热疗贴贴敷神阙穴防治吻合器痔上黏膜环切术中牵拉反射的临床观察

目的:探讨吻合器痔上黏膜环切术中应用热疗贴贴敷神阙穴防治术中牵拉反射的临床疗效、贴敷时机、可行性和安全性。方法:采用单中心、随机、平行对照的临床研究方法,将纳入的拟行吻合器痔上黏膜环切术的100例患者按照随机数字法分为4组:术前1h贴敷组、术前0.5h贴敷组、术时贴敷组及不贴敷组,每组25例,各组行标准吻合器痔上黏膜环切术。记录4组患者吻合器痔上黏膜环切术吻合前后平均动脉压、心率、血氧饱和度的变化,统计临床疗效,并观察各组术中和术后24h内疼痛及不良反应发生情况。结果:术前0.5h贴敷组防治牵拉反射的显效率较其它组更为明显(P<0.01),且术前0.5h贴敷组行吻合器痔上黏膜环切术时血压、心率最稳定,术中疼痛程度也低于其它组,且不良反应发生率较低。结论:吻合器痔上黏膜环切术术前0.5h神阙穴贴敷热疗贴是较理想的贴敷时机,可以较安全有效地预防和减轻术中的牵拉反射。     

吻合器痔上黏膜环切术的临床疗效观察

2009年7月至2011年1月问大连市中心医院普外科采用国产吻合器行痔上黏膜环切术（PPH）治疗内痔患者77例,并与行传统手术患者进行比较,疗效满意。现报告如下。     

吻合器痔上黏膜环切术治疗重度痔体会

目的观察吻合器痔上黏膜环切术(PPH)治疗重度痔的临床效果。方法应用肛痔吻合器及组件系统治疗Ⅲ、Ⅳ期重度痔患者82例。结果手术平均时间0.5 h,出血量少,平均住院时间4 d,术后并发症少,康复快。结论PPH治疗重度痔是一种新型手术方法,彻底打破原来传统手术观念,具有手术安全有效、手术时间短、术后痛苦少、并发症少、康复快等诸多优点,疗效确切,极大地改善痔患者术后的生活质量,值得推广。     

吻合器痔上黏膜环切术的临床应用进展

吻合器痔上黏膜环切术(PPH)是一种治疗重度内痔脱垂安全、有效的新技术,由Longo等1998年首次报道[1],因该术式符合肛门部解剖生理、操作简单、手术时间短、术后疼痛少、患者恢复快等优点而在国际上得到了普遍应用,其疗效得到了普遍的认可。但也有一些病例或疗效欠佳,或出现严重     

吻合器痔上黏膜环切术治疗环状痔32例

吻合器痔上黏膜环切术(PPH)又称吻合器环形痔切除术、肛垫悬吊术等.我院从2006年始应用法兰克曼吻合器行PPH治疗环状痔32例,疗效满意,现报道如下.     

吻合器痔上黏膜环切术治疗痔病80例

目的探讨吻合器痔上黏膜环切术(PPH)在痔病治疗中的临床价值。方法痔病患者80例均实行PPH术式。结果手术时间平均12 min,住院时间平均4.1 d;术后并发症:尿潴留9例,疼痛14例,下腹部坠胀感18例,术后便次增加10例,随访6～12个月,无复发,无术后出血、肛门狭窄、便失禁等并发症出现。结论PPH手术治疗痔病是安全、有效、术后痛苦小、损伤小、恢复快的微创治疗手段。     

吻合器痔上黏膜环切术后并发症的临床分析

目的观察、随访吻合器痔上黏膜环切术(PPH)术后并发症的情况,探索其预防及处理方法。方法对100例2003年4月—2004年12月在我院行PPH治疗的Ⅲ~Ⅳ度脱垂性内痔、混合痔患者进行随访,时间为1~2a,详细记录术后并发症的情况。结果本组100例中术后大出血2例,术后严重肛门疼痛10例,术后尿潴留27例,术后复发1例,无死亡病例,术后无大便失禁、直肠阴道瘘及吻合口创面感染发生。结论PPH作为一种新的手术方法,具有疗效确切、住院时间短、恢复快、不易复发等优点,但需重视术后并发症的预防及处理。     

吻合器痔上黏膜环切术治疗环状混合痔

痔是一种常见的肛肠疾病，环状混合痔是目前痔病的治疗难点之一。传统的外剥内扎术建立在静脉曲张学说基础上，但术后肛门创面大，疼痛时间长，愈合时间长，易出现肛门狭窄、肛门控便能力下降等并发症。2002年5月-2004年10月我院采用吻合器痔上黏膜环切术（PPH）治疗10例环状混合痔，疗效满意，现介绍如下。     

