耳穴贴压促进腹部术后胃肠功能恢复疗效及选穴特点分析

[目的]为耳穴贴压更好地应用于腹部术后早期胃肠功能恢复提供参考依据。[方法]通过系统检索中国知网、万方、维普、中国生物医学文献数据库,纳入单纯使用耳穴贴压促进腹部术后胃肠功能恢复的临床随机对照试验。采用Meta分析评价其疗效,并对选穴特点进行分析总结。[结果]Meta分析显示：耳穴贴压可明显缩短腹部术后首次排气时间。[结论]耳穴贴压可有效促进腹部术后胃肠功能恢复,缩短首次排气时间。     

腕踝针配合耳穴贴压对老年胃肠癌患者术后疼痛和肠胃功能的影响

目的 观察腕踝针配合耳穴贴压对老年胃肠癌患者术后恢复的影响。方法 选取2021年6月—2023年6月于江苏省中医院拟进行手术的老年胃肠癌患者70例,按照数字表法随机分为观察组(n=35)及对照组(n=35)。术后,对照组给予耳穴贴压治疗,观察组行腕踝针联合耳穴贴压治疗,2组均连续治疗7 d。观察并比较2组患者治疗效果、疼痛程度[术前(T0)、术后24 h(T1)、术后48 h(T2)及术后72 h(T3)采用疼痛视觉模拟量表(VAS)进行评分]、疼痛介质[血清β-内啡肽(β-ep)、 P物质(SP)和5-羟色胺(5-HT)]水平变化、胃癌及肠癌患者肠胃功能恢复时间及不良反应发生情况。结果 治疗后,观察组治疗总有效率高于对照组(94.29%vs 80.00%,P<0.05);与T0相比,2组T1～T3的VAS评分均明显降低(P<0.05),且在T2和T3时,观察组VAS评分低于对照组(P<0.05)。治疗前,2组血清SP、 β-ep及5-HT水平差异均无统计学意义(P>0.05);与同组治疗前比较,治疗后2组血清SP水平均降低(P<0.05),且治疗后观察组...     

耳穴贴压治疗原发性痛经100例疗效观察

近年来,我们采用耳穴贴压疗法治疗原发性痛经患者100例,取得满意疗效。现报告如下。     

综合护理干预对腹腔镜胃癌根治术后胃肠功能恢复的影响

目的探讨综合护理干预对腹腔镜胃癌根治术后胃肠功能恢复的影响。方法将80例腹腔镜胃癌根治术患者按住院号单双分为对照组和干预组各40例,对照组术后按照腹腔镜胃癌根治术护理常规进行护理,干预组在对照组护理基础上给予早期下床活动、咀嚼口香糖、耳穴贴压、温水足浴及穴位按摩等综合护理干预,观察比较两组患者术后肠鸣音恢复时间、首次肛门排气时间、排便时间。结果干预组术后肠鸣音恢复时间、首次肛门排气时间、首次肛门排便时间均早于对照组,两组比较差异有统计学意义(P0.01)。结论早期下床活动、咀嚼口香糖、耳穴贴压、温水足浴及穴位按摩等系列综合护理干预措施联合作用下能改善腹腔镜胃癌根治术后患者胃肠功能,促进术后胃肠功能的恢复,可以用于防治腹腔镜胃癌根治术后患者胃肠功能紊乱,有利于临床推广应用。     

耳穴贴压结合推拿治疗失眠症的疗效观察

目的比较耳穴贴压结合推拿与常规针刺法治疗失眠症的临床疗效。方法将76例失眠症的患者随机分为耳穴贴压结合推拿组与普通针刺组各38例,2个疗程后依据临床症状进行疗效评定。结果耳穴贴压结合推拿组有效率为94．74％,普通针刺组有效率为92．11％,两组患者临床疗效间差异有统计学意义（u=0．0389,P〈0．05）。结论耳穴贴压结合推拿治疗失眠症效果优于普通针刺组。     

耳穴贴压对糖尿病失眠患者的效果观察

目的:对糖尿病失眠患者采用耳穴贴压进行治疗的效果进行观察.方法:选择我院于2019年2月～2020年2月入院治疗的120例糖尿病失眠患者,随机分为对照组60例与治疗组60例,对照组仅予常规护理,治疗组应用常规护理加耳穴贴压治疗,对比分析两组患者的治疗效果.结果:在失眠改善有效率上,治疗组为90.00％,显著多于对照组8...     

