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2022 Vol. 19, No. 24
Published: 2022-08-25
 
 
5 Analysis of the research situation of osteoarthritis and autophagy based on bibliometrics
YUAN Changshen1 LI Zhe2 GUAN Yanbing2 LIAO Shuning2 CHEN Lewei2 RONG Weiming2 MEI Qijie1 DUAN Kan1
DOI: 10.20047/j.issn1673-7210.2022.24.01
Objective To discuss the research trend of osteoarthritis (OA) and autophagy, sort out the development history of this field, analyze the current research trends and hotspots, and to make a systematic review and trend prospect of the research in the field of OA and autophagy, so as to provide reference for follow-up research. Methods Based on the PubMed literatures database, bibliometric methods were used to conduct literature analysis and big data mining on OA and autophagy research from January 2011 to December 2021 by the citexs data analysis platform. Results The search obtained 480 valid literatures, and the analysis found that the annual publication volume in this field was increasing continuously, reaching a peak of 108 literatures in 2021, of which the country with the largest number of publications is China (207 literatures, 43.13%), and the research institution was the largest number of publications for the Scripps Research Institute in the United States. The journal with the most literature in this field was Osteoarthritis Cartilage (24 literatures), with a single author publishing up to four literatures, and Chinese scholars had contributed the most in this area. The keywords with the highest frequency in the searched literature were autophagy, apoptosis, chondrocytes, inflammation, and cartilage, and the most associated gene was MTOR (143 literatures). In addition, a total of 15 recommended literatures were also list in this study. Conclusion Research in this field is in a stage of rapid growth, and the research content continues to deepen over time. Although the relevant mechanisms are currently unclear, autophagy as a therapeutic target for OA will have broad clinical prospects, and targeting the complex oxidative stress signaling pathway or regulating MTOR intervention may be an effective way to treat OA.
2022 Vol. 19 (24): 5-10,21 [Abstract] ( 42 ) HTML (1 KB)  PDF (2607 KB)  ( 40 )
11 Analysis of acupoint selection rules of acupuncture and moxibustion in the treatment of rheumatoid arthritis based on data mining
WU Xian ZHANG Hui YANG Fan
DOI: 10.20047/j.issn1673-7210.2022.24.02
Objective To summarize and analyze the acupoint selection rules of acupuncture and moxibustion in the treatment of rheumatoid arthritis, and to provide reference for clinical and scientific research of acupuncture and moxibustion in the treatment of rheumatoid arthritis. Methods Clinical literatures on acupuncture and moxibustion in the treatment of rheumatoid arthritis were collected from CNKI, Wanfang database, and VIP database from January 1996 to January 2021 by computer retrieval method. Microsoft Excel 2016 was used for frequency analysis, and SPSS Modeler 18.0 and SPSS Statistics 22.0 were used for association rule, complex network, and cluster analysis. Results A total of 1 588 literatures were searched, and 225 literatures were finally included, including 225 acupuncture and moxibustion prescriptions, involving 134 acupoints, with a total frequency of 3 345. The three most frequently used acupoints were zúsānlǐ, yánglíngquán and qūchí. There were 30 high-frequency acupoints with frequency ≥ 40, with a total frequency of 2 332, accounting for 69.7% of the total frequency. The top three acupoint combinations in frequency were yánglíngquán-zúsānlǐ, zúsānlǐ-qūchí and qūchí-yánglíngquán, and 26 acupoint combinations with frequency > 70. The selection of acupoints involved twelve regular channels, conception channel and governor channel, and extra ordinary point, and the acupoints were mostly from yang channel (2 357 times, 72.34%), among which bladder channel was the most selected (575 times, 17.65%), and the types of acupoints applied were the most (27 times, 20.45%), followed by extra ordinary point, the stomach channel, the gallbladder channel and governor channel. The association network diagram of acupoints with frequency ≥ 40 was made and association rules were analyzed. The main acupoint combination of acupuncture and moxibustion for rheumatoid arthritis was “zúsānlǐ-sānyīnjiāo-wàiguān”. Five clusters were obtained by cluster analysis. Conclusion The acupoint selection rules of acupuncture and moxibustion for rheumatoid arthritis are as follows: the bladder channel of foot-taiyang, extra ordinary point, the stomach channel of foot-yangming，the gallbladder channel of foot-shaoyang and governor channel are more used. The main acupoint combination is zúsānlǐ-sānyīnjiāo-wàiguān.
2022 Vol. 19 (24): 11-15,35 [Abstract] ( 36 ) HTML (1 KB)  PDF (1246 KB)  ( 98 )
16 Visual analysis of related research in artificial intelligence application in orthopaedic field
GUO Hao1 YAN Jingru2 LIAN Hongyu1 CHEN Guangxin3 LI Zitao1 LIU Kexin1 LIU Xinwei1 ZHANG Jia1
DOI: 10.20047/j.issn1673-7210.2022.24.03
Objective To analyze the research profile of artificial intelligence in orthopedic field in the past 20 years by visualization methods and to provide relevant references for future research. Methods CNKI and Web of Science databases were used to search the domestic and foreign literatures on artificial intelligence application in orthopaedic field from January 2001 to November 2021, and the literatures were imported into CiteSpace in standard format. The visual atlas analysis was carried out from four dimensions: number of articles published, author, national institution, and keywords. Results According to the analysis of the number of articles published, attention in this field had continued to grow since 2017. Among them, Liu Xingyu and Karnuta JM had the most articles published by individuals at home and abroad. The institutions with the largest number of publications in this field were Beijing Jishuitan Hospital and Stanford University in the United States. The cooperation between institutions in Beijing was the closest and the earliest in this field, while foreign institutions showed the overall characteristics of close communication. The top three countries were the United States, England, and Australia. The research focus is mainly on robot, artificial intelligence, and neural network. Conclusion In recent years, the related research on the artificial intelligence application in orthopedic field has developed rapidly at home and abroad, and artificial intelligence has been widely applied in the diagnosis and recognition of orthopaedic diseases, preoperative planning, surgical robots, and rehabilitation follow-up. At present, intraoperative assistance of artificial intelligence robots is a research hotspot. In the future, cooperation and communication between authors and institutions should be strengthened in China, and further research and development of convolutional neural networks should be built.
2022 Vol. 19 (24): 16-21 [Abstract] ( 35 ) HTML (1 KB)  PDF (3008 KB)  ( 446 )
22 Screening of preparation process of breviscapine solid dispersion#br#
TANG Ting LI Fuyuan LIU Yan QIU Yanming
DOI: 10.20047/j.issn1673-7210.2022.24.04
Objective To optimize the preparation process of breviscapine solid dispersion and determine its dissolution in vitro and content. Methods Taking the cumulative dissolution rate as the index, the best carrier and preparation method for preparing solid dispersion were selected through single factor test; the optimal ratio of drug and carrier material was investigated; the optimum preparation process of breviscapine solid dispersion was selected by orthogonal test; the reproducibility, dissolution, and content were investigated. Results The best preparation carrier of breviscapine solid dispersion was poloxamer 188; the best preparation method was melting method; the best preparation process of breviscapine solid dispersion was as follows: the ratio of drug to carrier material was 1∶5, the melting temperature was 70℃, and the cooling temperature was 20℃. Conclusion Breviscapine solid dispersion can improve its solubility.
2022 Vol. 19 (24): 22-25 [Abstract] ( 39 ) HTML (1 KB)  PDF (1303 KB)  ( 32 )
26 Visual analysis of cancer patient sexual health research in nursing field based on Web of Science core collection database
CHEN Wei1 QIN Nan2 ZHOU Jie1 OUYANG Jie3
DOI: 10.20047/j.issn1673-7210.2022.24.05
Objective Through the visualization analysis of the research status, hotspots, and trends of the research on the sexual health of cancer patients in the field of nursing, this paper provides reference for the research on the sexual health of cancer patients in China in the future. Methods The Web of Science core collection database was retrieved, and the literatures related to the sexual health of cancer patients in the nursing field from January 2012 to August 2021 were selected, and imported into CiteSpace software for visual analysis. Results A total of 400 articles were included, with the highest annual number of articles published in 2018 and then showing a downward trend; the institution with the largest number of publications was Chang Gung University in Taiwan; the main country in the network was the United States; the research focuses on the study population, research methods and intervention implementers; the trends were psychological distress and unmet sexual health needs. Conclusion China’s research in this field started late, so we should learn from foreign experience and actively carry out intervention research suitable for Chinese culture in the future, so as to better improve the sexual health level of cancer patients.
2022 Vol. 19 (24): 26-30 [Abstract] ( 741 ) HTML (1 KB)  PDF (1689 KB)  ( 41 )
31 Research on the regularity of clinical meridians and points of acupuncture treating generalized anxiety disorder based on data mining
LI Xiaoya1 ZHU Chunqiu1 LI Hui1 FAN Junming2 QING Hui3 CUI Weifeng4
DOI: 10.20047/j.issn1673-7210.2022.24.06
Objective To analysis compatibility law of acupoints, by data mining the clinical acupoints of acupuncture and moxibustion in the treatment of generalized anxiety disorder (GAD). Methods Literatures on acupuncture treatment of GAD from January 2001 to August 2021 from CNKI, VIP, Wanfang Data, PubMed and SinoMed were collected, and clinical data were collated and analyzed for the compatibility rules of acupuncture points. Results Acupuncture and moxibustion treatment of GAD acupoints mainly belong to the governor vessel, liver channel, aladder channel, acupoints on the head, face, neck, and lower extremity were most commonly used; the order of specific points was crossing point, yuan-primary point, acupoints; the association rules show that shénmén-bǎihuì-nèiguān had the highest correlation; cluster analysis showed that the main acupuncture points for treating mental symptoms of GAD were bǎihuì, yìntáng, sìshéncōng, fēngchí, shénmén, nèiguān, and sānyīnjiāo, and the main acupuncture points in the treatment of GAD somatic symptoms were dànzhōng, fēnglóng, shéntíng, zhōngwǎn, shuǐgōu, shàngxīng and zúsānlǐ. Conclusion Acupuncture treatment of GAD in the overall view of syndrome differentiation, the principle of selecting acupoints near and far, the characteristics of specific acupoints, using viscera syndrome differentiation, digging strange acupoints to treat GAD is effective, which provides ideas for acupuncture to obtain safety in the future.
