关节骨软骨瘤病系一少见的滑膜疾病，一般认为是关节滑膜结缔组织通过化生转化成软骨组织而形成。也有学者认为骨膜上的缺陷是形成骨软骨瘤病的主要因素[1]。本病好发于关节滑膜，在滑囊及腱鞘也可发现，但少见。本病好发于青年男性，膝关节为其好发部位，腕关节少见。一般为单侧，偶累及两个关节。临床表现为间歇性疼痛、肿胀及进行性功能受限，活动时弹响或交锁等关节紊乱症状。症状严重的程度与游离体的多寡、位置有关。典型X线表现为关节囊肿胀，可见多数大小不等的圆形或类圆形的无钙化、钙化或骨化的游离体。早期骨性关节面及附近骨质无任何改变，晚期伴有骨性关节炎的改变。

【摘要】   目的   探讨代谢综合征的生物标志物及影响因素，构建代谢综合征的风险预测模型。方法   选取2020年1月至2021年12月到某中心疗养体检并诊断为代谢综合征的161例患者作为实验组，另选择同一时期根据性别和年龄匹配的192例非代谢综合征患者作为对照组。收集患者的临床基线资料和生物标志物，利用Lasso回归筛选出代谢综合征相关的生物标志物，用于构建预测代谢综合征高危人群的预警模型。结果   使用Lasso回归共筛选出7个影响代谢综合征相关的生物标志物和影响因素，分别为体质量指数(body mass index，BMI)、2型糖尿病(type 2 diabetes，T2DM)、空腹血糖(fasting blood glucose，FBG)、三酰甘油(triglyceride，TG)、高密度脂蛋白胆固醇(highdensity lipoprotein cholesterol，HDL-C)、单核细胞计数/高密度脂蛋白胆固醇比值[monocyte count/HDL-C ratio(MHR)]和超敏C反应蛋白(high-sensitivity C-reactive protein，hs-CRP)。预测模型的曲线下面积(area under curve，AUC)为0.985 7。结论   本研究利用Lasso回归构建生物标志物的风险预测模型用于预测代谢综合征的能力较强，可用于指导临床医生早识别代谢综合征的高危人群。

Objective To explore the value of nutritional interventions combined with anti-blocking exercises in stroke secondary sarcopenia, to provide a reference basis for the clinical development of effective intervention programs, and to provide a theoretical basis for the enhancement and improvement of the quality of life of stroke secondary sarcopenia patients. Methods Using the purposive sampling method, fifty patients with stroke secondary to sarcopenia admitted to the geriatric department of the Second People's Hospital of Kunming from August 2022 to April 2023 were selected as study subjects, and the participating subjects were randomly divided into observation group (n=25) and control group (n=25) according to the number of digits of the case number, according to odd and even numbers. Both groups maintained conventional drug treatment for chronic diseases. The control group was treated with conventional diet and traditional rehabilitation exercises, while the observation group was given nutritional intervention combined with resistance exercise on the basis of the control group, and both groups were intervened for 8 weeks. Serum albumin (ALB), hemoglobin (Hb) and vitamin D (VD) levels were measured before and after the intervention, and the overall nutritional levels were assessed using the Patient Generated-Subjective Global Assessment (PG-SGA). The patients' nutritional levels were assessed before and after the intervention using the Patient Generated-Subjective Global Assessment (PG-SGA); the patients' activities of daily living were assessed before and after the intervention using the modified Barthel index scale. Results Hb, ALB and VD in observation group were higher than those in control group, PG-SGA score was lower than control group, the difference was statistically significant (P<0.05). The daily living ability of observation group was higher than that of control group, and the difference was statistically significant (P<0.05). Conclusion Nutritional interventions combined with resistance exercise can rapidly restore nutritional levels and improve activities of daily living in patients with stroke secondary to sarcopenia.

[Abstract] Atlanto-axial rotatory subluxation is a common disease in orthopaedics, especially in children. There are many pathogenic factors, the incidence of children is often associated with congenital development and acquired injury, clinical symptoms are more serious, if not clearly diagnosed and timely treatment, will have a great impact on the growth and development of children and learning life. Traditional Chinese medicine often uses traction, manipulation, acupuncture and massage or traditional Chinese medicine comprehensive therapy, among which, comprehensive therapy is widely used.This article reviews the imaging examination and traditional Chinese medicine treatment of atlanto-axial rotatory subluxation in children.

Essential oil has antibacterial, anti-inflammatory and tranquilizing effects in Traditional Chinese medicine. With the improvement of research methods, it has been found that essential oil and its active ingredients also have good efficacy in anti-depression and treatment of Alzheimer's disease. This article reviews the application and research progress of essential oils and their active ingredients in the treatment of neurodegenerative disease Alzheimer's disease.