排石汤配合耳穴贴压疗法治疗胆石症84例

我们采用中药排石汤(自拟)加耳穴贴压治疗胆石症84例,较单纯用排石汤治疗具有明显的治疗优势,现报道如下.     

耳穴贴压治疗高血压病及其护理

患年龄35～70岁，男性20例，女性10例．原发性高血压19例，继发性高血压11例．血压均>140／90mmHg，有不同程度的头痛、头胀、眩晕等症状。     

肢体功能训练并耳穴贴压对失眠中老年人睡眠质量的影响

目的观察肢体功能训练联合耳穴贴压对失眠老人的治疗效果。方法纳入的112例老年失眠患者完成了该联合疗法的实践治疗,于治疗前及90 d治疗后,分别采用SPIEGEL睡眠量表进行检测,并于治疗后进行临床疗效评定,观察治疗效果。结果 90 d治疗后,患者SPIEGEL睡眠量表评分由治疗前的(19.17±4.26)分改善为(10.60±3.17)分(P<0.05);经临床疗效评定,总有效率为90.18%。结论肢体功能训练联合耳穴贴压利于调节老年患者身体功能,也利于患者心情愉悦、心理得到暗示,总体疗效明显。     

功能训练联合耳穴贴压对女性更年期焦虑症的影响

<正>对明显或严重症状的更年期焦虑症女性患者应及时进行干预治疗。目前,传统疗法多以心理疏导及口服药物进行治疗,而药物治疗存在副作用大、起效慢、成瘾性等缺点,且部分患者会因口服药物产生更大心理压力,从而影响疗效~([1~3])。本研究观察功能训练联合耳穴贴压对更年期女性焦虑的影响。1资料与方法1.1研究资料从河南理工大学附属医院选取年龄40~55周岁,更年期焦虑症的女性患者45例。(1)经临床诊断,患者属于     

Effectiveness of acupuncture for the recovery of gastrointestinal function of patients with gastric cancer in the postoperative period: A protocol for systematic review and meta-analysis

Background:Gastric cancer (GC) is the most common malignant tumors in the world and surgical resection remains the primary treatment for it. Postoperative patients often suffer from gastrointestinal dysfunction as the most common side effects of surgery for GC patients. Acupuncture has a regulatory effect on gastrointestinal function. We conducted this study to assess the effectiveness of acupuncture on the restoration of gastrointestinal function of postoperative patients with GC.Methods:Seven electronic databases will be searched from inception to November 2020 to identify any relevant study: Medline, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), China National Knowledge Infrastructure (CNKI), Wanfang Database, Chinese Biomedical Literature Database (CBM), and Chinese Scientific Journal Database (VIP database). No restriction on time and language. The primary outcome measure will be the Time to First Flatus and secondary outcome measures include the time of first defecation and the quality of life (QOL) and the number of patients with abdominal distention. We will use EndNote V.9.1 to screen the eligible literature and the I² statistic to assess heterogeneity in the included studies. The meta-analysis will be conducted using the Review Manager (RevMan) software (V.5.3).Results:Our study aims to systematically assess whether the pooled effects of currently available trials prove effects of acupuncture in improving gastrointestinal function of patients with GC in the postoperative period.Conclusion:This study will conduct an evaluation about the efficacy of acupuncture for the recovery of gastrointestinal function of patients with GC in the postoperative period, making up for the lack of relevant clinical evidence.INPLASY registration number:INPLASY2020110066.     

