Table of Content

16 November 2023, Volume 41 Issue 22

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The Clinical Study for the Dengyin Naotong Capsule on the Patients with Cerebral Small Vessel Disease Associated Cognitive Disorders

MA Qian, YU Xi, WANG Yue, REN Qing-tao, QU Xian-feng

2023, 41(22):  1-4. 

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Objective To observe the clinical treatment effect of Dengyin Naotong capsule for the cerebral small vessel dissease associated cognitive disorder. Methods Total of 105 patients with cerebral small vessel disease associated cognitive disorder treated in Zibo the Fifth Peoples’ Hospital from Jun 2021 to Jun 2022 were selected and subgroped into rotuine treatment group (ROT, n=53) and TCM treatment group (TCM, n=52) according to random number table method. The patients in ROT group were treated with anti-atherosclerosis and anti-platelet aggregation, while in TCM group were additionally treated with Dengyin Natong capsule on the basis of the ROT group, and both two group were treated for 12 weeks. The cognitive function status, self-care ability and balance and gait efficacy of the two groups were compared and analysed. Results Before treatment, there was no significant difference in Montreal Cognitive Assessment Test (MOCA) scores, Ability of Daily Living (ADL) scores and Tinetti Performance Oriented Mobility Assessment (POMA) scores between the two group patients (P>0.05). After treatment, all the MoCA scores, ADL scores and POMA scores of TCM group were significantly higher than those in ROT group (P<0.05). Conclusion Denyin Naotong capsule could improve the cognitive function, self-care ability and balance and gait efficacy of patients with cerebral small vessel disease.

Analysis of Influencing Factors of Poor Placental Vascular Perfusion in FGR Mothers

WANG Hui, WEN Yu-jun

2023, 41(22):  4-8. 

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Objective To explore and analysis the influencing factors of poor placental vascular perfusion in fetal growth restriction (FGR) mothers. Methods From January 2022 to January 2023, 87 cases of pregnant women who delivered in the First Hospital of Peking University Hospital, Ningxia Women's and Children's Hospital, Ningxia Hui Autonomous Region Maternal and Child Health Care Hospital and Child Health Care Hospital and were diagnosed with fetal growth restriction were selected as the study subjects. All the pregnant women were examined by ultrasound, and the hemodynamic parameters of umbilical artery were recorded. At the same time, all pregnant women were subjected to placental pathological examination, and were to determine the occurrence of poor placental vascular perfusion in the mother, investigated the general information of the pregnant women, and conducted correlation analysis. Results There were 27 cases were diagnosed as maternal placental vascular hypoperfusion, accountied for 31.0% (hypoperfusion group) in the 87 cases, included 14 cases of villous infarction, 6 cases of distal villous dysplasia, 4 cases of accelerated villous maturation, and 3 cases of decidual artery disease. There were significant difference in the history of preeclampsia and placental abruption compared between the two groups (P<0.05). There were no significant difference compared between the two groups in the peak systolic velocity of fetal umbilical artery (P>0.05). The end diastolic blood flow velocity in the hypoperfusion group were lower than that in the non hypoperfusion group (P<0.05), and the pulsation index and resistance index were higher than those in the non hypoperfusion group (P<0.05). Spearman analysis showed that maternal placental vascular perfusion were correlated with umbilical artery end diastolic blood flow velocity, pulsation index, resistance index, etc. in the 87 cases (P<0.05). Binary logistic regression analysis showed that umbilical artery end diastolic blood flow velocity, pulsation index and resistance index were important factors leading to poor vascular perfusion of the mother placenta (P<0.05). Conclusion The incidence of poor maternal placental vascular perfusion in FGR mothers is relatively high. The umbilical artery end diastolic blood flow velocity, pulsation index and resistance index are important factors leading to poor maternal placental vascular perfusion. Maternal placental vascular perfusion can provide basis for treatment and improvement of the prognosis of fetal growth restriction.

The Application Effect of Resistance Training Combined with Aerobic Training on Ischemic Stroke and Its Impact on Neurological Deficits

LU Xiao-chun, CHEN Yi-quan

2023, 41(22):  8-11. 

