Table of Content

16 October 2024, Volume 42 Issue 20

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Exploring the Health Preservation Principles of Qinggong Baduanjin Based on the Integration of "Three Harmonies" and the Eight Extraordinary Meridians

ZHU Hao-ming, YAO Shi-qi, LI Qiao-lin, WU Guang-wen

2024, 42(20):  1-4. 

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The three tones of traditional Chinese medicine refer to regulating the body, regulating breath, and regulating the heart, which are interrelated and mutually influential as a whole. The Qinggong Eight Section Brocade is a set of health preserving techniques characterized by regulating the Eight Extraordinary Meridians. This article explores the health principles of the Eight Section Brocade of the Qing Palace from the perspectives of body shape, breath, and mind, as well as the Eight Meridians of the Strange Classic. It reveals that the essence of the exercise of the Eight Section Brocade of the Qing Palace is to exercise and regulate the body's mind, qi, and form, and to bring the body's mind, qi, and form into a state of three in one. This provides a theoretical basis for the promotion of the Eight Section Brocade of the Qing Palace, enriches the connotation of the Eight Section Brocade of Fitness Qigong, and provides new methods for the health and wellness of the general public.

Investigation and Analysis of the Current Situation of Kap on Traditional Chinese Medicine Health Diet Therapy of the Staff of Nursing Institutions for the Aged

LIU Ling, LIN Li, GONG Wan, LI Jun

2024, 42(20):  4-8. 

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Objective Investigate the current state of knowledge, attitude and practice（KAP） of traditional Chinese medicine health diet therapy of the staff in nursing institution for the aged, so as to provide a reference for the promotion of traditional Chinese medicine health diet therapy. Methods In March 2023, 370 cases of working personnel of nursing institution for the aged in Mianyang City were sampled as survey subjects, and the survey was conducted using the self-prepared questionnaire. Results A total of 355 valid questionnaire were collected;The scores of traditional Chinese medicine health diet therapy knowledge, attitudes, and behavior were (12.45±2.62), (35.23±3.78), and (20.31±5.37); multiple linear regression analysis results showed that the level of education and location area were influencing factors of pension institution staff on traditional Chinese medicine health diet therapy knowledge (P<0.05) ; the level of education and location area were influencing factors of their attitude (P<0.05); the gender and location area were influencing factors of their behavior (P<0.05). Conclusion The Staff of nursing institutions for the aged have a positive belief in traditional Chinese medicine health diet therapy, but the level of knowledge and application behavior need to be improved. It is recommended that we should strengthen the knowledge learning and practical training for the staff in traditional Chinese medicine health diet therapy. Meanwhile,we propose strengthen the establishment of standards related to food services, and the support of employment policy.

A Study of the Therapeutic Eff ect of Prone Lung Reconstruction in Patients with Severe Pneumonia Complicated by ARDS

YANG Rui LI Hai-hong ZHANG Ying GUAN Li-ping WANG Shuo GU Ming-li

2024, 42(20):  9-12. 

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Objective To study the clinical effect of severe pneumonia pneumonia in patients with respiratory distress syndrome (respiratory distress syndrome; respiratory-distress syndrome, ARDS). Methods The study case screening for December 2021 to December 2023 in 8 intensive pneumonia with ARDS of 80 cases, group way is random number table method, group includes observation group 40 cases and 40 cases, the two groups of patients with lung double treatment, the control group patients take supine position, the observation group patients accept prone position, compare the two groups of treatment effect. Results After treatment, compared with before treatment, the oxygen concentration fraction and positive end expiratory pressure ventilation levels in both groups decreased, and the observation group patients showed a decrease compared to the control group; The arterial oxygen partial pressure and oxygenation index were all elevated, and the observation group patients were compared with the control group, with significant differences in results between the groups (P<0.05).The mechanical ventilation time and ICU stay time of the observation group patients were shorter than those of the control group, and the mortality rate at 28 days was lower than that of the control group ( P<0.05); The incidence of adverse reactions in the observation group was only 2.50%, significantly lower than the 15.00% incidence of adverse reactions in the control group (χ²=3.913, P=0.047). Conclusion In the treatment of severe pneumonia and ARDS patients, it can further improve the treatment effect, significantly improve the oxygenation index of patients, reduce the occurrence of adverse reactions in the treatment process, and improve the disease control effect.

