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Objective:To investigate the effect of rehabilitation exercise combined with resistance training on the postoperative recovery and quality of life among patients with pulmonary nodules.Methods:A randomized controlled study was conducted on 90 patients with pulmonary nodules who underwent thoracoscopic resection of pulmonary nodules at Zhejiang Veteran Hospital between January 2022 and April 2023. Patients were randomly allocated into an observation group and a control group, with 45 patients in each group using the random number table method. The control group underwent routine rehabilitation exercise, whereas the observation group received resistance training combined with routine rehabilitation exercise. All patients were treated for 1 week. The incidence of postoperative complications and the changes in lung function, exercise endurance, and quality of life from baseline levels were compared between the two groups.Results:The incidence of postoperative complications in the observation group was significantly lower than that in the control group [6.7% (3/45) vs. 24.4% (11/45), χ2 = 5.41, P = 0.020). After intervention, the forced expiratory volume in 1 second, maximal voluntary ventilation per minute, and forced vital capacity in the observation group were (83.84 ± 4.35)%, (96.53 ± 3.45) L/min, and (2.87 ± 0.16) L, respectively, which were higher than those in the control group [(78.98 ± 4.01)%, (92.13 ± 3.08) L/min, (2.62 ± 0.19) L, t = -5.51, -6.38, -6.75, all P < 0.001]. Additionally, the modified Medical Research Council dyspnea score in the observation group was (0.42 ± 0.13) points, which was significantly lower than that in the control group [(0.87 ± 0.19) points, t = 13.11, P < 0.001). The modified Barthel index score in the observation group was significantly higher than that in the control group [(89.53 ± 3.67) points vs. (82.94 ± 4.23) points, t = -7.89, P < 0.001). Conclusion:The combination of rehabilitation exercise and resistance training can effectively enhance lung function, exercise endurance, and overall quality of life in patients with pulmonary nodules. Furthermore, this combined therapy markedly reduces postoperative complications.
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Objective] To sum up the academic ideas and clinical experience of Zhou Fuming's old Chinese medicine in treating gout arthritis. [Method] From the clinical treatment,coping the teacher's prescription drugs, collecting the clinical information of the teacher, research and discuss Zhou Fuming old doctor of traditional Chinese medicine academic ideas and clinical experience in gouty arthritis treatment, to summarize the traditional Chinese medicine of gouty arthritis in dialectical characteristic, and for proven cases. [Result] Gouty arthritis in TCM is called arthromyodynia, physical weakness and disease blocking main and collateral channels are the basic pathogenesis. Zhou Fuming old Chinese medicine puts forward first identifing the main symptoms, then identifing secondary symptoms, to make clear major and minor, virtual and real, the site of disease treatment tips, with objective to reach strengthening the physique and driving away the disease and clinical cure. The listed medical case carried out teacher Zhou's academic experience, whose curative effect was satisying. [Conclusion] Zhou Fuming old Chinese medicine treatment of gout arthritis effect was remarkable, has the value of popularization and application.The clinical dialectical thought and medication principle are worth in-depth study and exploration.