2023 Vol. 21, No. 6

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Expert Forum
The global development of community health management and its reference to China
TENZIN Tsomo, LIU Xiang, CHEN Hong, TIAN Jiahe, CAO Zilong, CHEN Yiqi, WANG Zhaoxin, YU Wenya
2023, 21(6): 903-906. doi: 10.16766/j.cnki.issn.1674-4152.003011
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With the change in the spectrum of diseases and causes of death, the aggravation of population aging, the increasing prevalence rate of chronic diseases, and the particularity of the post-epidemic era, the health concept of Chinese residents has changed significantly, and the demand for healthcare i...
Special Topic/Comorbidity Research
Data mining-based analysis of comorbidity status and association rules of hypertensive patients in the community
PENG Derong, CHEN Chen, YU Mengzhu, FAN Feng, SHI Jianwei, WANG Zhaoxin, TAN Jun
2023, 21(6): 907-910. doi: 10.16766/j.cnki.issn.1674-4152.003012
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Objective To understand the comorbidity status of hypertensive patients in Shanghai community and the correlation analysis of comorbidity, and provide theoretical basis and data support for community comorbidity management of hypertension patients. Methods The diagnosis and treatment data and health...
Potentially inappropriate medications management strategies for elderly patients with coexisting diseases based on the survey of general practitioners in Pudong New Area
HUANG Qian, XU Xin, SHAO Jie, ZHANG Fang, CAI Chengjun, HUANG Jiaoling, LIU Wei, ZHANG Shengbing
2023, 21(6): 911-915. doi: 10.16766/j.cnki.issn.1674-4152.003013
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Objective To investigate the causes of potentially inappropriate medications (PIM) in elderly patients with coexistent diseases and establish management strategies. Methods A field survey questionnaire was designed for 21 items of community PIM project. It is divided into three parts: (1) basic info...
Discussion on the personalized health education model for chronic diseases with multimorbidity
CAO Lin, YANG Zhenhua, XIAO Weizhong
2023, 21(6): 916-919. doi: 10.16766/j.cnki.issn.1674-4152.003014
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Chronic diseases with multimorbidity refers to one person concurrently suffers from two or more chronic diseases. Recent years have witnessed an increasing prevalence of multimorbidity, which results in a heavier burden and a worse patient prognosis compared with a single chronic disease, becoming a...
General Practice Research
Difference of Helicobacter pylori eradication rate between patients with atrophic gastritis and non-atrophic gastritis
DU Meiling, CHU Yan, ZHANG Ziqiang, WEN Zhaoyang, TAO Yiran
2023, 21(6): 920-923. doi: 10.16766/j.cnki.issn.1674-4152.003015
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Objective To investigate the difference of Helicobacter pylori (Hp) eradication rate between patients with atrophic gastritis and non-atrophic gastritis, and to analyze the relationship of the degree of gastric antrum atrophy, intestinal metaplasia and Hp density with Hp eradication rate. Methods A ...
Causal relationship between ulcerative colitis and bronchiectasis based on mendelian randomization
SHU Yuping, YU Danqi, RONG Yue, TAO Hongwu, LIU Yuedong
2023, 21(6): 924-926. doi: 10.16766/j.cnki.issn.1674-4152.003016
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Objective The association between ulcerative colitis and bronchiectasis can be clinically concurrent, and a two-sample mendelian randomization (MR) approach is used to investigate whether there is an association between the two and to provide recommendations for clinical management. Methods Genetic ...
The mechanism of rapamycin-induced autophagy to inhibit urethral fibrosis after injury in rats
CHEN Shoufeng, ZHANG Shuchao, LI Zhong, SUN Wei, LIU Beibei, YANG Xiaohuai, GUO Yuanyuan
2023, 21(6): 927-931. doi: 10.16766/j.cnki.issn.1674-4152.003017
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Objective To investigate the effect and mechanism of rapamycin (Rapa) on the formation of urethral stricture and fibroblast in rats. Methods The rat (SD male rats, body weight 250-300 g) urethral stricture model was established and divided into negative control group, positive control group and Rapa...