Analysis of the Effect of Triglyceride Glucose Index Combined with Urinary pH Value on Renal Calculi

CHEN Rui, ZHAI Chao, ZENG An-jun, SHU Xiang-hui, FAN Qing-he, PENG Zhi-fei, PENG Wen-xi, WU Ke, TANG Duo-cai

2024, 42(20):  12-16. 

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Objective To explore the value of triglyceride glucose index ( TyG index ) and urine pH value and their combination in predicting renal calculi. Methods A total of 2 190 cases of medical checkups at the Physical Examination Center of People's Hospital of Tianfu New Area in 2022-2023 were selected as the study subjects, and they were divided into stone and non-stone groups according to the ultrasound results. According to the results of color Doppler ultrasound, they were divided into stone group and non-stone group. The differences between the two groups were compared. The risk factors of the stone group were analyzed by binary logistic regression model, and the receiver operating characteristic (ROC) curve was drawn to evaluate the predictive efficiency of TyG index and urine pH value and their combination for renal calculi. Results Among the 2 190 subjects, 360(16.4%) were in the stone group. After logistic regression analysis of meaningful variables in clinical baseline data, it was concluded that TyG index and urinary pH value were independent risk factors for renal calculi. ROC curve analysis showed that the area under the curve of TyG index, urine pH value and their combination in predicting renal calculi were 0.832,0.799 and 0.895, respectively. Conclusion TyG index and urine pH value have high predictive value for the occurrence of renal calculi, and the combination of the two has higher energy efficiency in predicting the incidence of renal calculi.

The Therapeutic Effect of Gongyanping Capsule Combined with Ceftriaxone Sodium on Patients with Chronic Pelvic Inflammatory Disease and Its Impact on Inflammatory Factors

MA Fang-qin

2024, 42(20):  36-40. 

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Objective To study the therapeutic effect of Gongyanping capsule combined with ceftriaxone sodium on patients with chronic pelvic inflammatory disease. Methods A total of 100 patients with chronic pelvic inflammatory disease admitted to Qishan County Hospital from January 2020 to December 2021 were selected as the study objects, and randomly divided into control group and observation group with 50 cases in each group by drawing lot. The control group was treated with ceftriaxone sodium alone, while the observation group was treated with Gongyanping capsule. To evaluate the efficacy, compare the volume of pelvic fluid accumulation and the diameter of inflammatory masses in pelvic appendages between the two groups, and detect the serum levels of interleukin-6 (IL-6), monocyte chemoattractant protein-1 (MCP-1), C-reactive protein (CRP), matrix metalloproteinase-2 (MMP-2), interleukin-10 (IL-10), and evaluate the symptom scores of both groups of patients. Results The effective rate of the observation group was significantly higher than control group (P<0.05). After treatment, the amount of pelvic fluid accumulation and the diameter of inflammatory masses in pelvic appendages in both groups were significantly reduced (P<0.05), and the observation group were lower (P<0.05). After treatment, the levels of serum IL-6, MCP-1, and CRP in both groups were significantly decreased (P<0.05), while the levels of MMP-2 and IL-10 were significantly increased (P<0.05). The levels of serum IL-6, MCP-1, and CRP in the observation group were significantly lower(P<0.05), while the levels of MMP-2 and IL-10 were significantly higher(P<0.05). After treatment, the scores of menstrual irregularities, lower abdominal pain, and excessive vaginal discharge in both groups were significantly reduced (P<0.05), and the scores of menstrual irregularities, lower abdominal pain, and excessive vaginal discharge in the observation group were significantly lower than those in the control group (P<0.05). Conclusion The combination of Gongyanping Capsules and Ceftriaxone Sodium has a significant therapeutic effect on chronic pelvic inflammatory disease, which can alleviate the adhesion state of pelvic tissue, reduce inflammatory reactions in the body, and improve the symptoms of patients. It is worth application.

Analysis of the Therapeutic Effect of Abdominal Puncture Combined with Acetic Acid Sustained-release Implant on Chocolate Cysts

XU Yan, ZHAI Yun-fang, NuerAminamu · Rouzi, Dilibeier · Anwaier

2024, 42(20):  43-47. 