2022 Vol. 19 (24): 31-35 [Abstract] ( 29 ) HTML (1 KB)  PDF (1367 KB)  ( 172 )
36 Application progress of repetitive transcranial magnetic stimulation in rehabilitation of upper limb motor dysfunction after stroke
WU Xiaofang1 LEI Juanjuan1 WU Qunqiang1 LIAO Chunhua1 JIA Binbin2 LIU Rui1
DOI: 10.20047/j.issn1673-7210.2022.24.07
Residual upper limb motor dysfunction after stroke results in complete or partial loss of working ability and independent living ability, which seriously affects the quality of life of patients and brings heavy burden to their families and society. Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive neuromodulation technique that uses a pulsed magnetic field on a specific cerebral cortex to alter the membrane potential of cortical cells and induce electrical currents, thereby affecting brain metabolism and neural electrical activity. rTMS has a positive effect on the rehabilitation of upper limb motor dysfunction after stroke, and its efficacy is related to many factors such as intervention period, target, stimulation mode, and individual differences of patients. This paper briefly introduces the research progress of rTMS for rehabilitation of upper limb motor dysfunction after stroke, in order to provide a detailed reference for clinical application.
2022 Vol. 19 (24): 36-39,43 [Abstract] ( 35 ) HTML (1 KB)  PDF (586 KB)  ( 298 )
40 Application progress of infrared thermal imaging technology in evaluation of curative effect of common orthopedic diseases
DENG Pin1 LI Hongjuan2 HUANG Fasen1 SUN Xiaojie1 WANG Shulong1 XIE Kunming1 HAN Jinglu1 CHEN Zhaojun1
DOI: 10.20047/j.issn1673-7210.2022.24.08
With the increasing number of patients suffering from orthopedic diseases year by year, the quality of the patient’s life is seriously affected, and there is a lack of reliable and objective clinical efficacy evaluation indicators. Infrared thermal imaging technology is an emerging high-tech functional imaging detection technology, through the infrared camera to obtain the strong and weak signals of infrared radiation in the function changes of tissue metabolism, blood running functions, after the computer multimedia technology treatment, the signals are expressed by the infrared images in different color, show the temperature distribution on the surface of the case, then to achieve the diagnosis of disease, evaluation of disease treatment effect and other purposes. This paper reviews the application of infrared thermal imaging in the evaluation of the curative effect of common orthopaedic diseases.
2022 Vol. 19 (24): 40-43 [Abstract] ( 33 ) HTML (1 KB)  PDF (574 KB)  ( 114 )
44 Research progress in the eradication of Helicobacter pylori with Vanorazan regimen
DU Hongwei1 LI Ting1 ZHANG Aiping1 LIN Yimin2 JIN Zhengxu1▲ ZHANG Dekui2▲
DOI: 10.20047/j.issn1673-7210.2022.24.09
Helicobacter pylori (Hp) is closely related to chronic gastritis, peptic ulcer, and gastric cancer. The eradication rate of Hp with proton pump inhibitor decreased gradually. Vonoprazan (VPZ) is a new potassium ion competitive acid blocker, which can competitively inhibit the combination of K+ and H+-K+-ATPase to inhibit the acid secretion of gastric parietal cells. There have been a number of international reports on the first-line and second-line treatment regimen containing VPZ for eradicating Hp, which are reviewed in this paper.
2022 Vol. 19 (24): 44-47,76 [Abstract] ( 30 ) HTML (1 KB)  PDF (576 KB)  ( 65 )
48 Research progress on the relationship between NOX/ROS-NF-κB siginaling pathway and atherosclerosis
WEI Jiaming1 WANG Ziyan1 LIU Ting2 WANG Jianguo2 GUO Zhihua2
DOI: 10.20047/j.issn1673-7210.2022.24.10
Atherosclerosis (AS) is a complex disease involving many pathways. The NOX/ROS-NF-κB siginaling pathway plays an important role in the formation of AS, but the mechanism needs to be further clarified. This paper mainly summarizes the NOX/ROS-NF-κB signaling pathway, and elaborates the progress of NOX/ROS-NF-κB signaling pathway in the prevention and treatment of AS, so as to provide reference for follow-up research.
2022 Vol. 19 (24): 48-51 [Abstract] ( 36 ) HTML (1 KB)  PDF (505 KB)  ( 70 )
52 Status quo and influencing factors of knowledge level of antihypertensive drugs in patients with chronic kidney disease
YANG Cong1 YANG Mengqin2 XIA Jiayi2 FU Bo2 LIU Meng2 GONG Nirong2 AI Jun2 SU Jianping1
DOI: 10.20047/j.issn1673-7210.2022.24.11
Objective To investigate the status quo of knowledge level of blood pressure medication use in patients with chronic kidney disease (CKD), to analyze its influencing factors, and in the hope of providing a basis for future interventions. Methods A total of 311 patients with CKD who were hospitalized in the Department of Nephrology in a tertiary hospital in Guangzhou from February to May 2021 were selected as the research subjects. The general information questionnaire, medication knowledge scale, rational drug use self-efficacy scale, and perception family support scale were used to investigate. Results The score of drug knowledge in this survey was (20.9±6.2) points. There were significant differences in the scores of medication knowledge among CKD patients with different age, education level, occupational status, per capita monthly income of the family, received antihypertensive drug-related knowledge health education, and read the drug instructions (P ＜ 0.05). Spearman rank correlation analysis showed that medication knowledge in CKD patients was positively correlated with rational medication self-efficacy (r = 0.470) and family support (r = 0.349) (P ＜ 0.05). The results of regression analysis showed that five variables, including education level, received of antihypertensive drug-related knowledge and health education, rational drug use self-efficacy, understanding of family support, and read drug instructions were the influencing factors in knowledge level of patient medication equation (P ＜ 0.05). They could jointly explain 35.0% of the total variation in medication knowledge. Conclusion Medical staff can carry out health education in a targeted manner in combination with various influencing factors of drug knowledge level, so as to improve the level of drug use knowledge.
2022 Vol. 19 (24): 52-55 [Abstract] ( 26 ) HTML (1 KB)  PDF (574 KB)  ( 153 )
56 Study on the speciality of training postgraduates in clinical medicine
XIA Dasheng WANG Li MA Weitao LU Chengzhi XIA Wei HE Qiang
DOI: 10.20047/j.issn1673-7210.2022.24.12
Objective To explore the satisfaction and influencing factors of the integrated training mode of clinical medicine professional postgraduate students (hereinafter referred to as “postgraduate students”) and their supervisors, so as to provide reference for the training of postgraduate students. Methods From September 2019 to September 2020, a total of 500 students from Tianjin Medical University and University of South China in 2016 and 2017, and a total of 100 tutors from Tianjin Medical University were selected as the research objects. Questionnaires were used to investigate the satisfaction of postgraduate students and their supervisors with the integrated training model, and multiple logistic regression was used to analyze the influencing factors. Results The satisfaction levels of postgraduate students and tutors with the integrated training model were 64.8% and 70.0%, respectively. Whether it is different from resident physician standardized training students (OR = 2.319) and the rationality of rotation arrangement (OR = 1.835), the importance attached by the base teachers to the postgraduate students (OR = 3.200), whether the regular assessment was standardized (OR = 1.543), whether the opening review was standardized (OR = 2.555), whether the thesis defense was standardized (OR = 2.361), compared with the master’s degree graduation pressure (OR = 1.988) were the influencing factors of training satisfaction of postgraduate students (P ＜ 0.05). The recognition of the identity of the tutors of the postgraduate students (OR = 2.247), the recognition of the identity of the postgraduate students (OR = 18.145), whether they trust the scientific research work of the postgraduate students (OR = 4.297), the degree of understanding of the training situation of the postgraduate students (OR = 7.945) were the influencing factors of the tutor’s satisfaction with the training (P ＜ 0.05). Conclusion Postgraduate students and tutors are generally satisfied with the integrated training model. It is recommended to improve the teaching level of tutors, standardize the evaluation and assessment system, and strengthen the cultivation of scientific research ability.
2022 Vol. 19 (24): 56-60,80 [Abstract] ( 22 ) HTML (1 KB)  PDF (672 KB)  ( 37 )
61 Correlation analysis of clinical empathy ability, psychological resilience, and self-efficacy among nursing students in school
RUAN Xiaoli1 YI Chun2 XIE Qiong3 CHENG Menghui4 LI Shuping1 GUO Youfeng1 ZENG Lizhi1
DOI: 10.20047/j.issn1673-7210.2022.24.13
Objective To investigate the clinical empathy ability, psychological resilience, and self-efficacy of nursing students in school, and to explore their correlation. Methods A convenience sample of 900 nursing students from a school in Guangzhou was conducted from October to December 2020. The survey contents included basic information, empathy, resilience, and self-efficacy. Results In this survey, a total of 900 questionnaires were distributed, a total of 859 valid questionnaires were recovered, and the effective recovery rate was 95.44%. Nursing students’ empathy was (104.83±13.34) points, psychological resilience was (34.37±6.36) points, and self-efficacy was (24.97±5.40) points. Correlation analysis showed that empathy was positively correlated with resilience and self-efficacy (r = 0.097-0.703, P ＜ 0.01). Empathy, self-efficacy, and psychological resilience had a partial mediating effect (P ＜ 0.01). After adding self-efficacy, the explanation rate of resilience in the empathy regression model increased from 6% to 52%. The mediating effect was accounted for 28% of the total effect. Conclusion Clinical empathy ability, self-efficacy and psychological resilience have partial mediation effects. Improving empathy and self-efficacy is an effective way to promote nursing students’ psychological resilience. Educators should pay attention to cultivating nursing students’ empathy ability.
