Objective   To evaluate the accuracy of the non-contact vital sign monitoring device.Methods   The research on the monitoring of human vital signs by contact vital signs detection equipment such as electrocardiogram(ECG) monitor,smart bracelet or respiration monitor and radar was searched in the Cochrane Library,PubMed,Web of Science,Embase,SinoMed,China National Knowledge Infrastructure (CNKI),Wanfang Database and Vip.com from establishing the databases to October 2024.A meta-analysis was performed using Stata 17.0 software.Results   A total of 21 articles with 328 subjects were included.The results of meta-analysis showed no significant differences between radar monitoring and ECG monitoring in the heart rate (standardized mean difference [SMD]=0.05,95%CI[-0.11,0.21],P=0.705) and respiratory rate (SMD=0.10,95%CI[-0.33,0.14],P=0.755).However,subgroup analysis showed that a Frequency Modulated Continuous Wave (FMCW) radar had a more accurate measurement performance than Continuous Wave (CW) radar and Ultra Wideband (UWB) radar.All radar measurement performance was best at about 1 m away from the target,and among many radar frequencies,77 GHz for heart rate and respiratory rate monitoring was the most accurate.Conclusion   There is no significant difference between contact vital signs monitoring equipment and radar in the monitoring of heart rate and respiratory rate,but FMCW radar is superior in accuracy.The most accurate data are achieved when all types of radars are 1 m away from the subjects,and the optimal radar frequency is at 77 GHz.

Bloodletting on the apex of the ear was initially described in the Huangdi Neijing,which is one of the most common external traditional Chinese medicine(TCM) treatments.Acupoint of Erjian(apex of the  ear) is not only an important acupoint of the  ear in auricular medicine,but also an extra nerve acupoint in the theory of acupuncture meridians and acupoints. Moreover, it is an experience acupoint in the treatment of eye diseases, such as cataract and glaucoma.Modern research has found that the apex of the ear is enriched with vascular and neural networks.With the identified role of bloodletting on the apex of the  ear in anti-inflammation,anti-allergy,anti-rheumatism and enhancing the resistance against external diseases, it has been extensively used to treat insomnia, allergy,hypertension, gout, acnes and other diseases.A constant modification of the bloodletting on the apex of the ear has shown acceptable outcomes. TCM theory believed that bloodletting on the apex of the ear has the ability to clear heat, cool blood,promote blood circulation,remove blood stasis and relieve pain.In recent years,there have been continuous attempts to treat acute and chronic  senile  diseases(e. g., hypertensive  crisis, diabetes), epidemic  virus  infection(e. g., COVID- 19, acute  pharyngitis) and  other  diseases  by  bloodletting  on  the  apex  of  the  ear, and  some  have  achieved  obvious  results. This  article summarized innovative applications and advantages of bloodletting on the apex of the ear for peer reference.

Abstract: Objective: Taking pilots as the research object, hot spring water therapy and modified Baduanjin were given during their core muscle group exercise, and the effects of the two therapies on strengthening the core muscle group exercise of pilots were further analyzed. Method: From January 2023 to January 2024, 68 pilots who needed to strengthen their core muscle function were selected for the study and randomly divided into double-blind groups. Control group, regular core muscle group exercise, 34 cases. Observation group, consisting of 34 cases, underwent routine core muscle group exercise and modified Eight Section Brocade in hot spring water. Comprehensively analyze the level of physical exertion, anxiety, and pain in two groups of patients before and after intervention. Before the intervention, there was no significant difference in the degree of exercise difficulty between the two pilots, P>0.05; after the intervention, the observation group had less exercise difficulty, P<0.05. Before the intervention, there was no significant difference in waist function between the two groups of pilots, P>0.05; after the intervention, the waist function of the observation group pilots was better, P<0.05. Before the intervention, there was no significant difference in the comparison of multifidus muscle between the two groups of pilots, P>0.05; after the intervention, the thickness of multifidus muscle in the observation group patients was better, P<0.05. Conclusion: Improving the Eight Section Brocade in warm water during core muscle training for shipborne pilots has a significant effect. Specifically, this is reflected in the fact that after receiving the modified Eight Section Brocade exercise, the patient's level of physical exertion decreased, their anxiety and psychological state improved, and their pain level decreased. It is recommended.

Objective    To   comprehensively  evaluate  the  efficacy  and  safety  of  out-of-hospital   internet-based interventions on hypertension management in China by incorporating cardiovascular risk factors.Methods   Randomized controlled trials(RCTs) on the effects of Internet-based health management on hypertension patients from inception to June 2023 were searched in the China National Knowledge Infrastructure(CNKI),WanFang Data, Chinese Biomedical Literatures  database(CBM), VIP, PubMed, Web  of Science  and Embase  databases. Meta-analysis was performed using RevMan 5.3 software. Results  A total of 26 RCTs involving 9 267 hypertension patients were included.Meta-analysis showed  better  improvements  in  the  systolic  blood  pressure(WMD=-9.57, 95%CI - 11.53, -7.62, P<0.000  01), diastolic blood pressure(WMD=-5.71, 95%CI -7.78, -3.64, P<0.000  01), blood pressure  control  rate(RR= 1.41, 95%CI  1.25, 1.58, P<0.000 01),total cholesterol(WMD=- 1. 10,95%CI - 1. 19,- 1.01,P<0.000 01),triglycerides(WMD=-0.42,95%CI -0.49,-0.34, P<0.00001),low-densitylipoprotein(WMD=-0.88,95%CI- 1.60,-0. 15,P=0.02),high-densitylipoprotein(WMD=0.34,95% CI 0. 10, 0.59, P=0.006), body  mass  index(WMD=-0.50, 95%CI-0.80, -0.21, P=0.000  8), adverse event rate(RR=0.32, 95%CI 0.20, 0.51, P<0.000 01) and self-management score(WMD= 19.02, 95%CI 15.83, 22.21, P<0.000  01)  in the  intervention group  than  those  of  the  control  group. However, no  significant  differences  were  observed  in  fasting  blood  glucose ( WMD=-0. 10, 95%CI -0.41, 0.21, P=0.52)  and  medication  compliance  score(WMD=0.88, 95%CI  -0.01, 1.77, P=0.05) between  two  groups. Conclusion    Compared  with  conventional  health  management, out-of-hospital  internet-based health  management  has  significantly  better  effects  on  improving  blood  pressure, dyslipidemia, obesity  and  self- management ability for hypertension. Its role in correcting impaired glucose tolerance and improving the medication compliance still need further explorations.

Lateral  epicondylitis(LE), commonly  known  as   "tennis  elbow", is  a  common  musculoskeletal  system disease in clinical practice.Without a timely treatment,it can develop into chronic intractable external epicondylitis of humerus that  seriously  affects  daily work  and  quality  of life. At present, there  are many  clinical treatment methods, such as the widely applied Chinese medicine, acupuncture, massage and other traditional Chinese medicine treatment methods, showing  a  remakable  effect. Oral  non-steroidal  anti-inflammatory  drugs  or  local  injection, extracorporeal shock wave and other physical therapy are common western medicine for LE,which rapidly relieves the pain with an accurate  effect. In  recent  years, an   integrated  medicine  has  been   growingly  concerned, with  a  better   efficacy  of combination treatment than a monotherapy.Therefore,it is particularly important to choose the optimal treatment plan to relieve pain,improve mobility limitation and improve quality of life of LE patients.By searching relevant literatures on  the  treatment  of  external  humerus  epicondylitis  in  CNKI, Wanfang, VIP  database, PubMed, Embase  and  other information retrieval platforms,this paper summarized the research progress of integrated medicine in treating LE in recent years,hoping to develop new ideas for clinical treatment and increase clinical efficacy.

