Table of Content

16 August 2024, Volume 42 Issue 16

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Evaluation of Intervention Effect of Children Oral Health Education Based on Caries Risk Assessment

MI Chang-jiang, FU Yan, BAO Shu-yin, LIU Yu-dan, HAN Mei, ZHU Wan-chun

2024, 42(16):  1-4. 

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Objective To explore the effects of children oral health education based on caries risk assessment on the oral health status of school-age children and their parents'oral health awareness. Methods A total of 294 cases of second-grade children from a primary school in Nanchong City who conducted collective pit and fissure sealant in Affiliated Hospital of North Sichuan Medical College were studied by cluster-sampled. They were divided into cariostat-education group (group A) and traditional education group (group B) according to a random table. The traditional education group conducted conventional oral health education for children and their parents, and in the cariostat-education group, besides conventional education, cariostat was used to assess caries risk and then personalized oral health education was conduceted according to the evaluation results. In order to evaluate the impact of oral health education combined with caries susceptibility technology on the oral health status of school-age children, the dental caries, oral health status, the implementation of oral health care measures and parents'oral health knowledge of the three groups were compared before and after 6 months of education. Results After the intervention, there were differences in children's oral health status, implementation of oral health care measures and parents'oral health awareness among two groups (P<0.05). However, there was no statistical significance in caries (P>0.05). Conclusion The combination of caries activity test and oral health education can effectively improve parents'attention to children's oral condition and their knowledge of oral health, and improve children's oral health status effectively, which is beneficial to the long-term prevention of dental caries.

Observation on the Effect of He's Acupuncture and Moxibustion Three-Way Method on Swallowing Function, Neurological Function and Bioelectrical Signal of Related Muscle Groups in Stroke Patients

JIANG Li-yan, LIU Rui, LI Yan

2024, 42(16):  5-9. 

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Objective To investigate the effect of He's acupuncture and moxibustion three-pass method on swallowing function, neurological function and bioelectrical signals of related muscle groups in stroke patients. Methods Eighty-four patients with dysphagia （DAS） after stroke were admitted to Huadu Hospital of Southern Medical University between July 2022 and June 2023, and the above patients were randomly assigned to two groups （42 cases in the observation group and 42 cases in the control group） using the randomized numerical table method. The control group was given conventional treatment （antihypertensive, lipid-lowering and stabilizing plaque, antiplatelet, etc.） and instructed to carry out swallowing rehabilitation training, while the observation group received He's acupuncture and moxibustion three-tongue method for 4 weeks. The total effective rate of treatment, swallowing function, neurological function, quality of life, and the maximum amplitude of the surface electromyography （sEMG） signal and swallowing time limit of the sub-chin muscle group were compared between the two groups before and after 4 weeks of treatment. Results The total effective rate of the observation group （up to 90.48%） was higher than that of the control group （for 73.81%） （P<0.05）. Before treatment, the comparison of MMASA score, PAS score, NIHSS score, SWAL-QOL score, maximum amplitude of sEMG and swallowing time limit between the two groups was not statistically significant （P>0.05）. After treatment, the MMASA score, SWAL-QOL score, and maximum amplitude of sEMG were elevated, and the PAS score, NIHSS score, and swallowing time limit of sEMG were decreased in both groups （P<0.05）. The MMASA score, SWAL-QOL score, and sEMG maximum amplitude of the observation group were higher than that of the control group after treatment, and the PAS score, NIHSS score, and sEMG swallowing time limit were lower than that of the control group （P<0.05）. Conclusion The He's acupuncture and moxibustion three-way method can improve the swallowing function and neurological function of patients with dysphagia after stroke through benign stimulation of the submental muscle group, and improve the quality of life of patients.

A Qualitative Study on the Experience and Needs of Patients with Craniocerebral Tumors in Postoperative Intestinal Management

LU Jun-wei, CHANG Lin-ying

2024, 42(16):  10-13. 

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Objective To gain a deeper understanding of the postoperative experience of gut management in patients with brain tumors, understand their inner needs, clarify their gut management experience and related needs, and provide reference for developing gut management plans for brain tumor patients and improving their quality of life. Methods Twelve patients with postoperative brain tumors were selected, and a semi-structured interview was conducted using phenomenological research methods from qualitative research. The main topics of the interview were the postoperative intestinal management needs and experiences of the patients. After collecting data, Colaizzi's 7-step analysis method was used for in-depth analysis, and the topic words were condensed. Results postoperative patients with cranial tumors have poor adherence to intestinal management, insufficient emphasis on intestinal management, and a lack of corresponding support. The main themes are summarized as follows: insufficient emphasis on intestinal management, the needs of intestinal management, and individual differences in intestinal management. And eight sub themes: coexistence of multiple physiological symptoms, focusing on the main symptoms; Lack of relevant professional knowledge; Believing that intestinal symptoms are caused by dietary factors and therefore do not require treatment; Disease related information needs; The demand for diet and lifestyle related to intestinal management; The need for psychological counseling; Positive and negative responses. Conclusion For postoperative patients with traumatic brain tumors, it is necessary to carry out multi-channel management, including health education, psychological counseling, and emphasizing the significance of intestinal management for patients with traumatic brain tumors, in order to reduce the occurrence of postoperative complications and improve their quality of life.

