Objective To explore the effect of heat-sensitive moxibustion combined with the intervention of traditional Chinese medicine Reyan Bao(Febrile package)in the treatment of diabetic gastroparesis(DGP).Methods Seventy patients with DGP admitted to Gao'an Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were selected and divided into two groups according to the random number table,with 35 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with heat-sensitive moxibustion combined with Chinese medicine Reyan Bao intervention for 4 weeks.Clinical symptom score,gastrodynamic index,gastrointestinal hormone level,comfort level and quality of life were compared between the two groups.Results After intervention,the clinical symptom scores of the observation group were(0.89±0.12)points,(0.78±0.11)points,(0.92±0.14)points,and(0.72±0.13)points,which were lower than the control group(1.05±0.14)points,(0.97±0.13)points,(1.15±0.17)points,and(0.94±0.15)points.The gastric contraction frequency was(7.89±1.14)times/min,which was higher than the control group(5.87±1.02)times/min,and the gastric emptying time was(85.41±6.34)minutes,which was shorter than the control group(92.41±7.12)minutes(P<0.05);After intervention,the levels of motilin and somatostatin in the observation group were(342.41±30.25)ng/L and(9.24±1.03)ng/L,which were lower than those in the control group(387.46±33.24)ng/L and(11.54±1.12)ng/L,while gastrin was(29.85±2.27)pg/mL,which was higher than that in the control group(26.34±2.24)pg/mL(P<0.05);After intervention,the physiological,psychological,spiritual,socio-cultural,environmental,and total scores on the simplified comfort questionnaire(GCQ)in the observation group were higher than those in the control group(P<0.05);After intervention,the observation group scored higher than the control group in various fields on the world health organization quality of life BREF(WHOQOL-BREF)(P<0.05).Conclusion Heat-sensitive moxibustion combined with traditional Chinese medicine Reyan Bao(Febrile package)intervention can improve the gastrodynamic index,regulate the level of gastrointestinal hormone,relieve the disease symptoms,and improve the comfort and quality of life of patients with DGP.
China is the country with the largest number of diabetics in the world,and the number of patients with diabetes mellitus is increasing year by year,diabetic patients are prone to unplanned readmission due to incomplete cure of the disease and many complications.Unplanned readmission not only increases the burden on affected patients and their families,seriously threatens the physical and mental health of patients,but also causes a waste of medical resources.It is important to avoidable unplanned readmission of patients with diabetes mellitus.This article explains the concept of unplanned readmissions and the current status of unplanned readmissions for diabetic patients at home and abroad through the patient and non-patient perspectives,analyzes the main risk factors,and reminds medical staff to avoid them.We provide references for formulating interventions to reduce the risk of unplanned readmissions for diabetic patients,thus lowering the readmission rate and financial burden.
Objective To explore the current research statue and future research direction of diabetic foot based on the bibliometric analysis of existing literatures searched in Chinese and English language databases.Methods Literatures on diabetic foot published in Chinese and English language from the creation of the databases to March 20,2023 were searched in the Web of Science(WOS)and CNKI.Citespace 5.7.R2 software was used to analyze the countries,institutions,authors,and keywords included in the literatures,relevant visualization maps were depicted.Results A total of 6295 Chinese language and 7255 English language literatures were included.The first paper about diabetic foot was published in 1980,which was a Chinese language article describing the treatment and prevention of diabetic foot.The total number of publications about diabetic foot in Chinese and English language presented an increasing trend.The United States was the country with the most published literatures on diabetic foot.The oversea institution with the most published literatures on diabetic foot was the University of Washington,and Shuguang Hospital Affiliated to Shanghai TCM University was the domestic institution published the most papers.The number of papers published by foreign core authors was higher than that of domestic core authors.Cooperation network of core authors has not been formed at home and abroad,and the collaboration was limited to the members of the research group.Keyword clustering analysis showed that wound repair,wound dressing application,antibacterial treatment and diabetic foot health education were the current research hotspots in English language literatures.Cellular or molecular mechanisms of diabetic foot were not found in the clustering analysis of English language literatures.Diabetic foot ulcers,wound healing,and influencing factors were clustering keywords in Chinese language literatures.Clustering of guidelines relevant to diabetic foot had not yet been formed.Conclusion There is little difference between domestic and abroad research on diabetic foot.Attention should be paid to the prevention of diabetic foot,evidence-based research,and cooperation between research teams in the future to promote the development of diabetic foot research.
