Objective To explore the research hotspots and frontiers in the field of nutrition for renal failure in recent 10 years,and to provide references for future research.Methods Relevant research core literatures published from January 2015 to January 2025 were searched in the China National Knowledge Infrastructure(CNKI) and Web of Science.Included articles were subjected to visual analysis using the CiteSpace 5.8.Results A total of 740 articles were included.The number of published papers in the field of nutrition for renal failure has maintained a stable and slightly upward trend in the past 10 years.The United Kingdom,France and the United States ranked the largest number of published papers in the field of nutrition for renal failure,with the highest importance and central position.In the field of nutrition for renal failure in the past 10 years,the research hotspots have focused on the mortality rate，nutritional status and risk factors of patients with renal failure.The research frontiers consisted of risk factors,mechanisms,complications,and traditional Chinese and Western medical treatments of malnutrition in patients with renal failure.Conclusion The field of nutrition for renal failure is in a stage of rapid development.China should further increase research efforts,expand cooperation areas,and focus on the relevant research hotspots and frontiers in the field of nutrition for renal failure,thus promoting the development of nutrition research for patients with renal failure in China.
Objective Clinical literatures related to transcutaneous electrical acupoint stimulation(TEAS) at home and abroad in the past five years were collected.Bibliometric methods were adopted to study the progress of TEAS,aiming to provide a theoretical basis for the clinical application and development of TEAS.Methods The clinical research literatures related to TEAS were retrieved through computer in CNKI,VIP Database,WANFANG DATA,PubMed,Embase and Cochrane library.The first author,the publishing institution and the literature publication journal were analyzed.Meanwhile,the applicable diseases of TEAS were classified according to the ICD-11 system classification.The indications and dominant diseases of TEAS were analyzed and summarized.Results This study ultimately selected 751 literatures for analysis,among which there were as many as 171 types of diseases,covering a wide range of 19 disease systems.Domestic research on the clinical treatment of TEAS is relatively abundant,but research in related fields abroad is relatively lacking.Conclusion TEAS has been widely applied in post-surgical operations,stroke and its sequelae,etc.,and has outstanding advantages in treating advantageous diseases.
Objective To explore the current status of perceived vulnerability among family members of elderly ischemic stroke patients and its influencing factors.Methods A total of 110 elderly patients with ischemic stroke and their families admitted to the Characteristic Medical Center of Chinese People's Armed Police Force between January 2021 and January 2024 were selected as the research subjects using a convenient sampling method.General information questionnaire,family burden scale(FBS),medical coping modes questionnaire(MCMQ),self-rating anxiety scale(SAS) and social support rating scale(SSRS) were used to survey participants.Influencing factors for perceived vulnerability of elderly patients with ischemic stroke were analyzed by multivariate linear regression.Results The FBS score of family members of 110 elderly ischemic stroke patients was(24.17±1.30) points,ranking above average.There were significant differences in the FBS scores of family members of elderly ischemic stroke patients stratified by age,educational level,and average monthly income per family member(P<0.05).Pearson correlation analysis showed that FBS scores in the family members of elderly patients with ischemic stroke were negatively correlated with MCMQ and SSRS scores(r =-0.877 and -0.799,P<0.001) and positively correlated with SAS scores(r =0.814,P<0.001).Multivariate linear regression analysis showed that education levels(B=-0.190,P=0.017),MCMQ score(B=-0.070,P<0.001),average monthly household income (B=0.335,P=0.001),SAS score(B=0.047,P<0.001),and SSRS score(B=-0.080,P<0.001) were independent risk factors affecting the perceived vulnerability of family members of elderly ischemic stroke patients.Conclusion The perceived vulnerability level of family members of elderly ischemic stroke patients is relatively high.Educational level,medical coping style,average monthly household income,anxiety degree,and social support level are influencing factors for their perceived vulnerability level.Clinical medical staff should strengthen their attention to the perceived vulnerability level of family members,and develop targeted intervention measures based on influencing factors to improve their understanding of disease-related knowledge and reduce their perceived vulnerability level,thereby promoting the physical and mental health of elderly ischemic stroke patients.
Objective To develop a scale of the perception of the risk of stroke in high-risk people of stroke,and to verify its reliability and validity.Methods Based on the psychometric paradigm as the theoretical basis,the perception of the risk of stroke scale was constructed by literature review,qualitative interviews and expert correspondence.The reliability and validity were tested on 281 cases of high-risk stroke patients.Results The scale consisted of 27 items in 3 dimensions,and the cumulative variance contribution rate of exploratory factor analysis was 66.292%.The content validity index,Cronbach's alpha coefficient,folded half reliability and 2-week re-test reliability of the scale were 0.969,0.924,0.722,and 0.790,respectively.Conclusion The perception of the risk of stroke scale is of good reliability,and it can be used to assess the perceived risk of community stroke in high-risk people.