Observation on the Clinical Efficacy of Huayu Tongluo Moxibustion in the Treatment of Vascular Dementia

WU Yan-jia, LIU Li-min, WANG Xiao-xia, GAO Min-jia

2024, 42(16):  14-17. 

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Objective To investigate the therapeutic effect of Tongluo huayu moxibustion in patients with vascular dementia. Methods A totad of 96 patients with vascular dementia admitted to Shenzhen Luohu Hospital of Traditional Chinese Medicine from September 2022 to August 2023 were selected for the study, and were randomly divided into the control group (n=48) and the observation group (n=48), with the control group using the conventional Western medical treatment, and the observation group adding Huayu Tongluo moxibustion on the basis of the control group. The Hasegawa’s dementia scale (HDS), the mini-mental state examination (MMSE), the functional independence measure (FIM) scores, as well as the lipid levels of total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) were observed before and after the treatments, and the overall treatment efficacy rates of the two groups were compared. Results Before treatment, there was no statistically significant difference in the comparison of HDS, MMSE, and FIM scale scores (P<0.05); after treatment, the cough HDS, MMSE, and FIM scores of the two groups were improved, and the observation group had a greater increase in each score compared with the control group (P<0.05). Before treatment, the difference between the TG, TC, LDL-C and HDL-C levels of the two groups was meaningless (P<0.05); after treatment, the TG, TC and LDL-C levels of the two groups were lower than those of the same group before treatment, and the HDL-C level increased compared to that of the same group before treatment, with the TG, TC and LDL-C in the observation group being lower than those of the control group, and the HDL-C being higher than those of the control group (P<0.05). The overall treatment efficiency of the observation group was higher than that of the control group (P<0.05). Conclusion Huayu Tongluo moxibustion can effectively improve the symptoms of dementia, improve cognitive ability, increase independence in daily life, and effectively improve the degree of lipid health in patients with VD.

The Efficacy and Pain of Acupoint Electroacupuncture on Patients with Lumbar Disc Herniation

ZHAO Zheng-jie, GUAN Ling-ling, NING Li-ming, RUAN Ye-yi, QIN Hong-li

2024, 42(16):  18-20. 

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Objective To investigate the effect of acupoint electroacupuncture on lumbar disc herniation and its effect on pain. Methods From January 2020 to March 2023,160 patients with lumbar disc herniation were randomly divided into two groups using a random number table method, 80 cases in each group. The control group was treated with traction, and the observation group was combined with acupoint electroacupuncture on the basis of the control group. Patients were evaluated before and after treatment using the visual analogue scale(VAS) and Japanese Orthopaedic Society (JOA) scoring system to evaluate short-term efficacy, and were followed up for 3 months to understand pain recurrence. Results Compared with baseline, the total score of JOA in both groups after treatment was significantly increased (P<0.05), and the total score of JOA in the observation group was significantly higher than that in the control group (P<0.05).The total effective rate of observation group(93.75%) was significantly higher than that of control group (77.50%)(P<0.05).After 3 months of follow-up, the severity of pain recurrence in the observation group was significantly less than that in the control group (P<0.05), and the frequency and duration of pain attack were significantly less than that in the control group (P<0.05). Conclusion Acupoint electroacupuncture treatment for lumbar disc herniation has a clear effect,can effectively relieve back and leg pain, and reduce the recurrence of pain, improve the short-term clinical effect.

The Effect of Shexiang Baoxin Pill Combined with β-blockers on the Application of Coronary Heart Disease with Premature Ventricular Contractions and the Impact on Electrocardiogram Indicators

YANG Hai-long

2024, 42(16):  21-24. 

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Objective To explore the combination of Shexiang Baoxin Pills β The application effect of receptor blockers on coronary heart disease with ventricular premature beats and its impact on electrocardiogram indicators. Methods A total of 80 patients with coronary heart disease complicated with ventricular premature beat admitted to Dingxi Hospital of traditional Chinese medicine in Gansu Province from May 2018 to April 2023 were selected for research and analysis. All patients were divided into observation group and control group by lottery, with 40 cases in each group. The control group received routine treatment β Metoprolol, a receptor blocker, was used in the treatment group, and Shexiang Baoxin Pill was added in the observation group on the basis of the control group. The clinical efficacy, cardiac function changes and 24-hour dynamic electrocardiogram monitoring results of the two groups were compared before and after treatment. Results The total effective rate of the observation group was significantly higher than that of the control group (P<0.05); After treatment, the left ventricular ejection fraction (LVEF) of the two groups increased, and the observation group was significantly higher than that of the control group, while the levels of left ventricular end systolic volume (LVESV) and left ventricular end diastolic volume (LVEDV) decreased, and the observation group was lower than that of the control group (P<0.05); After treatment, QT dispersion (QTd), ventricular depolarization to complete repolarization time (QT interval) and ventricular premature beat frequency in the two groups were decreased, and the observation group was lower than the control group, while atrioventricular conduction time (PR interval) and ventricular premature beat index were increased, and the observation group was higher than the control group (P<0.05). Conclusion Combination of Shexiang Baoxin Pill β The therapeutic effect of receptor blockers on coronary heart disease with ventricular premature beats is significant, which can improve the patient's heart function level, improve the patient's electrocardiogram diagnosis results, and improve the symptoms of ventricular premature beats.