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Objective To explore the application effect of resistance training combined with aerobic training on ischemic stroke and its impact on neurological deficits. Methods Selected 100 patients with ischemic stroke admitted to our hospital as the research subjects from October 2021 to October 2022. They were randomly divided into an observation group and a control group using a lottery method, with 50 patients in each group. The control group patients received routine rehabilitation training, while the observation group received resistance training combined with aerobic training on the basis of routine rehabilitation training. The changes in neurological function, motor function, and quality of life before and after treatment were compared between the two groups of patients. Results After treatment, the levels of NSE, NGF, BDNF in the two groups decreased, and the levels of BDNF in the observation group was higher than that in the control group (P<0.05). After treatment, the Barthel index and Fugl Meyer score of the two groups of patients increased significantly, and the observation group was higher than the control group (P<0.05). The quality of life related scores of both groups of patients increased after treatment, and the observation group was higher than the control group (P<0.05). Conclusion The combination of resistance training and aerobic training can improve the neurological deficits of ischemic stroke patients, promote the recovery of motor function, and improve their quality of life, which is worthy of clinical application .

Effect of Rehabilitation New Fluid Combined with Mesalazine on the Levels of IL-1, IL-8, TNF-α, and T Cell Subsets in Ulcerative Colitis

ZHANG Qiu-qin

2023, 41(22):  12-15. 

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Objective The effects of mesalazine combined with a new rehabilitation solution on the levels of interleukin 1 (IL-1), interleukin-8 (IL-8), tumour necrosis factor- α (TNF-α), and T cell subsets in the treatment of ulcerative colitis disease was analyzed. Methods 41 patients with ulcerative colitis admitted to Binzhou Central Hospital in recent years (2019.1-2021.5) were taken as the observation objects, divided into the observation group according to the random number table method (mesalazine combined with new rehabilitation solution, 21 patients) and controls (mesalazine, In 20 cases), The clinical efficacy, adverse effects (nausea, constipation, dizziness), inflammatory factor levels of IL (IL-1, IL-8, TNF-α), T cell subsets [leukocyte differentiation antigen (CD8⁺), natural killer cells (NK), T helper cells / T killer cells (CD4⁺/CD8⁺)] were compared between the two groups. Results After treatment, the incidence of IL-1, IL-8, TNF-α, CD8⁺, NK, CD4⁺/CD8⁺ and that of adverse reactions in the observation group was significantly lower than that in the control group, the clinical efficacy was higher, and the comparison was statistically significant different (P<0.05). Conclusion In the treatment of ulcerative colitis patients, treatment with mesalazine combined with rehabilitation new solution can significantly improve the efficacy and reduce the incidence of adverse reactions after disease treatment. Compared with mesalazine alone, it can improve the immune function and reduce inflammatory symptoms.

Clinical Observation on Floating Needle Therapy for Anal Prolapse and Distension after Mixed Hemorrhoid Pph Surgery

SUN Bin-bin

2023, 41(22):  15-17. 

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Objective To analyze the clinical efficacy of floating needle therapy in treating anal prolapse after mixed hemorrhoid stapler hemorrhoid mucosal circular resection (PPH). Methods A total of 90 patients with anal collapsion after mixed hemorrhoids PPH in the proctology department of Tai 'an Hospital of Traditional Chinese Medicine from January 2021 to December 2022 were selected and divided into two groups by random number table method, 45 cases in control group and 45 cases in study group. The control group only received conventional basic treatment after surgery, while the study group received conventional basic treatment after surgery at the same time, floating needle treatment was carried out, and the clinical efficacy, anal distension degree, distension time score, defecation situation, edema degree of the two groups were analyzed and compared. Results The total effective rate of the study group was significantly higher than that of the control group (P<0.05). Compared with before treatment, the degree and duration of anal distension in both groups were significantly reduced 12 days after treatment (P<0.05); moreover, the study group showed a more significant decrease in the degree and duration of anal distension 12 days after treatment (P<0.05). Compared to before treatment, the defecation and edema scores of both groups were significantly reduced 12 days after treatment (P<0.05); moreover, the study group showed a more significant decrease in bowel movements and edema scores 12 days after treatment (P<0.05). Conclusion When treating anal prolapse and swelling after mixed hemorrhoids PPH surgery, floating needle therapy can achieve significant therapeutic effects. It not only effectively alleviates the sensation of anal prolapse and swelling, significantly shortens the time of prolapse and swelling, but also improves defecation and edema, which is worth application.