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Objective To analyze the therapeutic effect of abdominal puncture combined with acetic acid sustained-release implant on chocolate cysts. Methods 88 cases of patients with chocolate cysts who was diagnosed and treated at a certain hospital from June 2019 to January 2023 was selected as the research subjects. According to a 1:1 random number table method, the 88 patients was divided into a combination group of 44 cases and a control group of 44 cases. The control group was treated with abdominal puncture, while the combined group was treated with acetic acid sustained-release implant on the basis of the control group. Both groups was treated and observed for 5 months to observe and record the patient's prognosis. Results After 5 months of treatment, the total effective rate of the combination group was significantly higher than the control group (P<0.05). After 5 months of treatment, the serum levels of follicle-stimulating hormone and luteinizing hormone in both groups was significantly lower than before treatment (P<0.05). The serum levels of follicle-stimulating hormone and luteinizing hormone in the combined group was also significantly lower than those in the control group after 5 months of treatment (P<0.05). There was no significant difference between the combined group and the control group about the incidence of adverse reactions such as fever, pelvic effusion, bleeding, and urinary retention (P>0.05). The quality of life scores of emotional function, mental health, physiological function, general health status, social function, physiological function, physical pain, and energy in the combination group was significantly higher than those in the control group after 5 months of treatment(P<0.05). Conclusion abdominal puncture combined with acetic acid sustained-release implant can improve the overall treatment effect of patients with chocolate cysts, promote the release of serum follicle-stimulating hormone and luteinizing hormone, reduce the occurrence of adverse reactions, and improve the quality of life of patients.

The Application of Mini-CEX Combined with CBL Teaching Mode in Clinical Nursing Graduate Practice Training

WANG Jing, HUANG You-hong, HUANG Yan-ling, QING Qiu-qiong, ZENG Su-hua

2024, 42(20):  79-82. 

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Objective To explore the construction and application effect of a comprehensive teaching model combining Mini CEX and Case Based Learning (CBL) in clinical nursing graduate practical training Research. Methods 42 full-time nursing graduate students who entered the clinical practice training program at the First Affiliated Hospital of Nanchang University in 2022 and 2021 were selected as the research subjects. They were randomly divided into a control group of 21 people and an observation group of 21 people; The control group is implemented by the chief teacher for enrollment education, teaching plans, guidance teachers for experience and knowledge transfer, clinical practice guidance, and other operations, and regular assessments are conducted according to requirements. The observation group received clinical teaching using Mini-CEX combined with CBL on the basis of the control group. Both groups of nursing graduate students were assessed upon graduation, comprehensively evaluated, and filled out a satisfaction questionnaire. Results In the comprehensive evaluation of nursing graduate students in the observation group, although there was no statistically significant difference in theoretical and skill scores between the two groups (P>0.05), there was a statistical difference between the two groups in terms of nurse patient communication, evaluation, diagnosis, measure application, health education, humanistic care, and overall evaluation ratio (P<0.05); There was a statistical difference between the two groups of nursing graduate students in terms of teaching plan standardization, clinical emergency response ability, learning interest, and teaching satisfaction (P<0.05). Conclusion Mini CEX combined with CBL teaching is an operable teaching mode. Establishing and optimizing comprehensive teaching and training plans and processes is conducive to improving the clinical practice ability of nursing graduate students and cultivating high-level composite nursing talents.

Effects of touch therapy and music psychological relaxation on physiological and psychological stress in patients undergoing laparoscopic radical gastrectomy for gastric cancer

GUAN Dong-dong, CHEN Yuan-yuan, HOU Xiao-meng, ZHOU Li-cheng, WANG Weng-sen

2024, 42(20):  92-95. 

