Zhonghua yi xue za zhi最新文献

{"title":"[Differences in psychological states among patients with chronic pain in different lower limb joints].","authors":"Z Y Zhao, Q Jia, K K Yu, Y He, M Y An, Y T Wang, L Wang, M X Wang, X Q Kang, C B Li","doi":"10.3760/cma.j.cn112137-20250101-00006","DOIUrl":"https://doi.org/10.3760/cma.j.cn112137-20250101-00006","url":null,"abstract":"<p><p>This study intends to compare the differences in psychological status of patients with chronic pain in different lower extremity joints. A retrospective cross-sectional study was used to assess patients with chronic hip, knee, and ankle pain hospitalized from June 2024 to December 2024 in the Sports Medicine Ward of the Department of Orthopaedic Medicine, General Hospital of the People's Liberation Army. A total of 75 patients with chronic pain in the joints, 36 males and 39 females, aged (31.6±9.5) years, were included. General information such as age, gender, and body mass index (BMI) were recorded, and the pain status of patients with chronic pain in each joint was assessed and compared by visual analog scores (VAS) and pain sensitivity scale (PSQ), and the psychological status of patients was assessed by the Zong-type Anxiety Scale (SAS) and Beck Depression Inventory (BDI). A total of 25 patients each with chronic hip, knee, and ankle pain were included, and the differences in baseline data among the three groups were not statistically significant and were comparable. The results showed that the SAS scores in the hip group were higher than those in the ankle group (mean difference=0.101, 95<i>%CI</i>: 0.029-0.174) and the knee group (mean difference=0.164, 95<i>%CI</i>: 0.094-0.235); the BDI scores in the hip group were higher than those in the ankle group (mean difference=2.081, 95<i>%CI</i>: 0.848-3.314) and knee group (mean difference=2.044, 95<i>%CI</i>: 0.866-3.222). This study suggests that psychological disorders in patients with chronic hip pain are more significant compared to other lower extremity arthralgia patients, and psychological intervention support should be strengthened in this group of patients.</p>","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Efficacy of establishing surgical access for hip arthroscopy using the combined internal-external approach].","authors":"Q Jia, Z Y Zhao, Y He, K K Yu, H R Teng, Z K Guo, Y D Wu, M Y An, C B Li","doi":"10.3760/cma.j.cn112137-20250209-00290","DOIUrl":"https://doi.org/10.3760/cma.j.cn112137-20250209-00290","url":null,"abstract":"<p><p><b>Objective:</b> To evaluate the clinical efficacy of the combined internal-external approach in establishing surgical portals for hip arthroscopy. <b>Methods:</b> A prospective analysis was conducted on patients who underwent hip arthroscopy at the General Hospital of the People's Liberation Army from March 2021 to May 2023. The patients were divided into a trial group (using the combined internal-external approach) and a control group (using the traditional puncture method) based on their voluntary choices of surgical plans. All patients underwent imaging examinations before surgery. During the operation, the time taken to establish the anterolateral approach (AL approach), the time taken to establish the mid-anterior auxiliary approach (MA approach), and the total surgical time were recorded. After surgery, a 1-year follow-up was carried out. Indicators such as the visual analog scale (VAS) of pain, the modified Harris Hip Score (mHHS), the International Hip Outcome Tool-12 (iHOT-12) score, the Hip Outcome Score-Activities of Daily Living Subscale (HOS-ADL), and the Hip Outcome Score-Sports Subscale (HOS-SSS) were recorded and compared for the two groups. <b>Results:</b> A total of 77 patients were enrolled with a mean age of (37.9±12.6) years(48 males and 29 females). There were 37 cases in the trial group[ with a mean age of (38.0±11.8) years, 24 males and 13 females] and 40 patients in the control group[ with a mean age of (37.8±13.4) years, 24 males and 16 females]. All indicators in both groups demonstrated significant improvement postoperatively compared with the preoperative values (all <i>P</i><0.001). No significant intergroup differences existed in the indicators preoperatively (all <i>P</i>>0.05). Postoperatively, there was no significant defferences in VAS of pain [(2.3±2.1) vs (2.4±1.9) points], mHHS [(83.3±7.4) vs (80.2±9.2) points], iHOT-12 [(72.8±15.5) vs (71.1±17.4) points], HOS-ADL [(81.4±16.9) vs (84.0±15.0) points] and HOS-SSS [(55.7±23.4) vs (56.1±19.1) points] or AL approach time [(5.3±0.5) vs (5.4±0.4) minutes] between the trial group and the control group(all <i>P</i>>0.05); however, the MA approach time [(9.0±0.6) vs (14.8±1.3) minutes] and total operative time [(105.2±8.8) vs (119.4±4.7) minutes] in the trial group were both shorter than those in the control group (both <i>P</i><0.001). The trial group had a lower postoperative complication rate than the control group, but the difference was not statistically significant [5.4% (2/37) vs 15.0% (6/40), <i>P</i>=0.263]. <b>Conclusion:</b> Portal establishment using the combined internal-external approach significantly reduces operative time and postoperative complication rate when compared to the traditional puncture technique, representing a safer and more efficient method for hip arthroscopy.</p>","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Effect of preoperative timing for ultrasound-guided intra-articular hip anesthetic injection on post-arthroscopy infection and inflammation in patients with femoroacetabular impingement].","authors":"H R Teng, H Fu, Y D Wu, Z K Guo, M Y An, K K Yu, Y T Wang, Q Jia, X H Ma, C B Li","doi":"10.3760/cma.j.cn112137-20250415-00936","DOIUrl":"https://doi.org/10.3760/cma.j.cn112137-20250415-00936","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To investigate the relationship between preoperative ultrasound-guided intra-articular local anesthetics injection at different time points and postoperative infection risk and inflammatory response after hip arthroscopy in femoroacetabular impingement(FAI). &lt;b&gt;Method:&lt;/b&gt; This retrospective observational study enrolled FAI patients who underwent hip arthroscopy surgery at the General Hospital of the People's Liberation Army from May 2017 to October 2023. According to the time interval between intra-articular injection and the surgery, the patients were divided into four groups: injection time≤30 days prior to surgery, injection time between 30-90 days prior to surgery, injection time&gt;90 days prior to surgery, and non-injection group. The temperature and peripheral blood inflammation indicators of patients within one week before surgery and during hospitalization after surgery were collected. The international hip joint score (IHOT-12), visual analogue scale (VAS) of pain and the modified Harris Hip Score (mHHS) before and within 12 months after surgery were collected. The postoperative infection rates, clinical scores, temperature and inflammatory markers between groups were compared. &lt;b&gt;Results:&lt;/b&gt; A total of 425 patients were included, with 264 males and 161 females, aged (37.2±12.9) years. There were 152 cases in the≤30 d group, aged (36.9±12.5) years; 58 cases in the 30-90 d group, aged (41.4±13.2) years; 28 cases in the&gt;90 d group, aged (37.3±12.0) years; and 187 cases in the non-injection group, aged (36.2±13.0) years. No acute and chronic infections were found in the enrolled patients, and 8 cases of suspected acute infections were found: 5 cases (2.7%) in the non-injection group, 2 cases (3.5%) in the 30-90 d group, 1 case (3.6%) in the&gt;90 d group, and 0 case in the≤30 d group, and the difference in the proportion of patients with suspected acute infections among the various groups was not statistically significant (&lt;i&gt;P&lt;/i&gt;=0.061). There were 17 patients with maximum body temperature≥38.0 ℃ on postoperative day 1, 9 (4.8%) in the non-injection group, 2 (7.1%) in the&gt;90 d group, 1 (1.7%) in the 30-90 d group, and 5 (3.3%) in the≤30 d group. There were 143 patients with mildly elevated body temperature (37.1-37.9 ℃), 74 (39.6%) in the non-injection group, 10 (35.7%) in the&gt;90 d group, 17 (29.3%) in the 30-90 d group, and 42 (27.6%) in the≤30 d group, and the difference in the proportion of the number of people with different degrees of fever among the groups was not statistically significant (&lt;i&gt;P&lt;/i&gt;=0.180). The peripheral blood leukocyte level was 10.6 (8.5, 12.2) x10&lt;sup&gt;9&lt;/sup&gt;/L in the≤30 d group, 9.7 (7.8, 10.5) x10&lt;sup&gt;9&lt;/sup&gt;/L in the 30-90 d group, 8.9 (8.0, 10.7) x10&lt;sup&gt;9&lt;/sup&gt;/L in the&gt;90 d