Developing an enhanced recovery after surgery program for oncology patients who undergo hip or knee reconstruction surgery

Enhanced recovery after surgery(ERAS)protocols are applied in orthopedic surgery and are intended to reduce perioperative stress by implementing combined evidence-based practices with the cooperation of various health professionals as an interdisciplinary team.ERAS pathways include pre-operative patient counselling,regional anesthesia and analgesia techniques,post-operative pain management,early mobilization and early feeding.Studies have shown improvement in the recovery of patients who followed an ERAS program after hip or knee arthroplasty,compared with those who followed a traditional care approach.ERAS protocols reduce post-operative stress,contribute to rapid recovery,shorten length of stay(LOS)without increasing the complications or readmissions,improve patient satisfaction and decrease the hospital costs.We suggest that the ERAS pathway could reduce the LOS in hospital for patients undergoing total hip replacement or total knee replacement.These programs require good organization and handling by the multidisciplinary team.ERAS programs increase patient's satisfaction due to their active participation which they experience as personalized treatment.The aim of the study was to develop an ERAS protocol for oncology patients who undergo bone reconstruction surgeries using massive endoprosthesis,with a view to improving the surgical outcomes.

The Effects of Cupping Therapy on Skin’s Biomechanical Properties in Wistar Rats

Cupping therapy has been widely used for clinical treatment of soft tissue lesions. The current study investigated the effects of cupping therapy on biomechanical properties of the skin in Wistar rats. 20 rats were divided into two groups: 10 in experimental and 10 in control group. Either the right or the left lower quadrants of the lumbar regions in the experimental group underwent 10 minutes daily cupping therapy for 12 days. The skin stiffness and ultimate tensile strength of all the rats were measured using tensiometer. The skin stiffness and ultimate tensile strength were decreased significantly in cupping side of the experimental group as compared with the non-cupping side and the control group. There were no significant differences between the non-cupping side of the experimental group and the control group. In conclusion, cupping therapy can be useful as a treatment method to reduce the skin stiffness and ultimate tensile strength.

调督通络针法治疗原发性头痛的即刻镇痛效果观察（英文）

目的:观察调督通络针法治疗原发性头痛的即刻镇痛效果,传承燕赵高氏针灸学术思想。方法:将80名符合纳入标准的原发性头痛患者按就诊的先后顺序随机分为治疗组和对照组,每组40名。观察组采用燕赵高氏调督通络针法治疗,对照组采用常规针法治疗。两组患者均于首次治疗前后对头痛程度进行视觉模拟量表(VAS)评分,根据VAS评分对两种针法的即时镇痛效果进行比较。结果:与本组治疗前相比,两组患者首次治疗后的头痛程度VAS评分均明显下降(均P<0.05)。治疗组首次治疗前后头痛程度的VAS评分差值与对照组有统计学差异(P<0.05)。治疗组首次治疗后即刻头痛完全消失患者所占比率显著高于对照组(P<0.05)。结论:两种针刺方法对原发性头痛均有明显的即刻镇痛作用,燕赵高氏调督通络针法对原发性头痛的即刻镇痛效果优于常规针法。

Clinical Observation on Treatment of Osteoarthritis of Knee by Needle-Warming Method and Functional Training

目的：观察温针配合功能训练治疗膝骨性关节炎的远、近期临床疗效。方法：将106例患者按首诊顺序分成温针组和综合组。温针组只采用温针治疗，综合组采用温针治疗及功能训练。治疗10次后参照Lequesne的评估法对两组临床指标进行治疗前、后评分：3个月后随访，对症状复发率进行统计处理。结果：治疗后两组膝关节症状及日常生活能力均比各自治疗前明显改善，积分值减少（P〈0．05），两组积分比无明显差异（P〉0．05）；3个月后随访，两组症状复发的阳性率有差异（P〈0．05）。结论：温针治疗膝骨性关节炎有肯定的疗效，如果配合功能训练，其疗效更加稳定，不易反复。