Objective To explore the correlation between self-efficacy in returning to work and personal sense of mastery in young and middle-aged stroke patients.Methods A total of 96 young and middle-aged stroke patients treated at the Tianjin Armed Police Specialized Medical Center from May 2021 to May 2024 were selected as the research subjects by using the convenience sampling method.The investigation was conducted through the general information questionnaire,the Personal Mastery Scale(PMS),and the Return-to-Work Self-Efficacy Scale(RTW-SE).Spearson correlation analysis was applied to analyze the correlation between the two,and a multiple linear regression model was used to conduct an in-depth analysis of the influencing factors of return-to-work self-efficacy in young and middle-aged stroke patients.Results The final result of recovering 96 valid data sets was obtained.The results of statistical analysis showed that the PMS and RTW-SE scores of young and middle-aged stroke patients were(22.05±3.85) points and(4.12±0.64) points respectively,and there was a significant positive correlation between the two(r =0.624,P<0.05).In addition,the results of multiple linear regression analysis showed that pre-illness job type,educational level,gender,disease type,and PMS were independent predictors of patients' self-efficacy in returning to work(P<0.05). Conclusion The self-efficacy level of young and middle-aged stroke patients returning to work is lower than the normal level.Strengthening patients' sense of personal mastery and enhancing their awareness of the disease may be feasible strategies to effectively improve patients' self-efficacy in returning to work.
With the continuous expansion of the group of personnel operating in low-dose ionizing radiation(LDIR) positions in the military,the requirements for occupational protection standards and physical and mental health are getting higher and higher.However,there is still a lack of relevant normative standards for the health assessment of LDIR operation personnel.Based on the connotation of health assessment,this article explores the basic tasks of health assessment for LDIR operators during their convalescence.The first is to comprehensively grasp their physical and mental health status.The second is to fully and accurately recognize the existing health risk factors.The third is to help and correct their existing unhealthy lifestyles.Based on the occupational characteristics of LDIR operators,this paper expounds the main contents of health assessment for LDIR operators during convalescence,mainly including assessment of physiological conditions,assessment of psychological intelligence conditions,and assessment of job operation ability conditions.And thoughts were given on conducting in-depth research on the comprehensive health assessment of LDIR operation personnel during their convalescence period.It was suggested that research should be deepened in three aspects: radiation-sensitive indicators,ability health indicators,and health risk assessment.It can provide certain theoretical support for the construction of the health assessment index system of LDIR operators during their convalescence.
Given the safety,real-time,convenience and economy,the ultrasound imaging has been developed rapidly in emergency medicine,showing significant clinical value and increasingly wide and extensive application scenarios.However,the current application of ultrasound equipment in most grassroots medical units of our military has not been fully used due to the lack of attention,not standardized professional trainings,and blurred practical value of ultrasound imaging by military medic in grassroots troops.In this paper,we analyzed this issue,explored the clinical value of ultrasound in the common emergency of grassroots troops,focusing on the clinical application and value of ultrasound in the diagnosis and treatment of urinary calculi,acute appendicitis，military training injuries,abdominal closed injuries,foreign bodies in soft tissue,acute pancreatitis,testicular torsion,hemothorax and occult fractures.Some suggestions were discussed to further promote the application of ultrasound in grassroots emergency medicine.Ultrasonography shows a very important practical value in the clinical diagnosis and treatment of common acute and severe diseases in the grassroots troops.The grassroots troops should pay more attention to the application of ultrasound in daily emergency,take the promotion and application of emergency ultrasound as an important part of the development of primary medical care,further improve the quality and level of the diagnosis and treatment for grassroots troops emergency patients and better maintain the health of officers and soldiers in grassroots army.
Functional gastrointestinal disorders(FGIDs) are common digestive system diseases characterized by chronic,recurrent and stubborn nature.In recent years,with the acceleration of people's life pace,changes in consumption levels and dietary structures,the incidence of FGIDs has been on the rise.The symptoms caused by this have seriously affected patients' work and life.At present,modern medicine has not fully elucidated the pathological mechanism of FGIDs,and there is a lack of specific therapeutic drugs.It mainly relies on symptomatic treatment,such as the use of antispasmodics,prokinetic drugs,antidepressant and anxiety drugs,etc.Some of these drugs have side effects or short-lived therapeutic effects.However,traditional Chinese medication has demonstrated unique advantages in the diagnosis and treatment of this disease.Its therapeutic methods are not limited to internal administration of prescriptions and medicines,but also include a rich variety of non-pharmaceutical therapies such as acupuncture,massage,moxibustion,acupoint embedding,emotional regulation,and dietary guidance.Its therapeutic application and clinical efficacy have received increasing attention and research.This article aims to focus on the important field of non-pharmaceutical therapies in traditional Chinese medication,systematically sort out and review the latest research progress,clinical application status and mechanism exploration of non-pharmaceutical therapies for FGIDs in traditional Chinese medication in the past five years,analyze its advantages and challenges,and conduct in-depth discussions and future prospects based on this,with the expectation of providing useful references for the optimization of clinical diagnosis and treatment and research directions of this disease.
