RESUMO
OBJECTIVE@#To assess the efficiency of acupuncture combined with early enteral nutrition (EEN) in patients with postoperative laparoscopic common bile duct exploration.@*METHODS@#A total of 200 patients with postoperative laparoscopic bile duct exploration was randomized using sealed envelopes and assigned to the convenitional, EEN, acupuncture plus convenitional and acupuncture plus EEN groups, 50 cases in each group. Twelve hours after operation, the patients in EEN groups began to receive oral enteral nutrition, and the acupuncture approach was performed by acupuncturist in acupuncture plus conventional and acupuncture plus EEN groups. Acupuncture was given at Zusanli (ST 36), Shangjuxu (ST 37) and Xiajuxu (ST 39) with a depth of 15-20 mm, using the lifting-thrusting and twisting method to obtain Deqi sensation. The needles were maintained for 30 min. Treatment was given once daily, 3 times per section. After the intervention, the patients' characteristics, operation time, bleeding volume, postoperative time to first anal exhaust, postoperative complications including abdominal distension, diarrhea, gastric dilatation, intestinal obstruction, pharyngodynia, incision, abdominal and pulmonary infection and postoperative hospitalization days were assessed and compared in patients among 4 groups.@*RESULTS@#Postoperative time to first anal exhaust in the convenitional group was longer compared with the other 3 groups (P<0.05), and was shorter in the acupuncture plus EEN group than those of the convenitional, acupuncture plus convenitional and EEN groups (P<0.01). The acupuncture plus EEN group showed significant decrease in the incidence of complications and less postoperative hospitalization days compared with the other groups (P<0.05 or P<0.01). There was no readmission.@*CONCLUSION@#After laparoscopic bile duct exploration, acupuncture combined with EEN treatment significantly improves the patients' gastrointestinal function, reduces complications, and shortens postoperative hospitalization days.
RESUMO
Objective To investigate the safety and effectiveness of Mo.Ma proximal cerebral protection device during carotid artery stenting (CAS).Methods Eight patients with high-grade carotid artery stenosis,admitted to and underwent carotid artery stenting using Mo.Ma cerebral protection device in our hospital from March 2009 to September 2011,were chosen in our study; their clinical data were retrospectively analyzed.Results The device success rate and procedural success rate were 100%,and the residual stenosis was less than 30%.The debris was captured in the aspirated blood in one patient.No patient had deficit caused by emboli.No new ischemic lesions were found in post-operative MRI-diffused weighted imaging,and no restenosis was noted under neck vascular ultrasound one month after the operation.Conclusion The Mo.Ma proximal cerebral protection device is safe and effective for patients with high-grade internal carotid stenosis undergoing carotid artery stenting,but the prospective multicenter registry trials need to date.