Abstract:
BACKGROUND:Reduction of post-operative pain, nausea, and vomiting in patients undergoing total hip arthroplasty (THA) may facilitate earlier discharge from hospital and reduce healthcare costs. The recommended dose regimen of dexamethasone in THA has not been determined. The purpose of this study was performed to compare the efficiency of multiple versus single doses of dexamethasone for early postoperative pain treatment after THA. METHODS:This study was a randomized controlled trial which conducted in our hospital. Informed consent for participation in this trial was obtained from each patient before surgery. Two hundred patients undergoing THA received 1 dose of intravenous dexamethasone and 1 dose of normal saline (Group A), or 2 doses of intravenous dexamethasone (Group B). The primary outcome was visual analog scale pain scores in the immediate postoperative period. Secondary outcomes included postoperative opioid use, length of hospital stay, activity level during physical therapy, and hip range of motion. RESULTS:This clinical trial might provide some insights to estimate the safety of dexamethasone. TRIAL REGISTRATION:This study protocol was registered in Research Registry (researchregistry5460).
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Zhang B,Sun S,Sheng Bdoi
10.1097/MD.0000000000020147subject
Has Abstractpub_date
2020-05-01 00:00:00pages
e20147issue
19eissn
0025-7974issn
1536-5964pii
00005792-202005080-00077journal_volume
99pub_type
杂志文章,随机对照试验相关文献
MEDICINE文献大全abstract::This study is to investigate the expression of methyl CpG binding protein 2 (MECP2) in gastric cancer (GC) and its clinical significance.Expression of MECP2 was analyzed in 69 cases of GC tissues and 12 paracancerous tissues, either by qRT-PCR at the mRNA level or by Western blot and immunochemistry at the protein lev...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007691
更新日期:2017-08-01 00:00:00
abstract:RATIONALE:Hyperthyroidism is one of the major clinical causes of hypercalcaemia, however, hyperthyroidism-related hypercalcemic crisis is rare, only 1 case have been reported. The potential mechanisms are still not too clear. It may be related that thyroid hormone stimulate bone turnover, elevate serum calcium, increas...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000006017
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Rotavirus infection is the main cause of severe dehydration enteritis in children under 5 years old. It gives rise to malnutrition and even death in children even though there were rotavirus vaccines. However, there is no effective anti-virus drugs for rotavirus, supporting treatments are used in the clinics...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000023376
更新日期:2020-12-04 00:00:00
abstract::This study is to investigate the subgingival bacterial diversity and community structure in the Uygur subjects with peri-implantitis.Totally 40 cases of gingival crevicular fluid were collected from Uygur subjects and divided into the Control group (healthy implants) and Case group (peri-implantitis), respectively. DN...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009774
更新日期:2018-02-01 00:00:00
abstract::Isoflurane is a volatile halogenated anesthetic used especially for anesthesia maintenance whereas propofol is a venous anesthetic utilized for anesthesia induction and maintenance, and reportedly an antioxidant. However, there are still controversies related to isoflurane-induced oxidative stress and it remains unans...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000001266
更新日期:2015-08-01 00:00:00
abstract:RATIONALE:Compressive radial neuropathy by a synovial cyst in the radial tunnel during pregnancy is a rare occurrence. The management of radial nerve compression caused by a synovial cyst in a pregnant patient is a surgical dilemma owing to the fetal and maternal risks of treatment. PATIENT CONCERNS AND DIAGNOSIS:A 37...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013455
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:Sedoanalgesia secondary iatrogenic withdrawal syndrome (IWS) in paediatric intensive units is frequent and its assessment is complex. Therapies are heterogeneous, and there is currently no gold standard method for diagnosis. In addition, the assessment scales validated in children are scarce. This paper aims...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018502
更新日期:2020-01-01 00:00:00
abstract:RATIONALE:We reviewed 76 published cases of Doege-Potter syndrome, and non-islet cell tumor hypoglycemia (NICTH) secondary to a solitary fibrous tumor (SFT) between 1989 and 2016, to study disease pathogenesis, diagnosis, and treatment of this rare paraneoplastic disease. Further, we report 1 new case of a patient pres...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000007417
更新日期:2017-07-01 00:00:00
abstract:RATIONALE:Double primary clear cell carcinomas of the liver (PCCCL) and kidney are extremely rare; moreover, there have been no reported cases of adrenal metastasis from primary clear cell tumors of the liver. PATIENT CONCERNS:A 47-year-old male patient was admitted to our clinic with space-occupying lesions in the le...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023263
更新日期:2020-11-20 00:00:00
abstract::Routine postoperative surveillance is recommended for the patients with colorectal cancer (CRC). This study aimed to clarify the conditions indicate initial suspicion of CRC recurrence in different preoperative serum carcinoembryonic antigen (CEA) level groups, including positive physical signs/symptoms, elevated CEA ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022803
更新日期:2020-10-23 00:00:00
abstract:RATIONALE:Pulmonary sclerosing pneumocytoma (PSP) is a rare benign tumor of the lung, mostly presented in Asian middle-aged women. Initially, it was considered as a vascular origin tumor, but then research evidence showed that it was derived from natural epithelial tissue. On imaging, this tumor may be found as a solit...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000020869
更新日期:2020-06-26 00:00:00
abstract::Enchondroma, reportedly the most common primary tumor of the long bones of the hand, usually develops during the first till fourth decades of life. However, there has no consensus been reached regarding the surgical intervention timing for these patients. We aim to evaluate the optimal surgical intervention timing for...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006678
更新日期:2017-04-01 00:00:00
abstract:RATIONALE:Arterial injuries during total knee arthroplasty (TKA) though rare may occur. Hemophilia may further challenge the management of such injury. PATIENT CONCERNS:A 48-year-old male patient with severe hemophilia type A and stiff knee arthropathy underwent bilateral TKAs. Left popliteal artery injury was detecte...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000008791
更新日期:2017-11-01 00:00:00
abstract:RATIONALE:Lupus erythematosus tumidus (LET) is an uncommon type of cutaneous lupus erythematosus (CLE) that is rarely associated with other forms of lupus erythematosus. PATIENT CONCERNS:We report a 62-year-old Chinese man presented with recurrent erythematous facial plaques for 1 year and a low-grade fever for 1 week...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010375
更新日期:2018-04-01 00:00:00
abstract::Alveolar echinococcosis is a chronically progressive and potentially fatal disease. Patients with multiple giant alveolar echinococcosis have a poor prognosis when radical resection cannot be achieved, but curative resection can be limited by low future remnant liver volumes. In these cases, 2-stage liver resection ma...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007819
更新日期:2017-08-01 00:00:00
abstract::The apnea test is an essential examination for the determination of brain death; however, hypotension, hypoxemia, and other complications during the apnea test can affect the stability of brain-dead patients, as well as organ function for recipients. Therefore, it is necessary to establish standard guidelines for apne...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015602
更新日期:2019-05-01 00:00:00
abstract::The aim of this study was to elucidate the possible association between migration inhibitory factor (MIF)-173G/C gene polymorphisms and transcript and plasma levels of MIF in spinal tuberculosis (TB) patients. Clinical data were collected from 254 spinal TB patients and 262 healthy controls participating in the study....