2022 Vol. 19 (24): 61-64,85 [Abstract] ( 25 ) HTML (1 KB)  PDF (708 KB)  ( 80 )
65 Analysis of risk factors and management measures of nosocomial infection in gastric dynamic endoscopy
MO Haiya ZHANG Daoquan▲
DOI: 10.20047/j.issn1673-7210.2022.24.14
Objective To investigate the independent risk factors of nosocomial infection during gastric dynamic endoscopy, and to take management and control measures. Methods A total of 180 patients who underwent gastric dynamic endoscopy in Jiangsu Province Hospital from January 2019 to March 2021 were selected, diagnosed and confirmed to have been infected, and divided into infection group and non-infection group. Univariate and multivariate logistic regression analysis was used to analyze the independent risk factors of nosocomial infection during gastric dynamic endoscopy. Results Among the 180 patients, 15 patients developed infection, with an incidence rate of 8.33%. Univariate analysis showed that the ration of complicated with diabetes mellitus, application of immunosuppressants, ventilation times of cleaning and disinfection room, invasive operation, glutaraldehyde concentration, glutaraldehyde soaking time, stored in a drying cabinet, and perfused with 75%-95% ethanol in the infection group and the non-infected group, and the differences were statistical significance (P ＜ 0.05). Multivariate logistic regression analysis showed that glutaraldehyde concentration (OR = 2.286, P = 0.004), glutaraldehyde soaking time (OR = 5.717, P = 0.017), 75%-95% ethanol perfusion pipeline (OR = 5.769, P = 0.016) were independent risk factor for nosocomial infection during gastric dynamic endoscopy. Conclusion The concentration of glutaraldehyde used, the soaking time of glutaraldehyde, and the 75% to 95% ethanol perfusion pipeline are important factors that lead to nosocomial infection during gastric dynamic endoscopy. Clinical attention should be paid to the above factors, and effective and targeted endoscopic management measures should be taken to actively prevent the occurrence of nosocomial infection and reduce the incidence of nosocomial infection during gastric dynamic endoscopy.
2022 Vol. 19 (24): 65-68 [Abstract] ( 27 ) HTML (1 KB)  PDF (613 KB)  ( 26 )
69 Correlation analysis of family support, personality traits, and quality of life in uremic hemodialysis patients
XU Mei CUI Yihong WANG Deqin
DOI: 10.20047/j.issn1673-7210.2022.24.15
Objective To comprehensively analyze the relationship between personality traits, family support, and quality of life in uremic hemodialysis patients. Methods A total of 90 patients with uremia who received hemodialysis treatment in the blood purification room of Haian People’s Hospital from March 2019 to March 2021 were selected to analyze the relationship between patients’ personality traits, family support, and quality of life. Results The MOS item short form health survey 36 (SF-36) score and perceived social support grom family scale (PSS-Fa) score of patients were (57.64±9.82) and (40.71±6.27) points, respectively. In the Eysenck personality questionnaire-R short scale (EPQ-RSC) scale, the lying (L) score was (5.37±1.06), the neuroticism (N) score was (5.92±1.71), and the extraversion (E) score was (7.32±3.02), and the score of psychoticism (P) was (6.21±2.49). Spearman correlation analysis showed that E and L were positively correlated with family support and quality of life (r ＞ 0, P ＜ 0.05), while P, N were negatively correlated with quality of life (r ＜ 0, P ＜ 0.05). Multiple regression results showed that E and L were positively correlated with family support and quality of life, N and P were negatively correlated with quality of life, L and E were positively correlated with family support, and P was negatively correlated with family support (P ＜ 0.05). Effect decomposition showed that N, P had a negative effect on quality of life, and L, E had a positive effect on quality of life (P ＜ 0.05). EPQ-RSC had a significant positive impact relationship on PSS-Fa; PSS-Fa had a significant positive impact relationship on SF-36; EPQ-RSC had a significant positive impact relationship on SF-36 (P < 0.05). Conclusion The quality of life of uremic hemodialysis patients is related to family support and personality traits. Personality trait analysis and the improvement of family support and social degree can help patients improve their quality of life.
2022 Vol. 19 (24): 69-72 [Abstract] ( 30 ) HTML (1 KB)  PDF (675 KB)  ( 88 )
73 Status and countermeasures of standardized training for residents in a tertiary public hospital in Anhui Province based on satisfaction survey
WANG Meifen1 LI Shanshan2 XIAO Jincheng1
DOI: 10.20047/j.issn1673-7210.2022.24.16
Objective To study the factors that affect the satisfaction and training effect of resident physicians in a tertiary-level public hospital in Anhui Province, and to put forward corresponding countermeasures. Methods Through the cluster random sampling method, self-made questionnaires were distributed to different types of trainees in the hospital, and SPSS 26.0 statistical analysis software was used for data analysis of satistaction scores. Results In this survey, 450 questionnaires were distributed, and 420 were finally recovered, with an effective recovery rate of 93.33%. Among them, there were 56 students from the unit, 171 students from other units, 131 students from the society, and 62 graduate students of “four certificates in one”. The overall satisfaction of the trainees was (3.14±0.81) points. Spearman rank correlation analysis showed that policy attitude, professional level improvement, mentoring system, rotation arrangement, assessment method, teaching, and salary income were positively correlated with overall satisfaction (r ＞ 0, P ＜ 0.01). Conclusion Improving the treatment of students in the training base can improve the satisfaction of students, and strengthening the construction of teaching staff and the cultivation of students’ scientific research ability can effectively improve the overall training effect.
2022 Vol. 19 (24): 73-76 [Abstract] ( 42 ) HTML (1 KB)  PDF (555 KB)  ( 130 )
77 Survey of community health education in Xi’an from the perspective of language service
ZHOU Mi1 DU Min2
DOI: 10.20047/j.issn1673-7210.2022.24.17
Objective To investigate the current situation and residents’ needs of language services for community health education in Xi’an, and to put forward suggestions to provide reference for formulating community health education plans. Methods From September to November 2021, a simple random sampling method was used to conduct field observations of six community health service institutions in Xi’an. A questionnaire survey was conducted on 92 community residents, and 16 community residents and 10 medical staff were interviewed at the same time. Results A total of six community health service institutions were investigated on the spot, 92 questionnaires were distributed, and 86 valid questionnaires were recovered, with an effective recovery rate of 93.48%. Community residents were generally satisfied with language services, but language media, language use, and language management were still insufficient. Conclusion The language needs of residents are diversified, and the language service measures and mechanisms for community health education need to be improved.
2022 Vol. 19 (24): 77-80 [Abstract] ( 37 ) HTML (1 KB)  PDF (568 KB)  ( 53 )
81 Research on standard system for medical devices of additive manufacturing for medical applications
MAO Xin HAN Qianqian▲
DOI: 10.20047/j.issn1673-7210.2022.24.18
The medical device based on additive manufacturing is a complex system which integrates multi-disciplinary mechanism and various technologies, thus the quality should be strictly controlled. Development of special technical standard system is needed to guide the industry, so as to promote product quality. This paper describes the current situation of the standardization. Internationally, ISO/TC 261 and ASTM F42 are mainly engaged in related standardization and research, and SAC/TC 562 is responsible for domestic standards in China. In the medical field, standardization development organization for medical additive manufacturing is responsible for standardization. According to the quality control focus of additive manufacturing technology and medical devices, this paper proposes the design and research ideas of standard system from five aspects of basic standards, data/software, equipment, materials and process/method, providing reference for the scientific and orderly development of medical device standardization in medical additive manufacturing technology in China.
2022 Vol. 19 (24): 81-85 [Abstract] ( 23 ) HTML (1 KB)  PDF (647 KB)  ( 127 )
86 Effect of Huoxue Tongmai Decoction soaking in the treatment of diabetic peripheral neuropathy
DENG Lijuan1 JU Shang2 YANG Bohua2 YANG Guangyao1 WANG Ning3 ZHANG Suming2 REN Yingying2 WANG Gang2▲
DOI: 10.20047/j.issn1673-7210.2022.24.19


[Abstract] Objective To observe the effect of Huoxue Tongmai Decoction soaking in the treatment of diabetic peripheral neuropathy. Methods Sixty patients with diabetic peripheral neuropathy in Department of Peripheral Vascular, Dongzhimen Hospital from June 2019 to September 2020 were selected. They were divided into treatment group and control group according to the random number table method, with 30 cases in each group. In addition to the basic treatment of diabetes and oral administration of Mecobalamin, control group was treated with placebo soaking, and treatment group was treated with Huoxue Tongmai Decoction soaking. The treatment course lasted for 28 days. The curative effect of two groups was compared; sensory nerve conduction velocity (SNCV) and motor nerve conduction velocity (MNCV) of common peroneal nerve and tibial nerve were observed before and after treatment; the contents of brain derived neurotrophic factor (BDNF) and myelin basic protein (MBP) of two groups were observed before and after treatment. Results The clinical efficacy of treatment group was better than control group (P < 0.05). After treatment, SNCV and MNCV of common peroneal nerve and tibial nerve in two groups were higher than those before treatment, and those in the treatment group were higher than those in the control group (P < 0.05). After treatment, the level of serum BDNF increased and the level of MBP decreased in both groups (P < 0.05); the level of serum BDNF in treatment group was higher than that in control group, while the level of MBP was lower than that in control group (P < 0.05). There were no obvious adverse reactions during the treatment. Conclusion Huoxue Tongmai Decoction soaking can enhance the nerve conduction velocity of patients with diabetic peripheral neuropathy, and improve the clinical symptoms of patients, and its mechanism may be related to the increase of BDNF contents and reduce of the MBP contents.