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Objective To explore the effects of touch therapy and music psychological relaxation on physiological and psychological stress in patients undergoing LARG for gastric cancer. Methods A total of 92 gastric cancer patients from January 2022 to May 2023 who were underwent LARG at the Second People's Hospital of Liaocheng City were selected, and randomly divided into the intervention group (n=46, touch therapy and music psychological relaxation) and the control group (n=46, routine nursing). The perioperative indicators, physiological stress, psychological stress, and sleep quality in both groups were compared. Results In surgery, first exhaust, recovery of bowel sounds, mobilization, and hospital stay, in comparision of the control group, the intervention group was shorter (P<0.05). 1 hour after waking up, MAP and HR in both groups were increased (P<0.05), but in comparision of the control group, the intervention group was more stable (P<0.05). At discharge, BAI and BDI-II scores in both groups were decreased (P<0.05), and in comparision of the control group, the intervention group was lower (P<0.05). At discharge, PSQI scores in both groups were decreased (P<0.05), and in comparision of the control group, the intervention group was lower (P<0.05). Conclusion The combination of touch therapy and music psychological relaxation in the intervention of LARG patients can shorten the surgical time, promote postoperative recovery, alleviate physiological and psychological stress reactions, and improve sleep quality.

Study on the Rule of Medication in Treating Insomnia from the Liver of Shi Weiqun

ZHOU Chun-zi, HU Jing-wen, ZHANG Xiang, SHI Wei-qun

2024, 42(20):  153-157. 

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Objective Professor Shi Weiqun, a famous Chinese medicine doctor in Zhejiang Province, has a good curative effect on insomnia based on liver. To analyze the medication rules and prescription ideas of Professor Shi Weiqun in the treatment of insomnia, and to provide reference for the inheritance of experience and clinical practice of famous old Chinese medicine. Methods The outpatient TCM prescription data of Professor Shi Weiqun in the treatment of insomnia from January 2020 to January 2023 were collected, and the data table was established after standardization, and the drug frequency, sex and taste normalization were statistically analyzed by Excel 2019. SPSS Modeler 18.0 software Apriori algorithm was used to analyze drug association rules. SPSS Statistic 26.0 software was used for cluster analysis of high-frequency drugs with frequency ≥20 to explore their core drugs. Results A total of 119 TCM prescriptions were included, involving 165 TCM, and the total frequency of drugs was 2 167 times. The top 10 drug use frequency were Angelica sinensis, Fuzhuan, white art, plum blossom, licorice, Paeony, Bupleurum, alacia, peony bark and jujube kernel. The drug properties are mainly flat, warm and slightly cold, the taste is mainly sweet, bitter and xin, and the channel is mainly liver channel, heart channel and spleen channel. The efficacy of the drug is mainly to relax the liver and relieve depression, calm the heart and calm the mind, and tonify the spleen and stomach. The high frequency drug combination in drug association includes “white art → astragalus” “scorched gardenia → light tempeh” “ligustrine fruit → mohan lotus” “angelica → wood fragrance” “alisma → dogwood” and so on. Drug clustering can cluster 23 high frequency Chinese medicines used more than 30 times into 5 categories. The core prescriptions for insomnia were as follows: Angelica sinensis, Fuzhuan, white art, plum blossom, licorice, alacia, Notoginseng and Paeony. Conclusion Professor Shi Weiqun’s treatment of insomnia is based on liver, from liver to liver, taking into account the three viscera of heart, spleen and kidney, with soothing liver and regulating qi as the core, with nourishing heart and calming, invigorating spleen and qi, nourishing liver and kidney. The core prescription is rigorously compatible and delicate.

Clinical and CT Features of Lung Adenocarcinoma in Predicting EGFR Mutations

HUO Feng-zhi, LIU Yi-yong

2024, 42(20):  160-165. 

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Objective To analyze the clinical and CT features of lung adenocarcinoma in predicting EGFR gene mutation. Methods The data of 791 patients with lung adenocarcinoma who were treated in Inner Mongolia Hospital of Peking University Cancer Hospital from January 2017 to December 2022 were retrospectively analyzed by convenience sampling. Univariate and multivariate analysis of predictive factors of EGFR gene mutation in patients with lung adenocarcinoma wasfinished. Construction of predictive model of EGFR gene mutation in lung adenocarcinoma patients and analysis of predictive efficacy was done. Results Of the 791 patients included in the study, 420 (53.10%) were positive for EGFR mutations. The results of single factor analysis showed that there were statistically significant differences in smoking, ground glass density shadow, air bronchial sign, vascular cluster sign, pleural pull sign and multiple metastasis in both lungs between EGFR mutation positive and negative patients (P<0.05). logistic multivariate analysis showed that smoking, ground glass density shadow, air bronchial sign, vascular bunching sign, pleural pull sign and double lung multiple metastasis were independent influencing factors of EGFR gene mutation in lung adenocarcinoma patients (P<0.05). The nomogram risk model was constructed based on the variables screened by multi-factor analysis, and the C-index was 0.786. The P value of logistic regression model was used to predict the probability, and ROC curve was used to analyze the prediction efficiency of EGFR gene mutation in lung adenocarcinoma patients. The Jorden index was 61.98%. Conclusion Non-smoking, presence of ground glass density shadow, air bronchial sign, pleural pull sign, vascular bunching sign and multiple metastasis in both lungs can be independent predictors of EGFR mutation in lung adenocarcinoma patients. The mathematical model constructed by the above factors can play a good forecasting effect.