【摘要】   目的   探讨视觉艺术疗法对卒中后抑郁患者认知康复、不良情绪及知觉压力的影响。方法   选取2021年8月至2022年8月南阳医学高等专科学校第一附属医院收治的134例卒中后抑郁患者为研究对象。按照随机数字表分为对照组67例和观察组67例。对照组实施常规护理。观察组在对照组的基础上实施视觉艺术疗法干预，干预时间为2个月。分别在干预前后，采用蒙特利尔认知评估量表、医院焦虑抑郁量表、中文版知觉压力量表评价两组的认知功能、不良情绪、知觉压力。结果   干预后对照组MoCA总分(19.69±1.55)分低于观察组(23.97±1.67)分，差异有统计学意义(P＜0.05)；对照组焦虑亚量表评分、抑郁亚量表评分分别为(14.94±1.67)分、(14.53±1.52)分均高于观察组(12.20±1.43)分、(12.01±1.46)分，差异有统计学意义(P＜0.05)；对照组CPSS评分(40.80±4.75)分明显高于观察组(31.88±3.94)分，差异具有统计学意义(P＜0.05)。结论   视觉艺术疗法能充分满足卒中后抑郁患者的身心需求和社会交往诉求，有助于促进其认知功能康复，减轻焦虑、抑郁情绪，降低知觉压力水平，实现自我愉悦。

【摘要】 军事信息化现代化进程不断加快，战争的形式向信息和认知空间拓展，官兵的军事作业能力要求逐渐增高。特勤官兵受作业环境和作业时间的影响，职业健康风险较大，近年来各疗养中心依托体检和鉴定中心为特勤官兵进行了健康鉴定评估工作，为早期发现伤病提供了依据，并结合职业特点开展相关康复训练工作，对官兵的健康维护和作业能力提升提供了支撑。特勤疗养应顺应军事科技发展形势，丰富鉴定训练手段和内容，努力成为特勤官兵军事作业能力提升的重要保障单元，完成备战打仗的神圣使命。

Periarthritis of shoulder is a chronic self-limited disease with pain and limitation of joint activity as the main clinical manifestations. With the aggravation of aging in China, its incidence increases year by year.?Because its etiology and pathogenesis are still unclear, there are a variety of clinical treatment methods, and manipulation treatment of periarthritis of shoulder is increasing in clinical research, occupies a crucial position in the treatment.?In this paper, the mechanism of manipulation treatment of periarthritis of shoulder, different manipulation and manipulation combined with different treatment methods of periarthritis of shoulder are summarized and analyzed, in order to provide help for the future research on manipulation treatment of periarthritis of shoulder.

【摘要】 由高海拔地区返回低海拔地区的疾病还未引起足够的关注。高原脱习服(high-altitude de-acclimatization syndrome，HADAS)作为由高海拔地区返回低海拔地区的典型表现，对人们健康和日常生活的影响较大，严重威胁人群的生活质量，是不容忽视的公共卫生问题，须引起足够重视。本文综述了HADAS的命名、影响因素、对机体的影响、诊断分级、治疗和预防等的相关研究进展。

Abstract：Objective To discuss the influence of lifestyle on sarcopenia and provide reference for the prevention and treatment of sarcopenia by changing lifestyle. Methods Through the collation of domestic and foreign literature, the research on the influence of physical activity, static lifestyle, diet and nutrition factors, smoking, drinking and sleep on sarcopenia in the elderly was reviewed. Results Physical activities including resistance exercise, aerobic exercise, traditional Chinese medicine exercise and diet rich in whey protein, creatine, omega-3 polyunsaturated fatty acids are beneficial to the prevention and treatment of sarcopenia. Including sleep, sedentary, lying and other static lifestyle and smoking on the prevention and treatment of sarcopenia adverse. The effect of alcohol consumption and sleep on sarcopenia is unclear. Low levels of non-fasting plasma isoleucine and leucine and low levels of serum vitamin D are strongly associated with sarcopenia. Conclusion To prevent sarcopenia, we encourage people to increase physical activity in their lives, pay attention to eating foods rich in whey protein, creatine and omega-3 polyunsaturated fatty acids, avoid smoking and adopt a sedentary lifestyle. The influence of drinking and sleep on sarcopenia needs further study.

