ABSTRACT
Objective: To observe the effect of electroacupuncture plus drug anesthesia on pain and stress response in patients after radical surgery for stomach cancer.Methods: A total of 60 patients were randomized into a control group and an observation group by the random number table, with 30 cases in each group. The control group was given conventional drug anesthesia. The observation group was given additional electroacupuncture intervention. Before anesthesia and 2 h, 12 h and 24 h after surgery, the visual analog scale (VAS) was scored, the heart rate, the mean arterial pressure, and the levels of serum β-endorphin (β-EP) and adrenocorticotrophic hormone (ACTH) were measured. Results: Two hours, 12 h and 24 h after surgery, the VAS scores of both groups were higher than those before anesthesia (all P<0.05), and the VAS scores in the observation group were lower than those in the control group at the same time points (all P<0.05). Two hours, 12 h and 24 h after surgery, the heart rates and mean arterial pressures in the control group were significantly higher than those before anesthesia (all P<0.05), while there were no significant intra-group differences in the observation group (all P>0.05), and the indicators were lower than those in the control group at the same time points (all P<0.05). Two hours, 12 h and 24 h after surgery, the serum β-EP levels in the observation group were significantly higher than those before anesthesia (all P<0.05), and significantly higher than those in the control group at the same time points (all P<0.05). Two hours, 12 h and 24 h after surgery, the serum ACTH levels in the control group were significantly higher than those before anesthesia (all P<0.05), and were significantly higher than those in the observation group at the same time points (all P<0.05). Conclusion: Electroacupuncture plus drug anesthesia can significantly relieve pain and stress response in patients after radical surgery for stomach cancer.
ABSTRACT
Objective:To investigate the relationship between the expression level of miR 143 and prognosis/cellular biological characteristics in patients with papillary thyroid carcinoma (PTC),and explore the potential mechanisms.Methods:30 PTC patients were admitted and enrolled into the trial from 2013 April to 2016 December.The qPCR was performed to detect the expression of miR143 in cancer tissues and adjacent tissues from 30 PTC patients.The effect of miR143 on overall survival rate and metastasis-free survival rate was assessed with specific analysis .CON and pGenesil1-miR143 vector were transfected into PTC cell line IHH-448h after qPCR.CKK8 and Annexin V/PI flow cytometry were performed to detect cell proliferation ,and apoptosis,respectively.Cell migration was asseessed by transwell experiment .Levels of miR143,IL-10,IFN-γin serum were assessed and calculated with the pearson coeffi-cient.PTC patients were assigned into miR 143 high and low expression group according to miR 143 expression , and IL-10 and IFN-γwere measured with routine protocol.Results:The relative expression of miR143 in paracancerous tissues and tumor tissues was (1.0± 0.15) vs (0.12±0.06).miR143 was significantly associated with the survival rate and metastasis rate of patients (P<0.001).miR143 expression levels in IHH-4 pGenesil1-miR143 and control group were ( 8.63 ±0.71 ) vs ( 1.0 ±0.06 ) , and the proliferative index in pGenesil1-miR143 group was significantly lower than CON group (P<0.01).Percentage of Annexin and V+positive cells in pGenesil1-miR143 and CON group was (40±7.2) vs (2±0.38),and the ratio of the number of migrating cells was (40±7.2) vs (2±0.38) (P<0.001).Analysis showed that r2 were -0.4 and 0.62 for IL-10 and IFN-γ,respectively(P<0.001).In miR143 low group and high ex-pression group,expression levels of IFN-γwas (8±0.23) vs (11.2±0.12),while IL-10 was (12±3.1) vs (8.43±0.44) (P<0.05). Conclusion:miR143 is low expressed in PTC patients and associated with prognosis and survival .Highly expressed miR143 inhibited the proliferation of IHH-4 cell lines,increased apoptosis and decreased migration ,also the expression of miR143 is related to the immune function of the patients .