Pakistan Journal of Medical Sciences最新文献

{"title":"Obstetrical outcome in pregnant women presenting with congenital uterine anomalies.","authors":"Shahida Sutan, Samina Alia Sabir, Nazia Liaqat, Qudsia Qazi","doi":"10.12669/pjms.41.4.10793","DOIUrl":"https://doi.org/10.12669/pjms.41.4.10793","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the obstetrical outcome in pregnant women who presented with congenital uterine anomalies.</p><p><strong>Methods: </strong>Sixty patients participated in this descriptive study conducted at department of obstetrics and gynecology, Lady Reading Hospital, Peshawar from February 2023 to April 2024. Pregnant patients with CUA aged 20 to 35 years and gestational age 30 to 42 with singleton pregnancy were included. Classification of CUA was assessed along with negative obstetric outcomes. Data analysis was done using SPSS 20.</p><p><strong>Results: </strong>Septate uterus was detected in 13 (21.7%), unicornuate 5 (8.3%), bicornuate 32 (53.3%), and didelphys 10 (16.7%). Cesarean section 40 (66.7%), preterm delivery 21 (35%), malpresentation 33 (55%), SGA 36 (43.3%), and low birth weight 18 (30%) were negative obstetric outcomes. Unicornuate uterus and bicornuate uterus had greater caesarean section rates. Patients with unicornuate uterus, didelphys and septate had more preterm deliveries. Fetus malpresentation was higher in bicornuate uterus than other CUAs. Septate uterine patients had higher SGA and low birth weight rates.</p><p><strong>Conclusion: </strong>Our investigation confirms unfavorable obstetric outcomes are commonly linked to congenital uterine abnormalities.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"1078-1081"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical efficacy of transjugular intrahepatic portosystemic shunt in treating esophageal variceal bleeding in patients with liver cirrhosis.","authors":"Qun Zhao, Qiong Zi, Guoqiang Dong, Yong Lu, Yingzhan Zhang","doi":"10.12669/pjms.41.4.11695","DOIUrl":"https://doi.org/10.12669/pjms.41.4.11695","url":null,"abstract":"<p><strong>Objective: </strong>To explore the clinical efficacy of transjugular intrahepatic portal vein shunt (TIPS) in treating esophageal variceal bleeding (EVB) of liver cirrhosis patients.</p><p><strong>Methods: </strong>Clinical data of 60 patients with liver cirrhosis and EVB, admitted to The Second Affiliated Hospital of Bengbu Medical College between from November 2017 to April 2024, were retrospectively analyzed. Of them, 31 received TIPS treatment (TIPS group), and 29 received treatment with somatostatin (SST group). Blood transfusion volume, hemostasis time, and the length of hospital stay were compared between the two groups. Hemodynamic status, gastric motility indicators, vascular endothelial function indicators, levels of total bilirubin (TBIL), albumin (ALB), and international normalized ratio (INR) of both groups were compared before and after the treatment. The rebleeding and prognosis of patients were assessed after 6 months of follow-up.</p><p><strong>Results: </strong>The blood transfusion volume, hemostasis time, and length of hospital stay were significantly lower in the TIPS group than in the SST group (<i>P</i><0.05). After the treatment, the hemodynamic status, gastric motility indicators, and vascular endothelial function indicators, in both groups significantly improved compared to those before treatment and were considerably better in patients treated by TIPS group compared to the SST group (<i>P</i><0.05). There were no significant changes in the pretreatment and post-treatment levels of TBIL, ALB, and INR between the two groups (<i>P</i>>0.05). After six months of follow-up, the TIPS group showed significantly lower re-bleeding and mortality rates than the SST group (<i>P</i><0.05).</p><p><strong>Conclusions: </strong>Compared with conventional drug therapy, TIPS treatment can more effectively regulate hemodynamic status, improve gastric motility and vascular endothelial function, and reduce re-bleeding and mortality of patients with liver cirrhosis complicated by EVB.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"1138-1144"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peritoneal patch in portal vein reconstruction: Evaluating graft material outcomes in hepatopancreatobiliary and liver transplant surgery - A Systematic Review.","authors":"Saira Imtiaz, Ibtissam Bin Khalid, Zulqarnain Hyidar, Arslan Saleem Chughtai, Muhammad Yasir Khan, Irfan Ahmed","doi":"10.12669/pjms.41.4.10465","DOIUrl":"https://doi.org/10.12669/pjms.41.4.10465","url":null,"abstract":"<p><strong>Background & objective: </strong>In hepatopancreatobiliary and liver transplant surgeries, portal vein repair is often needed. Peritoneal patches (PPs) might provide an advantage over synthetic grafts for portal vein reconstruction. The objective of this systematic review was to compare clinical outcomes, safety, and effectiveness of PPs versus conventional graft materials.</p><p><strong>Methods: </strong>A comprehensive search of multiple databases such as PubMed, CINAHL EMBASE, SpringerLink Pakmedinet, and Google Scholar was conducted for studies focusing on portal vein repair using PPs. Eligible studies were case reports, case series, and retrospective studies from January 2000 to December 2024. Due to the heterogeneity of study designs and outcomes, a qualitative synthesis approach was applied.