【摘要】   目的   分析不同分型、不同分期、不同病情严重程度的银屑病患者外周血各项指标的变化和意义。方法   选取2013年1月至2014年12月空军特色医学中心皮肤科门诊门诊就诊的70例银屑病患者为病例组，同时匹配70例正常对照者，分别采集病例组、对照组空腹静脉血2 mL送检，比较两组在不同分型、不同分期、不同严重程度的淋巴细胞计数(LC)、嗜中性粒细胞计数(NC)、血小板各参数指标的规律。结果   血小板计数(PLT)、LC、血小板/淋巴细胞比值(PLR)、血小板压积(PCT)在疾病严重程度方面差异无统计学意义(P＞0.05)；NC和中性粒细胞与淋巴细胞比率(NLR)在重度与对照组、轻中度与重度组两两比较，差异有统计学意义(P＜0.05)，NC和NLR可以提示疾病的严重程度，且随病情严重程度而升高；寻常型和特殊型的血小板平均体积(MPV)、血小板体积分布宽度(PDW)与正常对照组相比，差异均有统计学意义(P＜0.05)；不同类型银屑病之间差异无统计学意义(P＞0.05)；MPV与银屑病本病相关，但不同分期银屑病患者差异无统计学意义(P＞0.05)。结论   提示PDW有可能是提示疾病活动性的指标；PCT、NLR、NC下降预示疾病的进展；MPV、PDW、NLR与银屑病本病相关，但不同类型之间差异无统计学意义；NC和NLR可以提示疾病的严重程度，且随病情严重程度而升高；MPV下降不受银屑病分期、分型及皮损严重程度的影响，是由银屑病病理过程直接导致；进行期银屑病患者血小板出现明显大小不一，提示血小板生成和功能异常，并且在静止消退期恢复正常。

Objective   To explore the impact of gut microbiota imbalance on the prognosis of decompensated liver cirrhosis.Methods   A total of 100 patients with decompensated liver cirrhosis in the Third People's Hospital of Zhengzhou from June 2021 to June 2024 were selected as the study group.Routine treatment was given to all patients upon admission,and the abundances of gut microbiota(Bifidobacterium,Lactobacillus,Escherichia coli,Enterococcus) were measured before treatment.Additionally,100 patients with liver cirrhosis compensation and 100 healthy individuals who underwent physical examinations during the same period were included as control group 1 and control group 2,respectively.The gut microbiota of the three groups was compared.After 6 months of follow-up,patients were divided into the good prognosis group and poor prognosis group based on their survival status.Baseline data and gut microbiota counts were compared between the two groups,and Cox regression analysis was used to determine the relationship between gut microbiota and the prognosis of decompensated liver cirrhosis.The receiver operating characteristic(ROC) curve was drawn,analyzing the value of gut microbiota imbalance in predicting the prognosis of decompensated liver cirrhosis.Results   The abundances of Bifidobacterium and Lactobacillus in the study group were significantly lower than the control group 1,and those in the control group 1 were significantly lower than the control group 2.The abundances of Escherichia coli and Enterococcus in the study group were significantly higher than the control group 1,and those in the control group 1 were significantly higher than the control group 2(P<0.05).During the 6-month follow-up period,14 out of 100 patients in the study group died,accounting for 14.00% (14/100).The Child-Pugh grading,model of end-stage liver disease(MELD) score,and proportion of combined malnutrition in the poor prognosis group were significantly different from those in the good prognosis group(P<0.05).The abundances of Bifidobacterium and Lactobacillus in the good prognosis group were significantly higher than the poor prognosis group,while the abundances of Escherichia coli and Enterococcus were significantly lower than the poor prognosis group(P<0.05).According to Cox regression analysis,Child-Pugh grading,MELD score,combined malnutrition,Bifidobacterium,Lactobacillus,Escherichia coli,and Enterococcus were significantly correlated with the prognosis of decompensated cirrhosis(P<0.05).ROC curveshowed that the area under the curve(AUC) of abundances of Bifidobacterium,Lactobacillus,Escherichia coli,and Enterococcus in predicting the prognosis of decompensated liver cirrhosis alone or in combination was all greater than 0.7,which had certain predictive value,and the combined predictive value was higher.Conclusion  Patients with decompensated liver cirrhosis have a higher probability of experiencing gut microbiota imbalance,and gut microbiota imbalance can increase the risk of poor prognosis in patients with decompensated cirrhosis,and can predict patient prognosis to some extent.

