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Objective To investigate the effect of umbilical moxibustion combined with intermittent catheterization in rehabilitation nursing of patients with neurogenic bladder after stroke. Methods A total of 40 patients with neurogenic bladder after stroke were divided into control group and observation group, with 20 patients in each group according to random number table. The control group was given intermittent catheterization, and the observation group was given umbilical moxibustion combined with intermittent catheterization. After 4 weeks of intervention, the clinical efficacy, residual urine volume, bladder volume and urinary tract infection were compared between the two groups. Results The overall effective rate in the observation group was higher than that in the control group (95. 00% vs. 75. 00%, P＜0. 05). Lower residual urine volume and higher bladder volume were observed in both two group after intervention, and better outcomes of residual urine volume and higher bladder volume were associated with combined treatment of umbilical moxibustion and intermittent catheterization(P＜0. 01). The incidence of urinary tract infection in observation group was lower than that in control group(5. 00% vs. 25. 00%, P＜0. 05). Conclusion Umbilical moxibustion combined with intermittent catheterization can effectively improve the clinical symptoms and bladder function of patients with neurogenic bladder after stroke, promote patients to urinate autonomously and improve the quality of life. (目的 探讨脐灸联合间歇性导尿在中风后神经源性膀胱患者康复护理中的应用效果。方法 选择40例中风后神经源性膀胱患者, 按随机数字表分为对照组和观察组, 各20例。对照组给予间歇性导尿护理, 观察组在对照组基础上增加脐灸护理。干预4周后比较2组临床疗效、残余尿量及膀胱容量和尿路感染情况。结果 观察组总有效率95. 00%(19/20), 高于对照组的75. 00%(15/20), 差异有统计学意义(P＜0. 05)。干预后, 两组残余尿量较干预前降低, 膀胱容量较干预前升高, 且观察组改善幅度优于对照组, 差异有统计学意义(P＜0. 01)。观察组尿路感染发生率5. 00%(1/20), 低于对照组的25. 00%(5/20), 差异有统计学意义(P＜0. 05)。结论 脐灸联合间歇性导尿护理能够有效改善中风后神经源性膀胱患者临床症状及膀胱功能, 促进患者自主排尿, 提高生活质量。)

Objective To analyze the research hotspot and trend of Traditional Chinese Medicine (TCM) nursing of post-stroke sleep disorders based on CiteSpace, and provide reference for clinical nursing and scientific research. Methods The literature on TCM nursing of sleep disorders after stroke published by CNKI, Wanfang, VIP and CBM databases from January 31, 2023 was retrieved. The annual number of publications, authors, research institutions, keyword co-occurrence, keyword clustering and keyword timeline were analyzed by CiteSpace software. Results A total of 177 literatures met the requirements were retrieved, and the overall number of publications was on the rise. The cooperation network between the authors and research institutions was not yet mature. The bibliometric results showed that research hotspots of literatures wereextended care, emotion care and TCM nursing technology. Conclusion TCM nursing intervention for sleep disorders after stroke has achieved good results, which can significantly improve the sleep quality of patients, promote the outcome of the disease, and improve the quality of life of patients. (目的 使用CiteSpace工具对卒中后睡眠障碍进行分析, 为今后的临床护理和相关研究提供一定的帮助和参考。方法 检索关于卒中后睡眠障碍中医护理研究的文献, 主要检索的关键词包括脑卒中、卒中后睡眠障碍、睡眠障碍、中医护理、中医护理技术等, 检索数据库选择中国知网(CNKI)、万方(Wanfang Data)、维普(VIP)以及中国生物医学文献数据库(CBM), 时间截止到2023年1月31日, 使用CiteSpace软件进行分析, 主要包括年发文量、作者、研究机构、关键词共现、聚类、时间线等。结果 通过检索, 共计有177篇文献符合本次研究需求; 经过分析发现, 相关文献资料呈上升趋势, 逐年增加; 在研究中能看到相关的研究者和研究机构之间尚未形成成熟的合作关系网络; 同时, 卒中后睡眠障碍在中医研究中, 主要的研究焦点在于延续护理、情志护理以及中医护理技术等。结论 通过对相关文献的分析和整理发现, 针对卒中后睡眠障碍, 中医护理干预能够显著改善患者睡眠质量, 促进患者病情的改善和生活质量的提升, 在临床使用中有着非常理想的效果。)

