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10 December 2025, Volume 34 Issue 12
    

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  • CHEN Lehui, CHU Xiaozhi, QIAN Yue, XU Li, LIU Jiarong, FU Yulu, YUAN Xize, SHEN Xiangyu
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 1-6. https://doi.org/10.13517/j.cnki.ccm.2025.12.001
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    【Abstract】 Objective To investigate lake water therapy resources,and to analyze its correlation with health resort. Methods Using Landsat 8 OLI_TIRS and MODIS 3 km AOD remote sensing images from the Geospatial Data Cloud,and data processing platforms of ENVI and ArcGIS software,natural therapeutic resources of lake water health resorts in nine different regions in China were evaluated.Changing patterns and differences in natural resources across regions were qualitatively analyzed for their therapeutic value. Results The nine lake water bodies in different regions were rich in natural resources and had diverse landforms.There were significant differences in precipitation, temperature,sunshine,humidity,frost-free period,and vegetation cover(P<0.05).In the past 10 years,the average annual precipitation has exceeded 400 mm,and Hangzhou West Lake and Jiangxi Poyang Lake have even exceeded 1 400 mm. Except for Yunnan Dianchi Lake,the other lakes were all below 400 m of sea level.The average annual temperature of Jilin Songhua Lake and Heilongjiang Jingpo Lake was below 4 ℃,and the average annual minimum temperature of Jilin Songhua Lake,Heilongjiang Jingpo Lake,Suzhou Taihu Lake,Shanxi Yuncheng Salt Lake,and Wuhan East Lake was below 5 ℃.The average annual minimum temperature of the other lakes fluctuated between 8-16 ℃.Except for Yunnan Dianchi Lake,the average annual maximum temperature was below 15 ℃,and the average annual temperature of the other lakes fluctuated between 15-30 ℃.Tianjin Cuiping Lake had the longest average annual sunshine duration of 2 500 h,while Suzhou Taihu Lake had the shortest average annual sunshine duration of 1 630.4 h.Shanxi Yuncheng Salt Lake had the longest average annual sunshine duration of 3 200 h. The average vegetation coverage of Heilongjiang Jingpo Lake and Jiangxi Poyang Lake was 90%,while the average vegetation coverage of Suzhou Taihu Lake, Shanxi Yuncheng Salt Lake, and Wuhan East Lake was below 50%. The distribution of natural resources at different lake resorts showed certain north-south differences and seasonal fluctuations.Conclusion Lake water resorts possess abundant natural resources that can meet the needs of a wide range of populations.Comprehensive evaluation and analysis of the therapeutic value of each lake water resort should be conducted.It is important to fully exploit its natural advantages and develop personalized recuperation plans for different populations,so that natural resources can play a greater role in recuperation and chronic disease rehabilitation.
  • MA Yaping, CHEN Xiaoqi, LI Qi
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 7-10. https://doi.org/10.13517/j.cnki.ccm.2025.12.002
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    【Abstract】 Objective To investigate the correlation between the geriatric nutritional risk index(GNRI) and body composition in elderly people of advanced age. Methods A total of 136 retired cadres over 80 years who were hospitalized in Zhongshan Branch of Jiangsu Province Hospital of Chinese Medicine(Formerly known as Jiangsu Zhongshan Rehabilitation Hospital) from January 2020 to August 2022 were included.Basic information,hemoglobin (Hb),serum albumin(ALB),blood lipids,and other indicators were collected.Body composition was measured by dualenergy X-ray absorptiometry(DXA).According to GNRI,the participants were divided into the normal group(103 cases, GNRI>98) and the nutritional risk group(33 cases,GNRI≤98).Differences in general information,Hb,ALB,blood lipids, and body composition between the two groups were compared.Binary logistic regression analysis was used to explore the correlation between GNRI and body composition.Results Compared with the normal group, participants in the nutritional risk group had an significantly older age and lower bone mineral content,appendicular skeletal muscle index (SMI), appendicular fat mass index(FMI), trunk FMI, body mass index(BMI), body fat percentage, Hb, ALB, and triglycerides(TG) (P<0.05). Binary logistic regression analysis showed that appendicular SMI, and trunk FMI were independent protective factors for GNRI(OR=0.197, 95%CI=0.054-0.723, P<0.05; OR=0.244, 95%CI=0.111-0.535, P<0.05).Conclusion GNRI is closely related to appendicular skeletal muscle and trunk fat of body composition in elderly people of advanced age.The very old people with higher appendicular SMI and trunk FMI may have a better nutritional status.
  • TAO Ran, ZOU Jihua, ZHENG Jingjin, WANG Yu, ZHOU Ying, LI Xiaoyan
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 11-14. https://doi.org/10.13517/j.cnki.ccm.2025.12.003
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    【Abstract】 Objective To explore the subjective experience of loneliness among urban high-age empty-nest seniors and provide references for formulating intervention measures to alleviate their sense of loneliness. Methods From December 2023 to June 2024, 19 high-age empty-nest seniors in a prefecture-level city of Zhejiang Province were selected as the research subjects by purposive sampling for semi-structured interviews, and the interview data were analyzed by content analysis.Results The experience of loneliness among urban high-age empty-nest seniors includes two themes: factors contributing to loneliness(such as health loss, functional decline; intergenerational emotional estrangement,lack of deep social interaction;limited previous work experience and lack of learning ability;absence of partner support) and individual strategies for proactively coping with loneliness(such as actively adjusting one's cognition of the relationship with children;establishing and maintaining relationships,and keeping social connections; developing hobbies and lifelong learning, and participating in community or club activities). Conclusion There are multiple contributing factors to the sense of loneliness among urban high-age seniors. To alleviate loneliness, it is necessary to identify,respect and fully support the positive coping strategies adopted by the elderly themselves, and jointly promote healthy aging through empowering individuals and optimizing the environment.
