Exploration to the disease spectrum of acupoint catgut-embedding therapy

Objective To explore the clinically indicated diseases of acupoint catgut-embedding therapy, and summarize and analyze the disease spectrum of acupoint catgut-embedding therapy. Methods By literature research and data mining technique, the clinical study papers relevant to acupoint catgut-embedding therapy published from 1971 to June 2011 were selected, entered and verified, then the effective information were extracted, and finally, the disease spectrum were summarized. Results Acupoint catgut-embedding therapy is indicated for 103 diseases, involving 6 departments, of which there are 50 internal diseases, which is the most, accounting to 48.54%, and 15 surgical diseases, 12 ENT diseases, 11 gynecological diseases and 11 dermatological diseases, and 4 pediatric diseases, which is the least. Meanwhile, according to the rule of ＂Efficacy acupuncture grading disease spectrum＂, the diseases treated with this therapy were graded preliminarily into grade Ⅰ with 26 diseases, grade Ⅱ with 30 diseases, and grade Ⅲ with 8 diseases. Conclusion Acupoint catgut-embedding therapy can be used widely in clinical treatment with much broader disease spectrum, and it is worthy of being spread and applied.

Obstetrical Disease Spectrum in China： An Epidemiological Study of 111,767 Cases in 2011

Background：No national research on maternal and fetal complications and outcomes has been carried out in the mainland of China in recent years.This study was to provide a scientific basis for better control of obstetrical and neonatal diseases and better allocation of medical resources by analyzing the epidemiological characteristics of obstetrical diseases in the mainland of China.Methods：Hospitalized obstetrical cases from 19 tertiary and 20 secondary hospitals in 14 provinces （nationally representative） during the period January 1,2011 to December 31,2011 were randomly selected.The general condition,pregnancy complications,and perinatal outcomes of the patients were studied.Results：The top five medical and surgical complications of pregnant women in the mainland of China were anemia （6.34％）,uterine fibroids （2.69％）,thyroid disease （1.11％）,thrombocytopenia （0.59％）,and heart disease （0.59％）.The incidences of premature rupture of membranes （PROM）,preterm birth,prolonged pregnancy,hypertensive disorders complicating pregnancy （HDCP）,multiple pregnancy,intrahepatic cholestasis of pregnancy （ICP）,placenta previa,placental abruption,postpartum hemorrhage,and amniotic fluid embolism were 15.27％,7.04％,6.71％,5.35％,1.57％,1.22％,1.14％,0.54％,3.26％ and 0.06％,respectively.The incidences of anemia and prolonged pregnancy were significantly lower in tertiary than secondary hospitals （P ＜ 0.001）,whereas the incidence of uterine fibroids,thyroid diseases,thrombocytopenia,heart disease,PROM,preterm birth,HDCP,multiple pregnancy,ICP,placenta previa,and placental abruption were significantly higher in tertiary than secondary hospitals （P ＜ 0.001）.The cesarean section （CS） rate was 54.77％.The newborn sex ratio was 119：100,and 1.03％ of the neonates were malformed.The percentages of low birth weight and fetal macrosomia in full-term babies were 2.10％ and 7.09％,respectively.Conclusions：The incidence of some obstetrical diseases is still high in the mainland of China.The CS rate is much higher than World Health Organization recommendations,in which CS delivery by maternal request （CDMR） accounted for a large proportion.The government should propose solutions to reduce CS rate,especially the rate of CDMR.Most obstetrical complications have higher incidence in tertiary hospitals compared with secondary hospitals.It is important to manage the health of pregnant women systematically,especially those with high-risk factors.

The Spectrum of Nail Disorders in Patients With End-Stage Renal Disease Undergoing Conservative Treatment: A Case-Control Study