Objective To conduct bibliometric analysis on clinical randomized controlled trials of TCM nursing technology, and review the research hotspots in this field since the establishment of database. Methods CNKI, Wanfang, VIP, CBM, PubMed, EMbase, Medline, The Cochrane Library and Web of Science were searched by computer Including 9 large database, retrieval words "scrapping", "cupping", "grain moxibustion", "separated moxibustion", "suspension moxibustion", "wax therapy", "acupoint application", "Chinese medicine bubble wash", "acupoint??injection", "traditional chinese medicine cold compress", "Chinese traditional medicine wet hot compress", "traditional chinese medicine coating", "Chinese medicine fumigation", "Chinese medicine hot ironing apply", "Chinese medicine iontophoresis", "auricular application pressure", "Acupoint massage", "traditional Chinese medicine enema", "random", "randomized control" and "RCT" were retrieved from the establishment of the database to June 2022. The visual analysis software VOSviewer 1.6.13 was used to conduct knowledge map analysis on the retrieved literature, and intuitively show the research hotspots of clinical randomized controlled trials of TCM nursing technology in recent years. Results A total of 37,669 literatures (including 35867 Chinese literatures and 1802 English literatures) were retrieved, and 8158 literatures were selected according to the inclusion and exclusion criteria. Conclusion In recent years, the number of articles published in clinical RCT research of TCM nursing technology has been increasing year by year. From the visual analysis, it can be seen that the number of articles published in acupoint injection, TCM enema and acupoint application is more, while the development rate of TCM nursing techniques such as hanging moxibustion, TCM cold compress, TCM wet hot compress and TCM hot pressing is relatively low.

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.

Objective   To compare the efficacy of percutaneous poking reduction and fixation with open reduction by internal fixation for Sanders type Ⅲ calcaneal fractures.Methods   A total of 90 patients with Sanders type Ⅲcalcaneal fractures treated in the Xinyu People's Hospital from April 2020 to April 2024 were prospectively selected.Patients were randomly assigned to control group (open reduction internal fixation) and study group (percutaneous poking reduction and fixation),with 45 cases per group.They were postoperatively followed up for 1 year.Postoperative excellent-good rate,Bohler's angle,Gissane's angle,surgical metrics,and complications were compared.Results   Postoperative excellent-good rates(88.89% VS 86.67%),and preoperative and postoperative Bohler's angle and Gissane's angle were comparable between groups (all P>0.05).Postoperative Bohler's and Gissane's angles were significantly elevated in both groups compared to preoperative values.The study group demonstrated significantly shorter operative time,less intraoperative bleeding,smaller incisions,and shorter hospitalization than the control group,along with a lower complication rate (4.44% VS 20.00%) (all P<0.05).Conclusion   Both techniques achieve favorable outcomes and functional recovery,while percutaneous poking reduction and fixation demonstrates superior surgical metrics,fewer complications,and enhanced patient recovery potential.

Objective   To investigate the effect of one-piece ultrasonic concentric puncture in percutaneous nephrolithotomy(PCNL).Methods   A total of 120 patients with upper urinary tract stones who received PCNL in Fuzhou Dongxiang District People's Hospital from January 2024 to March 2025 were selected.They were randomly divided into two groups with 60 cases in each group according to random number table method.Non-concentric puncture was performed in the control group,and one-piece ultrasound concentric puncture was performed in the study group.The perioperative indexes,hemostasis under blood transfusion and intervention,puncture accuracy,puncture time and postoperative complications were compared between the two groups.Results   The operation time ([27.44±4.36]min VS [37.25±4.51]min) and the total hospital stay ([4.03±1.06]d VS [5.12±1.12]d) of the study group were both significantly shorter than those of the control group(P<0.05).Postoperative blood loss within 24 h ([9.55±2.12]g/L VS [13.35±2.62]g/L) and intraoperative blood loss ([9.55±1.65]mL VS [16.25±2.35]mL) were significantly less in the study group than those of the control group(P<0.05).Blood transfusion treatment and hemostasis under intervention were not reported in the study group,showing no significant differences than the control group (3.33% and 1.67%,respectively),P>0.05.The one-time puncture success rate (90.00% VS 75.00%) and the total puncture success rate (100% VS 90.00%) of the study group were significantly higher than those of the control group(P<0.05).Significantly shorter duration of puncture ([4.81±0.66]min VS [6.25±1.21]min) and lower incidence of postoperative complications (5.00% VS 16.67%) were detected in the study group than the control group(P<0.05).Conclusion   One-piece ultrasound concentric puncture during PCNL operation can reduce blood loss,improve puncture accuracy,shorten puncture time,reduce the incidence of postoperative complications and promote rehabilitation.

