目的探讨经皮穴位电刺激(TAES)对甲状腺切除患者术后恶心呕吐的预防效果。方法选择2019年6—11月择期行甲状腺切除术女性患者80例,年龄25~60岁,BMI 18~30 kg/m^(2),ASAⅠ或Ⅱ级。采用随机数字表将患者分为两组:经皮穴位电刺激组(E组)和...目的探讨经皮穴位电刺激(TAES)对甲状腺切除患者术后恶心呕吐的预防效果。方法选择2019年6—11月择期行甲状腺切除术女性患者80例,年龄25~60岁,BMI 18~30 kg/m^(2),ASAⅠ或Ⅱ级。采用随机数字表将患者分为两组:经皮穴位电刺激组(E组)和对照组(C组),每组40例。麻醉诱导前30 min E组行双侧内关穴、合谷穴TAES;手术结束前30 min C组静脉注射格拉司琼3 mg。记录术后30 min和术后6、12、24 h恶心、呕吐例数及严重程度。术后12 h每组随机选择15例患者检测血浆5-羟色胺(5-HT)浓度。结果与C组比较,术后12、24 h E组恶心发生率和严重程度明显降低(P<0.05),术后6、12、24 h E组呕吐发生率和严重程度明显降低(P<0.05),术后12 h血浆5-HT浓度明显降低(P<0.05)。术后30 min两组恶心、呕吐发生率和严重程度差异无统计学意义。结论双侧内关穴、合谷穴经皮穴位电刺激应用于甲状腺切除术后,可以降低血浆5-HT浓度,有效预防甲状腺手术后恶心、呕吐。展开更多
[目的]系统评价内关穴按压对缓解癌症病人化疗引起恶心、呕吐症状的临床疗效。[方法]计算机检索Medline、EMbase、Cochrane Library、CINAHL、Web of Science、中国生物医学数据库、万方数据库、中国知网和重庆维普中文科技期刊数据库,...[目的]系统评价内关穴按压对缓解癌症病人化疗引起恶心、呕吐症状的临床疗效。[方法]计算机检索Medline、EMbase、Cochrane Library、CINAHL、Web of Science、中国生物医学数据库、万方数据库、中国知网和重庆维普中文科技期刊数据库,检索时间为建库至2018年12月4日,收集内关穴按压缓解癌症病人化疗引起恶心、呕吐症状的随机对照试验研究,采用Revman5.3软件进行统计学分析。[结果]共纳入11篇文献,涉及癌症化疗病人606例;Meta分析结果显示,与对照组相比,试验组内关穴按压能有效改善癌症病人化疗引起的恶心症状的严重程度[MD=-1.75,95%CI(-2.95,-0.55),P=0.004]、呕吐症状严重程度[MD=-1.10,95%CI(-1.87,-0.33),P=0.005]、恶心症状发生频率[MD=-0.84,95%CI(-1.37,-0.31),P=0.002]、呕吐症状发生频率[MD=-0.64,95%CI(-1.24,-0.05),P=0.03]和干呕发生频率[MD=-0.31,95%CI(-0.53,-0.09),P=0.006];而在改善干呕症状的严重程度[MD=-0.40,95%CI(-0.90,0.10),P=0.12]和呕吐症状经历时间[MD=-0.52,95%CI(-1.21,0.17),P=0.14]方面效果不明显。[结论]当前证据表明,内关穴按压能改善癌症病人化疗引起恶心、呕吐症状严重程度,降低恶心、呕吐和干呕的发生频率,但在改善干呕严重程度和呕吐经历时间方面效果不明显。展开更多
The individual difference and non-repeatability in acupuncture have not only restricted the devel- opment of acupuncture, but have also affected the specificity of acupoints. The present study used instruments to cont...The individual difference and non-repeatability in acupuncture have not only restricted the devel- opment of acupuncture, but have also affected the specificity of acupoints. The present study used instruments to control needle depth, lifting and thrusting frequency, and the duration of acupuncture. Effects of the quantified acupuncture were observed at Neiguan （PC6） with different stimulation parameters. A frequency of 1, 2, or 3 Hz and duration of 5, 60, or 180 seconds were used to observe cerebral blood flow and ratio of infarct volume recovery. Results showed that stimulation at Neiguan with a frequency of 1 Hz and long duration of 180 seconds or 2/3 Hz and long duration of 5/60 seconds significantly increased cerebral blood flow and decreased the ratio of infarct volume. In- teractions between frequency and duration play a critical role in quantified acupuncture therapy.展开更多
Postoperative nausea and vomiting (PONV) is a common complication in ambulatory surgery patients, which affects their quality of life and recovery process. In recent years, acupuncture stimulation as a non-pharmacolog...Postoperative nausea and vomiting (PONV) is a common complication in ambulatory surgery patients, which affects their quality of life and recovery process. In recent years, acupuncture stimulation as a non-pharmacological therapy has shown significant efficacy in the prevention and treatment of PONV. This review mainly discusses the current research on using PC6 stimulation to prevent PONV in ambulatory surgery patients, elucidates the various effects and mechanisms of PC6 stimulation, analyzes the advantages and disadvantages, safety, and feasibility of different stimulation methods, aiming to improve the postoperative recovery quality of ambulatory surgery patients, reduce medical costs, and promote the application of integrative medicine in the prevention and treatment of PONV.展开更多