  • DONG Youqing, WANG Kunpeng, CHENG Shuaiya, GUO Chuanbin, ZHENG Jiawei
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 15-19. https://doi.org/10.13517/j.cnki.ccm.2025.12.004
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    【Abstract】 Objective To investigate the effects of a 6-week exercise therapy program(strength training combined with balance training) on the lower limb biomechanical characteristics of college students with chronic ankle instability (CAI) during single-leg lateral jump landing.Methods From September to November 2024,thirty-one CAI patients were recruited from Wuhan Sports University.Using a random number table method,the participants were randomly assigned to the experimental group and the blank control group.Kinematic and kinetic parameters during single-leg lateral jump landing were collected before and after interventions using the Vicon three-dimensional motion capture system and the Kistler force platform. Repeated-measures analysis of variance(RM-ANOVA) was used to analyze intervention effects. Results Kinematics data showed significant interaction effects in ankle and hip sagittal plane angles and hip coronal plane angle at initial contact(IC) in the experimental group.Compared with the control group before and after interventions, CAI patients in the experimental group demonstrated significantly decreased ankle plantarflexion angle and hip abduction angle, and significantly increased hip flexion angle after the intervention. Kinetics data showed significant interaction effects for all kinetic variables.Compared with the control group before and after interventions, CAI patients in the experimental group showed significantly reduced peak vertical ground reaction force(PVGRF) and loading rate,as well as significantly prolonged time to PVGRF.No significant differences were found in the control group before and after intervention. Conclusion A 6-week exercise therapy program (strength training combined with balance training) can significantly improve the lower limb biomechanical characteristics of college students with CAI during single-leg lateral jump landing,reduce ankle joint stress at landing, and lower the risk of recurrent ankle sprain.
  • SU Ying, WU Mei
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 20-23. https://doi.org/10.13517/j.cnki.ccm.2025.12.005
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    【Abstract】 Following reforms to the joint logistics support system,the “one hospital,multiple campuses”(OHMC) model has become the predominant approach to optimizing military medical resources and strengthening the core capability of supporting combat and safeguarding health.However,nursing management under the OHMC model faces inherent tensions:reconciling the mandate to be fight-ready and victorious with adherence to professional rehabilitation norms; addressing low cross-campus coordination efficiency and geographically driven disparities in resource endowment, alongside uneven nursing competencies and challenges in standard implementation; and balancing the demand for homogeneous services among officers and soldiers with individual differences stemming from combat roles and injury profiles.This article was to construct a combat-effectiveness-oriented framework for homogeneous nursing management across campuses in military rehabilitation and convalescent institutions.Guided by the principle of generating combat effectiveness, we propose a three-dimensional pathway—“military medical demand tractionstandard system construction-support mechanism implementation.” The foundation embeds hard indicators of combat readiness and deepens alignment with differentiated needs across services and arms.The management architecture is built upon: a “vertical+local” dual-track governance system; a “certification + mobility” talent mechanism; and a “PDCA+unannounced audit” quality control model. The proposed system achieves cross-campus alignment of core nursing service principles and support effectiveness,markedly enhances officer and soldier satisfaction,improves the utilization efficiency of military medical resources, and offers a scalable, transferable paradigm for campus-wide homogeneity and precise health support.
  • DING Weiyan, ZHANG Zhichun, LI Ding, LI Li, LOU Wenqian, FENG Ying, CHEN Guoliang
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 24-27. https://doi.org/10.13517/j.cnki.ccm.2025.12.006
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    【Abstract】 Objective To characterize working memory in male patients with first‑episode schizophrenia during the recovery phase. Methods Fifty-nine male patients with firstepisode schizophrenia in the recovery phase and 60 healthy male volunteers(controls) were enrolled. Global cognition was screened using the Montreal Cognitive Assessment(MoCA).Working memory was assessed with a computerized nback task(0-back,1-back,2-back).Behavioral performance(accuracy and response time) was compared between groups. Results No significant betweengroup differences were observed in age, years of education, or MoCA scores(all P>0.05). The patient group showed significantly lower accuracy than controls on the 0-back,1-back,and 2-back tasks(97.33%,94.00%,and 82.67% VS 98.33%, 96.16%,and 89.67%;all P<0.05).Response time was significantly longer in the patient group for the 0-back and 1-back tasks(440.65 ms and 467.00 ms VS 393.85 ms and 440.09 ms;both P<0.05),with no significant difference for the 2-back task(541.75 ms VS 534.55 ms; P>0.05). Conclusion Male patients with firstepisode schizophrenia in the recovery phase exhibit workingmemory impairments, reflected by reduced accuracy and slowed responses. These findings support workingmemory dysfunction as a core cognitive feature of schizophrenia that persists beyond the acute phase and is not explained by global cognitive screening results.