【摘要】 目的 探究马拉色菌毛囊炎患者应用中药熏洗联合远红外线治疗的临床疗效。方法 选取新乡市中心医院2019年1月至2020年1月收治的78例拉色菌毛囊炎患者，按照随机数字表分为联用组(n=39，中药熏洗联合远红外线治疗)和常规组(n=39，远红外线治疗)。比较两组患者治疗4周后临床疗效、治疗前及治疗4周后的血清免疫球蛋白G(IgG)、免疫球蛋白M(IgM)、C反应蛋白(CRP)水平及不良反应发生情况。结果 观察组总有效率(37/39，94.87%)高于对照组(31/39，79.48%)(P＜0.05)；治疗4周后观察组IgG、IgM及CRP水平[(8.21±1.06)g/L、(2.86±0.37)g/L、(5.52±0.98)mg/mL]均低于对照组[(10.69±2.13)g/L、(3.15±0.62)g/L、(7.29±1.06)mg/mL](P＜0.05)；观察组总体不良反应发生率(3/39，7.69%)明显低于对照组(10/39，25.64%)(P＜0.05)。结论 中药熏洗联合远红外线治疗马拉色菌毛囊炎疗效更佳，可改善机体免疫及炎症反应，避免不良反应的发生。

Objective   Based on the mechanisms of Qi and Jin injuries,this study investigated the clinical efficacy of traditional Chinese medicine Shengmai Decoctionin treating gout induced by exercise fatigue.Methods   A total of 132 gout patients induced by exercise fatigue from April 2020 to December 2024 were selected and randomly divided into the control group(65 cases) and study group(67 cases) using the envelope method.Patients in both groups were treated with colchicine and meloxicam,and those in the study group were additionally given oral Shengmai Decoction.The total effective rate,pain severity score,pain duration,fatigue score,and changes in blood uric acid and creatine kinase levels were compared between groups.Results   After treatment,the total effective rate of the study group was significantly higher than that of the control group,and the duration of pain was significantly shorter than that of the control group ([48.95±8.74]h VS [56.32±9.05]h,P<0.05).The scores of pain degree ([1.65±0.61]points VS [2.38±0.76]points) and fatigue degree ([25.45±10.83]points VS [35.69±11.02]points) were significantly lower in the study group than the control group(P<0.05).Blood uric acid ([365.83±64.25]μmmoL/L VS [423.75±69.38]μmmoL/L) and creatine kinase ([172.41±44.63]U/L VS [285.36±59.45]U/L) were significantly lower in the study group than the control group (P<0.05).Conclusion   Qi and Jin injuries are the early pathogenesis of gout attacks after exercise fatigue,and traditional Chinese medicine Shengmai Decoction has shown good clinical efficacy in treating them.

Objective   To analyze the comprehensive rehabilitation effect of Dandong Wulongbei Hot Spring combined with Tai-Chi therapy on hypertension patients.Methods   A total of 254 hypertension patients who participated in the rehabilitation in Wulongbei Sanatorium Area of Dalian Rehabilitation and Sanatorium Center from April 2022 to April 2024 were selected.They were randomly divided into the control group and experimental group using a random number table method,with 127 cases in each group.Patients in both groups were medicated with oral amlodipine tablets,while those in the experimental group were additionally treated with hot spring combined with Tai-Chi therapy.Blood pressure levels,anxiety scores,body mass index(BMI),and sleep latency,sleep duration,subjective sleep quality and use of sleeping medication in the Pittsburgh sleep quality index(PSQI) after 3 months of treatment were compared between groups.Results   There was no significant difference in the pre-treatment blood pressure between groups(P>0.05).After three months of intervention,the systolic blood pressure ([125.61±7.14]mmHg VS [137.65±5.32]mmHg,1 mmHg=0.133 kPa) and diastolic blood pressure ([75.30±4.10]mmHg VS [83.80±3.40]mmHg) in the experimental group were significantly lower than the control group(P<0.05).The self-rating anxiety scale (SAS) score was significantly lower in the experimental group than the control group ([32.19±4.72]points VS [39.29±5.45]points, P<0.05).After interventions,the sleep duration score in the control group was significantly lower than the pre-treatment value ([2.23±0.69]points  VS  [2.72±0.34]points,P<0.05).In the experimental group,post-treatment scores of sleep latency ([1.68±0.19]points VS [2.71±0.46]points),sleep duration ([1.78±0.43]points VS [2.67±0.85]points) and sleep quality ([1.56±0.72]points VS [2.52±0.26]points) were significantly decreased(P<0.05).Post-treatment scores of sleep latency and sleep quality were elevated in the control group,although no significant differences were detected.Post-treatment outcomes were more reduced in the experimental group than the control group(P<0.05).Pre-treatment BMI was comparable between groups(P>0.05),and it was reduced in both groups after treatment,but no significant difference was detected between groups(P>0.05).Dosages of sleep medications after treatment were significantly lower in the experimental group than the control group([4.08±1.43]mg VS [5.35±1.74]mg,P<0.05).Conclusion   Dandong Wulongbei Hot Spring combined with Tai-Chi therapy shows pronounced outcome of comprehensive rehabilitation of hypertension.

