This paper reports that 65 cases with functional constipation were treated by putting one Wang Bu Liu Xing (semen vaccariae) seed on each acupoint, Intestinum crassum, Intestinum tenue,Sympathicum, Lung, Spleen, Subco...This paper reports that 65 cases with functional constipation were treated by putting one Wang Bu Liu Xing (semen vaccariae) seed on each acupoint, Intestinum crassum, Intestinum tenue,Sympathicum, Lung, Spleen, Subcortex, of auricula and pressing, associated with acupuncture at Zusanli point on both sides. The patients were instructed to press the stuck seed twice a day for 3 to 5 minutes each time. Auricular acupoints of both sides were used alternately every 2 days. The electric acupuncture was applied at Zusanli points about 30 minutes each time every other day. Ten times (i. e. 20 days) make one course of treatment and the routine treatment consists of 1 to 2 courses. The results showed that all the patients were cured, patients with Shi Mi (the constipation of excess type) were cured after one course of treatrnent while Xu Mi (the constipation of deficiency type) were cured after two courses. The study suggests that this kind of treatment is an ideal therapy for functional constipation. The pathogenesis and mechanism of treatment of auricular acupuncture pressing associated with acupuncture at Zusanli point for constipation are discussed.展开更多
We had treated 102 cases of obstinate peptic ulcer and chronic gastritis with ametal ring embedded in Zusanli acupoint since October 1989 to October 1992,and got satisfactorytherapeutic effects.The total effective rat...We had treated 102 cases of obstinate peptic ulcer and chronic gastritis with ametal ring embedded in Zusanli acupoint since October 1989 to October 1992,and got satisfactorytherapeutic effects.The total effective rate is 96.08%,the cure rate of peptic ulcer is 87.32%,therecurrence rate is significantly lower than that of control group(P【0.001),and it has no side-effect.展开更多
BACKGROUND： Ceramide galactosyltransferase （CGT） protein and mRNA expression defect can cause the abnormal morphology and slowing conduction velocity of peripheral nerve. Morphologic change and functional disorder ...BACKGROUND： Ceramide galactosyltransferase （CGT） protein and mRNA expression defect can cause the abnormal morphology and slowing conduction velocity of peripheral nerve. Morphologic change and functional disorder of myelin sheath and axon appear when diabetic peripheral neuropathy （DPN） occurs. Whether electroacupuncture at Zusanfi（ST 36） and Shenshu（BL 32） points can enhance the expression of CGT protein and mRNA in the DPN tissue？ OBJECTIVE： To observe the effect of electroacupuncture at Zusanfi and Shenshu points on motor, sensory conduction velocity and CGT mRNA and its protein expression of sciatic nerve in rats with DPN. DESIGN： A randomized and controlled animal experiment SETTING ： Department of Neurology and Central Laboratory, Yueyang Hospital of Traditional Chinese ＆ Western Medicine, Shanghai University of Traditional Chinese Medicine. MATERIALS ： Totally 60 healthy male Wistar rats of clean grade, aged 4 month, with body mass of 200 to 220 g, were enrolled in this study. Streptozotocin （STZ, Sigma Company of USA, Batch No. S-0130）. METHODS： This study was carried out in the Animal Experimental Center and Central Laboratory, Yueyang Hospital of Traditional Chinese ＆ Western Medicine during February 2005 to March 2006. （1） Fifteen rats were randomly chosen,serving as normal group.AU the other rats were intraperitoneally injected once with STZ to develop experimental diabetic rat models. If fasting blood glucose was ≥ 15 mmol/L,sensory nerve and motor nerve conduction velocity of sciatic nerve was obviously slowed, tail-swaying temperature threshold was increased and myelinated nerve fiber of sciatic nerve changed, DPN models were successful. The successful model rats were randomly assigned into 3 groups： model group, control group（electroacupuncture at non-meridian-non-acupoint）and electroacupuncture group [electroacupuncture at Zusan/i and Shenshu points], with 15 rats each. The rats in the normal group and model group were untouched. In the electroacupuncture group （electroacupuncture at Zusanfi and Shenshu points）, Shenshu point （double） and Zusanfi point （double） were chosen referencing to The Atlas of the Rat＇s Acupoints. G6805- Ⅱ electric acupuncture apparatus was used, and current intensity was controlled at 20 min/time, once every other day, 12 times within 24 days. In the control group, the tip of rat-tail was stimulated, and the concrete procedures were the same as in the electroacupuncture at Zusanfi and Shenshu points. （2） Motor nerve conduction velocity and sensory nerve conduction velocity of rats were detected with neuroelectrophysiology detector in the end of the treatment, and the expressions of CGT protein and mRNA of sciatic nerve were detected with immunohistochemical method and fluorescent quantitative PCR technique. MAIN OUTCOME MEASURES： （1） Motor and sensory nerve conduction velocity. （2） The expression of CGT protein and its mRNA. RESULTS： All the 60 rats entered the stage of result analysis. （1） Comparison of motor and sensory nerve conduction velocity of rats after electroacupuncture： Motor nerve conduction velocity of rats in the model group[（31.37±3.69） m/s], control group [（32.74±5.42） m/s] and electroacupuncture group [（41.30 ±1.15） m/s] was significantly lower than that in the normal group [（41.30±1.15） m/s, P 〈 0.01]; The sensory nerve conduction velocity of rats in the model group[（18.17±9.54） m/s], control group [（21.39±5.61） m/s]and electroacupuncture group [（35.81 ±4.59） m/s] was significantly lower than that in the normal group [（46.38± 6.32） m/s,P 〈 0.01]; The motor and sensory nerve conduction velocity of electroacupuncture group was significantly higher than that in the model group [（38.04±2.01） m/s vs. （32.74±5.42） m/s,（35.81±4.59） m/s