Table of Content

16 January 2024, Volume 42 Issue 2

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Research on the Relationship between Gastric Fundic Gland Polyps and Colorectal Polyps

YAN Jia-xin, LI Hui, DU Xuan, WANG Ting

2024, 42(2):  1-4. 

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Objective To investigating the relation between fundic glandular polyps and colorectal polyps. Methods One hundred patients who were identified with fundic gland polyps by both gastroscopy and pathology and who underwent colonoscopy at the same time (no more than six months between the two examinations) as a case group and 200 patients who underwent gastroscopy at the same time and did not have fundic gland polyps as a control group were randomly assigned to the study from May 2021 to December 2022 at the Hospital of Combined Traditional Chinese Medicine Affiliated to the Nanjing University of Traditional Chinese Medicine. The gender distribution, age distribution, total cholesterol, triglycerides, location, number and diameter of fundic gland polyps, and type, number, diameters and sites of colorectal polyps were analysed. Results The rate of colorectal polyp detected in the category of cases was higher than that in the control group, and the difference was statistically significant (P<0.05). The percentage of colorectal polyps detected was higher in patients with fundic gland polyps aged ≥45 years (P<0.05), and were more likely to be detected in patients with combined hyperlipidemia (P<0.05). Conclusion Patients with fundic gland polyps are more likely to develop colorectal polyps than those without fundic gland polyps. Age≥45 years and high blood lipids are risk factors for combined colorectal polyps in patients with fundic gland polyps.

The Interferingeffect and Possible Mechanism of Cerebroprotein Hydrolysate-Ionthe Apoptosis of Hippocampal Neurons in Mice with Vascular Dementia

WANG Su-ping, WU Xiao-lin, WANG Shuai, SONG Tao, ZHUANG jie, LAN Xiao-lei

2024, 42(2):  4-5. 

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Objective This paper aims to explore the interfering effect and and possible mechanismof Cerebroprotein Hydrolysate-I (CH-I) on hippocampal neurons in mice of vascular dementia (VaD). Methods 60 male KM micewith good learning ability were selected fromtotal of 70 male KM micethrough the Y maze. Then, 10 mice were randomly selected as the sham operation group, and the remaining 50 mice were used to establish VaD mouse model. The successful modeled mice were randomly divided into model group, Cerebrolysin (CBL) positive drug, low-dose, medium-dose, and high-dose groups received CH-I intraperitoneal injection (10, 20, 30 mg/kg body weight) dailyfor continuous administration 4 weeks. After the last administration, the learning and memory ability of mice were measured using Y maze. The cell morphology and structure of hippocampal cellswere observed by HE staining andthe apoptosis detected by TUNEL to detect, Western blot was used to analysis he protein expressions of p-Akt, Bcl-2, Caspase-9 (Casp-9), and Caspase-3 (Casp-3) in hippocampus. Results CH-I can improve the learning and memory ability of VaD mice, improve the shape and structure and apoptosis of neurons in the hippocampus, enhance the expressions of p-Akt and Bcl-2, and simutanouslyinhibit Casp-9 and Casp-3 expressions. Conclusion CH-I might inhibit apoptosisof hippocampal neurons in VaD mice byregulatingthe PI3K/Akt signaling pathway.

Visual Analysis of CiteSpace Based Ultrasound Application Research in Acupuncture Field

DENG Ai-mei, CHEN Ying-ying, WANG Lan, ZHANG Ying

2024, 42(2):  9-13. 

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Objective By using CiteSpace visualization software, this paper discusses the progress of ultrasound research in acupuncture field in recent 20 years in the form of knowledge graph. Methods A systematic analysis was conducted on the literature publication volume, high-frequency keywords, core research authors, and distribution of important research institutions in this field by using computer retrieval of the CNKI database. Results Since 2003, CNKI has collected a total of 799 relevant literature. In the past decade, the number of related research publications has remained stable, and many key technical teams have been formed in this field. However, there are still few cooperative relationships between institutions, mainly concentrated in affiliated institutions or within the region. It is concluded that the application of ultrasound guidance and ultrasound examination is the hot spot in this field, and the effect mechanism and clinical application research of acupuncture and acupotomy have also been widely concerned. Conclusion Although the application of ultrasound and acupuncture research started late, with the continuous development of technology, research teams are constantly improving.More and more attention has been paid to the application of ultrasonic guidance technology in visual acupotomy methods.In the future, in order to promote exchanges and cooperation between academic teams and institutions, as well as integration between different disciplines and regions, institutions should strengthen communication and expand the depth and breadth of research fields.

