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电针对体外循环心脏瓣膜置换术后患者加速康复的心脏保护作用：一项随机对照临床试验

Cardioprotection of Electroacupuncture for Enhanced Recovery after Surgery on Patients Undergoing Heart Valve Replacement with Cardiopulmonary Bypass: A Randomized Control Clinical Trial.

作者信息

Zhang Fangxiang, Yu Xiangdi, Xiao Hong

机构信息

Department of Anesthesiology, Guizhou Provincial People's Hospital, Guiyang, China.

出版信息

Evid Based Complement Alternat Med. 2017;2017:6243630. doi: 10.1155/2017/6243630. Epub 2017 Feb 16.

DOI:10.1155/2017/6243630
PMID:28298935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5337396/
Abstract

We attempted to investigate cardioprotection of electroacupuncture (EA) for enhanced recovery after surgery on patients undergoing heart valve replacement with cardiopulmonary bypass. Forty-four patients with acquired heart valve replacement were randomly allocated to the EA group or the control group. Patients in the EA group received EA stimulus at bilateral Neiguan (PC6), Ximen (PC4), Shenting (GV24), and Baihui (GV20) acupoints twenty minutes before anesthesia induction to the end of surgery. The primary end point was cardioprotection effect of electroacupuncture postoperatively and the secondary endpoints were quality of recovery and cognitive functioning postoperatively. The present study demonstrated that electroacupuncture reduced the occurrence of complications and played a role of cardioprotective effect on patients after heart valve replacement surgery with cardiopulmonary bypass, and it benefits patients more comfortable and contributes to recovery after surgery. This trial is registered with ChiCTR-IOC-16009123.

摘要

我们试图研究电针对接受体外循环心脏瓣膜置换术患者术后加速康复的心脏保护作用。44例获得性心脏瓣膜置换患者被随机分为电针组和对照组。电针组患者在麻醉诱导前20分钟至手术结束期间，接受双侧内关（PC6）、郄门（PC4）、神庭（GV24）和百会（GV20）穴位的电针刺激。主要终点是术后电针的心脏保护作用，次要终点是术后恢复质量和认知功能。本研究表明，电针减少了并发症的发生，对接受体外循环心脏瓣膜置换术的患者起到了心脏保护作用，使患者术后更舒适，有助于术后恢复。本试验已在中国临床试验注册中心注册，注册号为ChiCTR-IOC-16009123。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/2f64d3b562cc/ECAM2017-6243630.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/1da2f6076e00/ECAM2017-6243630.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/1501b58451d1/ECAM2017-6243630.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/5b1e053ff6a7/ECAM2017-6243630.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/a0b91f1e9244/ECAM2017-6243630.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/2f64d3b562cc/ECAM2017-6243630.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/1da2f6076e00/ECAM2017-6243630.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/1501b58451d1/ECAM2017-6243630.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/5b1e053ff6a7/ECAM2017-6243630.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/a0b91f1e9244/ECAM2017-6243630.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc8/5337396/2f64d3b562cc/ECAM2017-6243630.005.jpg

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[Effects of Scalp Acupuncture on Serum NSE and S-100β Concentrations and Postoperative Cogni- tive Function of Elderly Patients Undergoing Hip Replacement].[头皮针疗法对老年髋关节置换术患者血清神经元特异性烯醇化酶和S-100β蛋白浓度及术后认知功能的影响]
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电针对体外循环心脏手术患者心肌保护及术后康复的疗效：系统评价和 Meta 分析。
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Acupuncture after valve surgery is feasible and shows promise in reducing postoperative atrial fibrillation: The ACU-Heart pilot trial.心脏瓣膜手术后针刺疗法可行，且在减少术后房颤方面显示出前景：ACU-Heart初步试验
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