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  • Application of moxibustion on the umbilicus in patients with diarrhea related to targeted therapy for tumors
    Yin Yanping, Liu Lu, Liu Hongrui
    2025, 57(4): 241-244. https://doi.org/10.3969/j.issn.1006-5571.2025.04.001
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    Objective To observe the effectiveness of umbilical moxibustion treatment in patients with tumor targeted drug-related diarrhea. Methods 68 patients were divided into an observation group of 34 cases and a control group of 34 cases by sealed envelop method. The control group was given one bag of montmorillonite powder and 420mg of Bifidobacterium triple viable enteric coated capsules ,Take each orally with warm water,three times a day. The observation group received umbilical moxibustion treatment on the basis of the control group, once a day for five-cone each time. Both treatment groups have a duration of 2 weeks. comparing the stool frequency, stool consistency, and quality of life（evaluated by KPS score） between two groups of patients before and after treatment. Results After treatment, both groups of patients had a decrease in stool frequency, improvement in stool consistency, and improvement in quality of life. The observation group showed better efficacy than the control group （P<0.05）. Conclusion Umbilical moxibustion can effectively improve the stool frequency, stool consistency, and quality of life of patients with diarrhea caused by tumor targeted drugs.
  • Logistic regression analysis of influencing factors related to the occurrence of radiation esophagitis after radiotherapy for esophageal cancer and discussion of preventive measures
    Li Danli, Jin Linzhi, Yang Yanping, Liu Chenyue
    2025, 57(4): 245-249. https://doi.org/10.3969/j.issn.1006-5571.2025.04.002
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    Objective To explore the related influencing factors of radiation esophagitis（RE）in patients with esophageal cancer （EC） after radiotherapy,and to establish a regression equation to explore its predictive value,so as to provide reference for clinical rational formulation of preventive measures. Methods The clinical data of 202 patients with EC who underwent radiotherapy in Anyang Cancer Hospital from December 2022 to September 2024 were retrospectively analyzed. The patients were divided into RE group （63 cases） and non-RE group （139 cases） according to the occurrence of RE. The influencing factors of RE in EC patients after radiotherapy were analyzed by univariate and multivariate Logistic regression analysis. The regression equation was established,the likelihood ratio χ2 was evaluated,the Hosmer-Lemeshow test was used to test the fitting degree,and the receiver operating characteristic curve （ROC） was drawn to obtain the area under the curve （AUC）. The predictive value of the regression equation for RE in EC patients after radiotherapy was analyzed. Results Multifactorial Logistic regression analysis showed that combined diabetes mellitus （OR=2.933,95%CI：1.822~4.772）,having hypoproteinemia （OR=1.093,95% CI：1.043~1.146）,combined hypertension （OR=2.779,95%CI：1.885~4.096）,the tumor location of the neck segment （OR=2.145,95%CI：1.380~3.333）,concurrent chemotherapy （OR=2.522,95%CI：1.661~3.829） and mean irradiation dose to target area ≥30 Gy （OR=1.102,95%CI：1.043~1.164） were independent risk factors for the development of RE after radiotherapy in EC patients （P<0.05）. The AUC value of the constructed regression equation for predicting the occurrence of RE after radiotherapy in EC patients was 0.855,with a 95% CI of 0.799~0.900,a sensitivity of 76.19%,and a specificity of 82.73%. Conclusion The occurrence of RE after radiotherapy in patients with EC were closely related to the combination of diabetes mellitus,hypoproteinemia,hypertension,tumor location in the cervical segment,concurrent chemotherapy,and an average irradiation dose to target area≥30 Gy. The regression equation established accordingly could better predict RE after radiotherapy in EC patients,which could provide reference for clinical decision-making.