A Study on the Combined Application of Laser and Traditional Chinese Medicine in the Treatment of Pigmented Skin Disease Patients

XU Ying-tao, ZHANG Xiao

2024, 42(2):  13-16. 

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Objective Discuss the laser treatment combined with traditional Chinese medicine pigment increased sexual pigment to increase the clinical effect of skin, provide reference for clinical research. Methods 78 patients with hyperpigmentation skin disease admitted to the Affiliated Hospital of Binzhou Medical College from January 2019 to January 2022 were selected as the research subjects. All patients were divided into a reference group and a study group using a random number table method, each group 39 cases. Reference group with laser therapy, the team on the basis of the combined treatment of traditional Chinese medicine, statistics and analysis of two groups before and after treatment in patients with the skin physiology index [pH, corneous layer water content, skin moisture loss (TWEL)], sex hormone levels [estradiol (E₂), luteinizing hormone (LH), follicle-stimulating hormone (FSH), progesterone (Pro)], pigmentation area, pigmentation improve performance ratings, skin crusting, healing time and scab skin peeling time, total effective rate and incidence of adverse reactions. Results Before treatment between groups corneous layer water content, pH value, TWEL index, pigmentation score, pigmentation area and pH value comparison after treatment and no significant difference (P>0.05), but the team after treatment of TWEL index, pigmentation rate and incidence of adverse reactions are lower than the control group, corneous layer water content, total effective rate was higher than control group, and pigmentation area is smaller than control group, data compared with significant difference (P<0.05). Conclusion Pigment increased sex skin disease were treated by laser treatment combined with traditional Chinese medicine, not only can strengthen the skin barrier function, reduce the patients with sex hormone levels, also can effectively avoid skin pigment, heavy can accelerate skin crusting, healing, can effectively improve the treatment effect, and less adverse reaction, can guarantee safety of the treatment of patients with significant clinical curative effect, suitable for clinical applications.

Fas/FasL Conduction Pathway Studies the Mechanism of Electroacupuncture on Chronic Atrophic Gastritis in Mice

WANG Shu-guo, XUE Xiao-jie, ZHANG Chun-long

2024, 42(2):  17-21. 

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Objective To explore the effects of electroacupuncture combined with acupoints Mu on Fas/FasL conduction pathway in mice with chronic Atrophic gastritis, and reveal the mechanism of electroacupuncture in treating chronic Atrophic gastritis. Methods The mouse model of chronic Atrophic gastritis were established. The modeled chronic Atrophic gastritis mice were divided into the model group of 10 cases, the common acupuncture group of 20 cases, and the electroacupuncture group of 20 cases, and another 10 cases of the control group. The control group and model group were not operated; The ordinary acupuncture group were treated with combined acupuncture at acupoints (Zhongwan Zusanli); The electroacupuncture group were treated with acupoint combination (Zhongwan Zusanli) electroacupuncture. Immunohistochemical methods were used to detect the levels of Fas and FasL in the gastric tissues of each groups of mice. Results The body weight of the ordinary acupuncture group, electroacupuncture group, and model group before treatment were significantly lower than that of the control group (P<0.05). After 14 days of treatment, the body weight of the ordinary acupuncture group and electroacupuncture group were higher than that of the model group (P<0.05). There were no significant difference in body weight between the electroacupuncture group and the control group after 14 days of treatment (P>0.05). Serum IL-6 and IL-1β in the ordinary acupuncture group, electroacupuncture group, and model group before treatment were higher than those in the control group (P<0.05). After 14 days of treatment, the serum IL-6 and IL-1β levels in the ordinary acupuncture group and the electroacupuncture group were significantly higher than those in the control group, and were lower than that of the model group (P<0.05), and the serum IL-6 and IL-1β levels in the ordinary acupuncture group after 14 days of treatment were lower than those in the model group (P<0.05), There were no significant difference in the electroacupuncture group of treatment compared to the control group (P>0.05). After 14 days of treatment, the histopathological score of Gastric mucosa and the relative expression level of Fas protein and FasL protein of mucosa in the ordinary acupuncture group, the electroacupuncture group and the control group were lower than those in the model group (P<0.05), and there were no significant difference compared between the electroacupuncture group and the control group (P>0.05). Conclusion The application of electroacupuncture in chronic Atrophic gastritis mice can mediate the expression of Fas/FasL conduction pathway, and can inhibit the serum IL-6, IL-1 β The expression of can also promote the recovery of mouse weight and improve the pathological condition of the gastric mucosa in mice.

