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The Study On Chinese Medicine And Technology Of Balance's Acupuncture Used To Improve The Quality Of Colonscopy

Posted on:2012-02-17Degree:MasterType:Thesis
Country:ChinaCandidate:X K XieFull Text:PDF
GTID:2154330335467752Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Background and ObjectiveThe popularity of digestive endoscopy is one of the most important progress digestion domain, currently is also an effective means to deal with many digestive disease. Colonoscopy treatment demand for high-quality bowel preparation to ensure operation process smoothly, relieve pain. This study was to dig out a new method, which is new, more humane and more natural, so that we can improve the quality and promote the therapeutical development of colonscopy, by using Chinese Medicine and technology of balance's Acupuncture.Methods1. Literature researchAccording to the analysis of research situation and progress on the quality of colonoscopy both at home and abroad, we found that currently bowel preparation is used more oral cathartic method, This generates many problems: poor cleanness, more adverse reactions, poor patients s degrees; On the other hand, At present, medicinal anesthetics is the most way in painless endoscopy, there are adverse reactions of narcotic drugs and anesthetic risks, It is poor security. So how to improve the quality of colonscopy is one of the most important subjects in gastroenterology.2. Clinical ResearchThis study abide by the random and comparing method, A total of 200 patients were randomly divided into the experimental group (n=100) and the control group (n=100). The patients from the experimental group do bowel preparation with bowel preparation 1st formula and 2nd formula, with technology of balance's Acupuncture in endoscopic checking process; and the control group do bowel preparation with senna and mannitol, No intervention in endoscopic checking process. We made unified questionnaire to evaluate the quality of colonoscopy. The patients' bowel condition, adverse reactions, cleanning effect, balance's Acupuncture effect, patients tolerated.Result1. There was no significantly different between two groups in drug taste (P>0.05), but the acceptance rate of drug taste was higher in the experimental group compared with the control group.2. There were significant differences between the experimental group and the control group in defecation duration and defecation frequency(P<0.05), the defecation duration of the control group was longer than the experimental group, and the total number of bowel frequency was bigger in the control group compared with the experimental group. There was another significant difference between two groups in drug effect-acting period(P<0.05), the experimental group won't affect patient Morpheus, and reduce the patients of inconvenience.3. The incidence of side effects was lower in the experimental group compared with the control group, there was significant difference(P<0.05). The incident of nausea, vomiting was roughly equal between two groups, but there was more abdominal distension, dizziness, weakness, hunger. The incidence of abdominal pain was significantly different between two groups(P <0.05).4. There was no significant difference between the two groups in the effective rate of bowel preparation (P>0.05), but the total effective rate of bowel preparation was better in the experimental group compared with the control group.5. There was significant different in degree of abdominal pain during endoscopic checking process (P<0.05), this shows that balance's Acupuncture Can relieve patients abdominal pain. Patients in the waking state under examination will avoid adverse events, It is safer than normal. Besides, The incidence of abdominal distension was high in two groups(32%,59%), there was no significant difference between the two groups in other side effects (P >0.05)6. The patients'tolerance in the experimental group was superior to that in the control group (P<0.05), more than 52 percent of patients in the experimental group can be more comfortable completed, and the proportion is 32% in the control group.Conclus ionBy analyzing various common bowel preparation method's advantages and characteristics in recent years, Combined with the application of traditional Chinese medicine " diarrhea method " characteristic, The traditional acupuncture technique is applied in endoscopic check, aimed at preliminary discussion on how to enhance endoscopic check quality by a simple and feasible, efficacy stability, high security methods. Through the preliminary research conclusions are as follows:1. The experimental group medicine was higher safe, patients was with superior tolerability, abdominal pain, abdominal distension adverse reactions were in a low incidence.2. In the experimental group, Patients' defecate time is shorter, defecate total number was less, it won't affect patients, such as the lack of sleep, won't cause collapse performance.3. The colonic cleaning effect of experimental group is as good as control group.4. The experimental group medicine's mouthfeel is poor, easily cause nausea and vomiting as well as the control group, but the acceptable degrees was still higher than those in the control group.5. Acupuncture anesthesia's operation is simple, good safety, there is no some of risk and complications as drug anesthesia, no special contraindications, It can reduce the patients' unwell in the process of colonoscopy, so that patients can better cooperate to complete inspection.
Keywords/Search Tags:Chinese herbal medicine, Balance's Acupuncture anesthesia, Quality of Colonoscopy
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