  • CAI Xishan, XU Ruixue, YAN Sheng, DENG Youxing, YANG Jianqiang, HU Zhuoya
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 28-32. https://doi.org/10.13517/j.cnki.ccm.2025.12.007
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    【Abstract】 Objective To explore the application effect of immersive dietary education based on the experiential learning theory in facilitating healthier dietary behavior transformation among young soldiers with metabolic diseases. Methods A total of 80 young soldiers with metabolic diseases who were convalescing at a certain institution from March 2024 to February 2025 were selected by convenience sampling. They were randomly divided into the experimental group and control group, each consisting of 40 cases. Participants in the control group received conventional dietary education,while those in the experimental group received immersive dietary education.After 14 days of intervention,the nutritional status,feelings after participating in educational activities,and scores of nutritional knowledge,belief,and behavior were compared between the two groups.Results The scores of nutritional knowledge (Z=-2.658,P=0.008) and dietary behavior(t =-2.539,P=0.013) in the experimental group were significantly higher than those of the control group. In terms of the interest(χ2 =22.175, P<0.001), interactivity(χ2 =6.373, P=0.012), knowledge acceptance(χ2 =5.495, P=0.019), and satisfaction with the dietary education model(χ2 =7.524, P=0.023), the number of people in the experimental group was significantly greater than that in the control group(P<0.005)There were no significant differences in weight,body mass index(BMI),waist circumference and nutritional belief scores between the experimental group and the control group(P>0.05).Conclusion Immersive dietary education based on the experiential learning theory can improve the nutritional knowledge and dietary behavior of young soldiers with metabolic diseases, showing a higher satisfaction rate in nutritional education. However,for the improvement of weight,BMI, and waist circumference,a longer intervention period is needed to verify the intervention effect.
  • ZHOU Siyu, CHEN Xiaoling, XU Ruixue, WU Tianshun, YANG Jianqiang, SHI Lijing
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 33-37. https://doi.org/10.13517/j.cnki.ccm.2025.12.008
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    【Abstract】 Objective To assess dietary management for chronic disease prevention among overweight or obese military personnel in a primary-level unit,identify latent behavioral-belief profiles and their determinants, and inform targeted interventions. Methods In a cross-sectional survey conducted from December 2022 to June 2024, 256 overweight or obese service members from a primary-level unit were recruited by convenience sampling.Data were collected using a general information form and the Chronic Disease Prevention Dietary Management Questionnaire.All 32 questionnaire items served as indicators for latent profile analysis(LPA).Logistic regression was applied to examine factors associated with profile membership. Results Two distinct latent profiles were identified: a low-belief/lowbehavior profile(57.8%) and a high-belief/high-behavior profile(42.2%).Sleep quality significantly differentiated profile membership(P<0.05).Conclusion Overweight or obese military personnel exhibit heterogeneous dietary management patterns for chronic disease prevention.Tailored,profile-informed interventions should be developed to enhance health literacy and reduce chronic disease risk.
  • LI Mengsi, WEI Fanglu, CAI Minchao, LUO Mingyu
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 38-41. https://doi.org/10.13517/j.cnki.ccm.2025.12.009
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    【Abstract】 Objective To explore the clinical effect of the therapy of hour-choosing combined acupuncture and medication under the guidance of the theory of time sequence in traditional Chinese medicine on chronic fatigue syndrome of both heart and spleen deficiency.Methods A total of 100 patients with chronic fatigue syndrome of both heart and spleen deficiency type who visited Anyang Hospital of Traditional Chinese Medicine were selected and evenly divided into a study group and a control group(50 cases in each group) through a random number table.The control group was treated with a combination of conventional acupuncture and medication,while the study group was given a combination of hour-choosing acupuncture and medication based on the midnight-noon and ebb-flow doctrine. After 3 weeks of treatment, the changes in fatigue scale-14(FS-14), TCM syndrome score, chronic fatigue syndrome symptom score(SG),Hamilton Anxiety Scale(HAMA),and total clinical effective rate of the two groups were compared and analyzed to evaluate the therapeutic effect.Results The total effective rate of the study group was 94.00%,which was higher than 82.00% of the control group ,and the difference was statistically significant(P<0.05).After treatment, the scores of FS-14, SG, HAMA and TCM syndrome in both groups were significantly lower than those before treatment.Moreover,the improvement amplitude of the indicators in the study group was more obvious after treatment, 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 combined therapy of acupuncture and medication under the guidance of time sequence in Traditional Chinese Medicine has shown more significant improvement in the symptoms of chronic fatigue syndrome and has definite therapeutic effects.
