检索结果-南通市图书馆

Using a consensus acupoints regimen to explore the relationship between acupuncture sensation and lumbar spinal postoperative analgesia: A retrospective analysis of prospective clinical cooperation

引用

Journal of Integrative Medicine 2022年第4期20卷 329-337页

作者： Yen-Lin Chao Yi-Ai Rau Hong-Sheng Shiue Jiun-Lin Yan Yuan-Yun Tang Shao-Wen Yu Bo-Yan Yeh Yen-Lung Chen Tsung-Hsien Yang Shu-Chen Cheng Yi-Wen Hsieh Hsin-Chia Huang Fu-Kuang Tsai Yu-Sheng Chen Geng-Hao Liu Division of Acupuncture and Moxibustion Department of Traditional Chinese MedicineChang Gung Memorial HospitalTaoyuan 333TaiwanChina School of Traditional Chinese Medicine College of MedicineChang Gung UniversityTaoyuan 333TaiwanChina Department of Neurosurgery Keelung Chang Gung Memorial HospitalKeelung 204TaiwanChina Department of Traditional Chinese Medicine New Taipei Municipal TuCheng HospitalChang Gung Memorial HospitalNew Taipei 236TaiwanChina Sleep Center Chang Gung Memorial HospitalTaoyuan 333TaiwanChina

Objective: This study evaluated the effectiveness of acupuncture treatment on postoperative pain in patients with degenerative lumbar spine disease, and explored the relationship between the postoperative analgesic effect of acupuncture and the sensation of acupuncture experienced by the ***: This retrospective study analyzed the medical records of 97 patients who had undergone an operation by the same surgeon due to degenerative lumbar disease. These patients were divided into acupuncture group(n = 32), patient-controlled analgesia(PCA) group(n = 27), and oral analgesia group(n = 38) according to the different postoperative analgesic methods. During their hospitalization, patients completed daily evaluations of their pain using a visual analogue scale(VAS), and injection times of supplemental meperidine were recorded. Also, the Chinese version of the Massachusetts General Hospital Acupuncture Sensation Scale(C-MASS) was used in the acupuncture ***: Each of the three treatment groups showed significant reductions in postoperative pain, as shown by reduced VAS scores. The acupuncture group, however, had less rebound pain(P postoperative pain and discomfort after simple surgery for degenerative spinal disease. It is worth noting that there was a disproportionate relevance between the patient’s acupuncture sensation and the improvement of pain VAS score.

关键词： Acupuncture analgesia postoperative period Neurodegenerative diseases Lumbosacral region Acupuncture sensation De-qi

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Intravenous administration of glutathione protects parenchymal and non-parenchymal liver cells against reperfusion injury following rat liver transplantation

引用

World Journal of Gastroenterology 2004年第6期10卷 864-870页

作者： RolfJ.Schauer SinanKalmuk Alexander L.Gerbes Rosemarie Leiderer Herbert Meissner Friedrich W.Schildberg Konrad Messmer Manfred Bilzer Surgical Department Klinikum GrosshadernLudwig-Maximilians-University of MunichGermany Department Institute for Surgical Research Klinikum GrosshadernLudwig-Maximilians-University of MunichGermany Institute of Pathology Klinikum GrosshadernLudwig-Maximilians-University of MunichGermany