吻合器痔上黏膜环切术后并发症的I临床分析

爵的观察、随访吻合嚣痔上黏膜环切术（PPH）术后并发症的情况，探索其预防履处理方法。方法对100例2003年4月-2004年12月在我院行PPH治疗的Ⅲ～Ⅳ度脱垂性内痔、混合痔患者进行随访，时间为1～2a，详细记录术后并发症的情况。 结果本组100例中术后大出血2例，术后严重肛门疼痛10例，术后尿潴留27例，术后复发1例，无死亡病例。术后无大便失禁、直肠阴道瘘及吻合口创面感染发生。结论PPH作为一种新的手术方法，具有疗效确切、住院时间短、恢复快、不易复发等优点，但需重视术后并发症的预防厦处理。     

吻合器痔上黏膜环切钉合术治疗重症复杂性痔的临床护理

目的探讨吻合器痔上黏膜环切钉合术(PPH)治疗重症复杂性痔的围手术期护理。方法对31例混合痔环状脱出嵌顿患者应用PPH术+改良Milligan-Morgan术治疗,并进行围手术期护理。结果患者均一次性治愈,无不良护理并发症发生。结论 PPH治疗重症复杂性痔疗效好,配合积极的护理措施,能促进患者顺利康复。     

神阙穴敷贴对原发性骨质疏松症骨钙素的影响

目的　观察神阙穴贴补血益精透皮贴对原发性骨质疏松症骨钙素 (BGP)的影响。方法　选择原发性骨质疏松症患者130名 ,分神阙穴贴药组 (补血益精穴位透皮贴剂 )、西药组 (羟乙磷酸钠片 )、中药组 (补血益精药丸 )、空白对照组。结果和结论　穴位敷贴组能显著提高骨钙素 (7.69± 1.65 )。穴位敷贴组与中药组 (7.82± 0 .99)和西药对照组 (7.13± 0 .89)对原发性骨质疏松症的骨钙素调整作用基本一致 (P>0 .0 5 )。     

Clinical Study on Moxibustion at Shenque （CV 8） for Chronic Urticaria

Objective： To observe the safety and efficacy of moxibustion at Shenque （CV 8） for chronic urticaria. Methods： A total of 80 cases who met the inclusion criteria were randomly allocated into a treatment group and a control group, 40 in each. Cases in the treatment group were treated with thunder-fire moxibustion at Shenque （CV 8）, whereas cases in the control group were treated with Mizolastine. Changes in clinical symptoms such as itching and skin lesion were observed before and after treatment and the therapeutic efficacies were assessed. Results： After treatment, the total scores of clinical symptoms in both groups were markedly reduced （P〈0.05）, and the reduction was more significant in the treatment group than that in the control group （P〈0.05）. The total effective rate in the treatment group was 77.5%, versus 65.0% in the control group, showing no significant difference （P〉0.05）. The Ridit analysis showed a between-group significant difference in therapeutic efficacy grades （P〈0.05）. There were no reports of adverse reactions in the treatment group and 2 cases experienced mild somnolence in the control group. Conclusion： With an exact effect for chronic urticaria, moxibustion at Shenque （CV 8） obtained better results in overall efficacy and improving symptoms than oral administration of Mizolastine.     

神阙隔药灸疗法治疗溃疡性结肠炎的临床观察

目的：观察神阙隔药灸疗法治疗溃疡性结肠炎（UC）的疗效及对自身免疫水平的影响，并探讨其作用机制。方法：将60例UC患者随机分为治疗组（30例）和对照组（30例）。治疗组采用神阙隔药灸疗法，对照组口服柳氮磺胺吡啶片和甲硝唑片，比较两组治疗前后主要症状及肠黏膜病变变化和总疗效，观察血清免疫球蛋白、外周血T细胞亚群与自然杀伤细胞（NK）含量变化。结果：治疗组显效率、总有效率分别为60．0％、86．7％，明显优于时照组的23．3％、66．7％，两组间比较差异有显著性或非常显著性意义（P〈0．05，P〈0．01）。治疗组治疗后IgG显著降低，与对照组治疗后比较差异有显著性意义（P〈0．05）；治疗前后IgA、IgM无明显变化（P〉0．05）。治疗姐治疗后外周血T细胞亚群与NK细胞含量均不同程度增高，增高幅度与疗效呈正相关。结论：神阙隔药灸疗法是治疗溃疡性结肠炎的满意方法，其作用机制可能通过调节机体的免疫功能发挥疗效。     

Case Reports of Needling Shenque （CV 8） in Clinical Practice

Shenque (CV 8), located at the center of the umbilicus, has a very close connection with the five-zang and six-fu organs, the fourteen meridians, and extremities and bones of the body. It is described as the congenital stalk and postnatal qi-warehouse. It plays a key role in the circulation of qi and blood. Historically needling this point was strictly prohibited. In the past decade, the author got good efficacy by moxibustion, electric-acupuncture and herbal application on this point in treating varieties of problems of internal medicine, gynecology, pediatrics and dermatology. The following here are four examples.     

