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Journal of Traditional Chinese Medicine 2016年第4期36卷 450-455页

作者： Hou Lili Xu Lei Shi Yan Gu Fen Department of Nursing Shanghai Pulmonary Hospital Department of Nursing Putuo HospitalShanghai University of Traditional Chinese Medicine Department of Nursing Tenth People's Hospital of Tongji University Respiratory Department Shanghai Pulmonary Hospital

OBJECTIVE:To evaluate the effects of electric acupoint stimulation on gastrointestinal hormones and motility among geriatric postoperative patients with gastrointestinal tumors,and to explore an efficient and noninvasive method for postoperative recovery of bowel ***:Forty patients were randomly and evenly assigned into a regular nursing care group(RNC) and an acupoint electric stimulation group(AES).Patients in the RNC group received regular nursing care and patients in the AES group received regular nursing care plus electric stimulation of *** serum levels of gastrin(GAS),motilin(MOT),and cholecystokinin(CCK),and an electrogastrogram(EGG) of all the patients were evaluated on the first,third,and fifth day after *** time to first flatus after surgery and the number of patients with side effects such as abdominal pain,abdominal distention,and diarrhea were ***:There were significant differences between the two groups in GAS,MOT,EGG,time to first flatus,abdominal pain,abdominal distention,and diarrhea(P electric stimulation on acupoints could increase levels of GAS and MOT,promote the recovery of gastrointestinal functions,and decrease complications among postoperative senile patients with gastrointestinal tumors.

关键词： electric stimulation therapy Aged Gas trointestinal stromal tumors Gastrointestinal hor mones Gastrointestinal motility Point ST36(Zusan li) Point ST37(Shangjuxu)

Effect of acupuncture plus medium-frequency electric stimulation on bladder function after radical hysterectomy for cervical cancer

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Journal of Acupuncture and Tuina Science 2017年第5期15卷 371-376页

作者：杨振杰肖学伟黄国琪 Qilu Hospital of Shandong University

Objective： To observe the effect of acupuncture plus medium-frequency electric stimulation on bladder function after radical hysterectomy for cervical cancer. Methods： A total of 170 patients confirmed by biopsy and surgical pathology and treated with radical hysterectomy for cervical cancer were randomly divided into an acupuncture group, an observation group and a control group by random digital table. Fifty-six cases in the acupuncture group were treated with acupuncture after surgery, one session each day, till the extubation day; 58 cases in the observation group were treated with acupuncture plus medium-frequency electric stimulation after surgery, one session each day, till the extubation day; and 56 cases in the control group didn＇t receive any intervention, and the catheter was retained till the extubation day. On the postoperative day 14, all groups were dealt with catheterization to determine the residual urine volume, in order to observe the occurrence rate of urinary retention and the recovery of bladder function and to compare the differences of the therapeutic effects among the groups. Results： The occurrence rates of urinary retention were respectively 16.1%, 20.7% and 46.4% in the acupuncture group, observation group and control group, with significant differences （P〈0.05）. When comparing the acupuncture group and the observation group with the control group, there were significant differences （both P〈0.05）. In comparison between the acupuncture group and the observation group, there was no significant difference （P〉0.05）. The recovery rates of bladder function in the three group were respectively 42.9%, 60.3% and 41.1% without significant differences （P〉0.05）. Moreover, there were no significant between-group differences （P〉0.05）, but acupuncture plus medium-frequency electric stimulation showed a better tendency. Conclusion： The single application of acupuncture therapy is effective and able to prevent urinary retention after radical hysterectomy

关键词： Acupuncture therapy electric stimulation therapy Uterine Cervical Neoplasms Postoperative Complications Urinary Retention Women

Music electric stimulation of points for anxiety:a multi-center randomized controlled clinical trial

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Journal of Acupuncture and Tuina Science 2018年第1期16卷 33-37页

作者：张洪邓鸿贾联斌艾双春洪珏(译) The Third Hospital of Mianyang Sichuan Province (Sichuan Mental Health Center) Mianyang 621000 China Sichuan Mianyang 404 Hospital Mianyang 621000 China Mianyang Hospital of Traditional Chinese Medicine Sichuan Province Mianyang 621000 China 不详