This paper summarized the experience of Traditional Chinese Medicine nursing for a patient with Qi-deficiency type constipation treated by meridian acupoints massage combined with umbilical moxibustion. According to syndrome differentiation of the patient, meridian acupoints massage combined with umbilical moxibustion was carried out to alleviate the symptoms of constipation and Qi-deficiency and improve the recovery of the patient. (本文总结经穴推拿联合脐灸治疗1例气虚便秘患者中医护理体会。根据护理评估以及辨证分型, 在饮食指导、生活起居、情志护理等常规护理基础上给予经穴推拿联合脐灸的中医特色护理, 有助于缓解患者便秘和气虚症状, 有效促进疾病康复。)

This paper summarized the experience of psychological counseling and nursing interventions with Traditional Chinese Medicine (TCM) characteristics for a patient with cluster headache. Based on the precise nursing assessment and TCM syndrome differentiation, nursing interventions with TCM characteristics including scraping therapy and moxibustion were carried out. Nurses had paid attention to the mental health of the patient and provided psychological care to the patient and family members. (本文总结1例采用心理辅导护理联合中医特色疗法治疗丛集性头痛的护理经验。通过精准的护理评估, 明确护理目标, 并基于中医基础理论辨证施护, 采取刮痧、艾灸等中医特色疗法, 同时积极关注患者心理问题, 为患者及家属提供良好的心理疏导, 进而达到身心同治的效果。)

Objective To observe the clinical effects of scraping on hypertensive ischemic stroke based on the theory of " Qi Circulation " . Methods Totally Sixty patients with hypertensive ischemic stroke who met the inclusion criteria were randomly divided into observation group and control group, with 30 patients in each group. All patients received conventional drugs and rehabilitation nursing, and patients in the observation group were treated with a 30-45 minutes of meridian scraping treatment based on "Qi Circulation " theory, once a week for 4 weeks. The changes of blood pressure, homocysteine (Hcy), matrix metalloproteinase-9(MMP-9) and blood lipid indexes including total cholesterol (TC), triglyceride (TG), high-density lipoproteincholesterol(HDL-C) and low-density lipoproteincholesterol(LDL-C) before and after intervention were compared between the two groups. Results Level of blood pressure, Hcy, TC, TG and LDL-C in 2 groups were decreased after intervention (P＜0. 05), better improvement was reported in the observation group than that in the control group (P＜0. 05). Conclusion Scraping based on the theory of "Qi Circulation" can effectively reduce blood pressure, Hcy, MMP-9, TC, TG, LDL-C levels in patients with prehypertensive ischemic stroke, and can be promoted and applied as a safe and effective adjuvant therapy. (目的 观察基于“一气周流”理论刮痧干预高血压缺血性脑卒中的临床疗效。方法 将符合纳入标准的60例高血压缺血性脑卒中患者随机分为观察组和对照组, 各30例。对照组给予常规药物及康复护理对症支持治疗; 观察组在对照组基础上基于“一气周流”理论, 选择相应经络刮痧, 每次45～60min, 每周1次, 两组疗程均4周。比较两组患者干预前后血压、同型半胱氨酸(Hcy)、基质金属蛋白酶-9(MMP-9)和血脂［总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)］变化情况。结果 两组患者血压、Hcy、TC、TG、LDL-C均较干预前降低, 差异有统计学意义(P