Objective   To explore the clinical efficacy of Sancao Lidan Decoction in treating cholecystitis of liver-gallbladder damp-heat type.Methods   A total of 82 patients with cholecystitis of liver-gallbladder damp-heat type treated in the Dancheng County Hospital of TCM from May 2023 to May 2024 were selected as the research objects.They were divided into the study group(n=41,receiving basic treatment plus Sancao Lidan Decoction) and control group(n=41,receiving basic treatment) according to different treatment methods.The treatment effects and adverse events of the two groups were compared.The traditional Chinese medicine(TCM) syndrome scores,imaging indicators,and serum indicators (total bile acid[TBA],aspartate aminotransferase[AST],gallbladder contractile function,gallbladder wall thickness) before and after treatment,and inflammatory indicators (tumor necrosis factor-α[TNF-α],interleukin-8 [IL-8],interleukin-6[IL-6]) were compared.Results   After 6 weeks of treatment,the total effective rate in the study group was significantly higher than that in the control group (92.68% VS 63.41%,P<0.05).After 6 weeks of treatment,the scores for TCM symptoms,such as bitter taste in the mouth,dry mouth,right flank pain,abdominal distension,and heavy body feeling and fatigue were significantly lower in the study group than the control group(P<0.05).After 6 weeks of treatment,the levels of TBA,gallbladder wall thickness,and AST in the study group were significantly lower than those in the control group,while the gallbladder contraction function was highe(P<0.05).After 6 weeks of treatment,the levels of serum TNF-α,IL-8,and IL-6 in the study group were significantly lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse events between the study group and the control group (9.76% VS 4.88%,P>0.05).Conclusion   For patients with cholecystitis of liver-gallbladder damp-heat type,Sancao Lidan Decoction can improve treatment efficacy and imaging indicators,reduce inflammatory response,and promote rapid recovery.

【Abstract】 Stroke is a kind of disease caused by acute cerebral circulation disorder,which is a common and frequently- occurring disease in clinic with rapid onset,rapid development and many changes.The incidence has been on the rise in recent years. Post-stroke constipation is one of the common complications of stroke, which increases year by year with the  high  incidence  of stroke, and  may  also  become  the  cause  of  stroke, which  seriously  affects  the  quality  of  life  of patients and increases the economic burden.At present,there are many kinds of clinical treatment.Oral administration of drugs to promote gastric secretion,and promote gastrointestinal motility is commonly used in Western medicine,but long- term use will produce flatulence, abdominal pain, intestinal dysfunction, drug dependence and other  side effects. Chinese medicine  has  accumulated  rich   clinical  experience  in  the  understanding   and  treatment   of  post-stroke  constipation. Starting from the overall concept,Chinese medicine,acupuncture,moxibustion,umbilical acupuncture,acupoint application, comprehensive therapy and other treatments can stimulate the function of the viscera,promote gastrointestinal peristalsis, significantly improve the clinical symptoms of patients,and achieve significant effects.The author makes a review of the clinical research literature in recent years on the treatment of post-stroke constipation by traditional Chinese medicine in order to provide some support and help for the clinical treatment of this disease.

Objective   To explore the application value of suspension techniques combined with functional training in the rehabilitation of staff for special services with knee joint injuries.Methods   A total of 110 patients with knee joint injuries treated from December 2023 to December 2024 were selected.They were randomly divided into two groups, each consisting of 55 patients.Patients in the control group received routine care,while those in the observation group underwent suspension techniques combined with functional training.Knee function, pain level and quality of life before and after treatment were compared between groups.Results   Before interventions,there were no significant differences in the scores of pain, function,range of motion,muscle strength, flexion deformation,and stability between the two groups(all P>0.05).After interventions,the HSS scores of the observation group were higher than those of the control group, and the differences were statistically significant(P<0.05).Before interventions,there was no difference in the numerical rating scale(NRS) scores between the two groups(P>0.05).NRS score after interventions was significantly lower in the observation group than the control group([2.11±0.24]points VS [4.08±0.23]points, P<0.001).The score of quality of life before interventions was comparable between group(P=0.104), which, after interventions, was significantly higher in the observation group than the control group(t=68.773,P<0.001).Conclusion   The combination of suspension techniques and functional training is effective in treating knee joint injuries.It not only significantly improves knee joint function but also helps to alleviate pain and enhance quality of life,making it a recommended approach.