To observe the therapeutic efficacy of music electric stimulation of points in treating anxiety. Methods： By adopting a design of multi-centered randomized controlled trial （RCT）, a total of 270 patients with anxiety were randomized into a treatment group and a medication group. The treatment group was intervened by music electric stimulation of points, while the medication group was intervened by oral administration of doxepin. The two groups were evaluated by using Hamilton anxiety rating scale （HAMA） and Chinese revised edition of self-rating anxiety scale （SAS-CR） before and after the intervention. The therapeutic efficacies were also compared. Results： The total effective rate was 93.6% in the treatment group versus 92.3% in the medication group, and the between-group difference was statistically insignificant （P〉O.05）. After the treatment, the aggregate scores of HAMA and SAS-CR were significantly changed in both groups （both P〈0.001）, and the inter-group differences were statistically insignificant （P〉O.05）. Conclusion： Music electric stimulation of points can produce equivalent efficacy in treating anxiety compared to doxepin. Thus, it can be taken as a choice in the treatment of anxiety.

关键词： electric stimulation therapy Music therapy Anxiety Point, Baihui (GV 20) Point, Yintang (GV 29) PsychiatricStatus Rating Scales Randomized Controlled Trial Doxepin

Clinical study on acupuncture combined with low-frequency electric stimulation for scissor gait in children with spastic cerebral palsy

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Journal of Acupuncture and Tuina Science 2015年第3期13卷 150-155页

作者：符文杰金炳旭赵勇刘振寰 Nanhai Maternity and Children’s Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine

Objective：To observe the clinical effect of acupuncture combined with low-frequency electric stimulation on scissor gait in children with spastic cerebral palsy. Methods：A total of 60 spastic cerebral palsy kids were allocated into two groups by random number table, 30 in each group. Cases in the control group were treated with physical exercise therapy, massage and hydrotherapy. Based on the therapies given to the control group, cases in the observation group were supplemented with acupuncture combined with low-frequency electric stimulation. Selected points included Zusanli （ST 36）, Sanyinjiao （SP 6）, Yanglingquan （GB 34）, Jiexi （ST 41）, Chengshan （BL 57）, Naoqing [Extra, locates at 2 cun directly above Jiexi （ST 41）] and Genping （Extra, locates at the midpoint of the line connecting medial and lateral malleolus）. The treatment was done once every other day and 10 d made up a treatment course. The low-frequency electric stimulation was applied to anterior tibia, 6 times a week and 20 times made up a treatment course. Cases were treated for a total of 3 courses and there was a 15-20 d interval between two courses. The low limb functions were assessed before and after treatment using the modified Ashworth scale （MAS） and composite spasticity scale （CSS）. In addition, the ankle dorsiflexion angles were measured before and after treatment. Results：After treatment, the ankle dorsiflexion angles and CSS scores in the observation group were better than those in the control group, showing statistical significances （P〈0.05）; the effective rate in the observation group calculated by MAS and ankle dorsiflexion angle were both higher than that in the control group, showing a statistical significance （P〈0.05）. Conclusion：Rehabilitation training combined with acupuncture and low-frequency electric stimulation can achieve better effect than rehabilitation training alone in improving scissor gait in kids with spastic cerebral palsy.

关键词： Acupuncture therapy electric stimulation therapy Foot Deformities Cerebral Palsy Spasm Child,Preschool

Electrophysiological monitoring and identification of neural roots during somatic-autonomic reflex pathway procedure for neurogenic bladder

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Chinese Journal of Traumatology 2005年第2期8卷 74-76页

作者：代成甫肖传国 Department of Orthopedic Surgery Shenzhen People's Hospital Jinan University School of Medicine Guangdong 518020 China Department of Urology Tongji Medical College Xiehe Hospital Huazhong University of Science and Technology Hubei China