vs. （21.39±5.61） m/s,P 〈 0.01]. （2） Comparison of the expression of CGT protein of sciatic nerve of rats： The number of CGT positive cells of sciatic nerve in model group, control group or electroacupuncture group was significantly smaller than that in normal group [（9 770.33±1 461.73）, （10 588.13±1119.52）, （27 518.27± 9 078.29）, （37 769.67±4 021.81）/μm^2,P 〈 0.01]; The number of CGT positive cells of the sciatic nerve in the electroacupuncture group was significantly larger than that in the model group and control group （P 〈 0.01）. The number of CGT positive cells of sciatic nerve was close between control group and electroacupuncture group （P 〉 0.05）. （3） Comparison of CGT mRNA expression of sciatic nerve of rats： Ct value of CGT mRNA of sciatic nerve of rats in the model group,control group and electroacupuncture group was significantly higher than that in the normal group （13.75±2.60,14.81±2.80,11.67±1.75,9.30±0.98, P 〈 0.01 ）; Ct value of CGT mRNA of sciatic nerve of rats in the electroacupuncture group was significantly lower than that in the model group and control group （P 〈 0.01）, and that was close between electroacupuncture group and control group （P 〉 0.05）. CONCLUSION ： Electroacupuncture at Zusanfi and Shenshu points can increase motor and sensory nerve conduction velocity of rats with DPN. It might be associated with up-regulating the expression of CGT mRNA and its protein.展开更多
目的:观察中药热奄包热敷足三里联合甲钴胺治疗老年糖尿病周围神经病变(DPN)气虚血瘀证的临床疗效。方法:选取72例老年DPN气虚血瘀证患者,采用随机数字表法分为A组、B组、C组各24例。A组采用中药热奄包热敷足三里联合甲钴胺治疗,B组单...目的:观察中药热奄包热敷足三里联合甲钴胺治疗老年糖尿病周围神经病变(DPN)气虚血瘀证的临床疗效。方法:选取72例老年DPN气虚血瘀证患者,采用随机数字表法分为A组、B组、C组各24例。A组采用中药热奄包热敷足三里联合甲钴胺治疗,B组单独采用甲钴胺治疗,C组单独采用中药热奄包热敷足三里治疗,3组均连续治疗14 d。比较3组临床疗效、肱踝指数(ABI)值、疼痛数字评分法(NRS)评分、多伦多临床神经病变评分量表(TCSS)评分、健康调查简表(SF-36)评分、中医证候积分、运动神经传导速度(MCV)、感觉神经传导速度(SCV)、氧化应激指标和血液流变学指标。结果:治疗14 d (T3)时,A组总有效率91.67%,均高于B组66.67%、C组62.50%(P<0.05)。治疗3 d (T1)时,A组ABI值及SF-36评分均较治疗前(T0)时升高(P<0.05),NRS、TCSS评分均较T0时降低(P<0.05);B组、C组ABI值及NRS、TCSS、SF-36评分与同组T0时比较,差异均无统计学意义(P>0.05)。治疗7 d (T2)时,3组ABI值及SF-36评分均较T1时升高(P<0.05),NRS、TCSS评分均较T1时降低(P<0.05)。T3时,3组ABI值及SF-36评分均较T2时升高(P<0.05),NRS、TCSS评分均较T2时降低(P<0.05)。A组治疗后各时间点ABI值及SF-36评分均高于同期B组、C组(P<0.05),NRS、TCSS评分均低于同期B期、C期(P<0.05)。T3时,3组中医证候积分、血清纤溶酶原激活物抑制物-1 (PAI-1)水平及血细胞比容、血浆黏度、全血低切黏度、全血高切黏度水平均较T0时降低(P<0.05),MCV、SCV均较T0时提升(P<0.05),血清超氧化物歧化酶(SOD)、脑源性神经营养因子(BDNF)水平均较T0时升高(P<0.05);A组中医证候积分、血清PAI-1水平及上述4项血液流变学指标水平均低于B组、C组(P<0.05),血清SOD、BDNF水平均高于B组、C组(P<0.05)。结论:中药热奄包热敷足三里联合甲钴胺治疗老年DPN气虚血瘀证疗效较好,可改善氧化应激和血液流变学指标水平,有效缓解患者的疼痛感和神经病变程度,提高其生活质量。展开更多
Infrapatellar fat pad strain is a common disease and is referred to the chronic cumu-lative lesion of the knee joint, manifested mainly as arthralgia. The author treated 100 cases ofthis disease by noedling Neixiyan(E...Infrapatellar fat pad strain is a common disease and is referred to the chronic cumu-lative lesion of the knee joint, manifested mainly as arthralgia. The author treated 100 cases ofthis disease by noedling Neixiyan(EX-LE 4), Waixiyan and Zusanli (ST 36) and other 38 caseswith combined therapies of acupuncture(of the same three points) and infrared radiation, achiev- ing cure rates of 68% and 71. 1 %, and total effective rates of 93.0% and 92.1% respectively.Comparison between the two groups in cure rate shows no statistical difference (P】0. 05).展开更多
