Development of A Patient-reported Outcomes Scale for Post-stroke Aphasia Based on Traditional Chinese Medicine Holism / 中国康复理论与实践

Objective:To develop a patient-reported outcomes (PRO) scale for post-stroke aphasia based on the Traditional Chinese Medicine (TCM) holism. Methods:Referring to the TCM holism, the theoretical model was established following the standard process for the development of the PRO scale. An item pool was established and optimized with case review, patient interview, expert questionnaire survey and consensus conference. The PRO scale was established finally. Results:A pool of post-stroke aphasia items based on the holistic view of TCM was constructed in the physical, psychological and social model. The Expert Comment Form for the PRO Scale for Aphasia after Stroke was formed after sorting out the item pool. After expert surveys and meeting discussion, 40 items were finally selected to form the first version of Patient-reported Outcomes Scale for Post-stroke Aphasia-TCM. Conclusion:The first version of Patient-reported Outcomes Scale for Post-stroke Aphasia-TCM has been developed based on the TCM holism and the concept of PRO, which can be evaluated clinically.

Characteristics of Electroencephalogram Power Spectrum Network on Uninjured Side of Post-stroke Aphasia / 中国康复理论与实践

Objective:To clarify the characteristics of electroencephalogram (EEG) power spectrum network of right hemisphere in patients with post-stroke aphasia (PSA) after left brain damaged. Methods:From December, 2018 to June, 2019, twelve PSA patients with left hemisphere injury were recruited and twelve healthy adults were matched as control group. China Rehabilitation Research Center aphasia examination (CRRCAE) was used to evaluated the linguistic function, and the EEG was collected. The functional connection characteristics of Alpha and Theta power spectrum were compared, and the correlation with language items was analyzed. Results:In PSA patients, the functional connection enhanced in Alpha and Theta frequency bands of central area, frontal, parietal and frontal-parietal joint areas, and decreased in Theta frequency bands of temporoparietal, parietal-occipital area, frontal, fronta-parietal and frontal central areas. The enhancement of alpha frequency functional connection from the right parietal occipital region to the central region was significantly correlated to the reduction of the expression ability (P < 0.05), while the weakening of theta frequency functional connection between the right parietal occipital region and the forehead and the center of the forehead was significantly correlated to the ability of speaking, reading, copying, dictation and calculation (r = -0.676~-0.717, P < 0.05). Conclusion:EEG power spectrum network can reflect the reorganization of right brain function network, and the change of right frontal parietal central network function connection may be closely related to PSA language injury and recovery.

Comparing the effect of low-temperature plasma radiofrequency and traditional method in tonsillectomy / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To compare and analyse the efficiency of the low-temperature plasma radiofrequency and the traditional method in tonsillectomy.@*METHOD@#Sixty-four patients with chronic tonsillitis were randomly divided into group A (39 cases) and group B (25 cases). Patients in the group A were treated with traditional method tonsillectomy while patients in the group B were treated with low-temperature plasma radio frequency tonsillectomy. Analysed differences in operation time, blood loss, and postoperative pain as well as the incidence of postoperative between two groups.@*RESULT@#There were significant differences in operative time, blood loss, and postoperative pain (P 0.05).@*CONCLUSION@#Low-temperature plasma radiofrequency tonsillectomy is a safer method and has many superiorities including shorter operative time, less blood loss, quicker recovery of postoperative pain compared with traditional tonsillectomy.

Retrospective analysis on three operative methods for curettage of adenoids in children / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To compare the three different approaches in the curettage of adenoid hypertrophy: the traditional curettage of adenoids through mouth (group A), the adenoidectomy through nose under nasal endoscope (group B), the adenoidectomy through both mouth and nose under nasal endoscope (group C).@*METHOD@#Clinical data of adenoid hypertrophy patients who had accepted the surgery therapy, were retrospectively analyzed; Symptoms of night snore, nasal obstruction, rhinorrhea, acouesthesia and the adenoid residue among the patients who had got three different surgery, were compared among them.@*RESULT@#Adenoid residue were found in six cases of group A. No adenoid residue were found in group B and C . Recovery of nasal obstruction and night snore in group C were much better than that in group A and B (P<0.01, <0.05).@*CONCLUSION@#The ideal way to cure adenoidal hypertrophy is the adenoidectomy done through mouth and nose under nasal endoscope.