1-/- mice ( P<0.05). Whole-cell patch clamp test results showed that xylazine had inhibitory effects on the currents of HCN1 and HCN2 ion channels, and the hyperpolarization-activated currents inhibition rate of HCN1 by xylazine (12.5-100 µmol/L) was between (24.62±23.62) %- (62.40±15.48) %; V1/2 of HCN1 was between (-79.58±1.56) mV- (-98.95±3.57) mV. The Ih inhibition rate of HCN2 by xylazine (12.5-100 µmol/L) was between (29.19±17.82) %- (80.02±6.64) %; with V1/2 of HCN2 between (-102.17±1.36) mV- (-117.48±2.38) mV. CONCLUSION: Xylazine showed better analgesic effect on HCN1+/+ mice than HCN1-/- mice. Xylazine can produce analgesic effect by inhibiting HCN ion channel currents.


Assuntos
Xilazina/farmacologia , Animais , Células HEK293 , Humanos , Canais Disparados por Nucleotídeos Cíclicos Ativados por Hiperpolarização , Camundongos , Nucleotídeos Cíclicos
11.
J Pharm Biomed Anal ; 169: 1-10, 2019 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-30826486

RESUMO

There is an increasing focus on the quality consistency evaluation of dispensing granule in traditional Chinese medicines (TCMs). According to the guideline from Chinese Pharmacopoeia Commission, the substantial equivalence of dispensing granule and traditional decoction should be determined, and the chromatographic fingerprint has been recommended as a comprehensive qualitative approach to assess the quality consistency between dispensing granule and traditional decoction. However, a high-degree chemical similarity does not equal a bioequivalence. Attempting to realize the quality evaluation by integrating chemical consistency and bioequivalence, we herein proposed a totality-of-the-evidence approach based on clustering analysis and equivalence evaluation taking the dispensing granule and traditional decoction of Scutellariae Radix (SR) as a typical case. Chemical fingerprints were developed by high performance liquid chromatography coupled with photodiode array detector and quadrupole time-of-flight mass spectrometry (HPLC-PDA/QTOF-MS). Subsequently, a feature selection strategy, integrated linear and nonlinear correlation analysis, was carried out to assess the correlation between chemical profiles and biological activities. Finally, quality consistency between the dispensing granule and the traditional decoction was determined by bioactive marker-guided hierarchical clustering analysis (HCA), k-means clustering method and bioequivalence evaluation. The available evidence suggested that not all the dispensing granule of SR were sufficiently similar to the traditional decoction. This study provides an applicable methodology for quality consistency evaluation of dispensing granule and traditional decoction in TCMs.


Assuntos
Medicamentos de Ervas Chinesas/química , Scutellaria baicalensis/química , Cromatografia Líquida de Alta Pressão/métodos , Espectrometria de Massas/métodos , Medicina Tradicional Chinesa/métodos , Projetos Piloto , Equivalência Terapêutica
12.
Zhongguo Zhong Yao Za Zhi ; 44(24): 5352-5357, 2019 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-32237379

RESUMO

In order to improve the quality and yield of Gastrodia elata f. glauca,determine the suitable Armillaria strains for the accompanying experiment in Xiaocaoba,Yiliang,four Armillaria strains were selected. They were used for G. elata cultivation,and the gene sequence,r DNA-ITS,ß-tubulin and EF1-α of four Armillaria strains,were compared and analyzed. The yield was mesured in November which was based on previous laboratory research. The tubers were washed and steamed,then dried and powdered. The content of gastrodin and p-hydroxybenzyl alcohol was determined by UPLC,the polysaccharide was determined by phenol-concentrated sulfuric acid method. The results showed that the strains M1,M2,M3 and M4 were Armillaria gallica group but there were differences in the yield and active ingredient content when they were cultivated with the same G. elata. The yield of G. elata( Jian Ma) was the lowest when cultivated with Armillaria strain M3,but it was not the same when used M1,0. 981 kg·m-2,the highest yield in the four stains.The content of gastrodin was 0. 581%,the total content of gastrodin and p-hydroxybenzyl alcohol was 0. 595%,when accompanied with M1 strains. It was higher than other strains. The content of G. elata polysaccharide was 2. 132%,which was similar to the content of M3 strain,higher than that of M2 and M4 strain. Selecting phylogenesis of Armillaria strians,the content of active ingredient,and the yield as indicators,it was concluded concerned that the M1 strain was the best of four strains. The results will provide a theoretical basis and guidance for higher yield and quality in cultivation of G. elata in Yiliang.


