ABSTRACT
Objective To observe the clinical efficacy of acupuncture at the nine acupoints on nape in treating vertebrobasilar ischemia (VBI). Methods Totally 100 VBI patients were randomized into a treatment group and a control group, 50 in each group. The treatment group was intervened by acupuncture at Fengfu (GV 16), Fengchi (GB 20), Wangu (GB 12), Tianzhu (BL 10), and Jiaji (EX-B 2, C3);while the control group was by oral administration of Nimodipine tablets. The parameters in Transcranial Doppler (TCD) and Dizziness Assessment Rating Scale (ADRS) were observed before and after intervention, and the clinical efficacies were compared. Results The TCD parameters were significantly changed in the treatment group after intervention (P<0.05). The TCD parameters [Vs (RVA), Vd (BA, LVA), Vm (BA, RVA), PI (BA)] were significantly changed in the control group after intervention (P<0.05). After intervention, there were significant differences in comparing the TCD parameters [Vs (BA, LVA, RVA), Vd (BA, RVA), Vm (BA, LVA), PI (BA)] between the two groups (P<0.05). The DARS average scores were significantly changed in both groups after 7-day treatment (P<0.01). The DARS average scores after the whole intervention were significantly different from that after 7-day treatment in both groups (P<0.01). There were significant differences in comparing the DARS average scores between the two groups after 7-day intervention and after the whole intervention (P<0.01). The recovery-markedly effective rate and total effective rate were respectively 76.0%and 98.0%in the treatment group versus 44.0%and 96.0%in the control group, and there was a significant difference in comparing the recovery-markedly effective rate (P<0.05). Conclusions Acupuncture at the nine nape acupoints is an effective method in treating VBI.
ABSTRACT
Objective To explore the advantages, the operative key points and the clinical value of preliminary separation of bladder in laparoscope-assisted vaginal hysterectomy. Methods 126 patients wiht benign uterus lesions in the research group underwent preliminary sepation of bladder before receiving modified hysterectomy through peritoneoscope, and 128 randomly selected patients with benign uterus lesions underwent routine hysterectomy through peritoneoscope served as control. Results Successful treatment was got in the patients of both groups. There were significant differences in operative time, intraoperative hemorrhage, postoperative pain intensity, subcutaneous emphysema and postoperative disease incidence between the two groups(P0 05). Conclusion Preliminary separation of bladder in laparoscopic-assisted vaginal hysterectomy could effectively simplify operative procedures, shorten operative time, reduce intraoperative hemorrhage and the postoperative disease incidence, and had many advantages such as reducing difficulty in operation, improving surgical efficacy, increasing curative rates, and shortening hospitalization time and expense.