Objective   To study and analyze the level of plateau recuperation support after follow-up investigation on the post recuperation effects of plateau officers and soldiers.Methods   In July 2023,a follow-up survey was conducted on 57 convalescent personnel from a plateau military unit,who were divided into three groups:15 at an altitude of 3 000~4 900 meters,23 at an altitude of 5 000~5 300 meters,and 19 at an altitude of 5 380~5 426 meters.Questionnaire surveys,testing,and follow-up studies were conducted to analyze the effects of recuperation on plateau officers and soldiers.Results   Special treatment for recuperation personnel accounted for 54.4%,while health and specialized treatment accounted for 42.1%.The pulse,respiration,systolic blood pressure,and diastolic blood pressure of each group were all within the normal range,and the oxygen saturation was low,with an average of(90.95±6.50)%.Plateau officers and soldiers had a great demand for recuperation and high satisfaction,and supported special treatment arrangements for personnel above 4 000 meters in altitude.The effects of rehabilitation for plateau officers and soldiers were significant,which were reflected in the reduction of symptoms of altitude sickness,and significant increase in understanding of plateau conditions and personal health maintenance.After recuperation,the life style was improved,the psychological condition was adjusted and the influence of illness on work was reduced.Conclusion   Plateau officers and soldiers have great demand for convalescence,and the after-effect of recuperation is obvious.In the future,we can strengthen the implementation of the plateau recuperation security system,carry out research on the plateau recuperation security measures,further improve the after-effect of recuperation,and provide a strong guarantee for improving the military operation ability and health maintenance of officers and soldiers on the plateau.

Objective To investigate the effects of Xuanfeixuedu granules on the negative transformation time of viral nucleic acid and the levels of serum inflammatory factors in patients with corona virus disease 2019(COVID-19).Methods Retrospective analysis was performed to collect clinical data of 50 COVID-19 patients receiving routine treatment in the General Hospital of Pingxiang Mining Group Co.,Ltd.from June 2022 to June 2023 as the control group,and 50 COVID-19 patients receiving routine treatment plus Xuanfeixuedu granule treatment in the hospital during the same period as the study group.Both groups were treated for 14 days,and clinical indicators,inflammatory indicators and adverse reactions were compared between the two groups.Results The length of hospital stay and the time of viral nucleic acid turning negative (11.43±1.65)d,(8.25±1.55)d in the study group were shorter than those in the control group(12.57±1.28)d,(10.56±1.48)d,and the difference was statistically significant(P<0.05).After treatment,the white blood cell count(WBC),C-reactive protein(CRP) and percentage of lymphocytes(LYMPH) levels in both groups were lower than before treatment,and the study group was lower than the control group,and the platelet count(PLT) levels in both groups were higher than before treatment,and the study group was higher than the control group(P<0.05).The incidence of adverse reactions in the study group was 12.00%(6/50) compared with 8.00%(4/50) in the control group,and there was no difference of statistical significance(P>0.05).Conclusion The treatment with Xuanfeixuedu granules in patients with COVID-19 can regulate the level of inflammatory factors,promote the negative transformation of viral nucleic acid,and does not increase the occurrence of adverse reactions,and has good safety.

Objective    To  investigate  the  importance  of  treadmill   exercise  test(TET)  in  the  routine  physical examination   and   evaluation   for   identifying  myocardial   ischemia, diagnosing   coronary  heart   disease(CHD)   and preventing  cardiovascular  emergencies  that  may  induce  flight  incapacitation  in  civil  aviation  flight  crew  members. Methods   We  analyzed  TET results  in  556  civil aviation  flight crew members in Hospital of Civil Aviation Flight University of China from January  1,2019 to December 31,2023.Further examinations following positive TET results were analyzed. Results   TET positivity was detected in 21/556 cases,and suspected TET positivity was detected in 23 cases.Among TET positive cases, further computed tomography angiography(CTA) or coronary angiography revealed myocardial bridges in  15 cases and coronary stenosis in 6 cases.Among the 23 cases with suspected TET positivity, myocardial bridges were detected in  10 cases, and coronary  stenosis were detected in 3 cases. Conclusion   TET  can be widely used in the diagnosis, differential diagnosis, and prognosis evaluation of CHD.It plays an irreplaceable role in identifying suspected CHD and the assessment of the severity of CHD in special occupations.

Objective   To understand the preoperative outcome expectations of total hip arthroplasty(THA) patients in  the  regional  third-level  comprehensive  hospital  of  a  county-level  city  in  China, and  to  explore  the  influencing factors,thus providing evidences for clinical decision-making by medical and nursing staff. Methods   A total of 255 patients scheduled for THA in a county-level city in Weifang,a third-level comprehensive hospital were selected from January 2023 to March 2024. The  "Outcome Expectation for the First time of Total Hip Arthroplasty Questionnaire" in  simplified  Chinese was used  for questionnaire  survey  on the  day before  surgery. The  questionnaires were guided and filled out on the spot,and the data were statistically analyzed after being collected on the spot. Results   The total score  of  the  outcome  expectations  was  (61.62±5.81)points, with  a  mean  score  of  (3.41±0.33)points. The  top  five highest scores were as follows:putting on shoes and socks (3.91±0.29)points,psychological health (3.87±0.34)points, reducing the use of medication (3.85±0.31)points,improving pain (3.81±0.39)points,and getting rid of auxiliary devices (3.80±0.40)points.Age,education level,and caregiver type were strongly correlated with the expectation value(r<0.01). Regression  analysis  further  found  that  age  was  the  main  influencing  factor  of  the  outcome  expectation(r<0.01). Conclusion   THA patients  have high preoperative expectations for surgical outcomes, and medical and nursing staff should  formulate  individualized  intervention measures based  on the patient's  age, education  level, caregiver type, and surgical indications to optimize the outcome expectations.

Objective  To explore the prevalence of mild cognitive impairment in the elderly at 60 years of age and older  in  Lanzhou, and  to  analyze  the  influencing  factors  of mild  cognitive  impairment. Methods   Cluster  stratified sampling method was adopted to conduct questionnaire  survey on the eligible elderly at 60 years of age and older. SPSS  26.0  software was used  for processing  and  analysis. A  1:1  case-control  study  was  conducted  on  the  selected patients  with  mild  cognitive  impairment  according  to  diagnostic  criteria  and  scale  test. After  the  equilibrium  test, confounding factors were eliminated through variable control.Using Logistic regression analysis,univariate analysis and multivariate analysis were carried out to analyze the influencing factors of mild  cognitive impairment. Results   The prevalence of mild cognitive impairment in the elderly was 23.89%.There were significant differences in the baseline bate such as gender, age, education level and marital status in the elderly with mild cognitive impairment(P<0.05). The activities  of daily  living(ADL)  of mild  cognitive  impairment was basically normal  or  slightly  impaired. Those with mild cognitive impairment had higher depression  scores than normal people. Univariate  and multivariate  analysis of variables showed that:exercise(OR=0.531,95%CI:0.340,0.829),leisure activities(OR=0.570,95%CI:0.368,0.882),reading books  and  newspapers(OR=0.458, 95%CI: 0.217- , 0.965), and  playing  chess  and  cards(OR=0.364, 95%CI: 0. 150, 0.888) were protective factors for mild cognitive impairment; Smoking(OR=2.525, 95%CI: 1.402, 4.546)  and cerebro- vascular disease(OR=9.372, 95%CI:1.928, 45.545) were risk  factors  for mild  cognitive impairment. Conclusion   The prevalence of mild cognitive impairment in the elderly at 60 years of age and older is 23.89%. There are significant differences in demographic data, such as gender, age, education level and marital status of mild cognitive impairment.The  prevalence  of  mild  cognitive  impairment  is  higher  in  females, and  advanced  age  is  a  risk  factor  for  mild cognitive  impairment. Those  without  spouses  are  more  likely  to  have  mild  cognitive  dysfunction  than  those  with spouses.Exercise,leisure activities,reading and reading newspapers and playing chess and cards are protective factors. Smoking and cerebrovascular disease are risk factors for mild cognitive impairment.The ADL score indicated normal or slightly impaired ability of daily living in the elderly with mild cognitive impairment.The comparison between the normal population and the mild cognitive impairment group showed significantly higher depression score of the mild cognitive  group  than  that  of  the  normal  population. The  elderly  over   80  years  old  has  a  higher  prevalence  of depression.

