The spinous process tenderness syndrome--a new naming of a series of common symptoms / 中国中西医结合杂志

The rheumatoid activity on any part of the spine may affect the surrounding nerves, causing a series of symptoms at the related region of the innervations. By pressing corresponding parts on spinous processes of patient spine, tenderness of various degrees occurs. We named this kind of symptoms as "the spinous process tenderness syndrome". Meanwhile, we borrowed laboratory and imaging examinations to diagnose and differential identify. The symptoms could be alleviated by eliminating pathogenic reasons, local resting, and anti-rheumatic drugs.

Laparoscopic versus open surgery for D2 gastrectomy in advanced gastric cancer / 中华胃肠外科杂志

<p><b>OBJECTIVE</b>To investigate the safety and feasibility of laparoscopic D2 gastrectomy for advanced gastric cancer.</p><p><b>METHODS</b>The clinical data of 210 cases of laparoscopic gastrectomy and 180 cases of open gastrectomy for radical (D2) gastrectomy from May 2007 to Dec 2010 were analyzed retrospectively.</p><p><b>RESULTS</b>A total of 206 cases underwent laparoscopic-assisted surgery with 4 conversions. Compared to the open group, the laparoscopic group was associated with less bleeding [(208±38) ml vs. (300±52) ml, P<0.05], quicker postoperative recovery of bowel function [(2.9±0.7) d vs. (3.9±1.8) d, P<0.05], shorter postoperative length of hospital stay[(12.8±6.2) d vs. (15.6±6.8) d, P<0.05], longer operative time [(258±42) min vs. (193±30) min, P<0.05]. The number of lymph node harvested was 20.5±1.9 in the laparoscopic group and 25.8±1.5 in the open group, and the postoperative complication rate was 8.1% (17/201) vs. 8.5% (15/180), and differences were not statistically significant (both P>0.05). The recurrence rate was 2.9% (6/210) and 2.8% (5/180), and the 3-year overall survival rate was 35.6% and 37.8%, the differences were not statistically significant (both P>0.05).</p><p><b>CONCLUSIONS</b>Laparoscopic radical gastrectomy for gastric cancer is safe and effective, which can reach the same range of lymph node dissection as open gastric cancer surgery and similar survival rate.</p>

Several considerations in using traditional Chinese patent medicine for cerebral infarction / 中国结合医学杂志

Nowadays, a great number of traditional Chinese patent medicine (TCPM) are used more and more widely to treat cerebral infarction in China. When great attention is paid to using TCPM in the real world, several problems can be identified: ignoring the Chinese medicine (CM) therapeutic principle based on syndrome differentiation, a lack of appropriate dosage and usage based on individual patient conditions, and a shortage of evidence from randomized, double-blind, placebo-controlled clinical trials. Furthermore, in terms of evaluation of the TCPM effectiveness, few comprehensive criteria and evaluation methods recognized by the international community exist. This article addresses some opinions regarding the above mentioned problems.

Evaluation of visual quality after phakic posterior chamber intraocular lens and iris-claw phakic intraocular lens Implantation for high myopia / 中华实验眼科杂志

Background High myopia can be corrected using laser therapy and intraocular lens(IOL)implantation.IOL implantation is more suitable than laser therapy for high myopia if the patients suffer from thinner cornea.Objective This clinical trail was to assess and compare the visual quality following phakic iris-claw intraocular lens (IOL) and implantable contact lens(ICL) implantation for high myopia.MethodsIris-claw phakic intraocular lens was implanted in 17 eyes of 10 patients with high myopia,and age-,refractive-matched 17 eyes of 9 patients were in implantable contact lens (ICL) implantation group.Uncorrected visual acuity,best correct visual acuity,contrast sensitivity under the 3,6,12 and 18 c/d spatial frequencies,wave-front aberrations,including RMS3,RMS4 and RMSh,were examined in 6 months after operation.Written informed consent was obtained from each patient before surgery.Results There were no significant difference in uncorrected visual acuity,best correct visual acuity between two groups(t=0.489,P>0.05;t=0.853,P>0.05).Non-glare CS under the 3 c/d,6 c/d,12 c/d and 18 c/d spatial frequencies were insignificantly different between two groups ( t = 0. 906, P > 0.05 ; t = 0. 103, P > 0. 05 ; t =0. 694 ,P>0. 05 ; t = 1. 583, P>0. 05), and the similar outcomes were found in glare CS ( t = 0. 323, P>0.05, t =0.041 ,P>0. 05, t = 0.024, P>0. 05; t = 0. 363, P>0.05) in postoperative 6 months. RMS3 and RMSh were significantly elevated in PIOL group compared with ICL group ( t = 11.40, P0. 05). Conclusion Both PIOL and ICL implantation for high myopia can achieve an equal visual acuity. But clinical outcomes of ICL implantation is much better than PIOL group. A long-term effect should be observed for the further evaluation.