目的观察电针缓解癌痛患者阿片耐受的临床疗效。方法将60例癌痛患者随机分为电针组和对照组,每组30例。两组均使用阿片类药物进行镇痛治疗,电针组取双侧内关和足三里穴进行电针治疗,对照组取双侧内关和足三里穴旁开15 mm处非穴位点进行...目的观察电针缓解癌痛患者阿片耐受的临床疗效。方法将60例癌痛患者随机分为电针组和对照组,每组30例。两组均使用阿片类药物进行镇痛治疗,电针组取双侧内关和足三里穴进行电针治疗,对照组取双侧内关和足三里穴旁开15 mm处非穴位点进行电针治疗。观察两组阿片耐受指数、爆发痛的次数和疼痛缓解持续时间,比较两组治疗前后数字等级评定量表(numeric rating scale,NRS)和欧洲癌症研究与治疗组织生命质量核心量表(European Organization for Research and Treatment of Cancer quality of life questionnaire-C30,EORTC QLQ-C30)评分变化,并比较两组不良反应发生率。结果电针组阿片耐受指数低于对照组(P<0.05),爆发痛次数低于对照组(P<0.05),疼痛缓解持续时间长于对照组(P<0.05)。电针组治疗后情绪、躯体、认知和社会功能及总体健康评分高于治疗前和对照组(P<0.05);电针组治疗后疲倦、恶心呕吐、疼痛、气促、失眠、食欲丧失和便秘评分低于治疗前和对照组(P<0.05)。电针组恶心呕吐和便秘的发生率低于对照组(P<0.05)。结论电针可减少癌痛患者镇痛治疗期间阿片耐受的发生,减轻疼痛,提高生活质量。展开更多
目的观察电针足三里穴配合纳布啡对混合痔吻合器痔上黏膜环切术(procedure for prolapse and hemorrhoids,PPH)术中腹痛的影响。方法将80例适用PPH的混合痔患者随机分为治疗组和对照组,每组40例。两组均在严格骶管麻醉下行标准PPH手术,...目的观察电针足三里穴配合纳布啡对混合痔吻合器痔上黏膜环切术(procedure for prolapse and hemorrhoids,PPH)术中腹痛的影响。方法将80例适用PPH的混合痔患者随机分为治疗组和对照组,每组40例。两组均在严格骶管麻醉下行标准PPH手术,对照组给予静脉滴注盐酸纳布啡注射液,治疗组在对照组基础上对足三里穴加用电针治疗。观察两组不同时间点各项生命体征[收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、心率(heart rate,HR)、血氧饱和度(oxygen saturation,SpO2)]及术中牵拉腹痛视觉模拟量表(visual analog scale,VAS)评分的变化情况,比较两组术中止痛疗效、手术时长、恢复时长及术中并发症发生率。结果两组击发吻合器即刻(T2)至抽离吻合器时刻(T5)时HR和SpO2均较同组麻醉后(T1)时显著降低(P<0.05)。治疗组T2~T5时HR、SpO2及牵拉腹痛VAS评分明显低于对照组,差异均具有统计学意义(P<0.05)。治疗组术中止痛总有效率和并发症发生率分别为92.5%和47.5%,对照组分别为70.0%和85.0%,两组比较差异具有统计学意义(P<0.05)。治疗组恢复时长明显短于对照组(P<0.05)。结论电针足三里穴配合纳布啡对预防和缓解混合痔PPH术中腹痛的疗效确切,可显著降低患者术中牵拉反应的发生率,维持术中生命体征的平稳,缩短术后恢复时间,提高患者满意度。展开更多
文摘This paper reports that 65 cases with functional constipation were treated by putting one Wang Bu Liu Xing (semen vaccariae) seed on each acupoint, Intestinum crassum, Intestinum tenue,Sympathicum, Lung, Spleen, Subcortex, of auricula and pressing, associated with acupuncture at Zusanli point on both sides. The patients were instructed to press the stuck seed twice a day for 3 to 5 minutes each time. Auricular acupoints of both sides were used alternately every 2 days. The electric acupuncture was applied at Zusanli points about 30 minutes each time every other day. Ten times (i. e. 20 days) make one course of treatment and the routine treatment consists of 1 to 2 courses. The results showed that all the patients were cured, patients with Shi Mi (the constipation of excess type) were cured after one course of treatrnent while Xu Mi (the constipation of deficiency type) were cured after two courses. The study suggests that this kind of treatment is an ideal therapy for functional constipation. The pathogenesis and mechanism of treatment of auricular acupuncture pressing associated with acupuncture at Zusanli point for constipation are discussed.