金龙蛇颗粒对胃癌术后患者生存质量的影响

[目的]运用胃肠疾病中医证候评分表作为检测工具,观察金龙蛇颗粒对胃癌术后患者生存质量的影响.[方法]纳入胃癌术后患者103例,运用随机双盲安慰剂对照的方法,分为金龙蛇颗粒组(56例)、安慰剂组(47例).2组同时接受6个疗程华蟾素注射液加黄芪注射液的基础治疗(华蟾素注射液,20 ml,静滴,1次/d;黄芪注射液,20ml,静滴,1次/d),金龙蛇组在此基础上加服金龙蛇颗粒(39 g,餐后口服,3次/d),安慰剂组加服用安慰剂(39 g,餐后口服,3次/d);每疗程30 d.2组均在每疗程治疗第1、10天分别应用胃肠疾病中医证候评分表进行测评.[结果]金龙蛇颗粒组与安慰剂组在干预前胃肠疾病中医证候评分表得分数据都近似为正态分布,应用独立样本t检验方法检测显示2组差异无统计学意义(P＞0.05).随着治疗时间的推移,2组胃肠疾病中医证候评分均呈下降趋势,但金龙蛇颗粒组下降幅度大于安慰剂组(P＜0.01).[结论]金龙蛇颗粒可有效改善胃癌术后患者的生存质量.     

添加丙氨酰谷氨酰胺全胃肠外营养对消化道肿瘤术后化疗老年患者的作用

目的研究添加丙氨酰谷氨酰胺（Ala—Gin）的全胃肠外营养（TPN）对消化道肿瘤术后化疗老年患者的作用。方法30例消化道肿瘤老年患者，按序随机分为2组：传统组和二肽组，每组15例，术后给予TPN同时化疗5d。术前术后对人体测量、血浆蛋白、肝肾功能、血脂全套、血淋巴细胞数目等指标进行检测；术后监测每日氮平衡和累积氮平衡。结果二肽组上臂中部肌周长（AMC）、转铁蛋白（TRF）、血淋巴细胞数术后第6天能维持术前水平（P〉0．05），传统组则明显低于术前（P〈0．05）；2组间人体测量、血浆蛋白、肝肾功能、血脂全套、淋巴细胞数差异无显著性（P〉0．05）。术后第6天传统组累积氮平衡为（-32．17±10．16）g，二肽组为（-13．56±5．61）g，2组间差异显著（P〈0．01）。结论老年消化道肿瘤患者术后化疗同时应用添加Ala—Gin的肠外营养是安全有效的，能减轻肿瘤患者术后的分解代谢，有效地改善机体氮平衡，维持血循环中淋巴细胞数目，增强对手术及化疗的耐受性。     

Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients

AIM To evaluate if the administration of anenteral diet supplemented with glutamine,arginine and ω-3-fatty acids modulatesinflammatory and immune responses aftersurgery.METHODS A prospective randomized double-blind,clinical trial was performed.Forty-eightpatients with gastrointestinal cancer wererandomized into two groups,one group wasgiven an isocaloric and isonitrogenous standarddiet and the other was fed with the supplementeddiet with glutamine,arginine and ω-3-fattyacids.Feedings were started within 48 hoursafter operation,and continued until day 8.Allvariables were measured before operation andon postoperative day 1 and 8.Immune responseswere determined by phagocytosis ability,respiratory burst of polymorphonuclear cells,total lymphocytes lymphocyte subsets,nitricoxide,cytokines concentration,andinflammatory responses by plasma levels of C-reactive protein,prostaglandin E_2 level.RESULTS Tolerance of both formula diets wasexcellent.There were significant differences inthe immunological and inflammatory responsesbetween the two groups.In supplementedgroup,phagocytosis and respiratory burst aftersurgery was higher and C-reactive protein levelwas lower(P<0.01)than in the standard group.The supplemented group had higher levels ofnitric oxide,total lymphocytes,T lymphocytes,T-helper cells,and NK cells.Postoperativelevels of IL-6 and TNF-α were lower in thesupplemented group(P<0.05). CONCLUSION It was clearly established in thistrial that early postoperative enteral feeding issafe in patients who have undergone majoroperations for gastrointestinal cancer.Supplementation of enteral nutrition withglutamine,arginine,and ω-3 fatty acidspositively modulated postsurgicalimmunosuppressive and inflammatoryresponses.     

