Biomedical subjects

Zhi-cheng Liu

Publications and source records attributed to Zhi-cheng Liu.

4 recordsLinked to original sources

PubMed2005

[Clinical study on different operation procedure for hysterectomy].

OBJECTIVE: To investigate the effects and outcomes of four procedures for hysterectomy. METHOD: Retrospectively, we analyzed the clinical characteristics of 756 cases who respectively received hysterectomy by total abdominohysterectomy (TAH, 260 cases), modified abdominohysterectomy (MAH, 180 cases), transvaginal hysterectomy (TVH, 106 cases), or laparoscopic assisted vaginal hysterectomy (LAVH) (210 cases) and compared their effects and outcomes. RESULTS: The average operation time of TAH (98 +/- 23) minutes, MAH (67 +/- 18) minutes, TVH (63 +/- 19) minutes and LAVH (99 +/- 35) minutes. The average operation time of LAVH and TAH groups was significantly longer than that of TVH and MAH groups (P < 0.05). The volume of hemorrhage during operation in TAH group (180 +/- 49) ml was much more than that of other three groups significantly [MAH (102 +/- 43) ml, TVH (93 +/- 31) ml, LAVH (111 +/- 39) ml]. The average time of antibiotic administration and bowel function recovery in TAH group [(5.2 +/- 2.6) days, (36 +/- 9) hours] was significantly longer than that of TVH [(3.2 +/- 1.6) days, (21 +/- 4) hours], LAVH [(3.5 +/- 1.9) days, (23 +/- 6) hours] and MAH [(3.3 +/- 1.7) days, (23 +/- 7) hours] (P < 0.05). The incidence of fever in TAH group was significantly higher than that of other three groups also. The average hospital stay after operation in TVH [(3.3 +/- 1.2) days] and LAVH [(3.6 +/- 1.1) days] groups was significantly shorter than that of MAH [(5.6 +/- 1.9) days] or TAH [(5.4 +/- 2.3) days] groups (P < 0.05). CONCLUSIONS: Different procedures for total hysterectomy have their own advantages and disadvantages. Microinvasive surgery by laparoscopy for hysterectomy will be mainstream in the future.

Adult↗

PubMed2005

[Effect of acupuncture on plasma peptide YY in the patient of simple obesity].

OBJECTIVE: To observe changes of plasma peptide YY (PYY) in acupuncture for slimming. METHODS: Thirty-four cases of simple obesity were treated with acupuncture for 3 courses. Body mass index (BMI), and fat percent (F%), and insulin, PYY, blood fat, and blood sugar levels before and after treatment were determined, with 20 normal persons used as controls. RESULTS: The clinical total effective rate was 88.23%. Acupuncture could increase the decreased insulin sensitive index and PYY level (both P < 0.01), with no correlativity between them (P > 0.05). CONCLUSION: Regulation of PYY is possibly one of the mechanisms of acupuncture in slimming, but the relation of PPY with insulin resistance remains to be studied.

Body Mass Index↗

PubMed2004

[Clinical study on female obesity complicated with climacteric syndrome treated by acupuncture].

OBJECTIVE: To explore the mechanism of acupuncture in treating obesity complicated with climacteric syndrome (OCCS). METHODS: Thirty female OCCS patients were treated by acupuncture, combination of body and auricular acupuncture, according to the treating principle based on syndrome differentiation. The changes in symptoms, signs, obesity index, Kupperman index, vegetative nerve system equilibrium index (Y value), levels of estradiol (E2), luteinizing hormone (LH), follicle stimulating hormone (FSH), gonadotropin releasing hormone (GnRH), leptin (LP), insulin (INS), nitric oxide (NO), nitric oxide synthase (NOS) and insulin activation index (IAI) in patients were observed. RESULTS: The obesity index, Kupperman index, Y value, and levels of LH, FSH, GnRH, LP, and INS increased, while levels of E2, NO, NOS and IAI decreased in OCCS patients. After acupuncture treatment, in the same time of obtaining promising effect in reducing weight, reversing effect was shown in all the above-mentioned parameters (P < 0.05 or P < 0.01) . CONCLUSION: Acupuncture has favorable regulatory effect on Kupperman index, Y value, E2, LH, FSH, GnRH, NO, NOS, LP, INS and IAI in OCCS patients, its effect in improving the hypothalamic-pituitary-gonad axis, vegetative nerve function and vasomotor dysfunction, and adjusting the resistance to leptin and insulin may be the important mechanisms.

Acupuncture Therapy↗

PubMed2004

[Clinical study on combined multi-disciplinary laparoscopic surgery].

OBJECTIVE: To investigate the clinic characteristics and efficacy of combined multi-disciplinary laparoscopic surgery. METHODS: Combined laparoscopic surgery was performed in 46 gynecological patients who concomitantly had gastrointestinal and urinary tract diseases as study group, and single gynecologic laparoscopic surgery in 40 patients as control group. The complications and mean time of operations, bowel function restoration, and hospitalization length were observed. RESULTS: The surgery of every patient was successful. None of the cases was transferred to open laparotomy. No complications occurred. The mean time of operations was significantly increased in study group (127 +/- 91) min compared with control group (100 +/- 80) min (P < 0.05). The recovery time of bowel function, as well as the mean time of hospitalization was not different between study group (20 +/- 10) h, (3.7 +/- 1.5) d and control group (19 +/- 10) h, (3.5 +/- 1.3) d (both P > 0.05). CONCLUSIONS: Combined multi-disciplinary laparoscopic surgery can be performed safely and effectively for gynecological patients complicated with gastrointestinal or urinary tract diseases.

Adult↗