Effect of Sequential Early Enteral Nutrition on Postoperative Rehabilitation and Complications in Gastric Cancer Patients

Objective:To analyze the effect of sequential early enteral nutrition in patients with gastric cancer after surgery.Methods:A total of 139 gastric cancer patients,treated between October 2021 and October 2023,were randomly selected and divided into two groups:Group A(68 cases,receiving early enteral nutrition)and Group B(71 cases,receiving sequential early enteral nutrition),using computer randomization.The effects of the interventions on both groups were compared.Results:Seven days post-operation,the levels of nutritional indicators in Group B were significantly higher than those in Group A(P<0.05).Group B showed significantly better levels of inflammatory factors and immune factors compared to Group A seven days post-operation(P<0.05).The postoperative complication rate in Group B was 4.23%,2 significantly lower than that in Group A,which was 16.18%(χ=5.477,P=0.019).Conclusion:The utilization of sequential early enteral nutrition in gastric cancer patients after surgery demonstrated notable improvements in nutritional status and inflammation markers,along with enhanced immunity,effectively reducing postoperative complications.

Hemiplegia Patients Treatment Should Combine Acupuncture with Rehabilitation Treatment

The acupuncturetherapy for hemiplegiapatients is popular insome Asian countries,and it has been graduallyaccepted in the rehabili-tative medical field ofsome developed countries.Although numer-ous clinical and experimental studies have beendone,many doctors usu-

Secondary injuries caused by ill-suited rehabilitation treatments: Five case reports

BACKGROUND Increasing attention is being given to burn rehabilitation,and an increasing number of burn patients are undergoing rehabilitation.However,little attention has been given to secondary injuries caused by ill-suited rehabilitation practices.Patients,especially those in undeveloped countries,sustain injuries due to inadequate burn rehabilitation practices and the nonstandard implementation of rehabilitation treatments.CASE SUMMARY This study reports 5 cases of secondary injuries caused by ill-suited burn rehabilitation practices in our institute,including first web space contracture caused by a single orthosis treatment,finger deformity caused by improper compression therapy with a self-adhering bandage,developmental impairment of the affected limb caused by continuous improper compression therapy,and fracture caused by overly intensive rehabilitation exercise.CONCLUSION More attention should be given to burn rehabilitation to reduce the incidence of secondary injuries caused by ill-suited rehabilitation practices.Burn rehabilitation system should include specialized hospitals(burn rehabilitation centers),community hospitals,and family rehabilitation clinics.Precise instruments and equipment,accurate measurement methods,objective monitoring indicators and standardized guidelines and recommendations will help improve the quality of burn rehabilitation.Additionally,more attention should be given to burn rehabilitation in children.

A review of the treatment of cerebral palsy in children

Childhood cerebral palsy （CP） is one of the most serious and common diseases of the central nervous system. It results in high morbidity and treatment cost, and cannot be cured. It has a detrimental effect on families of children with CP, seriously affects the quality of life, causes significant mental stress, and places a great economic burden on society. At present, physical training and drug therapy are mainly used to treat CP in children at home and abroad. However, plentiful evidence has shown that the efficacy of drugs, surgery, and therapies used over the previous decades is limited. The use of more appropriate comprehensive treatment that involves improving the quality of life to social participation is helpful and meaningful for children with CP and their carers. Based on the literature and guidelines from home and abroad, this article analyzes the main treatments used, including rehabilitation treatment, drug therapy, stem cell therapy, surgical treatment, and the treatment of complications, and compares the advantages and disadvantages of various treatments. It provides a reference for patients with CP to help choose treatment methods and a new idea for research on the treatment of CP .

Research progress on non-drug treatment of diabetic kidney disease

Diabetic kidney disease is one of the most serious and common chronic complications of diabetes and one of the leading causes of death in diabetic patients.In the case of diabetic kidney disease,sustained proteinuria is irreversible until it develops into end-stage renal disease.Drug treatment of diabetic kidney disease is relatively limited.More and more evidences into the effectiveness and safety that related non-drug treatments not only have the characteristics of simple operation and high safety,but also can improve the clinical symptoms of patients with diabetic kidney disease,reduce laboratory indicators,and delay disease progression.This article summarizes the recent literature on non-drug treatment of diabetic kidney disease such as exercise therapy,acupuncture therapy,acupoint application,auricular acupoint pressing pill therapy,moxibustion therapy,in order to provide reference for clinical treatment.

Clinical Application Value and Satisfaction Analysis of Physical Therapy in rehabilitation treatment of cervical spondylosis

Objective:To analyze the clinical value and nursing satisfaction of physical therapy in the rehabilitation of patients with cervical spondylosis.Methods:From November 2019 to November 2020,84 patients with cervical spondylosis were randomly divided into two groups.Group A was given physical therapy,while group B was not given physical therapy.The differences of curative effect,cervical function,quality of life score and nursing satisfaction between the two groups were analyzed.Results:The curative effect of group A was 97.62%higher than that of group B 83.33%,P<0.05;The score of cervical function in group A(8.09±1.75)was higher than that in group B(8.09±1.75),P<0.05;The scores of quality of life in group A were better than those in group B(P<0.05);The nursing satisfaction of group A was 95.24%,which was better than that of group B 78.57%,P<0.05.Conclusions:Physical therapy intervention for patients with cervical spondylosis can improve nursing satisfaction and cervical function,which can be widely used.

