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Acupuncture in Preterm Babies during Minor Painful Procedures

Journal of Traditional Chinese Medicine 2011年第4期31卷 308-310页

作者： Ayse Ecevit Deniz Anuk Ince aylin tarcan Mehmet Tugrul Cabioglu Abdullah Kurt Department of Pediatrics Division of Neonatology Baskent University Faculty of Medicine Acupuncture Treatment Unit Department of Physiology Baskent University Faculty of Medicine

Objective: To evaluate analgesic effects of acupuncture in preterm neonates during minor painful procedures. Methods: Ten preterm neonates requiring heel prick for blood gas analysis were enrolled in the study, which had a crossover design. Oxygen saturation, systolic and diastolic blood pressure, respiratory rate, heart rate, and crying duration were recorded before and after heel prick. Babies were given expressed breast milk before each procedure. Patients were randomly assigned to receive acupuncture or not, and the groups were crossed over on the following day, so that patients who had received acupuncture received only breast milk, and the previous breast milk only group received both acupuncture and breast milk. The neonatal infant pain scale (NIPS) was used for pain evaluation. Results: Crying duration and NIPS pain scores during heel prick were lower in the neonates who had received acupuncture. Conclusion: Acupuncture is an effective method for the treatment of pain in neonates.

关键词：针灸治疗早产儿疼痛持续时间血氧饱和度新生儿镇痛作用血气分析

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Evaluation of peripheral perfusion in term newborns before and after Yintang (EX-HN 3) massage

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Journal of Traditional Chinese Medicine 2015年第6期35卷 642-645页

作者： Ali Ulas Tugcu Tugrul Cabioglu Aslihan Abbasoglu Ayse Ecevit Deniz Anuk Ince aylin tarcan Department of Pediatrics Division of NeonatologyBaskent University Faculty of MedicineAnkara Hospital Department of Physiology Baskent University Faculty of Medicine Department of Pediatrics Division of NeonatologyGaziosmanpasa University Hospital

OBJECTIVE: To identify how acupressure on the acupoint Yintang(EX-HN 3) impacts oxygen saturation, pulse rate, and peripheral perfusion in term-born infants without underlying disease.METHODS: Infants born between weeks 37 and 42 of gestation were included in this study. The polyclinic's neonatology room was noise-controlled and made half-dark to prevent the perfusion index from being confounded. A pulse oximeter was linked to the baby's left lower extremity. Acupressure was applied on Yintang(EX-HN 3) for 30 s clockwise, held for 30 s, and then acupressure was applied for another 30 s counterclockwise. The baby's SaO_2, pulse rate, and perfusion index were recorded for each minute before and after acupressure.RESULTS: When pre- and post-acupressure pulse rate values were compared, a significant decrease in pulse rate values after acupressure application was observed. When pre- and post-acupressure oxygen saturation values were compared, a significant increase in post-acupressure oxygen saturation was observed. In addition, peripheral perfusion increased significantly after acupressure.CONCLUSION: Acupressure application has been used in traditional medicine for many years. However, it is not yet widely used in modern medicine.This study shows the impact of acupressure on neonatal skin perfusion, oxygen saturation, and pulse rate.

关键词： Acupressure Point EX HN3 (Yintang) Perfusion Term birth Infant, newborn

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神经外科修复的初始时间对脊髓脊膜膨出所致神经原性膀胱的预后有显著影响

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中华泌尿外科杂志 2007年第1期28卷 67-67页

作者： tarcan T 李清（摘译）张小东（校）单位不详

为研究对开放性脊柱裂病患儿初始进行神经外科修复手术的时间与泌尿系预后的关系，作者对土耳其脊柱裂多学科临床中心1996年至2005年401例脊髓脊膜膨出患儿的随访记录进行了研究。脊髓脊膜膨出颈神经水平2例，胸神经3例，腰神经331例，... 详细信息

为研究对开放性脊柱裂病患儿初始进行神经外科修复手术的时间与泌尿系预后的关系，作者对土耳其脊柱裂多学科临床中心1996年至2005年401例脊髓脊膜膨出患儿的随访记录进行了研究。脊髓脊膜膨出颈神经水平2例，胸神经3例，腰神经331例，骶神经13例，腰骶神经52例。其中能够获得3岁时泌尿系统随访资料的129例患儿入组进行研究。随访项目包括病史、泌尿系体检、尿培养、血清肌酐测定、肾脏B超、膀胱尿道造影。为了评价早期与晚期神经外科手术效果的不同，将患儿分为2组：在出生后72h内即行手术修复的为组1，共62例；出生72h后进行手术修复的为组2，共67例。

关键词：脊髓脊膜膨出神经原性膀胱外科修复预后随访资料泌尿系统血清肌酐测定膀胱尿道造影

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