  • LAN Yuxiang, WANG Hao, CAI Yaxiu, ZHANG Xiaoqian, LIU Yi
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 42-45. https://doi.org/10.13517/j.cnki.ccm.2025.12.010
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    【Abstract】 Objective To investigate the rehabilitation effect of exercise interventions combined with physical factor therapy on the gross motor function of children with motor development delay,thus providing a clinical basis for pediatric rehabilitation treatment.Methods A total of 120 children with motor development delay who were treated in the Department of Pediatric Rehabilitation of Yiwu Maternity and Children Hospital from January to December 2023 were selected as the research subjects. A corresponding rehabilitation plan was jointly formulated by rehabilitation physicians,pediatric rehabilitation therapists,and the families of the children.The children with motor development delay were randomly assigned to the control group and the study group,with 60 cases in each group.The scores of the peabody developmental motor scales and the modified Ashworth scale for muscle spasm were compared between the two groups to evaluate the therapeutic efficacy.Results After treatment,the fine motor quotient(FMQ) was (88.22±2.12)points,the gross motor quotient(GMQ) was (85.93±3.71)points,and the total motor quotient(TMQ) was (87.68±2.99)points in the study group,all of which were significantly higher than those of the control group(t=-9.864,-10.809,-12.472;P<0.05). There was also a significant difference in the improvement of muscle tone between the two groups after treatment(χ 2 =8.659, P<0.05). Conclusion Exercise interventions combined with physical factor therapy can enhance the gross motor function of children with motor development delay,improve their muscle tone,and play a positive role in promoting the development of gross motor function.Meanwhile,it provides certain reference value for rehabilitation physicians and therapists in formulating rehabilitation training programs.
  • CHAI Zhen, TENG Wei, WANG Jianmin, ZHAI Xiaoju, MENG Xiangxu, WANG Zhiqian
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 46-50. https://doi.org/10.13517/j.cnki.ccm.2025.12.011
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    【Abstract】 Objective To observe the influence of dietary nutrition prescription intervention on the nutritional status and cardiac function of elderly patients with coronary heart disease complicated with heart failure.Methods A total of 106 elderly patients of The First Affiliated Hospital of Henan University with coronary heart disease complicated with heart failure admitted from January 2022 to October 2024 were selected as the subjects and divided into two groups according to the random number table.The control group was given an autonomous diet pattern,while the study group was given dietary nutrition prescription intervention.The intervention lasted for 6 months.The cardiac function indicators [left ventricular ejection fraction(LVEF),early diastolic filling velocity/ late atrial contraction diastolic filling velocity(E/A)], B-type natriuretic peptide(BNP), nutritional status indicators, controlling nutritional status(CONUT) score, the 6-minute walk distance, the Minnesota heart failure quality of life questionnaire(MLHFQ), and the readmission rate and mortality rate within half a year of the two groups were compared. Results There was no statistically significant difference in cardiac function indicators and BNP between the two groups before treatment(P>0.05). After treatment in both groups,LVEF and E/A were increased compared with those before treatment, and the study group was higher than the control group(P<0.05). After treatment, BNP in both groups was lower than that before treatment. Meanwhile, the BNP in the study group was lower than that in the control group(P<0.05). There was no statistically significant difference in the nutritional status indicators between the two groups before treatment(P>0.05). After treatment,albumin,prealbumin,total protein and hemoglobin in both groups were increased compared with those before treatment. Meanwhile, the study group was higher than the control group(P<0.05). There was no statistically significant difference in the CONUT score,6-minute walk distance and MLHFQ score before treatment between the two groups(P>0.05). The 6-minute walk distance of both groups after treatment was increased compared with that before treatment,and the distance of the study group was higher than that of the control group(P<0.05).After treatment, the CONUT scores and MLHFQ scores of both groups were lower than those before treatment.Meanwhile,the scores of the study group were lower than those of the control group(P<0.05).The readmission rate and mortality rate within half a year in the study group were 19.61% and 3.92% respectively,which were lower than those in the control group (38.00% and 18.00%), and the difference was statistically significant(P<0.05). Conclusion Dietary nutrition prescription intervention can improve the nutritional status and cardiac function of elderly patients with coronary heart disease complicated with heart failure,enhance exercise endurance and quality of life,and reduce the readmission rate and mortality rate within half a year.
  • LIN Lijun
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 51-55. https://doi.org/10.13517/j.cnki.ccm.2025.12.012
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    【Abstract】 Objective To explore the clinical effect of pestle acupuncture combined with swallowing rehabilitation training on improving senile dysphagia.Methods A total of 88 elderly patients with dysphagia who were hospitalized in the Department of Rehabilitation Medicine of Qinzhou Second People's Hospital from July 2024 to June 2025 were selected and divided into an observation group and a control group, with 44 cases in each group, using a random number table. During the research process, 9 cases dropped out(dropout rate 10.23%), and eventually 79 cases were included(40 cases in the observation group and 39 cases in the control group).The control group received conventional medical treatment and swallowing rehabilitation training,including direct swallowing training and indirect swallowing training.The observation group, on the basis of the control group, combined with the pestle acupuncture therapy.The acupoints such as Jinjin Yuye,Chengjiang,and Futu were selected,and the Kuixing pen-shaped pestle acupuncture was adopted for moderate tonification and purging.The frequency and intensity were moderate, and the treatment course was the same as that of the control group.Before the first treatment and after the end of two courses of treatment,the therapeutic effect was evaluated using the Gugging swallowing screen(GUSS) and the Kubota water swallowing test. Results Before treatment,there was no statistically significant difference in the Kubota water swallowing test score and GUSS score between the two groups of patients(P>0.05). After treatment, the good improvement rate of the observation group was 72.50%,which was higher than 43.59% of the control group,and the difference was statistically significant(P<0.05).The GUSS scores of both groups after treatment were higher than those before treatment,and the score of the observation group was significantly higher than that of the control group, with statistically significant differences(P<0.05).Conclusion The combination of pestle acupuncture and swallowing rehabilitation training has a significant effect on improving senile dysphagia.Its therapeutic effect is significantly better than that of swallowing rehabilitation training alone,and the operation is safe and feasible.