Objective   To analyze the influenza surveillance data from 2023 to 2024 in Nanyang City and to provide evidence for the prevention and control of influenza.Methods   The data of influenza-like illness (ILI) outbreak in Nanyang City from April 2023 to March 2024 in the China Influenza Surveillance Information System were collected,and the epidemic characteristics,population distribution characteristics,and time,gender and age distribution of nucleic acid test results for ILI were analyzed.Results   ILI monitored by the two sentinel hospitals in Nanyang City from 2023 to 2024 accounted for 1.24% of the total number of hospital-visited patients in the same period,with 0.96% in the national sentinel hospitals and 1.58% in the non-national sentinel hospitals (χ2=676.470,P<0.001).In this year,a total of 2 231 ILI samples were detected,and 505 were positive for influenza virus nucleic acid (22.64%),including 332(65.74%) for type A H3N2,158(31.29%) for type B Victoria,and 15(2.97%) for type A H1N1.According to the analysis of samples from different sources,the positive detection rate of outbreaks was the highest (45.00%),which was significantly higher than that of national sentinel hospitals (27.46%) (χ2=5.877,P=0.015).The positive detection rate of national sentinel hospitals was significantly higher than that of non-national hospitals (16.99%)(χ2=34.782,P<0.001).The positive detection rate in 0-4 years old group was the lowest (11.42%),and the positive detection rate in 25-59 years old group was the highest (30.69%).There was a significant difference in the positive detection rate among different age groups (χ2=90.296,P<0.001).The epidemic peak was from October to March of the following year,in which the positive rate was the highest in November(64.29%),and the positive rate gradually decreased from November to March of the following year.Influenza A H3N2 was predominant from October to December,and influenza B Victoria was predominant from January to March.There was a significant difference in the distribution of positive influenza virus subtypes in different months(χ2=398.472,P<0.001).Conclusion   The population is generally susceptible to influenza virus.Health education should be carried out extensively to enhance the public's attention to influenza prevention.Etiological surveillance is recommended to continuously carry out,and the composition of disease prototypes should be timely strengthened,thus providing more scientific bases for the development and use of influenza vaccines.

Objective   To  explore the effect of Schroth therapy combined with core muscle training on improving spinal  deformities  and  walking  in  adolescent  patients  with  scoliosis. Methods    One-hundred  cases  of  adolescent patients  with  scoliosis  admitted  to  the  Department  of Rehabilitation  Medicine  of Zhengzhou  Second  Hospital  and Yellow River Central Hospital From January 2020 to January 2023 were selected as the research objects. They were randomly assigned into observation group(n=50) and control group(n=50). Patients in the control group were treated with  Schroth  therapy, while  those  in  the  observation  group  were  treated  with  Schroth  therapy  combined  with  core muscle training.All treatments lasted for 6 months.The Cobb angle,angle of trunk rotation(ATR),and apical vertebral translation(AVT) between  two  groups  were  compared. Using  the  Footscan  plantar pressure  testing  system, gait  and plantar pressure during natural walking were measured.Using the NeuroCom balance training system,changing speed of the center of gravity displacement of the bipedal support body in the unsteady state of open/closed eyes was measured. The Scoliosis Research Society-22 questionnaire(SRS-22) was used to evaluate the quality of life. Results   Compared with  those  before  treatment, Cobb  angle, ATR, and  AVT  significantly  decreased  in  both  groups  after  6  months  of treatment,which were significantly smaller in the observation group than the control group(r<0.05).Compared with those before treatment,the proportion of walking speed and total support to walking cycle increased in both groups after 6 months of treatment,but the difference was not statistically  significant(r>0.05). Compared with those before treatment,the center of pressure excursion index(CPEI) of the two groups significantly decreased after 6 months of treatment, which  was  significantly  lower  in  the  observation  group  than  the  control  group(r<0.05). Compared  with before those treatment,the unsteady support speed at the state of eyes open or closed significantly decreased in both groups  after  6 months  of treatment, which was  significantly  lower in the  observation  group than the  control group (r<0.05). Compared  with  those  before  treatment, the  SRS-22  scores  and  total  scores  after  6  months  of  treatment significantly increased in both groups,which were significantly higher in the observation group than the control group (r<0.05).Conclusion   Schroth therapy combined with core muscle training can significantly reduce the Cobb Angle, ATR  and  AVT, and  improve   spinal  deformity, plantar-pressure  distribution, body  balance   and  quality  of  life  in adolescent patients with scoliosis,with a clinical application value.

Functional ankle instability(FAI) is a condition of subjective neuromuscular and perceptual instability in the joint  after  ankle  injury. It  is  common  in  daily  life  and  sports. In  patients  with  FAI, surrounding  ligaments,joint capsules, muscles, tendons  and  other  soft  tissues  of  the   ankle  are  impaired  at  varying  degrees, with  damaged proprioceptors, and  abnormal  subjective  performance  and  voluntary  movement. FAI  can  lead  to  decreased  muscle recruitment of the ipsilateral lower limbs，prolonged reaction time,and decreased dynamic stability of the  ankle joint. Moreover, it  causes  neuromuscular  control  disorders, such  as  ankle  proprioception, peripheral  muscle  strength，and balance  function. The  treatment  of  FAI  focuses  on  rehabilitation  training  to  restoreankle  function. At  present, the movement chain theory has been gradually applied to the musculoskeletal system disease rehabilitation.Based on the integrity  of movement  chain  theory, conductivity  and  biomechanical  effect, the  movement  chain  theory  highlights  a holistic treatment of musculoskeletal system rehabilitation.This paper summarized the movement chain theory applied to the rehabilitation of FAI,aiming to provide new ideas and methods to rich rehabilitation treatment.

Neurogenic   tinnitus(NT)   is   a   common   clinical   symptom   in   otolaryngology.  Due   to   its   unclear pathogenesis, there  is  currently  no  ideal  treatment  method  for  NT. NT  Patients  may  experience  various  discomfort symptoms, such  as  sleep  disorders, dizziness, and  constipation. The  pathogenesis  is  still  unclear, and  it  is  generally believed that the onset of NT is closely related to noise, vibration, temperature, and radiation. Tinnitus belongs to the categories  of "brain ringing"  and  "cicada ringing"  in traditional  Chinese medicine(TCM). The TCM theory believed that the kidney opens at the ears, and the liver and kidney have a common  source. The relationship between the ear and the liver and kidney is very close.The kidney-jing deficiency and insufficiency of marrow-sea due to insufficient nutrition  of external  acoustic  meatus  result  in  tinnitus. Tinnitus  can  be  divided  into  two  categories: deficiency  and excess.The excess syndrome of tinnitus includes the  syndrome types of external invasion,disturbing upward of liver- fire and phlegm stagnation. The deficiency syndrome includes the syndrome types of deficiency of liver and kidney, and  weakness  of  the  spleen  and  the  stomach. Effective  western  medicine  drugs  for  NT  are  scant. Diagnosis  and treatment  based  on  syndrome  differentiation  and  classification  of  TCM, NT  can  be  treated  with  multiple  TCM methods, such  as  decoctions, acupuncture, press needling, sports moxibustion, massage  and  needle knife, showing high safety,fast effect and long-lasting outcome.