AIM:To investigate the effects of intravenous administration of the antioxidant glutathione (GSH) on reperfusion injury following liver transplantation. METHODS:Livers of male Lewis rats were transplanted after 24 h of hypothermic preservation in University of Wisconsin solution in a syngeneic *** a 2-h reperfusion period either saline (controls,n=8) or GSH (50 or 100 μmol/(h·kg),n=5 each) was continuously administered via the jugular vein. RESULTS:Two hours after starting reperfusion plasma ALT increased to 1 457±281 U/L (mean±SE) in controls but to only 908±187 U/L (P<0.05) in animals treated with 100 μmol GSH/(h·kg).No protection was conveyed by 50μmol GSH/(h·kg).Cytoprotection was confirmed by morphological findings on electron microscopy:GSH treatment prevented detachment of sinusoidal endothelial cells (SECs) as well as loss of microvilli and mitochondrial swelling of ***,postischemic bile flow increased *** fluorescence microscopy revealed a nearly complete restoration of sinusoidal blood flow and a significant reduction of leukocyte adherence to sinusoids and postsinusoidal *** infusion of 50μmol and 100 μmol GSH/(h·kg),plasma GSH increased to 65±7 mol/L and 97±18 mol/L,but to only 20±3 mol/L in untreated recipients. Furthermore,plasma glutathione disulfide (GSSG) increased to 7.5±1.0 mol/L in animals treated with 100μmol/(h·kg) GSH but infusion of 50μmol GSH/(h·kg) did not raise levels of untreated controls (1.8±0.5 mol/L vs 2.2±0.2 mol/L). CONCLUSION:Plasma GSH levels above a critical level may act as a “sink” for ROS produced in the hepatic vasculature during reperfusion of liver ***,GSH can be considered a candidate antioxidant for the Drevention of reperfusion injury after liver transplantation,in particular since it has a low toxicity in humans.

关键词： Liver Circulation Liver Transplantation Animals Glutathione dosage Hepatocytes Infusions, Intravenous Male postoperative period Rats Rats, Inbred Lew Reperfusion Injury control

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Perioperative transcutaneous electrical acupoint stimulation for improving postoperative gastrointestinal function:A randomized controlled trial

引用

Journal of Integrative Medicine 2021年第3期19卷 211-218页

作者： Wen-jing Li Chao Gao Li-xin An Yu-wei Ji Fu-shan Xue Yi Du Department of Anesthesiology Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China Department of Anesthesiology Beijing Hui-Min HospitalBeijing 100053China Department of Traditional Chinese Medicine Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China

Background:postoperative gastrointestinal dysfunction(PGD)is one of the most common complications in patients undergoing major abdominal *** has been used widely in gastrointestinal diseases due to its effectiveness and minimally invasive ***:This study evaluated the efficacy of using transcutaneous electrical acupoint stimulation(TEAS)during the surgery and postoperative recovery in patients with gastric and colorectal surgery for improving postoperative gastrointestinal ***,setting,participants and interventions:A total of 280 patients undergoing abdominal surgery were stratified by type of surgery(i.e.,gastric or colorectal surgery)and randomly allocated into the TEAS group(group T)or the sham group(group S).Patients in group T received TEAS at LI4,PC6,ST36 and *** in group S received pseudo-TEAS at sham *** stimulation was given from 30 min before anesthesia until the end of *** same treatment was performed at 9 am on the 1st,2nd and 3rd days after surgery,until the recovery of flatus in *** outcome measures:The primary outcome was the time to the first bowel motion,as detected by *** secondary outcomes included the first flatus and ambulation time,changes of perioperative substance P(SP),incidence of PGD,postoperative pain,postoperative nausea and vomiting(PONV)and some economic ***:The time to first bowel motion,first flatus and first ambulation in group T was much shorter than that in group S(P<0.01).In patients undergoing colorectal surgery,the concentration of SP was lower in group T than in group S on the third day after the operation(P<0.05).The average incidence of PGD in all patients was 25%,and the frequency of PGD was significantly lower in group T than in group S(18.6%vs.31.4%,respectively;P<0.05).TEAS treatment(odds ratio=0.498;95%confidence interval:0.232–0.786)and type of surgery were relevant factors for the development of ***

关键词： Transcutaneous electrical acupoint stimulation postoperative period Gastrointestinal disorders Substance P

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients

引用

World Journal of Gastroenterology 2001年第3期7卷 357-362页

作者： Guo Hao Wu Yan Wei Zhang Zhao Han Wu Department of General Surgery.zhongshan Hospital,ShangHai Medical University.ShangHai 200032.China Department of General Surgery Zhongshan Hospital Shanghai Medical University Shanghai 200032China. wughmc@***