Study on the Therapeutic Effect of Modified Wuhu Decoction Combined with Budesonide Suspension in Paediatric Cough Variant Asthma

ZHANG Mu-er, ZHU Su-juan, LIN Rui-shuang, GUO Dai-nian

2024, 42(16):  25-27. 

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Objective To investigate the effect ofmodified Wuhu decoction combined with Budesonide suspension on cough variant asthma in children. Methods Selected 96 cases of patients with cough variant asthma admitted to Shantou Hospital of Traditional Chinese Medicine from January 2020 to December 2022, divided into two groups by taking the randomized numerical table method. The control group was treated with Budesonide suspension, and the observation group was treated with modified Wuhu Decoction.The symptoms of the two groups were evaluated, and the forced expiratory volume to forced Vital capacity ratio (FEV₁/FVC), maximum ventilation volume scale (MVV), maximum middle expiratory flow (MMF) and peak expiratory flow (PEF) were measured, and the levels of serum interleukin-5 (IL-5), matrix metalloproteinase-9 (MMP-9), Eosinophil cationic protein (ECP) and IL-8 were measured. Results After treatment, the scores of cough, nasal discharge, throat itching, shortness of breath, sneezing and nasal congestion in both groups were significantly decreased (P<0.05), and the observation group was significantly lower than the control group (P<0.05). After treatment, FEV₁/FVC, MVV, MMF and PEF in both groups were significantly improved (P<0.05), and the observation group was significantly better than the control group (P<0.05). After treatment, the serum levels of IL-5, MMP-9, ECP and IL-8 in both groups were significantly decreased (P<0.05), and the observation group was significantly lower than the control group (P<0.05). Conclusion Jiawei Wuhu Decoction combined with Budesonide suspension has a significant effect on cough variant asthma in children, which can significantly improve lung function and relieve symptoms. Its mechanism may be related to the reduction of serum IL-5, MMP-9, ECP and IL-8 levels, which is worth promoting.

Analysis of the Effect of Xiaoyukang Capsule Combined with Urinary Kallidinogenase in the Treatment of Acute Cerebral Infarction

WANG Jun, XIONG Jia, LI Xu-fang

2024, 42(16):  31-34. 

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Objective To investigate the effect of Xiaoyukang capsule combined with Urinary Kallidinogenase in the treatment of acute cerebral infarction. Methods A retrospective analysis was conducted on the clinical data of 92 patients with acute cerebral infarction admitted to the People's Hospital of Dali Bai Autonomous Prefecture from January 2019 to January 2023. They were divided into two groups according to different intervention methods. The control group used Urinary Kallidinogenase, while the observation group was treated with Xiaoyukang capsules in combination with the control group.The effective rates of two treatment groups were calculated, critical pressure (CP), pulse wave number (Wv), minimum blood flow (Qmin), dynamic impedance (DR), peripheral resistance of cerebral vessels (R) and minimum blood flow velocity of carotid arteries (Vmin) were measured in the two groups, and serum levels of growth differentiation factor 15 (GDF-15), CXC chemokine 16 (CXCL-16), pentameric protein 3 (PTX3) and Monocyte chemotactic protein 1 (MCP-1) were measured. Results The effective rate of the observation group was significantly higher than control group (P<0.05). Before treatment, there was no significant difference in CP, Wv, Qmin, DR, R, and Vmin between the two groups (P>0.05). After treatment, the CP, Wv, Qmin, DR, R, and Vmin of the two groups were significantly improved (P<0.05), and the CP, Wv, Qmin, DR, R, and Vmin of the observation group were significantly better than those of the control group (P<0.05). Before treatment, there was no significant difference in serum levels of GDF-15, CXCL-16, PTX3, and MCP-1 between the two groups (P>0.05). After treatment, the serum levels of GDF-15, CXCL-16, PTX3, and MCP-1 in both groups were significantly reduced (P<0.05), and the serum levels of GDF-15, CXCL-16, PTX3, and MCP-1 in the observation group were significantly lower than those in the control group (P<0.05). Before treatment, there was no statistically significant difference in Barthal index between the two groups (P>0.05). After treatment, the Barthal index scores of the two groups significantly increased (P<0.05), and the observation group was higher than the control group (P<0.05). The incidence of adverse reactions in the observation group was significantly lower than that in the control group (P<0.05). Conclusion The combination of Xiaoyukang Capsules and Urinary Kallidinogenase can significantly improve the therapeutic effect of acute cerebral infarction, improve cerebral hemodynamics, reduce inflammatory reactions, improve patients'daily living ability, and have high safety.