Effects of Modified Huangqi Ramulus Cinnamomi Wuwu Decoction on Shoulder Joint Function, Inflammatory Factors, and Serum 5-HT, PGE2 in Patients with Periarthritis of Shoulder

LIU Shi-yu, WU Lang-ping

2024, 42(2):  22-25. 

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Objective To explore the effects of modified Huangqi Ramulus Cinnamomi Wuwu decoction on shoulder joint function, inflammatory factors, and serum 5-HT, PGE2 in patients with periarthritis of the shoulder. Methods 80 patients with periarthritis of the shoulder admitted to Xi 'an Yanliang District People's Hospital from February 2022 to February 2023 were selected as the study subjects, and they were divided into an observation group and a control group using a random number table method, with 40 patients in each group. The control group received routine treatment, while the observation group received modified Huangqi Ramulus Cinnamomi Wuwu decoction on the basis of the control group. The Constant-Murley score and Visual Simulation Scale (VAS) were used to evaluate the functional changes of the shoulder joint before and after treatment, and the levels of inflammatory factors and the expression of 5-hydroxytryptamine (5-HT) and prostaglandin E2 (PGE2) in the serum were compared. Results Before treatment, there was no significant difference in the shoulder joint function score and pain score between the two groups (P>0.05). After treatment, the shoulder joint function score of the two groups of patients increased, and the observation group was higher than the control group, while the pain score was lower, and the observation group was lower than the control group (P<0.05); There were no significant differences in the levels of TNF-α, TGF-β1, WBC and CRP between the two groups before treatment (P>0.05). After treatment, the levels of TNF-α, TGF-β1, WBC and CRP in the two groups were decreased, and the observation group was lower than the control group (P<0.05). Before treatment, there was no significant difference in 5-HT and PGE2 between the two groups (P>0.05), and after treatment, 5-HT and PGE2 of the two groups were decreased, and the observation group was lower than the control group (P<0.05). Conclusion Increasing modified Huangqi Ramulus Cinnamomi Wuwu decoction to patients with periarthritis of the shoulder on the basis of routine treatment can improve the function of the shoulder joint, reduce the degree of pain, and alleviate the level of inflammatory reaction in the body. The therapeutic mechanism may be related to the reduction of serum 5-HT and PGE2, which is worthy of clinical application.

Application of a Novel Biomimetic Artificial Periosteal Repair Material Based on Type I Collagen and Hydroxyapatite in the Treatment of Comminuted Long Bone Fractures of Limbs with Detached Bone Fragments

LIU Cheng-zhou, WANG Peng, ZHANG Hai-bo, REN Cong-hui, JIA Bao-xin

2024, 42(2):  38-41. 

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Objective To observe the application effect of a new biomimetic artificial periosteal repair material based on type I collagen and hydroxyapatite in the treatment of comminuted long bone fractures of limbs with detached bone fragments. Methods A total of 120 patients with comminuted fractures of the long bones of the limbs caused by trauma and accompanying detached fragments from January 2021 to August 2022 were selected as the study subjects. All patients underwent open reduction and internal fixation of the fractures, and were divided into groups based on whether the patients agreed to use artificial periosteal repair materials during surgery. No users were included in the control group (54 cases), while those using periosteal repair materials were included in the observation group (66 cases). Observe the surgical time and intraoperative bleeding volume of the two groups of patients; regular postoperative X-ray examinations were conducted, followed up for a period of 1 year, and the healing time of the two groups of patients was recorded and compared. Results All 120 patients successfully completed the surgery, and there was no significant difference in intraoperative bleeding volume and surgical time between the two groups(P>0.05); The average fracture healing time in the control group was higher than that in the observation group, with a statistically significant difference(P<0.05). There were 17 patients in the control group who experienced delayed union of fractures, and ultimately 5 patients were diagnosed with non-union of fractures. The incidence of delayed union and non union of fractures in the control group was higher than that in the control group, the difference between the two groups was statistically significant(P<0.05). Conclusion The application of artificial periosteal repair materials to patients with comminuted fractures of long bones in the limbs accompanied by detached bone blocks can promote the repair and healing of fractures, reduce the occurrence of delayed union and non-union of fractures.