</p><p><strong>Results: </strong>Six studies were included. The studies reported a variety of surgical techniques and outcomes. Autologous peritoneal interposition grafts and PPs resulted in effective intraoperative portal flow and patency. Some studies, despite generally positive outcomes, reported complications such as thrombosis and significant postoperative events. A rigorous risk of bias assessment was not performed due to the limitations of the study design.</p><p><strong>Conclusion: </strong>PPs may potentially be an alternative for portal vein reconstruction in HPB and LTx surgeries that offer benefits such as availability, adaptability, and lower immunogenic or thrombotic risks. These results should be confirmed with further research in the forms of prospective and comparative studies.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"1202-1210"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Value analysis of serum β -HCG, AMH, and P/E₂ for predicting freeze-thaw embryo transfer outcomes in patients with thin endometrium.","authors":"Yani Yan, Jian Zhang, Weiwei Li, Xiurong Yin","doi":"10.12669/pjms.41.4.9980","DOIUrl":"https://doi.org/10.12669/pjms.41.4.9980","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the value of serum human chorionic gonadotropin (β-HCG), anti-Mullerian hormone (AMH), progesterone (P)/ estradiol (E₂) in predicting the pregnancy outcome of frozen-thawed embryo transfer (FET) cycle in patients with low profile endometrium.</p><p><strong>Methods: </strong>In this retrospective study, 120 patients with low-profile endometrium who received FET therapy in the reproductive center of Maternity & Child Care Center of Qinhuangdao from October 2019 to February 2023 were included. Serum β-HCG, AMH, and P/E₂ levels were measured on the day of FET transplantation. After 30 days they were divided into pregnancy group and non-pregnancy group according to whether they were pregnant. The risk factors affecting the cycle pregnancy rate of FET were analyzed. The values of β-HCG, AMH, P/E₂ and the combination of the three in predicting the periodic pregnancy rate of FET in patients were analyzed.</p><p><strong>Results: </strong>Logistic regression analysis showed that age (≥35 years), type of infertility (primary infertility), transplanted fetus, moderate and severe intrauterine adhesions and P, P/E₂ levels were risk factors for the periodic pregnancy rate of FET (OR > 1, P<0.05). The ROC curve showed that the AUC of serum β-HCG, AMH, P/E₂ and their combination to predict the pregnancy rate of FET cycle in patients with thin endometrium was 0.83(95%CI:0.741-0.910), 0.86(95%CI:0.788-0.922), 0.75(95%CI:0.662-0.838), and 0.88(95%CI:0.807-0.947).</p><p><strong>Conclusion: </strong>Serum β-HCG, AMH, and P/E₂ are closely related to the cycle pregnancy rate of FET in patients with thin endometrium. Therefore, dynamic monitoring of the changes of three indicators should be conducted clinically.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"973-978"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing comprehensive anesthesia services for cancer surgery at SKMCH Peshawar: Challenges, achievements, and innovations.","authors":"Faraz Mansoor, Salma Jan, Zain Ul Abidin, Hafiz Rohan Ahmed Khan","doi":"10.12669/pjms.41.4.11139","DOIUrl":"https://doi.org/10.12669/pjms.41.4.11139","url":null,"abstract":"<p><p>This article details the development of new anesthesia services at Shaukat Khanum Memorial Cancer Hospital and Research Center in Peshawar, Pakistan. This involved recruiting skilled staff, who were supported by intensive training. Pre-anesthesia evaluation clinics were established to ensure patient safety and reduce surgical cancelations. Continuous professional development and innovative pain management strategies were introduced to enhance service quality, positioning SKMCH & RC as a leader in cancer-related anesthesia services in the region.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"944-946"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of valproic acid and levetiracetam treatments on kidney functions in children with epilepsy.","authors":"Nesrin Tas, Ozge Balci, Mehmet Senes, Sukran Bicakci, Arzu Yılmaz","doi":"10.12669/pjms.41.4.10385","DOIUrl":"https://doi.org/10.12669/pjms.41.4.10385","url":null,"abstract":"<p><strong>Objectives: </strong>Clinical and subclinical evidence of kidney dysfunction has been reported with the use of some anti-epileptic drugs (AEDs) in children. This study aimed to evaluate renal tubular and glomerular functions using novel biomarkers N-acetyl-β-d-glycosaminidase (NAG), Kidney Injury Molecule-1(KIM-1) and 24-hour measured creatinine clearance (mCl_cr) in patients taking valproic acid (VPA) and levetiracetam (LEV).</p><p><strong>Methods: </strong>Fifty-one epileptic patients were included in this prospective case-control study between January 2023 and January 2024 in The Ankara Training and Research Hospital. Exclusions were made for individuals on multiple AEDs, those with incomplete data, bedridden patients, concurrent conditions (hypertension, obesity), or those using steroids or other medications. Participants had been on either VPA or LEV for at least six months. Sixteen healthy age- and sex-matched children served as the control group. Blood samples and 24-hour urine NAG, KIM-1, and mClcr measurements were collected.