  • Clinical efficacy of ultra early rehabilitation training based on virtual reality technology in preventing postoperative coughing in patients with posterior cranial fossa tumors
    Zeng Shuiying, Huang Yujing, Yang Wenting
    2025, 57(4): 250-253. https://doi.org/10.3969/j.issn.1006-5571.2025.04.003
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    Objective To explore the clinical efficacy of ultra early rehabilitation training based on virtual reality technology （VR） in preventing postoperative coughing in patients with posterior cranial fossa tumors. Methods 80 patients with posterior cranial fossa tumors admitted to the hospital from February 2023 to March 2024 were selected and randomly divided into a control group （40 cases） and an observation group（40 cases）by a random number table;Both groups underwent surgical treatment,with the control group receiving routine care and the observation group receiving VR based ultra early rehabilitation training based on routine care; the swallowing function,occurrence and severity of coughing,adverse events,and anxiety status were compared between two groups. Results The standard swallowing function assessment scale（SSA）score of the observation group was lower than that of the control group after 4 weeks of nursing （P<0.05）;The incidence and the degree of coughing in the observation group was lower than that in the control group,and the incidence of adverse events was lower than that in the control group （P<0.05）;The Hamilton Anxiety Scale（HAMA）of the observation group was lower than that of the control group after 4 weeks of nursing （P<0.05）. Conclusion Early rehabilitation training based on VR can improve swallowing function,prevent coughing,reduce the incidence of adverse events,and improve anxiety in patients with posterior cranial fossa tumors after surgery.
  • Application value of cell free ferrous protoporphyrin detection combined with narrow band imaging endoscopy and aniline blue staining in early diagnosis of nasopharyngeal carcinoma
    Zhao Fenxia, Li Yi, Zhao Yanling, Du Zhiwei
    2025, 57(4): 254-258. https://doi.org/10.3969/j.issn.1006-5571.2025.04.004
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    Objective To analyze the effect of combining three detection methods-cell free ferrous protoporphyrin （FH） detection combined with narrow band imaging （NBI） endoscopy,and aniline blue staining-in the early diagnosis of nasopharyngeal carcinoma. Methods 108 patients with suspected early nasopharyngeal carcinoma were selected. FH detection,NBI endoscopy and aniline blue staining were performed respectively. Using pathological results as the gold standard,the diagnostic results obtained by the three methods alone and in combination were compared with the diagnostic results obtained by pathological examination,and the sensitivity,specificity and accuracy rate of the three methods in the early diagnosis of nasopharyngeal carcinoma were observed. Results Pathological diagnosis showed that 47 cases were positive for nasopharyngeal carcinoma and 61 cases were negative for nasopharyngeal carcinoma. Among the positive subjects,there were 22 cases of T1 stage and 25 cases of T2 stage,and there were 30 cases of undifferentiated type and 17 cases of keratinized type. FH detection showed that 58 cases were positive for nasopharyngeal carcinoma,20 cases were misdiagnosed and 9 cases were missed. NBI endoscopy showed that 55 cases were positive for nasopharyngeal carcinoma,14 cases were misdiagnosed and 6 cases were missed. Aniline blue staining showed that 42 cases were positive for nasopharyngeal carcinoma,6 cases were misdiagnosed and 11 cases were missed. The combined application of the three examination methods showed that 70 cases were positive for nasopharyngeal carcinoma,24 cases were misdiagnosed,and 1 case was missed. There were no significant differences in the results of FH detection,NBI endoscopy,aniline blue staining and the combination of the three methods in the diagnosis of early nasopharyngeal carcinoma patients with different pathological stages and pathological types （P> 0.05）. The sensitivities of the three examination methods in the diagnosis of early nasopharyngeal carcinoma were 80.85%,87.23%,76.60% and 97.87%,and the specificities were 67.21%,77.05%,90.16%and 60.66%,and the accuracy rates were 73.15%,81.48%,84.26% and 76.85% respectively. The combined use of the three examination methods demonstrated higher sensitivity and lower specificity in the diagnosis of early-stage nasopharyngeal carcinoma compared to their individual application,with the differences being statistically significant （P< 0.05）. Conclusion Although FH detection plus NBI endoscopy,aniline blue staining in the early diagnosis of nasopharyngeal carcinoma has poor specificity,it can significantly improve the sensitivity of early diagnosis of nasopharyngeal carcinoma,and has high accuracy rate.