Human body function and structure change to adapt to low-oxygen,low-pressure and other environmental factors in plateau after migrating from the plain for a period of time.When returning to low altitudes,the acclimatization acquired in the plateau needs to be gradually regulated,thus achieving the high altitude de-adaptation that develops multi-system and non-specific clinical symptoms.The diagnosis and treatment of high altitude de-adaptation syndrome are significant for the physical-mental health and life quality of people returning from plateau to plain.This article analyzes rehabilitation treatment based on current researches of high altitude de-adaptation syndrome,aiming to provide insight for expanding the prevention and treatment strategies,maintaining the physical-mental health of risk groups,and promoting the high-quality development of plateau health care.
Objective To explore the application value of nutrition intervention combined with anti-resistance exercise in the treatment of secondary sarcopenia after stroke.Methods Objective sampling method was used to select 50 patients with secondary sarcopenia of ischemic stroke admitted to the Department of Geriatrics of Kunming Second People's Hospital from August 2022 to February 2023 as the study objects.According to the single digits of the medical record number,subjects were randomly divided into the observation group and control group by odd or even numbers(n=25).Both groups maintained routine drug treatment for chronic diseases.The control group received conventional diet and traditional rehabilitation exercise,and the observation group received nutrition intervention combined with anti-resistance exercise on the basis of the control group.Serum albumin(ALB),hemoglobin(Hb)and vitamin D(VD)levels were measured before and after intervention.Patient generated subjective global assessment(PG-SGA)and modified Barthel index were used to assess nutrition status and daily living ability.Results There was no significant difference in the general data between the two groups(P>0.05).The scores of Hb,ALB and VD in the observation group were(128.32±14.49)g/L,(38.46±6.01)g/L,and(25.89±6.71)ng/mL,respectively,which were higher than those in the control group(120.07±11.32)g/L,(34.09±5.89)g/L,and(21.34±7.01)ng/mL.The PG-SGA score(2.04±0.91)was lower than that in the control group(5.05±1.16)score,and the difference was statistically significant(P<0.05).The daily living ability score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Nutrition intervention combined with anti-resistance exercise can quickly restore the nutrition level of patients with stroke secondary sarcopenia and improve their ability of daily living.
Objective To retrieve and reevaluate the systematic review of the effect of sound on the growth and development of preterm infants in neonatal intensive care unit(NICU),thus providing references for clinical decision making and the modification of clinical management of preterm infants.Methods Systematic reviews and Meta-analyses reporting the effect of sound on the growth and development of premature infants in NICU published from the establishment of the database to May 2023 were searched in The Cochrane Library,Embase,PubMed,Web of Science,Wanfang,CNKI,VIP and Chinese Biomedical Database(CBM).Two trained researchers were responsible for assessing the quality of included literatures using the Assessment of Multiple Systematic Reviews(AMSTAR),and summarizing and grading the evidence using the Grading of Recommendation,Assessment,Development,and Evaluation(GRADE).Results A total of 405 literatures were initially examined and 20 were finally included.The AMSTAR quality evaluation results showed that 5 literatures were of high quality and the other 15 were of medium quality.The overall methodological quality of the included literatures was low.The evidence quality evaluation results of 79 outcome indicators in 20 systematic reviews using GRADE system showed that 12 evidence was of medium quality,34 evidence was of low quality,and 33 evidence was of very low quality.Conclusion Sound intervention can improve the relevant physiological indicators,sleep efficiency,behavioral status,neurobehavior and brain development of preterm infants in NICU,which can promote the health recovery of preterm infants.However,the methodological quality of systematic review and the quality of evidence are low.Clinical practice based on these evidences should be carefully adopted.More standardized and rigorous studies should be conducted in the future.