Clinical Observation of Graphene Light Wave Energy Sweat Room Therapy Combined with Acupuncture and Moxibustion for Insomnia after Stroke

NONG Jin-li, CUI Hong-yun, CHEN Jing-jing, TAN Liang-yuan, TAN Xu-rong, CHEN Zi-yu, ZHANG Ye, YANG Pei-pei, WANG Kai-long, JIANG Min-jie, LENG Jing

2023, 41(22):  18-21. 

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Objective To observe the clinical effect of graphene light wave energy sweat room therapy combined with acupuncture and moxibustion on insomnia after stroke. Methods Using a completely randomized controlled method, 60 patients with post-stroke insomnia hospitalized in the First Affiliated Hospital of Guangxi University of Chinese Medicine from January 2022 to December 2022 were divided into control group and treatment group, with 30 cases in each group. The control group was treated with ordinary acupuncture, and the treatment group was treated with graphene light wave energy sweat chamber therapy on the basis of ordinary acupuncture. The Pittsburgh Sleep Quality Inventory (PSQI) of the two groups of patients was recorded before and 21 days after treatment, respectively Athens Insomnia Scale (AIS) and National Institutes of Health Stroke Scale (NIHSS)score were used to evaluate the sleep quality of patients and the recovery of various stroke indicators. Results After 21 days of treatment, the PSQI score, AIS score, and NIHSS score of both groups decreased compared to before treatment (P<0.01), and the treatment group was better than the control group (P<0.05). After 21 days of treatment, the total effective rate of the treatment group was better than that of the control group (P<0.05). Conclusion Both graphene light wave energy sweat steaming room therapy and ordinary acupuncture treatment can effectively improve sleep and neurological function in stroke patients, but graphene light wave energy sweat steaming room therapy is superior to ordinary acupuncture treatment.

Effects of Gualoupi Injection and Rosuvastatin Calcium Tablets on Total Ischemia Load and QT Dispersion in Patients with Coronary Heart Disease and Angina Pectoris

XIA Yang

2023, 41(22):  34-37. 

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Objective To investigate the effects of Gualoupi Injection combined with rosuvastatin calcium tablets on total myocardial ischemic load and QT dispersion in patients with coronary heart disease and angina pectoris. Methods A total of 140 patients with coronary heart disease and angina pectoris admitted to our hospital from January 2021 to December 2022 were selected as research subjects. All patients were divided into observation group and control group using random number table method, with 70 patients in each group. Patients in the control group were treated with rosuvastatin calcium tablets on the basis of conventional treatment, while patients in the observation group were treated with Gualoupi Injection and rosuvastatin calcium tablets on the basis of conventional treatment. The degree of angina pain, daily attack frequency, duration of each session, and daily nitroglycerin consumption of patients in the two groups were compared after treatment. The total myocardial ischemic load, QT dispersion, and changes in cardiac function were compared between the two groups before and after treatment. Results The pain score, daily attack frequency, duration of each episode, and daily nitroglycerin dosage in the observation group were significantly lower than those in the control group (P<0.05). After treatment, the total myocardial ischemic load, QTd, and QTcd in both groups decreased, and the observation group was lower than the control group (P<0.05). After treatment, the 6-minute walking distance and LVEF of patients in both groups increased, and the BNP level in the observation group was significantly higher than that in the control group, while the BNP level in the observation group was lower than that in the control group (P<0.05). Conclusion Gualoupi Injection combined with rosuvastatin calcium tablets has a significant therapeutic effect on patients with coronary heart disease and angina pectoris, which can improve the number and frequency of angina pectoris attacks, alleviate pain, improve the total myocardial ischemia load and QT dispersion in patients, and enhance cardiac function. It is worthy of clinical application and promotion.

Analysis of Efficacy and Prognosis of Gamma Knife in the Treatment of Primary Trigeminal Neuralgia in the Elderly

CHEN Guan-qi, GUO Yong-kun, LIU Wan-qing, MAO Jian-chao, ZHANG Qing-zhu, SHAN Qiao

2023, 41(22):  44-48. 