  • Correlation analysis between the types of mycoplasma and chlamydial genital tract infections and their cervical mucus inflammatory factor levels in female infertility patients
    Fu Lixia, Chang Xiaobo, Ouyang Congcong, Xin Jialing
    2025, 57(4): 259-264. https://doi.org/10.3969/j.issn.1006-5571.2025.04.005
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    Objective To analyze the correlation between the types of mycoplasma and chlamydia genital tract and cervical mucus inflammatory factors in female infertility patients. Methods 120 female infertility patients were prospectively selected from January 2022 to November 2024 at our hospital,and baseline data were collected. Multivariate linear regression was employed to analyze the influencing factors of tumor necrosis factor-α（TNF-α）and interferon-γ （IFN-γ）in these patients. The study further examined correlations between Mycoplasma positivity status,Chlamydia positivity status,Mycoplasma species,Chlamydia species,and both TNF-α and IFN-γ levels. Results In this study,120 female infertility patients had mycoplasma and chlamydia infections in 68 cases with infection rate of 56.67%,the positive composition ratio of mycoplasma in infection mode was 66.18%（45/68）,the positive composition ratio of chlamydia was 14.70%（10/68）,and the mixed positive composition ratio was 19.12%（13/68）. Among them,82 pathogens were detected in infected patients,67 mycoplasma strains （81.71%）,Uu （56.10%） had the highest proportion,and 15 strains of chlamydia Ct （18.29%）. The results of univariate analysis showed that infertility types,vaginal microecological imbalance and infection types were significantly different between TNF-α and IFN-γ （all P<0.05）. The results of multiple linear regression analysis showed that the type of infertility （secondary）,vaginal microecological imbalance and infection type （Uu,Mg,Mh,Ct and mixed infection） were independent influencing factors of TNF-α and IFN-γ in female infertility patients （all P< 0.05）. Conclusion The main pathogen infection in female infertility patients is mycoplasma. The types of infertility （secondary）,vaginal microecological imbalance,and infection types （Uu,Mg,Mh,Ct and mixed infections） are related to the levels of inflammatory factors in cervical mucus of female infertility patients. We especially need to closely monitor such patients and personalized plan,in order to promote female reproductive health.
  • Effects of ultrasound-guided brachial plexus block combined with sevoflurane inhalation anesthesia on perioperative hemodynamics,pain stress and postoperative sleep quality in elderly patients with humeral fracture
    Wang You, Hua Yachao, Qiu Weihua
    2025, 57(4): 265-269. https://doi.org/10.3969/j.issn.1006-5571.2025.04.006
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    Objective To investigate the effects of ultrasound-guided brachial plexus block combined with sevoflurane inhalation anesthesia on perioperative hemodynamics,pain stress and postoperative sleep quality in elderly patients with humeral fracture. Methods From October 2022 to March 2024,100 elderly patients who were admitted to Leping Hospital of Traditional Chinese Medicine and scheduled for humeral fracture surgery were prospectively selected. These patients were randomly allocated into the control group and the experimental group,each consisting of 40 cases. The control group received ultrasound guided brachial plexus block,and the observation group received ultrasound guided brachial plexus block combined with sevoflurane inhalation anesthesia. Hemodynamics,pain stress and postoperative sleep quality were compared between the two groups. Results After treatment,heart rate （HR） and mean arterial pressure（MAP） of the two groups decreased first and then increased,and the values in the observation group was higher than those in the control group （P< 0.05 for all）. After treatment,prostaglandin E2（PGE2）and substance P （SP） decreased,visual analogue scale （VAS） increased,and the values in the observation group was lower than those in the control group （P< 0.05 for all）. After treatment,Richards-Campbell Sleep Scale （RCSQ） increased in both groups,and the values in the observation group was higher than those in the control group （P< 0.05）. The length of hospital stay,hospitalization cost and number of additional morphine analgesia in the observation group were lower than those in the control group （all P<0.05）. The adverse reactions in the control group were higher than those in the observation group （P> 0.05）. Conclusion The use of ultrasound-guided brachial plexus block combined with sevoflurane inhalation anesthesia in elderly patients with humeral fracture can improve perioperative hemodynamics,reduce pain stress and improve postoperative sleep quality.
