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双语推荐：内关

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目的观察针刺内关穴预防术后恶心呕吐（PONV）的疗效。方法行腹腔镜胆囊切除手术患者178例，随机分为对照组（60例）、甲氧氯普胺组（58例）及针刺内关穴组（60例），于术后4h、8h、12h、24h随访，进行疗效对比。结果在术后8h内甲氧氯普胺组和针刺内关穴组恶心呕吐发生率均较对照组低，针刺内关穴组恶心程度的视觉模拟评分（NVAS）较对照组低。结论针刺内关穴可预防腹腔镜胆囊切除术后恶心呕吐，与甲氧氯普胺等效，还可降低恶心程度。
Objective To observe the effect of acupuncture at“Neiguan”in preventing nausea and vomiting after laparoscopic cho-lecystectomy. Methods 178 cases for selective laparoscopic cholecystectomy were randomly divided into 3 groups: control group (n=60), metoclopramide group (n=58) and acupuncture at“Neiguan”group (n=60); the curative effects at the time point of 4h, 8h, 12h and 24h after surgery were observed and compared. Results The occurrence of nausea and vomiting within 8 hours after surgery in metoclo-pramide group and acupuncture at“Neiguan”group was lower than that in control group and the scores of Nausea Visual Analog Scale (NVAS) in acupuncture at“Neiguan”group was lower than that in control group. Conclusions Acupuncture at“Neiguan”is effective in preventing the occurrence of nausea and vomiting after laparoscopic cholecystectomy, it shares the same effect with metoclopramide, and can decrease the severity of nausea.

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观察止呃汤联合内关穴穴位注射治疗中风后呃逆临床疗效;方法:以止呃汤结合西药内关穴穴位注射治疗,观察其临床疗效。结果:36例患者中,13例在1天内呃逆消失,16例在2天内呃逆消失,5例在3天内呃逆消失,2例在5天内呃逆消失。结论:止呃汤联合内关穴穴位注射治疗中风后呃逆疗效显著。
Objective:To observe the clinical efficacy of Zhi’e decoction combined with Neiguan acupoint injection in on hiccups after stroke. Methods: The clinical therapeutic effect was observed after being treated with Zhi’e decoction combined with Neiguan acupoint injection. Results:Among 36 patients, 13 cases had no hiccup symptom in 1 day, 16 cases had no hiccup symptom in 2 day, 5 cases of hiccups disappeared in 3 days, 2 cases had no hiccup symptom in 5 day.. Conclusion: Zhi’e decoction combined with Neiguan acupoint injection has a remarkable curative effect.

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目的观察大鼠心肌缺血损伤后,经穴皮肤组织中环磷酸鸟苷(cGMP)的特异性变化及电针"内关"对其的干予作用。方法 6只雄性Wistar大鼠作为正常组,18只大鼠制备心肌缺血后,分为模型组、高频组、低频组,高频组和低频组分别予100、2 Hz电针双侧"内关",针刺时间20 min。治疗完毕后采用酶联免疫吸附法检测"内关"、"天泉"、"外关"及"足三里"等穴区皮肤组织中cGMP的含量。结果心肌缺血模型组的"内关"、"天泉"、"外关"及"足三里"穴区cGMP含量较正常组均显著升高(P0.05或P0.001);而高频或低频电针"内关"后,上述穴区cGMP含量较模型组均显著降低(P0.05或P0.001)。结论高频或低频电针"内关"可保护大鼠心肌缺血损伤,其机制可能与降低心脏相关经脉穴区cGMP含量相关。
Objective To observe the specific changes of content of cyclic guanosine monophosphate (cGMP) around meridian skin and specific influences of electroacupunture Neiguan (PC6) on cGMP of rats with acute myocardial ischemia (AMI). Methods With 6 male Wistar rats as normal group, 18 rats were made AMI model and divided into model group, high-frequency group and low-frequency group (n=6). The high-frequency and low-frequency group were given electroacupuncture in bilateral PC6 with 100 and 2 Hz for 20 min respectively. The content of cGMP in skin around PC6, Ximen (PC4), Tianquan (PC2), Waiguan (TE5) and Zusanli (ST36) was detected by using enzyme-linked immunosorbent method after treatment. Results In model group, cGMP content increased significantly around PC6, PC2, TE5 and ST36 compared with normal group (P <0.05,P <0.001). After the treatment with high-frequency or low-frequency electroacupunture in PC6, cGMP content decreased significantly in skin around PC6, PC2, TE5 and ST36 compared

