Effect of Acupuncture at the Thirteen Ghost Points on the Electroencephalogram of Patients with Hepatic Encephalopathy / 上海针灸杂志

Objective To observe the effect of acupuncture at the thirteen ghost points on the electroencephalogram (EEG) of patients with hepatic encephalopathy. Method Eighty patients with hepatic encephalopathy were divided into a treatment group of 40 cases and a control group of 40 cases by the random number table. The control group was intervened by basic treatment, while the treatment group was intervened by acupuncture at the thirteen ghost points in addition to the treatment given to the control group. EEG was observed before and after the treatment.Result After 2-week treatment, the total effective rate was 65.0% in the control group versus 75.0% in the treatment group, and the between-group difference was statistically significant (P<0.05). The change of EEG towards normal level was more significant in the treatment group than that in the control group (P<0.05).Conclusion Acupuncture at the thirteen ghost points can obviously help improve the EEG of patients with hepatic encephalopathy and it can enhance the treatment efficacy of the basic treatment for hepatic encephalopathy.

Clinical value of small probe endoscopic ultrasonography in the diagnosis and treatment of small esophageal ;leiomyoma / 中国基层医药

Objective To evaluate the diagnostic value of small probe endoscopic ultrasonography and to explore the clinical value of endoscopic mucosal resection(EMR)for esophageal small leiomyoma.Methods A total of 46 patients who diagnosed with esophageal SMTs by endoscope and EUS were selected,who were demanded endoscopic resection,and the clinical data and treatment outcomes of them were retrospectively analyzed.Results As showed by EU,40 cases of the total 46 cases were originated from mucosal muscularis,5 cases were originated from sub mucosal,and 1 case was from the muscularis propria layer.A total of 40 cases received EMR with complete excision,4 cases received ESD,2 cases received surgical treatment.Examinations of histopathological and immunohis-tochemical confirmed that the lesions were leiomyomas;both the lateral and basal margins of the specimens were free of tumor cells.None of the patients developed delayed bleeding or perforation.No tumor residual or recurrence was found during follow-up(rangeed 1 -12months).Conclusion EUS is an effective method for diagnosing esophagus submucosal tumors,and EMR could be a preferred treatment for small esophagus leiomyoma.