Objective To analyze the therapeutic effect of ultrasound combined with external application of Chinese medicine in the treatment of temporomandibular disorders(TMD).Methods A total of 72 patients with TMD and treated in our hospital from January 2022 to December 2023 were randomly divided into the control group and the treatment group,with 36 cases in each group.The control group was treated with ultrasound,and the treatment group was treated with ultrasound combined with traditional Chinese medicine.Then the pain VAS score,maximum mouth opening degree,joint click and clinical effect were observed before and after treatment.Re-sults The VAS score of the treatment group was lower than that of the control group(P＜0.05).There were more patients with maxi-mum mouth opening greater than 3.7 cm in the treatment group than in the control group(P＜0.05).There was no statistical significance in the number of patients with joint click between the two groups(P＞0.05).The significant efficiency of treatment group was higher than that of control group(P＜0.05).The effective rate of treatment group was higher than that of control group,but the difference was not statistically significant(P＞0.05).Conclusion Ultrasound combined with external application of traditional Chinese medicine in the treatment of TMD,compared with single ultrasound treatment,can significantly improve the clinical symptoms and promote the clin-ical therapeutic effect.

Objective To analyze the therapeutic effect of ultrasound combined with external application of Chinese medicine in the treatment of temporomandibular disorders(TMD).Methods A total of 72 patients with TMD and treated in our hospital from January 2022 to December 2023 were randomly divided into the control group and the treatment group,with 36 cases in each group.The control group was treated with ultrasound,and the treatment group was treated with ultrasound combined with traditional Chinese medicine.Then the pain VAS score,maximum mouth opening degree,joint click and clinical effect were observed before and after treatment.Re-sults The VAS score of the treatment group was lower than that of the control group(P＜0.05).There were more patients with maxi-mum mouth opening greater than 3.7 cm in the treatment group than in the control group(P＜0.05).There was no statistical significance in the number of patients with joint click between the two groups(P＞0.05).The significant efficiency of treatment group was higher than that of control group(P＜0.05).The effective rate of treatment group was higher than that of control group,but the difference was not statistically significant(P＞0.05).Conclusion Ultrasound combined with external application of traditional Chinese medicine in the treatment of TMD,compared with single ultrasound treatment,can significantly improve the clinical symptoms and promote the clin-ical therapeutic effect.

Objective:To evaluate the accuracy, completeness, and reproducibility of domestic open-source large language models (LLM) in diabetic retinopathy (DR) patient education, and to explore their potential as intelligent virtual assistants for DR patient education.Methods:A total of 41 questions and answers related to the diagnosis and treatment of DR in five categories, namely risk factors, screening and examination, symptoms and staging, diagnosis, treatment and prognosis.All questions were repeated twice as a " new dialogue" in the LLM, and all the answers were recorded.Three senior fundus physicians independently evaluated the answers on a 6-point Likert scale for accuracy and a 3-point Likert scale for completeness and repeatability, and for each answer, the evaluator was asked to make a recommendation between the LLM and the manual answers.Five questions were randomly selected to evaluate the three open source LLM, ERNIE Bot 3.5, Qwen and Kimi chat, and the LLM with the best overall performance was selected for further evaluation in the full question bank.Results:Among the three LLM, Kimi chat had the best overall performance, Kimi chat performed best, with percentages of 6 for accuracy, 3 for completeness, and 3 for repeatability among the 5 questions at 90%, 90%, and 100%, respectively.For all questions answered, the number of words in manual replies was 106 (70, 202), which was significantly lower than 505 (386, 600) in Kimi chat ( Z=-7.866, P<0.001).There was no significant correlation between the number of Kimi chat replies and the accuracy score ( rs=-0.044, P=0.492), but it was positively correlated with the integrity score ( rs=0.239, P<0.001).The interclass correlation coefficient for accuracy and completeness scores were above 0.700 among three evaluators, with the highest agreement for repeatability at 0.853, followed by completeness of the first response at 0.771.The proportion of responses ≥5 points for accuracy was 87.0%(214/246), the proportion ≥2 points for completeness was 98.0%(241/246), and the proportion higher than 70% for repeatability was 78.5%(193/246).Kimi chat excelled in answering basic questions about the disease such as disease definition, staging, frequency of screening, and common risk factors, but performed poorly on questions involving treatment choices that require a doctor's professional judgment.The proportion of evaluators choosing Kimi chat responses as superior was 69.5% (171/246), and the reasons for non-selection included lack of characteristic answers, inclusion of too much irrelevant information, and lack of responses to questions requiring a high degree of medical expertise. Conclusions:Kimi chat answers DR-related diagnostic questions in a detailed and well-organized manner, with a high degree of accuracy, completeness and reproducibility.