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背景：虚拟现实技术与中医穴位相结合，可实现针刺的三维立体表达。 目的：基于VOXEL-MAN和Micro-XCT-200机，通过对内关穴三维形态结构的可视化研究，进一步探讨穴位结构。 方法：在 VOXEL-MAN 系统中结合腧穴解剖学知识，内关穴(PC6)邻近的肌肉分割后进行融合，神经血管进行三维重建；编写程序获得内关穴的三维进针动画，进行内关穴位的三维可视化和虚拟进针研究。通过Micro-XCT-200机对穴位的本质进行补充。 结果与结论：完成了内关穴局部解剖结构的三维可视化，实现了内关穴在数字化虚拟人体中的定位与表达。运用Micro-XCT-200机对内关穴位的结构进行了研究，尚未发现新的组织。穴位局部三维重建有助于立体显示穴位解剖结构和逼真模拟针刺过程，有助于系统地观察针体和穴位周围各组织的空间位置关系，为探讨穴位进针的安全性、提高临床针刺疗效奠定了较好的基础。Micro-XCT-200机对内关穴位的结构研究，为“穴位立体构筑理论”进一步提供了实验依据。
BACKGROUND:Based on the integration of virtual reality technology with acupoints, acupuncture can be expressed three-dimensional y. OBJECTIVE:To explore the structure of points through reconstructing digitalized three-dimensional visualization of Neiguan (PC6) structure based on VOXEL-MAN and Micro-XCT. METHODS:Muscles and other tissues adjacent with Neiguan (PC6) were segmented and merged based on the VOXEL-MAN system combined with the anatomical knowledge of acupoints;nerves and blood vessels were performed with three-dimensional reconstruction;the needle-inserting animation of Neiguan (PC6) was obtained by running script file. Three-dimensional visualization and virtual needle-inserting researches of Neiguan (PC6) were performed. Nature of the acupoints was detected by the Micro-XCT-200 machine additional y. RESULTS AND CONCLUSION:The visualization of the anatomical structure of local Neiguan (PC6) was completed, and the localization and expression of Neiguan (PC6) in the digitized

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观察中药熏蒸法配合针刺内关穴治疗妊娠恶阻的临床疗效。方法:治疗组30例为西医补液对症治疗以及中药熏蒸法配合针刺内关穴,对照组30例为单纯西医补液对症治疗。结果:治疗组总有效率90%,对照组总有效率76.66%,治疗组有效率明显高于对照组。结论:妊娠恶阻采用西医对症补液治疗以及中药熏蒸法配合针刺内关穴治疗效果显著,孕妇易接受,可以提高临床疗效。
Objection:To observation the clinical effects on treating hyperemesis gravidarum by TCM fumigation combined with acupuncture of Neiguan. Methods:30 cases in the treated group was treated by TCM fumigation combined with acupuncture of Neiguan, 30 cases in the control group was treated by modern medicine rehydration. Results: Treated group total effectiveness 90%, the control group total effectiveness 76.66%, the effective rate of the treated group was significantly higher than the control group. Conclusion:Treating hyperemesis gravidarum by TCM fumigation combined with acupuncture of Neiguan, the pregnant women, easy to accept, can improve the clinical efficacy.

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目的：探讨东莨菪碱贴剂内关穴使用对腹腔镜胆囊切除术后恶心、呕吐的影响。方法将择期腹腔镜胆囊切除手术患者280例，随机分为东莨菪碱贴剂内关穴贴剂组（SP6）、东莨菪碱贴剂非穴位贴剂组（S）、安慰剂贴剂内关穴贴剂组（CP6）及安慰剂贴剂非穴位贴剂组（C），每组70例。观察术后恶心、呕吐的次数和程度。结果 SP6组及S组恶心、呕吐的发生率及恶心严重程度均优于CP6组及C组，再次接受止吐药物的百分率也明显少于后两组，差异均有统计学意义（P＜0.05）。结论东莨菪碱贴剂内关穴使用能有效缓解腹腔镜胆囊切除术后恶心、呕吐。
Objective To approach the effect of scopolamine patch at neiguan acupuncture point against postoperative nausea and vomiting after laparoscopic cholecystectomy. Methods A total of 280 patients with elective laparoscopic cholecys-tectomy were randomly divided into the scopolamine patch at neiguan acupuncture point (group SP6),scopolamine patch at non-acupuncture point group(group S),placebo patch at at neiguan acupuncture point(group CP6),and placebo patch at non acupunc-ture point group(group C),each group of 70 cases. The incidence and severity degree of postoperative nausea and vomiting was observed and analyzed. Results Compared to group S and group CP6,the incidence rate and severity degree of postoperative nausea and vomiting were significantly lower than those in the group SP6 ,group C. The difference had statistically significance (P<0.05). Conclusion The application of the scopolamine patch at neiguan acupuncture point may effectively release the postoper-ative nausea

