Application Value of Moxibustion Combined with Acupoint Application in Patients with Abdominal Distension after Gynecological Surgery

Objective:To explore the application value of moxibustion and acupoint application in the treatment of postoperative abdominal distention in patients undergoing gynecological surgery.Methods:Seventy-two patients who underwent gynecological surgery in our hospital from May 2020 to May 2021 were randomly divided into two groups.Group A was treated with moxibustion and acupoint application,and group B was treated with routine treatment.The incidence of postoperative abdominal distention,therapeutic effect of abdominal distention,defecation time,exhaust time,recovery time of bowel sounds and the changes of patients’quality of life were analyzed.Results:The incidence of abdominal distension in group A was 22.22%,which was lower than 41.47%in group B(P<0.05).The therapeutic effect of abdominal distension in group A was 87.50%,which was higher than 66.67%in group B(P<0.05).The recovery time of first defecation,first exhaust and bowel sound in group A was shorter than that in group B(P<0.05).All postoperative quality of life scores of group A were higher than that of group B(P<0.05).Conclusion:On the basis of routine postoperative intervention,moxibustion and acupoint application can reduce the risk of postoperative abdominal distention,reduce the degree of abdominal distention,promote the recovery of intestinal function,shorten the first postoperative exhaust and defecation time,and then improve the quality of life of patients.

Hemichorea Associated with Non-ketotic Hyperglycemia:A Case Report and Review of the Literature

Hemichorea associated with non-ketotic hyperglycemia(HC-NH)is a rare disease.The purpose of this case report is to introduce a patient with HC-NH and provide a schedule of examination and follow-up treatment.We also reviewed the current understanding of pathophysiology and treatment and how to apply it to our patients.The case involved a 37-year-old Asian diabetic man who had a 9-day history of losing movement in left limbs and face.His initial blood glucose level was 10.13 mmol/L.HbA1c was 13.6%.Before admission,head CT scan showed suspicious small pieces of left brainstem with slightly high-density shadow and right putamen nucleus with high-density shadow.On the day of admission,head MRI showed punctate T1WI low signal shadow,T2WI high and low mixed signal shadow,T1WI high signal shadow and T2WI low signal shadow of right putamen nucleus.The case findings were consistent with his displayed motor pattern and with the HC-NH diagnosis.Gradual control of the blood glucose levels alleviates his choreiform symptoms.The endocrinology follow-up 6 months after discharge found that his symptoms did not recur after the outpatient’s medication compliance was improved.HC-NH is a rare manifestation of poor diabetes control,but it should also be noticed by clinicians.Early recognition and gradual treatment of elevated blood glucose levels seem to completely alleviate choreiform symptoms.

电针内关穴对心肌缺血再灌注模型大鼠心肌梗死期间心律失常的影响

目的观察电针内关穴对大鼠心肌缺血再灌注急性期心律失常及心室缝隙连接蛋白43(Cx43)表达的影响。方法共选用40只Sprague-Dawley雄性大鼠。随机选取10只作为空白组,剩余的30只大鼠被随机分为模型组和电针组,每组15只。电针组大鼠于造模前接受双侧内关单次30 min电针干预;其余组不予干预但进行同样方法抓取和30 min的麻醉。使用PowerLab生理记录仪记录梗死30 min内心电图,实验结束后取大鼠的心肌组织与血清。采用苏木素-伊红(HE)染色观察各组大鼠心室梗死区心肌组织形态变化;采用免疫印迹法(WB)检测各组大鼠心肌组织中Cx43蛋白表达情况;酶联免疫吸附测定(ELISA)检测大鼠心肌组织Na^(+)-K^(+)-ATP酶活性和大鼠血清内源性类洋地黄因子(EDLF)含量。结果电针组与模型组大鼠心律失常分数无统计学差异,但电针组心律失常的总时长和平均每次心律失常的持续时间均减少(P<0.01)。HE染色结果显示,与空白组相比,模型组心肌细胞排列紊乱,损伤严重;电针组病理变化与模型组相似,但损伤程度相对较轻。WB结果显示,与空白组相比,模型组大鼠心肌组织Cx43的表达降低(P<0.01);与模型组相比,电针组大鼠Cx43表达升高(P<0.01);与空白组相比,模型组大鼠心肌组织Na^(+)-K^(+)-ATP酶活性显著下降(P<0.01);与模型组相比,电针组Na^(+)-K^(+)-ATP酶活性有所提高(P<0.01)。ELISA结果显示,与空白组相比,模型组大鼠血清EDLF含量显著提高(P<0.01);与模型组相比,电针组EDLF含量下降(P<0.01)。结论电针内关穴可延缓和减少心肌缺血再灌注大鼠心肌梗死期间心律失常的发作;其作用机制可能与调控心肌组织中Cx43的表达,改善大鼠心肌组织Na^(+)-K^(+)-ATP酶活性以及提高血清EDLF含量有关。