2022 Vol. 19 (24): 86-89 [Abstract] ( 36 ) HTML (1 KB)  PDF (595 KB)  ( 44 )
90 Analysis of influencing factors of diabetic nephropathy in patients with type 2 diabetes mellitus
MA Xiaoyu XIAO Zhimei TAN Zhuojing▲
DOI: 10.20047/j.issn1673-7210.2022.24.20
Objective To explore the influencing factors of diabetic nephropathy (DN) in patients with type 2 diabetes mellitus (T2DM). Methods A total of 116 patients diagnosed with DN in Rugao People’s Hospital of Jiangsu Province (hereinafter referred to as “our hospital”) from September 2015 to December 2017 were selected and classified into DN group. In addition, 116 T2DM patients admitted to the Department of Endocrinology of our hospital during the same period were classified as T2DM group. The clinical baseline data of all patients were collected, and the level of platelet microparticles (PMPs) was detected by venous blood sampling. The differences of clinical indicators between two groups were analyzed, and the influencing factors of T2DM complicated with DN were analyzed. Results Diabetic course, glycosylated hemoglobin (HbA1c), urinary albumin excretion rate (UAER), creatinine (Cr), estimated glomerular filtration rate (eGFR), blood urea nitrogen (BUN) and PMPs levels in DN group were higher than those in T2DM group, while eGFR levels were lower than those in T2DM group (P < 0.05). Multivariate logistic regression analysis showed that HbA1c, UAER, and PMPs were independent risk factors for DN (OR > 1, P < 0.05). The area under the curve of combined diagnosis DN of UAER, HbA1c, and PMPs was higher than that of single detection of each index. Conclusion PMPs level is significantly increased in DN patients, HbA1c, UAER, and PMPs are the influencing factors of DN.
2022 Vol. 19 (24): 90-92,114 [Abstract] ( 32 ) HTML (1 KB)  PDF (715 KB)  ( 43 )
93 Analysis of clinical characteristics and high risk factors of neonatal refractory purulent meningitis #br#
HE Shumei ZHAO Xiaofen HE Canlin ZHU Shuangyan XIONG Fei FAN Mao MA Lisha LI Yangfang▲
DOI: 10.20047/j.issn1673-7210.2022.24.21
Objective To analyze the clinical characteristics and risk factors of neonatal refractory purulent meningitis. Methods The clinical data of 141 children with purulent meningitis who were admitted to the Department of Neonatology, Kunming Children’s Hospital from January to December 2017 were retrospectively analyzed. According to the bacterial culture results, they were divided into common group (99 cases) and refractory group (42 cases). General data, clinical manifestations, and laboratory test results of two groups were compared. The risk factors of refractory purulent meningitis in neonates were analyzed by logistic regression. Results There were no significant differences in the proportion of male infants, premature infant, birth weight < 2 500 g, amniotic fluid contamination, early-onset meningitis, and anti-infective treatment before admission between two groups (P > 0.05). There was no significant difference in the proportion of fever, convulsion, respiratory symptoms, and digestive tract symptoms between two groups (P > 0.05). The proportion of elevated blood plasma procalcitonin (PCT), positive bacteria culture was higher in refractory group than those in normal group, the white blood cell count and protein content of cerebrospinal fluid (CSF) were higher than those in normal group, and the glucose content of CSF was lower than that in normal group (P < 0.05); there was no significant difference in the proportion of abnormal peripheral blood white blood cell count and elevated blood C-reactive protein between two groups (P > 0.05). There was no significant difference in the distribution of pathogenic bacteria between two groups (P > 0.05). The total incidence of neurological symptoms between two groups was statistically significant (P < 0.05). The fever-reducing time and hospitalization time in refractory group were longer than those in normal group (P < 0.05); there was no significant difference in clinical outcome between two groups (P > 0.05). High CSF protein content, combined with neurological symptoms were independent risk factors for refractory neonatal purulent meningitis (OR > 1, P < 0.05), and high CSF glucose content was a protective factor for refractory neonatal purulent meningitis (OR < 1, P < 0.05). Conclusion The clinical manifestations of neonatal refractory purulent meningitis are not typical. The blood and CSF infection markers of the children are significantly abnormal, and neurological symptoms are prominent. Therefore, it is difficult to treat such children. High blood PCT and CSF protein content, and combined with neurological symptoms are independent risk factors for neonatal refractory purulent meningitis, and high CSF glucose content is a protective factor.
2022 Vol. 19 (24): 93-97 [Abstract] ( 29 ) HTML (1 KB)  PDF (668 KB)  ( 33 )
98 Application of automatic sketching of clinical target volume and organs at risk in cervical cancer based on U-net convolutional neural network
LI Xia1 LIU Ya1 WANG Cong2 LI Zhenjiang2
DOI: 10.20047/j.issn1673-7210.2022.24.22
Objective To establish the automatic sketching model of clinical target volume (CTV) and organs at risks (OARs) of cervical cancer based on magnetic resonance images using U-net convolutional neural network. Methods A total of 43 patients with stage ⅡB-ⅣA cervical cancer who underwent radical radiotherapy by large aperture magnetic resonance imaging in Shandong Cancer Hospital from April 2019 to December 2020 were enrolled. The tissue structure information of the patient’s magnetic resonance imaging was studied, and the region of interest (ROI) was delineated manually, including CTV and OARs (bladder, rectum, left femoral head, and right femoral head). A total of 43 patients were divided into training set (35 cases), validation set (4 cases) and test set (4 cases) by computer simple random sampling. U-net convolutional neural network was used to construct the training model, and the test set ROI was automatically sketching after verification. The time consumption and Dice similarity coefficient (DSC) value of manual sketching and automatic sketching were compared. Results The average automatic sketching time of patients was (44.5±0.6) s, which was shorter than that of manual sketching (2280.0±356.7) s, and the difference was statistically significant (P < 0.05). The DSC value of automatic and manual sketching: the rectum was (0.752±0.049); CTV was (0.831±0.038); bladder was (0.943±0.016); left femoral head was (0.894±0.009); right femoral head was (0.896±0.004). Conclusion U-net convolutional neural network combined with magnetic resonance images can accurately realize the automatic sketching of CTV and OARs, and improve the practical efficiency of clinical work.
2022 Vol. 19 (24): 98-102 [Abstract] ( 24 ) HTML (1 KB)  PDF (1257 KB)  ( 108 )
103 Clinical effect of Fumarate Vorolasan Tablets combined with Lansoprazole in the treatment of gastroesopha-geal reflux pharyngo-laryngeal disease
ZHENG Yi1 WANG Wenbin2 SHAN Chunyan3
DOI: 10.20047/j.issn1673-7210.2022.24.23
Objective To explore the clinical efficacy of Fumarate Vorolasan Tablets combined with Lansoprazole in the treatment of gastroesopha-geal reflux pharyngo-laryngeal disease. Methods A total of 82 patients with gastroesopha-geal reflux pharyngo-laryngeal disease admitted to Suzhou Ninth People’s Hospital, Jiangsu Province from January 2020 to November 2021 were selected as the research objects. They were divided into study group and control group by computer random number method, with 41 cases in each group. The control group was treated with Lansoprazole, and the study group was treated with Fumarate Vorolasan Tablets combined with Lansoprazole. The clinical efficacy, symptoms of laryngopharyngeal reflux, gastrointestinal hormones, and serum inflammatory factors were evaluated at 28 days after administration, and the incidence of adverse reactions in both groups was recorded. Results The clinical effect of the study group was better than that of the control group (P ＜ 0.05). After treatment, the reflux disease questionnaire (RDQ) score, gastrointestinal impact scale (GIS) score, and the levels of tumor necrosis factor -α (TNF-α), interleukin-1β (IL-1β), and vasoactive intestinal peptide in two groups were lower than those before treatment, and gastrin level was higher than before treatment (P ＜ 0.05). After treatment, RDQ, GIS score, and levels of TNF-α, IL-1β, and vasoactive intestinal peptide in the study group were lower than those in the control group, while gastrin level was higher than that in the control group (P ＜ 0.05). There was no significant difference in the total incidence of adverse reactions between the two groups (P ＞ 0.05). Conclusion Fumarate Vorolasan Tablets combined with Lansoprazole in the treatment of gastroesopha-geal reflux pharyngo-laryngeal disease patients, which has superior clinical efficacy and good safety, worthy of promotion.
