耳穴贴压促进胃癌术后胃肠功能恢复的研究

[目的]探讨耳穴贴压促进胃癌术后胃肠功能恢复及预防术后并发症的作用.[方法]选择60例择期行胃癌根治术的患者,随机分为对照组（30例）和观察组（30例）,对照组行禁食、胃肠减压、营养支持等常规治疗,观察组在常规治疗的基础上行耳穴贴压,通过观察两组患者肠鸣音恢复时间、首次肛门排气/排便时间和术后并发症（如恶心呕吐、腹胀）发生率,来评价耳穴贴压促进胃癌术后胃肠功能恢复及预防术后并发症的作用效果.[结果]观察组患者术后肠鸣音恢复时间、首次肛门排气/排便时间明显少于对照组,差异有统计学意义（P＜0.05）;术后早期观察组恶心呕吐、腹胀发生率低于对照组,差异有统计学意义（P＜0.05）.[结论]耳穴贴压可促进胃癌术后胃肠功能恢复,并有效预防术后并发症.     

综合护理干预对腹腔镜胃癌根治术后胃肠功能恢复的影响

目的探讨综合护理干预对腹腔镜胃癌根治术后胃肠功能恢复的影响。方法将80例腹腔镜胃癌根治术患者按住院号单双分为对照组和干预组各40例,对照组术后按照腹腔镜胃癌根治术护理常规进行护理,干预组在对照组护理基础上给予早期下床活动、咀嚼口香糖、耳穴贴压、温水足浴及穴位按摩等综合护理干预,观察比较两组患者术后肠鸣音恢复时间、首次肛门排气时间、排便时间。结果干预组术后肠鸣音恢复时间、首次肛门排气时间、首次肛门排便时间均早于对照组,两组比较差异有统计学意义(P0.01)。结论早期下床活动、咀嚼口香糖、耳穴贴压、温水足浴及穴位按摩等系列综合护理干预措施联合作用下能改善腹腔镜胃癌根治术后患者胃肠功能,促进术后胃肠功能的恢复,可以用于防治腹腔镜胃癌根治术后患者胃肠功能紊乱,有利于临床推广应用。     

复方丁香开胃贴对75例全麻下骨折手术后胃肠功能恢复的影响

[目的]观察复方丁香开胃贴对全麻下骨折手术后胃肠功能恢复的影响。[方法]选择急诊外科全麻下骨折手术患者135例,随机分为观察组(复方丁香开胃贴)75例和对照组60例,观察术后首次肛门排气、排便时间,了解胃肠功能恢复情况。[结果]观察组首次肛门排气、排便时间明显早于对照组,2组比较差异有统计学意义(P0.01)。[结论]复方丁香开胃贴对全麻下骨折手术后胃肠功能恢复有促进作用。     

通腑散经中药透皮对腹部术后胃肠功能恢复的临床观察

[目的]观察自拟通腑散经中药透皮技术促进腹部术后胃肠功能恢复。[方法]采用随机平行对照法,将56例腹部术后住院患者按就诊顺序号方法随机分为实验组和对照组。对照组28例用西医常规方法进行治疗,实验组28例在对照组的基础上加用通腑散经中药透皮技术给予神阙、关元、气海穴位贴敷加神灯照射30min,2次/d,术后即用,1周为1个疗程。观察2组患者观察术后首次肛门排气排便时间,肠鸣音恢复时间,腹胀消失时间及不良反应,判定疗效。[结果]实验组和对照组总有效率分别为96.43%和78.57%,2组总有效率差异有统计学意义(P0.01)。[结论]自拟通腑散经中药透皮技术对腹部术后胃肠功能的恢复可起到促进作用,值得推广。     

择时耳穴埋豆对结直肠癌患者腹腔镜术后胃肠蠕动功能的疗效观察

目的 观察择时耳穴埋豆对结直肠癌患者腹腔镜术后胃肠蠕动功能恢复的临床疗效。方法 结直肠癌腹腔镜术后患者60例,随机分为对照组与试验组各30例。对照组实施术后常规护理,试验组在对照组的基础上进行择时耳穴埋豆,比较两组患者术后肠鸣音恢复时间、首次排气时间、首次排便时间、腹胀程度及发生率的变化。结果 试验组术后肠鸣音恢复时间、首次排气时间、排便时间均短于对照组,腹胀程度轻、发生率低,差异均具有统计学意义(P<0.05)。结论 结直肠癌患者腹腔镜术后进行择时耳穴埋豆,能进一步促进胃肠蠕动功能的恢复,减轻腹胀程度。     