Objective   To investigate the effect of rock salt aerosol therapy on the quality of life of pneumoconiosis patients with chronic obstructive pulmonary disease(COPD). Methods   A total  of 186 pneumoconiosis patients with COPD  admitted  in  the  Beidaihe  Sanatorium  of the  Ministry  of Emergency  Management  from  2022  to  2024  were selected  as the  study  objects. The patients were  stratified  according to the  stage  of pneumoconiosis, and  each  group was  subdivided into rock salt therapy group and conventional group by a random principle. The conventional group was given conventional anti-inflammatory,expectorant,airway dilation,pulmonary circulation improvement,anti-fibrosis, nutritional support, etc. The rock salt therapy group was given rock salt aerosol therapy on the basis of conventional treatment.  Interventions   were    performed   one    hour   per    time,  once    a    day,  for    4   weeks.  Before    treatment, 2  weeks  after treatment  and  4  weeks  after treatment, the  self-made  quality  of life  assessment  table  and  the  COPD assessment test(CAT) questionnaire were used to evaluate the pneumoconiosis. The results were statistically analyzed by SPSS 20.0 software. Results   The quality of life  scores for the conventional group before treatment,2 weeks after treatment,and 4 weeks after treatment were (65. 11±4.50)points,(62.91±4. 18)points,and (60. 13±3.85)points,respectively. The  rock  salt  therapy  group  scored  (64.34±5.36)points, (58.42±4.46)points, and  (54. 18±3.85)points, respectively. The differences  in  the  quality  of  life  scores  between  groups  at  various  time  points  after  treatment  were  significantly different (r<0.01). The CAT scores for the conventional group before treatment,2 weeks after treatment, and 4 weeks after treatment were (28.47±3.27)points,(26.40±3.01)points, and (24.24±2.00)points,respectively. The rock salt therapy group  scored  (28.52±3.33)points, (24.30± 1.52)points, and  (22.03± 1. 19)points, respectively. The  differences between the rock salt therapy group and the conventional group at various time points after treatment were significantly different (r<0.01).The total effective rate of the rock salt therapy group was significantly higher than that of the  conventional group (75.56% VS 64.58%,r<0.05). Conclusion   Rock  salt  aerosol therapy  can improve the clinical symptoms and quality  of life  of pneumoconiosis patients  combined with  COPD, and its  efficacy is  significantly better than that of conventional internal medicine treatment alone.

Objective    To   observe  the   changes  in  serum  trefoil   factor  2(TFF2), progranulin(PGRN)   and  high- sensitivity  C-reactive protein(hs-CRP) in patients with  gastric ulcer during treatment, and to  explore their predictive value in curative effect. Methods   A total of 93 patients with gastric ulcer treated in Huiji District People's Hospital from June 2021 to June 2023 were retrospectively  selected  as the research  objects. According to the  curative  effect after 6 weeks of treatment, they were divided into the effective group(71 cases) and the ineffective group(22 cases). Serum levels of TFF2,PGRN and hs-CRP were compared between the two groups before treatment and at weeks  1,3 and  6  of treatment. The  clinical  data  of the  two  groups were  compared  and the  influencing  factors  of the  curative effect were analyzed. The predictive value of the serum TFF2,PGRN and hs-CRP at week 3 for the 6-week curative effect was evaluated. Results   After weeks  1, 3  and 6 weeks of treatment, serum TFF2 level in the ineffective group was significantly lower than that of the effective group,but serum PGRN and hs-CRP levels were significantly higher (r<0.05). Serum  TFF2  was  an  ineffective  protective  factor, while  serum  PGRN  and  hs-CRP  were  ineffective  risk factors  for  curative  effect(r<0.05). The  area  under  the  curve(AUC)  of  serum  TFF2, PGRN, and  hs-CRP, and  their combination  at  week  3  of  treatment  in  predicting  the  6-week  curative  effect  was  0.799, 0.763, 0.794, and  0.906, respectively.The AUC of the combination in predicting the curative effect was  significantly greater than that of each single  index(r<0.05). Conclusion   Serum  TFF2  decreases, and  serum  PGRN  and  hs-CRP  increase  in  patients  with ineffective treatment of gastric ulcer,which are the influencing factors of curative effect.The combined detection has a certain predictive value in the curative effect.

Objective Evaluate the effect of early voice rehabilitation training on patients with voice abnormalities and pronunciation disorders after thyroidectomy.Methods Randomized controlled trials(RCTs) reporting an early voice rehabilitation trainingpublished until 25th October 2023 were searched in PubMed,Embase,Web of Science,Cochrane Library,CNKI,and Wanfang database.Eligible articles were screened and assessed for their quality.The Rev Man 5.4 software was used to evaluate the effect of early voice rehabilitation training on voice disorder,objective acoustic index,the longest vocal duration,glottal closure and total voice hoarseness.Results Nine articles representing 654 patients were included.Degree of voice disorder(MD=-7.73, 95%CI:-13.42, -2.03, P=0.008),acoustic voice analysis (fundamental frequency of F0[MD=18.19, 95%CI: 11.27, 25.12, P<0.001],variations of Jitter [MD=-0.12, 95%CI: -0.20, -0.03, P=0.006],variations of Shimmer[MD=-0.51, 95%CI: -0.98, -0.05, P=0.03]),the maximum phonation time(MD=2.21, 95%CI: 0.91, 3.51, P<0.001),degree of glottic closure(MD=-0.38, 95%CI: -0.48, -0.29, P<0.001),and total hoarseness(MD=-0.13, 95%CI: -0.19, -0.07, P<0.001) were significantly improved by an early voice rehabilitation training.Conclusion An early voice rehabilitation training can improve the vocal ability,voice roughness,hoarseness,the maximum phonation time,glottal closure degree and voice impairment in patients with abnormal voice after thyroidectomy.It has a positive effect on vocal cord movement and glottal space closure.

Conventional   surgery   for  pharynx-related  diseases  is  difficult  and  challenging, with  an  increased intraoperative risk and negative influence on the postoperative quality of life. With the continuous development and promotion  of minimally  invasive  concepts, such  as  reducing  the  sum  of trauma, reducing  stress  response, regulating trauma response  and promoting wound healing. Minimally  invasive  surgery has become the  first  choice  for  clinical surgical treatment, it  can reduce  surgical  damage while restoring the normal  structure  and physiological  function  of the throat. This paper described the clinical use of low-temperature plasma and laser surgery in recent years, in order to provide a basis for the selection of minimally invasive techniques for clinical pharynx and larynx surgery.

Objective   To  explore  the  application  value  of Powerbreathe  breathing  trainer  in  physical training  of flight personnel  during  convalescence. Methods   40  pilots  aged  22-45  years  old  from  September  2022  to  January 2024 in a convalescence center were selected as volunteers and divided into control group and experimental group by random number table. The  control group underwent routine physical training, while the  experimental group used the Powerbreathe respiratory muscle trainer(UK,K5) to set the training load to 60% of the maximum inspiratory pressure (MIP),20 minutes per time,2 times a day,7 days a week,for 4 consecutive weeks of respiratory muscle training on the basis of routine physical training.The MIP,peak inspiratory flow rate(PIF),inhaled air volume(V),forced vital capacity (FVC), forced expiratory volume(FEV1),minute ventilation volume (MVV), Cooper  12-min running distance,rating of perceived breathlessness(RPB) score,rating of perceived exertion(RPE) score,and +Gz endurance value of the subjects before and after training were measured. Results   After training,MIP(124.60± 12.54)cmH2O( 1 cmH2O=0.098 kPa),PIF (6.48±0.78)L/s,V(6.17±0.38)L,FVC(5.58±0.57)L,FEV1(4.99±0.56)L,MVV( 159.85±8.52)L/min,Cooper  12-min running distance(2  808.35± 170.45)m, and+GZ  endurance  value  (3.37±0.27)G  of the  experimental  group  pilots  were  clearly higher than those of the control group MIP(104.11±9.77)cmH2O,PIF (5.95±0.49)L/s,V(5.31±0.49)L,FVC(5.15±0.48)L, FEV1(4.63±0.36)L, MVV( 151.55±7.32)L/min, Cooper   12-min  running   distance(2  637.25± 178.64)m, +Gz  endurance value(3.04±0.45)G, while RPB  score(5.85± 1. 18) and RPE  score(15.05± 1.28)  significantly decreased compared to the control  group(6.70±1.17) and (16.60±1. 11). Conclusion    The  application  of Powerbreath  breathing  trainer  to  carry out  targeted  inspiratory  muscle  training  for  pilots   during  their  convalescence  period   has  a  positive   impact  on improving their lung function, enhancing aerobic endurance,reducing subjective fatigue, and improving their ability to withstand loads.