Effect of nutritional risk on physical fitness during hospitalization in elderly patients with reduced ejection fraction heart failure
KANG Yunpeng, GUO Wen, REN Aihong, LUO Fangfang, LIU Wenxian
2023, 21(6): 932-935. doi: 10.16766/j.cnki.issn.1674-4152.003018
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Objective To evaluate the effect of nutritional risk on physical fitness in elderly patients with reduced ejection fraction heart failure (HFrEF) during hospitalization. Methods A total of 228 elderly patients with HFrEF admitted to the Cardiac Intensive Care Center of Beijing Anzhen Hospital affili...
Protective effect of Xuesaitong capsule on myocardial cell hypoxia injury by inhibiting the expression of inflammatory factors
HAN Yong, LIU Xinwen, WANG Chaohai, YANG Xinwei, LI Wenhua, JING Jiang
2023, 21(6): 936-939. doi: 10.16766/j.cnki.issn.1674-4152.003019
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Objective To explore the protective effect of Xuesaitong capsule on oxidative damage of myocardial cells by establishing a mouse model of myocardial injury and treating the injured myocardial cells with Xuesaitong capsule. Methods A total of 25 SD rats were randomly divided into blank control group,...
Predictive value of HIST1H3D in lymph node metastasis of early cervical cancer
WANG Mengge, LI Man, CHANG Yuhuan, LYU Lili, YE Guoliu
2023, 21(6): 940-944. doi: 10.16766/j.cnki.issn.1674-4152.003020
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Objective To analyze the high-risk factors of lymph node metastasis in early cervical cancer, and study the predictive value of HIST1H3D in lymph node metastasis of cervical cancer. Methods A total of 40 patients with early cervical squamous cell carcinoma who underwent radical hysterectomy in Depar...
Relationship between serum fibrinogen and albumin/globulin ratio levels and survival prognosis of patients with gastric cancer
MA Yong, CHEN Shanqin, FU Jun, HANG Qun
2023, 21(6): 945-949. doi: 10.16766/j.cnki.issn.1674-4152.003021
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Objective Studies have found that preoperative serum fibrinogen (FIB) and albumin/globulin ratio (AGR) are correlated with the prognosis of malignant tumors. Currently, there are few studies on the relationship between serum FIB and AGR and the survival prognosis of patients with gastric cancer. Thi...
Analysis of etiology and inflammatory markers in patients with biliary tract infection after choledocchojejunostomy
ZHANG Huanhuan, LUO Mingyang, WANG Xin, YAN Dong, ZENG Yanli
2023, 21(6): 950-953. doi: 10.16766/j.cnki.issn.1674-4152.003022
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Objective To investigate the pathogenic characteristics and drug resistance of pathogenic bacteria in biliary tract infection after cholangioenterostomy in Henan University People's Hospital and to evaluate the diagnostic value of biliary tract infection by relevant inflammatory markers. Methods A t...
Clinical features and treatment analysis of esophageal entrance invasion in hypopharyngeal carcinoma
WU Juan, ZHOU Lanzhu, SUN Zhe, WU Jun, WANG Wenzhong
2023, 21(6): 954-957. doi: 10.16766/j.cnki.issn.1674-4152.003023
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Objective To analyze the basic clinical characteristics of esophageal entrance invasion in hypopharyngeal carcinoma, summarize the therapeutic effect and select the appropriate comprehensive treatment plan. Methods A total of 32 patients with hypopharyngeal squamous cell carcinoma invading the esoph...
Risk factors and long-term prognosis of malignant arrhythmia in elderly patients with dilated cardiomyopathy
LIU Lei, LUO Guiquan, LIU Yijun, LI Xiaoping, REN Hongqiang
2023, 21(6): 958-961. doi: 10.16766/j.cnki.issn.1674-4152.003024
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Objective To investigate the risk factors and long-term prognosis of malignant arrhythmia (MA) in elderly patients with dilated cardiomyopathy. Methods A total of 199 patients with dilated cardiomyopathy over 60 years old who were hospitalized in the Cardiovascular Center of Suining Central Hospital...