  • Investigation and analysis of bloodborne occupational exposure status of Medical Personnel in Anshun city,Guizhou province
    Li Xi Ran, Zhang Junli, Hu Liuling
    2025, 57(4): 270-274. https://doi.org/10.3969/j.issn.1006-5571.2025.04.007
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    Objective To analyze the causes and influencing factors of blood borne occupational exposure among medical personnel in Anshun City,Guizhou Province,and provide a basis for improving medical safety. Methods A questionnaire survey was conducted to review the occurrence of blood borne occupational exposure and the assessment of occupational exposure related knowledge among 584 medical staff in Anshun City from 2019 to 2024. T-tests were used to compare the differences among different populations,and logistic regression analysis was conducted to identify the risk factors for occupational exposure and the impact of occupational exposure related knowledge. Results There was no significant difference in occupational exposure rates among different genders,hospital levels,age groups,length of service groups,personnel categories,and departments （P> 0.05）;The most common exposure method is darp instrument injury （77.42%）,with significant differences （P< 0.01）among different methods;The most common exposure source is the syringe,and the proportion of different exposure sources varies（P< 0.05）;The top three reasons for exposure analysis were lack of concentration（51.61%）,overwork,and double handed needle cap retraction (45.16%),with no significant difference between different reasons （P> 0.05）. Regression analysis results showed that two factors,unfamiliarity with the program and fear of accountability,which had a statistically significant impact on whether occupational exposure occurred（P< 0.05）. The risk of unfamiliarity with the program increased by 3.3 times,the risk of fear of accountability increased by 3.2 times,and the score of occupational exposure knowledge assessment for males was significantly lower than that for females（P< 0.01）. The assessment scores for second and third level hospitals were significantly higher than those for first level and below personnel （P< 0.01）;The regression analysis results of the assessment scores show that gender,hospital level,and department staff age have a positive predictive effect,while personnel category has a negative predictive effect. Conclusion Refine the workflow and strictly implement it,strengthen training for all staff in grassroots institutions,and arrange positions reasonably according to personnel characteristics. Investigation and analysis of exposure status
  • Application value of multimodal brain monitoring system in predicting the prognosis of patients with severe craniocerebral injury undergoing decompressive craniectomy
    Feng Cuiling, Tian Jinying, Wang Shufeng
    2025, 57(4): 275-278. https://doi.org/10.3969/j.issn.1006-5571.2025.04.008
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    Objective To explore the application value of multimodal brain monitoring system in predicting the prognosis of patients with severe craniocerebral injury undergoing decompressive craniectomy. Methods A total of 102 patients with severe craniocerebral injury treated at our Hospital from February 2023 to August 2024 were collected. They were divided into a good prognosis group and a poor prognosis group based on the Glasgow Outcome Scale （GOS）. The clinical data and parameters related to the multimodal brain monitoring system were compared between the two groups. Spearman's correlation and Pearson's correlation were used to analyze the correlation. The receiver operating characteristic （ROC）curve was used to analyze the predictive value. Results Injury-to-admission time of≤6 hours and proportion of normal pupil response upon admission of patients in the good prognosis group were higher than those in the poor prognosis group,and the differences were statistically significant （P<0.05）. The cerebral oxygen partial pressure,blood flow velocity during the contraction peak （Vs）,and mean blood flow velocity （Vm）of the poor prognosis group were lower than those of the good prognosis group,while intracranial pressure and pulsatility index （PI） were higher than those of the good prognosis group,and the differences were statistically significant （P<0.05）. Cerebral oxygen partial pressure values,Vs and Vm were negatively correlated with prognosis,while intracranial pressure values,PI,injury-to-admission time,and pupil response upon admission were positively correlated with prognosis （P< 0.05）. The area under the curve of the multimodal brain monitoring system for predicting poor prognosis in patients with severe craniocerebral injury was 0.868,with optimal predictive sensitivity and specificity of 93.62% and 80.00%,respectively,both significantly higher than those of individual indicators （P< 0.05）. Conclusion The parameters of the multimodal brain monitoring system are closely correlated with the prognosis of patients with severe craniocerebral injury,which is helpful for clinicians to predict patient prognosis,modify treatment plans in a timely manner,and improve patient outcomes.