group, 10.0 (7.9, 11.3) x10&lt;sup&gt;9&lt;/sup&gt;/L in the non-injection group, and peripheral blood leukocytes in the≤30 d group were significantly higher than those in the other three groups (all &lt;i&gt;P&lt;/i&gt;&lt;0.05). The differe","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Clinical efficacy of the \"double-strand inverted V-shape\" suture under hip arthroscopy in acetabular labral injuries].","authors":"Y He, Q Jia, Z Y Zhao, K K Yu, Y T Wang, X Q Kang, L Wang, M X Wang, C B Li","doi":"10.3760/cma.j.cn112137-20241218-02872","DOIUrl":"https://doi.org/10.3760/cma.j.cn112137-20241218-02872","url":null,"abstract":"<p><p><b>Objective:</b> To compare the efficacy of the \"double-strand inverted V-shape\" vs the \"single-strand looped\" suture techniques to treat acetabular labral injuries under hip arthroscopy. <b>Methods:</b> In this study, clinical data of patients diagnosed with femoroacetabular impingement admitted to the Department of Sports Medicine, Orthopedic Medicine Division, the Chinese PLA General Hospital from June 2018 to July 2022 were collected and analyzed retrospectively. Patients were divided into the \"double-strand inverted V-shape\" (double-strand) and the \"single-strand looped\" (single-strand) groups based on the surgical suture method for the injured labrum. The two groups were compared in terms of the labral injury extent, number and cost of anchors, and preoperative and postoperative outcomes using the visual analog scale (VAS) for pain, modified Harris Hip score (mHHS), and International Hip Outcome Tool (iHOT-12) scores. <b>Results:</b> Fifty-eight patients were included, with 30 in the double-strand group, 20 males and 10 females, aged (37.8±10.2) years, and 28 in the single-strand group, 18 males and 10 females, aged (39.3±12.6) years. All patients underwent surgery successfully, and the patients in the double-strand group and single-strand group were followed-up for [<i>M</i>(<i>Q</i>₁, <i>Q</i>₃)] [36.0(24.0, 36.0) and 30.0(24.0, 36.0)] months, respectively. The extent of labral injury [3.5 (3.0, 4.0) vs 2.0 (1.5, 2.4) h], the number of anchors [4.0 (4.0, 4.3) vs 3.0 (3.0, 4.0) pins], and the cost of the anchors [7 084 (6 916, 8 603) vs 5 061 (5 061, 6 748) yuan] in the double-strand group were all higher than those of the single-strand group (all <i>P</i><0.001), but the number of anchors/injury extent [1.2 (1.1, 1.3) vs. 1.5 (1.5, 2.0) pins/h] and anchor cost/injury extent[2092 (1949, 2305) vs. 2531 (2531, 3374) yuan/h] were lower (both <i>P</i><0.001). There was no statistical significance in the differences of preoperative and postoperative VAS, mHHS, and iHOT scores between the double-strand group and the single-strand group, as well as in the differences of the changes in VAS, mHHS, and iHOT scores before and after surgery (all <i>P</i>>0.05). <b>Conclusion:</b> The \"double-strand inverted V-shape\" suture technique for acetabular labral injuries under hip arthroscopy can achieve clinical outcomes similar to the\"single-strand looped\"suture technique while reducing anchor use and costs under same injury extent, and providing better economic benefits.</p>","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 ","pages":"2090-2095"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Association between different types of physical activities and healthy longevity among elderly aged 75 years and above in China].","authors":"Z C Zhong, C Chen, X Meng, Y D Wu, J H Chen, J H Zhou, X S Fu, Y Q Chen, L S Yang, Y B Lyu, W W Sun, X M Shi","doi":"10.3760/cma.j.cn112137-20250226-00454","DOIUrl":"https://doi.org/10.3760/cma.j.cn112137-20250226-00454","url":null,"abstract":"<p><p><b>Objective:</b> To explore the relationship between different types of physical activities and health longevity among older adults aged≥75 years in China. <b>Methods:</b> The study participants were from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). There were 11 357 older participants who were≥75 years old and met the criteria of being able to achieve longevity (≥90 years) at the last follow-up in 2018. To assess whether healthy longevity was achieved at the endpoint of follow-up, the participants were categorized into healthy longevity group and control group. Healthy longevity was defined as participants living to≥90 years while maintaining health