Obstructive sleep apnea(OSA) in children is a common chronic respiratory disease in clinical practice.Adenoid tonsillectomy is the main treatment method for OSA,although the problem of residual postoperative symptoms has attracted increasing attention.The residual symptoms are mainly manifested as persistent sleep snoring,apnea,sleep restlessness,as well as daytime sleepiness and inattention.If not intervened in time,it may further affect the cognitive function development and cardiovascular metabolic health of the children.With the changes in social lifestyles and the improvement of disease diagnosis and treatment levels,postoperative symptom residue,as a key difficulty in the management of OSA,has become a research hotspot in the field of pediatrics.This article aims to systematically review the latest research progress on postoperative symptom residue in children with OSA.Through a comprehensive sorting from the dimensions of domestic and international research status,assessment tools,biomarker exploration,influencing factor analysis,and intervention strategies,we provided a scientific basis for clinical medical staff and families,in order to promote the early identification,standardized management,and precise intervention of postoperative symptom residue.
Objective To explore the biomechanical characteristics of the rotating spinae muscle group in pilots,providing a theoretical basis for their physical training and the prevention of lumbar injuries.Methods Sixty pilots during convalescence were randomly selected in a certain sanatorium area.Two angular velocities of 60°/s and 180°/s were adopted.The muscle strength of the rotating muscle groups of the pilots' trunk was tested by the German IsoMed 2000 isokinetic muscle strength testing system.The differences in peak torque,relative peak torque,and the ratio of left rotation and right rotation muscle strength at different angular velocities were compared.Results Under the same angular velocity,the peak torques and relative peak torques of the left and right rotations of the pilot's trunk decreased with the increase of angular velocity.There was no statistically significant difference in the ratio of peak torques and relative peak torques on the left and right sides(t =0.206-0.274,t=1.030-1.465,all P>0.05),and there was no imbalance in the strength of the rotating muscle groups.Under different angular velocities,there were significant differences in the force of the pilot's trunk rotation(t =13.963-16.133,P<0.01),and the ability of rapid rotation was significantly lower than that of slow rotation.Conclusion Pilots should enhance the training of their trunk rotational strength,especially rotational endurance,to prevent the occurrence of low back pain.
Objective To explore the application effect of virtual reality technology combined with group psychological training in the intervention of negative emotions of special service officers and soldiers.Methods A retrospective analysis was conducted on the basic data of 110 special service officers and soldiers with negative emotions who were convalescent at a certain center from January 2023 to May 2025.They were randomly divided into two groups by a random number table: the control group(n=55,group psychological training) and the observation group(n=55,virtual reality technology combined with group psychological training).The anxiety,depression,sleep quality and post-traumatic stress disorder(PTSD) conditions of the two groups before and after the intervention were compared.Results After intervention,the scores of the Self-Rating Anxiety Scale(SAS) and the Self-Rating Depression Scale(SDS) in both groups decreased significantly,and the observation group was better than the control group,with statistically significant differences(P<0.05).After intervention,the Pittsburgh Sleep Quality Index(PSQI) score(4.64±0.67) and the PTSD Checklist-Civilian Version(PCL-C) score(17.61±3.29) of the observation group were both lower than those of the control group (5.94±1.22) and(22.40±5.25).The differences were statistically significant(t =6.927,5.734;both P<0.001).Conclusion Virtual reality technology combined with group psychological training can significantly improve the negative emotions of special service officers and soldiers,improve their psychological stress state,enhance sleep quality and promote prognosis.
Objective To explore the application effect of structural acupuncture technique in knee joint military training injuries.Methods The case data of 160 patients with military training injuries to the knee joint admitted to a certain center from January 2023 to December 2024 were collected,and a retrospective study was conducted on the treatment-related situations.According to different treatment methods,they were divided into an observation group and a control group,with 80 cases in each group.Patients in the observation group were treated with structural acupuncture technique,while those in the control group were given conventional symptomatic treatment.The total effective rate of treatment,pain symptoms,knee joint function and other data of the two groups were sorted out,analyzed and compared.Results After two courses of treatment,the total effective rate of the observation group(96.25%) was higher than that of the control group(81.25%),and the difference was statistically significant(P<0.05).The scores of the International Knee Documentation Committee(IKDC) knee joint assessment and the Lysholm knee scoring system in the observation group were higher than those in the control group.The visual analogue scale(VAS) score was lower than that of the control group,and the difference was statistically significant(all P<0.05).The comparison of adverse reactions between groups showed no statistically significant difference in the total incidence between the two groups(P>0.05).The recurrence rate of the observation group was lower than that of the control group(P<0.05).Conclusion Structural acupuncture technique performed on patients with knee joint military training injuries has definite therapeutic effects,does not increase adverse reactions,effectively alleviates pain symptoms,promotes the recovery of knee joint function,and reduces the recurrence rate.