2022 Vol. 19 (24): 103-106 [Abstract] ( 33 ) HTML (1 KB)  PDF (603 KB)  ( 79 )
107 Genotype distribution of CDKN2B gene rs1063192 locus in primary open-angle glaucoma of the Han nationality and its relationship with rs1063192 polymorphism
LU Yuqing1 WANG Ling2 XU Jing3 LI Lechao4 CAI Xin1▲
DOI: 10.20047/j.issn1673-7210.2022.24.24
Objective To investigate the genotype distribution of CDKN2B gene rs1063192 locus in primary open-angle glaucoma (POAG) in the Han nationality and POAG relationship with the polymorphism of the genetic locus. Methods A total of 98 patients with POAG from Han nationality admitted to Haian People’s Hospital, Jiangsu Province (hereinafter referred to as “our hospital”) from May 2019 to 2021 were selected as the study group. The genotype distribution of CDKN2B gene rs1063192 locus in patients with different pathological characteristics was compared. Another 92 healthy subjects in our hospital at the same period were selected as the control group, the difference in genotype distribution of CDKN2B gene rs1063192 locus between the study group and the control group was compared. The relationship between rs1063192 genotype of CDKN2B gene and POAG in the Han nationality was analyzed. Results There were statistically significant differences in genotype distribution of CDKN2B gene rs1063192 locus in POAG patients with different ages, family history of glaucoma, and hypertension (P ＜ 0.05). The genotypes of the two groups were consistent with Hardy-Weinberg genetic balance test (P ＞ 0.05). The frequency of GG and AG genotypes at CDKN2B gene rs1063192 locus in study group were higher than that in control group, and the frequency of G allele was higher than that in control group (P ＜ 0.05). The risk of POAG in the Han nationality with GG genotype was 3.177 times of that in the Han nationality with AA genotype, and the risk of POAG in the Han nationality with G allele was 2.751 times of that in the Han nationality with A allele (P ＜ 0.05). Conclusion GG genotype and G allele of CDKN2B gene rs1063192 locus may be associated with the incidence of POAG in the Han nationality, and may increase the risk of POAG in the Han nationality.
2022 Vol. 19 (24): 107-110 [Abstract] ( 35 ) HTML (1 KB)  PDF (540 KB)  ( 39 )
111 Effect of low-temperature plasma adenoid ablation in the treatment of adenoid hypertrophy with secretory otitis media in children
LU Huiwen GU Ye CHU Yuxiao CHEN Jianliang▲
DOI: 10.20047/j.issn1673-7210.2022.24.25
Objective To explore the effect of low-temperature plasma adenoid ablation in the treatment of adenoid hypertrophy with secretory otitis media in children. Methods A total of 76 children with adenoid hypertrophy and secretory otitis media admitted to People’s Hospital of Yixing City of Jiangsu Province from January 2018 to January 2021 were selected and divided into study group and control group according to random number table method, with 38 cases in each group. The study group was treated with low-temperature plasma adenoid ablation, and the control group was treated with endoscopic adenoidectomy. The clinical efficacy, operation time, intraoperative blood loss, length of hospital stay, tinnitus disappearance time, eardrum healing time, hearing recovery time, and middle ear effusion time were compared between the two groups. The scores of disease specific quality of for children with obstructive sleep apnea 18 items survey (OSA-18) were compared between the two groups before and six months after operation, and the incidence of complications between the two groups was recorded. Results The clinical effect of the study group was better than that of the control group (P ＜ 0.05). The duration of operation, hospitalization, disappearance of tinnitus, healing of tympanic membrane, hearing recovery, and middle ear effusion in the study group were shorter than those in the control group, and the amount of intraoperative blood loss was lower than that in the control group (P ＜ 0.05). Six months after operation, OSA-18 scores in both groups were lower than those before operation (P ＜ 0.05). Before and six months after operation, there was no significant difference in OSA-18 scores between the two groups (P ＞ 0.05). There was no significant difference in the total incidence of complications between the two groups (P ＞ 0.05). Conclusion Low-temperature plasma adenoid ablation for the treatment of children with adenoid hypertrophy with secretory otitis media takes a short time, less bleeding, and quick recovery after operation, its therapeutic effect is remarkable, and it is safe and reliable.
2022 Vol. 19 (24): 111-114 [Abstract] ( 39 ) HTML (1 KB)  PDF (595 KB)  ( 67 )
115 Efficacy of Remimazolam for induction and maintenance of general anesthesia with laryngeal mask in patients undergoing otorhinolaryngology surgery
WANG Huijun1 XIONG Jun2 BAO Yin1 XI Chunhua1 WANG Guyan1
DOI: 10.20047/j.issn1673-7210.2022.24.26
Objective To evaluate the efficacy of Remimazolam for induction and maintenance of laryngeal mask general anesthesia in patients undergoing otorhinolaryngology surgery, and to explore a new general anesthesia model that can be safely used in day surgery. Methods A total of 114 patients of undergoing otorhinolaryngology surgery under laryngeal mask general anesthesia admitted to Beijing Tongren Hospital from April 2021 to February 2022. They were divided into Propofol group and Remimazolam group using a random number table method, with 57 cases in each group. At the beginning of induction, intravenously infusing Sufentanil 0.2 μg/kg, Propofol 2 mg/kg was injected in Propofol group, Remimazolam 0.3 mg/kg was injected in Remimazolam group, Rocuronium 0.6 mg/kg was injected after the patients consciousness disappeared, laryngeal mask intubation was performed. Anesthesia was maintained by intravenously injecting Propofol 4-8 mg/(kg·h) in Propofol group and Remimazolam 1-3 mg/(kg·h) in Remimazolam group. Bispectralindexvalues (BIS) was maintained at 40-60. The time of sedation induction, recovery time of consciousness, time of laryngeal mask extubation and residence time in postanesthesia care unit (PACU) were recorded; the MAP and HR before induction(T0), before laryngeal mask implantation (T1), after laryngeal mask implantation (T2), before surgery (T3), at drug withdrawal(T4) and at laryngeal mask removal (T5) were recorded; the occurrence of injection pain during induction of anesthesia, intraoperative and postoperative complications were recorded. Results The success rate of sedation in both groups was 100%. The sedation induction time of Remimazolam group was higher than that of Propofol group, and the incidence of injection pain, intraoperative hypotension, and bradycardia during induction was lower than that of Propofol group, and the differences were statistically significant (P ＜ 0.05); there was no significant difference in consciousness recovery time, laryngeal mask removal time, PACU residence time, postoperative tachycardia, and postoperative nausea and vomiting between the two groups (P ＞ 0.05). There was no significant difference in MAP between the two groups at T0 (P ＞ 0.05); the MAP value of T1-T5 in both groups was lower than that of T0, but that of Remimazolam group was higher than that of Propofol group, and the differences were statistically significant (P ＜ 0.05); there was no significant difference in HR between the two groups at T0 (P ＞ 0.05); the HR values at T1 and T5 in Remimazolam group were higher than those in Propofol group, and the difference was statistically significant (P ＜ 0.05); the HR value of Propofol group at T1-T4 was lower than that at T0, and the difference was statistically significant (P ＜ 0.05); there was no significant difference between the HR values at T1, T2, T5, and T0 in Remimazolam group (P ＞ 0.05); no intraoperative hypertension and intraoperative awareness were found in both groups. No other complications were found during  in PACU and within 24 h after operation. Conclusion Remimazolam can be safely and effectively used in the induction and maintenance of laryngeal mask general anesthesia in otorhinolaryngology surgery, which is more helpful to maintain the stability of hemodynamics and reduce the incidence of adverse reactions.
2022 Vol. 19 (24): 115-118,123 [Abstract] ( 26 ) HTML (1 KB)  PDF (677 KB)  ( 49 )
119 Discussion on Professor Jiang Quan’s experience in treating refractory gout from the theory of “yang transforming qi, while yin shaping up body”
XU Run1 JIANG Quan2 HAN Man2 PENG Qiuwei2 FU Jingsi2 YUE Ming1
DOI: 10.20047/j.issn1673-7210.2022.24.27
This paper discusses Professor Jiang Quan’s experience in treating refractory gout based on the theory of “yang transforming qi, while yin shaping up body”. Professor Jiang Quan believes that the root of the pathogenesis of refractory gout is “the deficiency of yang transforming qi” in disorder of spleen and kidney gasification, and the “excessive yin shaping up body” in condensation of wet phlegm and stasis evil as the main pathological pathogenic factor. The treatment focuses on regulating the spleen and kidney, invigorating the spleen and invigorating qi, reducing the fire and vitality methods to help the gasification, and paying attention to life adjustment in order to protect the spleen and kidney. In addition, according to the course of the disease, clinical manifestations and it focuses on different methods of removing evil, based on syndrome differentiation to seek the cause, examining the cause to treat the cause. High uric acid focuses on promoting dampness and turbidity, while the acute attack focuses on clearing heat and promoting diuresis, removing edema and relieving pain, seeing gout stone increases the function of dissipating phlegm and resolving masses, and long-term arthralgia and blood stasis focuses on promoting blood circulation for removing blood stasis.
2022 Vol. 19 (24): 119-123 [Abstract] ( 31 ) HTML (1 KB)  PDF (769 KB)  ( 97 )
124 Professor Wang Qingguo’s experience in the treatment of alcoholic liver disease with Chaihu associated prescriptions
LIAO Xuejing ZHANG Shuang WANG Yifang KANG Xiangdong WANG Qingguo
DOI: 10.20047/j.issn1673-7210.2022.24.28
Alcoholic liver disease as a liver damage disease, due to excessive drinking, western medicine treatment has certain limitations. Professor Wang Qingguo has an outstanding effect on the treatment of alcoholic liver disease. He believes that alcoholic liver disease is root on stagnation of liver qi and spleen deficiency, and dampness and heat accumulation is the manifestation, which is also the initial pathogenesis. Therefore, the treatment should first take into account both manifestation and root cause of disease and focus on dispersing the stagnated liver-energy and invigorating the spleen, clearing heat and promoting diuresis throughout. Secondly, according to the law of pathogenesis evolution, stage combined with dialectical treatment. With the evolution of the disease, the pathogenesis shows stage changes, and in the middle stage, dampness and heat phlegm obstruction, stagnation of qi and blood stasis are most common. In the later stage, qi stagnation, blood stasis, phlegm and turbidity are intertwined. Until the dieases get worse, cause that dysfunction of liver, spleen and kidney, and qi, blood and body fluid are combined with each other. Therefore, in the middle and late treatment of alcoholic liver disease, according to the development of the pathogenesis of the disease, drugs such as promoting blood circulation for removing blood stasis, nourishing yin and resolving masses are used to strengthening the body resistance to eliminate pathogenic factors, and reinforcement and elimination in combination.