The mental health of soldiers is the key factor to determine the military effectiveness and combat effectiveness,especially for the special service officers and soldiers.As the key force to perform important tasks in the army,the special service officers and soldiers face great psychological pressure when carrying out high-risk tasks.Therefore,their mental health status is directly related to their personal health and work performance.This paper will start from the factors that affect the mental health of the special service convalescent officers and soldiers,analyze the current mental health status of the special service convalescent officers and soldiers,and explore the practical application of the three-dimensional three-tiered model of mental health in the special service convalescent officers and soldiers,aiming at providing scientific and effective guidance for the mental health management of the special service convalescent officers and soldiers.Through mental health education,psychological consultation,psychological evaluation and intervention,psychological training and expansion,and convalescent activities,the physical and mental recovery and development are promoted.

Objective   To evaluate the diet and nutritional status of pilots and to provide basis for guiding pilots to take reasonable diet. Methods   A total  of 95 pilots were  selected  as the  subjects, and the diet quality  of pilots was evaluated   by   military    diet   balance    index(DBI).  Results     Compared   with   GJB    826C-2022    "Military   Food Quantification"  standard, in  addition  to  livestock  meat  and  vegetable  oil, the  food  with  excessive  intake  included poultry  eggs  and  salt, and the  food with  insufficient  intake  included  soybean, milk  and  dairy products, poultry meat, fruits, grains, aquatic products  and vegetables, accounting  for  13%, 17%, 28%, 36%, 57%, 58%, 64%  respectively  of the standard quantity.The energy supply ratio of protein, fat and carbohydrate was  17%,44%  and 39%,respectively,which was obviously unbalanced.Military DBI scores showed moderate underintake and low overintake among the surveyed pilots. Conclusion   The  dietary  structure  is  unreasonable, and  the  proportion  of  energy  supply  of  the  three  major productive nutrients is unbalanced, showing a diet pattern of "low  carbohydrate, high protein and high  fat". The DBI scores   of  soldiers   has   moderate   dietary   imbalance, and   the   proportion   of  overweight   soldiers   is   high. It   is recommended to adjust the dietary structure,reduce the intake of egg foods,reduce the amount of salt and condiments, and increase the intake of soybeans(non-flying days),poultry meat,milk and dairy products,aquatic products,vegetables and fruits.

Patellofemoral  pain  syndrome(PFPS)  is  a  common  condition  to  consider  in  young  patients  with  knee pain. PFPS, which  commonly  occurs  in  manual  laborers  and  sports  enthusiasts, often  present  as  widespread  pain  in front of or around the patella,aggravated during activities like going up and down stairs,running,and squatting.Under the influence of PFPS,patients' health status,quality of life and work ability will be affected,and if not treated in time, it  is  easy  to  develop  into  patellofemoral  arthritis  or  irreversible  knee  osteoarthritis. Therefore, active  treatment measures  should be taken as  soon as possible. Domestic  scholars often use external treatment of traditional Chinese medicine  combined  with  drugs, rehabilitation  and  other  means  to  treat  PFPS, and  have  achieved  good  therapeutic effects.Needling acupuncture is an important part of TCM external therapy,which can relieve knee pain and improve knee  function, and  is  an  effective  conservative  treatment  for  PFPS. This  article  mainly  reviews  the  application  of needling  acupuncture  in PFPS, and  looks  forward to the research trend  of needling  acupuncture  in the treatment  of PFPS,in order to provide reference for future clinical research.

Objective   To  investigate  the  clinical  effect  of  O-arm  navigation-assisted  spinal  decompression  and bone  grafting  via   a  posterior  approach   combined  with   internal  fixation  in  the  treatment  of  spinal  degenerative diseases. Methods    From  December  2022  to  May  2023, totally   106  patients  with  an  elective  surgery  for  spinal degenerative  diseases  in  Dushan  Hospital  of  Nanyang   City  of  Traditional  Chinese  Medicine  were   selected  and randomly  divided  into  O-arm  group  and  C-arm  group  according  to random number table method, with  53  cases  in each group.Patients in the O-arm group and C-arm group were treated with spinal decompression and bone grafting via  a posterior  approach  combined  with  internal  fixation  assisted  with  O-arm  and  C-arm, respectively. Perioperative indexes, lumbar  function, lumbar  pain   and  complications  were  compared  between  the  two  groups. Results    The hospitalization time([7.23± 1.78]d VS [9.62±2.88]d) and operation time([196.21±36.85]min VS [260.94±68.42]min) of O-arm group were significantly shorter than those of C-arm group(r<0.05).The intraoperative blood loss([76.32±24. 15]mL VS  [ 108.21±28.65]mL)  and  fluoroscopy  times([4.45± 1. 12]times  VS   [ 11.58±2.64]times)  in  the  O-arm  group  were significantly  less  than  those  of  the  C-arm  group(r<0.05). The  accuracy  of  nail  placement  in  O-arm  group  was significantly better than that  in  C-arm  group(r<0.05). There was no  significant  difference between the preoperative Oswestry disability index(ODI) scores and the visual analogue scale(VAS) scores of the lumbar and legs between the two groups(r>0.05).Three months after surgery, ODI scores and VAS scores of lumbar and legs in both groups were significantly lower than those before surgery,and the ODI scores([ 10.54±2. 16]points VS [ 12.66±2.31]points) and VAS scores  of lumbar([2.06±0.64]points  VS  [2.71±0.72]points)  and  legs([1.01±0.35]points  VS  [ 1.33±0.42]points)  in  the O-arm group were significantly lower than those of the C-arm group(r<0.05). There was no significant difference in the total incidence of postoperative complications between the two groups(r>0.05). Conclusion   The  use of O-arm navigation  technology  in  the  operation  of  spinal  degenerative  diseases  can  improve  the  accuracy  of  surgical  nail placement, shorten the operation time,reduce the amount of blood loss and intraoperative fluoroscopy times, alleviate the pain of waist and leg,and improve the function of lumbar spine,which is worthy of clinical popularization.

Objective   To  identify the sleep quality and perceived stress levels in military staff for special service. Methods   A total  of 229  military  staff for  special  service at a rehabilitation and recuperation center from April to October  2023 were  selected by  a  convenience  sampling. The  Pittsburgh  sleep  quality  index(PSQI)  and  the  Chinese version of the perceived stress scale(CPSS) were used to investigate the sleep quality and the perceived stress level, respectively. Spearman's  rank  correlation  was  used  to  analyze  the  relationship  between  sleep  quality  and  perceived stress, and multiple  linear regression was used to  analyze the  influencing  factors  for perceived  stress. Results   The mean PSQI of military staff for special service was (5.48±3.21)points,with 66(28.82%) cases having a PSQI>7 and the scores of 1 or more for sleep latency and sleep duration.The mean CPSS score was ( 16.34±7.95)points and 14(6. 11%) of  them  had   a  moderate   level  of  perceived  stress. There  was   a  positive   correlation  between   sleep  quality  and perceived  stress. Multiple  linear  regression  analysis  showed  that  daytime  dysfunction  was  an  influencing  factor  for perceived stress among military staff for special service(r<0.001).Conclusion   Military  staff for special service have sleep  problems  and  should  be  concerned. Rehabilitation  and  recuperation  may  be  an  effective  way  to  improve  the quality of sleep and relieve stress among military staff for special service.