General Clinical Research
Significance of HPV-E6/E7 mRNA examination in stratification management of non 16 and 18 high risk HPV infection patients
CHU Jicheng, HE Yu, YE Guoliu, WANG Liqun
2023, 21(6): 962-965. doi: 10.16766/j.cnki.issn.1674-4152.003025
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Objective To evaluate the application value of the human papilloma virus (HPV)-E6/E7mRNA examination in stratification management of patients with non-16 and 18 high-risk HPV infection and atypical squamous cell of negative for intraepithelial lesion or malign (NILM). Methods The clinical data of 38...
Clinical study of self-made Huoxue Shubi Decoction on the treatment of ischemia reperfusion injury after PCI in acute myocardial infarction
ZHENG Xiang, WANG Shen
2023, 21(6): 966-969. doi: 10.16766/j.cnki.issn.1674-4152.003026
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Objective To explore the clinical efficacy, ventricular remodeling, and cardiovascular adverse events of self-made Huoxue Shubi Decoction on patients with ischemia-reperfusion injury (IRI) after percutaneous coronary intervention (PCI) in acute myocardial infarction. Methods A total of 96 patients w...
Correlation analysis of serum β-actin and quantitative EEG indicators in patients with acute cerebral infarction
JIANG Feng, JIN Chunyuan, WANG Bona, HE Songbin
2023, 21(6): 970-972. doi: 10.16766/j.cnki.issn.1674-4152.003027
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Objective To explore the changes of serum β-actin and quantitative indicators EEG of acute cerebral infarction, and analyses its correlation. Methods A total of 60 patients with acute cerebral infarction from June 2021 to June 2022 in Zhoushan Hospital of Zhejiang Province were selected. There were ...
Value of predicting liver failure after primary hepatocellular carcinoma resection based on two-dimensional shear wave elastography
ZHOU Tao, SUN Zhichao, CHEN Jiwen, WANG Xiaotao, CHEN Gang, LI Xinmiao
2023, 21(6): 973-976. doi: 10.16766/j.cnki.issn.1674-4152.003028
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Objective To explore the value of two-dimensional shear wave elastography (2D-SWE) in predicting liver failure after resection of primary hepatocellular carcinoma (HCC) and to help doctors judge the prognosis. Methods The clinical data of 180 patients who underwent primary hepatocellular carcinoma r...
Effect analysis of community chronic heart failure patients managed by stages under the guidance of third-class hospitals
HUANG Yuli, YAO Huiqiang, ZHANG Xianlin, XU Qiong, ZHOU Tong, WANG Dongmei, MIAO Anqi
2023, 21(6): 977-980. doi: 10.16766/j.cnki.issn.1674-4152.003029
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Objective Under the guidance of the team of the heart failure center of the third-class hospital, community doctors and nurses implemented target management for community patients with chronic heart failure by stages, and analyzed the target effect of management. Methods A total of 760 chronic heart...
Effect of different arteriovenous fistula puncture methods on the dialysis adequacy of hemodialysis patients
GAN Yanqun, ZHENG Zhibo
2023, 21(6): 981-984. doi: 10.16766/j.cnki.issn.1674-4152.003030
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Objective Arteriovenous puncture technique can significantly affect the adequacy of dialysis. This study aims to explore the differences in the impact of different puncture methods on dialysis adequacy for clinical practice reference. Methods A total of 217 patients who underwent hemodialysis at the...
Clinical effect evaluation of the integrated bigatti shaver for the treatment of multiple endometrial polyps
CHEN Guo, YING Jie, TIAN Lu, ZHU Yuting, CHEN Shunxia, YAO Shun, ZHOU Shuguang
2023, 21(6): 985-988. doi: 10.16766/j.cnki.issn.1674-4152.003031
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Objective To compare the clinical effect of the integrated bigatti shaver (IBS) intrauterine shaving system and the hysteroscopic electrosurgery for the treatment of multiple endometrial polyps. Methods A total 108 patients with multiple endometrial polyps in Anhui Maternal and Child Health Hospital...
Clinical analysis of 205 neonatal transfer in Huaibei area
WANG Hui, WANG Xianhe, CHEN Wenxiang, ZHOU Yi
2023, 21(6): 989-991. doi: 10.16766/j.cnki.issn.1674-4152.003032
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Objective This study aimed to investigate the status of neonatal transfer in Huaibei area to improve the efficiency of neonatal transfer. Methods From January 2017 to December 2020, the Huaibei Maternal and Child Health Hospital conducted a total of 205 cases of neonatal transfer clinical data in Hu...