  • LIU Xiaoya, YIN Jiaojiao, ZHANG Rui, XIE Weihong, HAO Weiping, ZENG Xiaoyu
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 56-59. https://doi.org/10.13517/j.cnki.ccm.2025.12.013
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    【Abstract】 Objective To explore the therapeutic effect of Kaiqiao Jieyin acupuncture(opening orifices and removing aphonia) and scalp acupuncture combined with language reinforcement training in the rehabilitation of patients with ischemic stroke complicated with aphasia during the recovery period.Methods A total of 82 patients with ischemic stroke in the recovery period admitted to the Third Affiliated Hospital of Luohe Medical College from March 2023 to March 2025 were selected and randomly divided into a control group and an observation group.The therapeutic effects,TCM syndrome scores,language functions,intracranial hemodynamics and activities of daily living of the two groups were compared.Results After two weeks of intervention,the total effective rate of treatment in the observation group was 92.68%, which was significantly higher than that in the control group 73.17%(P<0.05). The TCM syndrome score of the observation group was significantly lower than that of the control group(P<0.05).The scores of each dimension of the Western aphasia complete test in the observation group were significantly higher than those in the control group(P<0.05). The arterial velocities of the anterior, middle and posterior arteries in the observation group were significantly higher than those in the control group(P<0.05).The Barthel index score of the observation group was significantly higher than that of the control group(P<0.05). Conclusion Kaiqiao Jieyin acupuncture and scalp acupuncture combined with language reinforcement training, has a good therapeutic effect on patients with ischemic stroke complicated with aphasia during the recovery period. It can improve the language function and intracranial hemodynamics of patients and enhance their ability to perform daily living.
  • LIU Lijun, SHEN Yan, FENG Mei, LU Mei, LYU Zhensu, LU Ruping
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 60-63. https://doi.org/10.13517/j.cnki.ccm.2025.12.014
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    【Abstract】 Objective To explore the improvement effect of Morita painting therapy on the social function of patients with schizophrenia. Methods Sixty patients who were hospitalized at the First Mental Health Center of Shanghai Civil Affairs Department from June 2023 to December 2024 were selected as the research subjects and randomly divided into a study group and a control group,with 30 cases in each group.Both groups continued with the original psychiatric drug treatment,and the study group received Morita painting therapy intervention on this basis.The Positive and Negative Syndrome Scale(PANSS),the Nurses' Observation Scale for Inpatient Evaluation(NOSIE),and the Personal and Social Performance Scale(PSP) were used to assess the social function,behavioral performance,and mental symptoms of the patients in both groups before and after treatment.Results Before treatment,there was no statistically significant difference in the PSP,NOSIE and PANSS scores between the two groups of patients(P>0.05).After treatment, the PSP score of patients in the study group(72.00±4.00) was higher than that of the control group(63.90±2.06),P<0.05, and the NOSIE score of patients in the study group(202.73±8.04) was higher than that of the control group(188.67±8.16), with statistically significant differences(P<0.05).Meanwhile,the negative symptom score in PANSS of the patients in the study group was significantly lower than the baseline, and there was also a statistically significant difference compared with the control group(P<0.05),reflecting improvements in their emotional expression,social motivation,and other aspects.Conclusion Morita painting therapy,as an innovative psychological intervention method,can improve the social function of hospitalized patients with stable schizophrenia,enhance their social confidence and social adaptability.
  • LI Xuejie, LIU Zhaoqiang, ZHANG Tiejun, CHANG Hao, ZHANG Haipai, LIU Xin
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 64-68. https://doi.org/10.13517/j.cnki.ccm.2025.12.015
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    【Abstract】 Work-related musculoskeletal disorders(WMSDs) are common occupational diseases in the medical industry, mainly manifested as pain and limited movement. They have a high prevalence rate, cause great harm and result in serious economic losses.They are a medical problem in China and even the world.In 2024,China officially included WMSDs in the category of occupational diseases,injecting new vitality into the country's occupational disease prevention and control cause and opening a new chapter in occupational health protection.This article summarizes the epidemiological research on WMSDs in the medical industry at home and abroad and its main influencing factors. Based on the idea of "preventive treatment" in traditional Chinese medicine,it proposes a tertiary prevention strategy for WMSDs that integrates prevention before disease occurs, prevention of disease progression, and prevention of recurrence after recovery. By applying methods such as TCM constitution identification, dietary adjustment, healthpreserving exercise, and health education to intervene in the entire process of the occurrence and development of WMSDs, and regulating the fatigue state, the window for the prevention and treatment of WMSDs can be moved forward,achieving a practical innovation from passive treatment to active health management.This enables the wisdom of TCM to provide new ideas and methods for the prevention and treatment of WMSDs.It reflects the development trend of traditional Chinese medicine keeping pace with the times and serving modern health demands.
  • CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 69-73. https://doi.org/10.13517/j.cnki.ccm.2025.12.016
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    【Abstract】 Migraine is a neurological disorder characterized by recurrent pulsatile pain on unilateral or bilateral sides, with or without dizziness, nausea, photophobia, and other typical clinical manifestations. Due to its complex etiology,the pathogenesis of migraine has not been fully elucidated in clinical practice.However,an increasing number of studies have pointed out that neurovascular interaction is an important pathophysiological basis for the onset of migraine.Neurovascular active substances are believed to participate in the regulation of the central system through various pathways like activating the trigeminal nerve vascular system and stimulating abnormal release of neurotransmitters,leading to the occurrence of migraine.Therefore,this article reviewed relevant literatures at home and abroad, combined with the hypothesis and mechanism of migraine onset, analyzed in detail the relationship between neurovascular active substances and migraine, clarified the possible mechanism of neurovascular active substances participating in the occurrence and development of migraine, and looked forward to future research directions, thus providing a theoretical basis for clinical exploration of the pathogenesis of migraine and the development of new therapeutic drugs.
  • HOUJibing, HELingling, LIMing, MAOLiya
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 74-77. https://doi.org/10.13517/j.cnki.ccm.2025.12.017
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    【Abstract】 Post-stroke insomnia,as the most prevalent complication following stroke,affects approximately one-third of stroke patients.However,its pathogenesis remains unclear,which is mainly associated with secretion of neurotransmitters,changes in brain blood flow,and levels of inflammatory cytokines.Western medical treatments demonstrate certain limitations.In recent years,significant progress has been made in clinical research on acupuncture therapy for post-stroke insomnia.Our research team has observed that acupuncture on the Jiaji(EX-B2) acupoints at the cervical region,as a commonly used acupoint combination,effectively alleviated post-stroke insomnia,though systematic summarization of its mechanisms remained insufficient.This paper reviewed the pathogenesis of post-stroke insomnia and the theoretical basis for selecting cervical Jiaji acupoints.It further explored the potential mechanisms of cervical Jiaji acupuncture in treating post-stroke insomnia through three perspectives: regulation of neurotransmitter levels,improvement of vertebrobasilar artery blood supply,and modulation of inflammatory cytokines.The findings aim to provide novel insights for clinical management of post-stroke insomnia.
  • WU Haijuan, NI Zhenbo, TIAN Xuemei, WANG Haidong, MA Qihong, GAO Yunqi
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 78-81. https://doi.org/10.13517/j.cnki.ccm.2025.12.018
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    【Abstract】 Ankylosing spondylitis(AS) is an autoimmune disease characterized mainly by chronic inflammation in the axial area, with a high disability rate and a lack of radical treatment methods.In recent years, epidemiology has shown that its incidence rate is on the rise,especially among the younger generation,further increasing the burden on public health and highlighting the need for innovative treatment methods. Acupotomy therapy, as an innovative technology integrating traditional Chinese and Western medicine,ingeniously combines the meridian stimulation effect of the "needle" in traditional Chinese acupuncture with the cutting and release function of the "knife" in Western minimally invasive surgery,forming a dual minimally invasive technique with minimal trauma,simple operation and rapid recovery.In clinical practice,it has demonstrated significant advantages such as pain relief,improvement of joint movement and inhibition of inflammatory progression. It has become an important option in the comprehensive treatment system for ankylosing spondylitis. This article systematically summarizes the mechanism of action of acupotomy intervention in ankylosing spondylitis in both traditional Chinese and Western medicine,as well as related acupotomy therapies,with the aim of providing ideas for ankylosing spondylitis and clinical research.
  • YOU Wei, XIAO Liping, FENG Meiyan, CHEN Sheng, LU Shiwu, CHEN Shasha
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 82-85. https://doi.org/10.13517/j.cnki.ccm.2025.12.019
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    【Abstract】 Acute gouty arthritis is a common inflammatory joint disease caused by abnormal uric acid metabolism, mainly characterized by redness,swelling, heat and pain in the joints, which seriously affects the quality of life of patients.Moreover,the burden of gout disease in China is on the rise,showing differences in gender and age.Although the commonly used anti-inflammatory and analgesic drugs in clinical practice can relieve symptoms,they often cause side effects such as digestive tract reactions and liver and kidney toxicity,reducing patients' medication compliance. Therefore,there is an urgent need for safe and effective alternative therapies.In recent years,the collateral-puncturing and bloodletting therapy,as a distinctive external therapy in traditional Chinese medicine,has shown definite therapeutic effects, few side effects and high acceptance among patients. Its application in the treatment of gout has attracted increasing attention.Currently,this therapy is mainly applied in China.This article reviews the mechanism of action and clinical application of collateral-puncturing and bloodletting in the treatment of gout through a comprehensive analysis of relevant domestic research,aiming to provide a reference for clinical treatment.