Assuntos
Armillaria/fisiologia , Gastrodia/química , Gastrodia/microbiologia , Tubérculos/química , Armillaria/classificação , Filogenia , Plantas Medicinais/química , Plantas Medicinais/microbiologia
13.
Vis Comput Ind Biomed Art ; 2(1): 6, 2019 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-32240415

RESUMO

This paper presents a novel augmented reality (AR)-based neurosurgical training simulator which provides a very natural way for surgeons to learn neurosurgical skills. Surgical simulation with bimanual haptic interaction is integrated in this work to provide a simulated environment for users to achieve holographic guidance for pre-operative training. To achieve the AR guidance, the simulator should precisely overlay the 3D anatomical information of the hidden target organs in the patients in real surgery. In this regard, the patient-specific anatomy structures are reconstructed from segmented brain magnetic resonance imaging. We propose a registration method for precise mapping of the virtual and real information. In addition, the simulator provides bimanual haptic interaction in a holographic environment to mimic real brain tumor resection. In this study, we conduct AR-based guidance validation and a user study on the developed simulator, which demonstrate the high accuracy of our AR-based neurosurgery simulator, as well as the AR guidance mode's potential to improve neurosurgery by simplifying the operation, reducing the difficulty of the operation, shortening the operation time, and increasing the precision of the operation.

14.
Opt Lett ; 43(22): 5587-5590, 2018 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-30439901

RESUMO

Precise detection of surface plasmons is crucial for the research of nanophotonics and quantum optics. In this Letter, we used a single nitrogen vacancy center in diamond as a probe to detect the surface plasmon that was tuned by the thickness of a metallic film. The fluorescence intensity and lifetime of the nitrogen vacancy (NV) center were measured to obtain the information of local light-matter interaction. A nonlinear thickness dependent change of the surface plasmon was observed, with the maximum at the thickness of approximately 30 nm. With optimized thickness of silver film, the fluorescence intensity of a single NV center was enhanced 2.6 times, and the lifetime was reduced by a factor of 3, without affecting the coherence time of the NV spin state. The results proved that this system can quantitatively detect the light-matter interaction at nanoscale, and it provides an approach to enhance the fluorescence intensity of a quantum emitter.

15.
Opt Lett ; 43(4): 699-702, 2018 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-29444056

RESUMO

Multiphoton microscopy (MPM) has been widely used for three-dimensional biological imaging. Here, based on the photon-induced charge state conversion process, we demonstrated a low-power high-resolution MPM with a nitrogen vacancy (NV) center in diamond. Continuous wave green and orange lasers were used to pump and detect the two-photon charge state conversion, respectively. The power of the laser for multiphoton excitation was 40 µW. Both the axial and lateral resolutions were improved approximately 1.5 times compared with confocal microscopy. The results can be used to improve the resolution of the NV center-based quantum sensing and biological imaging.