across five functional domains, including activities of daily living, mental health, cognitive function, as well as visual and hearing functions. Logistic regression models were used to analyze the effect of three types of physical activities including regular exercise, leisure activities and physical labor on healthy longevity. <b>Results:</b> Of all the participants, 729 (6.4%) were in healthy longevity group, aged (85.4±3.3) years, 417 (57.2%) male, and 10 628 (93.6%) were in control group, aged (83.2±3.7) years, 5 352 (50.4%) male. The proportion of regular exercise [40.5% (295/729) vs 32.7% (3 474/10 628)] and high leisure activity levels [56.9% (415/729) vs 43.6% (4 639/10 628)] were higher in the healthy longevity group than in the control group (all <i>P</i><0.05). The results showed that regular exercise increased the likelihood of achieving healthy longevity by 35% (<i>OR</i>=1.35, 95%<i>CI</i>: 1.13-1.61), whereas leisure activity could increase it by 94% (<i>OR</i>=1.94, 95%<i>CI</i>: 1.64-2.31). Physical labor was not found to be statistically significant (<i>OR</i>=1.07,95%<i>CI</i>:0.86-1.33, <i>P</i>=0.818). In addition, there was a joint effect among different physical activities. The <i>OR</i> (95%<i>CI</i>) for achieving healthy longevity by participating in both regular exercise and high levels of leisure activity was 2.46 (1.98-3.06), compared to participants with no regular exercise and low levels of leisure activity. The <i>OR</i> (95%<i>CI</i>) for the combined effect of regular exercise and physical labor to achieve healthy longevity for participants was 1.44 (1.06-1.94), compared to participatnts with no regular exercise and no physical labor. The <i>OR</i> (95%<i>CI</i>) for the combined effect of physical labor and high leisure activity levels to enable participants to achieve healthy longevity was 2.09 (1.51-2.91), using non-participation in physical labor and low leisure activity levels as a reference. <b>Conclusions:</b> Taking part in exercise and a higher level of leisure activities at the same time are most beneficial to healthy longevity for the older adults aged 75 and above.</p>","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 ","pages":"77-84"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Application efficacy of proximal anterior-distal anterolateral accessory in hip arthroscopic surgery].","authors":"Z K Guo, Y B Li, H R Teng, Q Jia, M Y An, Y T Wang, L Wang, X Q Kang, M X Wang, C B Li","doi":"10.3760/cma.j.cn112137-20250114-00126","DOIUrl":"https://doi.org/10.3760/cma.j.cn112137-20250114-00126","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To explore the application effects of the proximal anterior-distal anterolateral accessory (PA-DALA) in hip arthroscopy for treating common hip diseases. &lt;b&gt;Methods:&lt;/b&gt; A retrospective analysis was conducted on the clinical data of patients who underwent hip arthroscopic surgery at the Chinese People×s Liberation Army General Hospital from January 2018 to December 2023. The diseases included femoral acetabular impingement syndrome (FAI), ankylosing spondylitis (AS), synovial chondromatosis (SC), and pigmented villonodular synovitis (PVNS). Based on the different surgical approaches, the patients were divided into two groups: the control group underwent the conventional distal anterolateral approach (DALA) commonly used in hip arthroscopy, while the observation group received the PA-DALA approach. The application effects of the PA-DALA in hip arthroscopic surgery for common hip disorders were evaluated, and the incidence of intraoperative complications, postoperative wound healing, and functional scores such as the visual analog scale (VAS) for pain, modified Harris Hip Score (mHHS), and International Hip Outcome Tool-12 (iHOT-12) at various follow-up time points before and after surgery (1, 3, 6 months and 1 year after surgery) were compared between the two groups. &lt;b&gt;Results:&lt;/b&gt; A total of 102 patients with effective follow-up are included in the study, comprising 71 males and 31 females, aged (37.3±13.1) years. There were 34 cases in the control group, and 68 patients in observation group. In the control group, the preoperative VAS score of pain was (6.2±2.3) points, which decreased to (3.1±1.7) points one year after surgery; the preoperative mHHS score