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 pati...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.展开更多
Rats of both sexes were fed on a basal feed containing 1% refined konjac meal (RKM) for 18 months and the effects of RKM on the cell aging were observed. A comparable group fed on the basic feed was used as the contro...Rats of both sexes were fed on a basal feed containing 1% refined konjac meal (RKM) for 18 months and the effects of RKM on the cell aging were observed. A comparable group fed on the basic feed was used as the control. Results obtained demonstrate that the long-term feeding of RKM to rats can delay the course of cell aging of the gliocyte, cadiomyocyte, and the endothelial cell of the large and medium arteriases, hence it is likely to delay the occurrence of arteriosclerosis and improve the functions of the brain, heart and vascular system.展开更多
Effects of refined konjac meal (RKM) on the calcium and phosphorus metabolism and bone parameters were observed in rats of both sexes fed with food containing 1% of RKM for 18 months. A comparable group of rats fed on...Effects of refined konjac meal (RKM) on the calcium and phosphorus metabolism and bone parameters were observed in rats of both sexes fed with food containing 1% of RKM for 18 months. A comparable group of rats fed on basic diet only was used as a control.Results obtained indicate that all the measured parameters (serum calcium and phosphorus level, femur weight and its calcium and phesphorus content, and the osteometry of the tibia) showed no significant difference between the experimental and the control groups.Thus there is no adverse effect either on the calcium and phosphorus metabolism or on the bone after a long-term intake at a moderate dosage.展开更多
目的 构建科学的脑卒中鼻饲患者肠内营养实施路径质量评价体系,并分析其临床应用价值。方法 利用德尔菲法构建质量评价体系。应用不同病例前后对照的方法,以简单随机抽样抽取100例脑卒中患者,对照组与观察组各50例。对照组予以传统肠内...目的 构建科学的脑卒中鼻饲患者肠内营养实施路径质量评价体系,并分析其临床应用价值。方法 利用德尔菲法构建质量评价体系。应用不同病例前后对照的方法,以简单随机抽样抽取100例脑卒中患者,对照组与观察组各50例。对照组予以传统肠内营养实施路径护理,观察组予以基于“脑卒中鼻饲患者肠内营养实施路径质量评价体系”的护理。干预至患者出院,患者出院后随访1个月,记录两组患者出院时、出院后1个月时营养状态、神经功能、生活满意度水平及并发症。两轮专家函询问卷回收率为100%。构建的质量评价体系第一轮函询专家判断系数、熟悉程度系数与权威程度系数分别为0.845、0.893与0.789;第二轮函询分别为0.866、0.925与0.793;各指标协调程度的变异系数为0.100~0.213;两轮的Kendall’s W系数分别为0.783,0.795,质量评价体系共包含5项评价指标和注意事项清单。结果 观察组血清前白蛋白、血清白蛋白在出院时及随访1个月时均高于对照组(P<0.05);观察组出院时及随访1个月时美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分低于对照组,观察组生活满意度量表(satisfaction with life scale,SWLS)评分在出院时及随访1个月时高于对照组(均P<0.05);观察组干预及随访期间总并发症发生率低于对照组(P<0.05)。结论 质量评价体系应用于脑卒中后吞咽障碍患者中可有效改善患者营养状态,促进患者神经功能恢复,提高患者生活满意度,降低并发症发生率。展开更多