The Association of the Expression of Neutrophil Gelatinase Related Lipid Transporter, Anti Phospholipase A Receptor Antibody and Urine Retinol Binding Protein Levels with Chronic Kidney Disease

CHEN Yu-lian

2024, 42(16):  39-41. 

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Objective To investigate and analysis the relationship between the expression of neutrophil Gelatinase associated lipocalin (NGAL), anti Phospholipase A2 receptor (PLA2R), urinary Retinol binding protein (RBP) and Chronic kidney disease. Methods From June 2019 to June 2023, 120 cases of patients with Chronic kidney disease diagnosed and treated in Jingjiang People's Hospital Affiliated to Yangzhou University were selected as the research subjects. According to the definition of chronic kidney disease and the EPI formula corrected by the Chinese population, jiang patients were divided into observation group and control group, there were 40 patients with Chronic kidney disease (stage Ⅳ to Ⅴ) judged (observation group) and 80 patients with stage Ⅰ to Ⅲ (control group) in the 120 cases. All the cases were to detect the expression of serum neutrophil Gelatinase related lipid carrier protein, anti Phospholipase A2 receptor antibody and urine Retinol binding protein, and were to detect routine indicators of renal function and carried out correlation analysis. Results The serum levels of neutrophil Gelatinase related lipid carrier protein and anti Phospholipase A2 receptor antibody in the obervation group were higher than those in the healthy group (P<0.05). The urine Retinol binding protein content, serum Blood urea nitrogen and creatinine of the obervation group was higher than that of the healthy group (P<0.05). In the obervation group, Pearson analysis showed that serum Blood urea nitrogen and serum creatinine levels were positively correlated with neutrophil Gelatinase related lipid transporter, anti Phospholipase A2 receptor antibody, and urinary Retinol binding protein (P<0.05). Multivariate logistic regression analysis showed that serum neutrophil Gelatinase related lipid transporter, anti Phospholipase A2 receptor antibody expression and urine Retinol binding protein level were important factors leaded to clinical stages of Chronic kidney disease(P<0.05). Conclusion Most patients with Chronic kidney disease are accompanied by the increased expression of serum neutrophil Gelatinase related lipid carrier protein, anti Phospholipase A2 receptor antibody and urine Retinol binding protein, which is related to the patients'routine renal function indicators, and can also affect the progress of Chronic kidney disease.

The Efficacy of Placental Peptides in the Treatment of Secondary Neutropenia in Children with Epstein-Barr Virus Infection and Its Impact on Immune Function

HAN Wen-wen

2024, 42(16):  42-45. 

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Objective To explore and analysis the efficacy of placental peptides in the treatment of secondary neutropenia in children with Epstein-Barr virus infection and their impact on immune function. Method From April 2022 to July 2023, 81 cases of EB virus infection combined with secondary neutropenia diagnosed and treated at Guizhou Provincial People's Hospital were selected as the research subjects. Accorded to the random number table method, 81 children were divided into the placental peptide group of 41 cases and the control group of 40 cases. The control group were received routine medication treatment, while the placental peptide group were received placental peptide treatment on the basis of the control group. Both groups were treated and observed for 14 days to determine the treatment effect and immune function changes of the children. Result The total effective rates of the placental peptide group after 14 days of treatment were 97.56%, while the control group were 82.50%. The placental peptide group showed a significant improvement compared to the control group (P<0.05). The disappearance time of clinical symptoms such as liver and spleen enlargement, fever, pharyngitis, and lymph node enlargement in the placental peptide group were significantly reduced compared to the control group (P<0.05). After 14 days of treatment, the relative proportion of CD4⁺T lymphocytes and CD8⁺T lymphocytes in both groups were significantly higher than before treatment, and the placental peptide group were also higher than those in the control group (P<0.05). The incidence of adverse reactions such as nausea, vomiting and diarrhea during the 14 day treatment period in the placental peptide group were lower(14.63% vs 17.50%), compared with the control group. There were no significant difference between the placental peptide group and the control group (P>0.05). Conclusion The treatment of Epstein-Barr virus infection in children with secondary neutropenia with placental peptides can improve the therapeutic effect, promote the relief of clinical symptoms, improve immune function, and do not increase the occurrence of adverse reactions.

Effect of Lugua Polypeptide Injection on Bone Mineral Density of Patients with Thoracolumbar Fracture

ZHANG Chen-yang

2024, 42(16):  46-48. 