was (36.3±12.9) points, which increased to (77.7±9.3) points one year after surgery; and the preoperative iHOT-12 score was (29.5±15.4) points, which raised to (69.2±16.9) points one year after surgery. In the observation group, the preoperative VAS score of pain was (6.0±1.2) points, which decreased to (1.8±1.6) points one year after surgery; the preoperative mHHS score was (38.8±12.2) points, which increased to (81.0±9.5) points one year after surgery; and the preoperative iHOT-12 score was (32.8±12.6) points, which raised to (74.6±12.6) points one year after surgery. The VAS scores, mHHS scores, and iHOT-12 scores of both groups at all postoperative time points showed significant improvement when compared with those preoperative scores (all &lt;i&gt;P&lt;/i&gt;&lt;0.05). The observation group demonstrated a greater advantage in alleviating postoperative pain [VAS at one year after the operation: (1.8±1.6) vs (3.1±1.7) points] (&lt;i&gt;P&lt;/i&gt;&lt;0.001). In the control group, 3 patients experienced intraoperative complications, specifically involving perforation of the outer edge of the acetabular cortex during anchor placement, resulting in unstable anchor fixation with a success rate of 91.18%(31/34), but in the observation group, no such complications occurred, and the anchor placement suc","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 ","pages":"2201-2206"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Clinical efficacy of a perineal post-free traction technique in the Trendelenburg position on enhanced recovery following hip arthroscopic surgery in patients with femoroacetabular impingement].","authors":"J P Ma, Y T Wang, Z J Li, M X Wang, L Wang, X Q Kang, C B Li, J L Zhu","doi":"10.3760/cma.j.cn112137-20250109-00080","DOIUrl":"https://doi.org/10.3760/cma.j.cn112137-20250109-00080","url":null,"abstract":"<p><p><b>Objective:</b> To evaluate the impact of perineal post-free traction in the Trendelenburg position on enhanced recovery after hip arthroscopy in patients with femoroacetabular impingement (FAI). <b>Methods:</b> A retrospective analysis was conducted on patients who underwent hip arthroscopy for FAI at the First Medical Center of the PLA General Hospital between September 2023 and September 2024. Patients were divided into two groups: a control group (traditional traction, <i>n</i>=80) and an enhanced recovery group (Trendelenburg position with perineal post-free traction, <i>n</i>=80). Intraoperative data, including operative time, traction time, Trendelenburg angle, and traction force, were recorded. Clinical outcomes were assessed using the modified Harris Hip Score (mHHS), the International Hip Outcome Tool-12 (iHOT-12), and the visual analogue scale (VAS) for pain, administered preoperatively and at 3 days and 4 weeks postoperatively. Postoperative limb numbness was evaluated using the numeric rating scale (NRS), VAS scores, and time to resolution. Additional outcomes included the incidence and resolution time of perineal complications, skin injuries, analgesic consumption, length of hospital stay, and patient satisfaction. <b>Results:</b> A total of 160 patients were included, comprising 94 males and 66 females with a mean age of (39.9±14.3) years. The control group included 49 males and 31 females with a mean age (40.5±13.3) years, while the enhanced recovery group included 45 males and 35 females with a mean age of (39.3±15.1) years. No significant differences was observed between the control group and the enhanced recovery group in terms of operative time [(78.73±15.45)  vs (79.53±13.28) min] or traction time [(35.50±8.36) vs (37.58±10.66) min] (both <i>P</i>>0.05). At both 3 days and 4 weeks postoperatively, mHHS, iHOT-12 and VAS scores exhibited significant improvement when compared to those preoperative values in both groups (all <i>P</i><0.001), but with no significant differences between groups (all <i>P</i>>0.05). However, the enhanced recovery group demonstrated significantly better outcomes than the control group in terms of postoperative NRS of numbness [(1.32±0.53) vs (3.22±1.14) points], VAS of numbness [(2.52±1.53) vs (5.51±1.52) points], resolution time of numbness [(2.51±1.52) vs (3.51±1.53) days], incidence of perineal complications [0 vs 5.0%(4/80)], incidence of skin injury [3.8%(3/80) vs 8.8%(7/80)], postoperative analgesic use [(50.25±17.75) vs (75.25±12.25) mg], length of hospital stay [(3.23±0.52) vs (4.23±1.52) days], and patient satisfaction scores [(98.23±1.03) vs (90.12±5.16) points] (all <i>P</i><0.05). <b>Conclusion:</b> The Trendelenburg position with perineal post-free traction technique provides FAI patients with comparable intraoperative efficacy to traditional traction methods while significantly enhancing postoperative recovery outcomes in patients undergoing hip arthroscopy.