穴位按摩联合中药参槟方对老年患者腹部术后胃肠功能恢复的影响

目的研究穴位按摩联合中药参槟方对老年腹部术后胃肠功能恢复的影响。方法收集老年腹部术后患者118例,随机分为实验组和对照组各59例。对照组采用常规基础治疗,实验组在对照组的基础上进行穴位按摩联合中药参槟方。对比两组术后肠鸣音恢复时间和首次排气时间。结果干预前两组手术时间、出血量比较差异均无统计学意义(P0.05)。实验组术后肠鸣音恢复时间、首次排气和首次排便时间均明显短于对照组,差异均有统计学意义(均P0.01)。实验组并发症发生率(1.69%)明显低于对照组(13.55%),差异有统计学意义(P0.05)。结论穴位按摩联合中药参槟方可缩短老年腹部术后患者的肠鸣音恢复时间,促进术后排气,加速胃肠功能恢复。     

围手术期厚朴排气合剂在腹腔镜结直肠癌快速康复中疗效的随机对照研究

背景:研究表明厚朴排气合剂有助于开腹胃肠道手术患者的术后胃肠功能恢复,但目前尚缺乏其与腹腔镜结直肠癌术后胃肠功能恢复关系的随机对照研究。目的:探讨围手术期厚朴排气合剂在腹腔镜结直肠癌术后快速康复中的临床疗效。方法:采用前瞻性、随机、双盲对照的临床试验方法,纳入2016年1月—2017年2月上海交通大学医学院附属仁济医院170例结直肠癌患者。将患者随机分为试验组和对照组,于术前6 h、术后6 h和术后12 h分别经胃管给予厚朴排气合剂50 mL或厚朴排气合剂模拟剂50 mL。比较两组的疗效和安全性。结果:两组患者基线资料具有可比性。与对照相比,试验组患者术后首次肛门排气时间、术后规律肠鸣音出现时间和术后住院天数显著缩短(P0.05),而两组术后首次排便时间、首次饮水时间、首次进食流质时间和首次进食固体食物时间均无明显差异(P0.05)。两组各有1例患者发生吻合口瘘。结论:厚朴排气合剂对促进腹腔镜结直肠癌患者术后胃肠功能的恢复具有积极意义,能显著缩短肠鸣音恢复时间和肛门排气时间,同时缩短术后患者住院时间,符合快速康复这一理念。     

耳穴压豆联合中药排气汤缓解妇科术后腹胀的临床观察

目的采用中医的耳穴压豆法联合中药排气汤来缓解腹腔镜术后腹胀,观察耳穴压豆联合中药排气汤缓解腹胀的疗效。方法选取2014年5月~2015年1月来我院接受腹腔镜手术的患者150例,将其随机分为观察组与对照组,各75例。对照组行常规护理,观察组在常规护理的基础上予以耳穴压豆法联合口服中药排气汤。结果观察组较对照组术后肠蠕动恢复、肛门排气时间缩短,差异有统计学意义(P0.05)。结论中药排气汤与耳穴压豆联合应用可达到缓解腹腔镜患者术后腹胀的作用,能显著提高妇科术后患者的生活质量。     

清胆排石汤配合耳穴贴压治疗胆石症58例

[目的]观察清胆排石汤配合耳穴贴压治疗胆石症疗效。[方法]116例胆石症患者随机均分为2组，A组给予清胆排石汤配合耳穴贴压法治疗，B组仅用清胆排石汤治疗，疗程均为30d。[结果]2组总有效卑差异无统计学意义，但痊愈及显效者A组明显多于B组，2组比较均P〈0．05。[结论]中药配合耳穴贴压治疗胆石症可发挥两者的排石功效，值得临床推广。     

针刺治疗腹部术后胃肠功能紊乱的疗效

目的 观察针刺治疗腹部术后胃肠功能紊乱的临床疗效.方法 将60例腹部手术后胃肠功能紊乱的患者随机分为针刺组(30例)和对照组(30例).对照组采用常规西医治疗,针刺组在常规西医治疗的基础上增加针刺治疗,2组均治疗1 w后观察疗效.结果 针刺组在肠鸣音恢复时间、首次排气排便时间及总有效率方面与对照组相比均有显著性差异(均P＜0.05).结论 在常规西医处理基础上加用针刺治疗能够促进腹部手术后胃肠功能紊乱患者胃肠功能的恢复.     