Objective    To  explore  the  effect  of  acupoint  application  with  appropriate  technology  of  traditional Chinese  medicine  combined  with  timing  auricular  point  pressing  on  patients  after  acute  appendicitis. Methods    A total of 88 postoperative patients with acute appendicitis treated in Jiujiang Hospital of Traditional Chinese Medicine from April  2021  to  March  2023  were  divided  into  two  groups  by  random  number  table, with  44  cases  each. The control  group  was  treated  with  routine  intervention, and  the  study  group  was  treated  with  acupoint  application  of appropriate techniques of traditional Chinese medicine combined with timing auricular point pressing.Gastrointestinal function recovery,gastrointestinal hormone levels,pain degrees,quality of life and safety were compared. Results   The recovery  time  of  gastrointestinal  function  in  the  study  group  was  shorter  than  that  in  the  control  group, and  the difference  was  statistically  significant(r<0.05). After  intervention, motilin  (MTL) (229.61± 13.04)pg/mL  and  gastrin (GAS)( 155.27±7.86)pg/mL in the  study  group were higher than those  in the  control  group(191.55±9.74)pg/mL and ( 139.57±6.77)pg/mL,and the difference was statistically significant (r<0.05).After intervention,the indexes of GQOLI-74 in the study group were higher than those in the control group,and the difference was statistically significant(r<0.05). Visual analog  scale(VAS)  scores of the  study group were (4.37± 1. 15)points,(3.04± 1.07)points and (2. 16±0.71)points at  12,24 and 48 h after surgery,which were lower than those of the control group (5.41± 1.27)points,(4.06± 1. 13)points and (3.22±0.94)points,and the difference was statistically significant(r<0.05).There were no obvious adverse reactions during  the  intervention  in  both  groups. Conclusion   In  postoperative  patients  with  acute  appendicitis, the  acupoint application of appropriate techniques of traditional Chinese medicine combined with timing auricular point pressing has   a   significant   intervention   effect, which   can  promote   the   improvement   of  gastrointestinal   function, relieve postoperative pain,improve quality of life,and have high safety.

Objective   To investigate the detection of thyroid nodules in helicopter operators and to analyze the potential factors influencing the occurrence of thyroid nodules.Methods   A retrospective analysis was conducted on the medical records and physical examination reports of helicopter operators admitted to a center from August to December 2023.Statistical analysis was performed on the detection of thyroid nodules and related factors.Results   Among 223 helicopter operators,a total of 55 cases of thyroid nodules were detected,resulting in a detection rate of 24.66%.Bilateral lobes (52.73%) were the dominant site of detected thyroid nodules,followed by the right lobe (25.45%),and left lobe (21.82%).The majority of detected nodules were classified as thyroid imaging reporting and data system (TI-RADS) 2 and 3.Multivariate Logistic regression analysis indicated that,with the presence of thyroid nodules as the dependent variable and mean corpuscular hemoglobin(MCH),mean corpuscular volume(MCV),red blood cells(RBC),red blood cell volume distribution width(RDW),and anti-thyroglobulin antibody(TGAb) as covariates,the adjusted odds ratio(OR) for RBC was 0.320 (95% CI:0.115,0.850,P<0.05),showing a significant difference.This suggested that higher levels of RBC were negatively correlated with the risk of developing thyroid nodules.Conclusion   The detection rate of thyroid nodules is relatively high among helicopter operators,with the highest occurrence in bilateral lobes.Multivariate Logistic regression analysis revealed that a decrease in RBC levels is associated with the presence of thyroid nodules.This indicates a potential important role of RBC in the pathogenesis of thyroid nodules.Future research can validate this association,explore the role of RBC in the pathogenesis of thyroid nodules,provide more accurate predictive factors and treatment targets,and reduce the risk of related diseases.

Objective   To  investigate  the  clinical  effect  of  traditional  Chinese  medicine(TCM)   targeted   drug penetration  combined  with  McKenzie  therapy  in  the  treatment  of  lumbar  disc  herniation. Methods   A  total  of  80 patients with lumbar disc herniation treated in a nursing center from March 2023 to Decembe were  selected as the study objects,numbered according to the order of treatment, and divided into observation group and control group by random  number  table, with  40   cases   in  each  group. The  control  group  was   given  McKenzie  therapy, while  the observation  group  was  given  TCM  targeted  drug  penetration  intervention  on  the  basis  of  McKenzie  therapy. The treatment  course was  1  month, and the numerical rating  scale(NRS)  and  Oswestry  disability  index(ODI)  of the two groups were compared before and after treatment. Results   After treatment, the NRS  score of the observation group was(2.90± 1. 10) and the control group was(4. 15±0.92);the ODI  score of the observation group was(25.25±5.95) and the control group was(30.80±3.53). The NRS  score and ODI score were decreased in the observation group and the control group(r<0.05).The NRS scores and ODI scores of the observation group were lower than those of the control group(r<0.05). Conclusion   The  clinical  effect  of traditional  Chinese  medicine  targeted  drug penetration  combined with  McKenzie  therapy  in  the  treatment  of  lumbar  disc  herniation  is  remarkable, which  can  reduce  the  pain  of patients,improve the dysfunction of lumbar spine and promote the recovery of lumbar spine function.

Objective   To  investigate the  effects of acupuncture combined with rehabilitation training on pain and motor  function  in  patients  with  chondromalacia  patellae(CMP). Methods    Sixty  patients  with   CMP  admitted  to Luoyang Orthopaedic Hospital from January 2023 to March 2024 were selected as the study objects.According to the random number table,the patients were randomly divided into control group and study group,30 cases each.Patients in both groups were given conventional oral medicine treatment, the control group was given rehabilitation training on this  basis, and  the  study  group  was  given  acupuncture  combined  rehabilitation  training  on  this  basis. The  clinical efficacy  of the  two  groups  was  evaluated  30  days  after  treatment. The  knee  pain  status  of the  two  groups  before treatment, 15 days after treatment and 30 days after treatment (visual analogue pain scale[VAS]) and motor function before  and  after treatment  (Western  Ontario  and McMaster Universities  arthritis  index  scale[WOMAC  scale])  were compared, and the symptom improvement time of the two groups was recorded. Results   Compared with  73.33% of the control group, the total clinical effective rate of the  study group  93.33% was higher(r<0.05). VAS  scores of the control  group  were  lower  than  those  of  the  study  group  after   15  and  30  days  of  treatment, with  difference  of statistical  significance(r<0.05). After  30  days  of  treatment, the  total   score  of  WOMAC  scale  and  scores  of  all dimensions were  decreased  in both  groups(r<0.05), and the  study  group was  even  lower(r<0.05). The time  of knee pain  disappearance, normal  activity  and  patella  grinding  test(- )  in  the  study  group  were  shorter  than  those  in  the control  group, and  the  difference  was  statistically  significant(r<0.05). Conclusion    Combined  use  of  acupuncture therapy on the basis of rehabilitation training can improve the clinical efficacy of CMP patients,their knee pain can significantly be improved,and the knee function and lower limb movement ability can significantly be increased.

Stroke accounts for a high proportion in cardiovascular and cerebrovascular diseases,and aphasia is one of the common complications of stroke.The recovery of aphasia depends on semantic recovery,with directly related to factors of auditory input, visual input, memory retention, etc. In this paper, language rehabilitation therapy, non-invasive intervention, drug   intervention, traditional   Chinese  medicine   intervention   and  music   intervention  with   semantic activation were summarized, and different treatment methods were used to activate the brain language area. Improving the function of semantic system provides an effective treatment for the recovery of semantic function in aphasia.At the same time,the clinical application of acoustic technology combined with traditional speech therapy and rehabilitation was  described  in practice. Acoustic  software was used to  analyze  acoustic parameters, determine the position  of the lips  and  tongue, and  the  characteristics  of  speech  and  sound  quality. Clinical  problems  were  analyzed  individually, aiming to provide new treatment methods and methods for semantic treatment of aphasic patients after stroke.

With the rapid development of information technology,the informatization and intelligent construction of convalescent centers have become the key to improve service quality and work efficiency.This paper deeply analyzes the  main  problems  faced  by  the  current  convalescent  centers  in  the  process  of  intelligent  construction, such  as insufficient intelligent support capacity,intelligent application system having not yet formed and intelligent technology promotion bottleneck.In response to these problems,the paper discusses the collaborative application and development status  of cutting-edge technologies  such  as  artificial  intelligence, cloud  computing  and  big  data  in  the  convalescent center, and puts forward the solution of building the intelligent convalescent application architecture. The architecture aims   to   solve   specific   problems   in   convalescent   management,  diagnosis   and   treatment   and    service   quality improvement through the  comprehensive use  of cloud  computing, big  data  and  artificial  intelligence technology, and realize the automation,intelligence and personalized service of convalescent center work.The paper also elaborates the implementation  principle  and  technical  route  of  the  intelligent  recuperation, which  provides  theoretical  basis  and practical guidance for the intelligent transformation of the convalescent center.