文摘We had treated 102 cases of obstinate peptic ulcer and chronic gastritis with ametal ring embedded in Zusanli acupoint since October 1989 to October 1992,and got satisfactorytherapeutic effects.The total effective rate is 96.08%,the cure rate of peptic ulcer is 87.32%,therecurrence rate is significantly lower than that of control group(P【0.001),and it has no side-effect.
基金the National Nat-ural Science Foundation of Chi-na, No. 30472238 the Grantfrom Bureau of Public Health ofShanghai City, No. 05JC14053Shanghai Key Subjects Con-struction Program, No. T0302
文摘BACKGROUND： Ceramide galactosyltransferase （CGT） protein and mRNA expression defect can cause the abnormal morphology and slowing conduction velocity of peripheral nerve. Morphologic change and functional disorder of myelin sheath and axon appear when diabetic peripheral neuropathy （DPN） occurs. Whether electroacupuncture at Zusanfi（ST 36） and Shenshu（BL 32） points can enhance the expression of CGT protein and mRNA in the DPN tissue？ OBJECTIVE： To observe the effect of electroacupuncture at Zusanfi and Shenshu points on motor, sensory conduction velocity and CGT mRNA and its protein expression of sciatic nerve in rats with DPN. DESIGN： A randomized and controlled animal experiment SETTING ： Department of Neurology and Central Laboratory, Yueyang Hospital of Traditional Chinese ＆ Western Medicine, Shanghai University of Traditional Chinese Medicine. MATERIALS ： Totally 60 healthy male Wistar rats of clean grade, aged 4 month, with body mass of 200 to 220 g, were enrolled in this study. Streptozotocin （STZ, Sigma Company of USA, Batch No. S-0130）. METHODS： This study was carried out in the Animal Experimental Center and Central Laboratory, Yueyang Hospital of Traditional Chinese ＆ Western Medicine during February 2005 to March 2006. （1） Fifteen rats were randomly chosen,serving as normal group.AU the other rats were intraperitoneally injected once with STZ to develop experimental diabetic rat models. If fasting blood glucose was ≥ 15 mmol/L,sensory nerve and motor nerve conduction velocity of sciatic nerve was obviously slowed, tail-swaying temperature threshold was increased and myelinated nerve fiber of sciatic nerve changed, DPN models were successful. The successful model rats were randomly assigned into 3 groups： model group, control group（electroacupuncture at non-meridian-non-acupoint）and electroacupuncture group [electroacupuncture at Zusan/i and Shenshu points], with 15 rats each. The rats in the normal group and model group were untouched. In the electroacupuncture group （electroacupuncture at Zusanfi and Shenshu points）, Shenshu point （double） and Zusanfi point （double） were chosen referencing to The Atlas of the Rat＇s Acupoints. G6805- Ⅱ electric acupuncture apparatus was used, and current intensity was controlled at 20 min/time, once every other day, 12 times within 24 days. In the control group, the tip of rat-tail was stimulated, and the concrete procedures were the same as in the electroacupuncture at Zusanfi and Shenshu points. （2） Motor nerve conduction velocity and sensory nerve conduction velocity of rats were detected with neuroelectrophysiology detector in the end of the treatment, and the expressions of CGT protein and mRNA of sciatic nerve were detected with immunohistochemical method and fluorescent quantitative PCR technique. MAIN OUTCOME MEASURES： （1） Motor and sensory nerve conduction velocity. （2） The expression of CGT protein and its mRNA. RESULTS： All the 60 rats entered the stage of result analysis. （1） Comparison of motor and sensory nerve conduction velocity of rats after