Objective To systematically evaluate the influencing factors for kinesiophobia in patients after hip replacement.Methods Studies on the influencing factors for kinesiophobia in patients after hip replacement published in multiple databases at home and abroad from the establishment of the database to July 2023 were searched in online databases.RevMan 5.4 software was used for meta-analysis.Results Seven studies involving 621 patients with kinesiophobia after hip replacement were included.The results of meta-analysis showed that the influencing factors for kinesiophobia in patients after hip replacement included the age(OR=0.35,95%CI:0.23,0.52),chronic diseases(OR=2.06,95%CI:1.48,2.88),degree of pain(OR=3.83,95%CI:2.76,5.33),fall history(OR=3.69,95%CI:2.37,5.74)and exercise self-efficacy level(OR=5.34,95%CI:2.33,12.23).Conclusion There are various influencing factors for kinesiophobia in patients after hip replacement,and the occurrence of kinesiophobia is affected by age,chronic diseases,pain degree,history of falls and exercise self-efficacy level.Therefore,clinical staff should pay attention to exercise intervention and knowledge education in patients after hip replacement,so as to reduce the occurrence of postoperative kinesiophobia.
Objective To investigate the status quo of health behavior and flight training and their correlation in flight personnel.Methods A total of 245 flight personnel in the Second Sanatorium for Special Servicemen of Air Force,Hangzhou,China for health care were selected as the study objects.A self-made questionnaire was designed based on literature review.Trained nurses guided the study subjects to complete the questionnaire item by item,which was collected on site after filling in and the survey results were analyzed.Results At present,the top three common situations of pilots in flight training were neck and waist discomfort(60.0%),flight illusion(40.4%),and training injury(29.8%).Age,osteoarthropathy,hyperlipidemia and stomach diseases significantly influenced cervical and lumbar discomfort(P<0.05).Occupation(pilots,air combat personnel,air technical personnel),aircraft type,osteoarthropathy and hyperlipidemia significantly influenced flight illusion in flight training(P<0.05).Flight type and osteoarthropathy significantly influenced training injuries in flight training(P<0.05).Conclusion Neck and waist discomfort,flight illusion,training injuries are the most common conditions in pilots'training,while osteoarthropathy,hyperlipidemia and stomach diseases are the most prominent symptoms in pilots'health behavior.It is necessary to strengthen convalescence support,reasonably formulate recipes,strengthen physical training,pay attention to rehabilitation physiotherapy of osteoarthropathy,and improve military combat effectiveness.
Objective Under the background of military reform and military struggle preparation,it is important to promote the construction and development of the military rehabilitation recuperation centers,and improve the capacity to support rehabilitation and recuperation.Methods We accurately grasped the focus of work and existing problems of the military rehabilitation recuperation.Moreover,we carried out innovative thinking and put forward practical exploration methods from the aspects of establishing a distinctive military rehabilitation medical system,building a standard system of military rehabilitation recuperation medicine,doing well in the connection between the"Hospital-Military Camp"for military patients,and promoted the scientific research construction and development of the military rehabilitation recuperation centers.Results We explored a new model suitable for the construction and development of the military rehabilitation recuperation centers,made the brand of military rehabilitation medicine more professional,detailed and stronger,promoted the construction and development of the military rehabilitation recuperation centers,and improved the service capacity for soldiers.Conclusion The new model for the construction and development of the military rehabilitation recuperation centers is more suitable for the mission and task requirements under the new situation,which can improve the hardware level and soft strength of rehabilitation recuperation discipline and academic position,optimize regional medical and health resources,and meet the rehabilitation recuperation needs of soldiers at different levels.