  • WANG Xi, LI Wenjuan, DU Yujin, ZHAO Tingting, WANG Caiping, SHI Yuxuan
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 86-89. https://doi.org/10.13517/j.cnki.ccm.2025.12.020
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    【Abstract】 Chronic osteomyelitis,as a persistent orthopedic infectious disease,is accompanied by a high recurrence rate and a high disability rate. It causes patients to suffer from long-term pain stimulation, often accompanied by significant psychological and social problems such as anxiety,depression or insomnia,which has a serious impact on the physical and mental health of patients,imposes a heavy economic burden on them,and has an adverse effect on the recovery of the disease,significantly reducing their quality of life.Networked cognitive behavioral therapy, as a new cognitive behavioral treatment model implemented on the Internet platform, has demonstrated excellent results in alleviating patients' anxiety, depression, chronic pain and other issues. Through remote intervention on the Internet platform, personalized intervention plans are formulated based on patients' characteristics, while reducing their economic burden. It provides patients with more convenient and efficient treatment options, improving their mental health and quality of life. This article now reviews the overview, mechanism of action and application status of networked cognitive behavioral therapy in patients with chronic osteomyelitis, with the aim of providing better psychological treatment for patients with chronic osteomyelitis and offering references for related research on networked cognitive behavioral therapy in patients with chronic osteomyelitis in China.
  • HENG Chunning, LI Kexina, LUO Hanwena, WEN Riyoua, HE Fangwei a, LE Guoping
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 90-96. https://doi.org/10.13517/j.cnki.ccm.2025.12.021
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    【Abstract】 Objective In recent years, the application of surgical robot-assisted total knee arthroplasty(RATKA) systems in clinical practice has gradually increased.This study aims to explore the safety,accuracy and effectiveness of the domestic "Hehua" surgical RATKA system in total knee arthroplasty. Methods A retrospective analysis was conducted on the data of 97 patients in the Department of Orthopedics of Liuzhou Workers' Hospital from February 2023 to February 2024.Among them,47 patients in the control group underwent traditional total knee arthroplasty,and 50 patients in the study group underwent RATKA.The baseline data of the two groups of patients were balanced and comparable(P>0.05).The operation time,intraoperative blood loss and complications of the two groups were recorded and compared. The study group additionally recorded 300 absolute error values of 6 osteotomy sites. Postoperative monitoring and examination indicators were conducted.The position of the prosthesis and the hip,knee and ankle angle (HKA) were evaluated through X-ray films. The functional scores and knee joint range of motion(ROM) before the operation and 3 months after the operation were compared.The follow-up was conducted for 1 year.Results Operations of both groups were successfully completed,and one case of poor wound healing occurred in each group.The operation time of the study group was(82.24±19.80)min, which was longer than(75.10±9.72)min of the control group. The operation time and robot-assisted osteotomy time in the mature group were significantly shorter than those in the learning group(P<0.01),while there was no statistically significant difference in the positioning time and registration time(P>0.05). There were no significant differences between the two groups in postoperative test indicators, hidden blood loss, Visual Analogue Scale for Pain 3 months after surgery, Hospital for Special Surgery Score, and Western Ontario and McMaster Universities Osteoarthritis Index(P>0.05). The improvement of HKA angle and ROM of the knee joint in the study group was more significant 3 months after the operation(P<0.05).The absolute error of 95% osteotomy was 0-1 mm,and there was no difference between the actual and expected osteotomy volume of each part (P>0.05). Conclusion The domestic "Hehua" surgical robot-assisted TKA can achieve precise osteotomy, with satisfactory short-term efficacy,but the long-term efficacy requires further research.
  • CAO Xuan, LU Liang
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 97-100. https://doi.org/10.13517/j.cnki.ccm.2025.12.022
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    【Abstract】 Objective To evaluate the value of triglyceride-glucose body mass index(TyG-BMI) and the atherogenic index of plasma(AIP) in predicting recurrent acute pancreatitis(RAP) in patients with type 2 diabetes mellitus(T2DM). Methods In this retrospective cohort, 180 hospitalized T2DM patients(93 males and 87 females) admitted to Chaohu Hospital of Anhui Medical University from April 2016 to April 2025 were enrolled.Patients were classified into a recurrence group and a non-recurrence group based on RAP within 3 years. General clinical data, complete blood count,and biochemical parameters obtained within 24 hours of admission were compared between the two groups;TyG-BMI and AIP were calculated.Variables associated with RAP in univariate analysis were entered into multivariable Logistic regression to identify independent predictors.A combined model including TyG-BMI and AIP was constructed by binary Logistic regression.Receiver operating characteristic(ROC) analyses assessed the predictive performance of individual and combined indicators.Results Compared with the non-recurrence group,the recurrence group had significantly higher body mass index(BMI),white blood cell count(WBC),red blood cell count(RBC),platelet count(PLT),uric acid(UA),total cholesterol(TC),triglycerides(TG),TyG-BMI,and AIP as well as significantly lower age and high-density lipoprotein cholesterol(HDL-C) (all P<0.05). Multivariable analysis identified age, PLT, total protein (TP),TyG-BMI,and AIP as independent risk factors for RAP in T2DM(all P<0.05).Among single predictors,TyG-BMI showed the largest area under the ROC curve(AUC=0.701);PLT provided the highest sensitivity(80.6%), and TP the highest specificity(80.5%).The combined TyG-BMI+AIP model achieved an AUC of 0.743,with 64.5% sensitivity and 78.8% specificity.Conclusion In patients with T2DM,age,PLT,TP,TyG-BMI,and AIP are independent risk factors for RAP. TyG-BMI and AIP are important predictors individually, and their combination improves discriminatory performance.