electroacupuncture： Motor nerve conduction velocity of rats in the model group[（31.37±3.69） m/s], control group [（32.74±5.42） m/s] and electroacupuncture group [（41.30 ±1.15） m/s] was significantly lower than that in the normal group [（41.30±1.15） m/s, P 〈 0.01]; The sensory nerve conduction velocity of rats in the model group[（18.17±9.54） m/s], control group [（21.39±5.61） m/s]and electroacupuncture group [（35.81 ±4.59） m/s] was significantly lower than that in the normal group [（46.38± 6.32） m/s,P 〈 0.01]; The motor and sensory nerve conduction velocity of electroacupuncture group was significantly higher than that in the model group [（38.04±2.01） m/s vs. （32.74±5.42） m/s,（35.81±4.59） m/s vs. （21.39±5.61） m/s,P 〈 0.01]. （2） Comparison of the expression of CGT protein of sciatic nerve of rats： The number of CGT positive cells of sciatic nerve in model group, control group or electroacupuncture group was significantly smaller than that in normal group [（9 770.33±1 461.73）, （10 588.13±1119.52）, （27 518.27± 9 078.29）, （37 769.67±4 021.81）/μm^2,P 〈 0.01]; The number of CGT positive cells of the sciatic nerve in the electroacupuncture group was significantly larger than that in the model group and control group （P 〈 0.01）. The number of CGT positive cells of sciatic nerve was close between control group and electroacupuncture group （P 〉 0.05）. （3） Comparison of CGT mRNA expression of sciatic nerve of rats： Ct value of CGT mRNA of sciatic nerve of rats in the model group,control group and electroacupuncture group was significantly higher than that in the normal group （13.75±2.60,14.81±2.80,11.67±1.75,9.30±0.98, P 〈 0.01 ）; Ct value of CGT mRNA of sciatic nerve of rats in the electroacupuncture group was significantly lower than that in the model group and control group （P 〈 0.01）, and that was close between electroacupuncture group and control group （P 〉 0.05）. CONCLUSION ： Electroacupuncture at Zusanfi and Shenshu points can increase motor and sensory nerve conduction velocity of rats with DPN. It might be associated with up-regulating the expression of CGT mRNA and its protein.
文摘目的:观察中药热奄包热敷足三里联合甲钴胺治疗老年糖尿病周围神经病变(DPN)气虚血瘀证的临床疗效。方法:选取72例老年DPN气虚血瘀证患者,采用随机数字表法分为A组、B组、C组各24例。A组采用中药热奄包热敷足三里联合甲钴胺治疗,B组单独采用甲钴胺治疗,C组单独采用中药热奄包热敷足三里治疗,3组均连续治疗14 d。比较3组临床疗效、肱踝指数(ABI)值、疼痛数字评分法(NRS)评分、多伦多临床神经病变评分量表(TCSS)评分、健康调查简表(SF-36)评分、中医证候积分、运动神经传导速度(MCV)、感觉神经传导速度(SCV)、氧化应激指标和血液流变学指标。结果:治疗14 d (T3)时,A组总有效率91.67%,均高于B组66.67%、C组62.50%(P<0.05)。治疗3 d (T1)时,A组ABI值及SF-36评分均较治疗前(T0)时升高(P<0.05),NRS、TCSS评分均较T0时降低(P<0.05);B组、C组ABI值及NRS、TCSS、SF-36评分与同组T0时比较,差异均无统计学意义(P>0.05)。治疗7 d (T2)时,3组ABI值及SF-36评分均较T1时升高(P<0.05),NRS、TCSS评分均较T1时降低(P<0.05)。T3时,3组ABI值及SF-36评分均较T2时升高(P<0.05),NRS、TCSS评分均较T2时降低(P<0.05)。A组治疗后各时间点ABI值及SF-36评分均高于同期B组、C组(P<0.05),NRS、TCSS评分均低于同期B期、C期(P<0.05)。T3时,3组中医证候积分、血清纤溶酶原激活物抑制物-1 (PAI-1)水平及血细胞比容、血浆黏度、全血低切黏度、全血高切黏度水平均较T0时降低(P<0.05),MCV、SCV均较T0时提升(P<0.05),血清超氧化物歧化酶(SOD)、脑源性神经营养因子(BDNF)水平均较T0时升高(P<0.05);A组中医证候积分、血清PAI-1水平及上述4项血液流变学指标水平均低于B组、C组(P<0.05),血清SOD、BDNF水平均高于B组、C组(P<0.05)。结论:中药热奄包热敷足三里联合甲钴胺治疗老年DPN气虚血瘀证疗效较好,可改善氧化应激和血液流变学指标水平,有效缓解患者的疼痛感和神经病变程度,提高其生活质量。
文摘Infrapatellar fat pad strain is a common disease and is referred to the chronic cumu-lative lesion of the knee joint, manifested mainly as arthralgia. The author treated 100 cases ofthis disease by noedling Neixiyan(EX-LE 4), Waixiyan and Zusanli (ST 36) and other 38 caseswith combined therapies of acupuncture(of the same three points) and infrared radiation, achiev- ing cure rates of 68% and 71. 1 %, and total effective rates of 93.0% and 92.1% respectively.Comparison between the two groups in cure rate shows no statistical difference (P】0. 05).