AIM: To evaluate if the administration of an enteral diet supplemented with glutamine, arginine and omega-3-fatty acids modulates inflammatory and immune responses after surgery. METHODS: A prospective randomized double-blind, clinical trial was performed. Forty-eight patients with gastrointestinal cancer were randomized into two groups, one group was given an isocaloric and isonitrogenous standard diet and the other was fed with the supplemented diet with glutamine, arginine and omega-3-fatty acids. Feedings were started within 48 hours after operation, and continued until day 8. All variables were measured before operation and on postoperative day 1 and 8. Immune responses were determined by phagocytosis ability, respiratory burst of polymorphonuclear cells, total lymphocytes lymphocyte subsets, nitric oxide, cytokines concentration, and inflammatory responses by plasma levels of C-reactive protein, prostaglandin E2 level. RESULTS: Tolerance of both formula diets was *** were significant differences in the immunological and inflammatory responses between the two groups. In supplemented group, phagocytosis and respiratory burst after surgery was higher and C-reactive protein level was lower (Ppostoperative levels of IL-6 and TNF-alpha were lower in the supplemented group (P postoperative enteral feeding is safe in patients who have undergone major operations for gastrointestinal cancer. Supplementation of enteral nutrition with glutamine, arginine, and omega-3-fatty acids positively modulated postsurgical immunosuppressive and inflammatory responses.

关键词： Enteral Nutrition Gastrointestinal Neoplasms Adult Aged Arginine dosage Cytokines Double-Blind Method Enteritis Fatty Acids, Omega-3 Female Glutamine Humans Lymphocyte Count Male Middle Aged Phagocytosis postoperative period Prospective Studies Respiratory Burst

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effectiveness and safety of splenectomy for gastric carcinoma:A meta-analysis

引用

World Journal of Gastroenterology 2009年第42期15卷 5352-5359页

作者： Kun Yang Xin-Zu Chen Jian-Kun Hu Bo Zhang Zhi-Xin Chen Jia-Ping Chen Department of Gastrointestinal Surgery West China Hospital Sichuan University No. 37 Guo Xue Xiang Chengdu 610041 Sichuan Province China

AIM： To evaluate the impact of splenectomy on longterm survival, postoperative morbidity and mortality of patients with gastric cancer by performing a metaanalysis METHODS： A search of electronic databases to identify randomized controlled trials in The Cochrane Library trials register, Mediine, CBMdisc （Chinese Biomedical Database） and J-STAGE, etc was performed. Data was extracted from the studies by 2 independent reviewers. Outcome measures were survival, postoperative morbidity and mortality and operation-related events. The meta-analyses were performed by RevMan 4.3. RESULTS： Three studies comprising 466 patients were available for analysis, with 231 patients treated by gastrectomy plus splenectomy. Splenectomy could not increase the 5-year overall survival rate [RR = 1.17, 95% confidence interval （CI） 0.97-1.41]. The postoperative morbidity （RR = 1.76, 95% CI 0.82-3.80） or mortality （RR = 1.58, 95% CI 0.45-5.50） did not suggest any significant differences between the 2 groups. No significant differences were noted in terms of number of harvested lymph nodes, operation time, length of hospital stay and reoperation rate. Subgroup analyses showed splenectomy did not increase the survival rate for proximal and whole gastric cancer. No obvious differences were observed between the 2 groups when stratified by stage. Sensitivity analyses indicated no significant differences regarding the survival rates （P 〉 0.05）. CONCLUSION： Splenectomy did not show a beneficial effect on survival rates compared to splenic preservation. Routinely performing splenectomy should not be recommended.

关键词： Gastric cancer Splenectomy Survival rate Morbidity Operative surgical procedure postoperative period Treatment outcome

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Correlation between circulating endothelial cell level and acute respiratory distress syndrome in postoperative patients

引用

World Journal of Clinical Cases 2021年第32期9卷 9731-9740页

作者： Min Peng Qing-He Yan Ying Gao Zhen Zhang Ying Zhang Yi-Feng Wang He-Ning Wu Department of Intensive Care Unit Tianjin Medical University General HospitalTianjin 300070China

