BACKGROUND Gastric cancer is a growing clinical challenge,particularly due to the increased risk of postoperative gastroesophageal reflux disease(GERD)following surgical treatment.traditional Chinese medicine(TCM),inc...BACKGROUND Gastric cancer is a growing clinical challenge,particularly due to the increased risk of postoperative gastroesophageal reflux disease(GERD)following surgical treatment.traditional Chinese medicine(TCM),including acupuncture and herbal medicine,has been proposed as an adjunctive therapy to promote gastrointestinal recovery and alleviate GERD symptoms.AIM To retrospectively study the clinical efficacy of modified Lou Bei Er Chen decoction combined with acupuncture in treating patients with GERD after radical gastrectomy due to gastric cancer.METHODS A retrospective study was conducted,including patients with gastric cancer or malignant tumors of the stomach from January 2019 to December 2023 in the Affiliated Taizhou People’s Hospital of Nanjing Medical University.Patients with a TCM diagnosis of qi depression and phlegm obstruction(n=128)were selected on the basis of prescription and treatment principles.They were then divided into a control group(n=61)and an observation group(n=67).The control group received treatment with Western medicine domperidone.The observation group were treated with Lou Bei Er Chen decoction orally,with acupuncture at specific RESULTS The observation group showed significantly shorter times for first flatus,defecation,bowel sound recovery,and initiation of nasogastric enteral nutrition than the control group(P<0.05).Upon treatment,the two groups demonstrated a significant reduction in gastrointestinal dysfunction scores,with a more significant reduction in the observation group(P<0.001).The GERD-Q scores significantly decreased after 8 weeks of treatment in the two groups(P<0.05),with a significant reduction in the observation group(P<0.05),compared with baseline.The TCM syndrome scores significantly decreased after 4 and 8 weeks of treatment in the two groups(P<0.05),with a significant reduction in the observation group(P<0.05).The effective rate of the observation group after 8 weeks of treatment was significantly higher than that after 4 weeks(χ2=13.648,P=0.003),and it was significantly higher than that of control group(χ2=13.879,P=0.003).CONCLUSION Lou Bei Er Chen decoction combined with acupuncture treatment can effectively alleviate clinical symptoms in patients GERD after gastric cancer surgery and improve their life quality.It is worthy of further promotion and application.展开更多
目的观察经皮椎间孔镜BEIS技术治疗同时合并腰椎侧凸的老年性腰椎间盘突出症的临床疗效。方法回顾性分析2015年1月至2017年3月本科收治的合并腰椎侧凸的老年性腰椎间盘突患者40例。其中,治疗组21例,应用椎间孔镜BEIS技术行髓核摘除射频...目的观察经皮椎间孔镜BEIS技术治疗同时合并腰椎侧凸的老年性腰椎间盘突出症的临床疗效。方法回顾性分析2015年1月至2017年3月本科收治的合并腰椎侧凸的老年性腰椎间盘突患者40例。其中,治疗组21例,应用椎间孔镜BEIS技术行髓核摘除射频消融术;对照组19例,行腰椎后路椎板开窗减压单纯髓核摘除术。40例均通过门诊及电话进行1年的随访,对两组的切口长度、手术时间、术中出血量及住院时间进行对比;观察患者的术前、术后1 d、1个月、1年的JOA(Japanese Orthopaedic Association Scores)评分及冠状位Cobb角的变化,评价两组的临床疗效。结果治疗组的手术时间、切口长度、术中出血量及住院时间显著低于对照组,差异具有统计学意义(P<0.05),两组患者在术后疼痛JOA评分等方面相比于术前下降明显,差异有统计学意义(P<0.05),两组组间比较术后疼痛方面差异无统计学意义(P>0.05),但冠状位Cobb角差异明显,差异有统计学意义(P<0.05)。结论经皮椎间孔镜BEIS技术和单纯髓核摘除治疗合并腰椎侧凸的老年人椎间盘突出症的疗效相近,但前者恢复更快,具有创伤小、手术时间短、出血少、住院时间短及腰椎畸形恢复更佳等优势,值得临床推广。展开更多
Sentence“bei”(“被”字句)and“bei xx”(被xx)provide syntactic and semantic basis for the generation of the construction“You Bei X Dao(有被x到)”.They are in a continuum and have family similarity.The sentence“bei...Sentence“bei”(“被”字句)and“bei xx”(被xx)provide syntactic and semantic basis for the generation of the construction“You Bei X Dao(有被x到)”.They are in a continuum and have family similarity.The sentence“bei”is a typical member,while“bei xx”is an atypical member.Because the construction“You Bei X Dao”has a single function and less attention,it is at the edge of the continuum and is a marginal member.However,it has certain research value in the inheritance and innovation of“bei”and“bei xx”.展开更多
