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  • 基于“脑肠轴”观察耳穴刮痧联合耳穴贴磁在糖尿病性便秘患者中的应用效果

    Subjects: Nursing >> Nursing submitted time 2023-12-04

    Abstract: Objective To explore the application effect of auricular gua Sha combined with auricular magnetic sticking in patients with diabetic constipation.Methods 60 patients with diabetes mellitus combined with constipation were collected from Endocrinology Department of Jiangsu Hospital of Traditional Chinese Medicine, and were randomly assigned to control group (30 cases) to receive oral lactulose oral solution treatment, and test group (30 cases) to receive auracupoint gua Sha combined with auracupoint magnetic paste treatment. After 8 weeks of intervention, the efficacy, constipation score, plasma indexes and adverse reactions of the two groups were compared, and statistical analysis was performed by SPSS24.0 software.Results Compared with before treatment, the frequency of weekly defecation increased, the levels of constipation symptom score, vasoactive intestinal peptide (VIP), nitric oxide (NO), 5-hydroxytryptamine (5-HT) decreased, and Substance P (SP) increased in 2 groups after treatment. Compared with the control group, the test group had shorter first defecation time, lower constipation symptom score, lower VIP, NO and 5-HT levels, more weekly defecation times and higher SP level (P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05).Conclusion auricular gua Sha combined with auricular magnetic patch is effective in treating diabetic constipation.

  • Effect of Human Body Composition and Serum Biochemical Indicators on the Accuracy of Flash Glucose Monitoring System

    Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-07-05 Cooperative journals: 《中国全科医学》

    Abstract: Background  The clinical application of flash glucose monitoring system(FGM)is becoming increasingly widespread,which can be continuously monitored for 14 days and does not require fingertip blood correction during wearing,providing a basis for clinical treatment. Therefore,the accuracy of FGM is particularly important. Objective  To investigate the effect of human body composition and serum biochemical indicators on the accuracy of FGM sensor. Methods  Patients with type 2 diabetes mellitus(T2DM)hospitalized in the department of endocrinology of the Second Affiliated Hospital of Zhengzhou University in 2022 were selected as the study objects,and their general data were collected through the electronic medical record system. The blood glucose were detected by FGM and compared with intravenous blood glucose,the physical analysis data of patients was collected. Fasting venous blood was collected to analyze hematological parameters. The clinical accuracy of FGM was evaluated by Clarke error grid analysis. The included patients were divided into the accurate group(MARD<10%,n=23)and inaccurate group(MARD>20%,n=34)according to the matched mean absolute relative difference of blood glucose (MARD). Binary Logistic regression was used to analyze the influencing factors of FGM accuracy. Results  A total of 694 pairs of blood glucose data of 154 patients were collected. Clarke error grid analysis was performed on the blood glucose values of FGM scans using venous blood glucose as the reference value. The results showed that 82.9% fell in zone A,16.9% fell in zone B,99.8% fell in zone A+B,and 0.2% fell in zone D,with an average MARD of 12.7%. MARD and muscle mass in the inaccurate group were higher than those in the accurate group(P<0.05),while uric acid,body fat mass and fat percentage were lower than those in the accurate group(P<0.05). Uric acid,body fat mass and fat percentage of male patients in the inaccurate group were lower than those in the accurate group,while the MARD value and muscle mass of male patients were higher than those in the accurate group(P<0.05). MARD value of female patients in the inaccurate group was higher than that in the accurate group (P<0.05). Binary Logistic regression analysis showed that muscle mass and blood uric acid concentration were influencing factors of the accuracy of FGM(P<0.05). Conclusion  The overall accuracy of FGM sensor meets the international standards. The accuracy of FGM sensor is related to uric acid level and muscle mass,but it was not affected by electrolyte ions in blood and other biochemical indicators,and interfered by human moisture,fat mass,inorganic salt content,fat thickness of the sensor wearing site and other factors.

  • Traditional Chinese Medicine pillow combined with auricular acupoint therapy and nursing management of insomnia in a patient with Chest Bi-syndrome

    Subjects: Nursing >> Nursing submitted time 2023-05-12

    Abstract: This paper summarized the nursing management of insomnia in a patient with chest paralysis treated with Chinese herbal medicine pillow combined with auricular acupuncture therapy. The patient's sleep quality was evaluated by using Pittsburgh Sleep Quality Index (PSQI), and targeted TCM treatment and nursing were carried out to reduce the patient's insomnia symptoms.

  • Nursing experience of a patient with pain caused by periarthritis of the shoulder treated with the combined application of Traditional Chinese Medicine characteristic nursing techniques

    Subjects: Nursing >> Nursing submitted time 2022-08-17

    Abstract: This paper summarized the nursing experience of a patient with pain caused by periarthritis of the shoulder treated with the combined application of Traditional Chinese Medicine (TCM) characteristic nursing techniques. Followed by the auricular acupoint massage, the auricular acupoint blood-letting therapy was performed to relieve the shoulder pain and discomfort. The auricular acupoint sticking and pressing therapy showed a long-term stimulation effect, while the balanced cupping therapy was able to enhance the local stimulation effect. The combined application of TCM characteristic nursing techniques are effective in relief of pain in patients with acute periarthritis of the shoulder, which is worthy of promoting.