  • Effects of ultrasound-guided FNB complex general anesthesia on hemodynamic indexes and pain level of patients undergoing knee arthroscopy
    Zeng Chuiying, Xie Bingfeng, Lai Yue
    2025, 57(4): 279-282. https://doi.org/10.3969/j.issn.1006-5571.2025.04.009
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    Objective To investigate the effects of ultrasound-guided femoral nerve block（FNB）combined with general anesthesia on hemodynamic indexes and pain level of patients undergoing knee arthroscopy. Methods A total of 99 cases of knee arthroscopy patients admitted in this hospital from January 2024 to April 2025 were included,and were divided into observation group（50 cases in total）and control group（49 cases in total）by randomized number table method. The general anesthesia was applied to the control group,while the ultrasonography-guided FNB compound general anesthesia was applied to the observation group. At 4 h,8 h,12 h and 24 h postoperatively,the pain level [visual analog score （VAS）] was compared between the two groups;Before anesthesia （T0）,at the time of intubation （T1）,at the time of skin incision （T2）,at the time of the end of the operation （T3）,the hemodynamic indexes of the patients [heart rate （HR）,and mean arterial pressure （MAP）] and the dverse reactions were recorded. Results Compared with the control group,the observation group used less propofol and had shorter awakening time and orientation recovery time （P<0.05）;Compared with the control group,the observation group had lower VAS scores at all postoperative time points and a lower incidence of adverse reactions （P<0.05）. Comparison of HR and MAP at T0 and T3 between the two groups showed no statistical difference （P> 0.05）;At T1 and T2,MAP and HR were higher than that at T0 in the control group（P<0.05）;MAP and HR were lower in the observation group than that in the control group at T1-T2 （P<0.05）. Conclusion Ultrasound-guided FNB compound general anesthesia can stabilize intraoperative hemodynamic indexes of knee arthroscopy patients,reduce postoperative pain,and promote anesthesia recovery.
  • Application of stereotactic minimally invasive surgery in the treatment of glioma patients and its impact on neurological function
    Kou Anyu, Sun Ning, Li Dong
    2025, 57(4): 283-287. https://doi.org/10.3969/j.issn.1006-5571.2025.04.010
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    Objective To observe the application effect of Stereotactic Radiosurgery（SRS）on patients with glioma. Methods A prospective clinical controlled trial was conducted on 120 patients with glioma in our hospital from January 2023 to June 2024. After generating random sequence by computer grouping method,the patients were divided into conventional group and minimally invasive group,with 60 cases in each group. The conventional group received conventional craniotomy for glioma resection,and the minimally invasive group received SRS treatment. The patients were followed-up for half a year. The clinical indicators,blood-brain-barrier function,neurological function and complications of the two groups were compared. Results Under different treatment schemes,the operation time,anesthesia time,intraoperative blood loss,ICU stay time,ambulation time and hospitalization time of the minimally invasive group were lower than those of the conventional group （t=14.227,16.935,43.983,12.804,16.160,4.789;P< 0.05）. The MMP9 in the minimally invasive group was lower than that in the conventional group,Occludin（OCLN）,Zonula Occludens1（ZO-1）,CTⅣ was higher than that of the conventional group （t=3.486,2.710,3.152,3.434;P< 0.05）. The levels of GFAP,NSE,NF-L and S100 β in the minimally invasive group were lower than those in the conventional group （t=15.257,3.423,3.533,2.578;P< 0.05）. By the end of follow-up,the incidence of complications in the minimally invasive group was 8.33% （5/60）,which was lower than 23.33%（14/60）in the conventional group （χ2=5.065;P< 0.05）. Conclusion SRS can improve the operation efficiency of patients with glioma,and accelerate the postoperative rehabilitation process of patients,which can effectively reduce blood-brain-barrier injury and nerve function injury,and also has a positive impact on reducing the risk of complications.