Objective To explore the application of ear positive and negative pressure therapy in the rehabilitation and recuperation of middle ear barotrauma in special service personnel.Methods A retrospective analysis was conducted on the clinical data of 106 special service personnel with middle ear barotrauma admitted to a certain center from March 2021 to March 2025.They were divided into a study group and a control group according to different treatment methods,with 53 cases in each group.The control group was treated with hyperbaric oxygen therapy,while the study group was treated with ear positive and negative pressure therapy on the basis of the control group.The therapeutic effects,pure tone hearing values and symptom improvement of the two groups were compared.Results After treatment,the cases of eardrum congestion in the control group were 22.64%,ear fullness and pain27.75%,and tympanic effusion 18.87%,all of which were higher than those in the study group of 5.66%,3.77%,and 3.77% respectively(P<0.05).Observation on the improvement of patients' symptoms: In the study group,tinnitus was 18.67%,insomnia was 7.55%,and dizziness was 13.21%,all lower than those in the control group of 37.74%,22.64%,and 32.08% respectively(P<0.05).The pure tone hearing value of the research group at 1 000 kHz was(23.92±2.23)dB HL,at 3 000 kHz was(27.34±2.73)dB HL,and at 4 000 kHz was(41.50±1.88)dB HL.All were superior to the control group (28.54±2.10)dB HL,(31.52±3.54)dB HL,(49.59±2.36)dB HL(P<0.05).Conclusion Ear positive and negative pressure therapy for treating ear barotrauma in special service personnel is helpful for improving the symptoms and hearing function of patients.
Objective To explore the clinical efficacy and safety of the multiple cupping in alignment method combined with cervical tendon acupuncture under the guidance of "Spine and Du Meridian Integration Theory" in the treatment of cervicogenic vertigo of qi and blood deficiency type.Methods A total of 70 patients with cervicogenic vertigo of qi and blood deficiency type who visited Anyang Hospital of Traditional Chinese Medicine from August 2024 to April 2025 were selected and divided into a treatment group and a control group (35 cases in each group) by random number table.The control group was given conventional neck massage treatment,while the treatment group was given the multiple cupping in alignment method combined with cervical tendon acupuncture in spine and Du meridian.After 3 weeks of treatment,the scores of the evaluation scale for cervical vertigo (ESCV),the scores of the dizziness handicap inventory (DHI),the TCM syndrome score,and the clinical effective rate of the two groups were compared and analyzed to evaluate the therapeutic effect.Results The total effective rate of the treatment group was 100%,which was higher than 82.9% of the control group,and the difference was statistically significant(P<0.05).The ESCV scores of both groups of patients after treatment were significantly higher than those before treatment,and the ESCV score of the treatment group was significantly higher than that of the control group after treatment,with statistically significant differences(P<0.05).After treatment,the DHI scores and TCM syndrome scores of both groups of patients were significantly lower than those before treatment.The improvement in the treatment group was more obvious,and the difference was statistically significant(P<0.05).There were no serious adverse reactions in either group of patients during the treatment period.Conclusion The combination of the multiple cupping in alignment method combined with cervical tendon acupuncture in spine and Du meridian is effective,simple and safe in treating cervicogenic vertigo caused by deficiency of qi and blood.
Objective To explore the application effect of proprioceptive insoles combined with transcranial direct current stimulation(tDCS) in chronic ankle instability(CAI).Methods A total of 120 CAI patients admitted to Lushan Rehabilitation and Recuperation Center from January 2024 to February 2025 were included and divided into 3 groups by random number table,with 40 cases in each group.The experimental group was treated with tDCS,proprioceptive insoles and exercise training.The control group was treated with tDCS pseudo-stimulation,proprioceptive insoles and exercise training.The conventional treatment group was treated with tDCS pseudo-stimulation,ordinary insoles and exercise training.Three times a week for six weeks.The Cumberland Ankle Instability Tool(CAIT) scores,Y-Balance Test (YBT),and MedTrack-Balance(MTB) assessment results of the three groups were compared.Results After 6 weeks of treatment,the CAIT score of the experimental group (24.68±2.11)points was higher than that of the control group (22.39±2.04)points and the conventional treatment group (21.01±2.05)points.The YBT of the experimental group was (100.75±5.08)%,higher than that of the control group (97.50±2.24)% and the conventional treatment group (95.29±2.05)%,and the difference was statistically significant(P<0.05).After 6 weeks of treatment,the swing area of the pressure center in the experimental group was (210.52±21.06)mm²,and the response time was (0.39±0.04)s,which were lower than those of the control group ([354.06±34.05]mm²,[0.48±0.05]s) and the conventional treatment group ([514.08±51.03]mm²,[0.51±0.05]s).The ellipsoid curvature (0.85±0.08),motion speed (4.45±0.40)°/s,maximum offset ratio (71.95±7.02)%,and direction control (110.95±10.90)% of the experimental group were higher than those of the control group ([0.73±0.07],[4.18±0.39] °/s),[68.15±6.72]%,[98.02±9.80]%),and the conventional treatment group ([0.69±0.06],[3.92± 0.37]°/s,[64.25±6.33]%,and [93.05±9.02]%),with difference of statistical significance(P<0.05).Conclusion Based on the exercise training of CAI patients,the intervention of tDCS combined with proprioceptive insoles can improve the ankle stability of patients and enhance their balance ability.