Objective:Various nail disorders have been reported in patients with chronic kidney disease.However,few studies have investigated nail disorders in patients with advanced chronic kidney disease.This study focused on nail disorders seen in patients with end-stage renal disease(ESRD)undergoing conservative treatment.Methods:A case-control study was conducted at Baraha Medical City in Khartoum State,Sudan.Data on patients with ESRD who were on conservative treatment and presented for follow-up between March and September 2021 were collected.Patients’demographic features,nail findings on clinical examination,and laboratory results were recorded.The obtained data were compared with those on age-and sex-matched healthy individuals from the general population.The chi-square test and Student t test were performed to analyze categorical and numerical variables,respectively.Results:Data on 78 patients with ESRD were studied.Their mean age was 54.6±17.6 years,and 45(57.7%)were men.These patients were compared with 129 controls.Nail disorders were seen in 65(83.3%)ESRD patients and 86(66.6%)controls(P=0.009).Patients with ESRD were found to be at increased relative risk of developing a wide spectrum of nail disorders.An absent lunula,half-and-half nails,nail dystrophy,Terry’s nails,onychomycosis,and koilonychia were the most common disorders and were seen in 44(56.4%),13(16.7%),10(12.8%),9(11.5%),6(7.7%),and 5(6.4%)patients,respectively.Patients with ESRD had a statistically significant risk of developing above diseases(all P<0.05).Conclusion:The current study demonstrated a wide spectrum of nail disorders in patients with ESRD undergoing conservative treatment.Further studies are essential to understand their pathogenesis.

联黎维和中国二级医院595例耳鼻咽喉疾病谱分析

自2007年2月,我国向黎巴嫩维和任务区派遣60人的医疗分队组建联合国驻黎巴嫩临时部队中国二级医院。根据中华人民共和国与联合国签署的《谅解备忘录》,该医院为自我维持医院,由中国分遣队配备人员、提供装备和物资,每一批维和人员在到达任务区之前必需充分考虑人员安排,准备好维和期间所需药品耗材。笔者对自2009年11月-2013年3月5个任务期内该院耳鼻咽喉科接诊的595例患者疾病进行总结分析,为今后维和医院专科医师的配备、专科药品及器材的准备提供参考。

Bibliometric Analysis of Diseases Spectrum of Moxibustion Therapy

Objective： To make a bibliometric analysis and evaluation of acupuncture-moxibustion papers on moxibustion therapy published from 1954 to 2007, thus to reflect the diseases spectrum of moxibustion therapy and proper indications of moxibustion therapy objectively. Methods： Statistics were taken by a bibliometric analysis of the data from China Modern Acupuncture-moxibustion Information Databank. Results and Conclusion： The diseases spectrum of moxibustion therapy has 364 kinds of diseases. The most proper indications of moxibustion therapy are malposition, diarrhea, and colitis. The common proper indications are urinary incontinence and dysmenorrhea. The next common proper indications are knee osteoarthritis, temporomandibular joint disturbance syndrome, soft tissue injury, heel pain, asthma, urinary retention and herpes zoster. Diseases spectrum of moxibustion therapy varies with time.

Diseases Spectrum Study on Pediatric Tuina in Recent 10 Years

Objective： To investigate the clinical study advance of pediatric tuina and understand the changes of disease scope and spectrum in pediatric tuina over the last decade. Methods： Relevant articles involving pediatric tuina have been retrieved through the databases of domestic journals for health and medical sciences as well as Springer-Verlag Database of German during 2002-2011. It aims to extract relevant information, build literature infomaation table of tuina therapy for pediatric conditions and conduct statistical analysis. Then the findings were compared with the data of pediatric tuina papers which were published from 1988 to 1997 recorded in Encyclopedia of Chinese Tuina. Results and Conclusion： A total of 75 clinical indications for pediatric tuina have been statistically summarized, of which 5 common conditions were selected and 1 prior condition was singled out. Additionally, some outdated or new conditions have been discovered.

Development trend and current situation of acupuncture-moxibustion indications

To discuss the dominant diseases of acupuncture and moxibustion and their trend in development.At present,the concepts of acupuncture and moxibustion disease spectrum include efficacy-based graded disease spectrum of acupuncture and moxibustion and evidence-based graded disease spectrum of acupuncture and moxibustion.Hence,the ranges of dominant diseases are various in terms of the different concepts.Regarding the efficacy-based graded disease spectrum,81 dominant diseases are included.In accordance with the principle of disease spectrum of evidence-based acupuncture and moxibustion,the articles of systematic reviews and meta-analysis of acupuncture and moxibustion published in Chinese medical journals were retrieved,and thus 68 dominant diseases of acupuncture and moxibustion were collected.In view of the retrieval result and the effect characteristics of acupuncture and moxibustion,the authors believe that the following 4 aspects should be involved in the development of the dominant diseases of acupuncture and moxibustion,named(1)painful diseases,(2)neurological disorders,(3)mental,cognitive and affective diseases and(4)immune-endocrine disorders.