Objective   To  compare and analyze the application effect difference of super-articular external fixation and  locking  compression  plates(LCP) +minimally   invasive  percutaneous  plate   osteosynthesis(MIPPO)   in  treating elderly  patients  with  Gustilo  type  II  open  distal  tibial  fracture. Methods   According  to  the  random  number  table method,76 elderly patients with Gustilo type II open distal tibial fracture treated in Guangxin District People's Hospital from January 2020 to October 2023 were divided into a control group(n=38) receiving super-articular external fixation treatment and a study group(n=38) receiving LCP+MIPPO operation treatment.The surgical indexes,hemodynamics of affected  limb, ankle joint  function  and  clinical  efficacy  of  the  two  groups  were  compared. Results    The  time  of operation,fracture healing and swelling elimination in the study group was lower than that in the control group(r<0.05), and there was no significant difference in the amount of intraoperative blood loss(r>0.05).On day  1 after surgery,the peak systolic blood flow velocity and average blood flow velocity of dorsalis pedis in both groups were higher than before surgery, and the study group was higher than the control group(r<0.05);the resistance index of dorsalis pedis in both groups was lower than before surgery, and the study group was lower than the control group(r<0.05). Three months  after  surgery, the  scores  of Baird-Jackson  ankle joint  function  scale  in  both  groups  were  higher  than  those before surgery, and those in the study group were higher than those in the control group(r<0.05). Three months after operation,the total effective rate of the study group was 97.37%,which was higher than that of the control group(78.95%), r<0.05. Conclusion   Compared with  super-articular external fixation,LCP+MIPPO method can shorten the operative time of elderly patients with Gustilo type II open distal tibial fracture,improve postoperative hemodynamics of dorsal foot  artery, and  contribute  to  the  healing  of  fracture  and  improvement  of  ankle joint  function, and  have  a  positive effect on the improvement of clinical efficacy.

Objective   To understand the incidence and risk factors of dyslipidemia in young and middle-aged men in a certain unit, so as to provide reference  for its prevention and intervention. Methods   The  physical  examination data  of young  and  middle-aged  men  in  a  certain  unit  coming  to  a  convalescent  institution  for  recuperation  from January 2019 to December 2020 were collected.The distribution characteristics of the detection rate of dyslipidemia were  analyzed  by  χ2   test, and  the  risk  factors  of dyslipidemia  were  analyzed  by  multi-factor  Logistics  regression. Results   In 956 young and middle-aged men,209 cases were detected with dyslipidemia,the detection rate was 21.9%. The  detection  rates  of  hypercholesterolemia, hypertriglyceridemia, high-low  density  lipoprotein  cholesterol(LDL-C) and  low-high  density  lipoprotein  cholesterol(HDL-C) were  6. 1%, 12.4%, 0.4%  and  10.4%, respectively. Dyslipidemia increased with age(P<0.05).With the increase of body mass index(BMI),the detection rate of dyslipidemia increased (P<0.05). The results  of multi-factor Logistics regression  analysis  showed that  age(OR= 1.047, 95%CI:  1.017, 1.078), overweight(OR=2.208, 95%CI:  1.506, 3.238), obesity(OR=4. 121, 95%CI:  2.032, 8.355), abnormal  alanine  transaminase (ALT) (OR=2.353, 95%CI: 1.568, 3.530), fatty  liver(OR= 1.674, 95%CI:   1. 116, 2.511)  and  hyperuricemia(OR=2.468, 95%CI:1.733, 3.515) were risk factors for dyslipidemia(P<0.05). Conclusion   Age,overweight,obesity, abnormal ALT, fatty liver and hyperuricemia are all risk factors for dyslipidemia in young and middle-aged men. Except age, other factors are related to poor diet and lifestyle habits. Therefore,reducing the intake of fat and purine and scientifically exercising to control BMI are effective measures to prevent and intervene in dyslipidemia.

Objective   To investigate the effect of ultrasound-guided  stellate ganglion block(SGB) on postoperative cognitive function in elderly patients with hip fractures(HF). Methods   A total of 70 elderly HF patients admitted to Xinyu People's Hospital from April 2022 to December 2023 were selected as the study subjects.They were randomly assigned  into  the  control  group(n=35)  and  the  experimental  group(n=35). Patients  in  both  groups  received  routine anesthesia, and those  in  the  experiment were  additionally  treated with ultrasound-guided  SGB. Hemodynamics(mean arterial pressure[MAP],heart  rate  [HR]), and  cerebral  oxygen  metabolism  indicators(cerebral  blood  flow  to  cerebral metabolic rate of oxygen ratio[CBF/CMRO2],and cerebral extraction of oxygen  [CEO2]) before entering the operation room(T0), 30 minutes after  surgery(T1), and  10  minutes before the end of the  surgery(T2) were compared. Cognitive function between two groups before surgery and 1 and 3 days after surgery was assessed using the Mini Mental State Examination(MMSE). Results   HR  and  MAP  at  T1  and  T2  both  significantly  decreased  than  those  at  T0. HR(T1: [82.50±6.36]times/min  VS  [75.25±8.02]times/min; T2: [83.06±6.33]times/min  VS   [77.54±7.04]times/min)  and  MAP (T1:[89.25±8.07]mmHg VS [82.25±8.37]mmHg, 1 mmHg=0. 133 kPa;T2:[90. 11±8.09]mmHg VS [85.05±8. 12]mmHg) at T1 and T2 were significantly higher in the experimental group than those of control group(r<0.05). CBF/CMRO2   at T1  and  T2  in  both  groups   significantly  decreased  compared  with  that  at  T0. It  was   significantly  higher  in  the experimental group than the control group at T1([ 16.33±2.09] VS [ 14.53±2. 11]) and T2([ 16.30±2.05] VS [ 14.24±2.09]), r<0.05.CEO2   at T1 and T2 in both groups significantly increased compared with that at T0.It was significantly lower in  the  experimental  group  than  the  control  group  at  T1([34.49±3.50]  VS   [39.59±3.36])  and  T2([31.05±4.06]  VS [35.91±5.06]),P<0.05.The MMSE scores at postoperative day  1([24.02± 1.08]points VS [22. 10± 1. 12]points) and day 3 ([24.89± 1. 15]points VS [22.54± 1.07]points) were significantly higher in the experimental group than those of control group(r<0.05).  Conclusion    Ultrasound-guided    SGB    can    stabilize   hemodynamics,  improve    cerebral    oxygen metabolism,and reduce the risk of postoperative cognitive dysfunction in elderly patients.

Guillain-Barre syndrome is a disease caused by the autoimmune system attacking the peripheral nervous system, which is often accompanied by reduced muscle  strength or even paralysis. Most patients with Guillain-Barre syndrome can recover from plasma exchange or intravenous injections of immunoglobulin,although some suffer from sequelae  like  motor, sensory   and  respiratory   dysfunction. Therefore, the  rehabilitation  treatment   of  Guillain-Barre syndrome  patients  is  particularly  important. Exercise  therapy  is  a  commonly  used  approach  of  rehabilitation  that promotes the recovery of sensory and motor functions, alleviates injury-induced pain symptoms, and prevents muscle atrophy. This  article  summarized  the  evidence  of the  effectiveness  of  exercise  therapy  on  the  respiratory  function, motor function,psychological function and pain of patients with Guillain-Barre syndrome in recent years.Moreover,we summarized the  functional  improvement  of disease  stage, exercise  intensity  and  individualized  function  recovery  of patients with Guillain-Barre syndrome,and briefly introduced the regulatory mechanism of exercise therapy on immune system and nerve regeneration.It provides references for formulating exercise prescription for Guillain-Barre syndrome.  