Case Report of Traditional Chinese Medicine External Treatment Nursing for Cancer Pain in a Patient with Prostate Cancer Bone Metastasis

TONG Li-na, ZHOU Yuan, YE Lei, LI Fei, XU Ai-huan, XU Ya-xin, ZHAO Ling-ling, REN Xue-mei, DU Nan-nan, WU Si-yuan, XIA Jing-jing

2024, 42(20):  168-171. 

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For a patient with persistent pain in the waist and back after prostate cancer surgery accompanied by bone metastasis, traditional Chinese medicine external treatment was adopted for nursing intervention in the case of difficulty in effectively relieving pain by pure Western medicine pain relief treatment and palliative radiotherapy, while also maintaining Western medicine medication pain relief treatment. Three traditional Chinese medicine methods were mainly used, including: ①Applying ear acupoint pressure pills to the ear acupoint reaction points related to cancer pain to suppress sustained basic pain and explosive pain;②Selecting Taichong, Hegu, Neiguan, Qimen, and Zusanli for moxibustion to resolve the cold coagulation block caused by cancer;③Applying self-made traditional Chinese medicine acupoints to the pain points Ashi and dialectical acupoints to relieve persistent and stubborn pain. Through the combined nursing of traditional Chinese and Western medicine, the patient’ s cancerous burst pain and basic pain have been suppressed.

The Diagnostic Value of Combined Detection of VEGF, IL-33, ADA2, and ACE for the Properties of Pleural Effusion

NING Xin-ping, ZHOU Xiao-ping

2024, 42(20):  189-193. 

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Objective To explore the diagnostic value of combined detection of vascular endothelial growth factor (VEGF), interleukin-33 (IL-33), adenosine deaminase 2 (ADA2), and angiotensin converting enzyme (ACE) in the properties of pleural effusion. Methods Using a retrospective analysis, 100 cases of patients with pleural effusion who underwent thoracic puncture and drainage at Dali County Hospital from January 2018 to January 2021 were selected. Among them, there were 58 cases of patients were diagnosed as malignant (malignant group) and 42 cases of patients were diagnosed as benign (benign group). In addition, the other 20 cases of non pleural effusion patients diagnosed according to the Light diagnostic criteria at Dali County Hospital during the same period were selected as the control group. All patients were tested for pleural effusion, with detection indicators of VEGF, IL-33, ADA2, and ACE, Analyze its expression situation; And analyze the effectiveness of detecting these four indicators separately and jointly in diagnosing malignant pleural effusion. Result There were significant differences in the expression levels of VEGF, IL-33, ADA2, and ACE in pleural effusion the three groups of patients (P<0.05). Among them, VEGF, ADA2, IL-33, and ACE were detected to have higher expression in the malignant group. The combination of four indicators for diagnosing the nature of pleural effusion has a higher effect than the individual diagnosis of each indicator, with increased sensitivity, specificity, and accuracy（P<0.05）. ROC curve analysis showed that the combined detection of VEGF, IL-33, ADA2, ACE and four indicators in pleural effusion had a diagnostic area under the curve of 0.810, 0.780, 0.760, 0.750, and 0.855 for malignant pleural effusion. Conclusion There is a significant difference in the levels of VEGF, IL-33, ADA2, and ACE in benign and malignant pleural effusions. The combined detection of VEGF, IL-33, ADA2, and ACE has a significantly higher diagnostic value for the nature of pleural effusions than a single indicator.