BACKGROUND Acute respiratory distress syndrome(ARDS)is injury of alveolar epithelial cells and capillary endothelial cells caused by various factors,including endogenous and exogenous lung factors,leading to diffuse pulmonary interstitial and alveolar edema,and acute respiratory *** involves alveolar epithelial cells and pulmonary interstitial capillary endothelial *** endothelial cells(CECs)are the only marker that directly reflects vascular endothelial injury in *** have been few studies on the correlation between peripheral blood CECs and ARDS at home and *** lungs are the organs with the highest capillary density and the most endothelial cells,thus,it is speculated that when ARDS occurs,CECs are stimulated and damaged,and released into the circulatory *** To explore the correlation between CEC level and severity of ARDS in patients *** Blood samples were collected from all patients on day 2(d2)and day 5(d5)after *** control group comprised 32 healthy *** of CECs was measured by flow cytometry,and operation time was *** in various indexes of patients were monitored,and diagnosis of ARDS was determined based on ARDS Berlin *** comprised d2 CECs in different groups,correlation between operation time and d2 CECs,ARDS of different severity by d2 CECs,and predictive value of d2 CECs for ARDS in postoperative *** The number of d2 CECs in the ARDS group was significantly higher than that in the healthy control group(P<0.001).The number of d2 CECs in the ARDS group was significantly higher than that in the non-ARDS group(P<0.001).The number of d2 CECs in the non-ARDS group was significantly higher than that in the healthy control group(P<0.001).Operation time was positively correlated with number of CECs on d2(rs=0.302,P=0.001).The number of d2 CECs in the deceased group was significantly higher than that in the improved group(P<0.001).There was no si

关键词： Circulating endothelial cells Acute respiratory distress syndrome Intensive care unit postoperative period Outcome Flow cytometry

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Risk factors for postoperative sepsis in patients with gastrointestinal perforation

引用

World Journal of Clinical Cases 2020年第4期8卷 670-678页

作者： Xin Xu Hai-Chang Dong Zheng Yao Yun-Zhao Zhao Department of General Surgery Jiangning HospitalNanjing 210002Jiangsu ProvinceChina Department of General Surgery Huaihe HospitalKaifeng 475000Henan ProvinceChina

BACKGROUND Sepsis is fatal in patients with gastrointestinal perforation(GIP).However,few studies have focused on this *** To investigate the risk factors for postoperative sepsis in patients with *** This was a retrospective study performed at the Department of General Surgery in our treatment *** January 2016 to December 2018,the medical records of patients with GIP who underwent emergency surgery were *** younger than 17 years or who did not undergo surgical treatment were *** patients were divided into the postoperative sepsis group and the non-postoperative sepsis *** data for both groups were collected and compared,and the risk factors for postoperative sepsis were *** institutional ethical committee of our hospital approved the *** Two hundred twenty-six patients were admitted to our department with *** patients were excluded:Four were under 17 years old,and 10 did not undergo emergency surgery due to high surgical risk and/or disagreement with the patients and their family *** hundred twelve patients were finally enrolled in the study;161 were men,and 51 were *** average age was 62.98±15.65 *** sepsis occurred in 48 *** prevalence of postoperative sepsis was 22.6%[95%confidence interval(CI):17.0%-28.3%].Twenty-eight patients(13.21%)died after emergency *** logistic regression analysis confirmed that the time interval from abdominal pain to emergency surgery[odds ratio(OR)=1.021,95%CI:1.005-1.038,P=0.006],colonic perforation(OR=2.761,CI:1.821–14.776,P=0.007),perforation diameter(OR=1.062,95%CI:1.007-1.121,P=0.027),and incidence of malignant tumorrelated perforation(OR=5.384,95%CI:1.762-32.844,P=0.021)were associated with postoperative *** The time interval from abdominal pain to surgery,colonic perforation,diameter of perforation,and the incidence of malignant tumor-related perforation were risk factors for pos

关键词： Risk factor Sepsis Gastrointestinal perforation Prevalence postoperative period

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Enhanced recovery after surgery strategy to shorten perioperative fasting in children undergoing non-gastrointestinal surgery:A prospective study

引用

World Journal of Clinical Cases 2022年第16期10卷 5287-5296页

作者： Yan Ying Hong-Zhen Xu Meng-Lan Han Department of General Surgery Children's Hospital of Zhejiang University School of MedicineHangzhou 310052Zhejiang ProvinceChina