Objective To systematically evaluate the efficacy of acupoint application in the treatment of post-stroke dysphagia. Methods PubMed, Embase, the Cochrane Library, Web of Science, CNKI, VIP, Wanfang databases and CMB were searched for studies on acupoint application in the treatment of post-stroke dysphagia. The search time limit was from the establishment of the database to January 31, 2023. Two researchers independently screened the literature, extracted data and evaluated the methodological quality. RevMan 5. 4 software was used for meta-analysis. Results A total of 11 RCTS/CCTS involving 1018 patients were included. Acupoint application in the treatment of dysphagia after stroke was superior to the control group in the total effective rat［OR=4. 16, 95% CI(2. 65, 6. 53), Z=6. 21(P＜0. 01)］, cure rate［OR=1. 76, 95% CI(1. 30, 2. 39), Z=3. 66(P＜0. 01)］, Kubota drinking test score［MD=－1. 05, 95% CI(－1. 69, －0. 41), Z=3. 20(P＜0. 01)］, Ichiro Fujima swallowing efficacy score［MD=2. 73, 95% CI(1. 73, 3. 74), Z=5. 31(P＜0. 01)］, VFSS score［MD=1. 81, 95% CI(1. 57, 2. 05), Z=14. 75(P＜0. 01)］, prealbumin［MD=22. 10, 95% CI(10. 65, 33. 54), Z=3. 78(P＜0. 01)］, serum albumin［MD=4. 08, 95% CI(1. 99, 6. 18), Z=3. 82(P＜0. 01)］ and NRS2002 score［MD=－0. 28, 95% CI(－0. 42, －0. 14), Z=3. 85(P＜0. 01)］. Conclusion Acupoint application is effective and reliable in the treatment of dysphagia after stroke, which can be used for clinical promotion. However, the quality and quantity of the literature included in the analysis are limited, and high-quality, large-sample double-blind randomized controlled trials are still needed to provide higher level of evidence. (目的 系统评价穴位敷贴治疗卒中后吞咽障碍的疗效。方法 计算机检Cochrane Library、Web of Science、PubMed、Embase、中国知网(CNKI)、维普数据库(VIP)、万方数据库(Wanfang Data)、中国生物医学文献数据库(CMB)中关于穴位敷贴治疗卒中后吞咽障碍的研究, 检索时限均为数据库建立至2023年1月31日。由两名研究员独立进行文献筛选、数据提取及方法学质量评价后, 采用RevMan 5. 4软件对纳入研究进行Meta分析。结果 共纳入11项RCT/CCT研究, 1018例患者。 Meta分析结果显示, 穴位贴敷治疗脑卒中后吞咽障碍在总有效率［OR=4. 16, 95% CI(2. 65, 6. 53), Z=6. 21(P＜0. 01)］、痊愈率［OR=1. 76, 95% CI(1. 30, 2. 39), Z=3. 66(P＜0. 01)］、洼田饮水试验评分［MD=－1. 05, 95% CI(－1. 69, －0. 41), Z=3. 20(P=0. 001)］、藤岛一郎吞咽疗效评分［MD=2. 73, 95% CI(1. 73, 3. 74), Z=5. 31(P＜0. 01)］、VFSS评分［MD=1. 81, 95% CI(1. 57, 2. 05), Z=14. 75(P＜0. 01)］、前白蛋白［MD=22. 10, 95% CI(10. 65, 33. 54), Z=3. 78(P＜0. 01)］、血清白蛋白［MD=4. 08, 95% CI(1. 99, 6. 18) , Z=3. 82(P＜0. 01)］、NRS2002评分［MD=－0. 28, 95% CI(－0. 42, －0. 14) , Z=3. 85(P＜0. 01)］方面优于对照组。结论 穴位贴敷治疗脑卒中后吞咽困难的疗效可靠, 可用于临床推广。但纳入分析的文献质量和数量有限, 仍需高质量、大样本的双盲随机对照试验提供更高级别的证据。)

Early rehabilitation of traditional Chinese and western medicine is the most effective measure to promote the rehabilitation of the body function of patients with severe stroke, which is helpful to improve the functional dysfunction of patients and improve their quality of life and quality of life. However, there are still many deficiencies in the implementation of early rehabilitation of Chinese and western medicine, which will lead to missing the best time for rehabilitation. Therefore, this paper reviewed the progress of traditional Chinese and western medicine early rehabilitation measures and influencing factors for severe stroke patients. (中西医早期康复是促进中风重症患者身体机能康复最有效的措施, 有助于改善患者的功能障碍, 提高其生存质量和生活质量。本研究对中风重症患者中西医早期康复的介入时机、方法等现状以及影响因素进行综述, 以期为中风重症患者制定、实施合理的康复护理提供参考依据。)