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Objective The differences in curative effect, recurrence rate and complications of gamma knife(GKS) in elderly patients with primary trigeminal neuralgia (PTN) were retrospectively analyzed. Methods The medical records of PTN patients who were treated with GKS in the Gamma knife Center of the Fifth affiliated Hospital of Zhengzhou University from January 2017 to April 2020 were collected and divided into elderly group (≥70 years old) and middle-aged group (<60 years old). The data of postoperative curative effect, recurrence and related complications were collected by telephone and outpatient follow-up and the differences were analyzed. Results The effective rate of postoperative pain relief in the elderly group was higher than that in the middle-aged group (P<0.05). The recurrence rate in the elderly group was lower than that in the middle-aged group (P<0.05). The recurrence rate in the middle-aged-TN1 group was significantly lower than that in the middle-aged-TN1 group. The occurrence of facial numbness in the elderly group was later than that in the middle-aged group (P<0.05). Conclusion Compared with middle-aged people, gamma knife can provide better pain relief for elderly patients with PTN, and the risk of recurrence is lower. Gamma knife is a good alternative therapy for elderly PTN patients with high surgical risk.

Clinical Application of Artificial Intelligence Software in Bone Age Assessment of Developmental Related Diseases in Children

DENG Cheng-qing, SUN An-lin, TANG Yu-xuan, ZHANG Ping, TANG Ai-qun

2023, 41(22):  54-57. 

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Objective To explore and analyse the clinical application values of artificial intelligence software in bone age assessment of developmental related diseases in children. Methods 84 cases of children with developmental related diseases diagnosed and treated at a certain hospital from May 2020 to December 2022 were selected as the research subjects. All children were underwent left hand digital X-ray examination, and bone age assessment were conducted using artificial intelligence imaging analysis software from Hangzhou Shenrui Bolian Technology Co., Ltd. The digital X-ray films were also reviewed by resident imaging physicians and chief imaging physicians. Used the chief physician of the imaging department as the gold standard to determine the evaluation value. Results AI reading time was significantly less than that of residents and gold standard （P<0.05）, and there was no significant difference between residents and gold standard （P>0.05）. There was no significant difference between the AI reading error （P>0.05）, and the resident and gold standard reading error （P<0.05）. The accuracy of resident reading, artificial intelligence reading and gold standard reading was 88.10%, 97.62% and 98.81% respectively. The accuracy of AI reading and gold standard reading was significantly higher than that of resident reading （P<0.05）, and there was no significant difference in the accuracy of AI reading and gold standard reading （P>0.05）. Conclusion The clinical application of artificial intelligence software in the assessment of bone age in children with developmental related diseases can shorten the reading time, improve the accuracy of bone age determination, and reduce the error of reading.

Prevention and Treatment of Recurrent Spontaneous Abortion Based on Donstitution Theory

YAO Yao, CHEN Xin, CHENG Yao, CHEN Shao-min

2023, 41(22):  64-67. 

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As a common disease among women of childbearing age, Recurrent spontaneous abortion(RSA) has a complex etiology and is difficult to prevent and treat clinically. Based on the theory of Chinese medicine constitution, this paper finds that constitution is closely related to the occurrence and syndrome of the disease through the collation of relevant literature, and the patients with the disease often see the constitution of qi deficiency, yang deficiency, qi stagnation and other combined constitution. It also puts forward that clinical attention should be paid to the liver, spleen and kidney, and good results can be achieved by regulating the constitution through drugs, acupuncture and moxibustion, diet and exercise.

Discussion on the Nursing Thought of "Treatise on Febrile Diseases"

CHEN Qian-feng, LIU Hao-ran, XIE Bin, SHI Cui-fen

2023, 41(22):  67-70. 

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Treatise on Febrile Diseases contains rich nursing experience, which has a profound impact on the development of traditional Chinese medicine nursing. This article mainly explores the nursing thought in Treatise on Febrile Diseases from three aspects: medical advice adjustment, drug therapy (decocting method, taking method, conditioning), four diagnostic observation (observing the condition, general syndromes, critical syndromes), in order to guide the application of modern nursing, and deepen the understanding of the academic thought in Treatise on Febrile Diseases.