Objective To explore the clinical effect of the combination of non-convulsive electroconvulsive therapy and group cognitive behavioral therapy on patients with bipolar disorder(BD).Methods According to the random number table,100 BD patients admitted to the Second People's Hospital of Zhumadian City from October 2023 to November 2024 were divided into two groups,with 50 cases in each group.The control group was treated with group cognitive behavioral therapy alone,while the study group was treated with non-convulsive electroconvulsive therapy in combination.The clinical effect,mental health level,mental symptoms,oxidative stress indicators and sleep quality of the two groups were compared.Results The total clinical effective rate of the study group was higher than that of the control group.After treatment,the Self-Rating Anxiety Scale(SAS) score of the study group was (48.76±2.25)points and the Self-Rating Depression Scale(SDS) score was (50.12±2.33)points,which were lower than those of the control group ([53.51±2.94]points and [55.67±2.91]points),and the difference was statistically significant(P<0.05).After treatment,compared with the control group,the Positive and Negative Syndrome Scale(PANSS) scores of the study group were lower.The level of superoxide dismutase(SOD) was higher,while the levels of glutathione peroxidase(GSH-Px) and malondialdehyde(MDA) were lower.The Pittsburgh Sleep Quality Index(PSQI) score was lower,and the difference was statistically significant(P<0.05).Conclusion The implementation of non-convulsive electroconvulsive therapy combined with group cognitive behavioral therapy for BD patients has a remarkable clinical effect.It is helpful to improve the mental health level and mental symptoms of patients,reduce their oxidative stress response,and improve their sleep quality.
Objective To study the effect of pressure vaccination training combined with structural psychological intervention in patients with diabetes retinopathy(DR).Methods A total of 76 DR patients from Baise People's Hospital from January 2023 to November 2024 were selected as the study subjects.They were randomly divided into the observation group and control group,with 38 patients in each group.Patients in both groups received structural psychological intervention,while those in the observation group additionally received pressure vaccination training.The blood glucose level,mental health (self-rating anxiety scale[SAS],self-rating depression scale[SDS]),the attitudes to disability scale(ADS) and the summary of diabetes self-care activities(SDSCA) scores were compared between the two groups before and after the intervention.Results After interventions,the fasting blood glucose (6.84±1.31)mmol/L and 2-hour postprandial blood glucose (8.11±2.26)mmol/L in the observation group were significantly lower than those in the control group([7.69±1.52]mmol/L,[9.93±2.35]mmol/L,P<0.05).The SAS (42.78±2.91)points and SDS (35.94±3.86)points scores in the observation group after interventions were significantly lower than those in the control group([45.63±3.36]points,[42.77±4.65]points,P<0.05).After interventions,the ADS (90.59±7.63)points and SDSCA (51.69±5.63)points scores in the observation group were significantly higher than those in the control group([82.65±8.34]points,[45.93±5.24]points,P<0.05).Conclusion The combination of pressure vaccination training and structural psychological intervention is beneficial to the dual improvement of physical and mental health in DR patients,which can enhance their disease acceptance and self-management ability,and help reduce their blood sugar levels.
Objective To explore the application effect of dynamic lamination based on the Mulligan technique combined with extracorporeal shockwave therapy(ESWT) on treating triangular fibrocartilage complex(TFCC) injury of the wrist.Methods A total of 80 patients with TFCC injury admitted from January 2024 to February 2025 were selected and randomly divided into the control group(40 cases) and experimental group(40 cases) by randomized table method.All patients were treated with conventional rehabilitation measures and ESWT,and those in the experimental group were additionally treated with dynamic lamination based on the Mulligan technique.They were observed for 4 weeks.The degree of pain(numerical rating scale[NRS],pain threshold[numerical pressure pain meter value]),grip strength meter value and wrist joint function score were compared before and 2 weeks and 4 weeks after interventions.Results NRS scores at 2 and 4 weeks after interventions were significantly reduced than pre-intervention values(P<0.05).NRS scores at 4 weeks of interventions were significantly lower than those at 2 weeks,which were significantly lower in the experimental group than the control group(P<0.05).Pain threshold,grip strength meter value and wrist joint function score at at 2 and 4 weeks after interventions were significantly elevated than pre-intervention values(P<0.05).These values at 4 weeks of interventions were significantly higher than those at 2 weeks,which were significantly higher in the experimental group than the control group(P<0.05).Conclusion Dynamic lamination based on the Mulligan technique combined with ESWT reduces the degree of pain,increases pain threshold,grip strength and wrist function in patients with TFCC injury of the wrist.