Objective:To investigate the influencing factors of demoralization syndrome in Chinese cancer patients and to provide evidence for intervention. Methods:Literature on demoralization syndrome in Chinese cancer patients published before July 2022 was retrieved from Web of Science， PubMed， EMbase， Cochrane Library， Psycinfo， CNKI， VIP， Wanf-ang Database and China Biomedical Literature Database. Pooled opinion method was used for qualitative analysis. Results:A total of 27 literatures including 6176 cancer patients were included. Qualitative analysis results showed that Chinese cancer patients demoralised generally， level is differ， the main influence factors for the culture degree， income， social support， postoperative time， yield response and tumor stage， secondary factors for self feelburden， pain， depression and anxiety， influence factors is unknown for gender， age， and avoidance response. Conclusion:Demoralization syndrome is common in Chinese cancer patients and the overall level is high, which needs to be paid attention to. Medical staff can implement intervention according to the risk factors and protective factors of demoralization to reduce the level of demoralization or prevent the occurrence of demoralization.

Abstract: Orthopedics and traumatology of traditional Chinese medicine has distinctive characteristics, and the theory of soft tissue and bones is of great significance in guiding clinical practice. The theory of soft tissues and bones is the classic theory of orthopedics and traumatology of traditional Chinese medicine, but the theory of soft tissues and bones is scattered and recorded in various classics. The relationship between soft tissues and bones has not been systematically elaborated, especially the relationship between physiology, pathology and treatment principles are sporadic. According to the comprehensive literature, the relationship between the tendon and bone content in the theory of soft tissues and bones is mainly reflected in the following aspects: physiologically, the tendon and bone complement each other, which is manifested in the combination of the tendon and bone, the tendon and the tendon are soft, the tendon and bone are strong,, and the tendon and bone are mutually used; Pathologically, there are mutual effects, such as muscle relaxation and bone flaccidity, muscle stagnation and bone dislocation, bone dislocation and tendon displacement, bone fracture and tendon separation, etc; In the treatment, the same differentiation and treatment are manifested as: managing soft tissues and setting bones, paying equal attention to soft tissues and bones, balancing soft tissues and bones, adjusting soft tissues and bones, and treating root causes together. The clinical practice of bone injury follows the guiding principle of the theory of soft tissues and bones. Both internal and external treatment need to be combined with disease differentiation and syndrome differentiation, and at the same time, "differentiation of bones and soft tissues".

【Abstract】 Objective   To  explore the effect and application value of traditional  Chinese medicine(TCM) acupuncture and massage on piriformis syndrome in staff for special services. Methods   A total of 68 staff for special services with piriformis  syndrome  admitted  to  a   Special   Service  Rehabilitation   Center  from  August  2021  to  August  2023  were enrolled. According to the random number table method, they were randomly divided into the control group(n=34) and study  group(n=34). Acupuncture  was  applied  to  all  participants, and  those  in  the  study  group  were  additionally  given massage. The  treatment  effect, the Visual Analogue  Scale(VAS)  score  and  the  Harris  Hip  Score(HHS)  were  compared. Results   The  overall  response rate of the  study group was significantly higher than that of the control group(97.06% VS  73.53%, r<0.05). Significantly  lower VAS  score  and higher HHS  after treatment were  detected  in the  study  group than those of the control group(r<0.05). The TCM syndrome score of the study group after treatment was significantly lower than that of the control group(r<0.05). Conclusion TCM  acupuncture and massage in the treatment of piriformis syndrome  in  staff  for   special  services  can  effectively  improve  the  treatment  effect, reduce  pain, alleviate   clinical symptoms,and be of great benefit to the improvement of functional activity.

【Abstract】 Objective   To observe the effect of acupuncture combined with core  stability training on the rehabilitation of adolescent idiopathic scoliosis(AIS). Methods   This was  a prospective study involving  102 AIS patients  admitted to Zhengzhou Traditional Chinese Medicine Orthopedics Hospital from April 2021 to October 2022.Based on the principle of randomization and control, they were randomly divided into the training group(51 cases) and combination group(51 cases) by  computer  grouping. Patients  in  both  groups  were  given  core  stability  training, and  those  in  the  combination group  were   additionally  managed  by   acupuncture. All  patients  were   followed  up   for   one  year   after  treatment. Rehabilitation progress, pain, spinal morphology, spinal function, and prognosis were compared. Results   The  mean  time of single leg  stance with  eyes  open  and  close was  significantly  longer in the  combination  group than that of training group,while the time of off-bed activity and length of stay were significantly shorter.The Cobb angle of the combination group after 7 and 14 days of treatment was significantly smaller than that of the training group.The spinal rotation angle was significantly smaller in the combination group than that of the training group.The Oswestry disability index(ODI) at 6 months and  12 months of follow-up was significantly lower in the combination group than that of training group.The Japanese  orthopaedic  association(JOA)  score was  (20.35±5.36)points VS  (24.45±5.27)points  significantly higher in the combination  group than that  of training group(21.44±5.32)points VS (18.45±3.29)points. As of the end of follow-up, the Scoliosis  Research  Society  22-Item(SRS-22)   score   of  the  combination  group  was  (92.33± 10.26)points  significantly higher than that of the training group(87.45± 10.27)points.The incidence of adverse prognosis was significantly lower in the combination group than that of training group(7.84%  [4/51] VS 23.53%  [12/51], r<0.05). Conclusion   Acupuncture combined with core stability training can enhance the rehabilitation effect of AIS patients,presenting a positive significance in relieving pain,promoting the recovery of spinal morphology and function,and improving the prognosis of patients.