背景如何保证呼吸科重症监护室(intensive care unit,ICU)患者肠内营养治疗安全性及有效性成为研究热点.胃残余量为肠内营养重要评估指标,可指导后续干预但近年来临床对胃残余量的评估准确性、科学性存在一定争议.目的探讨腹内压联合24 ...背景如何保证呼吸科重症监护室(intensive care unit,ICU)患者肠内营养治疗安全性及有效性成为研究热点.胃残余量为肠内营养重要评估指标,可指导后续干预但近年来临床对胃残余量的评估准确性、科学性存在一定争议.目的探讨腹内压联合24 h胃残余量监测调适的肠内营养方案在呼吸科ICU鼻饲患者中的应用效果.方法选取2019-02/2020-12我院呼吸科ICU鼻饲患者82例,依据随机数字表法分为研究组(n=41)及对照组(n=41).对照组采取常规营养支持,研究组采取腹内压联合24 h胃残余量监测调适的肠内营养方案干预.统计两组治疗情况、干预前后营养状态指标[转铁蛋白(transferrin,TF)、前白蛋白(prealbumin,PA)、白蛋白(albumin,ALB)]水平、T细胞亚群指标(CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+))水平、不良事件发生情况.结果(1)研究组达目标喂养用时、ICU住院时间短于对照组(P<0.05);(2)干预后两组TF、PA、ALB水平较干预前增高(P<0.05),但研究组干预后TF、PA、ALB水平虽略高于对照组,但二者比较无显著差异;(3)两组CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)干预后水平增高(P<0.05),但研究组干预后CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)水平虽略高于对照组,但二者比较无显著差异;(4)研究组营养达标率较对照组高,营养支持中断发生率较对照组低(P<0.05);(5)研究组腹胀、呕吐的发生率(4.88%)明显低于对照组(21.95%)(P<0.05).但两组吸入性肺炎及腹泻的发生率比较无显著差异.结论腹内压联合24 h胃残余量监测调适的肠内营养方案在呼吸科ICU鼻饲患者中具有较高应用价值,可改善患者机体营养状态及免疫功能,提高生存质量,减少不良事件发生.展开更多
文摘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.
文摘Rats of both sexes were fed on a basal feed containing 1% refined konjac meal (RKM) for 18 months and the effects of RKM on the cell aging were observed. A comparable group fed on the basic feed was used as the control. Results obtained demonstrate that the long-term feeding of RKM to rats can delay the course of cell aging of the gliocyte, cadiomyocyte, and the endothelial cell of the large and medium arteriases, hence it is likely to delay the occurrence of arteriosclerosis and improve the functions of the brain, heart and vascular system.
文摘Effects of refined konjac meal (RKM) on the calcium and phosphorus metabolism and bone parameters were observed in rats of both sexes fed with food containing 1% of RKM for 18 months. A comparable group of rats fed on basic diet only was used as a control.Results obtained indicate that all the measured parameters (serum calcium and phosphorus level, femur weight and its calcium and phesphorus content, and the osteometry of the tibia) showed no significant difference between the experimental and the control groups.Thus there is no adverse effect either on the calcium and phosphorus metabolism or on the bone after a long-term intake at a moderate dosage.
文摘目的 构建科学的脑卒中鼻饲患者肠内营养实施路径质量评价体系,并分析其临床应用价值。方法 利用德尔菲法构建质量评价体系。应用不同病例前后对照的方法,以简单随机抽样抽取100例脑卒中患者,对照组与观察组各50例。对照组予以传统肠内营养实施路径护理,观察组予以基于“脑卒中鼻饲患者肠内营养实施路径质量评价体系”的护理。干预至患者出院,患者出院后随访1个月,记录两组患者出院时、出院后1个月时营养状态、神经功能、生活满意度水平及并发症。两轮专家函询问卷回收率为100%。构建的质量评价体系第一轮函询专家判断系数、熟悉程度系数与权威程度系数分别为0.845、0.893与0.789;第二轮函询分别为0.866、0.925与0.793;各指标协调程度的变异系数为0.100~0.213;两轮的Kendall’s W系数分别为0.783,0.795,质量评价体系共包含5项评价指标和注意事项清单。结果 观察组血清前白蛋白、血清白蛋白在出院时及随访1个月时均高于对照组(P<0.05);观察组出院时及随访1个月时美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分低于对照组,观察组生活满意度量表(satisfaction with life scale,SWLS)评分在出院时及随访1个月时高于对照组(均P<0.05);观察组干预及随访期间总并发症发生率低于对照组(P<0.05)。结论 质量评价体系应用于脑卒中后吞咽障碍患者中可有效改善患者营养状态,促进患者神经功能恢复,提高患者生活满意度,降低并发症发生率。