Analysis on influential factors of inpatient care for the elderly in a residential area in Minhang District, Shanghai based on Andersen' s healthy behavioral model
YANG Jianling, LUAN Yiming, WANG Minqin, WEI Xinping, ZHOU Liang, WANG Zhaoxin
2023, 21(6): 992-995. doi: 10.16766/j.cnki.issn.1674-4152.003033
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Objective By summarizing the investigation of the long-term care needs of the elderly in a residential area of Minhang, Shanghai, this paper aims to explore the influencing factors of the elderly ' s choice of inpatient care by selecting a scientific analysis framework and analysis method, so as to ...
Investigation on mental health status of 500 patients with essential hypertension in Bengbu City, Anhui Province
WANG Chaofan, WEI Daoxiang, ZHANG Lina, XUAN Ling
2023, 21(6): 996-999. doi: 10.16766/j.cnki.issn.1674-4152.003034
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Objective To investigate and analyze the mental health status of essential hypertension patients in Bengbu City, Anhui province, and the correlation between the course and grade of essential hypertension and mental health level, anxiety and depression, so as to provide scientific basis for the devel...
Status and influencing factors of mental health literacy of non-targeted admission residential trainees in Henan Province
ZHOU Tong, HU Qianqian, ZHENG Weikai, WANG Liuyi, WANG Yong
2023, 21(6): 1000-1003. doi: 10.16766/j.cnki.issn.1674-4152.003035
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Objective To understand the mental health literacy (MHL) status and influencing factors of the trainees who are receiving non-targeted admission trainees in Henan Province, and to provide reference for improving standardized resident training. Methods A total of 600 non-targeted admission residentia...
Influence of glucose metabolism level on ovarian ultrasound characteristics in patients with polycystic ovary syndrome
DING Yanhua, ZHOU Qingxue, ZHU Xiaoling, CHENG Yan, YAO Jiqin
2023, 21(6): 1004-1007. doi: 10.16766/j.cnki.issn.1674-4152.003036
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Objective To observe the differences of ovarian ultrasound characteristics in polycystic ovary syndrome (PCOS) patients with different glucose metabolism levels, and to analyze the effect of glucose metabolism level on ovarian ultrasound characteristics in PCOS patients. Methods A total of 200 patie...
Correlation between preoperative ultrasound parameters and the risk of cervical lymph node metastasis in papillary thyroid cancer
LI Dan, WU Wanbo, SHEN Siping, YAO Lili, YANG Junyu, YANG Jianjun
2023, 21(6): 1008-1011. doi: 10.16766/j.cnki.issn.1674-4152.003037
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Objective To investigate the relationship between preoperative ultrasonography parameters and the risk of cervical lymph node metastasis in papillary thyroid carcinoma (PTC), in order to provide evidence for clinical treatment and prognosis evaluation. Methods A total of 148 patients with PTC who re...
A review of return to work after mild traumatic brain injury
XUE Qin, MA Li, LIU Weiming, NIE Zengyao
2023, 21(6): 1012-1015. doi: 10.16766/j.cnki.issn.1674-4152.003038
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Mild traumatic brain injury (TBI) usually refers to the patients with Glasgow coma scale of 13-15 after the injury, and the duration of coma does not exceed 30 minutes and the duration of amnesia does not exceed 24 hours. There are a large number of TBI patients in China and around the world. Most p...
Effect of sodium-glucose cotransporter 2 inhibitor on sarcopenia in elderly patients with type 2 diabetes
SONG Baona, LIN Ping, WANG Qin
2023, 21(6): 1016-1020. doi: 10.16766/j.cnki.issn.1674-4152.003039
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Type 2 diabetes is one of the common diseases of the elderly, and the incidence increases with the increase of age. Sarcopenia, or sarcopenia, is also a clinical syndrome associated with aging. Studies have shown that the incidence of sarcopenia in elderly patients with type 2 diabetes is increasing...