Clinical study of acupuncture and moxibustion for preventing nosocomial infection in the patient with acute cerebrovascular disease / 中国针灸

<p><b>OBJECTIVE</b>To observe the effect of acupuncture and moxibustion for preventing nosocomial infection in the patient with acute cerebrovascular disease.</p><p><b>METHODS</b>One hundred cases of acute cerebrovascular disease were randomly divided into a control group and an observation group, 50 cases in each group. The control group were treated by routine therapeutic method without any method for preventing nosocomial infection; the observation group were treated by the routine treatment, with acupuncture and moxibustion added at Guanyuan (GV 4) and Zusanli (ST 36), once daily, for 10 days. The nosocomial infection rate and the abnormal rates of body temperature, WBC and neutrophil were investigated in the two groups.</p><p><b>RESULTS</b>The nosocomial infection rate was 8.0% in the observation group and 26.0% in the control group with a significant difference between the two groups (P < 0.05), and the abnormal rates of body temperature, WBC and neutrophil in the observation group were significantly lower than those in the control group (all P < 0.05).</p><p><b>CONCLUSION</b>Acupuncture and moxibustion can effectively prevent nosocomial infection for the patient with acute cerebrovascular disease. The mechanism possibly is related with regulative action of acupuncture and moxibustion on immunity.</p>

PET study of effects of combination of different points on glucose metabolism in the patient of cerebral infarction / 中国针灸

<p><b>OBJECTIVE</b>To observe effects of combination of different points on glucose metabolism in the patient of cerebral infarction.</p><p><b>METHODS</b>Neiguan (PC 6), Shuigou (GV 26), Fengchi (GB 20), Sanyinjiao (SP 6), Yinlingquan (SP 9), Taichong (LR 3) were selected for the Xingnao Kaiqiao group (n =7), and Hegu (LI 4), Quchi (LI 11), Zusanli (ST 36), Yanglingquan (GB 34) and Xuanzhong (GB 39) for the routine acupuncture group (n = 5). PET-CT was used to observe the local cerebral glucose metabolism.</p><p><b>RESULTS</b>The cerebral regions activated in the the Xingnao Kaiqiao group included infarction center, gyrus temporalis superior, thalamus, gyrus temporalis inferior, gyrus rectus, insula, lateral occipital lobe, parietal lobe and cerebellum, and in the routine acupuncture group included gyrus frontalis inferior, caudate nucleus, cingulated gyrus, hippocampus, precuneus and parietal lobe.</p><p><b>CONCLUSION</b>PET is very suitable for exploring acupuncture mechanisms in treatment of cerebral infarction, and further shows the specificity of acupoints-brain functional region.</p>

Clinical observation on effects of acupuncture at Dazhui (GV 14) for abating fever of common cold / 中国针灸

<p><b>OBJECTIVE</b>To explore the therapeutic effect of acupuncture at Dazhui (GV 14) for abating fever of common cold.</p><p><b>METHODS</b>Two hundred and sixty-one cases were randomly assigned to a treatment group of 133 cases and a control group of 128 cases. The treatment group were treated with electroacupuncture at Dazhui (GV 14) and the control group with antondine injection. The transient effect of abating fever within 24 h was observed.</p><p><b>RESULTS</b>After treatment, the body temperature at all observation time points in the treatment group were lower than those in the control group (P < 0.01). The effect-appearing time (1.42 +/- 1.79) h in the treatment group was shorter than that in the control group (3.44 +/- 5.10) h (P < 0.01). The cured rate and the abating fever rate were 27.8% and 75.9% in the treatment group, and 10.9% and 55.5% in the control group, with significant differences between the two groups, the treatment group being better than the control group (P < 0.01). The abating fever rate for the wind-heat type common cold was 75.3% in the treatment group and 50.0% in the control group, with significant difference between the two groups, the treatment group being better than the control group (P < 0.01).</p><p><b>CONCLUSION</b>The method of acupuncture at Dazhui (GV 14) has a definite therapeutic effect on high fever of common cold, and for wind-heat type common cold, Dazhui (GV 14) first may be chosen to abate high-fever and the treatment should be taken as early as possible.</p>

Effects of acupuncture on ET mRNA expressions in different brain regions of the rat of experimental cerebral bleeding / 中国针灸

