Objective:To explore the clinical efficacy of intense pulsed light (IPL) in the treatment of chalazion in children.Methods:A total of 21 children (33 eyes) with idiopathic chalazion diagnosed and treated with IPL in the Dry Eye Center of the First Affiliated Hospital of Zhengzhou University from December 2022 to March 2023 were collected. Among them, there were 8 males (13 eyes) and 13 females (20 eyes) with an average age of (4.0±2.3) years (ranged from 2 to 12 years). All patients were treated with IPL around the eyes, and referred to before and after the treatment and follow-up phone call for patients′ parents, the real description was obtained. The treatment results of chalazion were graded as follows: cure (chalazion subsided), improvement (chalazion reduction), invalid (no change). The base information of patients′gender, age, eye type, the onset time of chalazion, the location of chalazion, the size of chalazion and the treatment results were recorded. Data was described by the number of cases (eyes) and percentage.Results:All 21 patients (33 eyes) underwent IPL treatment. There were 13 cases (20 eyes) with cure, 8 cases (13 eyes) with improvement, 0 (0 eyes) with invalid, accounting for 60.6%, 39.4% and 0.0%, respectively. Among patients with chalazion, 5 patients (10 eyes) had a history of chalazion for less than <4 weeks before treatment, accounting for 30.30%. Among them, there were 2 cases (4 eyes) with cure, 3 cases (6 eyes) with improvement, 0 case (0 eye) with invalid, accounting for 40.0% (4/10), 60.0% (6/10), 0.0% (0/10), respectively. There were 13 cases (19 eyes) with a history of chalazion for ≥4 weeks and <8 weeks before treatment, accounting for 57.58%. Among them, there were 10 cases (15 eyes) with cure, 3 cases (4 eyes) with improvement, 0 case (0 eye) with invalid, accounting for 78.9% (15/19), 21.1% (4/19), 0.0% (0/19), respectively. Before treatment, 3 cases (4 eyes) had chalazion for ≥8 weeks, accounting for 12.12%. Among them, there were 1 case (1 eye) with cure, 2 cases (3 eyes) with improvement, 0 case (0 eye) with invalid, accounting for 25.0% (1/4), 75.0% (3/4), 0.0% (0/4), respectively. Of the 21 patients (33 eyes) with chalazion, 8 patients (13 eyes) with skin-type chalazion, accounting for 39.39%. Among them, there were 6 cases (10 eyes) with cure, 2 cases (3 eyes) with improvement, 0 case (0 eye) with invalid, accounting for 76.9% (10/13), 23.1% (3/13), 0.0% (0/13), respectively. There were 12 cases (18 eyes) of chalazion type on the conjunctival surface, accounting for 54.55%. Among them, there were 7 cases (10 eyes) with cure, 4 cases (8 eyes) with improvement, 0 case (0 eye) with invalid, accounting for 55.6% (10/18), 44.4% (8/18), 0.0% (0/18), respectively. There were 2 cases (2 eyes) of chalazion type near the eyelid margin, accounting for 6.06%. Among them, there were 0 case (0 eye) with cure, 2 cases (2 eyes) with improvement, 0 case (0 eye) with invalid, accounting for 0.0% (0/2), 100.0% (2/2) and 0.0% (0/2).Conclusions:IPL has a definite therapeutic effect in the treatment of chalazion in children. The cure rate of chalazion on the skin surface is higher than that on the conjunctiva surface. Patients with chalazion for ≥4 weeks and <8 weeks before treatment have a higher cure rate, and no serious adverse reactions were observed during the IPL treatment.

Objective To investigate the effect of enhanced recovery after surgery（ERAS） nursing on the knee osteoarthritis patients after knee replacement, and to evaluate its impact on the incidence of postoperative complications and limb motor function. Methods From January 2021 to January 2022, 92 knee osteoarthritis patients who were treated with knee replacement at Nanjing First Hospital, Nanjing Medical University were selected as the study subjects, and they were divided into a control group and an observation group by using a random number table, each with 46 cases. The control group was given routine nursing, while the observation group was given ERAS nursing based on the routine nursing. The limb motor ability, knee function, and postoperative complication rate were compared between the two groups. Results At discharge and 6 months after nursing, the scores of limb motor function of both groups were significantly better than those before surgery（all P＜0.05）, and the observation group had significant advantages（both P＜0.05）. At discharge, 3 and 6 months after nursing, the knee function scores of both groups were higher than those before surgery（all P＜0.05）, and the observation group had higher scores than the control group（all P ＜0.05）. The postoperative complication rate in the observation group was lower than that in the control group（P＜0.05）. Conclusion ERAS nursing can effectively improve the postoperative limb motor function of patients with knee osteoarthritis, reduce the incidence of complications, and speed up the recovery of knee function.