  • MIAO Rongming, XIANG Yanping, FEI Chunxia, ZHANG Lan
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 101-104. https://doi.org/10.13517/j.cnki.ccm.2025.12.023
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    【Abstract】 Objective To investigate the efficacy of Q-switched laser combined with tranexamic acid injection in the treatment of dermal melasma and its influence on the serum interleukin-6(IL-6) and vascular endothelial growth factor(VEGF) levels.Methods A total of 62 patients with dermal melasma from three medical institutions(Jingjiang Hongji Hospital,Jiangyin Boyijia Rehabilitation Hospital, and Wuxi Fanyijia Medical Cosmetic Clinic) from January 2023 to June 2025 were selected. Using a simple randomization method, 62 patients with dermal melasma were randomly divided into combination group(31 cases) and control group(31 cases). Patients in the combination group received Q-switched laser(Nd: YAG 1 064 nm) combined with tranexamic acid injection,while those in the control group received tranexamic acid injection only.The course of treatment was 12 weeks.The melasma area and severity index(MASI) score, clinical efficacy, adverse reactions, and serum IL-6 and VEGF levels were compared between the two groups.Results After treatment,the MASI score in the combination group was significantly lower than control group(P<0.05).The total effective rate was significantly higher in the combination group than the control group(93.55% VS 74.19%, P<0.05). Serum IL-6 and VEGF levels in the combination group were significantly better than control group(P<0.05). No severe adverse reactions were observed in above two groups. Conclusion Q-switched laser combined with tranexamic acid injection can significantly improve the clinical symptoms of dermal melasma by inhibiting overexpressed IL-6 and VEGF.
  • ZENG Huaqing, SUN Xuan
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 105-107. https://doi.org/10.13517/j.cnki.ccm.2025.12.024
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    【Abstract】 Objective To explore the application effects of the informatization risk early warning system in the operating room on optimizing the surgical process,improving work efficiency,and reducing medical errors.Methods A total of 120 patients who underwent an elective surgery in a tertiary hospital in Hunan Province from January 2023 to June 2024 were selected as the research objects.Using the random number table,they were randomly divided into the control group and the observation group,with 60 cases in each group.The application effects of the informatization risk early warning system in the operating room were compared between groups. Its feasibility and advantages were evaluated.Results A total of 120 patients were included in this study.There were 15 cases of grade Ⅰ surgeries,20 cases of grade Ⅱ surgeries,17 cases of grade Ⅲ surgeries and 8 cases of grade Ⅳ surgeries in the observation group.In the control group,there were 14 cases of grade Ⅰ surgeries,21 cases of grade Ⅱ surgeries,15 cases of grade Ⅲ surgeries and 10 cases of grade Ⅳ surgeries. No significant difference was found in the distribution of surgery classification between groups(P>0.05).There were no significant differences in the management of surgical consumables,charging of surgical consumables, and adverse events in pathological specimen submission between the two groups(P>0.05).The number of intraoperative risk warnings was 2(3.3%) in the observation group, and 8(13.3%) in the control group, showing a significant difference(P<0.05).Consumable request response time, consumable return time, and consumable temporary request time were all significantly shorter in the observation group than the control group(P<0.05). The duration of pathological specimens retained in the operating time and handover time was significantly shorter in the observation group than the control group(P<0.05).Conclusion The informatization risk early warning system in the operating room can effectively reduce intraoperative risks,shortens processing time of pathological specimens,improve the efficiency of consumable management and pathological specimen processing,and optimize the surgical process.
  • FAN Chenrui, LIU Junying
    CHINESE JOURNAL OF CONVALESCENT MEDICINE. 2025, 34(12): 108-112. https://doi.org/10.13517/j.cnki.ccm.2025.12.025
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    【Abstract】 Objective To explore the mediating effect of symptom burden between family function and social frailty in elderly hemodialysis patients. Methods From January to May 2025, 240 elderly patients undergoing maintenance hemodialysis(MHD) in the hemodialysis rooms of three tertiary grade A hospitals in Chengde City,Hebei Province,were selected as the research subjects by using the convenience sampling method.A cross-sectional survey was conducted using the general information questionnaire,the social frailty questionnaire,the family care scale and the dialysis symptom assessment scale. Spearman correlation analysis was used to discuss the correlations between symptom burden,family function and social frailty in elderly MHD patients.The Bootstrap method was used to test the mediating effect. Results The social frailty score of elderly MHD patients was 2.00(1.00, 3.00) points, the family function score was 8.00(6.00, 10.00) points, and the symptom burden score was 25.00(13.00, 60.00) points.Spearman correlation analysis showed that the family function score was negatively correlated with the symptom burden score and the social frailty score(r=-0.578,r=-0.629,both P<0.01).The symptom burden score was positively correlated with the social frailty score(r=0.842,P<0.01).The results of the mediating effect test indicated that symptom burden had a partial mediating effect between family function and social frailty,with an effect value of -0.302,accounting for 71.73% of the total effect.Conclusion Symptom burden has an indirect mediating effect between family function and social frailty.Medical staff should take improving the family function of patients as the entry point and reduce the symptom burden of elderly MHD patients through intervention measures, thereby reducing their level of social frailty and promoting the psychosocial health of patients.