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CN 13-1154/R

 
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Effect of Phloroglucin on the Observation Effect of Esophagogastric Junction in Painless Gastroscopy and Its Safety Analysis
GUO Tian-yu, HU Xue, HUA Hai-yang, LI Jian-hui, WANG Ai-min
Journal of Chengde Medical University    2024, 41 (2): 105-109.  
Abstract163)      PDF(pc) (7502KB)(15)       Save
Objective To analyze the effect and safety of phloroglucinol on the observation of the esophagogastric junction during painless gastroscopy. Method A control group consisting of 135 cases underwent painless gastroscopy, and an observation group consisting of 115 cases(painless gastroscopy plus phloroglucinol) was randomly formed from patients who underwent painless gastroscopy between September 2022 and February 2023 based on the odd-evenness of their registration numbers. The esophagogastric junction observation effect, lesion detection rate, endoscopic features of lesions, pathological outcomes, and intraoperative and postoperative adverse responses of the two patient groups were noted and monitored. Result This portion of the observation group had a greater observation rate of the esophagogastric junction and a higher rate of lesion detection than the control group, and the difference was statistically significant (P=0.038, P=0.035). In comparison to the control group, the observation group had a greater detection rate of non-red lesions; this difference is statistically significant (P=0.003). Between the two groups, there was no statistically significant difference in the occurrence of adverse responses or pathological results (P>0.05). The difference was statistically significant (P=0.003). The incidence of adverse responses and abnormal outcomes did not change statistically significantly between the two groups (P>0.05). Conclusion The esophagogastric junction's observation impact can be enhanced by applying phloroglucinol before the painless gastroscopy, which will increase the likelihood of lesions being discovered. Finding easily overlooked non-red lesions is one of its specific uses. Additionally, it is more secure and has fewer adverse effects.
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Effect of Three-tongue Acupuncture Combined with Ice Stimulation of Pharynx on Rehabilitation of Patients with Dysphagia after Stroke
HU Xue-song, XIE Bao-rong, CHEN Jian-mei
Journal of Chengde Medical University    2021, 38 (6): 485-490.  
Abstract300)      PDF(pc) (1619KB)(164)       Save
Objective To observe the rehabilitation effect of post-cerebral stroke (CS) patients with deglutition disorders (DD) receiving three-tongue-assisted pharyngeal ice stimulation training, so as to provide a basis for clinical rehabilitation programs. Methods From January 2020 to June 2020, 60 patients with post-CS DD received in our hospital were selected and divided into a control group (30 cases) and an observation group (30 cases) by a random number table. Both groups received routine intervention. The control group received pharyngeal ice stimulation training, and the observation group received three tongue acupuncture assisted pharyngeal ice stimulation training; 5 days was 1 course of treatment, 2 courses of treatment, and the rehabilitation effects of the two groups were evaluated; before the intervention and after 2 courses of treatment, the two groups were evaluated. Group swallowing function (using standard swallowing function evaluation scale), quality of life (using dysphagia-specific quality of life scale), observe and record and compare related recovery indicators. Results After the intervention for 2 courses, the overall rehabilitation effect of the observation group was better than that of the control group, and the total rehabilitation efficiency was higher than that of the control group. The difference was statistically significant (P<0.05); the maximum amplitude of sEMG in the two groups was higher than before the intervention , The observation group was higher than the control group; the swallowing time was shorter than before the intervention, and the observation group was shorter than the control group, the difference was statistically significant (P<0.05); the SSA scores of the two groups were lower than before the intervention, and the observation group was lower than that before the intervention In the control group, the SWAL-QOL scores of the two groups were higher than before the intervention, and the observation group was higher than the control group, the difference was statistically significant (P<0.05). Conclusion After CS, patients with DD who received three tongue acupuncture assisted pharyngeal ice stimulation training have a definite rehabilitation effect, the swallowing function of the patients has been significantly improved, and the quality of life has been improved.
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