OBJECTIVE: To identify and separate the ventral root from dorsal root, which is the key for success of the artificial somatic-autonomic reflex pathway procedure for neurogenic bladder after spinal cord injury (SCI). Here we report the results of intra-operating room monitoring with 10 paralyzed patients. METHODS: Ten male volunteers with complete suprasacral SCI underwent the artificial somatic-autonomic procedure under general anesthesia. Vastus medialis, tibialis anticus and gastrocnemius medialis of the left lower limb were monitored for electromyogram (EMG) activities resulted from L4, L5, and S1 stimulation respectively to differentiate the ventral root from dorsal root. A Laborie Urodynamics system was connected with a three channel urodynamic catheter inserted into the bladder. The L2 and L3 roots were stimulated separately while the intravesical pressure was monitored to evaluate the function of each root. RESULTS: The thresholds of stimulation on ventral root were 0.02 ms duration, 0.2-0.4 mA, (mean 0.3 mA+/-0.07 mA), compared with 0.2-0.4 ms duration, 1.5-3 mA (mean 2.3 mA+/-0.5 mA) for dorsal root (P

关键词： Reflex Adult Autonomic Pathways Bladder Bladder, Neurogenic electric stimulation therapy Electromyography Electrophysiology Humans Male Muscle Contraction Muscle, Skeletal Muscle, Smooth Spinal Cord Injuries Spinal Nerve Roots Thigh

Satellite cell proliferation and myofiber cross-section area increase after electrical stimulation following sciatic nerve crush injury in rats

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Chinese Medical Journal 2020年第16期133卷 1952-1960页

作者： Hua-Yi Xing Nan Liu Mou-Wang Zhou Department of Rehabilitation Medicine Peking University Third HospitalBeijing 100191China

Background:electrical stimulation has been recommended as an effective therapy to prevent muscle atrophy after nerve ***,the effect of electrical stimulation on the proliferation of satellite cells in denervated muscles has not yet been fully *** study was aimed to evaluate the changes in satellite cell proliferation after electrical stimulation in nerve injury and to determine whether these changes are related to the restoration of myofiber cross-section area(CSA).Methods:Sciatic nerve crush injury was performed in 48 male Sprague-Dawley *** half(24/48)of the rats,the gastrocnemius was electrically stimulated transcutaneously on a daily basis after injury,while the other half were not *** group of 24 male Sprague-Dawley rats were used as sham operation controls without injury or *** rats were euthanized 2,4,and 6 weeks *** 5-bromo-2’-deoxyuridine(BrdU)labeling,the gastrocnemia were harvested for the detection of paired box protein 7(Pax7),BrdU,myofiber CSA,and myonuclei number per *** data were analyzed using two-way analysis of variance and Bonferroni post-hoc ***:The percentages of Pax7-positive nuclei(10.81±0.56%)and BrdU-positive nuclei(34.29±3.87%)in stimulated muscles were significantly higher compared to those in non-stimulated muscles(2.58±0.33%and 1.30±0.09%,respectively,Bonferroni t=15.91 and 18.14,Pelectrical stimulation after nerve injury,which may be correlated with an increase in myonuclei number and myofiber CS

关键词： Skeletal muscle satellite cells Peripheral nerve injuries electric stimulation therapy Pax7 transcription factor Cell proliferation

Neuromuscular electrical stimulation in Intensive Care Unit Patients:Integrative Review

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Modern Research in Inflammation 2019年第2期8卷 11-27页

作者： Miriam Viviane Baron Marcus Vinicius de Mello Pinto Janine Koepp Cristine Brandenburg Paulo Ricardo Martins Amanda Correa dos Santos Daniela Moraes Carolina Goncalves Pinheiro Nathália Ken Pereira Iketani Bartira Ercilia Pinheiro da Costa Nephrology Laboratory Department of Postgraduate of Medicine and Health SciencesSchool of MedicinePontifical Catholic University of Rio Grande do SulPorto AlegreBrazil Celulare Institute Rio de JaneiroBrazil Nursing Course Department of Nursing and DentistryUniversity of Santa Cruz do SulSanta Cruz do SulBrazil Postgraduate Program in Brazilian Education Department of Fundamentals of EducationFederal University of CearáFortalezaBrazil School of Medicine Pontifical Catholic University of Rio Grande do SulPorto AlegreBrazil Physiotherapy Course Department of PhysiotherapyVale do Salgado FacultyIcóBrazil Department of Physiotherapy Dom Luiz I Hospital-Portuguese Beneficent of BelemParaBrazil