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Objective To investigate the effect of Lugua polypeptide injection on bone mineral density in patients with thoracolumbar fractures. Methods 80 patients with thoracolumbar fractures who were treated at the Fifth People's Hospital of Wujiang District, Suzhou City from May 2021 to June 2023 were selected. All patients were treated conservatively and fixed with external fixators. They were randomly divided into an observation group (conventional Western medicine treatment+deer melon peptide injection, n=40) and a control group (conventional Western medicine treatment, n=40) using a random number table method. The bone mineral density, bone metabolism index, JOA and VAS scores , the bed rest time ,and the occurrence of adverse reactions were compared between the two groups. Results After treatment, the bone mineral density of the lumbar vertebrae and the right femoral neck in the two groups were significantly higher than before treatment (P<0.05), and the bone mineral density of the lumbar vertebrae and the right femoral neck in the observation group was higher than that in the control group (P<0.05). After treatment, the levels of parathyroid hormone, osteocalcin and calcitonin in the two groups were improved in different degrees (P<0.05), and the levels of parathyroid hormone in the observation group were significantly higher than those in the control group (P<0.05), while the levels of osteocalcin and calcitonin were significantly lower than those in the control group (P<0.05). After treatment, the JOA and VAS scores of the two groups were not improved to any extent (P<0.05), and the JOA score of the observation group was significantly higher than that of the control group (P<0.05), and the VAS score was significantly lower than that of the control group (P<0.05). The bed rest time in the observation group was significantly shorter than that in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion Lugua polypeptide injection can increase the bone density of patients with thoracolumbar fractures, regulate bone metabolism, promote the recovery of lumbar function and relieve pain, and it is safe and worthy of clinical promotion.

Historical Investigation of Stroke Etiology and Disease Name Based on Knowledge Archaeology

LI Dan, PAN Fei, RUAN Yue-yong

2024, 42(16):  73-75. 

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The exploration process of stroke has gone through two core stages: "external wind theory" and "internal wind theory". This paper divides apoplexy into four historical periods to discuss, and concludes that apoplexy has different contents and characteristics in different historical periods

Exploration and Practice of Graduate Education Model Based on Multi Dimensional Comprehensive Quality Cultivation: Taking the Institute of Traditional Chinese Medicine Diagnostics at Hunan University of Traditional Chinese Medicine as An Example

SONG Hou-pan, ZHOU Shun-hua, YU Chang, REN Bao-ping, WANG Xiao-juan, GAO Qing, XIONG Meng, ZHONG Mei-qi, PENG Qing-hua

2024, 42(16):  76-79. 

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Medical graduate students are an important force in medical research, and also an important reserve for cultivating high-level innovative medical talents. The fundamental task of medical education is to strengthen the construction layout and support of medical related disciplines, and cultivate high-level, compound medical talents with international perspectives. In this context, exploring how to improve the comprehensive quality of academic graduate students in traditional Chinese medicine is a key issue in cultivating high-level medical innovative talents. This article takes the Institute of Traditional Chinese Medicine Diagnostics at Hunan University of Chinese Medicine as an example to explore the feasibility of improving the comprehensive quality of academic graduate students in traditional Chinese medicine diagnostics through an open sharing platform that combines laboratories with shareable digital academic resources, as well as a training model that combines industry university research cooperation, subject competitions, and humanistic quality education, Intended to provide a basis and reference for the promotion of this educational model.

Teaching Reform and Practice Based on Subjective Initiative Training under the Background of New Medical Science-Take the Science of Bone and Injury of Traditional Chinese Medicine of Anhui University of Chinese Medicine as An Example

WU Xin, RUAN Jing-ru, XU Wen-fei, CAI Xing-hui, BAI Liang-chuan, YAO Chang-feng

2024, 42(16):  80-82. 

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The construction of new medical science is the new requirement of the state for medical education, and it is also an important measure to improve the quality of higher education. The new medical department puts forward higher requirements for the teaching of Bone and Traumatology of Traditional Chinese Medicine (TCM), acupuncture and massage and other first-class majors, establishes the teaching concept of integrity and innovation, constructs the "new structure" of interdisciplinary disciplines, and explores the "new model" of the construction of new medical sciences. Therefore, This study implements comprehensive strategies to update teaching methods, reform the evaluation system, cultivate innovative talents in traditional Chinese medicine, and contribute to the revitalization of the traditional Chinese medicine industry.

Analysis of the Current Situation and Factors Influencing the Perception of the DIP Payment System Among Medical Staff in Baotou

JIANG Xin-hong, KANG Li-rong

2024, 42(16):  86-89. 

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Objective To analyze the current status of the implementation development of the payment reform of the disease share payment (DIP), and to investigate the knowledge and attitude of medical personnel in Baotou city towards the DIP policy, so as to provide reference for further promotion of the medical insurance payment method. Methods A random sampling method was used to survey medical personnel in Baotou, and 311 valid questionnaires were obtained. Descriptive statistics, chi-square test and binary logistic regression analysis were used in SPSS 26.0 to make an empirical analysis of the influencing factors. Results Awareness of the DIP policy among medical staff in Baotou is low, with only 32% familiar with the policy. Differences in medical staff's departments and job levels, the availability of training on the policy and medical staff's satisfaction with the DIP and attitude towards its implementation are factors that influence medical staff's awareness of the DIP policy. Conclusion Medical staff in Baotou do not have a high level of awareness of DIP policy, DIP policy training covers a larger number of people, but the training is not effective and the quality of training needs to be improved, the hospital needs to strengthen policy training for medical staff, targeted and enhanced training can be provided to key departments and key personnel; motivate medical staff to work, guide medical staff to continuously strengthen their learning, adjust the hospital system at the right time, improve medical staff's awareness of payment by value by increasing DIP policy publicity, so that medical staff can adapt to the work of DIP payment as soon as possible and comply with the development of medical reform.