Obstructive sleep disordered breathing(OSDB)is a group of systemic diseases caused by the narrowing or collapse of the upper airway.The incidence of OSDB tends to rise with the increase in obese people,which can seriously damage the cardiovascular,metabolic,respiratory and other systems of military personnel.It further affects the military cognitive abilities like the attention,memory,and mental state.Snoring is easy to expose goals and affect the sleep quality of fellow soldiers in the dormitory,which should be highly concerned.With the accelerated implementation of practical warfare,the working intensity of military personnel has increased.They often stay on high alert duty for a long time.However,based on the new era of combat effectiveness standards,health promotion measures of OSDB still lack systematic and scientific measures.It is urgent to conduct cross-sectional investigation and analysis of relevant risk factors,explore preventive management and appropriate treatment,and further improve the graded diagnosis and treatment mechanism.Based on the current research status of military personnel with OSDB both domestically and internationally,we analyze the problems in medical support,and propose suggestions and countermeasures,aiming to provide theoretical reference for standardized health management.
Objective To explore the changes in serum levels of neutrophil extracellular traps(NETs),fibrinogen(FIB),and microRNA-374a-5p(miR-374a-5p)after knee arthroplasty,and analyze their correlation with postoperative deep vein thrombosis(DVT)in lower limbs and their predictive efficacy.Methods 108 patients who underwent knee arthroplasty at Yangcheng Hospital in Zhengzhou from September 2020 to May 2023 were selected as the study subjects.They were divided into a DVT group of 32 patients and a non DVT group of 76 patients based on whether lower limb DVT occurred 7 days after surgery.The clinical data of two groups,as well as the levels of serum NETs,FIB,and miR-374a-5p before surgery,1 day after surgery,and 3 days after surgery were compared and analyzed.The Pearson method was used to analyze the correlation between preoperative serum levels of NETs,FIB,miR-374a-5p,and the score of the intravenous thromboembolism risk assessment scale(Caprini).Multiple Logistic regression analysis was used to investigate the influencing factors of postoperative lower limb DVT.The predictive value of serum NETs,FIB,and miR-374a-5p levels for postoperative lower limb DVT was evaluated using receiver operating characteristic curve(ROC)and area under curve(AUC).Results The levels of serum NETs,FIB,and miR-374a-5p in the DVT group were higher than those in the non DVT group on the 1st and 3rd day after surgery(P<0.05);The preoperative serum levels of NETs,FIB,miR-374a-5p were positively correlated with Caprini score(P<0.05);The Caprini score and elevated levels of NETs,FIB,and miR-374a-5p in serum at 3 days after surgery were independent risk factors for postoperative lower limb DVT(P<0.05);The combined prediction of serum NETs,FIB,and miR-374a-5p levels at 3 days after surgery for AUC in lower limb DVT was greater than that predicted by individual indicators(P<0.05).Conclusion The serum levels of NETs,FIB,and miR-374a-5p in patients with DVT after knee arthroplasty increase.Combined detection of their levels has certain predictive value for the occurrence of postoperative lower limb DVT.
Objective To investigate the effects of phase Ⅱ cardiac rehabilitation exercise prescription based on Baduanjin exercise on cardiac function,exercise endurance and arterial stiffness in patients with acute ST segment elevation myocardial infarction(STEMI)after percutaneous coronary intervention(PCI).Methods A total of 122 STEMI patients who underwent PCI in the Seventh People's Hospital of Zhengzhou from February 2020 to February 2023 were selected and divided by the random number table.61 patients in the control group were given routine cardiac rehabilitation,and 61 patients in the observation group were given phase Ⅱ cardiac rehabilitation exercise prescription based on Baduanjin exercise.Cardiac function,exercise endurance,arterial stiffness and adverse cardiac events were compared between the two groups.Results After intervention,the 6-minute walking distance(6MWD)and left ventricular ejection fraction(LVEF)levels in the observation group were(387.69±10.53)m and(61.01±5.44)%,respectively,higher than those in the control group(367.55±9.18)m and(57.45±6.06)%.The left ventricular end diastolic diameter(LVEDD)level was(58.70±0.97)mm,which was lower than that in the control group(59.59±1.05)mm(P<0.05);After intervention,the ankle brachial index(ABI)level in the observation group was(0.94±0.09)higher than that in the control group(0.89±0.10).The brachial ankle pulse wave conduction velocity(baPWV)and cervical femoral pulse wave conduction velocity(cfPWV)levels were(1.75±0.27)m/s and(7.59±0.53)m/s,respectively,which were lower than those in the control group(1.94±0.35)m/s and(8.01±0.68)m/s(P<0.05);After intervention in the observation group,the levels of peak power(PP),exercise duration(ED),peak oxygen uptake(peak VO2),and anaerobic threshold(AT)were(93.01±9.44)W,(449.30±22.87)s,(19.69±3.73)mL/(kg·min),and(14.20±1.86)mL/(kg·min),respectively,higher than those in the control group(83.45±9.06)W,(412.59±23.45)s,(17.55±3.58)mL/(kg·min),and(13.15±2.05)mL/(kg·min)(P<0.05);The incidence of adverse cardiac events in the observation group was 3.28%(2/61)lower than that in the control group 4.92%(3/61),with no statistically significant difference(P>0.05).Conclusion The phase Ⅱ cardiac rehabilitation exercise prescription based on the Baduanjin exercise has a significant effect on STEMI patients undergoing PCI,effectively enhancing their cardiac function and exercise endurance,reducing arterial stiffness,and ensuring high safety.