Objective To explore the effect of attribution training combined with dynamic body mass management on kidney transplant patients.Methods According to the random number table,120 cases of kidney transplant patients in the 7th People's Hospital of Zhengzhou from July 2023 to September 2024 were randomly divided into the routine group(60 cases were given routine nursing) and combined group(60 cases were given attribution training combined with dynamic body mass).The renal function,self-efficacy,nutritional status and disease coping style were compared between the two groups.Results The serum creatinine in the combined group(126.40±13.54)μmol/L was significantly lower than that in the routine group(131.96±14.05)μmol/L(P<0.05).The glomerular filtration rate of the combined group(58.13±4.16) mL/min was significantly higher than that of the routine group(55.82±4.27)mL/min(P<0.05).The self-efficacy score of the combined group was significantly higher than that of the routine group(P<0.05).The levels of preprotein (306.78±60.66)mg/L,albumin(36.26±2.24)g/L and hemoglobin (105.74±10.72)g/L in the combined group were significantly higher than those in the routine group(283.12±59.18)mg/L、(35.10±2.05)g/L、(101.85±10.38)g/L
(P<0.05).The scores of submission and avoidance in the combined medical coping modes questionnaire (MCMQ) were significantly lower than those in the routine group(P<0.05).The MCMQ score of the combined group was significantly higher than that of the routine group(P<0.05).Conclusion Attribution trainingcombined with dynamic body mass management can improve the renal function and nutritional status of kid.
Objective To analyze the comprehensive rehabilitation effect of Dandong Wulongbei Hot Spring combined with Tai-Chi therapy on hypertension patients.Methods A total of 254 hypertension patients who participated in the rehabilitation in Wulongbei Sanatorium Area of Dalian Rehabilitation and Sanatorium Center from April 2022 to April 2024 were selected.They were randomly divided into the control group and experimental group using a random number table method,with 127 cases in each group.Patients in both groups were medicated with oral amlodipine tablets,while those in the experimental group were additionally treated with hot spring combined with Tai-Chi therapy.Blood pressure levels,anxiety scores,body mass index(BMI),and sleep latency,sleep duration,subjective sleep quality and use of sleeping medication in the Pittsburgh sleep quality index(PSQI) after 3 months of treatment were compared between groups.Results There was no significant difference in the pre-treatment blood pressure between groups(P>0.05).After three months of intervention,the systolic blood pressure ([125.61±7.14]mmHg VS [137.65±5.32]mmHg,1 mmHg=0.133 kPa) and diastolic blood pressure ([75.30±4.10]mmHg VS [83.80±3.40]mmHg) in the experimental group were significantly lower than the control group(P<0.05).The self-rating anxiety scale (SAS) score was significantly lower in the experimental group than the control group ([32.19±4.72]points VS [39.29±5.45]points, P<0.05).After interventions,the sleep duration score in the control group was significantly lower than the pre-treatment value ([2.23±0.69]points VS [2.72±0.34]points,P<0.05).In the experimental group,post-treatment scores of sleep latency ([1.68±0.19]points VS [2.71±0.46]points),sleep duration ([1.78±0.43]points VS [2.67±0.85]points) and sleep quality ([1.56±0.72]points VS [2.52±0.26]points) were significantly decreased(P<0.05).Post-treatment scores of sleep latency and sleep quality were elevated in the control group,although no significant differences were detected.Post-treatment outcomes were more reduced in the experimental group than the control group(P<0.05).Pre-treatment BMI was comparable between groups(P>0.05),and it was reduced in both groups after treatment,but no significant difference was detected between groups(P>0.05).Dosages of sleep medications after treatment were significantly lower in the experimental group than the control group([4.08±1.43]mg VS [5.35±1.74]mg,P<0.05).Conclusion Dandong Wulongbei Hot Spring combined with Tai-Chi therapy shows pronounced outcome of comprehensive rehabilitation of hypertension.