</p>","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 ","pages":"2195-2200"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[To actively promote the research on cardiovascular molecular imaging and improve the diagnostic and treatment level of cardiovascular disease].","authors":"L J Zhang, S Wang","doi":"10.3760/cma.j.cn112137-20250423-01004","DOIUrl":"10.3760/cma.j.cn112137-20250423-01004","url":null,"abstract":"<p><p>Molecular imaging can noninvasively visualize molecular functional information and perform multi-dimensional evaluation, gradually becoming an important means of evaluating cardiovascular diseases and having a positive impact on the diagnosis and treatment of cardiovascular diseases. In current molecular imaging study, to pay attention to cardiovascular frontier basic research, to screen novel molecular imaging targets, to study novel molecular imaging probes with clinical translational potential, to intergate novel imaging technqiues to extend clincial application of molecular imaging, and to construct systemical approach to explore natural history of cardiovascular disease based on molecular imaging, are four main aspects to promote technical development and clinical translation of cardiovascular molecular imaging.</p>","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 22","pages":"1773-1776"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Associations of lean body mass, fat mass, and their indexes with depressive symptoms among adults aged 65 years and above in 18 longevity areas of China].","authors":"S X Liu, L Qi, C Chen, C Tan, H Qian, X L Dai, L S Yang, Z H Zhang, Z Y Zhu, X Meng, Z N Xu, X H Hu, Z W Zhang, J Wang, J H Zhou, W H Shi, Z H Li, X M Shi, C Mao, Y B Lyu","doi":"10.3760/cma.j.cn112137-20250212-00318","DOIUrl":"https://doi.org/10.3760/cma.j.cn112137-20250212-00318","url":null,"abstract":"<p><p><b>Objective:</b> To explore the association of lean body mass (LBM), lean body mass index(LBMI), fat mass (FM) and fat mass index(FMI) with depressive symptoms in adults aged 65 and above in 18 longevity areas in China. <b>Methods:</b> A cross-sectional study. The study participants were from the Chinese Longitudinal Healthy Longevity Biomarker Cohort Study, comprising elderly individuals aged 65 years and above. Demographic characteristics, lifestyle factors, physical function status, and disease history were collected. Depressive symptoms were assessed using the 9-item Patient Health Questionnaire (PHQ-9). LBM and FM were measured to calculate LBMI and FMI, respectively. Participants were categorized into the depressive group and non-depressive group based on whether the PHQ-9 score≥10 points, and the differences in LBM, LBMI, FM, and FMI between the two groups were compared. Restricted cubic spline models were used to illustrate exposure-response relationships between LBM, LBMI, FM, FMI and the presence of depressive symptoms. Participants were categorized into low, moderate, and high groups based on the tertiles of LBM, LBMI, FM and FMI, respectively, and multivariable logistic regressions were applied to examine the associations of LBM, LBMI, FM, and FMI with depressive symptoms. <b>Results:</b> A total of 4 246 older adults were included, with 2 034 males (47.9%) and a mean age of (81.8±10.2) years. In the non-depressive group (<i>n</i>=4 008), the mean age was (81.9±10.2) years, with 1 957 males (48.8%). In the depressive group (<i>n</i>=238), the mean age was (80.8±9.6) years, with 77 males (32.4%). The LBM of the depvessive group was lower than that of the non-depressive group [(36.8±6.8) kg vs (39.0±7.5) kg, <i>P</i><0.001]. Restricted cubic spline analysis indicated no non-linear exposure-response relationships between LBM, LBMI, FM, FMI, and the presence of depressive symptoms (all <i>P</i>>0.05). Multifactor logistic regression analysis showed that LBM and LBMI were negatively associated with the risk of depression (all <i>P</i><0.05). Compared with the low LBM (or LBMI) group, the high LBM group (<i>OR</i>=0.458, 95%<i>CI</i>: 0.291-0.715) and the high LBMI group (<i>OR</i>=0.646, 95%<i>CI</i>: 0.442-0.939) had a lower likelihood of experiencing depressive symptoms. No statistically significant associations were found between FM, FMI, and depressive symptoms (all <i>P</i>>0.05). <b>Conclusion:</b> Among adults aged 65 years and above in longevity regions of China, higher LBM and LBMI are negatively associated with the risk of depressive symptoms.