Objective:To analyze the clinical features of elderly patients with hip fracture and the expression of serum vitamin D (VitD), 25- hydroxy vitamin D (25-OH-D) and bone mineral density,, BMD) .Methods:Collect clinical data from 90 elderly patients with hip fractures admitted to the Emergency Department of Fenyang Hospital in Shanxi Province from Oct. 2020 to Dec. 2023 for analysis. Based on whether the patients have VitD deficiency, they were divided into group A (severe deficiency of 25-OH-D, insufficient) and group B (sufficient 25-OH-D). Clinical characteristics of patients and the levels of VitD, 25-OH-D, and BMD, and the correlation between the above indicators were analyzed.Results:The age of patients in groups A and B, whether there is osteoporosis, and 25-OH-D levels are suspicious influencing factors that cause VitD deficiency ( t=9.38, 5.06, 10.25 , P<0.05). There were statistical differences in lumbar vertebra, femoral neck, total hip BMD, lumbar vertebra SUVmen, total hip, lumbar SUVmax and indicators between group A and group B ( t=3.94, 9.21, 2.53, 3.95, 2.61 , P<0.05). Logistic regression analysis results showed that osteoporosis Exp[ (61.857 (3.029-1 263.408) , P<0.05], 25-OH-D[ (0.039 (0.005-0.312) , P<0.05], total hip BMD[ (480.040 (4.384-5 257.048) , P<0.05] were the main independent influencing factors causing VitD deficiency. Conclusions:There is a close relationship between 25-OH-D level, BMD expression and VitD deficiency in elderly patients with hip fractures. Among them, osteoporosis, 25-OH-D level, and total hip BMD are the main independent influencing factors that cause VitD deficiency.

Objective:To analyze the clinical features of elderly patients with hip fracture and the expression of serum vitamin D (VitD), 25- hydroxy vitamin D (25-OH-D) and bone mineral density,, BMD) .Methods:Collect clinical data from 90 elderly patients with hip fractures admitted to the Emergency Department of Fenyang Hospital in Shanxi Province from Oct. 2020 to Dec. 2023 for analysis. Based on whether the patients have VitD deficiency, they were divided into group A (severe deficiency of 25-OH-D, insufficient) and group B (sufficient 25-OH-D). Clinical characteristics of patients and the levels of VitD, 25-OH-D, and BMD, and the correlation between the above indicators were analyzed.Results:The age of patients in groups A and B, whether there is osteoporosis, and 25-OH-D levels are suspicious influencing factors that cause VitD deficiency ( t=9.38, 5.06, 10.25 , P<0.05). There were statistical differences in lumbar vertebra, femoral neck, total hip BMD, lumbar vertebra SUVmen, total hip, lumbar SUVmax and indicators between group A and group B ( t=3.94, 9.21, 2.53, 3.95, 2.61 , P<0.05). Logistic regression analysis results showed that osteoporosis Exp[ (61.857 (3.029-1 263.408) , P<0.05], 25-OH-D[ (0.039 (0.005-0.312) , P<0.05], total hip BMD[ (480.040 (4.384-5 257.048) , P<0.05] were the main independent influencing factors causing VitD deficiency. Conclusions:There is a close relationship between 25-OH-D level, BMD expression and VitD deficiency in elderly patients with hip fractures. Among them, osteoporosis, 25-OH-D level, and total hip BMD are the main independent influencing factors that cause VitD deficiency.

Objective To analyze the research status,hotspots and trends of TCM in the treatment of attention deficit hyperactivity disorder(ADHD).Methods The literature on the treatment of ADHD by TCM were was retrieved from CNKI,VIP,Wanfang Data,and CBM from the establishment of the databases to 7th,Sep.2023.NoteExpress 3.9 was used to manage and remove weight;Excel 2019 was used to draw a line trend chart for the number of published literature.CiteSpace 6.1R.6 software was used to perform co-occurrence and clustering analysis on authors,institutions and keywords,and a visual graph was drawn.Results A total of 1215 articles were included after screening.800 authors were involved,forming research teams with Han Xinmin,Wang Junhong,Ma Rong and Li Yirui as the cores respectively;Nanjing University of Chinese Medicine,Guangzhou University of Chinese Medicine,Beijing University of Chinese Medicine and so on published more papers.High-frequency keywords included clinical efficacy,acupuncture and moxibustion treatment,clinical experience,Chinese materia medica and so on;research frontiers included clinical efficacy,acupuncture and moxibustion treatment,clinical experience,data mining and attention.Conclusion The main research on the treatment of ADHD by TCM includes clinical efficacy,clinical experience,animal experiments and data mining,and relatively stable research teams have been formed,but there is less cooperation between teams and institutions.