“Jianpi Tongwei Prescription”Acupoint Application Combined with Moxibustion for Gastric Retention in Elderly Patients with Nasal Feeding

Objective:To explore the effect of“Jianpi Tongwei Prescription”acupoint application combined with moxibustion in the treatment of gastric retention in elderly patients with nasal feeding.Method:60 cases elderly patients with nasogastric gastric retention in our hospital were selected as the research object from March 1,2019 to on October 31,2019,and were randomly divided into treatment group and control group.Patients in the control group received the nasal feeding of domperidone,10 mg/time,3 times/d,for 21 days or until gastric retention<100 mL.On the basis of the control group,patients in the treatment group was treated with traditional Chinese medicine(TCM)characteristic nursing“Jianpi Tongwei Prescription”acupoint application combined with moxibustion on Zusanli.Results:The effective rate of Jianpi Tongwei Prescription combined with moxibustion in the treatment of gastric retention in elderly patients with nasal feeding was higher than that of conventional treatment(51.2%vs.23.3%,P<0.05),and the rate of gastrointestinal reaction in the treatment group was significantly lower than that in the control group(P<0.05),moderate and severe gastrointestinal reactions were significantly lower than the control group(P<0.05).Conclusion:“Jianpi Tongwei Prescription”acupoint application combined with moxibustion is effective in the treatment of early clinical symptoms of gastric retention in elderly patients with nasal feeding,no adverse reactions,worthy of clinical promotion and application.

Twenty Cases of Diabetic Gastric Retention Treated by Dachengqi Decoction

Objective: To study the effect of Dachengqi Decoction in Treating diabetic gastric retention.Methods: Twenty Patients of diabetic gastric retention were treated with Dachengqi Decoction with their electrogastrogram, urinary glucose and clinical symptoms observed. Results: After treatment, the parameters of electrogastrogram and urinary glucose lowered significantly, and the symptoms relieved. The effect of the treated group was significantly better than that of the control group who were treated with metoclopramide. Conclusion: Dachengqi Decoction is an effective recipe in treating diabetic gastric retention.

Formulation development and evaluation of gastroretentive floating beads with Brucea javanica oil using ionotropic gelation technology

In the present study, a gastric retention floating system for Brucea javanica oil, composed of alginate and carrageenan, was prepared using ionotropic gelation. Parameters for floatability, drug load, encapsulation efficiency, bead morphology, in vitro release, and in vivo gastric retention were evaluated. The optimized formulation via Box–Behnken design consisted of 1.7% alginate(W/V), 1.02% carrageenan(W/V), 1.4% CaCO_3(W/V), and a gelling bath of pH 0.8. The alginate–carrageenan–Brucea javanica oil beads had a porous structure and exhibited up to 24 h of in vitro floatability with a load capacity of 45%–55% and an encapsulation efficiency of 70%–80%. A 6-h sustained release was observed in vitro. The beads had a prolonged gastric retention(> 60% at 6 h) in fasted rats, compared to non-floating beads(15% at 6 h), as measured by gamma scintigraphy with single-photon emission tomography/computed tomography(SPET/CT). In conclusion, the alginate–carrageenan–Brucea javanica oil system showed enhanced oil encapsulation efficiency, excellent floating and gastric retention abilities, and a favorable release behavior.