Risk Factors of Distant Lesions Based on MRI-DWI in Adult Patients with ICH

CAI Rui-xing, SU Li, ZHANG Qin, TAN Jia-ming

2024, 42(2):  54-57. 

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Objective To investigate the risk factors of distant lesions based on MRI-DWI in adult patients with ICH to provide more references for early definition of distant lesions based on MRI-DWI and construct the prevention and treatment intervention. Methods 406 adult patients with ICH were retrospectively chosen in the period from January 2016 to June 2021 in Laiwu Central Hospital of Shandong Health Care Group. MRI-DWI were underwent in all patients and they were grouped according to whether there were distant lesions or not and included distant lesions detection group (78 cases) and non- distant lesions detection group (328 cases). The general data and laboratory inspection indicators were analyzed. Multivariate logistic regression model was used to evaluate the independent risk factors of distant lesions in adult patients with ICH. Results 78 cases in all 406 patients had distant lesions as total of 110 lesions. The levels of SBP, DBP, WBC, NEU, NLR and fasting blood glucose of distant lesions detection group were significantly higher than non-distant lesions detection group（P<0.05）. Univariate analysis showed that SBP, DBP, WBC, NEU, NLR and fasting blood glucose were related to the occurrence of distant lesions in adult patients with ICH（P<0.05）. Multivariate logistic regression analysis showed that high abdominal blood glucose, high neu and high NLR levels were independent risk factors for distant lesions in adult patients with ICH（P<0.05）. Conclusion Adult ICH patients with high abdominal blood glucose, high neu and high NLR levels should be more prone to distant lesions based on MRI-DWI,and cortical subcortical areas may be more common.

Acupuncture and Moxibustion to Interfere with Brain Fog Caused by Respiratory Virus Infection

CUI Hong-yun, YANG Pei-pei, NONG Jin-li, CHEN Zi-yu, TAN Xu-rong, ZHANG Ye, LIANG Ying-ye, WANG Kai-long

2024, 42(2):  74-77. 

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Brain fog is a widely neural cognitive symptoms, such as impaired concentration, difficulty thinking as the main performance, is a kind of typical chronic symptoms of sub-health, sustainable impact on people's lives and wide range. Often secondary to brain fog in respiratory virus infection, especially coronavirus infection and epidemic of coronavirus infection epidemic in recent years the global epidemic, brain fog has become one of the major complications after infection. This article reviews the research status of brain fog in sequelae of respiratory virus infection and the intervention ideas of acupuncture and moxibustion in traditional Chinese medicine, in order to further provide clinical treatment plans.

Biref Discussion for“Deteriorated Case”and “Preventing from Improper Treatment”

YANG Xin-yu, JIANG Ru-yu, FAN Wen-bin

2024, 42(2):  77-80. 

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Sort out the articles related to "deteriorated case" and "preventing from improper treatment" to explore their theoretical origins and connotations, which will affect the treatment of modern diseases.There are different opinions on the concept of "deteriorated case", such as wrong medication leads to disease,there are too many diseases in the Taiyang and Shaoyang,and there is no disease name available, so it is called "deteriorated case" and so on. However, the research and analysis of the relevant literature of "preventing from improper treatment" is insufficient and the records are scattered. Through the study of traditional Chinese medicine literature and summarizing the famous docters of all generations, it is considered that "deteriorated case" is the abnormal change of the primary disease due to loss of treatment and wrong treatment,and the syndrome is complex.The disease and syndrome without the clinical characteristics of the six meridians is the original meaning. "Preventing from improper treatment" is further developed with the general principles of treatment. Further confirmed that"deteriorated case" and "preventing from improper treatment" are the names and measures of disease and syndrome,and abundantly develop the concept of "prevention of disease". Studying the concept and development of "deteriorated case" and "preventing from improper treatment" and giving examples of the pathogenesis and treatment of clinical chronic urticaria and sleep disorders, promote the development of basic research and clinical standard treatment of Traditional Chinese Medicine.