Auricular therapy improves gastrointestinal function in patients with gynecological laparoscopic surgery: A protocol for systematic review and meta analysis

Background:Gynecological laparoscopic surgery is the main method to treat gynecological diseases, but postoperative gastrointestinal reactions are more common in patients. Auricular therapy, as a characteristic therapy of Traditional Chinese Medicine, can improve gastrointestinal symptoms such as nausea and vomiting by stimulating the conduction of acupoints through the nervous system on internal organs, but there are studies questioning the efficacy of auricular therapy. Therefore, the purpose of this study is to prove the efficacy and safety of auricular therapy in promoting gastrointestinal function recovery after gynecological laparoscopic surgery, and to provide reference value for future clinical practice.Methods:To search English databases (PubMed, Excerpta Medical Database [Embase], Web of Science, the Cochrane Library) and Chinese databases (Chinese National Knowledge Internet [CNKI], WanFang, Viper, Chinese Biomedical Literature Database) by computer, and conduct a randomized controlled trial on the effect of aural point therapy on gastrointestinal function recovery of patients after gynecological laparoscopic surgery from the establishment of the database to October 2020. Two researchers independently evaluate the quality of the included studies and extract the data, and meta-analysis of the included literature is carried out using RevMan5.3 software.Results:In this study, the efficacy and safety of auricular therapy in the recovery of gastrointestinal function after gynecological laparoscopic surgery are evaluated from the aspects of first anal exhaust time, bowel sound recovery time, and incidence of gastrointestinal complications.Conclusion:This study will provide reliable evidence-based evidence for auricular therapy in the treatment of gastrointestinal function after gynecologic laparoscopic surgery.Ethics and dissemination:Private information from individuals will not be published. This systematic review also does not involve endangering participant rights. Ethical approval was not required. The results may be published in a peer-reviewed journal or disseminated at relevant conferences.OSF Registration number:DOI 10.17605 / OSF.IO / ZSPGA     

Combined effects of acupuncture and auricular acupressure for relieving cancer-related fatigue in patients during lung cancer chemotherapy: A protocol for systematic review and meta-analysis

Background:Increasing attention has been paid to acupuncture and auricular acupressure as alternative strategies for cancer related fatigue (CRF) management. Therefore, we design this systematic review and meta-analysis to explore the efficacy and safety of acupuncture and auricular acupressure for relieving CRF in patients during lung cancer chemotherapy.Methods:From the inception to August 2021, the Web of Science, EMBASE, PubMed, and Cochrane Library electronic databases were searched using the key phrases “acupuncture”, “auricular acupressure”, and “lung cancer” for all relevant trials. Trials that compared acupuncture (including electroacupuncture) and auricular acupressure with acupuncture alone were included. The primary outcome was the measurement of the CRF symptoms. Secondary outcome measures were physical activity, quality of life, and adverse events. A P value of <.05 was considered to be statistically significant.Results:It will be the first such study and will obtain evidence for utilizing acupuncture and auricular acupressure for lung cancer patients.Conclusion:Combined acupuncture and auricular acupressure may be effective for relieving CRF in patients during lung cancer chemotherapy.     

Effect of auricular point pressing therapy on postoperative pain of fracture: A protocol for systematic review and meta-analysis

Background:In clinical practices, postoperative fracture patients are often treated with analgesics. As one of the alternative therapies for nondrug analgesia, auricular point pressing has advantages of simple operation, easy to use, no injury and adverse reactions, and great potential for development. In this study, the effect of auricular point pressing therapy on postoperative pain of fracture was objectively evaluated through the method of meta-analysis, so as to provide evidence for clinical applications.Methods:PubMed, Web of Science, Cochrane Library, EMBASE, Wan fang Database, Chinese Scientific Journal Database, China National Knowledge Infrastructure Database, and Chinese Biomedical Literature Database were systematically searched and randomized controlled trials on auricular point pressing in the treatment of postoperative pain after fracture were includes. After independent literature screening, data extraction and quality evaluation by 2 researchers, the original data was retrieved, merged, and analyzed. RevMan 5.3 software was adopted for meta-analysisResults:This study could provide high-quality evidence to evaluate the effect of auricular point pressing therapy on postoperative pain of fracture.Conclusion:This systematic review explored whether auricular point pressing therapy is effective on the intervention of postoperative pain after fracture.OSF Registration Number:DOI 10.17605/OSF.IO/AZ4JQ.     