目的 探讨良性阵发性位置性眩晕患者采取不同复位手法治疗的效果,归纳分析造成效果不佳的影响因素.方法 选取2017年3月-2020年1月该院门诊治疗后半规管性良性阵发性位置性眩晕患者83例,按就诊顺序编号分为观察组(42例,单号)与对照组(41例,双号),对照组患者采用Epley耳石复位法治疗,观察组患者采取Semont管石解脱法治疗,观察比较两组患者治疗效果,评估两组患者治疗前后症状(头晕、眼震、漂浮感、不稳感)改善及眩晕对患者生活的影响(躯体、情绪、功能)情况.同时探讨治疗效果不佳的相关原因.结果 观察组患者总有效率97.62％高于对照组,差异有统计学意义(x2=5.766,P＜0.05);观察组患者治疗后相应症状评分均低于对照组,差异有统计学意义(P＜0.05);治疗后观察组患者眩晕对生活的影响评分结果均低于对照组,差异有统计学意义(P＜0.05).结论 良性阵发性位置性眩晕采取Semont管石解脱手法较Epley耳石复位法治疗疗效更好,能够显著改善患者不适症状,降低疾病对患者生活的影响,提倡推广.

Objective:To observe the effects of extracorporeal shock wave therapy (ESWT) on hypertonia in lower extremity after cerebral stroke.Methods:A total of 40 stroke patients during recovery stages treated in the Department of Rehabilitation of the First Affiliated Hospital of Zhengzhou University from October 2016 to October 2017 were selected. All patients had hypertonia, mainly distributed in quadriceps femoris muscle and triceps muscle of the calves. The muscle tension was mainly 2 to 3 grades. Patients were divided into conventional treatment group (control group), conventional treatment + ESWT treatment group (observation group) by random number table method, with 20 cases in each group. The control group was treated by routine rehabilitation therapy, once a day, 5 times a week for 4 weeks. In addition to the routine rehabilitation therapy, ESWT was also performed on quadriceps femoris muscle and triceps muscle of the calves of the patients in the observation group, twice a week for 4 weeks. Before treatment and 1, 2, 4 weeks after treatment, the extensor knee muscle group tension, ankle flexor metatarsal muscle group tension and lower extremity motor function were evaluated.Results:Before and after 1 week of treatment, there was no significant difference in the scores of muscle tension and motor assessment scale (MAS) between the two groups ( P>0.05); after 2 and 4 weeks of treament, the MAS scores of the observation group were 7.90 and 8.20, respectively, significantly lower than the 12.33 and 12.00 of the control group ( P<0.05). Before treatment and after 1 and 2 weeks of treatment, there was no significant difference in the scores of lower limb Fugl-Meyer assessment (FMA) between the two groups ( P>0.05). After 4 weeks of treatment, the FMA score of the observation group was significantly higher than that of the control group (16.00±1.41 vs.10.56±2.56), P<0.05. Conclusions:ESWT can alleviate hypertonia, improve motor function effectively and have significant improvements in treating muscle tone after cerebral stroke.

目的 观察体外冲击波疗法(extracorporeal shock wave therapy,ESWT)治疗老年脑卒中患者早期肩关节半脱位的疗效.方法 将40例符合入组标准的脑卒中早期肩关节半脱位患者随机分为试验组和对照组,每组20例,试验组为常规康复治疗+体外冲击波疗法,对照组为常规康复治疗.常规康复治疗每天1次,每周5天,持续4周;试验组除常规治疗外,还给予冈上肌、三角肌体外冲击波疗法治疗,每周2次,持续4周.治疗前、治疗2周和4周后分别拍摄患侧肩关节X片并进行指诊,测量肩峰与肱骨头之间的距离,进行统计分析.结果 治疗2周后,肩峰到肱骨头距离减小幅度比较,试验组明显高于对照组,有显著性差异(P=0.046);治疗4周后,两组肩峰到肱骨头距离减小幅度比较,无显著性差异(P=0.051).与治疗前相比,治疗2周、4周后试验组和对照组肩峰到肱骨头距离均明显减小,差异有统计学意义(P<0.05),但治疗4周后与2周后比较差异无统计学意义(P>0.05).结论 早期体外冲击波疗法治疗能改善脑卒中早期肩关节半脱位的症状.