Objective To explore the biomarkers and influencing factors for metabolic syndrome,and to create a prediction model for the risk of metabolic syndrome.Methods A total of 161 patients in a convalesce institution who received physical examination and diagnosed as metabolic syndrome from January 2020 to December 2021 were selected as the experimental group,and 192 non-metabolic syndrome subjects with matched sex and age during the same period were included in the control group.Baseline data and biomarkers were collected.Lasso regression was performed to identify biomarkers related to metabolic syndrome,which were imported in the model for predicting the high-risk population of metabolic syndrome.Results A total of 7 biomarkers and influencing factors for metabolic syndrome were identified by Lasso regression,including body mass index(BMI),type 2 diabetes mellitus(T2DM),fasting blood glucose(FBG),triglyceride(TG),high-density lipoprotein cholesterol(HDL-C),monocyte count/HDL-C ratio(MHR)and high-sensitivity C-reactive protein(hs-CRP).The area under curve(AUC)of the prediction model was 0.9857.Conclusion The prediction model for the risk of metabolic syndrome created by Lasso regression exerts an acceptable potential,which can be applied to recognize the high-risk population of metabolic syndrome.
Objective To understand the current status of rumination in elderly hypertensive patients,and to explore the impact of rumination on cognitive emotion regulation strategies and medication adherence,thus providing a basis for improving the mental health.Methods A total of 260 elderly hypertensive patients from three communities in Chengdu City were selected for the study.The General information questionnaire,the Rumination Response Scale and the Cognitive Emotion Regulation Questionnaire were used for the questionnaire survey.Results The scores of rumination,regulation of negative cognitive emotions,regulation of positive cognitive emotions and medication adherence in elderly hypertensive patients in the community were(14.27±3.780),(38.02±3.948),(58.31±5.623),and(5.88±0.742)points,respectively.Univariate logistic regression analysis showed that patients with advanced age,no spouse,living alone,junior high school or below,per capita family monthly income≤3000 yuan,disease duration>10 years,complications,poor medication adherence,and negative cognitive emotion regulation had significantly higher rumination score(P<0.05).Spearman correlation analysis showed that rumination was positively correlated with negative cognitive emotion regulation strategies,and negatively correlated with medication adherence.Conclusion The rumination level in elderly hypertensive patients is low,which is correlated with cognitive emotion regulation strategies and medication adherence.Our findings suggested that the psychological experience,encourage positive emotion regulation and promote effective psychological adjustment of elderly hypertensive patients should be well concerned.
