OBSERVATION OF CLINICAL THERAPEUTIC EFFECTS ON HEMIPLEGIA INDUCED BY NEUROSURGICAL OPERATION TREATED WITH ACUPUNCTURE

Objective To probe into the optimum therapy for hemiplegia induced by neurosurgical operation. Methods 50 cases were randomized into treatment group （25 cases） and control group （25 cases）. In control group, the routine western drugs in internal medicine were applied; in treatment group, on the basis of the treatment in control group, acupuncture was supplemented 3 days after the operation. Acupoints were Neiguan （内关 PC 6）, Shuigou （水沟 GV26）, QSchi （ 曲池LI 11）, Hégü （合谷 LI 4）, Sanyinjiao （三阴交 SP 6）, Jiquan （极泉 HT 1）, Weizhong （委中BL 40）, etc. The scalp acupuncture was applied in combination. Such treatment was given for 30 days （once per day）. The functional evaluation was conducted based on neurological functional defect scale （NDS） before and after treatment. Results Acupuncture improved re markably NDS, the total effective rate was 76.0% in treatment group and was 42.4% in control group, indicating significant difference by statistical management （P〈0.05）. Conclusion The therapeutic effect in treatment group is superior to that in control group. The coordinative action is achieved in the combination of acupuncture with western medicine for hemiplegia after neurosurgical operation and the therapeutic effect is much improved.

Acupuncture for Treating Postoperative Enteroparalysis

Postoperative enteroparalysis refers to dysfunction of the intestinal tract after abdominal surgery, which is manifested by abdominal distension, failure of aerofluxus from the anus etc.

Observation on acupuncture at Nèimádin (内麻点 Extra) for abdominal postoperative analgesia

Objective To observe the analgesia effectiveness and safety of electroacupuncture at Neimadian （内麻点 Extra） after abdominal surgery. Methods One hundred and twenty patients with routine abdominal surgery were randomly divided into an acupuncture group and a medication group, 60 cases in each group. The acupuncture group was treated with electroacupuncture at Neimadian （内麻点 Extra）, which was located on the medial side of lower leg, 7 cun above the medial malleolus and about 0.5 cun from post edge of tibia. The medication group was treated with patient-controlled intravenous analgesia （PCIA） with Sufentanil. After the treatment, the Visual Analogue Scale （VAS）, the security, the analgesic effect and plasma β-endorphin content in the two groups were compared.Results The postoperative VAS scores at 2, 4, 8, 16, 24 and 48 h in the acupuncture group were lower than those in the medication group （all P〈0.05）. The analgesic effects at 2, 4, 16 and 24 h after surgery in the acupuncture group were superior to those in the medication group （P〈0.05, P〈0.01）. The plasma β-endorphin contents at 0, 8, 16 and 48 h after surgery in both groups were increased, and the acupuncture group was superior to the medication group （all P〈0.05）. The security class after surgery in the acupuncture group was higher than that in the medication group （P〈0.05）. Two cases in acupuncture group stopped treatment due to overstress and fear of needling, 24 cases in medication group presented adverse reactions, among them, 3 cases stopped the treatment due to nausea, vomiting. Conclusion The analgesic effect and safety of electroacupuncture at Neimadian （内麻点 Extra） after abdominal surgery are superior to those of the PCIA with Sufentanil.

Observation on therapeutic effects of postoperative enteroparalysis treated with acupuncture

Objective To verify the clinical efficacy of postoperative enteroparalysis treated with acupuncture. Methods One hundred and seven cases of postoperative enteroparalysis were divided into three groups. In group A, 35 cases were immediately treated with acupuncture when routine fasting, gastrointestinal decompression and support treatment were applied at same time; Neiguam （内关 PC 6）, Zusatnli （足三里 ST 36） and Shatngjuxu （上巨虚 ST 37） were selected. In group B, 36 cases were treated by western medicine routine therapy, such as enema, Domperidone or Mosapride with oral administration. In group C, 36 cases were treated with acupuncture as well after 5 days ineffective treatment of western medicine routine therapy; the acupoint selection was as same as that in group A. The curative effect was evaluated after 3 weeks treatment. Results The effective rate of 97.1% （34/35） in group A was superior to that of 58.3% （21/36） in group B and 80.6% （29/36） in group C （both P〈0.05）. The treatment days of cured patients in group A were obviously shorter than that of group B and C （both P〈0.05）. Conclusion Postoperative enteroparalysis can be effectively treated by acupuncture, and the effect will be better with early intervention of acupuncture.