地佐辛对老年患者肠道术后胃肠运动功能恢复的影响

[目的]探讨地佐辛对于老年患者肠道术后胃肠运动功能的影响及应用价值.[方法]选择在我院行肠道手术治疗的老年患者108例,随机分为观察组和对照组,对照组给予吗啡镇痛,观察组给予地佐辛镇痛,观察2组患者术后胃肠道运动功能的恢复情况.[结果]观察组患者术后肠鸣音恢复时间、排气时间、排便时间和术后住院时间均短于对照组,组间比较差异有统计学意义（P＜0.05）.观察组术后3d胃动素浓度、胃泌素浓度提高幅度优于对照组,组间比较差异有统计学意义（P＜0.05）.2组术后不良反应比较差异无统计学意义.[结论]地佐辛应用在老年肠道手术患者中可以缩短患者肠鸣音恢复时间、排气时间、排便时间以及术后住院时间,有效提升患者胃动素和胃泌素浓度水平,不增加患者不良反应,值得临床推广使用.     

益生菌制剂治疗轻微型肝性脑病的荟萃分析

目的:评价益生菌制剂治疗轻微型肝性脑病(minimal hepatic encephalopathy,MHE)的疗效.方法:检索PubMed、EMBASE、WebofScience、The Cochrane Central Register of Controlled Trials、中国期刊全文数据库、中国科技期刊数据库(维普)、万方数字化期刊全文数据库等关于益生菌制剂治疗MHE的临床随机对照试验(RCT),使用Cochrane图书馆提供的Review Manager4.3软件对入选试验进行荟萃分析.结果:共9项试验满足纳入标准而入选本研究,荟萃分析表明:与对照组相比,益生菌制剂可明显缩短数字连接试验(NCT)反应时间(WMD=13.60,95%CI:1.53-25.66,P=0.03),有效降低血氨水平(SMD=0.98,95%CI:0.25-1.71,P=0.008),减轻内毒素血症(SMD=1.03,95%CI:0.65-1.42,P<0.00001),改善ALT水平(WMD=11.72,95%CI:5.57-17.88,P=0.0002),并降低临床肝性脑病的发生率(RR=0.15,95%CI:0.0...     

Treatment of COVID-19 anxiety by auricular points: A protocol for systematic review and meta-analysis

Background:In December 2019, a series of acute, atypical respiratory diseases was identified in Wuhan, China. The source of the illnesses was attributed to a novel coronavirus, named the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), and the subsequent disease it causes was named the coronavirus disease 2019 (COVID-19). Evidence from previous coronavirus outbreaks has shown that infected patients are at risk for developing psychiatric and mental health disorders, such as depression, anxiety, and sleep disturbances.Methods:According to the retrieval strategies, randomized controlled trials on auricular points for anxiety in patients with coronavirus 2019 will be obtained from the China National Knowledge Infrastructure, WanFang Data, Chinese Scientific Journals Database, PubMed, Embase, and Cochrane Library, regardless of publication date or language. Studies will be screened based on inclusion and exclusion criteria, and the Cochrane risk bias assessment tool will be used to evaluate the quality of the literature. The network meta-analysis will be performed with the Markov chain Monte Carlo method and carried out with Stata 14.2 and WinBUGS 1.4.3 software. Ultimately, the quality of the evidence obtained from the results will be evaluated.Results:This study will evaluate whether auricular points can effectively treat anxiety in patients with COVID-19.Conclusion:This study will provide evidence for whether auricular points is beneficial to the treatment of anxiety in patients with COVID-19.INPLASY registration number:CRD42022302649.     

Effect of auricular point pressing therapy on hyperplasia of mammary glands: A protocol for systematic review and meta-analysis

Background:In recent years, with the accelerated pace of life, diet, environmental problems occur frequently. External factors are easily to cause endocrine disorders and hormone sensitivity of breast tissue, which can lead to mammary hyperplasia. The incidence rate of hyperplasia of mammary glands is increasing year by year, and the age of onset is also getting lower and lower. If not treated in time, there is a crisis of breast cancer.Clinical studies have found that auricular point pressing therapy is widely used in clinical treatment of mammary hyperplasia recently, but the efficacy of massage in the treatment of mammary hyperplasia has not been systematically reviewed. The purpose of this study is to explore the efficacy, safety and effectiveness of auricular point pressing therapy in the treatment of hyperplasia of mammary glands.Methods:We will search PubMed, Web of Science, Cochrane Library, EMBASE, Wan fang Database, Chinese Scientific Journal Database, CNKI, VIP, and Chinese Biomedical Literature Database. The retrieval date was January 10, 2021. RevMan 5.3 software was used to evaluate the quality and risk of included studies. The efficacy, recurrence rate, and symptom score of breast hyperplasia were analyzed, and the results were observed and measured.Results:This study will be from the clinical efficiency, improvement rate, pain symptoms disappear rate, tumor size improvement rate, and other aspects of the existing evidence for a high quality synthesis, as well as auricular point pressing therapy adverse events.Conclusion:the conclusion of this review will provide the basis for judging whether auricular point pressing therapy is safe and effective in the treatment of hyperplasia of mammary glands.Ethics and dissemination:This systematic will evaluate the effectiveness and safety of auricular point pressing therapy in the treatment of hyperplasia of mammary glands. As all data used in this systematic review and meta-analysis have been published, ethical approval is not required for this review.Protocol registration number:INPLASY202110028.     