Objective To investigate the current status of self-management in flight personnel with asymptomatic hyperuricemia and the influencing factors,thus providing a basis for the development of targeted nursing intervention.Methods A total of 170 flight personnel with asymptomatic hyperuricemia in a military sanatorium from January to July 2023 were selected using a convenience sampling method.They were surveyed using the general questionnaire,hyperuricemia self-management and knowledge questionnaire,and the protective motivation for uric acid management questionnaire.Results The total score of disease self-management of flight personnel with asymptomatic hyperuricemia was(77.97±9.36)points,which was at a moderate level.Self-management of hyperuricemia was significantly correlated with the disease knowledge and the protective motivation for uric acid management(P<0.05).The results of multiple linear regression analysis showed that length of illness,knowledge,severity,vulnerability,response efficacy,self-efficacy and response costs were influencing factors for disease self-management of flight personnel with asymptomatic hyperuricemia(P<0.05).Conclusion Medical workers should strengthen the protective motivation for blood uric acid management in flight personnel of asymptomatic hyperuricemia,especially for those who have a disease course for less a year.Blood uric acid management behavior of flight personnel with asymptomatic hyperuricemia should be improved through increasing the cognition of disease severity and vulnerability,enhancing response efficacy and self-efficacy,and reducing possible barrier factors in disease management.
Objective To observe the effect of mindfulness therapy combined with tandospirone citrate capsule on patients with anxiety disorder.Methods A total of 114 patients with anxiety disorder admitted to Nantong Fourth People's Hospital from April 2021 to April 2023 were selected as subjects.They were randomly divided into observation group and control group,with 57 cases in each group.Patients in the both groups were treated with tandospirone citrate capsule,and those in the observation group were additionally treated with mindfulness therapy.The clinical efficacy,anxiety symptom score,psychological function score,neurotransmitter level and incidence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was significantly higher than that of control group(91.23%[52/57]VS 75.44%[43/57],P<0.05).After treatment,the scores of state anxiety inventory(S-AI),the self-rating anxiety scale(SAS)and the Hamilton anxiety scale(HAMA)in the observation group were significantly lower than those of the control group(P<0.05).After treatment,the scores of the tenacity,self-reliance and optimism and total score of the Connor-Davidson resilience scale(CD-RISC)were significantly higher in the observation group than those of the control group(P<0.05).After treatment,the levels of 5-hydroxytryptamine(5-HT)and dopamine(DA)in the observation group were significantly lower than those of the control group,and the levels of γ-aminobutyric acid(GABA)were significantly higher(P<0.05).The incidence of adverse events was comparable between groups(12.28%[7/57]VS 8.77%[5/57],P>0.05).Conclusion Mindfulness therapy combined with tandospirone citrate capsule has a significant effect in the treatment of anxiety patients,which can improve the anxiety symptoms,psychological function and anxiety-related neurotransmitters levels,with a high safety.
Objective To observe the clinical effect of Wira light combined with modulated medium frequency electrotherapy on rotator cuff injury.Methods Fifty patients with rotator cuff injury were selected from Jinling Hospital Affiliated to School of Medicine,Nanjing University(General Hospital of Eastern Theatre Command)from January 2022 to May 2023,and were divided into control group and observation group by random number table,with 25 cases in each group.The control group was treated with Wira light irradiation,and the observation group was treated with Wira light irradiation combined with modulated medium frequency electrotherapy.Visual analogue scale(VAS)score and Constant-Murley shoulder function scale(CMS)score were compared before and after treatment.Results The VAS score of the two groups was decreased after treatment,and compared with the control group(3.56±0.96),the VAS score of the observation group was lower(2.96±0.73),and the difference was statistically significant(P<0.05).After treatment,the CMS score of the observation group(78.80±8.36)was higher than that of the control group(71.60±7.18),and the difference was highly statistically significant(P<0.01).Conclusion Wira light combined with modulated medium frequency electrotherapy can significantly relieve the symptoms of shoulder pain in patients with rotator cuff injury and improve shoulder joint function.