The Value of PASP and RVAW Combined with Scr in the Prognosis of COPD-PH

LI Hui, BAI Xiao-qing, YANG Jing, ZHUAN Bing

2023, 41(22):  70-75. 

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Objective To assess the value of PASP and RVAW combined Scr in the prognosis of COPD-PH. Methods The COPD-PH patients admitted to People's Hospital of Ningxia Hui Autonomous Region from January to June 2021 were retrospectively analyzed and followed up 1 year after discharge, and were divided into death and survival groups according to survival status. We compared the clinical data such as general condition, laboratory indices, and echocardiographic parameters between the two groups. With death occurred in COPD-PH as the dependent variable and body mass index, pulmonary artery systolic pressure, right ventricular anterior wall thickness, right ventricular anteroposterior diameter, RDW-SD, albumin, creatinine, urea nitrogen, as well as fibrinogen degradation products as the independent variables, Logistic regression analysis was used to analyze the risk factors for COPD-PH death. ROC curves were used to assess the effectiveness of each risk factor alone and in combination to predict COPD-PH death. Results A total of 85 patients were included in this study, 26 (30.59%) in the death group and 59 (69.41%) in the survival group. Compared with the surviving,pulmonary artery systolic pressure (PASP) [65.00 mm Hg(48.25 mm Hg, 85.25 mm Hg) versus 40.20 mm Hg(36.95 mm Hg, 53.33 mm Hg)], right ventricular anterior wall thickness (RVAW) [4.10 mm(3.80 mm, 6.70 mm) versus 3.80 mm(3.60 mm, 4.00 mm)], serum creatinine (Scr) [76.50 μmmol/L(65.25 μmmol/L, 93.25 μmmol/L) versus 66.00 μmmol/L(56.00 μmmol/L, 72.00 μmmol/L)] were higher in the death group, and the differences were statistically significant. Logistic regression analysis showed an increase in pulmonary artery systolic pressure(OR=1.055, 95% CI 1.011~1.100, P=0.013), right ventricular anterior wall thickening (OR=2.321, 95%CI 1.138~4.732, P=0.021), and increased creatinine (OR=1.051, 95%CI 1.017~1.086, P=0.003) were independent risk factors for death of patients with COPD-PH. ROC curve analysis suggested that the combination of PASP+RVAW+Scr predicted the best value of COPD-PH death( AUC=0.858, sensitivity =80.0%, and specificity= 81.0%), which were enhanced compared to their respective individual predictions. Conclusion PASP and RVAW combined with Scr have clinical value in identifying COPD-PH patients at risk of death.

Meta-analysis of Clinical Efficacy of Auricular Acupuncture for Major Depressive Disorder

ZHANG Fu-jie, LI Jun-liang, MA Dan-hua

2023, 41(22):  79-82. 

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Objective To evaluate the clinical efficacy and safety of auricular acupuncture in the treatment of depression. Methods A computerized search of the Wanfang Data Knowledge Service Platform, China Knowledge Network, VipInfo Chinese Journal Service Platform, EMBASE, PubMed, and Cochrane library databases was conducted for the period from the creation of the database to February 15, 2023, and Meta-analysis of literature meeting the inclusion criteria was performed using RevMan 5.4. Results The current auricular acupuncture treatment for depression is mainly based on vagus nerve stimulation of auricular points. The efficacy of auricular acupuncture therapy was comparable compared to the antidepressant western control group. Compared with the control stimulation group, auricular acupuncture therapy was superior to the control stimulation group. Conclusion Ear acupuncture therapy can significantly reduce the HAMD, BDI, and SDS scores of MDD patients, which in turn improves the clinical symptoms of depression and anxiety and improves the quality of life of MDD patients. Ear acupuncture therapy was relatively safe and effective, with no significant adverse effects.

Taking School-based Teaching Materials as Guidance, Emphasizing Practice and Cultivating Humanities -- Research on the Teaching Practice of the Course "Basic Methods of Traditional Chinese Medicine to Keep Healthy"

WANG Lie, YU Jia-xiang, WANG Shu-dong, BIAN Di, WANG Ying, MA Jun-jie, HU Zhe, MA Tie-ming*

2023, 41(22):  89-92. 