Analyzing the Pathogenesis of Steroid-Induced Necrosis of the Femoral Head Based on the "Medicinal Toxins Theory"

ZHOU Chang-an, HUANG Qiong

2024, 42(2):  81-84. 

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Medicine evil is the human physiological and biochemical dysfunction caused by the processing or improper use of drugs.Steroid-induced Necrosis of the Femoral Head " refers to the pathological process in which high doses of hormones lead to the death of the active components of the femoral head. Drawing upon the principles of the "Medicinal Toxins Theory" and acknowledging the detrimental effects of glucocorticoids on the femoral head, this study delves into the pathogenesis of steroid-induced necrosis of the femoral head through the lens of traditional Chinese medicine. Within this framework, hormones are viewed as medicinal toxins that play a significant role in influencing the development of steroid-induced necrosis. This influence is attributed to factors such as the stagnation of Qi and blood, the amalgamation of fluid imbalance, phlegm, and stasis, as well as internal organ impairment impacting the liver, spleen, and kidney, ultimately leading to bone malnutrition and necrosis over time.In terms of treatment, the focus lies on fundamental methods that involve promoting Qi circulation, dispelling blood stasis, resolving phlegm, and replenishing kidney function. The ultimate goal is to expel toxins and alleviate symptoms. This theory establishes a solid theoretical foundation for future experimental validation and clinical approaches.

Research Progress of Characteristic Therapy of Traditional Chinese Medicine for Cardiac Rehabilitation

Zhang Mei-yu, Zhang He-xiang, Zhao Hui, Wu Qiong

2024, 42(2):  87-90. 

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Cardiac rehabilitation provides the five combined intervention of core prescriptions, assistance for patients with cardiovascular diseases in the acute phase, recovery phase, maintenance phase and the entire life process. It is the first-level recommendation for the prevention and treatment of cardiovascular disease. Traditional Chinese medicine has a rich theoretical basis, plenty of prevention and treatment methods for heart diseases, and has a long standing understanding of rehabilitation. Traditional Chinese medicine can play a huge role in cardiac rehabilitation. This article reviews the theories, internal treatment methods and characteristic therapies of TCM on cardiac rehabilitation, providing references for the application of TCM in cardiac rehabilitation.

The Exploration of Integrating Curriculum Ideology and Politics into Medical Scientific Research Innovation Curriculum in Teaching of Dermatology

JIA Qian-nan, LI Li, ZENG Yue-ping, LI Feng, QIAO Ju, FANG Kai, JIN Hong-zhong

2024, 42(2):  90-93. 

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Under the background of once-in-a-century changes taking place in the world, talents cultivation should be unified with personal education, and curriculum ideology and politics could be integrated into medical scientific research innovation curriculum.Taking the dermatologic teaching as an example, we have deeply explored ideological and political elements of the curriculum, and developed the ideological and political teaching case of "Mohs micrographic surgery" in the Course of Dermatologic Surgery Technology. Furthermore, we have explored the integration of curriculum ideology and politics and scientific innovation curriculum from the perspectives of the traditional cultrue and traditional Chinese medicine, the century-old history of Peking Union Medical College Hospital, the inheritance of "red gene" and the deeds in the fight against COVID-19, in order to assume the mission of "great physician, great integrity and great achievement" and cultivate "trusted physicians by the Party and the people" for the purpose of "Healthy China".

Exploration of the “Excellent Physician Training Program 2.0” in Traditional Chinese Medicine and Health Preservation: A Case Study of the Excellent Physician Training Practice at Guizhou University of Traditional Chinese Medicine

ZHANG Zhen, CHENG Ming, TIAN Wei-yi, HUANG Shu-ting, WANG Guan-ying, QU Wan-ying, ZHANG Jie, CAO Feng

2024, 42(2):  94-97. 

