Objective To observe the clinical efficacy of acupoint injection for chemotherapy-induced peripheral neuropathy (ClPN). Methods Ninety ClPN patients with breast cancer conforming to inclusive criteria were randomly ...Objective To observe the clinical efficacy of acupoint injection for chemotherapy-induced peripheral neuropathy (ClPN). Methods Ninety ClPN patients with breast cancer conforming to inclusive criteria were randomly divided into an acupuncture group (group A), a mecobalamin group (group B) and an acupoint injection group (group C) according to random number table, with 30 cases in each group. In group A, acupuncture was conducted at bilateral Q0chi (I~ LI 11), H6g6 (~ LI 4), Z0s^nlT (~__~ ST 36), S^nyinji^o (^-- ~ SP 6) and Xu^h~i (J~ SP 10); in group B, intramuscular injection with I mL of mecobalamin injection was conducted; and in group C, acupoint selection was the same as group A, and 0.1 mL of mecobalamin injection was injected into each acupoint, respectively. The treatment was conducted once every three days in each group, and the changes of clinical efficacy, nerve electrophysiology and hemorrheology indicators after treatment for 10 times were observed. Result The total effective rate of group C was 93.1% (27/29), which was higher than 78.6% (22/28) in group A and 83.3% (25/30) in group B, and the differences among three groups were statistically significant (all P〈0.01); conduction velocity of lesion nerves was improved in group B and group C, the improvement in group C was obviously superior to the other two groups (all P〈0.01), hemorrheology indicator was improved in group A and group C (both P〈0.05). Conclusion The efficacy of acupoint injection with mecobalamin for breast cancer CIPN was significant, which can not only improve the nerve conduction velocity, but also improve the hemorrheology indicator.展开更多
Objective: To investigate the mechanism of moxibustion in regulating cellular apoptosis in rat's precancerous lesion of primary hepatocellular carcinoma (HCC). Methods: Seventy-four rats were randomly allocated t...Objective: To investigate the mechanism of moxibustion in regulating cellular apoptosis in rat's precancerous lesion of primary hepatocellular carcinoma (HCC). Methods: Seventy-four rats were randomly allocated to normal group, model group and moxibustion group, and the diethylic nitrosamine (DEN) was used to establish HCC model. Moxibustion with moxa cone which is as big as a grain of wheat was performed on acupoint Zusanli (ST 36), 3 cones for each acupoint and 0.5 mg for each cone, the treatment was given once a day, totally 16 weeks. Then the changes in the body weight, liver weight and thymus weight, a morphological change in the liver tissue and changes in γ-GT and GST were observed; Immunohistochemical staining method was adopted to observe the tendency of changes in relevant apoptosis genes such as C-myc, N-ras and mutant type P53, and the influence of moxibustion on cell cycle modulation genes such as cyclinD1, CDK4 and pl6. Results: Moxibustion could reduce the activities of γ-GT and GST in the blood, obviously decrease the protein expression of relevant apoptosis genes such as C-myc, N-ras and mutant type P53 and markedly inhibit the over-expression of relevant cell cycle modulation genes such as cyclinD1 and CDK4 and the mutation of cell cycle modulation gene pl 6. Conclusion: Moxibustion might play a certain role in relieving HCC precancerous lesion and its action mechanism might be related to the regulation on partial apoptosis genes.展开更多
基金Supported by Chongqing Municipal Health and Family Planning Commission(medical scientific research project):2015 MSXM 082
文摘Objective To observe the clinical efficacy of acupoint injection for chemotherapy-induced peripheral neuropathy (ClPN). Methods Ninety ClPN patients with breast cancer conforming to inclusive criteria were randomly divided into an acupuncture group (group A), a mecobalamin group (group B) and an acupoint injection group (group C) according to random number table, with 30 cases in each group. In group A, acupuncture was conducted at bilateral Q0chi (I~ LI 11), H6g6 (~ LI 4), Z0s^nlT (~__~ ST 36), S^nyinji^o (^-- ~ SP 6) and Xu^h~i (J~ SP 10); in group B, intramuscular injection with I mL of mecobalamin injection was conducted; and in group C, acupoint selection was the same as group A, and 0.1 mL of mecobalamin injection was injected into each acupoint, respectively. The treatment was conducted once every three days in each group, and the changes of clinical efficacy, nerve electrophysiology and hemorrheology indicators after treatment for 10 times were observed. Result The total effective rate of group C was 93.1% (27/29), which was higher than 78.6% (22/28) in group A and 83.3% (25/30) in group B, and the differences among three groups were statistically significant (all P〈0.01); conduction velocity of lesion nerves was improved in group B and group C, the improvement in group C was obviously superior to the other two groups (all P〈0.01), hemorrheology indicator was improved in group A and group C (both P〈0.05). Conclusion The efficacy of acupoint injection with mecobalamin for breast cancer CIPN was significant, which can not only improve the nerve conduction velocity, but also improve the hemorrheology indicator.
文摘Objective: To investigate the mechanism of moxibustion in regulating cellular apoptosis in rat's precancerous lesion of primary hepatocellular carcinoma (HCC). Methods: Seventy-four rats were randomly allocated to normal group, model group and moxibustion group, and the diethylic nitrosamine (DEN) was used to establish HCC model. Moxibustion with moxa cone which is as big as a grain of wheat was performed on acupoint Zusanli (ST 36), 3 cones for each acupoint and 0.5 mg for each cone, the treatment was given once a day, totally 16 weeks. Then the changes in the body weight, liver weight and thymus weight, a morphological change in the liver tissue and changes in γ-GT and GST were observed; Immunohistochemical staining method was adopted to observe the tendency of changes in relevant apoptosis genes such as C-myc, N-ras and mutant type P53, and the influence of moxibustion on cell cycle modulation genes such as cyclinD1, CDK4 and pl6. Results: Moxibustion could reduce the activities of γ-GT and GST in the blood, obviously decrease the protein expression of relevant apoptosis genes such as C-myc, N-ras and mutant type P53 and markedly inhibit the over-expression of relevant cell cycle modulation genes such as cyclinD1 and CDK4 and the mutation of cell cycle modulation gene pl 6. Conclusion: Moxibustion might play a certain role in relieving HCC precancerous lesion and its action mechanism might be related to the regulation on partial apoptosis genes.