Objective: To investigate the effect of water filtered infrared-A irradiation combined with modulation medium frequency electrotherapy in the treatment of rotator cuff injury. Method: 60 patients with rotator cuff injury were randomly divided into control group and observation group, with 25 cases in each group. The control group performed water filtered infrared-A irradiation. The observation group received water filtered infrared-A irradiation combined with modulation medium frequency electrotherapy. The VAS scores and CMS scores before and after treatment were compared between the two groups. Result: After treatment, the VAS scores and CMS scores of the two groups were significantly improved than those before treatment (P<0.01). These indexes of observation group were significantly better than those of control group after treatment (P<0.05). Conclusion: Water filtered infrared-A irradiation combined with modulation medium frequency electrotherapy can effectively alleviate the pain of patients with rotator cuff injury, and improve the shoulder function in the treatment of rotator cuff injury.

【Abstract】  Post-stroke  central  pain  is  a  serious  condition  that  affects  the  quality  of  life. This  review  provided  a comprehensive  analysis  of  the  research  progress  of  brain-computer  interface(BCI)  technology, antibody  therapy, gene therapy  and  optical neuromodulation  in the treatment  of post-stroke  central pain. BCI technology  is  an  emerging non- pharmacological therapeutic approach that offers a hope for pain relief by  connecting brain signal decoding to external devices,thus achieving the possibility of interventions and modulations of pain  signals.Antibody therapy provides a new pathway for pain management by altering pain perception and transmission via selectively modulating neurotransmitters or   neuroreceptors. Genetic   engineering   is   adopted   in   gene   therapy   to   regulate   pain   transmission   pathways   by manipulating the expressions and functions of cellular genes,providing innovative ideas for the treatment of central pain. Optic neuromodulation technology achieves photoactivation and photoinhibition of neurons through the combination of photosensitisers and light sources,which effectively reduces pain perception and transmission.The safety and efficacy of these  non-pharmacological  treatments   in  the  management   of  post-stroke   central  pain  are  gradually  being  verified, providing new therapeutic options.

【Abstract】 Objective   To  investigate the knowledge  attitude and practices(KAP) status of hospice care for end-stage patients in the Neurology Department of Pingdingshan  Second People's Hospital and its risk factors, and to construct a nomogram. Methods   A total of 150 end-stage patients in the Neurology Department of Pingdingshan  Second People's Hospital from June 2021 to June 2023 were selected as research objects. The KAP status of hospice care in them was surveyed.Based on the mean KAP score,patients were divided into high-level group and low-level group.Clinical data of the  two  groups  were  compared. Multivariate  logistic  regression  was  used  to  analyze  the  influencing  factors  of  KAP status in hospice care for end-stage patients in the neurology department.Based on the influencing factors, a nomogram to predict low-level KAP status of hospice care for end-stage patients in the neurology department was constructed,and its  predictive  value   and  clinical  efficacy  were   evaluated  by  the  receiver  operating  characteristic(ROC)  curves  and decision curve analysis(DCA). Results  A total of 150 end-stage patients in the neurology department were investigated in this study, and the mean KAP score was (115.68± 14.72)points. The attitude score remained highest at (4.02±0.35)points, followed by knowledge score(3.84±0.49)points and behavior score(3.76±0.51)points.Multivariate logistic analysis showed that age,education level,gender,self-care ability,course of disease,pain degree and understanding degree of disease were the influencing  factors  of  low-level  KAP  of  hospice  care  for  end-stage  patients  in  the  neurology  department(r<0.05). Moreover,ROC curve and DCA results confirmed that the area under the curve(AUC) of this predictive model was 0.947, which had good predictive efficacy and could be applied to predict low-level KAP of hospice care for end-stage patients in the neurology  department. Conclusion   KAP  of hospice  care  for  end-stage  patients  in the neurology  department is related  to  self-care  ability, course  of  disease, educational  level  and  other  factors. Nursing  care  providers  can  take  the initiative to provide targeted care to improve KAP of hospice care for end-stage patients in the neurology department.