Intensive care units’ acquired muscle weakness is present in approximately 50% of the patients. Although active muscle training can attenuate weakness, a large proportion of critical patients cannot participate in any active mobilization. Neuromuscular electrical stimulation may be an alternative strategy to reverse muscle weakness. The objective of the study was to review the scientific publications on the use of neuromuscular electrical stimulation and its parameters and the main results in patients hospitalized in intensive care units. This is an integrative review surveying studies in online databases. The studies were selected from the following descriptors: neuromuscular electrical stimulation AND parameters AND intensive care units AND muscle weakness. The inclusion criteria included articles that addressed the topic of neuromuscular electrical stimulation and the parameters used in patients admitted to intensive care units, aged 18 years or older. Exclusion criteria were studies involving animals, case reports, letters to the editor and book chapters. The search comprised articles in the Portuguese, English and Spanish languages from January 2013 to March 2019. Of the 185 articles identified, nine met the eligibility criteria. The studies were evaluated assessing the level of evidence, and the relevant information was presented in the table and discussed. The parameters of the neuromuscular electrical stimulation employed in the studies showed positive results for the maintenance of strength and muscle mass. There was evidence of benefits in the local and systemic microcirculation, potentially mobilizing endothelial stem cells, to prevent atrophy, to reduce mechanical ventilation time and stay in intensive care unit;and when incorporated into the usual physiotherapy care, proved to be more effective than usual care. Its use is safe and viable in critically ill patients.

关键词： Muscle Weakness Critical Illness Polyneuropathy Sepsis electric stimulation therapy Physical therapy Modalities

Clinical observation on acupoint massage plus Vitalstim electrical stimulation for deglutition disorder after stroke

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Journal of Acupuncture and Tuina Science 2020年第6期18卷 438-444页

作者： Tian Li Nie Shao-tong Lou Tian-xiao Chen Huan Yuan Guang-hui Changsha Social Work College Changsha 410000China Hunan Traditional Chinese Medical College Zhuzhou 412000China Zhuzhou Central Hospital Hunan ProvinceZhuzhou 412000China

Objective:To observe the effect of acupoint massage plus Vitalstim electrical stimulation on deglutition function and surface electromyography(SEMG)of deglutition muscle ***:A total of 60 patients with deglutition disorder after stroke were selected and divided into an electrical stimulation group,a massage group and an integrated group according to the random number table method,with 20 cases in each *** in these three groups were given the same routine rehabilitation training for *** addition,patients in the electrical stimulation group were given extra Vitalstim electrical stimulation,patients in the massage group were given extra acupoint massage on the head,face and neck,and patients in the integrated group were given extra acupoint massage plus Vitalstim electrical *** Ichiro food intake level scale(FILS)was scored before and after *** swallowing duration and maximal amplitude of masseter muscle in SEMG were evaluated before and after ***:After treatment,the FILS score and the maximal amplitude of recruitment potential generated by muscular contraction of masseter muscle group in the three groups were higher than those before treatment(all Pelectrical stimulation group and the massage group(both Pelectrical stimulation group and the massage group(both Pelectrical stimulation group and the massage group(Pelectrical stimulation group and the massage group

关键词： Acupoint Pressure therapy electric stimulation therapy Electromyography Poststroke Syndrome Pseudobulbar Palsy Deglutition Disorders

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压力性尿失禁诊疗135例临床分析(英文)

中华临床医师杂志（电子版） 2011年第21期5卷 6336-6341页

作者：李环吴瑞芳李瑞珍张礼婕王苏梅张巍颖 Department of Obstetrics and Gynecology Beijing University shenzhen Hospital