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目的：探讨红外线扫温枪在老年科的应用。方法选择2013年1—12月的老年患者200例,分别采用水银体温计测腋温(对照组)和红外线扫温枪测腋部、额部、颈部、内关体温(研究组),比较两组患者测量体温时间与终末消毒时间,5种方法测温效果,患者与护士对红外线测温仪测额部、颈部及内关部位测量使用的认可情况。结果研究组患者测量体温时间与终末消毒时间分别为(0.1±0.0)与(0.5±0.0)min,短于对照组,差异有统计学意义(t值分别为20.61,49.71；P0.05)。患者与护士对红外线测温仪测颈部及内关部位较认可。结论红外线扫温枪测颈温和内关体温与水银体温计具有同样的稳定性和准确性。
Objective To explore the effect of infrared scanning temperature gun in geriatrics department. Methods A total of 200 cases of elderly patients were divided into control group with mercury thermometer ( armpit) and the test group with infrared scanning temperature gun ( armpit,mild forehead, neck, neiguan) . The time of measuring temperature and sterilization, and the effects on measuring temperature were compared. Results The time of measuring temperature and sterilization in the test group were (0. 1 ± 0. 0) and (0. 5 ± 0. 0 ) min, which were significantly shorter than those of the control group ( t = 20. 61, 49. 71, respectively;P 0. 05). Patients and nurses were more likely to the neck and neiguan measuring by infrared scanning temperature gun. Conclusions The stability and accuracy of infrared scanning temperature gun measuring neck and neiguan is same as the mercury thermometer.

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快速性心律失常是一种常见的心脏传导功能失调性疾病，目前西医以药物控制为主，昂贵且不良反应大。随着中医针灸的不断发展，其在临床运用中体现出独有的优势。内关穴为手厥阴心包经之络穴，有宁心安神﹑活血通络之效。该文通过收集近年来国内以内关为主穴治疗快速性心律失常的相关临床研究，了解临床中内关穴治疗快速性心律失常的现状，旨在更好地指导临床工作。
Tachyarrhythmia is a common disease of the heart conduction function disorders, At present, western medicine mainly uses drug to control the fast heart rate, which’s expensive and with unavoidable side effect. The unique advantages in the clinical treatment of acupuncture have developed. Neiguan acupoint (PC6), the luo-connecting point of the Pericardium meridian, which is for clamming heart and spirit, circulating blood and smoothing collaterals. This paper collected the clinical studies about the PC6 for Tachyarrhythmia in China, to learn the situation of this treatment, and then to guide the clinical work better.

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目的：观察艾灸内关、足三里治疗慢性疲劳综合征的疗效。方法：60例慢性疲劳综合征患者随机分为治疗组及对照组各30例，治疗组温和灸内关、足三里，对照组予金施尔康片口服及对症治疗，1个月后对比两组疗效。结果：治疗组总有效率明显高于对照组（P<0.05）；治疗组外周血白细胞介素-2、白细胞介素-6明显低于对照组，自然杀伤细胞活性明显高于对照组（P<0.05）。结论：艾灸内关、足三里治疗慢性疲劳综合征疗效较好，能提高患者外周血NK细胞活性，降低IL-2、IL-6含量。
Objective:To observe the curative effects in moxibustion of Neiguan, Zusanli treating chronic fatigue syndrome. Methods: 60 cases of chronic fatigue syndrome were randomly divided into treatment group and control group with each of 30 cases, treatment group with moxibustion of Neiguan and Zusanli, control group was given oral gold theragran tablets and symptomatic treatment, to compare the effects of two groups after a month. Results:The total effective rate of treatment group was significantly higher than that of control group (P<0.05);interleukin-2 and interleu-kin-6 of peripheral blood in treatment group were significantly lower than those in control group, activity of natural killer cell was significantly high-er than that of control group (P<0.05). Conclusion:Efficacy of moxibustion of Neiguan, Zusanli treating chronic fatigue syndrome is better, which can improve the peripheral blood activity of natural killer cell, and reduce the content of IL-2, IL-6.

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以内镜黏膜切除术和内镜黏膜下剥离术为基础的内镜治疗技术近几年发展迅速,内镜治疗的并发症逐渐引起人们的重视.我们在关注内镜技术创新的同时,也要关心内镜治疗的规范化和内镜治疗并发症的防治,进一步提高内镜治疗的安全性、实用性和有效性,从而使患者获益.
In recent years,the endoscopic treatment,which is based on the endoscopic mucosal resection and endoscopic submucosal dissection,has developed rapidly.Complication of the endoscopic therapy has been increasingly emphasized.When paying attention to the endoscopic technique innovation,we should also concern the standardization of endoscopic therapy and the prevention and treatment of its complications.Continuous improvement in the safety,practicality and efficacy of endoscopic therapy may translate into benefits for the patients.

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