Objective To explore the application value of suspension techniques combined with functional training in the rehabilitation of staff for special services with knee joint injuries.Methods A total of 110 patients with knee joint injuries treated from December 2023 to December 2024 were selected.They were randomly divided into two groups, each consisting of 55 patients.Patients in the control group received routine care,while those in the observation group underwent suspension techniques combined with functional training.Knee function, pain level and quality of life before and after treatment were compared between groups.Results Before interventions,there were no significant differences in the scores of pain, function,range of motion,muscle strength, flexion deformation,and stability between the two groups(all P>0.05).After interventions,the HSS scores of the observation group were higher than those of the control group, and the differences were statistically significant(P<0.05).Before interventions,there was no difference in the numerical rating scale(NRS) scores between the two groups(P>0.05).NRS score after interventions was significantly lower in the observation group than the control group([2.11±0.24]points VS [4.08±0.23]points, P<0.001).The score of quality of life before interventions was comparable between group(P=0.104), which, after interventions, was significantly higher in the observation group than the control group(t=68.773,P<0.001).Conclusion The combination of suspension techniques and functional training is effective in treating knee joint injuries.It not only significantly improves knee joint function but also helps to alleviate pain and enhance quality of life,making it a recommended approach.
Objective Based on the mechanisms of Qi and Jin injuries,this study investigated the clinical efficacy of traditional Chinese medicine Shengmai Decoctionin treating gout induced by exercise fatigue.Methods A total of 132 gout patients induced by exercise fatigue from April 2020 to December 2024 were selected and randomly divided into the control group(65 cases) and study group(67 cases) using the envelope method.Patients in both groups were treated with colchicine and meloxicam,and those in the study group were additionally given oral Shengmai Decoction.The total effective rate,pain severity score,pain duration,fatigue score,and changes in blood uric acid and creatine kinase levels were compared between groups.Results After treatment,the total effective rate of the study group was significantly higher than that of the control group,and the duration of pain was significantly shorter than that of the control group ([48.95±8.74]h VS [56.32±9.05]h,P<0.05).The scores of pain degree ([1.65±0.61]points VS [2.38±0.76]points) and fatigue degree ([25.45±10.83]points VS [35.69±11.02]points) were significantly lower in the study group than the control group(P<0.05).Blood uric acid ([365.83±64.25]μmmoL/L VS [423.75±69.38]μmmoL/L) and creatine kinase ([172.41±44.63]U/L VS [285.36±59.45]U/L) were significantly lower in the study group than the control group (P<0.05).Conclusion Qi and Jin injuries are the early pathogenesis of gout attacks after exercise fatigue,and traditional Chinese medicine Shengmai Decoction has shown good clinical efficacy in treating them.
Objective To explore the clinical efficacy of Sancao Lidan Decoction in treating cholecystitis of liver-gallbladder damp-heat type.Methods A total of 82 patients with cholecystitis of liver-gallbladder damp-heat type treated in the Dancheng County Hospital of TCM from May 2023 to May 2024 were selected as the research objects.They were divided into the study group(n=41,receiving basic treatment plus Sancao Lidan Decoction) and control group(n=41,receiving basic treatment) according to different treatment methods.The treatment effects and adverse events of the two groups were compared.The traditional Chinese medicine(TCM) syndrome scores,imaging indicators,and serum indicators (total bile acid[TBA],aspartate aminotransferase[AST],gallbladder contractile function,gallbladder wall thickness) before and after treatment,and inflammatory indicators (tumor necrosis factor-α[TNF-α],interleukin-8 [IL-8],interleukin-6[IL-6]) were compared.Results After 6 weeks of treatment,the total effective rate in the study group was significantly higher than that in the control group (92.68% VS 63.41%,P<0.05).After 6 weeks of treatment,the scores for TCM symptoms,such as bitter taste in the mouth,dry mouth,right flank pain,abdominal distension,and heavy body feeling and fatigue were significantly lower in the study group than the control group(P<0.05).After 6 weeks of treatment,the levels of TBA,gallbladder wall thickness,and AST in the study group were significantly lower than those in the control group,while the gallbladder contraction function was highe(P<0.05).After 6 weeks of treatment,the levels of serum TNF-α,IL-8,and IL-6 in the study group were significantly lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse events between the study group and the control group (9.76% VS 4.88%,P>0.05).Conclusion For patients with cholecystitis of liver-gallbladder damp-heat type,Sancao Lidan Decoction can improve treatment efficacy and imaging indicators,reduce inflammatory response,and promote rapid recovery.
Objective To compare the efficacy of percutaneous poking reduction and fixation with open reduction by internal fixation for Sanders type Ⅲ calcaneal fractures.Methods A total of 90 patients with Sanders type Ⅲcalcaneal fractures treated in the Xinyu People's Hospital from April 2020 to April 2024 were prospectively selected.Patients were randomly assigned to control group (open reduction internal fixation) and study group (percutaneous poking reduction and fixation),with 45 cases per group.They were postoperatively followed up for 1 year.Postoperative excellent-good rate,Bohler's angle,Gissane's angle,surgical metrics,and complications were compared.Results Postoperative excellent-good rates(88.89% VS 86.67%),and preoperative and postoperative Bohler's angle and Gissane's angle were comparable between groups (all P>0.05).Postoperative Bohler's and Gissane's angles were significantly elevated in both groups compared to preoperative values.The study group demonstrated significantly shorter operative time,less intraoperative bleeding,smaller incisions,and shorter hospitalization than the control group,along with a lower complication rate (4.44% VS 20.00%) (all P<0.05).Conclusion Both techniques achieve favorable outcomes and functional recovery,while percutaneous poking reduction and fixation demonstrates superior surgical metrics,fewer complications,and enhanced patient recovery potential.