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Since the joint issuance of the "Opinions on Strengthening the Implementation of the Excellent Physician Education and Training Program 2.0" by the three ministries in 2018, major universities have achieved certain results in the reform and practice of the Excellent Physician Training Program 2.0.Currently,the discipline of TCM and Health Preservation is still in the initial exploration stage of the 'Excellent Physician Training Program 2.0' in China. Taking Guizhou University of TCM as an example, this study analyzes the construction of the connotation of excellent physicians, the current situation and practice of training “excellent physicians” in Traditional Chinese Medicine and Health Preservation.It proposes ideas for talent cultivation, including improving humanistic literacy, deepening curriculum reform, improving talent training systems, enhancing practical teaching systems, and innovating teaching models. The aim of this study is to provide reference for the Excellent Physician Training Program in the field of Traditional Chinese Medicine and Health Preservation.

Mediating Effect of Perceived Organizational Support between Personal-Organization Fit and Innovative Behavior in Nurses

YI Zi-han, CHEN Min, SHAO Shi-rong

2024, 42(2):  97-100. 

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Objective To explore the mediating role of perceived organizational support(POS) in the relationship between personal-organization fit(P-O Fit) and innovative behavior(IB) of nurses, so as to provide theoretical basis for improving innovative behavior of clinical nurses. Methods To facilitate the selection of 337 clinical nurses as the study population in October 2022. Questionnaires were administered using the General Information Questionnaire,the Personal-Organizational Fit Scale, the Innovative Behavior Scale, and the Perceived Organizational Support Scale.Mediation effect tests were performed using AMOS 23.0 software. Results The score of P-O Fit of clinical nurses were 162.18±34.68, the score of POS was 50.86±11.53, and the score of nurses' IB was 31.49±8.32; the P-O Fit and POS were positively correlated with the innovative behavior of clinical nurses, and the personal-organization fit and POS were positively correlated (P<0.001); perceived organizational support played a partial mediating role between individual organizational fit and nurses' innovative behavior, and the intermediary effect accounted for 42.06%. Conclusion Nursing managers can improve the level of innovative behavior of clinical nurses by improving their personal-organization fit and enhancing their perceived organizational support.

Analysis of Reference Range of Peripheral Blood T Lymphocyte Subsets in Healthy Adults in Qijiang Area

ZHANG Jing, ZHOU Chen-min

2024, 42(2):  101-104. 

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Objective To investigate the changes of peripheral blood T lymphocyte subsets in healthy adults in Qijiang area, and to establish the laboratory reference range of T lymphocyte subsets in Qijiang area. Methods From April 1, 2022 to April 10, 2023, 311 cases of physical examination in various hospitals in Qijiang area were selected as the subjects of this study. The average age was ( 32.35 ± 5.83 ) years old. Venous blood was collected from healthy subjects with empty stomach in the morning, and T lymphocyte subsets in peripheral blood of 311 healthy adults were detected by flow cytometry. Results The absolute count of total lymphocytes, total T lymphocytes, percentage of CD8⁺ lymphocytes and absolute count of CD8⁺ lymphocytes in males was higher than that of females, and the percentage of CD4⁺ lymphocytes was lower than that of females, and the difference was statistically significant (P<0.05), while there was no significant difference in the percentage of total T lymphocytes, absolute count of CD4⁺ lymphocytes and CD4⁺/CD8⁺ between the two groups (P>0.05). There was no significant difference in the indexes of different age groups (P>0.05). The peripheral blood T lymphocyte subsets of 311 healthy subjects were analyzed by percentile method, and the 95% confidence interval of each index was used as the reference range of healthy adults in Qijiang area. The results were as follows: total lymphocyte absolute count 1 520×10⁶/L~3 780×10⁶/ L, total T lymphocyte absolute count 950 ×10⁶/L~2 840×10⁶/L, total T lymphocyte percentage 49%~85%, CD4⁺ lymphocyte absolute count 545×10⁶/L~1 420×10⁶/L, CD4⁺ lymphocyte percentage 26%~50%, CD8⁺ lymphocyte absolute count 318×10⁶/L~1 255×10⁶/ L, CD8⁺ lymphocyte percentage 12%~42%, CD4⁺/CD8⁺ ratio 0.70~2.90. Conclusion Gender will affect some indicators of peripheral blood T lymphocyte subsets in healthy adults. It is of great significance to establish a reference range of peripheral blood T lymphocyte subsets suitable for healthy adults in the region for the diagnosis of diseases.