2022 Vol. 19 (24): 124-127 [Abstract] ( 34 ) HTML (1 KB)  PDF (652 KB)  ( 200 )
128 Clinical effect of the ointment of modified Shuyu Pills adjunctive treatnent of iron deficiency anemia
MA Xihu LIU Xiao HUANG Zhihui
DOI: 10.20047/j.issn1673-7210.2022.24.29
Objective To study the clinical effect of the ointment of modified Shuyu Pills adjunctive treatnent of iron deficiency anemia (IDA). Methods A total of 67 IDA patients in Affiliated Hospital of Traditional Chinese Medicine, Xinjiang Medical University from December 2018 to December 2021 were selected and they were divided into routine group (33 cases) and study group (34 cases) according to random number table method. The conventional group was treated with Polysaccharide Iron Compound Capsules, and the research group was treated with the ointment of modified Shuyu Pills adjuvant therapy. The curative effect was compared between the two groups after eight weeks of treatment, traditional Chinese medicine syndrome scores and blood indicators (hemoglobin [Hb], red blood cell count [RBC], serum ferritin [SF], total iron-binding capacity [TIBC]) were compared before and after eight weeks of treatment, and adverse reactions during treatment were counted. Results The clinical efficacy of the study group was better than that of the conventional group (P ＜ 0.05). After eight weeks of treatment, the traditional Chinese medicine syndrome score was lower than that before treatment, and the study group was lower than that of the conventional group (P ＜ 0.05). After eight weeks of treatment, Hb, RBC, and SF were higher than those before treatment, and the study group were higher than those in the conventional group (P ＜ 0.05). After eight weeks of treatment, TIBC was lower than that before treatment, and the study group was lower than that of the conventional group (P ＜ 0.05). The incidence of adverse reaction in the study group was lower than that in the conventional group (P ＜ 0.05). Conclusion The effect of the ointment of modified Shuyu Pills adjunctive treatment of IDA is significant, which can reduce traditional Chinese medicine syndrome score, improve blood index and reduce the occurrence of adverse reactions.
2022 Vol. 19 (24): 128-131 [Abstract] ( 36 ) HTML (1 KB)  PDF (598 KB)  ( 46 )
132 Clinical effect of traditional Chinese medicine acupoint application on percutaneous vertebroplasty for abdominal distention and constipation in elderly patients with osteoporotic vertebral compression fracture during perioperative period
LIU Shihuan LIANG Hui ZHANG Yitong YANG Jie ZHAO Yuelian SONG Jiajing LI Shiyuan TIAN Miao
DOI: 10.20047/j.issn1673-7210.2022.24.30
Objective To explore clinical effect of traditional Chinese medicine acupoint application on percutaneous vertebroplasty for abdominal distention and constipation in elderly patients with osteoporotic vertebral compression fracture (OVCF) during perioperative period. Methods A total of 100 elderly OVCF patients during perioperative period after percutaneous vertebroplasty admitted to Department of Orthopaedics of Shijiazhuang Hospital of Traditional Chinese Medicine from December 2019 to December 2020 were selected. All patients received percutaneous vertebroplasty and were randomly divided into control group and observation group according to random number table method, with 50 patients in each group. The control group was treated with placebo acupoint application, and the observation group was treated with traditional Chinese medicine acupoint application. After five days of treatment, the frequency of bowel sounds, Wexner constipation score, and Bristol fecal traits score were compared between the two groups. Results After treatment, the number of bowel sounds and Bristol fecal traits score in both groups were higher than before, Wexner constipation score was lower than before, and the number of bowel sounds and Bristol fecal traits score in the observation group were higher than the control group, and Wexner constipation score was lower than the control group, the differences were statistically significant (P ＜ 0.05). Conclusion In the perioperative period of percutaneous vertebroplasty for elderly patients with OVCF, traditional Chinese medicine acupoint application can enhance their gastrointestinal function, improve constipation symptoms, and enhance patient comfort, which has certain practical significance.
2022 Vol. 19 (24): 132-135 [Abstract] ( 31 ) HTML (1 KB)  PDF (586 KB)  ( 86 )
136 Experience summary and case example of master of orthopedics of Liu Shoushan on diagnosis and treatment of traumatic injuries of the wrist triangle fibrocartilage complex
YUAN Yi GAN Yena LI Xia CHENG Luyao ZHANG Tongtong ZANG Fuke LI Duoduo
DOI: 10.20047/j.issn1673-7210.2022.24.31
Liu Shoushan’s massage technique combined with Yuanshu paper cushion external fixation for the treatment of traumatic injury of the triangular fibrocartilage complex, the core pathogenesis of which is “stagnation of qi and blood may bring about pain”, the treatment method is to press and knead to restore its original position, squeeze the tendons to reconcile the local qi and blood, and combine with Yuanshu paper cushion external fixation to control movement. The traumatic injury of the triangular fibrocartilage complex is often related to “injuries from falls”, according to the injury characteristics of the disease, Liu Shoushan used a unique orthopedic massage technique-squeeze the tendons for treatment, and the clinical effect was obvious. This article aims to focus on the etiology and pathogenesis of the triangular fibrocartilage complex traumatic injury combined with clinical case, and to discuss the above-mentioned combined intervention program, in order to provide new ideas and methods for the clinical conservative treatment of this disease.
2022 Vol. 19 (24): 136-138,142 [Abstract] ( 33 ) HTML (1 KB)  PDF (681 KB)  ( 146 )
139 Effect of Xue Fuzhuyu Decoction combined with rehabilitation training on cerebral infarction hemiplegia of qi deficiency and blood stasis type and its effects on limb function and nerve function
WEN Longmei
DOI: 10.20047/j.issn1673-7210.2022.24.32
Objective To explore the effect of Xuefu Zhuyu Decoction combined with comprehensive rehabilitation measures on cerebral infarction hemiplegia of qi deficiency and blood stasis type and its effect on limb function and nerve function. Methods A total of 80 hemiplegia patients with qi deficiency and blood stasis cerebral infarction treated in the Department of Rehabilitation, Maanshan Hospital of Traditional Chinese Medicine in Anhui Province from June 2018 to September 2021 were selected for this study. They were divided into two groups by random number table method, with 40 patients in each group. The control group was given comprehensive rehabilitation treatment, the observation group was given comprehensive rehabilitation treatment on the basis of the control group, both groups were treated four courses. After intervention, the efficacy of the two groups were compared, and the changes of national institutes of health stroke scale (NIHSS), daily living scale (ADL), and limb function (upper limb muscle strength, lower limb muscle strength, simplified Fugl-Meyer scale [Fugl-Meyer]) were recorded before and after intervention. Results The curative effect of observation group was better than control group, the difference was statistically significant (P ＜ 0.05). After intervention, traditional Chinese medicine syndrome scores of both groups were lower than before intervention, and the observation group was lower than the control group, ADL scores were higher than before intervention, and the observation group was higher than the control group, the differences were statistically significant (P ＜ 0.05). After intervention, muscle strength of upper and lower limbs and Fugl-Meyer score of the two groups increased compared with before intervention, and the observation group was higher than the control group, the differences were statistically significant (P ＜ 0.05). Conclusion Xuefu Zhuyu Decoction combined with comprehensive rehabilitation training has an ideal effect on cerebral infarction hemiplegia of qi deficiency and blood stasis type. It can effectively improve the nerve and limb function of patients, and can be popularized and applied in clinic.
2022 Vol. 19 (24): 139-142 [Abstract] ( 34 ) HTML (1 KB)  PDF (589 KB)  ( 44 )
143 Effect of staged rehabilitation training guided by microteaching method on rehabilitation compliance of hip fracture and recovery of limb function
ZHAO Xin GU Yanling SHI Juan
DOI: 10.20047/j.issn1673-7210.2022.24.33
Objective To analyze the effect of staged rehabilitation training guided by microteaching method on rehabilitation compliance and functional recovery of patients with hip fracture after surgery. Methods From December 2019 to June 2021, 90 elderly patients with hip fracture who underwent surgical treatment in Nantong Hospital of Traditional Chinese Medicine, Jiangsu Province were selected. They were divided into control group and experimental group, with 45 cases in each group. The control group was given traditional postoperative rehabilitation care, while the experimental group was given microteaching method to guide staged rehabilitation training on the basis of the control group. The compliance of rehabilitation exercise was compared between two groups; Harris hip function score and World Health Organization the quality of life-BREF (WHO QOL-BREF) score were compared before nursing and three months after nursing. Results The compliance rate of rehabilitation exercise in experimental group was higher than that in control group (P < 0.05). After three months of nursing, the joint activity, joint function, pain degree, and deformity score of two groups were higher than those before nursing, and those in experimental group were higher than those in control group (P < 0.05). After three months of nursing, the scores of psychological, physiological, environmental, and social relationship of two groups were higher than those before nursing, and those in experimental group were higher than those in control group (P < 0.05). Conclusion The implementation of staged rehabilitation training guided by microteaching method after hip fracture surgery in the elderly can improve their compliance to training, promote the recovery of hip function and improve the quality of life.