Objective To investigate the effect of one-piece ultrasonic concentric puncture in percutaneous nephrolithotomy(PCNL).Methods A total of 120 patients with upper urinary tract stones who received PCNL in Fuzhou Dongxiang District People's Hospital from January 2024 to March 2025 were selected.They were randomly divided into two groups with 60 cases in each group according to random number table method.Non-concentric puncture was performed in the control group,and one-piece ultrasound concentric puncture was performed in the study group.The perioperative indexes,hemostasis under blood transfusion and intervention,puncture accuracy,puncture time and postoperative complications were compared between the two groups.Results The operation time ([27.44±4.36]min VS [37.25±4.51]min) and the total hospital stay ([4.03±1.06]d VS [5.12±1.12]d) of the study group were both significantly shorter than those of the control group(P<0.05).Postoperative blood loss within 24 h ([9.55±2.12]g/L VS [13.35±2.62]g/L) and intraoperative blood loss ([9.55±1.65]mL VS [16.25±2.35]mL) were significantly less in the study group than those of the control group(P<0.05).Blood transfusion treatment and hemostasis under intervention were not reported in the study group,showing no significant differences than the control group (3.33% and 1.67%,respectively),P>0.05.The one-time puncture success rate (90.00% VS 75.00%) and the total puncture success rate (100% VS 90.00%) of the study group were significantly higher than those of the control group(P<0.05).Significantly shorter duration of puncture ([4.81±0.66]min VS [6.25±1.21]min) and lower incidence of postoperative complications (5.00% VS 16.67%) were detected in the study group than the control group(P<0.05).Conclusion One-piece ultrasound concentric puncture during PCNL operation can reduce blood loss,improve puncture accuracy,shorten puncture time,reduce the incidence of postoperative complications and promote rehabilitation.
Objective To explore the impact of gut microbiota imbalance on the prognosis of decompensated liver cirrhosis.Methods A total of 100 patients with decompensated liver cirrhosis in the Third People's Hospital of Zhengzhou from June 2021 to June 2024 were selected as the study group.Routine treatment was given to all patients upon admission,and the abundances of gut microbiota(Bifidobacterium,Lactobacillus,Escherichia coli,Enterococcus) were measured before treatment.Additionally,100 patients with liver cirrhosis compensation and 100 healthy individuals who underwent physical examinations during the same period were included as control group 1 and control group 2,respectively.The gut microbiota of the three groups was compared.After 6 months of follow-up,patients were divided into the good prognosis group and poor prognosis group based on their survival status.Baseline data and gut microbiota counts were compared between the two groups,and Cox regression analysis was used to determine the relationship between gut microbiota and the prognosis of decompensated liver cirrhosis.The receiver operating characteristic(ROC) curve was drawn,analyzing the value of gut microbiota imbalance in predicting the prognosis of decompensated liver cirrhosis.Results The abundances of Bifidobacterium and Lactobacillus in the study group were significantly lower than the control group 1,and those in the control group 1 were significantly lower than the control group 2.The abundances of Escherichia coli and Enterococcus in the study group were significantly higher than the control group 1,and those in the control group 1 were significantly higher than the control group 2(P<0.05).During the 6-month follow-up period,14 out of 100 patients in the study group died,accounting for 14.00% (14/100).The Child-Pugh grading,model of end-stage liver disease(MELD) score,and proportion of combined malnutrition in the poor prognosis group were significantly different from those in the good prognosis group(P<0.05).The abundances of Bifidobacterium and Lactobacillus in the good prognosis group were significantly higher than the poor prognosis group,while the abundances of Escherichia coli and Enterococcus were significantly lower than the poor prognosis group(P<0.05).According to Cox regression analysis,Child-Pugh grading,MELD score,combined malnutrition,Bifidobacterium,Lactobacillus,Escherichia coli,and Enterococcus were significantly correlated with the prognosis of decompensated cirrhosis(P<0.05).ROC curveshowed that the area under the curve(AUC) of abundances of Bifidobacterium,Lactobacillus,Escherichia coli,and Enterococcus in predicting the prognosis of decompensated liver cirrhosis alone or in combination was all greater than 0.7,which had certain predictive value,and the combined predictive value was higher.Conclusion Patients with decompensated liver cirrhosis have a higher probability of experiencing gut microbiota imbalance,and gut microbiota imbalance can increase the risk of poor prognosis in patients with decompensated cirrhosis,and can predict patient prognosis to some extent.