Objective The purpose of this study is to evaluate and compare the two different treatments by researching 135 cases with stress urinary *** From June 2006 to June 2010,135 patients with stress urinary incontinence were treated in Department of Gynecology and Obstetrics of Peking University Shenzhen Hospital.91 cases of them were treated with low frequency electric stimulation and biofeedback therapy (Group A),and the other 44 cases were treated by improved transobturaor tension-free vaginal tape(TVT-O) and TVT-O (Group B).Then,we compared these two groups by whole recovery rate,recovery rate of patients with urge incontinence,charge of treatment and complication,*** Group B's recovery rate for stress urinary incontinence was 100%.Ⅰ degree stress urinary incontinence in Group A's recovery rate was higher;Ⅱ degree patients' recovery rate for stress urinary incontinence was lower;Ⅲ degree patients' recovery rate was 0%.Only 1 case showed abnormal urine stream;2 cases showed urinary retention,but the symptoms disappeared after the *** significant complication in Group *** were huge differences of the expense between the two *** effect in Group A for patients with urge incontinence was good,but there was no effect shown in Group *** The two treatments are safe and effective for stress urinary incontinence,but there are existed prominent differences of the therapeutic efficacy between the two groups.

关键词： Urinary incontinence,stress Urge incontinence electric stimulation therapy Biofeedback Transobturaor tension-free vaginal tape

Use of a self-designed bladder controller for restoring bladder function in paraplegic dogs

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Chinese Journal of Traumatology 2003年第4期6卷 195-198页

作者：王诗波侯春林刁颖敏陈爱民张世民雷波尹承慧张伟 Department of Orthopaedics Changzheng HospitalSecond Military Medical UniversityShanghai 200003China Tongii University Shanghai 200092China Department of Orthopaedics Changzheng HospitalSecond Military Medical UniversityShanghai 200003Chinabjective: To evaluate the results of a self-designed bladder controller for restoring micturition function in paraplegic dogs.Methods: The spinal cords of 4 dogs were transected above the cone. Electrodes were implanted in S2 bilaterally and connected to the subcutaneous receivers for external activation. Microsurgical technique was employed to perform dorsal rhizotomy of S1 -3 intradurally. The dogs were stimulated daily to observe micturition. Urodynamic testing and vesicography were performed.Results: All the dogs acquired micturition under the control of electric stimulation with urine volume 80-140 ml per time. The mode of micturition was post-stimulus voiding. Vesicography revealed that the bladder was filled well and the bladder neck was open in the micturition course of electric stimulation. Residual urine volume was 15-20 ml. Urodynamic testing found that the bladder pressure and intraurethral pressure increased simultaneously but when the intraurethral pressure was greater than the bladder pressure no micturition occurred. The pressure decreased to baseline rapidly and the bladder pressure decreased slowly between two bursts. Micturition occurred when the bladder pressure was greater than the intraurethral pressure.Conclusions: The self-designed bladder controller together with a sacral deafferentation procedure can restore micturition function of paraplegic dogs.

Objective: To evaluate the results of a self-designed bladder controller for restoring micturition function in paraplegic ***: The spinal cords of 4 dogs were transected above the cone. Electrodes were implanted in S2 bilaterally and connected to the subcutaneous receivers for external activation. Microsurgical technique was employed to perform dorsal rhizotomy of S1-3 intradurally. The dogs were stimulated daily to observe micturition. Urodynamic testing and vesicography were performed. Results: All the dogs acquired micturition under the control of electric stimulation, with urine volume 80-140 ml per time. The mode of micturition was post-stimulus voiding. Vesicography revealed that the bladder was filled well and the bladder neck was open in the micturition course of electric stimulation. Residual urine volume was 15-20 ml. Urodynamic testing found that the bladder pressure and intraurethral pressure increased simultaneously, but when the intraurethral pressure was greater than the bladder pressure, no micturition occurred. The pressure decreased to baseline rapidly and the bladder pressure decreased slowly between two bursts. Micturition occurred when the bladder pressure was greater than the intraurethral ***: The self-designed bladder controller together with a sacral deafferentation procedure can restore micturition function of paraplegic dogs.

关键词： Spinal cord injuries electric stimulation therapy Dogs Bladder function