This study was focused on the magnetic resonance-ultrashort time of echo (MR-UTE) imaging technology based on the convolution residual network (CRN) algorithm to evaluate the degeneration of intervertebral disc endplate (DIDCE) and the efficacy of rehabilitation nursing intervention. In this study, 90 patients with intervertebral disc degeneration in the hospital were randomly divided into an intervention group (45 cases) and a control group (45 cases). All patients were scanned by a magnetic resonance imaging system, and the original UTE images were postprocessed. The control group received routine nursing. The intervention group used massage and rehabilitation nursing intervention measures. The CRN algorithm is used to reconstruct the undersampled MR image and compared with ESPIRiT algorithm and the Regridding algorithm. The result found that CRN has more advantages than ESPIRiT and Regridding reconstruction algorithms. The proportion of partial disappearance and complete disappearance of fibrous ring structure in the low back pain group was higher than that in the non-low back pain group, with a statistical difference ( P < 0.05 ). 90 patients with intervertebral disc cartilage endplate degeneration were divided into lumbago group (62 cases) and nonlumbago group (28 cases) according to whether they had lumbago. The nursing satisfaction of patients in the intervention group (97%) is significantly higher than that of patients in the control group (69%) ( P < 0.05 ). In conclusion, the CRN algorithm successfully removes artifacts and noise in the undersampled image. Cartilage endplate, annulus fibrosus, and bony endplate partially disappeared by the MR-UTE imaging technique. Rehabilitation intervention proved to have a positive effect on the treatment of patients with intervertebral disc degeneration and can improve patients’ satisfaction.
Introduction The analgesic efficacy of magnesium sulphate added to bupivacaine for arthroscopy remains controversial. We conduct a systematic review and meta-analysis to explore the efficacy of magnesium sulphate in combination with bupivacaine for arthroscopy. Methods We searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through July 2020 for randomized controlled trials (RCTs) assessing the effect of magnesium sulphate plus bupivacaine versus bupivacaine for arthroscopy. This meta-analysis is performed using the random-effect model. Results Six RCTs were included in the meta-analysis. Overall, compared with bupivacaine for arthroscopy, combination analgesia using magnesium plus bupivacaine was associated with significantly prolonged duration of analgesia (SMD=0.93; 95% CI=0.27 to 1.60; P=0.006) and first time to analgesic requirement (SMD=196.57; 95% CI=13.90 to 379.24; P=0.03), reduced pain scores (SMD=-1.71; 95% CI=-2.96 to -0.46; P=0.007) and analgesic consumption (SMD=-1.04; 95% CI=-1.49 to -0.60; P<0.00001), but showed no remarkable influence on nausea or vomiting (OR=1.54; 95% CI=0.60 to 3.97; P=0.37). Conclusions Magnesium sulphate added to bupivacaine may significantly improve the analgesic efficacy for arthroscopy.
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