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Traditional Chinese medicine health preservation is a branch of traditional Chinese medicine that integrates medical culture and physical and mental health care. Many health preservation methods play a significant role in the treatment and health care of the human body. In the absence of professional textbooks, students' emphasis on theory over practice, and weak humanistic awareness, it is particularly important to write school-based textbooks that meet the training goals of traditional Chinese medicine health preservation talents, improve students' clinical practice abilities, and cultivate humanistic spirit. Therefore, based on the actual situation and teaching experience of our school, this study effectively reforms the teaching of the course "Basic Methods of Traditional Chinese Medicine Health Preservation". It is hoped that the results of this study can be continuously promoted and applied in future teaching.

The Appliance of Virtual Patient Combined with Medical Image Archiving and Communication System in Apprenticeship Teaching of Pulmonary Embolism

WU Hong

2023, 41(22):  98-101. 

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：Objective To explore the effect of reverse classroom teaching met hod of virtual patient combined with medical image archiving and communication system (picture archiving and communication system, PACS) in apprenticeship teaching of pulmonary embolism. Methods From September 2021 to September 2022, 64 clinical medical undergraduates of Grade 2017 and 2018 in Wenzhou Medical University, who were trainees in the Department of Respiratory Medicine of Yiwu Central Hospital, were randomly divided into control group (n=32) and experimental group (n=32). The control group was given general teaching method, and the experimental group was taught by virtual patient combined with PACS. Compare the basic theoretical knowledge, operation skills, medical record report and assessment score, teaching satisfaction, teaching evaluation score and so on between the two groups. Results The scores of basic theoretical knowledge, operation skills and medical record reporting in the experimental group were significantly higher than those in the control group (P<0.05). Teaching effect satisfaction rate and the scores of teaching evaluation in the experimental group were significantly higher than those in the control group (P<0.05). Conclusion Compared with the traditional teaching method, the flipped classroom teaching method of virtual patient combined with PACS has higher satisfaction,better teaching evaluation result and better examination result of basic theory in the experimental group, which is worthy of clinical application.

Application of Health Education Based on Multimedia Video Tutorials under Wake-Up Anesthesia in Patients with Glioma in Language Area

DING Jing

2023, 41(22):  105-108. 

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Objective To explore and analyze the application of health education based on multimedia video tutorials under wake-up anesthesia in patients with glioma in the language area. Methods A total of 108 patients with brain gliomas in the language area who were treated in First Affiliated Hospital of Harbin Medical University from September 2020 to September 2022 were selected as the research subjects, and divided into the control group (September 2019 to 2020) according to the time of admission and treatment. September), 56 cases, given routine preoperative intervention and health education, observation group (October 2020 to September 2021),52 cases, given health education based on multimedia video tutorials on the basis of control group , and compared the two groups of patients' knowledge of language area glioma, perioperative clinical indicators, intraoperative wake-up complications, daily living ability scores and quality of life scores. Results Compared with before health education, the patients in the two groups had higher scores on the perioperative knowledge of the disease. Compared with the control group, the patients in the observation group had higher scores on the perioperative knowledge of the disease after health education. The difference was statistically significant (P<0.05). Compared with the control group, the observation group had a shorter hospital stay and a lower incidence of complications during the wake-up period, and the difference was statistically significant (P<0.05). There was no significant difference in operation time, tumor exposure time, intraoperative blood loss, and tumor resection degree between the two groups (P>0.05). Compared with preoperative, the two groups had higher ADL scores and higher quality of life scores, and the observation group had higher ADL scores and higher quality of life scores than the control group after surgery, and the differences were statistically significant (P<0.05). Conclusion The application of health education based on multimedia video tutorials to patients with glioma in the language area under wake-up anesthesia can not only improve the patient's mastery of health knowledge during the perioperative period of the disease, shorten the postoperative hospital stay, and reduce the complications related to the wake-up period during the operation. It also promotes the improvement of patients' ability of daily living and quality of life.

Nursing Effect of Fuyang Cupping with Cupping Instead of Hand Warming and Massage Along Meridians on Lumbar Disc Herniation and Lumbar Function

YAN Hui, WU Hong-xiang, LI Yu-mei, QIN Lin-yi, LAN Liu-xiang

2023, 41(22):  112-115. 

