[Clinical Studies of Abdominal Acupuncture Combined with Warm Needling on Knee Osteoarthritis].

OBJECTIVE: To explore the clinical effects of abdominal acupuncture combined with warm needling on knee osteoarthritis (KOA). METHODS: Eighty-six patients with KOA were divided into a treatment group and a control group according to the digital random table, 43 cases in each one. In the treatment group, patients were treated with abdominal acupuncture at Zhongwan (CV 12), Guanyuan (CV 4) and Huaroumen (ST 24), Wailing (ST 26) and Xiafengshidian (Extra) on the affected side, as well as warm needling at Neixiyan (EX-LE 4), Dubi (ST 35), Heding (EX-LE 2), Liangqiu (ST 34) and Xuehai (SP 10) of the affected side. In the control group, warm needling was given. All the patients were treated 5 times a week for 4 weeks. Each dimension score of Western Ontario and McMaster University (WOMAC) osteoarthritis index scale and health survey 36-item short form (SF-36) of the two groups was compared before and after treatment. Enzyme-linked immunosorbent assay was applied to test serum vascular endothelial growth factor (VEGF) and angiopoietin-1(Ang-1). RESULTS: Compared with those before treatment, the scores of pain, stiffness, joint function of WOMAC scale and serum VEGF, Ang-1 of the two groups were lower after treatment (all P<0.01), and each dimension score of SF-36 scale increased significantly (all P<0.01). Each dimension score of WOMAC scale and serum VEGF, Ang-1 in the treatment group were lower than those in the control group after treatment (all P<0.01), and each score of SF-36 was higher (all P<0.01). The total effective rate of 93.0% (40/43) in the treatment group was higher than 74.4% (32/43) in the control group (P<0.05). CONCLUSIONS: Abdominal acupuncture combined with warm needling can effectively alleviate pain and stiffness, improve the function of knee joint and quality of life, with definite effect for KOA. The mechanism may be related to the decreasing of serum VEGF and Ang-1.

Anesthesia management in robotic-assisted esophagectomy with triple incisions: analysis of 53 cases / 南方医科大学学报

Between March, 2016 and January, 2017, 53 patients underwent robotic-assisted esophagectomy with triple incisions. All the patients were intubated with Double lumen endotracheal tub with one-lung ventilation and COpneumoperitoneum, and COpneumothorax was used in 7 cases. Most of the patients could tolerate OLV and COpneumoperitoneum, and 4 patients with COpneumothorax had hypoxemia and required double-lung ventilation or high frequency ventilation; 15 patients developed postoperative pulmonary complications and were transferred to ICU. These results suggest that COpneumothorax during robotic-assisted esophagectomy with triple incision seriously disturbs pulmonary function, and careful anesthesia management is essential for preventing complications.