Application of Pressure Injury Warning and "Four Stages and Five Dimensions" Nursing in the Nursing of Patients with Traumatic Brain Injury

ZHU Huai-qin, CHEN Yuan-yuan, MA Qiu-yun, WANG Qin, ZHANG Yue-hua, DONG Hua-jun

2024, 42(16):  93-95. 

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Objective To explore the intervention effect of pressure injury warning and "four stages and five dimensions" nursing on TBI patients. Methods A total of 96 TBI patients from February 2022 to June 2023 who were admitted in Second People's Hospital of Liaocheng City were selected, and randomly divided into the intervention group (n=48, pressure injury warning and "four stages and five dimensions" care) and the control group (n=48, routine care). The neurological function, consciousness status, daily living ability, and incidence of pressure injury were compared in both groups. Results After intervention, NIHSS scores in both groups were decreased (P<0.05), and in comparision of the control group, the intervention group was lower (P<0.05). After intervention, GCS scores in both groups were increased (P<0.05), and in comparision of the control group, the intervention group was higher (P<0.05). After intervention, MBI scores in both groups were increased (P<0.05), and in comparision of the control group, the intervention group was higher (P<0.05). In the incidence of pressure injury, in comparision of the control group, the intervention group was lower (P<0.05). Conclusion The application of pressure injury warning and "four stages and five dimensions" nursing in the nursing of TBI patients can improve neurological function and consciousness status, enhance daily living ability, and reduce the incidence of pressure injury.

Analysis of the Application Effect of Feed-Forward Control Care in Pediatric Nebulized Inhalation Care

YUAN Hong-yan

2024, 42(16):  96-99. 

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Objective To analyze the effect of feeding forward control nursing in pediatric nebulized inhalation nursing. Methods A total of 100 children treated with nebulized inhalation therapy were selected to carry out this clinical practice study, and they were divided into control group and observation group by random number table method, 50 cases in each group, the control group should be treated with routine nursing, and the children in the observation group should be fed forward control nursing, and the two groups of children were compared with the compliance of aerosol inhalation, standardized action, adverse event rate during aerosol inhalation, and the improvement time of cough, sputum production, pulmonary rales and other symptoms. Results The compliance and regularity of aerosol inhalation in the observation group were higher than those in the control group, the incidence of adverse events during nebulization inhalation in the observation group was lower than that in the control group, and the improvement time of cough, sputum production and pulmonary rales in the observation group was shorter than that in the control group, and the comparison between the two groups was statistically significant (P<0.05). Conclusion The application effect of feed-forward control nursing in pediatric nebulization inhalation nursing is remarkable, which can not only improve the compliance and action standardization of nebulization inhalation in children, thereby improving their nursing effect, but also reduce the incidence of adverse events during nebulization inhalation, which is worthy of clinical application.

Clinical Effect of Lidocaine Cream Combined with Lidocaine and Ropivacaine on Postoperative Pain in Patients Undergoing Anal Surgery

XIAO Yi, SUN Min, XIA Yong

2024, 42(16):  166-168. 

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Objective To explore and analysis the clinical effects of Lidocaine cream combined with Lidocaine and ropivacaine on postoperative pain in patients undergoing anal surgery. Methods From October 2022 to July 2023,84 cases of mixed hemorrhoids patients undergoing surgery in Hanzhong Central Hospital were selected as the study objects,and the other 84 cases of patients were divided into 42 cases in the research group and 42 cases in the control group accordedto the principle of random dice rolling.The research group were gave lidocaine and rovacaine and lidocaine cream, and the control group received lidocaine and rovacaine alone.Postoperative pain,quality of life,complication rate and satisfaction with anesthesia were recorded in both groups. Results The pain VAS score at 24 h, 48 h and 72 h at the research group were significantly lower than the control group (P<0.05). The quality of life scores of mental health, physiological function, overall health, and physical pain in research group group at 72 hours after surgery were significantly higher than those in the control group (P<0.05). The incidence of complications, such as urinary retention, anal swelling, nausea and vomiting, was significantly lower than that of the control group, and the difference was significant (P<0.05). The satisfaction of anesthesia at 72h was significantly higher than the control group, statistically significant (P<0.05). Conclusion Applying Lidocaine cream combined with Lidocaine and ropivacaine can effectively relieve the pain of patients after anal surgery, reduce the incidence of complications and improve the satisfaction, quality of life scores of patients with anesthesia.