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Objective To explore the nursing effect and lumbar function impact of warm massage and massage along the meridian with Fuyang cupping instead of cupping on lumbar disc herniation. Methods 90 patients with lumbar disc herniation admitted to Liuzhou Liutie Central Hospital from January 2021 to December 2022 were selected as the study subjects. All subjects were divided into groups according to a 1:1 ratio using a random number table method, with 45 patients in each group. The control group was treated with general massage manipulation, while the observation group was treated with Fuyang cupping instead of hand warming massage along the meridian. The clinical nursing efficacy of the two groups was compared, and the pain and lumbar function of the patients before and after 7 days of nursing were compared. The quality of life was compared before and after 1 month of nursing, respectively. Results The total effective rate of clinical nursing in the observation group was significantly higher than that in the control group (P<0.05); before nursing, there was no significant difference between the two groups in the scores of the Japanese Orthopedic Association's Evaluation and Treatment (JOA), Osweatry Dysfunction Index (ODI), and Visual Analogue Pain Scale (VAS). After nursing, the JOA scores of the two groups increased, and the observation group was higher than the control group, while the ODI index and VAS scores decreased, while the observation group was lower than the control group (P<0.05); The quality of life related scores of patients in both groups increased after nursing, and the observation group was higher than the control group (P<0.05). Conclusion Compared with conventional massage, Fuyang cupping with cupping instead of hand warming massage along the meridian can improve the clinical nursing effect of patients with lumbar disc herniation, reduce the degree of pain, further improve lumbar function, and improve the quality of life of patients.

To Explore the Application of Psychological Health Education Based on Rosenthal Effect in Patients Undergoing Laparoscopic Surgery

ZHANG Yu-ping

2023, 41(22):  137-141. 

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Objective To explore the effectiveness of psychological health education based on the Rosenthal effect in patients undergoing laparoscopic surgery Methods: 120 patients undergoing laparoscopic surgery in our hospital from March 2020 to March 2022 were included as the study subjects. According to different nursing interventions, 120 patients with laparoscopic surgery were assigned to the experimental group and the control group, with 60 patients in each group. The experimental group received Rosenthal effect mental health education, while the control group received traditional preoperative psychological preparation. State anxiety scale (STAI-S) and trait anxiety scale (STAI-T) were used to assess the anxiety level of patients, and visual analogue scale (VAS) was used to assess the degree of pain experienced by patients after surgery. The occurrence of surgical complications in the two groups was recorded and observed, including abdominal infection, intestinal obstruction, pneumonia, cardiopulmonary insufficiency, hemorrhage, pulmonary infection, pulmonary embolism, etc. Results: Results: After the intervention, the STAI scores of the experimental group were significantly lower than those of the control group, and the difference was statistically significant (P<0.05). The VAS scores of the experimental group were significantly lower than those of the control group, and the difference was statistically significant (P<0.05). The probability of complications during laparoscopic surgery in the experimental group was lower than that in the control group (P<0.05). Conclusion Psychological health education based on the Rosenthal effect can effectively improve the psychological status of patients and reduce the incidence of surgical complications. These results can help medical professionals to choose appropriate interventions and improve the surgical outcomes and quality of life of patients.

Clinical Effect of Fine Management Applied in Nursing Safety Management of Infection Department

CAI Xiao-lin, ZHANG Zheng-juan

2023, 41(22):  147-150. 

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Objective To explore the clinical effect of fine management in nursing safety management of infection department. Method 150 patients and 14 nursing staff admitted to the department of infectious Diseases of lanzhou lung hospital from January 2021 to December 2022 were selected and included in the control group and the study group respectively from January to December 2021 and January to December 2022, with 75 patients each, to compare the management effect. Results The incidence of risk events in the research group is lower than that in the control group (P<0.05); the nursing quality score of the research group was higher than that of the control group (P<0.05); the occupational quality of life scores of nursing staff in the research group were higher than those in the control group (P<0.05). Conclusion The implementation of fine management in the nursing safety management of the department of infectious diseases can reduce the incidence of risk events, with significant effect.