<p><b>OBJECTIVE</b>To probe into the mechanism of acupuncture for treatment of cerebro-cardiac syndrome.</p><p><b>METHODS</b>The rats were randomly divided into a normal group, a sham operation group, a cerebral bleeding group, an acupuncture group and an acupuncture control group. The acupuncture group were treated with acupuncture at "Neiguan" (PC 6), "Shuigou" (GV 26), "Renying" (ST 19), and the acupuncture control group with acupuncture at "Shenmen" (HT 7) and "Danzhong" (CV 17). The tissue in situ hybridization technique was used to detect dynamic changes of endothelin (ET) mRNA expression in both the central cardiovascular special regulative area and the myocardium, and imaging quantitative analysis on the positive response materials was carried out.</p><p><b>RESULTS</b>The experimental cerebral bleeding could rapidly induce abnormal expression of ET gene in the cerebral bleeding surrounding area, hypothalamus, brain stem, hippocampus and myocardium. Up-regulation of FT mRNA expression could be found at 6 h of cerebral bleeding, and it reached to the peak at 24 h, and slightly reduced at 72 h, still being higher than the normal level. At the same time, ET expression in the myocardium increased. Acupuncture could block the increase of FT gene expression induced by cerebral bleeding.</p><p><b>CONCLUSION</b>Acupuncture exerts protective action on injuries of neurons and myocardium induced by cerebral bleeding via blocking the increase of FT gene expression induced by cerebral bleeding.</p>

Clinical observation on effect of acupuncture on nervous functions of the patient after operation of. hypertensive cerebral hemorrhage / 中国针灸

<p><b>OBJECTIVE</b>To probe the best therapy for the patient after operation of hypertensive cerebral hemorrhage.</p><p><b>METHODS</b>One hundred cases were randomly divided into a treatment group and a control group, 50 cases in each group. The control group were treated by routine western medicine (Mannitol, Nifedipine and Caftriaxone sodium and so On), and the treatment group by the medication of the control group plus acupuncture 9 days after operation. Acupuncture was given at Neiguan (PC 6), Shuigou (GV 26), Sanyinjiso (SP 6), Jiquan (HT 1) and Weizhong (BL 40) and so on, combined with scalp acupuncture, with "restoring consciousness and inducing consciousness" needling method, for 10 days. The nervous function defect was assessed by Chinese Stroke Scale and the criteria for assessment of therapeutic effects.</p><p><b>RESULTS</b>Acupuncture could improve significantly nervous function defect. The total effective rate was 86.000 in the treatment group and 14.0% in the control group with a significant difference between the two groups (P < 0.01).</p><p><b>CONCLUSION</b>The therapeutic effect of the treatment group is better than that of the control group. Acupuncture combined with western medicine has cooperation for treatment of hypertensive intracerebral hemorrhage with a better therapeutic effect.</p>

Clinical observation on acupuncture for treatment of high fever due to common cold / 中国针灸

<p><b>OBJECTIVE</b>To observe clinical therapeutic effect of acupuncture in abatement of fever.</p><p><b>METHODS</b>Eighty-six cases of high fever were randomly divided into two groups, an acupuncture group (n = 45) treated with acupuncture at Dazhui (GV 14) and a drug group (n = 41) treated with intramuscular injection of Antongding Injectio. Changes of body temperature before and after 24 hours treatment were observed by single blind.</p><p><b>RESULTS</b>In the acupuncture group, 9 cases were cured, and in the drug group, 2 cases were cured, the acupuncture group was better than the drug group in abatement of fever.</p><p><b>CONCLUSION</b>Acupuncture has a reliable therapeutic effect on fever.</p>

Effect of Suitable Sport Walking on Heart and Lungs Functions in Old Women / 中国康复理论与实践

@#ObjectiveTo observe the effect of sport walking on heart and lungs functions in old women.MethodsForty-two old women aged from 60 to 69 had sport walking for 4 months; the speed and intensity were controlled according to their heart rate respectively. The indexes of respiration, circulation and rheoencephalography were measured before and after exercise.ResultsAfter exercise, blood-pumping function of heart improved obviously, stroke volume increased from (65.22±11.41)ml to (72.10± 10.78)ml, ejection fraction increased from (60.10±5.03)% to (68.78±6.25)%, while heart rate declined from (77.45±8.69) times/min to (7.89±8.21)times/min, capacity increased from (2.86±0.36)L to (3.34±0.53)L, and maximal voluntary ventilation for every minute increased from (96.14± 15.21)L to (114.02±16.01)L, significantly different compared with that before treatment ( P<0.01). The fluid time of rheoencephalography reduced from (0.171±0.058)s to (0.128±0.049)s ( P<0.01).ConclusionSport walking under proper intensity can improve the function of respiration and circulation system in old women, so it is a good way to keep health for the elders.