Exercise induced cardioprotective effects and related molecular mechanisms
LIU Rui, LU Yan, JIA Yongping, MA Yichao
2023, 21(6): 1021-1025. doi: 10.16766/j.cnki.issn.1674-4152.003040
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Cardiovascular disease (CVD) is still the main cause of the global burden of disease at present. Physical inactivity is one of the controllable risk factors for CVD, and in clinical practice, exercise is recommended as an important means of CVD prevention and rehabilitation. Exercise is beneficial i...
Effects of Ziwu Liuzhu auricular points pressing beans on inflammatory cytokines and NT-proBNP levels in patients with chronic heart failure
WU Dongdong, YU Guoqiang, TENG Jinyan, TAN Zengde, ZHOU Yabin, ZHANG Mingming
2023, 21(6): 1026-1029. doi: 10.16766/j.cnki.issn.1674-4152.003041
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Objective To observe the effect of time-controlled Ziwu Liuzhu auricular points pressing beans on inflammatory cytokines and N-terminal pro-Brain natriuretic peptide (NT-proBNP) levels in patients with chronic heart failure (CHF). To investigate the mechanism of Ziwu Liuzhu auricular points pressing...
Clinical observation of acupuncture nape eight points combined with manipulation therapy in the treatment of cervicogenic headache
XU Lei, TANG Yuting, CAI Lianqin, JIANG Yong
2023, 21(6): 1030-1033. doi: 10.16766/j.cnki.issn.1674-4152.003042
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Objective To investigate the clinical effect of acupuncture of the nape eight points combined with manipulation therapy in the treatment of cervicogenic headache by randomized controlled trial. This study provides high quality clinical evidence for the treatment of cervicogenic headache. Methods Sev...
Rehabilitation efficacy analysis of the body weight supported treadmill training combined with knee joint controlling on knee hyperextension in patients after stroke
YIN Qiyong, XU Qingqin, CHEN Desheng, WANG Min, CHEN Hemu
2023, 21(6): 1034-1038. doi: 10.16766/j.cnki.issn.1674-4152.003043
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Objective To explore the rehabilitation efficacy of body weight supported treadmill training (BWSTT) combined with knee joint controlling (KJC) on lower limb motor function in patients with knee hyperextension (KH) after stroke, so as to improve the motor function of lower limbs and enhance walking ...
Investigation on the current situation and need of continuing education training for general practitioners in Sichuan Province
WANG Yanan, CHEN Hong, ZHAO Guangbin, LIN Min, WANG Junkang, WANG Jia, LI Yang
2023, 21(6): 1039-1043. doi: 10.16766/j.cnki.issn.1674-4152.003044
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Objective To analyze the current situation and need of continuing education for general practitioners in Sichuan Province, and provide reference and basis for organizing and carrying out continuing education training for general practitioners more effectively. Methods The general practitioners who j...
Construction of evaluation index system of nursing undergraduate clinical practice teaching quality
WANG Xi, WANG Jie, XU Guixia, MA Mengwei, PAN Qianwen, XU Dong
2023, 21(6): 1044-1047. doi: 10.16766/j.cnki.issn.1674-4152.003045
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Objective To construct a scientific and feasible evaluation index system of nursing undergraduate clinical practice teaching quality, and to provide a comprehensive and quantifiable reference basis for the evaluation of clinical nursing practice teaching quality. Methods The index system was prelimi...
Actual effect of electronic health records combined with new media carriers on health promotion of community residents: a scoping review
ZHENG Yingwei, HUANG Bin, FAN Guanhua
2023, 21(6): 1048-1052. doi: 10.16766/j.cnki.issn.1674-4152.003046
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Objective Based on the present situation of literature research on the application of electronic health records to improve community residents ' health literacy, this paper systematically analyses the effects of electronic health records combined with new media carriers on the health promotion of co...
Research on the monitoring of pathogens and the prediction model of risk factors for hospital-acquired pneumonia in intensive care unit
ZHANG Xiangjun, ZHU Jingrui, WANG Li, LI Jing
2023, 21(6): 1053-1055. doi: 10.16766/j.cnki.issn.1674-4152.003047
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Objective To study the risk factors of hospital-acquired pneumonia (HAP) in intensive care unit (ICU) and the composition of HAP pathogens. To construct and evaluate the risk prediction model of HAP, so as to facilitate the screening of risk population and prevent and control the occurrence of HAP. ...