  • The observation of the efficacy of multi-slice spiral CT in the diagnosis of acute intestinal obstruction and the coincidence rate in judging its etiology,nature and location
    Sheng Weihua
    2025, 57(4): 288-290. https://doi.org/10.3969/j.issn.1006-5571.2025.04.011
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    Objective To analyze the efficacy of multi-slice spiral CT in the diagnosis of acute intestinal obstruction,and to observe the coincidence rate of multi-slice spiral CT in the judgment of the cause,nature and location of acute intestinal obstruction. Methods A total of 175 patients with intestinal obstruction admitted in our hospital from January 2021 to December 2024 were selected. After admission,all patients received multi-slice spiral CT examination before operation. The surgical pathological examination results were used as the gold standard,and the coincidence rate of multi-slice spiral CT examination in the degree,nature,etiology and location of intestinal obstruction was calculated. Result The total coincidence rate of MSCT in detecting the location of intestinal obstruction was 98.29% （172/175）. The total coincidence rate of MSCT in detecting the cause of intestinal obstruction was 97.71% （171/175）. The total coincidence rate of MSCT in detecting intestinal obstruction was 97.71% （171/175）. The total coincidence rate of MSCT in detecting the degree of intestinal obstruction was 98.29% （172/175）. Conclusion In the diagnosis of patients with acute intestinal obstruction,multi-slice spiral CT examination has high diagnostic efficacy,and has a high coincidence rate in the judgment of the location,nature,etiology and degree of intestinal obstruction.
  • The therapeutic effect of Oxaliplatin and Irinotecan as adjuvant therapy for colorectal cancer with liver metastasis
    Chen Mengyuan, Fan Xiaobin, Chen Xiaotian
    2025, 57(4): 291-294. https://doi.org/10.3969/j.issn.1006-5571.2025.04.012
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    Objective To observe the clinical effect and safety of oxaliplatin and irinotecan in the adjuvant treatment of CRLM. Methods A prospective clinical controlled trial was carried out in 112 patients with CRLM treated in our hospital from March 2023 to March 2024. After generating the random sequence by computer grouping method,the patients were divided into Oxaliplatin group and Irinotecan group,with 56 cases in each group. The Oxaliplatin group was treated with Oxaliplatin+Capecitabine combined with targeted therapy,and the Irinotecan group was treated with Irinotecan+Capecitabine combined with targeted therapy. The patients were followed-up for one year after treatment,and the short-term efficacy and prognosis of the two groups were compared. Results After treatment,the CR and PR of Oxaliplatin group were higher than those of Irinotecan group,and the SD and PD of oxaliplatin group were lower than those of irinotecan group （χ2=4.495,4.762,5.657,8.391;P<0.05）. The levels of CEA,AFP,CA199 and ctDNA in Oxaliplatin group were lower than those in Irinotecan group （t=3.051,3.348,3.207,11.687;P<0.05）. During the follow-up period,the Incidence of adverse reactions in Oxaliplatin group was 26.79% （15/56）,which was lower than 46.43% （26/56） in Irinotecan group （χ2=4.655;P<0.05）. By the end of follow-up,the survival rate,mPFS and mOS of the Oxaliplatin group were higher than those of the conventional group （χ2=4.323,3.261,3.244;P<0.05）. Conclusion Oxaliplatin+Capecitabine combined with targeted therapy is more conducive to improve the short-term efficacy and short-term prognosis of patients with crlm,its therapeutic effect and safety are better than that of Irinotecan,which has higher application value in the anti-tumor treatment of patients with CRLM.