Assuntos
Lasers , Microscopia de Fluorescência por Excitação Multifotônica/métodos , Diamante , Nitrogênio , Razão Sinal-Ruído
16.
Zhong Yao Cai ; 39(8): 1692-5, 2016 Jul.
Artigo em Chinês | MEDLINE | ID: mdl-30204370

RESUMO

Objective: To explore the relationship between the laccase activity and growth of Ganoderma spp.,to screen the highproducing laccase strains. Methods: The mycelium was cultured in PDA solid medium,and the laccase activity was measured by ABTS+method. The content of polysaccharide was determined by phenol sulfuric acid method. Results: Ganoderma gibbosum grew more rapidly in the early stage,and the laccase activity reached maximum( 1 476. 64 U/g) in the 4th day,which was 11. 37 times larger than that of sweet Ganoderma lucidum. Ganoderma gibbosum had the significant advantage after a comprehensive analysis. The polysaccharide content of Ganoderma lucidum of Shinshu was lower; the growth rate of Ganoderma lucidum strain S3 was stable, and the content of polysaccharide was medium. Conclusion: There are some differences in the growth rate of Ganoderma spp., and there is a certain correlation between the laccase activity and growth. Ganoderma gibbosum is the highest-producing laccase strain among the screening strains.

17.
Artigo em Inglês | MEDLINE | ID: mdl-26186395

RESUMO

Many macrofungus sclerotia are well-known medicinal herbs, health food and nutritional supplements. However, the prevalent adulterant commercial products are major hindrances to their incorporation into mainstream medical use in many countries. The mushroom sclerotia of Lignosus rhinocerotis, Poria cocos, Polyporus umbellatus, Pleurotus tuber-regium and Omphalia lapidescens are commonly used in traditional Chinese medicine. In this study, IR macro-fingerprint method was used in the identification of these sclerotia. The results showed that the spectrum of L. rhinocerotis (LR) was comparable with P. cocos with 94.4% correlation, except that the peak at 1543cm(-1) of LR appeared in lower intensity. The spectrum of P. umbellatus and P. tuber-regium was also correlated (91.5%), as both spectra could be clearly discriminated in that P. umbellatus spectrum has small base peaks located at the range of 1680-1500cm(-1). O. lapidescens was not comparable with all the other sclerotia as its spectrum was totally different. Its base peak was broad and derivated equally along the range. The first IR has revealed the dissimilarity among five mushrooms sclerotia. The second derivative and 2DIR further enhanced the identification in detail.


Assuntos
Agaricales/química , Espectroscopia de Infravermelho com Transformada de Fourier/métodos , Medicina Tradicional Chinesa , Pleurotus/química , Polyporus/química , Poria/química
18.
Zhongguo Zhong Yao Za Zhi ; 40(6): 1212-8, 2015 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-26226773

RESUMO

In the situation of global completion, collaborative innovation is becoming increasingly important because its advantage in risk avoiding and innovation efficiency. In order to explore the model of collaborative innovation and its evolution in traditional Chinese medicine of China, the cooperation in traditional Chinese medicine patents of China from 1985 to 2013 has been analyzed by using the method of scientometrics and social network analysis. It is proved that, though the number of grated cooperative patents has increased sharply during the last thirty years, the degree of cooperation innovation in traditional Chinese medicine of China is still not high. Moreover, in spite of the individual subject' s leading role in the past domestic collaborative innovation in traditional Chinese medicine of China, the institutions have been more and more powerful and achieved great improvement. At last, core institutions, represented by universities have played an important role in the collaborative innovation of domestic institutions, because they are key links between many institutions and promote the transferring and diffusion of knowledge.


Assuntos
Medicina Tradicional Chinesa/psicologia , Medicamentos sem Prescrição , Pesquisa Biomédica , China , Humanos , Medicina Tradicional Chinesa/tendências
19.
J Huazhong Univ Sci Technolog Med Sci ; 35(3): 432-438, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26072085