Objective To explore the effects of of visual art therapy on cognitive rehabilitation,adverse mood and perceived stress in patients with post-stroke depression.Methods 134 patients with post-stroke depression admitted to The First Affiliated Hospital of Nanyang Medical College from August 2021 to August 2022 were selected as the research subjects.According to the random number table,they were divided into 67 cases in the control group and 67 cases in the observation group.The control group received routine care.The observation group received visual art therapy intervention on the basis of the control group,with an intervention time of 2 months.Before and after the intervention,the Montreal cognitive assessment scale,hospital anxiety and depression scale,and Chinese perceived stress sale were used to evaluate the cognitive function,adverse emotions,and perceived stress of the two groups.Results After intervention,the total score of MoCA in the control group was(19.69±1.55),lower than(23.97±1.67)in the observation group,with statistically significant differences(P<0.05);The scores of the anxiety subscale and depression subscale in the control group were(14.94±1.67)and(14.53±1.52),higher than(12.20±1.43)and(12.01±1.46)in the observation group,and the difference was statistically significant(P<0.05);The CPSS score of the control group(40.80±4.75)was significantly higher than(31.88±3.94)of the observation group,and the difference was statistically significant(P<0.05).Conclusion Visual art therapy can fully meet the physical and mental needs and social communication demands of post-stroke depression patients,help promote their cognitive function recovery,reduce anxiety and depression emotions,reduce perceived stress levels,and achieve self pleasure.
Orthopedics and traumatology of traditional Chinese medicine(TCM)has distinctive characteristics,and the theory of soft tissue and bones is of great significance in guiding clinical practice.The theory of soft tissues and bones is the classic TCM theory of orthopedics and traumatology,although it has been loosely recorded in various classics.The relationship between soft tissues and bones has not been systematically elaborated,especially the sporadic relationship of physiology and pathology with treatment principles.According to the comprehensive literature review,the relationship between the tendon and bone content in the theory of soft tissues and bones is mainly reflected in the following aspects.Physiologically,the tendon and bone complemented each other,manifesting as the combination of the tendon and bone,solid bone and pliable tendons,strong tendon and bone,and the interaction between tendon and bone.Pathologically,the tendon and bone are mutually affected,manifesting as tendon and bone flaccidity,stagnated tendon and bone dislocation,bone dislocation and tendon displacement and bone fracture and tendon detachment.Therapeutically,the same differentiation and treatment are manifested as managing soft tissues and setting bones,paying equal attention to soft tissues and bones,balancing soft tissues and bones,adjusting soft tissues and bones,and treating root causes together.The clinical practice of bone injury follows the guiding principle of the theory of soft tissues and bones.Both internal and external treatment should be applied based on disease differentiation and syndrome differentiation.Meanwhile,differentiation of both bones and soft tissues is highlighted.
Objective To analyze the epidemiological characteristics of bone health of male workers over 45 years of age in Qingdao Port,and the influencing factors.Methods A total of 381 male workers over 45 years of age in Qingdao Port in the military-civilian integration health examination project of Navy Qingdao Special Service Rehabilitation Center from January 2021 to December 2022 were recruited.They were divided into outdoor and indoor group based on the job duties.A self-made Bone Health Survey Form of Middle-aged and Elderly Men in Qingdao Port was used to investigate basic demographic information,life behavior,job type,work intensity,marriage status,bone mineral density,blood pressure,height and weight.The body mass index(BMI)and waist-hip ratio were calculated.Influencing factors were analyzed by Logistic regression after univariate analysis.Results ①The proportion of subjects with a normal bone mass in the outdoor group was significantly lower than that of the indoor group,and the proportion of subjects with a decreased bone mass was significantly higher(χ 2=4.015,P=0.045).The proportion of subjects with a normal bone mass in both groups was significantly higher than those with an abnormal bone mass(χ2=35.852,P<0.001;χ2=7.014,P=0.078).There was no significant difference in the prevalence of osteoporosis between groups(8.97%VS 6.12%,P>0.05).②Elderly age,outdoor jobs,and sleep disorders were risk factors for bone health problems,and special/frequent focus on health literacy,marital status(married and married together),and participation in routine shifts were protective factors for bone health problems.Conclusion Identifying influencing factors for bone health of the port workers over 45 years of age contributes to effectively intervene risk factors and strengthen the positive effect of protective factors,thus improving the bone health level.