口腔菌群与消化道肿瘤相关性的研究进展

口腔是全身寄居微生物密度最高,种类最多的部位之一。口腔幽门螺杆菌与胃部肿瘤关系的研究引发了对口腔微生物与肿瘤之间关系的研究热潮。本文从消化道肿瘤影响口腔菌群的组成,以及口腔菌群影响消化道肿瘤的发生与发展两个方面对口腔菌群与消化道肿瘤之间的关系进行综述,为口腔菌群与消化道肿瘤关系的进一步研究提供参考,并对相关研究在临床工作中的应用前景进行阐述,为消化道肿瘤的早期检测,早期预防及临床治疗提供新思路。     

Endoscopic, clinicopathological features and prognosis of very young patients with gastric cancer

Background and Aim: The number of clinical reports of very young (< 35 years) patients with gastric cancer are limited. We aimed to investigate the endoscopic and clinicopathological features and long‐term prognosis of this unique group of patients. Methods: A prospective endoscopy database review of all consecutive very young patients with gastric cancer was performed. The gender, age, clinical features, endoscopic and pathologic findings, and long‐term survival of these very young patients were analyzed and compared with those of elderly patients. Results: A total of 210 patients were included with a median age of 31 year, 60.0% was female, and 34.3% presented with alarm features, 19.0% reported family history of gastric cancer. 58.1% of these cancers were located in gastric body, 33.8% were located in the antrum. 63.8% of these cancers were found to be diffuse type; 18.1% of patients underwent curative surgical treatment, and the 5‐year survival rate was 42.1%. Conclusions: The study describes that very young patients with gastric cancer were mainly females, who were less likely to present with alarm features, but had a high frequency of family history of gastric cancer; and the majority of these cancers were located in gastric body, and they had similar long‐term prognosis compared with elderly counterparts if curative surgical resection was performed.     

肌少症对老年胃癌病人术前评估与术后并发症的影响

目的探讨肌少症对老年胃癌病人术前评估与术后并发症的影响。方法回顾性分析2008~2018年南京医科大学附属南京医院收治的102例老年胃癌病人资料,根据有无肌少症分为肌少症组49例和非肌少症组53例。比较2组术前营养状况、术前住院时间、术后并发症发生率、ICU入住率与入住时间、术后住院时间、病死率等指标。结果2组病人术前Hb水平,术后腹腔感染、消化道瘘、2次及以上手术人数比例和病死率的差异均无统计学意义(P>0.05)。肌少症组术前白蛋白、前白蛋白水平低于非肌少症组,术前住院时间、术后ICU入住率、ICU入住时间、通气时间、术后住院时间、肺部感染及胸腔积液的发生率均高于非肌少症组,差异有统计学意义(P<0.05)。结论肌少症可作为老年胃癌病人术前评估的客观指标,术前合并肌少症会增加老年胃癌病人的术后并发症发生率和ICU入住率。     

Miniprobe sonography in the evaluation of 169 patients with gastrointestinal disease

OBJECTIVE : It is still difficult to precisely differentiate elevated lesions of the gastrointestinal mucosa or estimate the depth of malignant lesions by using conventional endoscopy and biopsy. The aim of the present study was to assess the clinical value of miniprobe sonography (MPS). METHODS : A total of 169 patients (including 83 patients who underwent endoscopic treatment or surgery) with gastrointestinal disease were examined by using MPS in conjunction with endoscopic examination. The diagnosis according to MPS was compared with macroscopic findings, endoscopic biopsy and surgical results. RESULTS : In the case of elevated lesions of the gastrointestinal mucosa with negative biopsies, compared with surgical findings, the diagnostic accuracy of MPS was 98.3% (115/117). In the case of malignant lesions, MPS findings with regard to the lesion depth were 100% in agreement with those from surgical biopsy (31/31). CONCLUSION : The MPS technique is significantly superior to conventional endoscopy with pathological biopsy in the differentiation of elevated lesions of the gastrointestinal mucosa and thus has important clinical value. But in the case of malignant lesions, only the depth of infiltration into the gastrointestinal wall can be correctly assessed by MPS, so its value is limited in the identification of lymph nodes and distal metastases.