The subtilisin-like protease-1 (SspA-1) plays an important role in the pathogenesis of a highly virulent strain of Streptococcus suis 2. However, the mechanism of SspA-1–triggered excessive inflammatory response is still unknown. In this study, we demonstrated that activation of type I IFN signaling is required for SspA-1–induced excessive proinflammatory cytokine production. Further experiments showed that the TLR2 endosomal pathway mediates SspA-1–induced type I IFN signaling and the inflammatory response. Finally, we mapped the major signaling components of the related pathway and found that the TIR adaptor proteins Mal, TRAM, and MyD88 and the downstream activation of IRF1 and IRF7 were involved in this pathway. These results explain the molecular mechanism by which SspA-1 triggers an excessive inflammatory response and reveal a novel effect of type I IFN in S. suis 2 infection, possibly providing further insights into the pathogenesis of this highly virulent S. suis 2 strain. [ABSTRACT FROM AUTHOR]

Background: Enrichment of urinary exfoliated tumor cells (UETCs) is a noninvasive way of bladder cancer diagnosis, but the lack of specific capture and identification of tumor cells from the urine remains a limitation that impedes the development of liquid biopsy. Methods: The CytoBot® 2000, a novel circulating cell isolation and enrichment platform, was used for UETCs isolation after comprehensive optimization. The commercial cell lines of bladder cancer were used in spiking assay for cell recovery test. The flow cytometry and immunofluorescent staining assays were performed for expression validation of capture target and identification markers. The performance of optimized platform was validated by 159 clinical samples and analyzed using receiver operator characteristic curve. Results: The chip that had a pore diameter of 15*20 μm could reduce the background residues while maintaining a higher cell recovery rate. We found that the cell capture ability of chip significantly improved after anti‐EpCam antibody encapsulation, but not with T4L6FM1. In identification system optimization, the spiking assay and validation of clinical sample showed that the performance of CK20 and DBC‐1 were better that pan‐CK in tumor cell identification, in addition, the staining quality is more legible with CK20. Conclusion: The optimized capture chip is more specific for UETCs isolation. CK20 and DBC‐1 are both sensitive biomarkers of UETCs in bladder cancer diagnosis. The performance of this optimized platform is excellent in clinical test that improves the accuracy of urine cell testing and provides a new alternative for the clinical application of BLCA liquid biopsy assessment. [ABSTRACT FROM AUTHOR]

Steroids affect normal and pathological functions of the liver through receptors, which require coactivators for their transcriptional activation. Steroid receptor coactivator (SRC)-1 and SRC-3 have been demonstrated to be regulated in numerous cancers; however, their expression profiles in liver cancer including hepatocellular carcinoma (HCC) and cholangiocellular carcinoma (CCC) remain unclear. Using tissue microarray immunohistochemistry, normal liver tissue and HCC tissue exhibited immunoreactivity of SRC-1, which were predominantly localized within extranuclear components; in CCC, they were detected within the cell nuclei; SRC-3 was also detected in the cell nuclei. Furthermore, no altered expression of SRC-1 and SRC-3 was observed in liver cancer compared with normal liver tissue; however, in CCC, the expression of SRC-3 was significantly increased compared with that detected in HCC. Importantly, although expression of SRC-1 and SRC-3 did not reveal any significant differences (30 vs. 40%) in normal liver tissue, HCC and CCC expression of SRC-1 was significantly decreased compared with that of SRC-3 (9.3 vs. 36%, and 6.7 vs. 67.7% for HCC and CCC, respectively). Further comparative analysis revealed that this discrepancy was detected in males with liver cancer, across all ages of HCC cases, younger CCC cases and all stages of liver cancer. The results suggested the presence of an imbalanced expression pattern of SRC-1 and SRC-3 from normal liver tissue to liver cancer (decreased SRC-1 and increased SRC-3), which may affect hepatic function and therefore promote liver carcinogenesis. [ABSTRACT FROM AUTHOR]