Objective To assess the frequency and the proportion of correct use of statistical analytic methods in five Chinese otorhinolaryngological journals from 2000 to 2002. Methods The statistical methods used in all original articles (n=1 331) published in these journals in three years were evaluated. Results Only 52.0 % of the articles were used statistical analytic methods. And the frequency was higher in basic research (63.5%) than that in clinical research (48.7%) (P＜0.01). The proportions of correct use of statistical analytic methods in the five journals varied from 48.7% to 72.7%, with an average rate of 56.5%. The most frequently used statistical methods were t tests (37.9%), contingency tables (chi-square test) (28.2%) and ANOVAs (14.3%). The most common errors were on the presentation of P values without specifying the test used, using t tests instead of ANOVAs in the comparison among three and more groups, and using unpaired t tests when paired tests were required. Conclusions The rate of application statistical analytic methods is rather high, but incorrect or inappropriate use remain a serious problem.
ObjectiveTo explore the necessity of repairing the deep layer of deltoid ligament in the treatment of mixed medial injury associated with ankle fractures.MethodsBetween January 2016 and December 2018, 12 patients with mixed medial injury associated with ankle fractures were treated with the fixation of the lateral malleolus by bone plates, the fixation of the anterior colliculus of medial malleolus by cannulated screws, and the repair of the deltoid ligament by suture anchors. There were 8 males and 4 females, with an average age of 42 years (range, 18-56 years). According to the Lauge-Hansen classification criteria, there were 11 cases of supination-external rotation type and 1 case of pronation-external rotation type. According to the Weber classification criteria, all cases were type B. The time from injury to operation was 3-6 days, with an average of 4.7 days. In each patient, X-ray films of anteroposterior and lateral views and mortise view of ankle were taken postoperatively. The motion range of ankle joints was observed. The function of the ankle and the outcome of the treatment were evaluated according to the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system, Olerud-Molander scoring system, and the visual analogue scale (VAS) score.ResultsAll cases were followed up 12-42 months (mean, 28 months). The 12 patients returned to their pre-injury jobs. Five patients with sports injury completely recovered to their pre-injury motor function. No patient experienced persistent medial ankle pain or ankle instability. At last follow-up, the ankle range of motion in dorsiflexion was 9°-25° (mean, 17.96°), which was 0°-11° (mean, 4.02°) less than that in normal side; the range of motion in plantar flexion was 38°-50° (mean, 43.90°), which was 0°-7° (mean, 2.53°) less than that in normal side. The AOFAS score was 88-100 (mean, 96.7); the Olerud-Molander score was 90-100 (mean, 96.5); the VAS score was 0-3 (mean, 1.1).ConclusionIt is necessary to repair the deep layer of deltoid ligament in the mixed medial injuries associated with ankle fracture, which include anterior colliculus fracture and deep deltoid ligament injury. A better outcome can be achieved by employing the suture anchor repair method.
目的 进一步探讨更年期咽异感症的发病机制，为正确的诊治该疾病提供新的思考。 方法 试验组纳入2011年1月－2012年2月女性更年期咽异感症患者24例，年龄41～51岁；对照组纳入咽痛为主要表现的急慢性咽炎患者24例，年龄18～44岁。运用低浓度丁卡因溶液及氯霉素溶液喷雾咽腔，观察更年期咽异感症患者与急慢性咽炎患者用药后的治疗反应。 结果 更年期咽异感症患者使用丁卡因后，咽部异物感症状普遍加重，而急慢性咽炎患者咽痛症状则有减轻，组间构成比差异具有统计学意义（χ2=25.552，P＜0.05）；氯霉素溶液喷雾后，两组患者差异无统计学意义（χ2=0.520，P＞0.05）。 结论 局部炎症并非更年期咽异感症的真实原因，更年期感觉神经功能的快速退行性变所引起的感觉不适应，即咽部感觉神经功能的下降，可能是咽异感症的最本质原因，针对神经功能退行性变的处理，才是更年期咽异感症的最佳治疗方案。
ObjectiveTo compare the superiority of total arterial revascularization in patients with coronary artery disease (CAD) complicated with left ventricular dysfunction. MethodsThis retrospective study included the patients who were diagnosed with CAD and the left ventricular ejection fraction (LVEF) of ≤40% and underwent coronary artery bypass grafting (CABG) at our hospital from January 2016 to July 2019. The patients were divided into two groups according to the different types of bypass vessels: a total arterial revascularization group (TAR group) and a conventional group (a CON group). The clinical data were compared between the two groups to explore the incidence of important complications and evaluate the safety of total arterial revascularization and its protective effect on cardiac function. Results Finally 75 patients were enrolled including 52 males and 23 females with a mean age of 61.58±7.93 years. There were 35 patients in the TAR group and 40 patients in the CON group. The operation time and the drainage volume at 24 hours after operation in the TAR group were longer or more than those in the CON group (P<0.05), but there was no statistical difference in hospital stay, postoperative complications (such as respiratory failure, mediastinal infection, renal failure), intra-aortic balloon pump or extracorporeal membrane oxygenation use rate (P>0.05). After 2 years of follow-up, compared with the CON group, the cardiac function of the TAR group was significantly improved, the LVEF was higher, the left ventricular end diastolic diameter was reduced, and the graft stenosis rate was lower (all P<0.05). Conclusion Total arterial revascularization is a safe and feasible surgical method, which is helpful to improve the cardiac function and improve the quality of life.