Analysis of the clinical characteristics and hospitalization costs of IgG4-related diseases
LYU Zhijie, WU Li, ZHANG Hongxia, DU Ping
2023, 21(6): 1056-1059. doi: 10.16766/j.cnki.issn.1674-4152.003048
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Objective To analyze the clinical characteristics and hospitalization costs of 42 IgG4-related diseases (IgG4-RD) patients, so as to provide reference for improving early diagnosis and reasonable cost control. Methods Clinical data of 42 IgG4-RD patients admitted to Sir Run Run Shaw Hospital Zhejian...
Analyze the core gene of renal clear cell carcinoma based on bioinformatics and verify the expression of AURKB
LI Jun, TAO Run, WANG Weijie, ZHANG Jiajun
2023, 21(6): 1060-1063. doi: 10.16766/j.cnki.issn.1674-4152.003049
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Objective The target gene AURKB was screened in renal clear cell carcinoma by bioinformatics method, and its clinical significance in renal clear cell carcinoma was analyzed. Methods The GSE66271 dataset was downloaded from GEO database and the differential genes were screened. Hub genes were select...
Whole-process management based on pre-habilitation concept in patients of the gasless transoral endoscopic thyroidectomy
LU Tianya, CHEN Jiaolong, LIU Jianjun, HU Chengwen
2023, 21(6): 1064-1068. doi: 10.16766/j.cnki.issn.1674-4152.003050
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Objective To study the effects of whole-process management based on the concept of pre-habilitation on pain, self-efficacy, anxiety, depression and postoperative rehabilitation in patients undergoing gasless transoral endoscopic thyroidectomy. Methods A total of 60 patients who were pre-hospitalized...
Influence of FTS concept based on Chinese medicine characteristics on comfort and postoperative recovery of patients undergoing laparoscopic cholecystectomy
FENG Minli, TAO Fuzheng, ZHU Zhe, WU Liya, SHEN Haiping
2023, 21(6): 1069-1072. doi: 10.16766/j.cnki.issn.1674-4152.003051
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Objective To investigate the nursing effect of laparoscopic cholecystectomy patients guided by fast track surgery (FTS) concept with traditional chinese medicine (TCM) characteristics and its influence on patients ' comfort level and postoperative recovery. Methods A total of 180 patients who underw...
Effects of resistance-endurance exercise combined with cognitive-behavioral group psychotherapy on postoperative efficacy and lipid metabolism in patients with coronary heart disease
MAYIRE·Maimaiti, REYILA·Awuti, NIJATI·Abudureheman, PAREDANMU·Tuohuti, GUO Ju
2023, 21(6): 1073-1076. doi: 10.16766/j.cnki.issn.1674-4152.003052
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Objective To explore the effect of resistance-endurance exercise combined with cognitive-behavioral group psychotherapy on postoperative efficacy and lipid metabolism in patients with coronary heart disease, and to provide reference for clinical intervention. Methods A total of 100 patients with cor...
Effect of ladder nursing mode on medication compliance and social function of patients with bipolar disorder
CHEN Xinxia, HE Fei, CHEN Mengyi, FENG Hong
2023, 21(6): 1077-1080. doi: 10.16766/j.cnki.issn.1674-4152.003053
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Objective To analyze the application effect of ladder nursing mode in patients with bipolar disorder, as well as its impact on medication compliance and social function, providing new ideas for clinical nursing. Methods A total of 110 patients with bipolar disorder admitted in Shaoxing Seventh Peopl...
Diagnosis and Treatment of Anemia Caused by Ancylostomiasis with Clinical Diagnostic and Therapeutic Thinking in General Practice: A Case Report
LI Jie, QING Di, SHI Tingting, ZHOU Fangming, LIU Shiping
2023, 21(6): 1081-1084. doi: 10.16766/j.cnki.issn.1674-4152.003054
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The incidence of ancylostomiasis has been significantly reduced. Anemia caused by ancylostomiasis is easy to be missed and misdiagnosed because of its lack of specificity in clinical manifestations. This article reports on the diagnosis and treatment process of a case of anemia caused by ancylostomi...

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