Objective:This study aimed to evaluate the effectiveness and safety of combining low-frequency pulsed electrophysiological techniques with auricular acupuncture(a fusion of traditional Chinese and Western medicine)for...Objective:This study aimed to evaluate the effectiveness and safety of combining low-frequency pulsed electrophysiological techniques with auricular acupuncture(a fusion of traditional Chinese and Western medicine)for patients experiencing perioperative gastrointestinal dysfunction(POGD)following gynecological surgery.Methods:Eighty patients undergoing gynecological surgery were randomly assigned to an experimental group and a control group.Both groups received enhanced recovery after surgery(ERAS)care,with the experimental group receiving additional treatment combining electrophysiology and auricular acupuncture.Postoperative recovery indicators,including bowel sound recovery time,time to first exhaust and defecation,duration and incidence of abdominal pain and distension,nausea and vomiting,and specific gastrointestinal markers(HSP70,I-FABP,DAO,D-lactate),were monitored and compared between the two groups.Results:After treatment,the postoperative bowel sound recovery time,first postoperative exhaust time,duration of abdominal pain,and duration of abdominal distension were shorter in the experimental group than in the control group(P<0.05).The 6-hour and 48-hour integral values of the experimental group were significantly lower than those of the control group.In the experimental group,60%of the patients were completely cured of gastrointestinal function after surgery,whereas only 32.5%of the patients in the control group were cured.The main symptom scores(abdominal pain,abdominal distension,nausea and vomiting)on the third postoperative day and the total symptom scores on the third postoperative day were significantly lower in the experimental group than in the control group(P<0.05).The values of HSP70,I-FABP,DAO,and D-lactate in the experimental group on postoperative day one were significantly lower than those in the control group(P<0.05).Conclusion:The combination of the Chinese and Western medicine ERAS programs of low-frequency pulse electrophysiology technology plus auricular acupuncture can accelerate local gastrointestinal blood circulation during the perioperative period of gynecology,promote the recovery of gastrointestinal function,promote anal exhaustion,and prevent the occurrence of postoperative abdominal pain and bloating.The combination of Chinese and Western medicine ERAS can increase gastrointestinal fluid secretion,increase gastrointestinal hormone and blood flow values,increase gastrointestinal electrophysiological detection values,and change the indicators of gastrointestinal dysfunction.展开更多
Oxygen/glucose deprivation （OGD） has been widely used as an in vitro model of focal ischemia, where the blood flow is severely reduced and neurons rapidly die. However, adjacent to the focal region is ‘penumbra＇, ...Oxygen/glucose deprivation （OGD） has been widely used as an in vitro model of focal ischemia, where the blood flow is severely reduced and neurons rapidly die. However, adjacent to the focal region is ‘penumbra＇, where residual blood flow remains oxygen and glucose supplies are at low levels. To model this pathological genesis, we developed a partial OGD （pOGD） protocol in a rat brain slice. This model met two requirements： oxygen was partially deprived and glucose was reduced in the perfusion buffer. Therefore we investigated the effect of pOGD on gama-aminobutyric acid （GABAA） receptor-mediated inhibitory postsynaptic currents （IPSCs） in CA1 neurons of a hippocampal slice through whole-cell patch-clamp technique. We found that the amplitude and decay time of IPSCs were increased immediately during pOGD treatment. And the enhancement of IPSCs amplitude resulted from an increase of the synaptic conductance without a significant change in the reversal potential of chloride. These results suggested that the nervous system could increase inhibitory neurotransmission to offset excitation by homeostasis mechanisms during the partial oxygen and glucose attack.展开更多
【目的】系统评价足三里穴位注射治疗术后胃肠功能障碍的疗效与安全性。【方法】计算机检索中国期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、美国医学在线(PubMed)、荷兰医学文献数据库(Emba...【目的】系统评价足三里穴位注射治疗术后胃肠功能障碍的疗效与安全性。【方法】计算机检索中国期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、美国医学在线(PubMed)、荷兰医学文献数据库(Embase)、Web of Science及国际循证医学图书馆(Cochrane Library)等数据库,检索有关足三里穴位注射治疗术后胃肠功能障碍的随机对照试验(RCT)。依据Cochrane系统评价方法进行文献数据提取和质量评价,应用RevMan 5.3软件进行Meta分析。【结果】共纳入24篇文献,2081例患者被纳入最终分析。结果显示,足三里穴位注射与常规治疗比较,足三里穴位注射可显著缩短肠鸣音恢复时间[MD=-10.99,95%CI(-13.84,-8.15)]、肛门排气时间[MD=-28.72,95%CI(-35.60,-21.83)]、首次排便时间[MD=-12.34,95%CI(-16.39,-8.29)]。足三里穴位注射与肌肉注射比较,足三里穴位注射可显著缩短肠鸣音恢复时间[MD=-10.22,95%CI(-18.79,-1.65)]、肛门排气时间[MD=-17.41,95%CI(-27.41,-7.41)]、首次排便时间[MD=-16.21,95%CI(-31.91,-0.51)]。足三里穴位注射组与常规治疗组相比,足三里穴位注射可降低腹胀发生率[RR=0.33,95%CI(0.21,0.52)]、呕吐发生率[RR=0.20,95%CI(0.09,0.43)]、胃液量[MD=-535.61,95%CI(-1080.05,-8.84)]。总有效率方面,足三里穴位注射组显著高于常规治疗组[RR=1.20,95%CI(1.08,1.33)]。所有研究均未见不良反应报道。【结论】足三里穴位注射治疗术后胃肠功能障碍能够显著缩短肠鸣音恢复时间、肛门排气时间、首次排便时间,降低腹胀和呕吐发生率,有较好的疗效与安全性。展开更多
基金Shenzhen Bao’an District of Traditional Chinese Medicine Clinical Research(2023ZYYLCZX-12,Shenzhen Bao’an District Chinese Medicine Association funded the special clinical research of Chinese medicine)Shenzhen“Medical and Health Three Projects”Project Grant(SZZYSM202106003)+1 种基金Shenzhen Bao’an District of Medical and Health Research Project(2023JD212)Scientific Research Project of Shandong Public Health Society(SGWXH202304).
