BACKGROUND Epidural analgesia is the most effective analgesic method during labor.Butorphanol administered epidurally has been shown to be a successful analgesic method during labor.However,no comprehensive study has ...BACKGROUND Epidural analgesia is the most effective analgesic method during labor.Butorphanol administered epidurally has been shown to be a successful analgesic method during labor.However,no comprehensive study has examined the safety and efficacy of using butorphanol as an epidural analgesic during labor.AIM To assess butorphanol's safety and efficacy for epidural labor analgesia.METHODS The PubMed,Cochrane Library,EMBASE,Web of Science,China National Knowledge Infrastructure,and Google Scholar databases will be searched from inception.Other types of literature,such as conference abstracts and references to pertinent reviews,will also be reviewed.We will include randomized controlled trials comparing butorphanol with other opioids combined with local anesthetics for epidural analgesia during labor.There will be no language restrictions.The primary outcomes will include the visual analog scale score for the first stage of labor,fetal effects,and Apgar score.Two independent reviewers will evaluate the full texts,extract data,and assess the risk of bias.Publication bias will be evaluated using Egger's or Begg's tests as well as visual analysis of a funnel plot,and heterogeneity will be evaluated using the Cochran Q test,P values,and I2 values.Meta-analysis,subgroup analysis,and sensitivity analysis will be performed using RevMan software version 5.4.This protocol was developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)Protocols statement,and the PRISMA statement will be used for the systematic review.RESULTS This study provides reliable information regarding the safety and efficacy of using butorphanol as an epidural analgesic during labor.CONCLUSION To support clinical practice and development,this study provides evidence-based findings regarding the safety and efficacy of using butorphanol as an epidural analgesic during labor.展开更多
The main points are Tianzhu （BL 10）, Wangu （GB 12） and the emerging subcutaneous point of the greater occipital nerve. Add Houxi （SI 3） and Kunlun （BL 60） points if pain is in parieto-occipital area. Add the p...The main points are Tianzhu （BL 10）, Wangu （GB 12） and the emerging subcutaneous point of the greater occipital nerve. Add Houxi （SI 3） and Kunlun （BL 60） points if pain is in parieto-occipital area. Add the points of Zhongzhu （TE 3） and Qiuxu （GB 40） if pain is in the parietotemporal area. Fifty-six occipital neuralgia cases were treated with acupuncture. 31 cases were clinically cured, 24 cases improved and 1 case ineffective with a total effective rate of 98.3%.展开更多
Objective To investigate the curative effect of points Fengchi（GB 20）, Tianzhu（BL 10） and Wangu （GB 12） on migraine. Methods. A treatment group of 68 patients received acupuncture of bilateral points Fengchi（GB...Objective To investigate the curative effect of points Fengchi（GB 20）, Tianzhu（BL 10） and Wangu （GB 12） on migraine. Methods. A treatment group of 68 patients received acupuncture of bilateral points Fengchi（GB 20）, Tianzhu（BL 10） and Wangu（GB 12） and a control group of 40 patients took orally Nimodipine and Oryzanol. The curative effect was evaluated in both groups after two courses of treatment. Results： The total efficacy rate was 92.7% and 72.5% and the control rate was 45.6% and 22.5%, respectively, in the two groups. Conclusion： Acupuncture is significantly more effective than Western medicine in treating migraine.展开更多
文摘BACKGROUND Epidural analgesia is the most effective analgesic method during labor.Butorphanol administered epidurally has been shown to be a successful analgesic method during labor.However,no comprehensive study has examined the safety and efficacy of using butorphanol as an epidural analgesic during labor.AIM To assess butorphanol's safety and efficacy for epidural labor analgesia.METHODS The PubMed,Cochrane Library,EMBASE,Web of Science,China National Knowledge Infrastructure,and Google Scholar databases will be searched from inception.Other types of literature,such as conference abstracts and references to pertinent reviews,will also be reviewed.We will include randomized controlled trials comparing butorphanol with other opioids combined with local anesthetics for epidural analgesia during labor.There will be no language restrictions.The primary outcomes will include the visual analog scale score for the first stage of labor,fetal effects,and Apgar score.Two independent reviewers will evaluate the full texts,extract data,and assess the risk of bias.Publication bias will be evaluated using Egger's or Begg's tests as well as visual analysis of a funnel plot,and heterogeneity will be evaluated using the Cochran Q test,P values,and I2 values.Meta-analysis,subgroup analysis,and sensitivity analysis will be performed using RevMan software version 5.4.This protocol was developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)Protocols statement,and the PRISMA statement will be used for the systematic review.RESULTS This study provides reliable information regarding the safety and efficacy of using butorphanol as an epidural analgesic during labor.CONCLUSION To support clinical practice and development,this study provides evidence-based findings regarding the safety and efficacy of using butorphanol as an epidural analgesic during labor.
文摘The main points are Tianzhu （BL 10）, Wangu （GB 12） and the emerging subcutaneous point of the greater occipital nerve. Add Houxi （SI 3） and Kunlun （BL 60） points if pain is in parieto-occipital area. Add the points of Zhongzhu （TE 3） and Qiuxu （GB 40） if pain is in the parietotemporal area. Fifty-six occipital neuralgia cases were treated with acupuncture. 31 cases were clinically cured, 24 cases improved and 1 case ineffective with a total effective rate of 98.3%.
文摘Objective To investigate the curative effect of points Fengchi（GB 20）, Tianzhu（BL 10） and Wangu （GB 12） on migraine. Methods. A treatment group of 68 patients received acupuncture of bilateral points Fengchi（GB 20）, Tianzhu（BL 10） and Wangu（GB 12） and a control group of 40 patients took orally Nimodipine and Oryzanol. The curative effect was evaluated in both groups after two courses of treatment. Results： The total efficacy rate was 92.7% and 72.5% and the control rate was 45.6% and 22.5%, respectively, in the two groups. Conclusion： Acupuncture is significantly more effective than Western medicine in treating migraine.