BACKGROUND Enhanced recovery after surgery strategies are increasingly implemented to improve the management of surgical *** To evaluate the effects of new perioperative fasting protocols in children≥3 mo of age undergoing non-gastrointestinal *** This prospective pilot study included children≥3 mo of age undergoing nongastrointestinal surgery at the Children’s Hospital(Zhejiang University School of Medicine)from January 2020 to June *** children were divided into either a conventional group or an ERAS group according to whether they had been enrolled before or after the implementation of the new perioperative fasting *** children in the conventional group were fasted using conventional strategies,while those in the ERAS group were given individualized fasting protocols preoperatively(6-h fasting for infant formula/non-human milk/solids,4-h fasting for breast milk,and clear fluids allowed within 2 h of surgery)and postoperatively(food permitted from 1 h after surgery).Pre-operative and postoperative fasting times,pre-operative blood glucose,the incidence of postoperative thirst and hunger,the incidence of perioperative vomiting and aspiration,and the degree of satisfaction were *** The study included 303 patients(151 in the conventional group and 152 in the ERAS group).Compared with the conventional group,the ERAS group had a shorter pre-operative food fasting time[11.92(4.00,19.33)vs 13.00(6.00,20.28)h,Ppostoperative feeding[1.17(0.33,6.83)vs 6.00(5.40,9.20),P<0.001],and greater satisfaction[7(0,10)vs 8(5,10),P<0.001].No children experienced perioperative *** incidences of hunger,perioperative vomiting,and fever were not significantly different between the two groups.

关键词： Enhanced recovery after surgery Fasting Water deprivation Pre-operative period postoperative period Intraoperative complications postoperative complications

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

THE EFFECTS OF CHINESE DRUGS FOR SUPPORTING HEALTHY ENERGY AND REMOVING BLOOD STASIS ON postoperative METASTASIS OF GASTRIC CARCINOMA AND ORNITHINE DECARBOXYLASE

引用

Journal of Traditional Chinese Medicine 1998年第1期18卷 3-6页

作者：卜平 Medical School ofYangzhou University Yangzhou 225001

32 postoperative cases of gastric carcinoma were treated by traditional Chinese medicine (TCM) drugs for supporting healthy energy and removing blood stasis, and their therapeutic results were compared with those in the control group treated by western medicine. After 6 months of treatment, in the TCM group, the rate of metastatic recurrence was significantly reduced, and the level of ornithine decarboxylase was also markedly lowered. Therefore, it is considered that the action of anti-metastatic recurrence of TCM drugs in postoperative cases of gastric carcinoma is probably related to the lowered activity of ornithine decarboxylase.

关键词： Adult Aged Aged, 80 and over Antineoplastic Combined Chemotherapy Protocols Cisplatin Doxorubicin Drugs, Chinese Herbal Female Fluorouracil Gastrectomy Gastric Mucosa Humans Lymphatic Metastasis Male Middle Aged Neoplasm Recurrence, Local Ornithine Decarboxylase postoperative period Stomach Neoplasms

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Auricular-Plaster Therapy Plus Acupuncture at Zusanli for postoperative Recovery of Intestinal Function

引用

Journal of Traditional Chinese Medicine 2000年第2期20卷 134-135页

作者：万茜周永生 Gulou Hospital of Nanjing City Nanjing 210008Jiangsu Province

In order to relieve the abdominal distension and other discomforts due to gastrointestinal dysfunction after abdominal operations, the patients were treated by auricular-plaster therapy plus acupuncture at Zusanli (ST 36). 12 (92.4%) of the 13 cases in the treatment group showed recovery of normal peristalsis within 72 hours after operations, while that in 13 cases of the control group was 46.1%, indicating that auricular-plaster therapy plus acupuncture at Zusanli (ST 36) may promote postoperative recovery of the intestinal function.

关键词： Acupressure Acupuncture Therapy Adult Cholecystectomy Cholecystitis Female Flatulence Gastrectomy Humans Male Middle Aged Peristalsis postoperative period Stomach Neoplasms Stomach Ulcer

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：