Effect of electroacupuncture at different time points on the recovery of gastrointestinal function after surgery for gastrointestinal malignant neoplasms

Objective To observe the effect of electroacupuncture(EA)at different time points during the perioperative period on the recovery of gastrointestinal function after gastrointestinal malignant neoplasms surgery.Methods Sixty-three patients who needed radical surgery for gastrointestinal tumors were randomized into a control group,treatment group 1(postoperative EA group),and treatment group 2(intraoperative and postoperative EA group).The control group received surgery and conventional Western medicine treatment,and treatment groups 1 and 2 received additional EA treatment at different time points.The initial flatus time after the surgery,visual analog scale(VAS)score at different time points after the surgery,the proportion of using patient-controlled analgesia(PCA)after the surgery,and the times of adding analgesics were observed in the three groups.Results The initial flatus time after the surgery was earlier in treatment groups 1 and 2 than in the control group(P<0.05);the difference between treatment groups 1 and 2 was statistically insignificant(P>0.05).The VAS score was lower in treatment group 2 than in the control group at 6,12,24,and 72 h after the surgery(P<0.05);the VAS score was lower in treatment group 1 than in the control group only at 72 h after the surgery(P<0.05).There were no significant differences in the rate of using PCA among the three groups(P>0.05).Regarding the times of adding analgesics,it was less in treatment group 2 than in the control group at 12 h after the surgery(P<0.05).Conclusion Either EA during and after the surgery or only after the surgery can hasten the initial flatus and boost the recovery of gastrointestinal function in patients after radical resection of gastrointestinal neoplasms.Successive EA during and after the surgery should be superior to postoperative EA regarding the analgesic effect after the surgery.

Effects of electroacupuncture plus drug anesthesia on pain and stress response in patients after radical surgery for stomach cancer

Objective:To observe the effect of electroacupuncture plus drug anesthesia on pain and stress response in patients after radical surgery for stomach cancer.Methods:A total of 60 patients were randomized into a control group and an observation group by the random number table,with 30 cases in each group.The control group was given conventional drug anesthesia.The observation group was given additional electroacupuncture intervention.Before anesthesia and 2 h,12 h and 24 h after surgery,the visual analog scale(VAS)was scored,the heart rate,the mean arterial pressure,and the levels of serumβ-endorphin(β-EP)and adrenocorticotrophic hormone(ACTH)were measured.Results:Two hours,12 h and 24 h after surgery,the VAS scores of both groups were higher than those before anesthesia(all P<0.05),and the VAS scores in the observation group were lower than those in the control group at the same time points(all P<0.05).Two hours,12 h and 24 h after surgery,the heart rates and mean arterial pressures in the control group were significantly higher than those before anesthesia(all P<0.05),while there were no significant intra-group differences in the observation group(all P>0.05),and the indicators were lower than those in the control group at the same time points(all P<0.05).Two hours,12 h and 24 h after surgery,the serumβ-EP levels in the observation group were significantly higher than those before anesthesia(all P<0.05),and significantly higher than those in the control group at the same time points(all P<0.05).Two hours,12 h and 24 h after surgery,the serum ACTH levels in the control group were significantly higher than those before anesthesia(all P<0.05),and were significantly higher than those in the observation group at the same time points(all P<0.05).Conclusion:Electroacupuncture plus drug anesthesia can significantly relieve pain and stress response in patients after radical surgery for stomach cancer.

Clinical Observation on Acupuncture Treating Functional Gastrointestinal Disorder after Gallstone Surgery

Objective： To observe the therapeutic effects of puncturing the lower He-Sea points in treatment of functional gastrointestinal disorder after gallstone removal surgery. Methods： Forty post-surgery patients were randomly allocated to two groups by stratified sampling, 20 in each group. The treatment group was given conventional post-surgery treatment as well as acupuncture at the lower He-Sea points of stomach, large intestine, small intestine and gallbladder; the control group only received conventional treatment. Result： Compared to the control group, it took a shorter time for the treatment group to restore the gastrointestinal function and the difference was statistically significant （P〈0.05）. Conclusion： Acupuncture at lower He-Sea points can shorten the healing process of gastro-intestinal function after gallstone removal surgery.