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021331
更新日期:2020-07-24 00:00:00
abstract:RATIONALE:Insignifificant, asymmetrical or lack of labial tubercle often occurs after cleft lip surgery due to improper treatment of vermilion tissue. Especially in the cases of bilateral cleft lip, because of short front lip and insuffificient vermilion tissue, the median vermilion depression often occurs after surger...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016161
更新日期:2019-07-01 00:00:00
abstract::Acute cellular rejection after liver transplantation (LT) can be treated with steroid pulse therapy, but there is no ideal treatment for steroid-resistant acute rejection (SRAR). We aimed to determine the feasibility and potential complications of rabbit anti-thymocyte globulin (rATG) application to treat SRAR in live...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003711
更新日期:2016-06-01 00:00:00
abstract::This study was to investigate the clinical outcomes between radiation dose and pretreatment metabolic tumor volume (MTV) in patients with head and neck cancer treated with definitive chemoradiotherapy.Thirty-four patients received pretreatment F-fluorodeoxyglucose (F-FDG) positron emission tomography-computed tomograp...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007186
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Hemocoagulase is isolated and purified from snake venoms. Hemocoagulase agents have been widely used in the prevention and treatment of surgical bleeding. A systematic review was performed to evaluate the effects of hemocoagulase on postoperative bleeding and transfusion in patients who underwent cardiac sur...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000018534
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Assessing the effectiveness and safety of Chinese medicine for the mastitis in COVID-19 patients is the main purpose of this systematic review protocol. METHODS:The following electronic databases will be searched from inception to April 2020: MEDLINE, Ovid, EMBASE, the Cochrane Library, the Allied and Compl...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021656
更新日期:2020-08-28 00:00:00
abstract:RATIONALE:The duplex ureter is a common anomaly of urinary tract, but preoperative sonography, plain abdominal radiography, or nonenhanced computed tomography (CT) often overlooked it when involved with urinary tract obstruction. In this report, We present a rare case of left Y-shaped bifid ureter and both ureter of up...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011474
更新日期:2018-07-01 00:00:00
abstract::Complications after cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) result in impaired short- and long-term outcomes. However, financial consequences of complications after CRS and HIPEC in a European health care setting are unknown. This study aims to assess the consequences of compl...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010042
更新日期:2018-03-01 00:00:00
abstract:RATIONALE:Adolescent wrist trauma can cause epiphyseal dysplasia and even distal radius deformity malunion. At present, there is no uniform treatment standard for the malunion of the distal radius of adolescents. Osteotomy and autologous bone grafting are currently one of the effective ways to treat the disease. We tre...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022535
更新日期:2020-10-02 00:00:00
abstract::The annual number of cases of culture-proven extrapulmonary tuberculosis (TB) at our hospital increased from 47 cases in 1983 to 113 cases in 1988. At least 43% (199) of 464 consecutive patients with extrapulmonary TB during this 6-year period were infected with the human immunodeficiency virus (HIV); since HIV serolo...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/00005792-199111000-00004
更新日期:1991-11-01 00:00:00
abstract::The vascular endothelial growth factor (VEGF) level in human circulation may reflect the severity of endothelial dysfunction in patients with diabetes mellitus, which leads to diabetic microvascular complications.We determined plasma VEGF levels as well as metabolic control and inflammatory factors in 26 healthy subje...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010415
更新日期:2018-04-01 00:00:00
abstract::Aim of this study was to determine if surface electromyography (sEMG) could provide objective data in monitoring the alteration of signal amplitude of myoelectric activity of the paraspinal muscles in the patients with acute nonspecific lower back pain (ANLBP), and to explore the correlation between sEMG data and symp...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016904
更新日期:2019-08-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000002189.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/01.md.0000494757.87873.e2
更新日期:2016-09-09 00:00:00
abstract:BACKGROUND:To synthesize and evaluate the impact of implementing post-2010 World Health Organization (WHO) prevention of mother-to-child transmission (PMTCT) guidelines on attainment of PMTCT targets. METHODS:Retrospective and prospective cohort study designs that utilized routinely collected data with a focus on prov...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000008055
更新日期:2017-10-01 00:00:00