  • Applying the PDCA cycle method to enhance the rational use rate of proton pump inhibitors in inpatients
    Lv Weijie, Yang Xiaoqiu, Wang Zongying, Jin Shuihua
    2025, 57(4): 295-298. https://doi.org/10.3969/j.issn.1006-5571.2025.04.013
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    Objective To reduce the rate of irrational use of proton pump inhibitors（PPIs）among inpatients. Methods A special review of PPIs used by hospitalized patients in 2024 was conducted,and the PDCA cycle management method was applied to improve the rationality rate of PPIs clinical application. Results A total of 729 PPIs inpatient cases were sampled in 2024. Through the PDCA cycle management method,the rate of qualified PPIs medical orders gradually increased from 73.33% in January to 93.98% in December. Conclusion The application of the Plan-Do-Check-Act（PDCA） cycle management method can effectively improve the rationality rate of PPIs clinical application in hospitalized patients.
  • The clinical efficacy of electromyographic biofeedback,suspension training and Kegel exercise in the treatment of female stress urinary incontinence
    Xie Jinhui
    2025, 57(4): 299-302. https://doi.org/10.3969/j.issn.1006-5571.2025.04.014
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    Objective To study the clinical efficacy of electromyographic biofeedback,suspension training and Kegel exercise in the combined treatment of female stress urinary incontinence（SUI）. Methods The case data control analysis method was adopted. Data and information were entered starting from January 2021,and the data entry and comparative analysis were completed in June 2024. During the inclusion period,120 female patients confirmed with SUI were admitted as the basic sample. The groups were divided into the observation group and the control group by the coin-tossing method,with 60 patients in each group. Patients in the control group received Kegel exercise therapy intervention alone,while patients in the observation group received combined treatment of electromyogram biofeedback,suspension training and Kegel exercise. The clinical efficacy evaluation indicators included clinical effective rate,1-hour urine pad test,international Advisory Committee on Urinary Incontinence Questionnaire Scale Score（ICIQ-SF）,pelvic floor muscle strength indicators,and the incidence of adverse reactions. Results The clinical effective rate data of the observation group was significantly higher than that of the control group,and the differences were statistically significant （P<0.05）. After the treatment,the 1h urine pad test and ICIQ-SF score data of the observation group were significantly lower than those of the control group （P<0.05）,but the pelvic floor muscle strength index data of the observation group was significantly higher than that of the control group （P<0.05）. The comparison of the incidence data of adverse reactions between the two groups confirmed that there was no statistically significant difference （P>0.05）. Conclusion The combined treatment of electromyographic biofeedback,suspension training and Kegel exercise for female urinary incontinence （SUI） has a significant effect. It can reduce urine leakage,alleviate symptoms related to SUI,enhance pelvic floor muscle strength,and has a relatively high treatment safety.