</p><p><strong>Results: </strong>The VPA, LEV, and control group comprised 30, 21, and 16 patients, respectively. The VPA group had higher urinary pH (6.1±0.7) and mCl_cr levels (173.4±48.0) than LEV (5.6±0.5, 149.7±39.1) and control (5.6±0.6, 130.6±30.6) groups. No significant difference was observed in urinary pH and mCl_cr levels between the LEV and control groups <i>(p>0.05)</i>. No statistically significant differences were observed among the VPA, LEV, and control groups regarding 24-hour urinary NAG, KIM-1, NAG/creatinine, and KIM-1/creatinine levels <i>(p>0.05)</i>. There was no significant association between mCl_cr levels and duration of treatment or serum drug levels on Spearman's correlation coefficient <i>(p>0.05)</i>.</p><p><strong>Conclusion: </strong>We found VPA-associated glomerular hyperfiltration in children with epilepsy. We did not observe tubular dysfunction in patients on VPA or LEV.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"997-1002"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ophthalmic manifestations and optic nerve functions in COVID-19: a prospective case series in Pakistani population.","authors":"Ayisha Kausar, Sahibzada Mohammad Jan, Sulman Jaffar, Tehreem Tahir","doi":"10.12669/pjms.41.4.10939","DOIUrl":"https://doi.org/10.12669/pjms.41.4.10939","url":null,"abstract":"<p><strong>Objective: </strong>Information on the ocular and neuro-ophthalmological manifestations of COVID-19 is relatively sparse. This study was conducted to identify optic nerve dysfunction and ocular involvement in COVID-19 patients.</p><p><strong>Methods: </strong>This prospective case series was conducted from April 2021 to December 2022 at the Ophthalmology Department of a public sector tertiary care hospital in Islamabad, Pakistan. We selected 50 patients with COVID-19 by nonprobability convenience sampling. Detailed systemic/ocular history, ocular examination and optic nerve functions were assessed. Best corrected Snellen's acuity, color vision, contrast sensitivity, light brightness appreciation and Humphrey visual field assessments were done. Detailed slit lamp examination of anterior and posterior segment was also performed.</p><p><strong>Results: </strong>Ocular symptoms were significantly common in patients with severe systemic disease (n=50, 34% patients, <i>p</i> value0.013). The most common complaint was blurred vision (n=6, 12%). Follicular conjunctivitis was found in 60% patients. Optic nerve functions were documented for one hundred eyes of 50 patients. Seventeen eyes had color vision defects (blue yellow) and four eyes had reduced light brightness appreciation. Twenty-nine eyes had visual field defects i.e. paracentral ring scotomas, superior/inferior arcuate defects, or general reduction in sensitivity.</p><p><strong>Conclusions: </strong>One third of our study population had ocular or neuro-ophthalmic involvement. Although severity of ophthalmic involvement was related to severity of systemic COVID-19 illness and concomitant comorbid disease, ocular involvement was also reported in patients with mild systemic disease or in vaccinated patients. Prolong follow up of these patients should be considered to prevent visual complications.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"1030-1035"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Outcome of lateral mass screws for traumatic sub-axial facet dislocation.","authors":"Sabir Khan Khattak, Sajid Hussain, Latif Khan, Ibtisam Haider, Amer Aziz","doi":"10.12669/pjms.41.4.11894","DOIUrl":"https://doi.org/10.12669/pjms.41.4.11894","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyze the functional and neurological outcome of patients diagnosed with subaxial cervical spine bilateral facet dislocation managed by standard posterior midline approach and lateral mass screw fixation by Margerl technique.</p><p><strong>Methods: </strong>We retrospectively evaluated 22 patients with traumatic cervical spine injuries who presented at the Orthopaedics and Spine Centre Ghurki Trust Teaching Hospital, Lahore from March 2020 to October 2023. Patients included in this study who has subaxial cervical spine bilateral facet dislocation managed by standard posterior midline approach and lateral mass screw fixation by Magerl technique. Functional outcomes was assessed by neck disability index and ASIA impairment scale at last follow up. Preoperative and post operative neurological status was evaluated with ASIA impairment scale. All the data were analyzed using SPSS version 23.</p><p><strong>Results: </strong>Total 22 patients participated in the study of which 72.73% were male and 27.27% female. Mean age was 39±17.02(13-70) years. Regarding level of dislocation, most common level was C5-6 which was involved in 12 patients, followed by C3-4 and C4-5 which was involved in five patients each. Pre-operatively 50% of the patients had intact neurology (ASIA E), followed by ASIA D which made up of the 27.27% patients, ASIA C 9.09%, ASIA B patients (4.55%), ASIA A 9.09% illustrating the severity of the neurological dysfunction. Postoperatively no neurological recovery was observed in ASIA A or ASIA B patients, while all ASIA C and D patients showed complete recovery. Mean Neck Disability Index (NDI) was 21±19.44.