Observation on Therapeutic Effect of Thrombin Combined with Proton Pump Inhibitor on Upper Gastrointestinal Bleeding

SONG Li-feng, SONG Li-jun

2024, 42(16):  169-171. 

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Objective To observe the curative effect of thrombin combined with proton pump inhibitor on upper gastrointestinal bleeding. Methods A total of 320 patients with upper gastrointestinal bleeding admitted to our hospital from January 2020 to January 2023 were randomly divided into control group and observation group, with 160 patients in each group. The control group was treated with proton pump inhibitor (omeprazole injection), while the observation group was treated with thrombin on the basis of this. Hemostasis (hemostasis time, blood transfusion, rebleeding rate, hospitalization time), Glasgow-Blatchford bleeding score (GBS), treatment efficiency and adverse reactions were compared between the two groups. Results The hemostatic time, blood transfusion volume, rebleeding rate and hospitalization time in the observation group were lower than those in the control group, with statistical significance (P<0.05).Before treatment, there was no significant difference in GBS scores between the two groups (P>0.05). After treatment, the GBS scores of the two groups decreased, and the scores of the observation group were lower than those of the control group, with significant difference (P<0.05).The effective rate in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05).There was no significant difference in the adverse reaction rate between the observation group and the control group (P>0.05). Conclusion Thrombin combined with proton pump inhibitor is effective in the treatment of upper gastrointestinal bleeding, which can improve the hemostasis efficiency and relieve the critical degree of bleeding, and will not increase the adverse reactions, so it has the significance of popularization and use.

Single Center Experience in Clinical Practice of Accelerated Lung Cancer Rehabilitation Surgery

CAO Wan-le, LI Fan-nian, LIU Yang, YANG Pu, ZHU Zi-ming, WANG Jian-xun, GAO Ji-lin, LI Yu-ku, NIU Guo-jing, LIU Shi-wei

2024, 42(16):  172-175. 

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In recent years, Enhanced Recovery After Surgery(ERAS) is increasingly valued in clinical application at home and abroad, but there is still no long-term evidence-based research on the application of ERAS in thoracic surgery, especially in lung malignant tumors, and the feasibility of all aspects still needs to be explored and optimized. This paper explores and summarizes the application of ERAS in lung cancer surgery, in order to further improve and promote ERAS, so that it can better serve patients and effectively improve the treatment effect.

The Impact of Delivery Methods on Pregnancy Outcomes in Pregnant Women with Premature Rupture of Membranes at Term

XUE Liang-Yu, ZHAO Ju

2024, 42(16):  176-178. 

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Objective To analyze the impact of delivery methods on pregnancy outcomes in pregnant women with premature rupture of membranes at term. Methods A total of80 cases of pregnant women with premature rupture of membranes at term treated in Yulin Hengshan District People's Hospital from January 2020 to January 2023 were selected as the research subjects. Different delivery methods were selected according to the wishes of pregnant women, divided into elective cesarean delivery group and natural delivery group, with 40 cases in each group. The effect of delivery mode on pregnancy outcomes between the two groups. Results The amount of bleeding and expected treatment time were less than or shorter than the corresponding indicators of the natural delivery group, and the differences were statistically significant (P<0.05); The Apgar scores of 1min, 5min and 10min after birth were all higher than those of the natural scheduled cesarean delivery group, with a statistically significant difference (P<0.05); The incidence of adverse pregnancy outcomes in the elective cesarean section group was lower than in the spontaneous labor group, significant (P<0.05), and the incidence of neonatal adverse events in the elective cesarean section group was lower than in the spontaneous labor group (P<0.05). Conclusion Pregnant women with premature rupture of membranes at term should be delivered as early as possible to reduce the incidence of adverse pregnancy outcomes and neonatal outcomes, and reduce the fetal mortality rate and the infection rate of pregnant women.

Analysis of the Causes of Cross Matching Incompatibility among Patients in the Emergency Department of Liuzhou Workers'Hospital in 2022 Year and Exploration of Blood Transfusion Strategies

WEI Xiao-xing

2024, 42(16):  179-181. 

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Objective To investigate and analysis the reasons for cross matching incompatibility among patients in the emergency department of Liuzhou Workers'Hospital in 2022 year, and propose relevant blood transfusion strategies to ensure the safety of blood transfusion. Methods From January 2022 to December 2022, 3211 cases of patients who underwent emergency treatment in the emergency department of certain hospital were selected as the research subjects.Cross matching were provided before blood transfusion, and were to observe the occurrence of cross matching incompatibility and analyzed the reasons. Blood transfusion strategies and results were proposed after the occurrence of cross matching incompatibility. Results In the 3211 emergency patients, there were 28 cases (study group, others classified as control group) were experienced cross matching incompatibility that accounted for 0.87%. The causes were determined to be autoimmune antibodies in 10 cases, irregular antibodies in 8 cases, ABO blood incompatibility in 6 cases, cold antibodies in 2 cases, and sample contamination in 2 cases. In the 28 patients with cross matching incompatibility, the transfusion strategy included searching for blood lower than the agglutination strength of the anti human globulin test on the secondary side, re-matching, re-selecting donor blood, and selecting the correct specimen for blood matching. The transfusion results were consistent with both the primary and secondary sides. Conclusion The incidence of cross matching incompatibility among patients in the emergency department of Liuzhou Workers'Hospital in 2022 year is still relatively high,mainly due to autoimmune antibodies, irregular antibodies,ABO blood type incompatibility, etc.Actively implementing transfusion strategies such as re matching and re selecting donor blood by choosing the correct method can avoid the occurrence of cross matching incompatibility.