文摘BACKGROUND Gastric cancer is a growing clinical challenge,particularly due to the increased risk of postoperative gastroesophageal reflux disease(GERD)following surgical treatment.traditional Chinese medicine(TCM),including acupuncture and herbal medicine,has been proposed as an adjunctive therapy to promote gastrointestinal recovery and alleviate GERD symptoms.AIM To retrospectively study the clinical efficacy of modified Lou Bei Er Chen decoction combined with acupuncture in treating patients with GERD after radical gastrectomy due to gastric cancer.METHODS A retrospective study was conducted,including patients with gastric cancer or malignant tumors of the stomach from January 2019 to December 2023 in the Affiliated Taizhou People’s Hospital of Nanjing Medical University.Patients with a TCM diagnosis of qi depression and phlegm obstruction(n=128)were selected on the basis of prescription and treatment principles.They were then divided into a control group(n=61)and an observation group(n=67).The control group received treatment with Western medicine domperidone.The observation group were treated with Lou Bei Er Chen decoction orally,with acupuncture at specific RESULTS The observation group showed significantly shorter times for first flatus,defecation,bowel sound recovery,and initiation of nasogastric enteral nutrition than the control group(P<0.05).Upon treatment,the two groups demonstrated a significant reduction in gastrointestinal dysfunction scores,with a more significant reduction in the observation group(P<0.001).The GERD-Q scores significantly decreased after 8 weeks of treatment in the two groups(P<0.05),with a significant reduction in the observation group(P<0.05),compared with baseline.The TCM syndrome scores significantly decreased after 4 and 8 weeks of treatment in the two groups(P<0.05),with a significant reduction in the observation group(P<0.05).The effective rate of the observation group after 8 weeks of treatment was significantly higher than that after 4 weeks(χ2=13.648,P=0.003),and it was significantly higher than that of control group(χ2=13.879,P=0.003).CONCLUSION Lou Bei Er Chen decoction combined with acupuncture treatment can effectively alleviate clinical symptoms in patients GERD after gastric cancer surgery and improve their life quality.It is worthy of further promotion and application.
文摘目的观察经皮椎间孔镜BEIS技术治疗同时合并腰椎侧凸的老年性腰椎间盘突出症的临床疗效。方法回顾性分析2015年1月至2017年3月本科收治的合并腰椎侧凸的老年性腰椎间盘突患者40例。其中,治疗组21例,应用椎间孔镜BEIS技术行髓核摘除射频消融术;对照组19例,行腰椎后路椎板开窗减压单纯髓核摘除术。40例均通过门诊及电话进行1年的随访,对两组的切口长度、手术时间、术中出血量及住院时间进行对比;观察患者的术前、术后1 d、1个月、1年的JOA(Japanese Orthopaedic Association Scores)评分及冠状位Cobb角的变化,评价两组的临床疗效。结果治疗组的手术时间、切口长度、术中出血量及住院时间显著低于对照组,差异具有统计学意义(P<0.05),两组患者在术后疼痛JOA评分等方面相比于术前下降明显,差异有统计学意义(P<0.05),两组组间比较术后疼痛方面差异无统计学意义(P>0.05),但冠状位Cobb角差异明显,差异有统计学意义(P<0.05)。结论经皮椎间孔镜BEIS技术和单纯髓核摘除治疗合并腰椎侧凸的老年人椎间盘突出症的疗效相近,但前者恢复更快,具有创伤小、手术时间短、出血少、住院时间短及腰椎畸形恢复更佳等优势,值得临床推广。
基金BLCU supported project for young researchers’program(supported by the Fundamental Research Funds for the Central Universities)(Project No.,22YCX083).
文摘Sentence“bei”(“被”字句)and“bei xx”(被xx)provide syntactic and semantic basis for the generation of the construction“You Bei X Dao(有被x到)”.They are in a continuum and have family similarity.The sentence“bei”is a typical member,while“bei xx”is an atypical member.Because the construction“You Bei X Dao”has a single function and less attention,it is at the edge of the continuum and is a marginal member.However,it has certain research value in the inheritance and innovation of“bei”and“bei xx”.