Safety and efficacy of auricular acupuncture in patients with depression after percutaneous coronary intervention: A protocol for systematic review and meta-analysis

Background:With the advantages of miniature damage and optimal effectiveness, percutaneous coronary intervention (PCI) has been performed in a large number of coronary artery disease patients. However, recent studies have indicated a higher incidence of depression on post-PCI patients. Acupuncture therapy is effective for depression. As a form of acupuncture, the auricular acupuncture has been used to relieve symptoms in patients with post-PCI depression, but its effectiveness and safety have not yet reached a definitive conclusion. Therefore, this systematic review and meta-analysis protocol is planned to evaluate the efficacy and safety of auricular acupuncture for depression in post-PCI patients.Methods:Six English databases (PubMed, Web of Science, MEDLINE, EMBASE, Springer Cochrane Library, and WHO International Clinical Trials Registry Platform) and 4 Chinese databases (Wan Fang Database, Chinese Scientific Journal Database, China National Knowledge Infrastructure Database, and Chinese Biomedical Literature Database) will be searched normatively according to the rule of each database from the inception to February 1, 2022. Two reviewers will independently conduct article selection, data collection, and risk of bias evaluation. Any disagreement will be resolved by discussion with the third reviewer. Either the fixed-effects or random-effects model will be used for data synthesis based on the heterogeneity test. The change in the scores on the Hamilton Depression Scale and the Self-rating Depression Scale will be used as the main outcome measure. All-cause mortality, cardiac mortality, major adverse cardiovascular events, rehospitalisation rate, and Quality of Life Scale as the secondary outcome. Treatment Emergent Symptom Scale, general physical examination (temperature, pulse, respiration, blood pressure), routine examination of blood, urine and stool, electrocardiogram, liver and kidney function examination as the security indexes. RevMan 5.3.5 will be used for meta-analysis.Results:This study will provide high-quality evidence to assess the efficacy and safety of auricular acupuncture for depression in post-PCI patients.Conclusion:This systematic review will explore whether auricular acupuncture is an effective and safe intervention for depression in post-PCI patients.INPLASY registration number:INPLASY202230003.     

Endoscopic and Pathological Characteristics of Cronkhite–Canada Syndrome: A Retrospective Analysis of 76 Cases

BackgroundCronkhite–Canada syndrome (CCS) is a disease of unknown etiology characterized by the presence of multiple gastrointestinal polyps, chronic diarrhea, loss of appetite, alopecia, onychodystrophy, and cutaneous hyperpigmentation. CCS is a rare disease with an incidence rate of 1 per million. Clinicians are not aware of this disease, and the discovery of gastrointestinal polyps is often a starting point for the diagnosis of this disease. By analyzing the endoscopic and pathological characteristics of CCS, this study aims to deepen our understanding of gastrointestinal polyposis and facilitate early diagnosis of CCS.MethodsWe screened databases, including the Chinese Biomedical Literature Database (CBM Web), the China Academic Journals Full-text Database (CJFD), and PubMed for CCS cases reported from January 2010 to January 2020, and conducted a retrospective analysis of endoscopic and pathological characteristics of these cases.ResultsThe endoscopic data of the 76 retrieved cases revealed that CCS is gastrointestinal polyposis with the intensive and confluent distribution. The greater the number of polyps and the higher their distribution, the brighter their color. A pathological assessment revealed that both gastric polyps and intestinal polyps are mainly juvenile hamartomatous polyps and have a high malignant transformation rate. Interstitial edema, eosinophil infiltration, and cystic dilation of glands are common features of CCS polyps, distinguishing them from other gastrointestinal polyposis syndromes.ConclusionCCS is a polyp disease different from other gastrointestinal polyposis. Analysis of its endoscopic and pathological characteristics can contribute to the understanding and early diagnosis of the disease.