In response to the growing aging population worldwide, the World Health Organization (WHO) proposed an important concept called "intrinsic capacity (IC)". IC refers to the total sum of physical and mental abilities that an individual can utilize at any time. IC is present throughout a person's life, and it focuses on the health deficits of older adults from the perspective of functional reserves. It can be assessed from five aspects, including vitality, physical activity, cognition, psychological, and sensory function. It can also be used to predict adverse health outcomes, quality of life, and care dependence in older adults. Screening for populations with declining intrinsic capacity and identifying risk factors that contribute to it can enable more proactive and personalized healthcare interventions, which can maximize the well-being of older adults and improve their quality of life. This article aims to raise awareness among researchers and healthcare professionals in the field of aging health about intrinsic capacity, including its definition, assessment tools, influencing factors, adverse health outcomes, and optimizations, with the hope of providing reference for subsequent research on healthy aging.

Objective   To evaluate the effects of the self-management intervention program combined with the  theory of help and nudge on the self-efficacy and quality of life of the elderly patients with hypertension in rural area of Ruoergai County.Methods   70 elderly patients with hypertension in two villages with similar conditions in Ruoergai County,Aba Prefecture were randomly selected,and the two villages were selected as the experimental  group and the control group,with 35 cases each.The control group received routine hypertension health management,and the experimental group received self-management intervention combined with the theory of help and nudge .The simplified quality of life survey scale and hypertension self-efficacy scale were collected before and after the intervention for evaluation.Results   During the study,7 cases were dropped out in the experimental group and 6 cases were dropped out in the control group.A total of 57 elderly patients with hypertension in ethnic areas were finally included,29 cases in the control group and 28 cases in the experimental group.The inter-group comparison of self-efficacy after intervention showed that the health behavior,daily life,drug treatment dimension scores and total self-efficacy scores of the two groups had difference of statistical significance(P<0.05),and the self-efficacy of the experimental group was better than that of the control group.The inter-group comparison of quality of life after intervention showed that the scores of mental and physiological health in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion   Self-management intervention combined with the theory of help and nudge can meet the needs of patients' disease management,improve their self-efficacy and improve their quality of life.

Objective   To explore the correlation of caregiving burden of primary caregivers of patients with Alzheimer's disease (AD) with social support and psychological resilience,and to analyze its influencing factors.Methods   Convenient sampling method was adopted to select 200 primary caregivers of first-stage AD patients in Ganzhou Third People's Hospital from March 2022 to March 2024 as the research objects.They were surveyed using the caregiver burden scale,social support rating scale,mental toughness scale and general questionnaire.Pearson correlation was used to analyze the correlation of caregiving burden of primary caregivers of first-stage AD patients with social support and psychological resilience,and multiple linear regression analysis was used to determine the influencing factors of caregiving burden of primary caregivers of first AD patients.Results   The scores of caring burden,mental toughness and social support of the primary caregivers of the first AD patients were (72.37±7.87) points,(47.05±6.74)points and (38.42±6.11)points,respectively.Pearson correlation analysis showed a negative correlation of caregiver burden with social support and mental toughness(P<0.05).Multiple linear regression analysis showed that the disease degree,the caregiver's education level,the understanding degree of AD,the per capita monthly income of the family,social support and psychological resilience were the influencing factors for the care burden of the main caregivers of the first-stage AD patients(P<0.05).Conclusion   The caregiver burden level of first-stage AD patients is relatively heavy,which is negatively correlated with psychological resilience and social support.Moreover,the degree of the disease,the caregiver's education level,the caregiver's understanding of AD,and the per capita monthly income of the family are all key factors affecting the caregiver burden.Caregivers should pay close attention to the caregiver's burden.And through a series of measures to reduce their burden.

Objective   To  explore  the  application  value  of narrative  psychotherapy  to  nutritional  management  of patients  with  swallowing  disorders  after  surgical  treatment  of  laryngeal  cancer. Methods    This  was  a  prospective randomized controlled trial involving  120 patients with postoperative dysphagia of laryngeal cancer from March 2021 to February 2023.The patients were randomly divided into the experimental group and control group using a double- blind method, with  60 patients  in  each  group. Both  groups  of patients underwent  swallowing  function rehabilitation training, while  those  in  the  control  group  received  dietary  and  nutritional  intervention. Patients  in  the  experimental group received narrative psychotherapy  intervention plus  dietary  and nutritional  intervention. The  intervention  effect was evaluated at  8 weeks of intervention. The nutritional indicators, including the albumin(ALB),prealbumin(PA), and transferrin(TRF);psychological resilience, including the the  14-item resilience  scale(RS- 14)score;swallowing function, including the standard swallowing assessment scale(SSA); swallowing-related quality of life,including the swallowing disorder specific quality of life scale(SWAL-QOL) score;and complications were compared between the two groups before and after intervention. Results  After intervention, the serum levels of ALB([41.33±4.24]g/LVS [37.35±4.52] g/L), PA([313.44±27.35]mg/L VS  [282.62±25.83]mg/L), and  TRF([2.53±0.48]g/L  VS  [2. 16±0.44]g/L)  in  the  experimental group were significantly higher than those of the control group(P<0.05).After intervention,the RS- 14 and SWAL-QOL scores  of the  two  groups  increased  compared  to  before  intervention, while  the  SSA  score  decreased  compared  to before intervention. The experimental group had  significantly higher RS- 14 and  SWAL-QOL scores than the control group,while the SSA score was significantly lower than the control group(r<0.05).There was no significant difference in  the  incidence  of  complications  between  the  two  groups(r>0.05). Conclusion    Narrative  psychotherapy  during nutritional  management   for  patients  with   swallowing   disorders  after  surgical  treatment   of  laryngeal  cancer  can significantly improve their psychological resilience,nutritional status,swallowing function recovery,and quality of life.  

Sarcopenia  is  a  syndrome  of  progressive  and  systemic  loss  of  skeletal  muscle  mass  and  decreased muscle  strength, resulting  in  an  adverse  outcome  risk  of  disability, reduced  quality  of  life, and  death. Sarcopenic dysphagia  refers  to  dysphagia  caused  by  decreased  capacity  and  function  of the  skeletal  muscles  and  swallowing muscles, which  can  lead  to  malnutrition, aspiration pneumonia, dehydration, and  even  death  in  severe  cases. With  the gradual aging of society,the prevalence of age-related dysphagia continues to rise,among which sarcopenic dysphagia, as a major type,has become a health problem in the elderly population.Warm acupuncture and moxibustion combined with needle acupuncture and moxibustion,combination of dredging and tonifying,Qi-blood dual regulation,has a good prospect  in the treatment  of sarcopenic  dysphagia. This paper  summarizes the  concept, etiology, pathogenesis, clinical manifestations  and  treatment  of  sarcopenic  dysphagia, in  order  to  provide  some  reference  for  warm  acupuncture treatment of sarcopenic dysphagia.

Objective   To deeply explore the analgesic mechanism of auricular acupuncture,combine the theory of traditional Chinese medicine with the theory of modern medicine,provide theoretical basis for clinical application,and verify its universality and practicability.Methods   Multiple theoretical perspectives were analyzed such as the theory of meridians and internal organs in traditional Chinese medicine,the theory of modern neuroscience,the theory of body fluids and the theory of holography,and clinical cases of auricular acupuncture treatment for different types of pain were collected and analyzed.Results   The mechanism of auricular acupuncture to relieve pain was supported by multi-dimensional theories,and combined with clinical cases,the complex network of action of auricular acupuncture in pain relief was revealed.Conclusion   Through comprehensive theoretical analysis and clinical practice verification,this study clarified the multiple mechanisms of auricular acupuncture analgesia and its universality and practicability in clinical application.Auricular acupuncture not only provides a new and effective treatment for clinical pain treatment,but also provides a new idea for the modernization of traditional Chinese medicine and the study of integrated Chinese and Western medicine.In the future,the specific mechanism of auricular acupuncture therapy should be further studied,and the treatment plan should be optimized to better serve the majority of pain patients.