2022 Vol. 19 (24): 143-146,158 [Abstract] ( 30 ) HTML (1 KB)  PDF (764 KB)  ( 61 )
147 Application of individualized psychological nursing intervention in cerebral revascularization for adult patients with moyamoya disease
ZHAO Donghong CHEN Hongyan XUE Rui DONG Xinxin FAN Yanzhu▲
DOI: 10.20047/j.issn1673-7210.2022.24.34
Objective To investigate the application of individualized psychological nursing intervention in adult patients with moyamoya disease treated by combined cerebral revascularization. Methods A total of 180 adult patients with moyamoya disease who underwent extracranial and intracranial revascularation surgery in Beijing Tiantan Hospital, Capital Medical University, from November 2019 to July 2020 were enrolled in this study. They were divided into study group and control group by random number table method, with 90 cases in each group. The control group adopted routine nursing, and the research group adopted individualized anxiety and depression emotion nursing and training on the basis of routine nursing. Depression, anxiety, modified Rankin scale(mRS) score, and nursing satisfaction score were compared between the two group before and after intervention. Results There were no significant differences in depression, anxiety, and mRS scores between the two groups before intervention (P ＞ 0.05). After intervention, the degree of depression and anxiety in the two groups were better than before intervention, and the observation group was better than the control group (P ＜ 0.05), mRS scores of the two groups after intervention were lower than before intervention, and that of the study group was lower than the control group (P ＜ 0.05). The nursing satisfaction of study group was higher than that of control group (P ＜ 0.05). Conclusion Individualized psychological nursing is of great significance to improve the outcome of anxiety and depression, neurological function, and nursing satisfaction of patients with moyamoya.
2022 Vol. 19 (24): 147-150,162 [Abstract] ( 24 ) HTML (1 KB)  PDF (676 KB)  ( 47 )
151 Application effect of cyclic test method in infection prevention and control knowledge training in fever clinic
HAN Hua1 WEI Bin2 YANG Jiankun1
DOI: 10.20047/j.issn1673-7210.2022.24.35
Objective To explore the application effect of cyclic test in infection prevention and control knowledge training in fever clinic. Methods A total of 102 nurses in the fever clinic and infection isolation ward of Fuxing Hospital Affiliated to Capital Medical University from January 2020 to January 2021 were selected as study subjects, they were divided into control group and observation group by random number table method, with 51 nurses in each group. The control group received traditional training and learning management, and the observation group received cyclic test on this basis. The prevention and control knowledge assessment results, clinical drill scores and nursing quality changes of nursing staff in two groups were observed and compared. Results After intervention, the scores of critical thinking, prevention and control implementation ability, nursing consultation and pre-examination and triage ability of the two group were higher than those of the control group, and the differences were statistically significant (P ＜ 0.05); the scores of clinical judgment, physical examination, operation skills, communication skills, and organizational effectiveness of the two groups were higher than those before intervention, and the observation group was higher than the control group, and the differences were statistically significant (P ＜ 0.05); the scores of workload, job recognition, personal growth and development, and clinical management of the two group were higher than those before intervention, and the observation group was higher than the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion The cyclic test method can effectively summarize and organize the knowledge points and nursing contents of infection prevention and control in fever clinics, which is beneficial for nursing staff to quickly master and apply to clinical practice, and makes the prevention and control work more efficient while taking into account the complex and diverse feelings and needs of patients.
2022 Vol. 19 (24): 151-154 [Abstract] ( 39 ) HTML (1 KB)  PDF (569 KB)  ( 79 )
155 Application of FOCUS-PDCA circulation program combined with modified SBAR communication mode in surgical nursing care of patients with kyphosis
FAN Li1 KONG Weina1 LIU Weitao1 FAN Yun2▲ YU Haiyang3
DOI: 10.20047/j.issn1673-7210.2022.24.36
Objective To explore the application value of FOCUS-PDCA circulation program combined with modified SBAR communication mode in surgical nursing of patients with kyphosis. Methods A total of 80 patients with kyphosis admitted to Fuyang People’s Hospital of Anhui Province from March 2016 to December 2021 were selected as the research subjects, and they were divided into observation group (40 cases) and control group (40 cases) according to different nursing methods. The control group was treated with routine nursing combined with improved SBAR communication mode, and the observation group was treated with focus-PDCA cycle program on the basis of the nursing mode of control group. Preoperative disease awareness, anxiety score, anesthesia cooperation, perioperative nursing satisfaction, operative time, intraoperative blood loss, and incidence of perioperative adverse events such as hypothermia were compared between the two groups. Results The scores of disease awareness and anesthesia coordination in the observation group were higher than those in the control group, and anxiety score was lower than that in the control group, the differences were statistically significant (P ＜ 0.05). There were no significant differences in operative time and intraoperative blood loss between the two groups (P ＞ 0.05). Nursing satisfaction score of observation group was higher than control group, the difference was statistically significant (P ＜ 0.05). The incidence of adverse reactions in observation group was lower than that in control group, and the difference was statistically significant (P < 0.05). Conclusion On the basis of routine nursing care, the application of FOCUS-PDCA circulation procedure combined with improved SBAR communication mode can improve patients’ recognition, anesthesia cooperation, and nursing satisfaction, lower patients’ anxiety, and reduce the occurrence of perioperative adverse events.
2022 Vol. 19 (24): 155-158 [Abstract] ( 35 ) HTML (1 KB)  PDF (589 KB)  ( 183 )
159 Effect of progressive resistance and muscle relaxation training on skeletal rehabilitation of tibiofibular fracture patients
HAN Yue WANG Li WANG Haitang▲
DOI: 10.20047/j.issn1673-7210.2022.24.37
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Objective To explore the effect of progressive resistance and muscle relaxation training on skeletal rehabilitation of tibiofibular fracture patients. Methods From May 2020 to May 2021, 88 patients with tibial fracture after surgery in the Affiliated Huaian N0.1 People’s Hospital of Nanjing Medical University were selected as the research objects they were divided into control group (44 cases, applied muscle relaxation training) and combined group (44 cases, applied muscle relaxation training + progressive resistance training) by random number table method. Results Compared with before intervention, visual analogue scale (VAS) score decreased and Kolcaba general comfort questionnaie (GCQ) score increased in the two groups after intervention, and VAS score in the combined group was lower than that in the control group, and GCQ score was higher than that in the control group (P ＜ 0.05). After intervention, the lower extremity function scale (LEFS) score of the two groups was higher than that before intervention, and the physiscal self-maintenance scale (PSMS) score was lower than that before intervention, and the LEFS score of the combined group was higher than that of the control group, and the PSMS score was lower than that of the control group (P ＜ 0.05). Conclusion For patients with tibiofibular fracture, the application of progressive resistance and muscle relaxation training can not only reduce the pain level, but also improve the comfort level and physical self-care ability of patients, and promote the functional recovery of lower limbs, so it can be applied in clinical practice.
2022 Vol. 19 (24): 159-162 [Abstract] ( 36 ) HTML (1 KB)  PDF (587 KB)  ( 77 )
163 Effects of CICARE communication mode combined with moxa stick moxibustion on compliance and clinical efficacy of children with mesenteric lymphadenitis
BAI Lan ZHANG Yu ZHU Pan ZHANG Xiang ZHANG Yu
DOI: 10.20047/j.issn1673-7210.2022.24.38
Objective To explore the effects of CICARE communication mode combined with moxa stick moxibustion on compliance and clinical efficacy of children with mesenteric lymphadenitis. Methods A total of 90 children with mesenteric lymphadenitis admitted to the First Department of Pediatrics, Taihe Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Chinese Medicine from August 2019 to August 2021 were selected as research objects. According to the random number table method, they were divided into experimental group and control group, with 45 cases in each group. The control group was given conventional communication combined with moxa stick moxibustion intervention, while the experimental group was given CICARE communication mode combined with moxa stick moxibustion intervention. The compliance scores before intervention and 14 days after intervention were compared between two groups; the clinical efficacy, nursing satisfaction, and symptom relief time were compared between two groups. Results After intervention, the scores of diet cooperation, medication cooperation, nurse-patient communication, return review cooperation, and treatment compliance in experimental group were higher than those before intervention, and experimental group was higher than control group (P < 0.05). The clinical efficacy of experimental group was better than that of the control group (P < 0.05). The satisfaction scores of nurse-patient communication, ward environment, health education, and nursing technology in experimental group were higher than those in control group (P < 0.05). The disappearance time of abdominal pain, vomiting, hyperpyrexia, and abnormal stool in experimental group was shorter than that in control group (P < 0.05). Conclusion CICARE communication mode combined with moxa stick moxibustion can improve the compliance and clinical efficacy of children with mesenteric lymphadenitis, improve the nursing satisfaction of children’s families, which has important clinical application value.
2022 Vol. 19 (24): 163-166,174 [Abstract] ( 30 ) HTML (1 KB)  PDF (730 KB)  ( 54 )
167 Effect of family cooperative care model on compliance behavior and length of stay in hospital of children with asthma
BAI Yajuan SONG Qingmei LIANG Juan▲
DOI: 10.20047/j.issn1673-7210.2022.24.39
Objective To explore the effect of family cooperative care mode on compliance behavior and length of stay in hospital of children with asthma. Methods A total of 106 children with asthma treated in the Department of Pediatrics of the First Affiliated Hospital of Air Force Military Medical University from July 2020 to June 2021 were selected, they were divided into control group and observation group by random number table method, with 53 cases in each group. The control group adopted the conventional nursing model, and the observation group incorporated the concept of family cooperative care on this basis. The rehabilitation effect, compliance behavior, pulmonary function indexes including vital capacity (VC), forced vital capacity (FVC), forced expiratory volumeat in one second (FEV1) and peak expiratory flow (PEF) were compared between the two groups after two weeks of intervention. Results The time required for cough disappearance, antipyretic, antiasthmatic, hospitalization, asthma attacks and emergency cases in observation group were less than those in control group (P ＜ 0.05). The observation group in prevention of inducing factors, adherence to correct medication, timely review and follow-up visits, and compliance with good habits were higher than the control group (P ＜ 0.05). After two weeks of intervention, the levels of VC, FVC, FEV1, and PEF in both groups were higher than those before intervention, and the observation group was higher than the control group (P ＜ 0.05). Conclusion The application of family cooperation care mode can accelerate the rehabilitation of children with asthma, improve their compliance behavior, and promote the improvement of lung function.