  • Comparative observation of functional recovery after anterior hybrid and posterior EODL treatment for multi segmental cervical spondylotic myelopathy
    Yan Zhongfeng, Feng Ke
    2025, 57(4): 303-308. https://doi.org/10.3969/j.issn.1006-5571.2025.04.015
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    Objective To explore the therapeutic effects of anterior hybrid and posterior cervical expansive open-door laminoplasty （EODL） for multilevel cervical spondylotic myelopathy. Methods 104 patients with multi segmental cervical spondylotic myelopathy treated in our hospital from January 2020 to March 2024 were selected and divided into an anterior group （n=54）and a posterior group（n=50）according to the surgical plan. The anterior group received Hybrid surgery,while the posterior group received EODL surgery. The surgical indicators,cervical mobility （ROM）,cervical curvature index （CCI）,Japanese Orthopaedic Association （JOA） score,neck disability index （NDI） score,SF-36 scale physiological function,and general health status dimensions were observed in both groups. Results The surgical time,intraoperative blood loss,postoperative drainage volume,and hospital stay in the anterior group were（170.20 ± 30.20） min,（120.50 ± 19.23） ml,（30.43 ± 9.29） ml,and（10.50 ± 2.54） d,respectively,which were less than those in the posterior group （P<0.05）. The Range of motion of cervical flexion and CCI at 12 months after surgery in the anterior group were （68.21 ± 4.44）° and（19.43 ± 1.73）°,respectively,which were higher than those in the posterior group （P<0.05）.The JOA score of the anterior group at 12 months after surgery was （16.30 ± 0.55）,which was higher than that of the posterior group （P<0.05）,while the NDI score was （1.40 ± 0.35）,which was lower than that of the posterior group（P<0.055）. The physiological function and physiological function scores of the anterior group at 12 months after surgery were （88.92 ± 7.23） points and （84.23 ± 9.92） points,respectively,which were higher than those of the posterior group （P<0.05）.There was no statistically significant difference in complications between the anterior and posterior groups （P> 0.05）. Conclusion The anterior hybrid and posterior EODL treatments all have shown good results in the treatment of multilevel cervical spondylotic myelopathy. Among them,the anterior hybrid surgery has the advantages of short operation time,less bleeding,and significant improvement in cervical mobility etc.
  • Research progress on rehabilitation of motor dysfunction of spastic cerebral palsy
    Lv Wenjie, Pan Yanyan, Liu Xiaofei
    2025, 57(4): 309-312. https://doi.org/10.3969/j.issn.1006-5571.2025.04.016
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    Spasmodic cerebral palsy is a type of cerebral palsy disease characterized by continuous motor dysfunction and abnormal posture. It is accompanied by functional impairments such as sensory,language,cognitive,and psychological dysfunction. In severe cases,it leads to physical disability in limb movement. Currently commonly used treatment methods include drugs,surgery,traditional medicine and modern rehabilitation treatment technology. In the rehabilitation medicine department,traditional medicine and modern rehabilitation treatment technology are the main treatment methods. Through traditional Chinese medicine,acupuncture,early rehabilitation intervention,and exercise training,the meridians can be cleared,effectively reduce limb tone,thereby improving the patient's motor function,delaying the progress of the disease,and improving the patient's daily life and activity ability,which can thus improve the patient's quality of life. This paper mainly reviews the rehabilitation treatment of motor dysfunction in patients with spastic cerebral palsy.
  • Recent advances in the treatment of medial tibial bone defect in total knee arthroplasty
    Zhang Shengjun, Zong Tongyan
    2025, 57(4): 313-316. https://doi.org/10.3969/j.issn.1006-5571.2025.04.017
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    Total knee arthroplasty （TKA） is an effective method for treating end-stage knee joint diseases,but the management of medial tibial bone defects remains a significant challenge in TKA. Reasonable and correct management of medial tibial bone defects is crucial for ensuring prosthesis stability,restoring knee joint function,and improving the quality of life of patients after surgery. This article comprehensively reviews numerous related studies in recent years,systematically expounds on the classification,evaluation methods,and treatment progress of medial tibial bone defects in TKA,aiming to provide references for clinicians.
  • Application and Research on Medical Humanistic Care in Prehospital Emergency Care
    Jiao Xin, Mu Bin, Zhang Lingyan
    2025, 57(4): 317-320. https://doi.org/10.3969/j.issn.1006-5571.2025.04.018
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    With the continuous progress of medical technology and the increasingly stringent requirements of society on the quality of medical services,the pre-hospital emergency care has become more and more important in recent years,witch as a very important link in the healthcare service system. This paper mainly discusses the application and current situation of medical humanistic care in pre-hospital emergency care,analyzes the problems and challenges of humanistic care in pre-hospital emergency care,and puts forward the corresponding improvement measures,through the construction of a humanistic care system,in order to improve the quality of pre-hospital emergency care and provide patients with a more comprehensive,meticulous and humanistic care,so as to provide references for pre-hospital emergency care practice.