RESUMO

Tracheal intubation with Macintosh laryngoscope (MAC) might result in severe cardiovascular complications. The results of conducted studies investigating the effects of videolaryngoscopies on hemodynamic response of tracheal intubation are conflicting. We know little about the effects of videolaryngoscopies on cardiac output changes during tracheal intubation. We compared cardiac output (COP) and hemodynamic responses in normal blood pressure (n=60) and hypertensive patients (n=60) among 3 intubation devices: the MAC, the UE videolaryngoscopy ® (UE), and the UE video intubation stylet ® (VS). Cardiac index (CI), stroke volume index (SVI), heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were recorded using LidcoRapid (V2)® preinduction, preintubation, and every minute for the first 5 min after intubation. We assessed oropharyngeal and laryngeal structures injury as well. Intubation time was significantly shorter than MAC groups (P<0.001) only in UE group of normotensive and hypertensive patients. In normotensive patients, there were no significant differences in any of COP variables or hemodynamic variables among the three devices. In hypertensive patients, SBP and DBP in the MAC group were significantly higher (P<0.05 or <0.01) than the UE and VS groups at 1, 2 and 3 min after intubation, but there were no significant differences in CI, SVI and HR among the three devices. There was no significant difference in oropharyngeal and laryngeal structures injury among all groups. It was concluded that both the UE and VS attenuate only the hemodynamic response to intubation as compared with the MAC in hypertensive patients, but not in normotensive patients.


Assuntos
Pressão Sanguínea/fisiologia , Débito Cardíaco/fisiologia , Hipertensão/cirurgia , Intubação Intratraqueal/instrumentação , Laringoscopia/métodos , Adulto , Idoso , Feminino , Hemodinâmica , Humanos , Hipertensão/fisiopatologia , Intubação Intratraqueal/métodos , Laringoscopia/instrumentação , Laringe/anatomia & histologia , Laringe/lesões , Masculino , Pessoa de Meia-Idade , Orofaringe/anatomia & histologia , Orofaringe/lesões , Cirurgia Vídeoassistida/métodos , Adulto Jovem
20.
Zhongguo Gu Shang ; 28(4): 300-5, 2015 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-26072609

RESUMO

OBJECTIVE: To compare the short-term clinical outcome between unilateral fixation fusion (ULF) and minimally invasive spine transforaminal lumbar interbody fusion (MIS-TLIF) in treating lumbar disc herniation (LDH). METHODS: The clinical data of 39 patients with LDH were retrospectively analyzed from June 2008 to March 2013. There was 22 males and 17 females, aged from 45 to 75 years old with an average of 56.9 years. Therer were 3 cases in L3,4, 15 cases in L4,5, 21 cases in L5S1. Among them, 21 patients underwent unilateral fixation fusion (ULF group) and 18 underwent minimally invasive spine transforaminal lumbar interbody fusion (MIS-TLIF group). Operation time, blood loss, the times of radiographic exposure and hospital stay were noted and compared between two groups. Radiograph informations were regularily accessed and VAS, ODI scores were recorded at 3 days and 3, 6, 12 months after operation, respectively. According to modified Macnab criteria, the clinical effects were evaluated at final follow-up. RESULTS: All operations were successful without severe complications. The averaged operative time and the times of radiographic exposure in ULF group [(95 ± 25) min and (4.2 ± 0.4) times] were less than that of MIS-TLIF group [(120 ± 35) min and (10.1 ± 3.9) times] (P < 0.05). But, the mean blood loss and hospital stay in MIS-TLIF group [(75 ± 45) ml and (7.2 ± 2.2)d ]were less than that of ULF group [(165 ± 60) ml and (11.0 ± 3.7) d] (P < 0.01). All patients were followed up from 12 to 45 months with an average of 29.5 months. The VAS and ODI score had significantly improved during the follow-up and no significant differences were found between two groups at the same time point (P > 0.05). The postoperative radiographs showed internal fixation position was good. And all patients obtained bone fusion by CT scan at 1 year after operation. There was no significant differences in modified Macnab criteria between two groups at the latest follow-up (P > 0.05). CONCLUSION: Favorable short-term clinical effects can be achieved in suitable LDH patients with ULF or MIS-TLIF surgical procedures.


Assuntos
Deslocamento do Disco Intervertebral/cirurgia , Vértebras Lombares/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Fusão Vertebral/métodos , Idoso , Humanos , Pessoa de Meia-Idade
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