EFFECT OF ACUPUNCTURE ON POST-OPERATIVE FUNCTIONAL RECOV-ERY IN PATIENTS WITH LUMBAR INTERVERTEBRAL DISC PROTRUSION

Objective To observe the influence of acupuncture on the post-operative rehabilitation in patients undergoing vertebral pulp extraction due to lumbar intervertebral disc protrusion （LIDP） so as to evaluate its efficacy in the treatment of lumbago induced by LIDP. Methods A total of 69 patients undergoing vertebral pulp extraction were randomized into acupuncture group （ n = 35） and control group （ n = 34）. Patients of acupuncture group were treated with routine rehabilitation method and electroacupuncture （EA） stimulation on Zhìbiān （秩边 BL54） and Wěizhōng （委中 BL40）, acupuncture on Shènshū （ 肾俞 BL23）, Dàchángshū （大肠俞 BL25）, BL54, BL40, Jiájǐ （夹脊 EX-B 2）, Shàngliáo （上髎 BL31）, etc., and cupping on BL40, with 15 days being a therapeutic course and for average 7. 36 courses. Patients of control group were treated with simple rehabilitation method. Functional recovery state was judged before and after surgery by using the standards of Japanese Orthopedic Association （JOA）. Results The average recovery rates of 3 months, 6 months and one year after surgery were 49.93% ,90.31% and 95.08% separately in acupuncture group, and 26.24% ,63.42% and 71.36% successively in control group. The recovery rates of acupuncture group were significantly higher than those of control group at the same time-points （P〈0. 05）. Conclusion Acupuncture has a definite effect on promoting post-operative functional recovery in LIDP patients undergoing vertebral pulp extraction and spinal fusion.

The elderly problems and countermeasures of exploring rehabilitation medical services

with the rising proportion of our aging population, the prevalence of chronic diseases in the elderly has increased, but most of the elderly body aging, action inconvenience, self-care ability is poor, become the thorny problem for the treatment of chronic diseases.Medical rehabilitation is a effective way to improve the sick old man body health.But with an aging that meet the needs of the elderly health service system in the aspect of construction and rehabilitation medical resources configuration, there are still some problems to be solved. In this article, through analyzing problems existing in the old medical service recovery to further explore its countermeasures.

The efficacy of Baduanjin combined rehabilitation therapy on stroke patients:A Meta-analysis

Objective:To determine the effect of Baduanjin combined rehabilitation therapy on stroke patients through systematic review and Meta-analysis.Method:computer retrieval Embase and PubMed,Cochrane Library,Clonal,MBJ Journals,CNKI,Web of Science,China resources pool,Weipu Chinese science and technology journal(VIP),service system of Chinese biomedical literature database(CBM),a database of ten thousand Chinese and English in about Baduanjin to the rehabilitation effect of patients with cerebral apoplexy randomized controlled experiment(RCT),are built from library retrieval time until 31 December 2020.Two researchers independently screened the literature,extracted the data,and evaluated the risk of bias in the included studies.RevMan5.3 software and Pedro scale were used to conduct literature quality evaluation and statistical analysis of the study data.For indicators with significant heterogeneity,the heterogeneity was reduced by excluding some literature deviating from the forest map,and then the pooled analysis was performed.Meanwhile,funnel plots were drawn to analyze the publication bias of the included studies.Results:(1)A total of 114 literatures were obtained,and 27 studies,including 23 Chinese literatures and 4 English literatures,with a total of 2526 patients,were obtained after eliminating duplicates and those failing to meet the inclusion criteria.There were 12 outcome indicators involved.(2)Quality evaluation showed that 23 literatures were grade A,4 literatures were grade B,16 literatures used simple random method,4 literatures used random number table method,and 4 literatures used hidden blind assignment method.No selective reporting was found in all the included literatures.(3)Meta-analysis results show that the daily life activities ability(MD=10.10,95%CI:8.75-11.45,P<0.00001),treatment effectiveness(RR=1.1,95%CI:0.99-1.23,P=0.07),depression(SMD=1.34,95%CI:2.59-0.08,P=0.04),(BBS MD=8.58,95%CI:4.97-12.2,P<0.00001),defecate integral(MD=0.65,95%CI:0.92-0.38,P<0.00001),mental health(SMD=0.34,95%CI:1.6-0.93,P=0.6),a balance(MD=6.09,95%CI:5.76-6.43,P<0.00001),the ability to walk(MD=0.7,95%CI:0.43-0.97,P<0.00001),lower limb FMA(MD=5.69,95%CI:4.66-6.72,P<0.00001),upper limb FMA(MD=3.42,95%CI:1.53-5.3,P<0.00004).SF-36(SMD=0.65,95%CI:0.91-2.21,P=0.41),and BERG(MD=10.43,95%CI:9.02-11.48,P<0.00001),the onset of FMA contrast(MD=4.77,95%CI:3.45-6.1,P<0.00001).Conclusion:Baduanjin movement as a method of auxiliary and security can help stroke patients get the best curative effect,through the evidence-based analysis can be concluded that the Baduanjin combined rehabilitation therapy for cerebral apoplexy patients postoperative balance function,improved degree of depression,integral,defecate daily life activities ability and psychological health are greatly improved,and can significantly improve the quality of life of patients with clinically and promote patients recover.

Clinical Research Progress on Physical Rehabilitation Therapy for Migraine

Migraine is a common and recurrent chronic disorder.Migraine is often associated with anxiety,depression and other emotional diseases.With the development of physical rehabilitation techniques,the long-term clinical efficacy of rehabilitation in the treatment of migraine and the prevention of recurrence have been widely accepted.This paper reviews the effectiveness of physical rehabilitation therapy in clinical treatment of migraine in recent years.