Table of Content

01 October 2022, Volume 40 Issue 19

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Association between Cognitive Functions and Grip Strength among the Older Adults: Based on CHARLS Data

SONG Ya-yun

2022, 40(19):  1-5. 

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Objective To explore the association between cognitive functions and grip strength among Chinese older adults. Methods This study analyzed the baseline data of China Health and Retirement Longitudinal Study (CHARLS) collected from May 2011 to March 2012, with 7 833 adults aged 55 years and above recruited, and to explore the association between grip strength and general information, cognitive functions as well as other health factors. Descriptive statistics and multiple linear regression analysis were performed using the software Stata 14.1. Results The sample of this study included 49.4% women, and the average age and grip strength was 64.4 years and 31.1kg. Men (β=-11.004, P<0.001), adults with younger age (β=-0.347, P<0.001), with higher education level (β=0.805, P<0.001; β=1.971, P=0.003), and with urban hukou (β=0.720, P=0.001) had greater grip strength. The grip strength of the older adults with two or more chronic diseases (β=-0.514, P=0.012) was significantly lower than that of the older adults without any chronic disease, and the grip strength of the older adults with disability in activities of daily living (β=-2.238, P<0.001; β=-1.331, P<0.001), depressive symptoms (β=-1.161, P<0.001), and no social activities (β=0.399, P=0.026; β=0.684, P=0.008) was smaller. Telephone interview for cognitive status (TICS) (β=0.139, P=0.001), word recall (β=0.334, P<0.001) and drawing (β=0.781, P<0.001) were significantly associated with grip strength. Conclusion The three cognitive functions of TICS, word recall and drawing are positively associated with the older adults' grip strength. The grip strength can be used as an indicator to identify the cognitive functions of the older adults.

Correlation analysis between positive transcranial Doppler foaming test and pathological features of cerebral infarction

HE Ye, He Ying

2022, 40(19):  5-8. 

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Objective To explore and analysis the correlation between positive control-enhanced tran-scranial doppler (c-TCD) test and pathological features of cerebral infarction. Methods From January 2020 to April 2022, 137 patients with cerebral infarction were selected for diagnosis and treatment in the Third Affiliated Hospital of Soochow University. All patients were examined by c-TCD test, according to the determination of the microbubble signal, there were 73 cases in the positive foaming group and 64 cases in the negative foaming group.The general data, blood routine data, pathological characteristics of all patients were investigated and correlation analysis was carried out. Results In the 137 patients, there were 73 cases were positive by transcranial Doppler foaming test (positive group), accounted for 53.3%, included 40 cases of grade I, 20 cases of grade II, and 13 cases of grade III. There was no significant difference in age, body mass index, years of education and blood pressure compared between the positive group and the negative group (P>0.05). There was no significant difference in blood glucose, D-dimer, fibrinogen, platelet count and hemoglobin compared between the two groups (P>0.05). The score of the scale of paradoxical embolism (RoPE) in the positive group was significantly lower than that in the negative group, and the incidence of disease duration and family history were significantly higher than that of the foaming negative group, the differencewassignificant(P<0.05). The difference was significant in the type and location of infarction between the two groups (P<0.05). In the 73 patients, the Spearman correlation analysis showed that the positive transcranial Doppler foaming test was correlated with the course of disease, infarct type, family history, and infarct location (P<0.05). Logistic regression analysis showed that the course of disease, infarct type, family history, and infarct location were all important factors leaded to a positive transcranial Doppler bubble test (P<0.05). Conclusion Patients with cerebral infarction are often accompanied by positive transcranial Doppler foaming test, and the positive transcranial Doppler foaming test is correlated with the pathological characteristics of cerebral infarction. Therefore, in the screening of the etiology of cryptogenic cerebral infarction, Active use of transcranial Doppler foam testing is required.

Analysis of Screening Results of HIV and Treponema Pallidum among High-risk Groups in Qinghai Plateau

Yixiqiucuo

2022, 40(19):  8-12. 

