耳穴贴压促进术后胃肠功能恢复干预性试验的Meta分析

目的：评价耳穴贴压对患者术后胃肠功能恢复的影响。方法检索Cochrane及JBI图书馆、PubMed （1966-2013年）、EMbase （1989-2013年）、CBMdisc （1978-2013年）和 CNKI （1994-2013年）数据库中符合纳入排除标准的中英文文献,由3名研究者对文献进行质量评价,使用RevMan 5．0软件对符合标准的研究结局指标进行分析和描述。结果共纳入14项临床干预性研究,文献质量等级均为B级。 Meta分析结果显示,在常规治疗护理的基础上结合耳穴贴压疗法,可明显缩短患者术后排气的时间（WMD＝-14．16,95％CI：-18．40～-9．93,P＜0．01）、排便的时间（WMD＝-19．19,95％CI：-27．56～-10．81,P＜0．01）,促进肠鸣音的恢复（WMD＝-10．33,95％CI：-12．98～-7．69,P＜0．01）及减少腹胀的发生（OR＝0．17,95％CI：0．10～0．29,P＜0．01）。结论耳穴贴压能够有效促进术后胃肠功能的恢复,今后可将研究重点或方向放在耳穴贴压促进术后胃肠功能恢复作用机理的基础研究及临床试验的规范化研究上。     

穴位按摩防治妇科腹腔镜术后颈肩痛的效果

目的探讨穴位按摩对防治妇科腹腔镜术后颈肩部疼痛的作用。方法妇科腹腔镜手术病人109例,随机分为两组,观察组53例,给予妇科腹腔镜术后常规护理并施以穴位按摩;对照组56例,给予妇科腹腔镜术后常规护理。观察并比较两组病人术后颈肩痛的发生率、疼痛持续时间及疼痛的程度。结果观察组术后颈肩痛的发生率低于对照组（x2=4．25,P〈0．05）,疼痛持续时间短于对照组（t=4．35,P〈0．05）,疼痛的程度轻于对照组（u=2．35～3．42,P〈0．05）。结论穴位按摩能有效防治妇科腹腔镜术后病人出现的颈肩部疼痛。     

Acupressure magnets: A possible MRI hazard

The use of magnets as a component of complementary and alternative medicine is increasingly common. Magnet therapy is used to treat a variety of conditions and often involves tiny magnets adhered to the skin. In auriculotherapy, magnets are placed in specific locations of the ear pinnae which represent particular parts of the body. While generally considered safe, these magnets have the potential to cause imaging problems and serious injury during MRI. We report a case of auriculotherapy magnets which escaped detection despite the use of screening forms and a walk‐through metal detector. The magnets caused image artifact but no other patient harm. We recommend updating patient screening practices and educating providers placing therapeutic magnets and performing MRIs of this new potential MRI hazard. J. Magn. Reson. Imaging 2015;41:858–860. © 2014 Wiley Periodicals, Inc.     

中医护理联合常规护理高血压随机平行对照研究

[目的]观察中医护理联合常规护理高血压疗效。[方法]使用随机平行对照方法,将90例住院患者按就诊先后顺序分为两组。对照组45例常规护理,1合理安排生活;2定期测量血压;3提高社会适应力;4合理饮食;5保持大便通畅。护理组45例中医护理,1耳穴贴压,王不留行籽贴压在患者双耳降压沟处,并双手半握拳,食指在耳前,拇指按于耳后降压处,从上到下进行摩擦,连续进行16次,3次/d;选取太冲、三阴交、合谷、曲池、内关等穴位进行按摩,每个穴位按摩3~5min,2次/d;肝火亢盛,将白菊花2000g晒干装入到枕芯中;阴阳两虚,将桑叶、干地黄、巴戟天各500g,丹皮200g晒干后碾成粗末并装入到枕芯;2适当运动及按摩;常规护理同对照组。连续护理7d为1疗程。观测护理效果、不良反应。连续护理2疗程,判定疗效。[结果]临床护理效果两组均有改善(P0.05),护理组改善优于对照组(P0.05)。[结论]中医护理联合常规护理高血压疗效显著,值得推广。     

穴位按摩治疗混合痔术后便秘

目的探讨穴位按摩治疗混合痔术后便秘的效果。方法选取混合痔术后便秘的患者70例,用随机数字表法分为治疗组36例和对照组34例,对照组给予便秘常规护理,治疗组在对照组的基础上实施穴位按摩,选取：足三里（双）、中脘、大横（双）、天枢（双）、气海8穴,观察干预后2组患者排便情况。结果干预2周后,治疗组便秘改善总有效率达94.44%,优于对照组的70.59%,差异有统计学意义（P〈0.05）。结论穴位按摩能刺激经穴,促进肠蠕动,通腑泻实,滋阴通便,改善术后便秘。     