文摘目的探讨经皮穴位电刺激(TAES)对甲状腺切除患者术后恶心呕吐的预防效果。方法选择2019年6—11月择期行甲状腺切除术女性患者80例,年龄25~60岁,BMI 18~30 kg/m^(2),ASAⅠ或Ⅱ级。采用随机数字表将患者分为两组:经皮穴位电刺激组(E组)和对照组(C组),每组40例。麻醉诱导前30 min E组行双侧内关穴、合谷穴TAES;手术结束前30 min C组静脉注射格拉司琼3 mg。记录术后30 min和术后6、12、24 h恶心、呕吐例数及严重程度。术后12 h每组随机选择15例患者检测血浆5-羟色胺(5-HT)浓度。结果与C组比较,术后12、24 h E组恶心发生率和严重程度明显降低(P<0.05),术后6、12、24 h E组呕吐发生率和严重程度明显降低(P<0.05),术后12 h血浆5-HT浓度明显降低(P<0.05)。术后30 min两组恶心、呕吐发生率和严重程度差异无统计学意义。结论双侧内关穴、合谷穴经皮穴位电刺激应用于甲状腺切除术后,可以降低血浆5-HT浓度,有效预防甲状腺手术后恶心、呕吐。
文摘[目的]系统评价内关穴按压对缓解癌症病人化疗引起恶心、呕吐症状的临床疗效。[方法]计算机检索Medline、EMbase、Cochrane Library、CINAHL、Web of Science、中国生物医学数据库、万方数据库、中国知网和重庆维普中文科技期刊数据库,检索时间为建库至2018年12月4日,收集内关穴按压缓解癌症病人化疗引起恶心、呕吐症状的随机对照试验研究,采用Revman5.3软件进行统计学分析。[结果]共纳入11篇文献,涉及癌症化疗病人606例;Meta分析结果显示,与对照组相比,试验组内关穴按压能有效改善癌症病人化疗引起的恶心症状的严重程度[MD=-1.75,95%CI(-2.95,-0.55),P=0.004]、呕吐症状严重程度[MD=-1.10,95%CI(-1.87,-0.33),P=0.005]、恶心症状发生频率[MD=-0.84,95%CI(-1.37,-0.31),P=0.002]、呕吐症状发生频率[MD=-0.64,95%CI(-1.24,-0.05),P=0.03]和干呕发生频率[MD=-0.31,95%CI(-0.53,-0.09),P=0.006];而在改善干呕症状的严重程度[MD=-0.40,95%CI(-0.90,0.10),P=0.12]和呕吐症状经历时间[MD=-0.52,95%CI(-1.21,0.17),P=0.14]方面效果不明显。[结论]当前证据表明,内关穴按压能改善癌症病人化疗引起恶心、呕吐症状严重程度,降低恶心、呕吐和干呕的发生频率,但在改善干呕严重程度和呕吐经历时间方面效果不明显。
基金funded by Development Plan(973 Plan) of National Critical and Basic Research,No.2012CB518505,2010CB530500,2006CB504504
文摘The individual difference and non-repeatability in acupuncture have not only restricted the devel- opment of acupuncture, but have also affected the specificity of acupoints. The present study used instruments to control needle depth, lifting and thrusting frequency, and the duration of acupuncture. Effects of the quantified acupuncture were observed at Neiguan （PC6） with different stimulation parameters. A frequency of 1, 2, or 3 Hz and duration of 5, 60, or 180 seconds were used to observe cerebral blood flow and ratio of infarct volume recovery. Results showed that stimulation at Neiguan with a frequency of 1 Hz and long duration of 180 seconds or 2/3 Hz and long duration of 5/60 seconds significantly increased cerebral blood flow and decreased the ratio of infarct volume. In- teractions between frequency and duration play a critical role in quantified acupuncture therapy.
文摘Postoperative nausea and vomiting (PONV) is a common complication in ambulatory surgery patients, which affects their quality of life and recovery process. In recent years, acupuncture stimulation as a non-pharmacological therapy has shown significant efficacy in the prevention and treatment of PONV. This review mainly discusses the current research on using PC6 stimulation to prevent PONV in ambulatory surgery patients, elucidates the various effects and mechanisms of PC6 stimulation, analyzes the advantages and disadvantages, safety, and feasibility of different stimulation methods, aiming to improve the postoperative recovery quality of ambulatory surgery patients, reduce medical costs, and promote the application of integrative medicine in the prevention and treatment of PONV.
文摘目的探讨内关穴注射地塞米松用于甲状腺手术后恶心呕吐的防治效果。方法选取2018年11月至2019年11月择期行甲状腺手术的患者150例,按随机数字表分为A、B、C组,各50例。A组麻醉诱导后5 min于双侧内关穴分别注射地塞米松5 mg(1 mL),B组麻醉诱导后5 min于双侧内关穴分别注射生理盐水1 mL;C组为对照组麻醉后未加干预。所有患者均接受相同的标准化全身麻醉。观察3组患者手术相关指标,术后72 h内术后恶心呕吐(PONV)发生情况、补救性镇吐药使用率,以及恢复饮食和恢复活动的时间。结果3组患者手术时间、麻醉时间、术中输液量、出血量、尿量、丙泊酚用量、术后患者苏醒时间、拔除气管导管时间比较,差异均无统计学意义(P>0.05)。术后0~<24 h、24~<48 h 3组患者恶心、呕吐发生率比较,差异均有统计学意义(P<0.05),且A组<B组<C组;术后48~72 h 3组恶心、呕吐发生率比较,差异均无统计学意义(P>0.05)。术后0~<24 h 3组患者补救性镇吐药使用率比较,差有统计学意义(P<0.05);其余时间段3组患者补救性镇吐药使用率无明显差异(P>0.05)。3组患者术后恢复进食时间比较,差异有统计学意义(P<0.05),A组<B组<C组;3组恢复运动时间无明显差异(P>0.05)。结论内关穴注射地塞米松可有效防治甲状腺手术PONV的发生。