The Value of Holter Monitor Combined with Heart Rate Variability Parameters in the Diagnosis of ECG ST-T Changes

LI Qin

2024, 42(16):  186-188. 

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Objective To explore the application value of Holter monitor combined with heart rate variability parameters in the diagnosis of ECG ST-T changes. Methods Chose 170 individuals who underwent physical examinations at Shaanxi Forest Industry Employee Hospital from July 2020 to April 2023 were selected as the research subjects. All enrolled individuals underwent electrocardiogram examinations, and were divided into the study group (n=85, with electrocardiogram ST-T changes) and the control group (n=85, without electrocardiogram ST-T changes) based on their test results. Dynamic electrocardiogram tests were performed on both groups of individuals, Record the percentage of quantitative parameters with a difference between adjacent NN intervals>50 ms in heart rate variability (PNN50), the root mean square (RMSSD) of the difference between adjacent NN intervals, and the standard deviation (SDNN) of all sinus rhythm RR intervals for comparison. Calculate the diagnostic value of dynamic electrocardiogram, quantitative parameters of heart rate variability, and combined detection for electrocardiogram ST-T by plotting ROC curves. Results The supraventricular premature beats and supraventricular tachycardia in Holter monitor of patients in the study group were significantly higher than those in the control group (P<0.05). The AUC of Holter monitor index for diagnosis of ST-T changes in electrocardiogram was 0.873 and 0.856, the consistency of the prompt data is good. The SDNN, RMSSD, and PNN50 of heart rate variability parameters in the study group were significantly higher than those in the control group (P<0.05). The diagnostic AUC of heart rate variability parameters SDNN, RMSSD, and PNN50 for ST-T changes in electrocardiogram were 0.845,0.622 and 0.799, suggesting that SDNN and PNN 50 showed good agreement in the diagnosis of ECG ST-T changes, while RMSSD had low agreement.By using a series connection method, the diagnostic consistency, sensitivity,and specificity of the combination of dynamic electrocardiogram and heart rate variability parameters for ST-T changes in electrocardiogram were 95.88%,98.82% and 92.94%. Conclusion The Holter monitor parameters and heart rate variability parameters of patients with ECG ST-T changes will change significantly. The application of the above quantitative parameters in the diagnosis of ECG ST-T changes has good clinical efficacy, and has a certain value of popularization and application.

Correlation Between Changes in Ultrasound Morphology of the Posterior Urethra and the Occurrence of Lower Urinary Tract Symptoms Caused by Benign Prostatic Hyperplasia

CHENG Bo

2024, 42(16):  189-192. 

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Objective To explore and analysis the correlation between changes in posterior urethral ultrasound morphology and the occurrence of lower urinary tract symptoms caused by benign prostatic hyperplasia. Methods From August 2020 to May 2023, 92 cases of male patients with benign prostatic hyperplasia who were diagnosed and treated at General Surgery Department of Shangzhou District People's Hospital were selected as the case group, while the other 92 cases of healthy male patients who underwent physical examination at General Surgery Department of Shangzhou District People's Hospital were selected as the control group during the same period. The morphological changes of posterior urethra in the case group and the control group were detected, and the symptoms of lower urinary tract were recorded, and the correlation factors of lower urinary tract symptoms caused by benign prostatic hyperplasia were analyzed by Spearman. Results The abnormal rates of posterior urethral ultrasound morphology in the case group were 53.26%, while in the control group it were 5.43%.The abnormal rate of posterior urethral ultrasound morphology in the case group were significantly higher than that in the control group (P<0.05).The bladder outlet obstruction index and residual urine volume in the case group were significantly higher than those in the control group (P<0.05),and the maximum urine flow rate were also significantly lower than that in the control group (P<0.05). In the case group, Spearman analysis showed there were correlation between abnormal ultrasound morphology of the posterior urethra and bladder outlet obstruction index,residual urine volume, maximum urine flow rate(P<0.05).Multivariate logistic regression analysis showed that the abnormal ultrasonic morphology of posterior urethra in BPH patients affected the bladder outlet obstruction index,residual urine volume and maximum urine flow rate(P<0.05). Conclusion Patients with benign prostatic hyperplasia often exhibit abnormal posterior urethral ultrasound morphology, accompanied by abnormal bladder outlet obstruction index, residual urine volume, and maximum urine flow rate. There are correlation between changes in posterior urethral ultrasound morphology and the occurrence of lower urinary tract symptoms caused by benign prostatic hyperplasia.