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Objective To analyze the distribution spectrum and epidemiological characteristics of 500 patients with accidental injury, and to provide a theoretical basis for targeted preventive measures. Methods Data of 500 pre-hospital emergency patients with accidental injuries were selected from the first aid station in Suining area of Sichuan Province from January 1 to December 31, 2021. The consequences and external causes of accidental injuries were classified according to the International Classification of Diseases (ICD-10). The gender, age, time to call for help and disease spectrum of patients were collected as investigation elements. Results Among the 500 cases of accidental injury patients, 48.80% were mainly from 18 to 40 years old. There were significant differences in the proportion of male and female accidental injury patients in different age groups (P<0.05). The distribution spectrum of accidental injury was traffic accident injury, fall injury/collision injury, fight injury, and fall from height injury. Accidental injuries occurred mainly in the brain, limbs and face, and the distribution of brain injuries in different age groups had statistical significance (P<0.05). The occurrence of accidents in different seasons was summer, winter, spring and autumn in sequence. Accidental injuries mainly occurred from 18:00 to 23:59 and from 6:00 to 11:59. Conclusion The main cause of accidental injuries in Suining area of Sichuan Province is traffic accidents, especially during the evening rush hours. The majority of patients are 18 - 40 years old. Safety and health education should be actively strengthened, and the occurrence of traffic accidents should be reduced through all-round and multi-means joint efforts.
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Objective To study the expression of microtubule-associated protein-2 (MAP-2) in the CA3 region of the hippocampus and any effect of acupuncture combined with exercise training on the recovery of learning and memory after experimental cerebral infarction.Methods Eighty Wistar rats were randomly divided into a sham-operation group (n = 8 ) and an operation group (n = 72 ) subdivided randomly and equally into a model group, an exercisetraining group and an acupuncture plus exercise training group, with 24 rats in each group. After right middle cerebral artery occlusion or a mock operation, the expression of MAP-2 in the CA3 region of the hippocampus was detected with immunohistochemistry 1, 3 and 5 weeks after the operation. Learning and memory function was assessed at the 5th week post operation.Results MAP-2- positive fibers were arranged in an orderly way and distributed densely in the shamoperation group. After cerebral infarction, number of MAP-2 positive neurons and dendrite fibers decreased in the CA3 region of the affected side. A week after the operation, MAP-2 positive fibers had increased significantly in the acupuncture plus exercise group compared with the model group and the exercise group. At the 3rd and 5th week post operation, expression of MAP-2 and optical density had increased significantly compared with the model group and the exercise training group. At the 5th week post operation, Y maze discrimination and learning tests showed that learning and memory had improved significantly more in the acupuncture plus exercise training group compared with the model group and the exercise training group.Conclusions Exercise training combined with acupuncture can promote changes in dendritic plasticity and increase MAP-2 expression in the CA3 region after cerebral infarction. This may be correlated positively with the recovery of learning and memory after cerebral infarction, at least in rats.
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@# Objective To observe the clinical effect of multidisciplinary rehabilitation on diabetic foot.Methods98 diabetic foot patients were divided into the routine treatment group (50 cases), treated only with conventional treatment, and the multidisciplinary rehabilitation group (48 cases) added with multidisciplinary rehabilitation besides conventional treatment.ResultsAfter one month treatment, blood flow parameters of the patients with 0 grade diabetic foot in the multidisciplinary rehabilitation group were markedly improved showed by color Doppler ultrasonograghy of lower limbs ( P<0.05); after two months treatment, the effect of the multidisciplinary rehabilitation group was better than that of the routine treatment group ( P<0.05).ConclusionThe multidisciplinary rehabilitation has obvious effect on diabetic foot and can improve disease recovery earlier.