文摘Objective:This study aimed to evaluate the effectiveness and safety of combining low-frequency pulsed electrophysiological techniques with auricular acupuncture(a fusion of traditional Chinese and Western medicine)for patients experiencing perioperative gastrointestinal dysfunction(POGD)following gynecological surgery.Methods:Eighty patients undergoing gynecological surgery were randomly assigned to an experimental group and a control group.Both groups received enhanced recovery after surgery(ERAS)care,with the experimental group receiving additional treatment combining electrophysiology and auricular acupuncture.Postoperative recovery indicators,including bowel sound recovery time,time to first exhaust and defecation,duration and incidence of abdominal pain and distension,nausea and vomiting,and specific gastrointestinal markers(HSP70,I-FABP,DAO,D-lactate),were monitored and compared between the two groups.Results:After treatment,the postoperative bowel sound recovery time,first postoperative exhaust time,duration of abdominal pain,and duration of abdominal distension were shorter in the experimental group than in the control group(P<0.05).The 6-hour and 48-hour integral values of the experimental group were significantly lower than those of the control group.In the experimental group,60%of the patients were completely cured of gastrointestinal function after surgery,whereas only 32.5%of the patients in the control group were cured.The main symptom scores(abdominal pain,abdominal distension,nausea and vomiting)on the third postoperative day and the total symptom scores on the third postoperative day were significantly lower in the experimental group than in the control group(P<0.05).The values of HSP70,I-FABP,DAO,and D-lactate in the experimental group on postoperative day one were significantly lower than those in the control group(P<0.05).Conclusion:The combination of the Chinese and Western medicine ERAS programs of low-frequency pulse electrophysiology technology plus auricular acupuncture can accelerate local gastrointestinal blood circulation during the perioperative period of gynecology,promote the recovery of gastrointestinal function,promote anal exhaustion,and prevent the occurrence of postoperative abdominal pain and bloating.The combination of Chinese and Western medicine ERAS can increase gastrointestinal fluid secretion,increase gastrointestinal hormone and blood flow values,increase gastrointestinal electrophysiological detection values,and change the indicators of gastrointestinal dysfunction.
文摘Oxygen/glucose deprivation （OGD） has been widely used as an in vitro model of focal ischemia, where the blood flow is severely reduced and neurons rapidly die. However, adjacent to the focal region is ‘penumbra＇, where residual blood flow remains oxygen and glucose supplies are at low levels. To model this pathological genesis, we developed a partial OGD （pOGD） protocol in a rat brain slice. This model met two requirements： oxygen was partially deprived and glucose was reduced in the perfusion buffer. Therefore we investigated the effect of pOGD on gama-aminobutyric acid （GABAA） receptor-mediated inhibitory postsynaptic currents （IPSCs） in CA1 neurons of a hippocampal slice through whole-cell patch-clamp technique. We found that the amplitude and decay time of IPSCs were increased immediately during pOGD treatment. And the enhancement of IPSCs amplitude resulted from an increase of the synaptic conductance without a significant change in the reversal potential of chloride. These results suggested that the nervous system could increase inhibitory neurotransmission to offset excitation by homeostasis mechanisms during the partial oxygen and glucose attack.
文摘【目的】系统评价足三里穴位注射治疗术后胃肠功能障碍的疗效与安全性。【方法】计算机检索中国期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、美国医学在线(PubMed)、荷兰医学文献数据库(Embase)、Web of Science及国际循证医学图书馆(Cochrane Library)等数据库,检索有关足三里穴位注射治疗术后胃肠功能障碍的随机对照试验(RCT)。依据Cochrane系统评价方法进行文献数据提取和质量评价,应用RevMan 5.3软件进行Meta分析。【结果】共纳入24篇文献,2081例患者被纳入最终分析。结果显示,足三里穴位注射与常规治疗比较,足三里穴位注射可显著缩短肠鸣音恢复时间[MD=-10.99,95%CI(-13.84,-8.15)]、肛门排气时间[MD=-28.72,95%CI(-35.60,-21.83)]、首次排便时间[MD=-12.34,95%CI(-16.39,-8.29)]。足三里穴位注射与肌肉注射比较,足三里穴位注射可显著缩短肠鸣音恢复时间[MD=-10.22,95%CI(-18.79,-1.65)]、肛门排气时间[MD=-17.41,95%CI(-27.41,-7.41)]、首次排便时间[MD=-16.21,95%CI(-31.91,-0.51)]。足三里穴位注射组与常规治疗组相比,足三里穴位注射可降低腹胀发生率[RR=0.33,95%CI(0.21,0.52)]、呕吐发生率[RR=0.20,95%CI(0.09,0.43)]、胃液量[MD=-535.61,95%CI(-1080.05,-8.84)]。总有效率方面,足三里穴位注射组显著高于常规治疗组[RR=1.20,95%CI(1.08,1.33)]。所有研究均未见不良反应报道。【结论】足三里穴位注射治疗术后胃肠功能障碍能够显著缩短肠鸣音恢复时间、肛门排气时间、首次排便时间,降低腹胀和呕吐发生率,有较好的疗效与安全性。