神阙穴隔药灸治疗小儿秋季腹泻临床观察

目的：观察神阙穴隔药灸治疗小儿秋季腹泻的疗效。方法：将136例患儿随机分为隔药灸纽和药物组，各68例。隔药灸组采用神阙穴隔药灸，药物纽口服思密达。观察平均止泻时间，治疗72小时后粪便轮状病毒（Human Rotavirus，HRV）抗原的转阴率，及治疗6天后2组病例临床显效率、总有效率。结果：隔药灸组和药物组的显效率分别为79．4％、35．3％，总有效率分别为94．1％、75.0％，差异有非常显著性或显著性意义（P〈0．01，P〈0．05）；2组平均止泻时间，隔药灸组明显短于药物组（P〈0.01）；治疗72小时后隔药灸组、药物组患儿粪便HRV抗原转阴率分别为88．2％、69.1％，差异有非常显著性意义（P〈0.01）。结论：神阙穴隔药灸治疗小儿秋季腹泻疗效显著，且有利于粪便HRV抗原转阴及缩短病程。     

腹针配合神阙灸治疗慢性盆腔炎疗效观察

目的观察腹针配合神阙灸治疗慢性盆腔炎的临床疗效。方法将170例慢性盆腔炎患者分为治疗组132例和对照组38例。治疗组采用腹针配合神阙灸治疗,对照组采用常规针刺治疗,对比两组临床疗效。结果治疗组总有效率为95.5%,对照组为81.6%,两者比较差异具有统计学意义（P〈0.05）。结论腹针配合神阙灸是一种治疗慢性盆腔炎的有效方法。     

Experimental study on the effect of moxibustion at Shenque (CV 8) for long-term exercise-induced fatigue

Objective

To investigate the effect of moxibustion at Shenque (CV 8) on fatigue in rats with chronic exercise-induced exhaustion.

Methods

Thirty male Sprague-Dawley (SD) rats were randomly divided into a blank group, a model group and a moxibustion group, 10 rats in each group. Except rats in the blank group, the remaining rats were subjected to create long-term exhaustion models by repeated swimming. After successful modeling, rats in the moxibustion group received mild moxibustion at Shenque (CV 8) for 15 min, once every other day with a total of 10 times. Rats in the model group and the blank group did not receive moxibustion. At the end of the treatment, the exhausted times, and the body weight of rats before and after the experiment were compared among groups. The levels of blood malondialdehyde (MDA) and urea nitrogen (BUN), as well as the activities of aspartate transarninase (AST), alanine aminotransferase (ALT) and lactate dehydrogenase (LDH) were also measured by the automatic biochemical analyzer, 24 h after the exhausting excise.

Results

The 10th swimming time was significantly longer in the moxibustion group than that in the model group (P<0.01). The increase rate of the body weight was lower in the rats of the moxibustion group than that in the model group before the 7th and the 10th exhausting excise (P<0.05, P<0.01). The levels of serum MDA and BUN, as well as the activities of AST, ALT and LDH in the model group were higher than those in the blank group (all P<0.01). The levels of serum MDA and BUN, as well as the activities of AST, ALT and LDH in the moxibustion group were lower than those in the model group (P<0.01).

Conclusion

Moxibustion at Shenque (CV 8) can decrease the serum levels of MDA and BUN, as well as activities of AST, ALT and LDH in the long-term fatigue rats, thus to improve the symptoms of fatigue.

     

Clinical Application of Shenque （CV 8） plus Eight Battle Points for Obesity

In order to observe the therapeutic effect of Eight Battle Points for simple obesity.MethodsIn the treatment of 98 cases of the patients with obesity by the oblique puncture of long needles into Eight Battle Points,the body weight,body weight index (BWI),waist circumference,buttock circumference and fat distribution rate of the patients were measured and assessed respectively before and after the treatments.And the changes of complications of obesity were observed before and after the treatments.ResultsThere were significant differences (P＜0.05) in various indexes of obesity before and after acupuncture treatment.ConclusionAcupuncture by puncturing Shenque(CV 8) plus Eight Battle Points is positive in the treatment of obesity and has a better therapeutic effect for complications of obesity.     

神阙穴贴药对中风患者常规疗效的影响

目的:观察神阙穴贴药对中风病临床疗效的影响.方法:将246例中风患者随机分为非穴贴对照组(对照组)、穴贴治疗组(穴贴组).对照组122例患者接受病房中风病的常规治疗(re刺及常规西医治疗),穴贴组124例患者除接受病房中风病的常规治疗(同对照组)外加用穴贴神阙穴治疗.治疗前后采用脑卒中专门化生存质量量表(Stroke-Specific Quality of Life,SS-QOL)、世界卫生组织生存质量测定量表(WHOQOL-100BREF)计分进行疗效评价,并对患者进行血液半胱氨酸测定.结果:两组治疗前后SS-QOL及WHOQOL-100BREF评分比较,差异均具有统计学意义(均P＜0.001);两组治疗后比较,差异无统计学意义(P＞0.05);在SS-QOL中的思维项得分两组治疗后比较,差异有统计学意义(P＜0.05),穴贴组优于对照组;两组异常半胱氨酸患者治疗后SSQOL评分比较,差异有统计学意义(P＜0.05),穴贴组优于对照组.结论:穴位贴敷疗法可以提高中风后患者的思维能力,改善中风患者中高半胱氨酸患者的生存质量.