</p>","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 22","pages":"1840-1846"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Value of time-shortened ¹⁸F-fluorodeoxyglucose total-body dynamic PET-CT scanning in the diagnosis of Takayasu arteritis].","authors":"L Gao, J Zhang, Y H Duan, X Cui, H X Yue, K Li, H Li, Z P Cheng","doi":"10.3760/cma.j.cn112137-20250422-00995","DOIUrl":"https://doi.org/10.3760/cma.j.cn112137-20250422-00995","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To investigate the value of short-term &lt;sup&gt;18&lt;/sup&gt;F-fluorodeoxyglucose (FDG) total-body (TB) dynamic PET(dPET)-CT scanning in the diagnosis of Takayasu arteritis (TA). &lt;b&gt;Methods:&lt;/b&gt; A retrospective analysis was performed on 8 TA patients underwent dPET-CT scanning in the First Affiliated Hospital of Shandong First Medical University from March to October 2022, who met the diagnostic criteria for TA proposed by the American College of Rheumatology in 1990. Patients were divided into active inflammation and inactive inflammation groups according to National Institutes of Health (NIH) criteria. All patients underwent 1 h TB dPET scan and 2 h delayed scan, and 1 h static PET was reconstructed by dPET scan for 50-60 min, and nineteen regions of interest in the arterial wall were delineated for each patient. One hour dPET scan images were reconstructed into 10, 20, 30, 40 and 60 min K&lt;sub&gt;i&lt;/sub&gt; parameter images and compared with 1 h static and 2 h delayed PET images. The clinical data of patients in the active inflammation group and the inactive inflammation group were compared. The image quality of dPET and static PET at different scanning times [including lesion target ratio (TBR), lesion contrast-to-noise ratio (CNR)] and the detection rate of active lesions were compared. &lt;b&gt;Results:&lt;/b&gt; A total of 152 branch vessels of 8 patients were included, including 3 males and 5 females, aged 21 to 40 years old. A total of 68 (89.5%) diseased blood vessels were detected in 4 patients in the active inflammation group, and a total of 50 (65.8%) diseased blood vessels were detected in 4 patients in the inactive inflammation group (&lt;i&gt;P&lt;/i&gt;=0.001). The TBRs of dPET at 10, 20, 30, 40 and 60 min were 1.870 (1.301, 2.815), 2.991 (1.926, 4.265), 3.310 (2.308, 4.786), and 3.315 (2.333, 4.361), 2.986 (2.177, 4.344)), respectively. The CNRs were -0.799 (-1.356, 0.300), 0.691 (-0.212, 1.900), 1.563 (0.550, 2.778), 2.236 (1.012, 3.271), and 2.344 (1.324, 4.134), respectively. Both TBR and CNR gradually increased (both &lt;i&gt;P&lt;/i&gt;&lt;sub&gt;trend&lt;/sub&gt;&lt;0.001). Pairwise comparisons revealed that the dPET TBR at 30, 40, and 60 minutes and the dPET CNR at 40 and 60 minutes were all higher than those of the 1-hour static and 2-hour delayed PET, respectively (all &lt;i&gt;P&lt;/i&gt;&lt;0.001). The differences in the detection rates of diseased blood vessels between the active inflammation group and the inactive inflammation group at different scanning times of dPET, 1-hour static PET, and 2-hour delayed PET were all statistically significant (all &lt;i&gt;P&lt;/i&gt;&lt;0.05). Pairwise comparisons revealed that the detection rates of diseased blood vessels in the 30-and 40-minute dPET scans between the two groups of patients were 60.5% (46 lesions), 31.6% (24 lesions), 81.6% (62 lesions), and 44.7% (34 lesions), respectively. All were higher than 42.1% (32 pieces) and 9.2% (7 pieces) of 1-hour static PET (all &lt;i&gt;P&lt;/i&gt;&lt;0.05); the detection rates of diseased blood vessels in 40-minute d","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 22","pages":"1820-1826"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}