ObjectiveTo evaluate the effect of fast track surgery (FTS) on clinical parameters and postoperative complications in patients with abdominal aortic aneurysm (AAA). MethodFifty Patients with AAA treated in our hospital between December 2009 and May 2015 were enrolled in this study. Ten patients between December 2009 and December 2012 received conventional standard care (conventional group), while 50 between January 2013 and May 2015 received FTS (FTS group). The first exhaust time, the first time of off-bed activities, the duration of hospital stays, and the complications after AAA surgery were analyzed. ResultsThe first exhaust time of patients in the FTS group and conventional group was (2.5±0.9) and (4.0±1.1) days; the first time of off-bed activities was (2.9±1.0) and (4.1±0.9) days; and the duration of hospital stays was (13.5±2.1) and (17.9±2.8) days. All those differences were significant (P<0.05). The incidences of incision infection, renal inadequacy, lower limb swelling, and weakened gastric function in the FTS group were significantly lower than those in the conventional group (P<0.05). On the third day after surgery, C-reactive protein in the FTS and conventional group was respectively (57.5±9.0) and (65.0±13.1) mg/L, and interleukin-6 was respectively (10.2±3.9) and (15.5±5.1) pg/L, both of which were significantly different between the two groups (P<0.05). ConclusionsFast track surgery is effective and safe in patients with abdominal aortic aneurysm, and it may lower trauma stress after surgery and incidence of postoperative complications.
ObjectiveTo systematically evaluate the efficacy and safety of photodynamic therapy (PDT) for acne vulgaris. MethodsPubMed, EMbase, The Cochrane Library, CNKI, WanFang Data and VIP databases were electronically searched from inception to August 9th, 2013, to collect randomized controlled trials (RCTs) about PDT for acne vulgaris. References of included studies were also retrieved. Two reviewers independently screened literature according to the inclusion and exclusion criteria, extracted data and assessed the risk of bias of included studies. Then, meta-analysis was performed using RevMan 5.2 software. ResultsA total of 8 RCTs involving 271 patients were included. Because the interventions of included RCTs were different, meta-analysis or descriptive analysis was conducted for studies with the same intervention. The results of meta-analysis showed that ALA-red light-PDT was better than red light alone in clinical remission rate (RR=1.78, 95%CI 1.30 to 2.43, P<0.05). The results of descriptive analysis showed that:the effect of ALA-IPL-PDT was better than IPL alone, the effect of MAL-red light-PDT was better than red light alone, and the effect of MAL-red light-PDT was similar to MAL-IPL-PDT. ConclusionCurrent evidence shows PDT is effective for acne vulgaris. Adverse reactions including burning pricking pain, erythema, hydroderma, hyperpigmentation and acneiform eruption etc. are tolerated by most patients. Due to limited quantity and quality of the included studies, more high-quality studies are needed to verify the above conclusion.