文摘目的观察电针缓解癌痛患者阿片耐受的临床疗效。方法将60例癌痛患者随机分为电针组和对照组,每组30例。两组均使用阿片类药物进行镇痛治疗,电针组取双侧内关和足三里穴进行电针治疗,对照组取双侧内关和足三里穴旁开15 mm处非穴位点进行电针治疗。观察两组阿片耐受指数、爆发痛的次数和疼痛缓解持续时间,比较两组治疗前后数字等级评定量表(numeric rating scale,NRS)和欧洲癌症研究与治疗组织生命质量核心量表(European Organization for Research and Treatment of Cancer quality of life questionnaire-C30,EORTC QLQ-C30)评分变化,并比较两组不良反应发生率。结果电针组阿片耐受指数低于对照组(P<0.05),爆发痛次数低于对照组(P<0.05),疼痛缓解持续时间长于对照组(P<0.05)。电针组治疗后情绪、躯体、认知和社会功能及总体健康评分高于治疗前和对照组(P<0.05);电针组治疗后疲倦、恶心呕吐、疼痛、气促、失眠、食欲丧失和便秘评分低于治疗前和对照组(P<0.05)。电针组恶心呕吐和便秘的发生率低于对照组(P<0.05)。结论电针可减少癌痛患者镇痛治疗期间阿片耐受的发生,减轻疼痛,提高生活质量。
文摘目的观察电针足三里穴配合纳布啡对混合痔吻合器痔上黏膜环切术(procedure for prolapse and hemorrhoids,PPH)术中腹痛的影响。方法将80例适用PPH的混合痔患者随机分为治疗组和对照组,每组40例。两组均在严格骶管麻醉下行标准PPH手术,对照组给予静脉滴注盐酸纳布啡注射液,治疗组在对照组基础上对足三里穴加用电针治疗。观察两组不同时间点各项生命体征[收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、心率(heart rate,HR)、血氧饱和度(oxygen saturation,SpO2)]及术中牵拉腹痛视觉模拟量表(visual analog scale,VAS)评分的变化情况,比较两组术中止痛疗效、手术时长、恢复时长及术中并发症发生率。结果两组击发吻合器即刻(T2)至抽离吻合器时刻(T5)时HR和SpO2均较同组麻醉后(T1)时显著降低(P<0.05)。治疗组T2~T5时HR、SpO2及牵拉腹痛VAS评分明显低于对照组,差异均具有统计学意义(P<0.05)。治疗组术中止痛总有效率和并发症发生率分别为92.5%和47.5%,对照组分别为70.0%和85.0%,两组比较差异具有统计学意义(P<0.05)。治疗组恢复时长明显短于对照组(P<0.05)。结论电针足三里穴配合纳布啡对预防和缓解混合痔PPH术中腹痛的疗效确切,可显著降低患者术中牵拉反应的发生率,维持术中生命体征的平稳,缩短术后恢复时间,提高患者满意度。