2022 Vol. 19 (24): 167-170 [Abstract] ( 31 ) HTML (1 KB)  PDF (586 KB)  ( 15 )
171 Application effect of individualized education and nursing based on quality control circle quality control in maintenance hemodialysis patients
LI Li
DOI: 10.20047/j.issn1673-7210.2022.24.40
Objective To study the application effect of individualized education and nursing based on quality control circle (QCC) quality control in maintenance hemodialysis patients. Methods A total of 80 maintenance hemodialysis patients admitted to the Hemodialysis Room of Bozhou People’s Hospital in Anhui Province from January 2019 to June 2021 were selected as the research subjects. According to the random number table method, they were divided into study group and control group, with 40 cases in each group. Routine nursing was used in the control group, and individualized education and nursing based on QCC quality control were used in the study group. The compliance score, self-management ability score, quality of life score, and complication rate of the two groups were recorded and compared. Results The scores of medication compliance, diet compliance, dialysis program compliance, and fluid intake compliance in the study group were higher than those in the control group (P ＜ 0.05); the scores of quality of life and self-management ability in the study group were higher than those in the control group (P ＜ 0.05); the incidence of complications in the study group was lower than the control group (P ＜ 0.05). Conclusion Individualized education and nursing based on QCC quality control can significantly improve the compliance, self-management ability, and quality of life of maintenance hemodialysis patients, with fewer complications, which has clinical application value and is worth promoting.
2022 Vol. 19 (24): 171-174 [Abstract] ( 27 ) HTML (1 KB)  PDF (786 KB)  ( 59 )
175 A case report of IgG4-related sclerosing cholangitis first presenting as jaundice without autoimmune pancreatitis
YANG Xianwen1 MA Zhiying2
DOI: 10.20047/j.issn1673-7210.2022.24.41
IgG4-related sclerosing cholangitis (IgG4-SC) is a unique type of sclerosing cholangitis characterized by significant increase in serum IgG4 level, infiltration of IgG4-positive plasma cells and lymphocytes, fibrosis of bile duct wall and obliterans phlebitis. IgG4-SC is often complicated with autoimmune pancreatitis (AIP), which is sensitive to steroid hormones Due to the low incidence of IgG4-SC and the lack of specific clinical manifestations, it is easy to miss diagnosis and misdiagnosis, and the recurrence rate is high after treatment. This paper reports a case of IgG4-SC with jaundice as the first manifestation and without AIP who received steroid therapy in Liuzhou People’s Hospital of Guangxi Zhuang Autonomous Region in December 2018. No recurrence was found during the follow-up of two years and nine months. To discuss the definition, clinical characteristics and significance of typical cholangiography in the diagnosis and treatment of IgG4-SC, and the application value of serum IgG4 level in the diagnosis and treatment of IgG4-SC, so as to improve the diagnosis and treatment of IgG4-SC with jaundice as the first manifestation without AIP.
2022 Vol. 19 (24): 175-178 [Abstract] ( 40 ) HTML (1 KB)  PDF (801 KB)  ( 37 )
179 Successful rescue of a patient with anaphylactic shock under general anesthesia possibly induced by Ceftriaxone Sodium
ZHOU Qingyun CUI Yin GU Xiaoping
DOI: 10.20047/j.issn1673-7210.2022.24.42
Anaphylactic shock is not only one of the common clinical emergencies, but also the focus and difficulty of clinical work, which accounts for an important proportion in medical disputes. Anaphylactic shock often occurs suddenly and violently. If it is not treated in time, the patient may die rapidly due to serious cardiovascular and respiratory dysfunction. There are many allergens that lead to anaphylactic shock, mainly including antibiotics, antitumor drugs, contrast agents, and anesthetics, among which antibiotics account for an important part. This study reported the anesthesia and rescue process of a patient with suspected anaphylactic shock caused by ceftriaxone sodium. The allergens, guidelines, and rescue measures of anaphylactic shock were discussed and analyzed in order to improve the clinicians’ understanding of the disease.
2022 Vol. 19 (24): 179-182 [Abstract] ( 25 ) HTML (1 KB)  PDF (568 KB)  ( 172 )
183 A case report of single-port laparoscopic appendectomy using a needle-type grasping forceps
CHEN Yang1 GUO Shigang1 LIU Yanjie2 YUAN Jieqing1 DING Liyan3 JIANG Zengyan1 LI Xiaojun1 HAN Xuesong1 JIANG Wei1
DOI: 10.20047/j.issn1673-7210.2022.24.43
Acute appendicitis is one of the most common acute abdominal diseases in surgery, and appendectomy is widely used as a major surgical treatment. Laparoscopic appendectomy is becoming more widely performed due to the strong demand from patients for minimally invasive surgical techniques, although many surgical procedures have been reported previously. This study reported a case of single-port laparoscopic appendectomy modified with needle forceps, a new technique, which was performed for the first time in China on April 28, 2019 in the Department of General Surgery of Chaoyang Central Hospital of Liaoning Province. The operation was assisted by needle-type grasping forceps, and the incision 1 cm below the umbilicus made the surgical trauma less, it can effectively relieve postoperative incision pain and has good cosmetic effect. Through 30 months of postoperative follow-up, there were no appendicitis, adhesion intestinal obstruction, umbilical hernia, abdominal abscess formation, and other complications, postoperative abdominal wall no visible scar, with good long-term clinical effect.
2022 Vol. 19 (24): 183-185,189 [Abstract] ( 29 ) HTML (1 KB)  PDF (848 KB)  ( 158 )
186 A case report and review of relevant literature diagnosis and treatment of intradural lumbar disc herniation
ZHAI Jinshuai HUANG Teng GAO Bo ZHANG Long WEI Jingchao LI Wenyi LI Xicheng
DOI: 10.20047/j.issn1673-7210.2022.24.44
Intradural lumbar disc herniation (ILDH) is a rare disease with a high rate of misdiagnosis and missed diagnosis. As the herniated disc enters the dural, once misdiagnosed or missed diagnosis, the treatment effect may not be ideal, or even worse, causing huge psychological and economic burden to patients. In order to improve the clinical diagnosis and treatment level of this disease, the correct diagnosis and treatment plan was formulated. This paper analyzed and discussed a patient with ILDH admitted to the Department of Orthopedics of Hebei General People’s Hospital. The patient presented symptoms of nerve root involvement and cauda equina syndrome. Through preoperative physical examination and imaging data reading, the patient was considered as ILDH, posterior lumbar open surgery was performed to remove the nucleus pulposus tissue herniated into the dura, postoperative pathological examination confirmed ILDH, positive symptomatic treatment, good postoperative recovery. Based on the review and analysis of the domestic and foreign literature, most people believe that the diagnosis of ILDH should be actively treated by surgery; at the same time, literature review was carried out on the symptoms, clinical manifestations, imaging features and surgical methods of the disease to improve the understanding of the disease, so as to reduce misdiagnosis or missed diagnosis.
2022 Vol. 19 (24): 186-189 [Abstract] ( 35 ) HTML (1 KB)  PDF (1503 KB)  ( 67 )
190 Research on innovation of education and training methods for party members and cadres in public hospitals under the background of “Internet+”
GUO Zhihui1 YANG Huilan2 ZHANG Ruifang3 HAN Lei4 WANG Mengqi5 ZHAO Ting3 WANG Pengfei6
DOI: 10.20047/j.issn1673-7210.2022.24.45



[Abstract] The comprehensive quality of party member cadres in public hospitals affects the development quality and direction of public hospitals. Education and training is a basic and regular work to improve the comprehensive quality of party member, and cadres in hospitals. However, party members and cadres of clinical, nursing, and medical technology majors in hospitals work 24 hours a day, time fragmentation, their work intensity and pressure, resulting in the quality of education and training is difficult to guarantee. Through a questionnaire survey of party member and cadres in the Second Affiliated Hospital of Inner Mongolia Medical University, this paper found the problems existing in the education of party cadres in public hospitals, and puts forward that “Internet+” technology should be closely combined with the education and training of party member cadres in public hospitals and the high-quality development of public hospitals, so as to explore a new mode suitable for the education and training of party member cadres in public hospitals.
2022 Vol. 19 (24): 190-193 [Abstract] ( 32 ) HTML (1 KB)  PDF (702 KB)  ( 111 )
194 Construction of whole-process traceability system of genuine regional drugs in Hunan Province based on blockchain technology
ZHONG Ding LIU Jinhong XIA Xinbin ZHOU Liangrong
DOI: 10.20047/j.issn1673-7210.2022.24.46
As an important part of traditional Chinese medicine, genuine regional drugs not only have the characteristics of excellent quality and good effect, but also play a very important role in promoting regional economic development. At present, the traceability system of Chinese medicinal materials in China is still not perfect, and the traceability standards and norms are yet to be established, and the problem of information tampering cannot be fundamentally solved. In view of the problems of centralization, opacity, and easy tampering in traditional traceability methods, this paper takes the whole-process traceability of genuine regional drugs in Hunan Province as the starting point and uses blockchain technology to explore a quality traceability system of authentic medicinal materials with the characteristics of visualization, tamper-proof, traceability, decentralization, information openness, and transparency. It is expected to serve the high-quality development of the traditional Chinese medicine industry and set an example for consolidating targeted poverty alleviation and promoting rural revitalization.
2022 Vol. 19 (24): 194-封三 [Abstract] ( 38 ) HTML (1 KB)  PDF (1196 KB)  ( 15 )
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