</p><p><strong>Conclusion: </strong>After a good reduction, lateral mass screws fixation are a safe and reliable approach for cervical fixation that not only stabilizes the cervical spine but also leads to a patient's excellent functional recovery.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"1019-1022"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of nutrition management combined with specialized nursing on nutritional status, immune function and wound healing after joint replacement.","authors":"Haimei Ren, Liang Jiang, Yibin Zhou, Xiaohui Qi, Jingjie Cui","doi":"10.12669/pjms.41.4.10524","DOIUrl":"https://doi.org/10.12669/pjms.41.4.10524","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effects of nutrition management combined with specialized nursing on nutritional status, immune function and wound healing of patients after joint replacement.</p><p><strong>Methods: </strong>Medical data of patients who underwent hip/knee replacement (n= 80) in Affiliated Hospital of Hebei University from June 2021 to December 2023 were collected for retrospective analysis. The included patients were divided into an observation group (special nutrition management + specialized nursing) and a control group (routine nutrition guidance + specialized nursing) according to different nutrition managements, n=40 each group. Moreover, nutritional status, immune function, wound healing and nursing satisfaction were compared between the two groups.</p><p><strong>Results: </strong>There was no significant difference in nutritional status or immune function between the observation group and the control group before the operation, while obvious improvements in nutritional status and immune function were observed in both groups at discharge (<i>p</i>< 0.05). In addition, significantly higher levels of nutritional indicators (Hb, Alb, PA, TF and RBC) and immunoglobulin (IgG, IgA and IgM) were found in the observation group when compared with the control group (all <i>p</i>< 0.05); and the incidences of wound dehiscence and local skin necrosis in the observation group were remarkably lower than those in the control group (all <i>p</i>< 0.05). In terms of the nursing satisfaction, the observation group presented significantly-higher patient satisfaction on nursing than the control group (95.00% vs. 80.00%).</p><p><strong>Conclusion: </strong>Nutrition management combined with specialized nursing may achieve significant improvements in nutritional status, immune function, wound healing and nursing satisfaction of patients after joint replacement.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"1110-1115"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of pulmonary rehabilitation nursing approach with integrated traditional Chinese and western medicine in children with Mycoplasma Pneumonia after Bronchoalveolar Lavage.","authors":"Ruixue Sun, Yanling Zhang, Fang Cheng, Yan Zhao","doi":"10.12669/pjms.41.4.9787","DOIUrl":"https://doi.org/10.12669/pjms.41.4.9787","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of pulmonary rehabilitation nursing approach with integrated traditional Chinese and Western medicine in children with mycoplasma pneumonia after bronchoalveolar lavage.</p><p><strong>Methods: </strong>This was a clinical comparative study conducted at Pediatrics Department of Xingtai People's Hospital from October 2019 to May 2023. One hundred and sixty children with mycoplasma pneumonia were selected for pulmonary rehabilitation and randomly divided into the observation group(n=80) and the control group(n=80). Both groups were given the same clinical treatment, the patients in the control group received routine pneumonia nursing interventions, while the observation group received the pulmonary rehabilitation with integrated traditional Chinese and Western medicine based on interventions for the control group. The comfort level, compliance, psychological status of children, and nursing satisfaction were investigated after nursing interventions in both groups.</p><p><strong>Results: </strong>The post-intervention comfort levels in both groups significantly improved compared to the pre-intervention levels, with a significantly greater improvement in the observation group than in the control group (p<0.05). The total compliance rate in the observation group was 95.00%, higher than the 83.75% in the control group (p<0.05). Meanwhile, the post-intervention SCARED and DSRSC scores in both groups were significantly higher than the pre-intervention scores, with a significantly greater improvement in the observation group than in the control group (p<0.05).</p><p><strong>Conclusion: </strong>The nursing approach with integrated traditional Chinese and Western medicine for pulmonary rehabilitation in children with mycoplasma pneumonia is significantly effective, which can improve children's comfort and compliance, and boost acceptance of nursing measures.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"1105-1109"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}