Objective To evaluate the therapeutic effect of new oral care method for the treatment of swallowing disturbance after cerebral apoplexy. Methods A total of 50 post-apoplexy patients with swallowing disturbance were evenly randomized into treatment group and control group, 25 in each group. Both groups were given routine rehabilitation training for recovering swallowing function, and the rehabilitation training covered fundamental training, swallowing training, and food in-take training. And additionally, the control group was given routine oral care, and the treatment group was given new oral care method which included the stimulation on K point, cold Yin He gargle stimulation and focal application of herbal medicine buccal droplets. Two weeks later, water swallow test results were grading for evaluation of the therapeutic effect of the two groups. Results (1) After treatment for 2 continuous weeks, the water swallow test results were classified into grades 1 and 2 in 23 cases of the treatment group and in 17 of the control group, indicating that the treatment group had better effect on improving swallowing function ( P<0.01). ( 2) The total effective rate was 92.0% in the treatment group, higher than 68.0% in the control group ( P<0.01). Conclusion New oral care method has better effect on relieving swallowing disturbance than routine oral care for the treatment of swallowing disturbance after cerebral apoplexy.

The biomass energy has been recognized as a clean fuel due to its advantages of regeneration, rich resource, carbon neutral, and environmental benignity. Meanwhile, the Chinese materia medica (CMM) residue is a typical biomass. Therefore, the CMM residue converted into energy and recycled for industrial production has been recognized as a higher-value utilization mode. Obviously, this model can not only realize disposal and transformation of residues, but also replace fossil fuels to reduce consumption and increase enterprise profits. The energy utilization strategies of herb residue have been reviewed based on all kinds of strategies such as direct combustion, fermentation for biogas and ethanol, pyrolysis. This paper can provide a reference for further exploiting and developing of higher-value energy utilization mode of herb residue and expanding of resource utilization approaches and levels.

Critical care medicine-related treatment is an interdisciplinary and multi-professional process,often leading to secondary or concomitant mental disorders in clinical practice.Currently,there is no consensus on the pharmacological treatment of related mental illnesses in China.The Chinese Society of Psychosomatic Medicine collaborated with the Critical Care Medicine expert group to form a consensus writing expert group.After a systematic review of relevant literature,summarizing published domestic and foreign literature,and extensive discussions,the consensus was developed.The consensus elaborates on the principles and processes of the standardized use of psychotropic drugs in critical care medicine,as well as the clinical indications,precautions,and specific drug selection of various psychiatric medications,providing feasible suggestions and guidance for the clinical application of psychiatric medications in the intensive care unit.