Investigation on the Awareness Rate of Pre-Pregnancy Health Care Knowledge and the Influencing Factors of Women of Childbearing Age in Qingyun County, Shandong Province from 2020 to 2022

LI Mei-shuang

2024, 42(2):  104-107. 

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Objective Explore and investigate the awareness rate of pre-pregnancy health care knowledge and its influencing factors of women of childbearing age in Qingyun County, Shandong Province from 2020 to 2022. Methods Using the method of facilitating cluster sampling, 2883 cases of pre-pregnancy women of childbearing age in Qingyun County, Shandong Province who were investigated from January 2020 to December 2022 were selected as the general data, health demand score and health knowledge of all women of childbearing age and conducted the correlation and multifactor analysis. Results Among 2 883 women of childbearing age, the awareness rate of pre-pregnancy health care knowledge such as pre-pregnancy health care prevention knowledge, pre-pregnancy related disease treatment knowledge, and awareness rate of pre-pregnancy health care risk factors was 92.4%. The total score of 2 883 women of reproductive age for reproductive safety, reproductive health education, reproductive health behavior, and reproductive health attitude was (9.83±0.24). Pearson The analysis showed that there was a correlation between the total score of pre-pregnancy health care needs of women of childbearing age from 2020 to 2022 and age, educational level, occupational status and origin in Qingyun County, Shandong Province (P<0.05). Multiple stepwise regression analysis showed that age, educational level, occupational status and place of origin were all important factors affecting the total score of pre-pregnancy health care service needs of women of childbearing age (P<0.05). Conclusion The awareness rate of pre-pregnancy health care knowledge of women of childbearing age in Qingyun County, Shandong Province from 2020 to 2022 needs to be improved, and the desire for health care demand is relatively strong. Age, educational level, occupational status and source are all important factors affecting the total score of pre-pregnancy health care service demand of women of childbearing age.

Report of a Case of Recurrent Trigeminal Neuralgia Treated Based on the Theory of FuYang

CHEN Ying-ying, WANG Lan, LI Cai-lian, ZHANG Ying

2024, 42(2):  166-168. 

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The article discusses the treatment measures of Chinese and Western medicine for recurrent trigeminal neuralgia through the clinical healing process of a case of recurrent trigeminal neuralgia. It highlights the clinical treatment experience of Director Zhang Ying in combining acupuncture and medicine under the guidance of the Fu Yang theory and treating both the symptoms and the root cause.

Clinical Observation of Electrical Stimulation Biofeedback Therapy Combined with Pelvic Floor Muscle Exercise for Postpartum Pelvic Floor Dysfunction Rehabilitation

LONG Mei

2024, 42(2):  169-172. 

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Objective To analyze the clinical effect of electrical stimulation biofeedback therapy combined with pelvic floor muscle exercise in the postpartum rehabilitation of pelvic floor dysfunction. Methods 72 patients with postpartum pelvic floor dysfunction from the People's Hospital of Inner Mongolia Autonomous Region from January 2022 to December 2022, randomized into control group and observation group, 36 cases in each group, the control group received regular pelvic floor muscle exercises, the observation group received electrical stimulation biofeedback therapy combined with pelvic floor muscle exercise, the pelvic floor muscle related indicators (mixed muscle mean EMG value, slow muscle mean EMG value, anterior resting mean EMG value, posterior resting mean EMG value, fast muscle maximum EMG value), quality of life, urodynamic indicators and adverse events were compared between two groups. Results In the observation group, the pelvic floor muscle related indicators, quality of life, maximum urethra closure pressure (PMUC) and Valsalva of urine leakage point pressure (PVLP) were higher than those of the control group, and the 1-hour pad test (1 HPrV) and the risk of adverse reactions were lower than those of the control group, statistically significant (P<0.05). Conclusion For the patients with postpartum pelvic floor dysfunction, the combination of electrical stimulation biofeedback therapy with pelvic floor muscle exercise has a very positive significance. It can effectively promote the recovery of postpartum pelvic floor muscle function, and can well control the risk of adverse reactions, thus significantly improving the maternal quality of life, and has clinical application value.