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Objective To explore the significance of screening for human immunodeficiency virus (HIV) and Treponema pallidum before whole blood collection in high-risk population in Qinghai Plateau. Methods A retrospective analysis method was used. From March 2021 to January 2022, 170 cases of high-risk populations in plateau areas who were screened for HIV and Treponema pallidum in our hospital were selected as the research objects. All the populations were given HIV and Treponema pallidum test, general information of the population and analysis of influencing factors. Results In the 170 cases, there were 34 cases were diagnosed as HIV-positive, accounted for 20.0%. there were 42 cases diagnosed with Treponema pallidum positive, accountedg for 24.7%; among them, 14 cases were combined positive for HIV and Treponema pallidum, accounted for 8.2%. There were significant differences in years of education, income sources, population types, STD knowledge, belief, behavior, and gender comapred between the HIV-positive population and the negative population (P<0.05). There were significant differences in years of education, income sources, STD knowledge, belief, behavior, age, etc. compared between the Treponema pallidum positive population and the negative population (P<0.05). Logistic regression analysis showed that years of education, source of income, population type, and STD knowledge, belief, and behavior were the important factors leaded to HIV positive (P<0.05). Significant factor of spirochete positive (P<0.05). Conclusion TThe positive rate of human immunodeficiency virus and Treponema pallidum before whole blood collection from high-risk groups in Qinghai Plateau is relatively high, and there are co-infections. Years of education, source of income, knowledge, belief, and behavior of STDs in high-risk groups in high-risk groups before whole blood collection in plateau areas Important risk factors for immunodeficiency virus and Treponema pallidum positivity.

Comparison of Curative Effects of Different Spinal Endoscopic Surgery Methods in the Treatment of Lumbar Apinal Stenosis

SHI Hai-jun, MENG Xiang-yu, LIU Zhen, HE Li, LU Wen-ting, YU Chun-xia

2022, 40(19):  12-14. 

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Objective To compare the curative effects of different spinal endoscopic surgery methods in the treatment of lumbar spinal stenosis. Methods 120 patients with lumbar spinal stenosis who were treated in Aksu City People's Hospital from January 2019 to October 2021 were prospectively selected as the research subjects, and the patients were divided into two groups according to the random number table method (60 cases in each group). The control group, the observation group who underwent unilateral dual-channel endoscopy. The surgery-related indicators,clinical efficacy,the Japanese Orthopaedic Association (JOA), the European Disability Index (ODI) and the incidence of complications were compared between the two groups. Results The operation time of the observation group was significantly shorter than that of the control group, the time of getting out of bed and the length of hospital stay were significantly longer than those of the control group (P<0.05). There was no significant difference in intraoperative blood loss between the observation group and the control group (P>0.05). The total effective rate of clinical treatment in the observation group was significantly higher than the control group (P<0.05); the JOA score of the observation group were higher than those of the control group, the ODI score of observafion up was lower in those of control group (P<0.05); The total incidence of complications in the observation was slightly lower than the control group, but the difference was notsignificant (P>0.05). Conclusion Compared with single-channel endoscopic technique, unilateral dual-channel endoscopic technique can shorten the operation time, improve clinical treatment effect, and improve movement disorders, and there is no difference in the safety of the two treatment methods, which can be used in clinical practice.

Clinical Observation of Carrot Caramelized Rice Paste Applied to Diarrhea in Patients with Cerebral Ischemic Stroke

LU Gu-qin, CAO Rui-li, WU Hui

2022, 40(19):  152-155. 

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Objective To observe the therapeutic effect of Carrot caramelized rice paste on patients with cerebral ischemic stroke complicated with diarrhea. Methods Seventy-six patients with cerebral ischemic stroke complicated with diarrhea in the department of Neurology of our hospital from July 2019 to July 2021 were enrolled. According to random grouping methodthe subjects were divided into observation group and control group, 38 cases in each group. Observation group was given Carrot caramelized rice paste 100 mL/ timetwice a day, nasogastric tube push injection. The control group was given Probiotic preparation (miya) take two tablets twice a day, nasogastric tube push injection. The difference of diarrhea improvement and recovery time, the time for enteral nutrition to reach full amount between the two groups were compared. Results In the observation group, diarrhea was controlled at about 3 days, and enteral nutrition was achieved at about 7 days. The control group was controlled at 8 days and reached full enteral nutrition at about 13 days. Conclusion Carrot caramelized rice paste is simple and economical for patients with cerebral ischemic stroke complicated with diarrhea, can shorten the course of treatment, reduce the nursing workloadand assist to improve the clinical efficacy.