Effects of Acupressure on Fatigue in Patients with Cancer Who Underwent Chemotherapy

Fatigue is the commonest symptom in cancer patients; despite high levels of clinically significant persistent cancer-related fatigue, few treatments are currently available. The aim of this study was to evaluate the efficacy of acupressure on fatigue in patients with cancer who underwent chemotherapy. The study was designed as a randomized and controlled trial. Ninety samples were selected using the convenience sampling method, and random block sampling was used for allocation of groups (30 for each group). The three groups were similar by age and gender. The experimental group underwent acupressure at the Zusanli (ST-36), Hegu (LI-4), and Sanyingjiao (SP-6), whereas sham pressure was used in the placebo group and no intervention was applied in the control group; the level of fatigue of participants in three groups was calculated in three phases, before, during, and after chemotherapy. Data were analyzed using SPSS, version 22. The results showed that the mean of visual analog score of fatigue is significantly different in three groups at the end of chemotherapy (p = 0.021). The mean visual analog score of fatigue in the acupressure group was meaningfully lower than that in the control group after chemotherapy (p = 0.028). Results of this investigation showed that acupressure has short-term effectiveness on the cancer-related fatigue of patients undergoing chemotherapy.     

耳穴贴压对ICU患者紧急抢救时邻床清醒患者应激反应的影响

目的探讨耳穴贴压对重症监护病房（intensiveeareunit,ICU）患者紧急抢救时邻床清醒患者应激反应的影响。方法采用随机数字表法,将50例入住ICU的清醒患者分为试验组和对照组,每组各25例。抢救时两组患者均常规给予干预措施（所有邻床清醒患者用围帘隔开、专职护士进行心理护理）,试验组在此基础上采用耳穴贴压。观察两组患者在抢救时即刻（0min）、30min、1h心率、收缩压、血糖、血浆儿茶酚胺（肾上腺素、去甲肾上腺素）、皮质醇指标情况的差异。结果抢救时30min、1h试验组患者各项应激指标均低于对照组,两组比较,差异具有统计学意义（均P〈0．05）。结论耳穴贴压对降低ICU患者紧急抢救时邻床清醒患者应激反应具有较好的效果。     

耳穴贴压治疗原发性失眠的临床研究现状及问题分析

探讨国内耳穴贴压治疗原发性失眠临床研究存在的问题。对近五年国内耳穴贴压治疗原发性失眠的研究按疾病诊断标准、试验设计、干预措施、疗效及安全性评定进行分类综述及问题探讨。目前国内耳穴贴压治疗原发性失眠的临床研究主要存在疾病诊断标准不统一导致患者筛选差异明显;试验设计随机、盲法、伦理及注册原则贯彻较差,对照选择落后临床实际,导致试验结果的内在真实性需谨慎对待;疗效评价缺乏金指标,缺乏随访等,导致疗效证据不充分,效应优势不明确。今后耳穴贴压治疗原发性失眠的临床研究需在设计、实施和质量控制方面进一步规范。     

体针与耳穴贴压并用对经行头痛患者血清PGF_(2α)、PGE_2含量及其比值的影响

目的:探讨体针与耳穴贴压并用疗法治疗肝火旺盛型经行头痛的作用机制。方法:法:将85例经行头痛患者随机分为两组。治疗组43例,采用体针与耳穴压丸并用的方法治疗;对照组42例,口服西比灵(盐酸氟桂利嗪胶囊)治疗。并对两组各30例患者治疗前后经期血清前列腺素F2α(PGF2α)和前列腺素E2(PGE2)进行检测。结果:治疗组疗效优于对照组(P<0.01)。两组血清PGF2α含量治疗后较治疗前均明显降低(P<0.01,P<0.05);两组血清PGE2含量治疗后较治疗前均明显升高(P<0.01,P<0.05),但对照组治疗后仍低于正常组(P<0.05);两组PGF2α/PGE2比值治疗后较治疗前均明显降低(P<0.01,P<0.05),但对照组治疗后仍大于正常组(P<0.05)。结论:体针与耳穴贴压并用对肝火旺盛型经行头痛有显著治疗作用,其作用机制可能与调节患者异常PGF2α和PGE2水平,降低PGF2α/PGE2比值有关。