1.Efficacy of early arthroscopic shoulder treatment of moderate full-thickness tear of the supraspinatus tendon
Zhe JI ; Jintao XIU ; Baojun CHEN ; Lang BAI ; Meiguang XU ; Qian HAN ; Zhanhai YIN
Chinese Journal of Trauma 2021;37(10):888-893
Objective:To investigate the clinical effect of early arthroscopic shoulder treatment of moderate full-thickness tear of the supraspinatus tendon.Methods:A retrospective case control study was conducted to analyze the clinical data of 43 patients with moderate full-thickness supraspinatus tendon tear admitted to First Affiliated Hospital of Xi 'an Jiaotong University from January 2018 to June 2020,including 17 males and 26 females,aged from 41 to 68 years[(55.9±8.2)years]. All patients had arthroscopic shoulder supraspinatus tendon suture and acromioplasty,including 22 patients underwent surgery within 1 month after persistent shoulder pain and motion limitation in early group and 21 patients between 1 month and 3 months in late group. The duration of operation and intraoperative blood loss were recorded. The visual analogue scale(VAS),American Shoulder and Elbow Society(ASES)score and Constant-Murley score were assessed before operation and at postoperative 3 weeks,6 weeks,3 months and 6 months. The complications were detected with 6 months after operation. Results:All patients were followed up for 6-7 months[(6.4±0.4)months]. There was no statistical significance in operation duration and intraoperative blood loss between the two groups( P>0.05). At 3 weeks,6 weeks,3 months and 6 months after operation,there showed significant decrease of VAS but significant increase of ASES and Constant-Murley scores compared to preoperation( P<0.05). At 3 weeks and 6 weeks after operation,the VAS in early group[(4.4±0.9)points,(3.7±0.8)points]was lower than that in late group[(5.5±1.0)points,(4.8±1.1)points];while the ASES score[(49.1±4.6)points,(56.8±4.1)points]and Constant-Murley score[(54.1±4.8)points,(64.1±4.4)points]in early group were higher than those in late group[ASES score:(45.2±5.4)points,(50.3±5.4)points;Constant-Murley score:(50.5±3.3)points,(58.2±3.9)points]( P<0.05). At 3 months and 6 months after operation,the two groups showed no statistical significance in these scores. There were no postoperative complications such as infection or nerve injury in both group within 6 months. Conclusion:For moderate full-thickness tear of the supraspinatus tendon,arthroscopic shoulder surgery performed within 1 month after persistent shoulder pain and motion limitation can achieve better pain relief and faster functional rehabilitation in the short term compared with surgery performed 1-3 months later.
2.Historical Evolution of Boiling Method for Processing of Chinese Medicines
Ru GUO ; Yanhua CAO ; Xiao TAN ; Jintao FENG ; Yanfeng XIU
Chinese Journal of Experimental Traditional Medical Formulae 2022;28(24):229-236
Boiling is a common processing method of Chinese medicine. Based on the book of Summary of Processing Methods Data of Traditional Chinese Medicine in Past Dynasties, the authors consulted herbal books in all ages, combined with modern processing laws and regulations in various provinces and cities, the boiling methods and Chinese medicine varieties in ancient and modern times, judgment method of the endpoint of processing, as well as the study on boiling methods of representative Chinese medicines were compiled and analyzed. After sorting, it was found that the application of boiling methods began in the Han dynasty, enriched and developed in the Northern and Southern dynasties, Tang, Song and Yuan dynasties, and reached its heyday in the Ming and Qing dynasties. However, the number of modern boiling varieties decreased and mainly focused on toxic Chinese medicines or those that need to change or moderate their medicinal properties, indicating the development of boiling methods entered a stable period. The varieties of excipients used in the modern age mainly considered factors such as convenience of use and easy access, and the boiling degree, time and times were commonly used to judge the endpoint of boiling process. The main purposes of using boiling method for Chinese medicines were to remove impurities, remove non-medicinal parts, change or moderate the medicinal properties, and eliminate or reduce adverse reactions, which can provide a reference for carrying out the common research of boiling method for Chinese medicines.