Objective:To explore the of short-term psychodynamic psychotherapy on anxiety and depression of gout patients and its influence on well-being index, family function and compliance.Methods:60 gout patients were selected from June 2018 to December 2019 in the outpatient department of rheumatism and immunity department of Dongguan Kanghua Hospital by prospective case-control study. They were randomly divided into control group and treatment group, 30 cases respectively. Both groups were given gout related clinical treatment and routine nursing, and the treatment group was given short-term dynamic orientation psychotherapy. The treatment compliance, the psychological status, well-being index and blood uric acid (UA) level of the two groups were compared before intervention, immediately after intervention and 3 months after intervention.Results:The scores of Patient Health Questionnaire-9 (PHQ-9) and the generalized anxiety disorder 7-item scale (GAD-7) in the two groups were gradually decreased immediately and 3 months after intervention ( P<0.05), and the scores of well-being index were gradually increased ( P<0.05); Compared with the control group, the scores of PHQ-9 and GAD-7 in the treatment group decreased more significantly ( P<0.05), and the score of well-being index increased more significantly ( P<0.05); The scores of communication, behavior control and total function of family function in the treatment group decreased gradually immediately after intervention and 3 months after intervention ( P<0.05), and were significantly lower than those in the control group ( P<0.05); The level of serum UA in the two groups decreased gradually immediately after intervention and 3 months after intervention ( P<0.05), but there was no significant difference in UA level at each time point between the two groups. The treatment compliance of the treatment group was significantly better than that of the control group ( P<0.05). Conclusions:The short-term dynamic orientation psychotherapy for gout patients has obvious effect in improving the state of anxiety and depression, improving the index of well-being, family function and treatment compliance.

Objective:To investigate the clinical curative effect of hyperbaric oxygen (HBO) combined with ultrasound on pathological scars in early intervention.Methods:A total of 102 patients with pathologic scars admitted to the outpatient and the inpatient departments of Wuyi Traditional Chinese Medicine Hospital from June 2017 to November 2019 were randomly divided into ultrasound group, HBO group, and HBO+ ultrasound group, with 34 patients in each group. The ultrasound group only received ultrasound treatment; the HBO group only received HBO therapy; the HBO+ ultrasound group received HBO therapy combined with ultrasound treatment. Before and after treatment, Vancouver scar scale (VSS), visual analogue scale (VAS), and the patient and observer scar assessment scale (POSAS) were used to evaluate scar healing.Results:After 6 courses of treatment, the total scores of VSS, VAS, and POSAS in the three groups were significantly lower than those before treatment ( P<0.05). Compared with the ultrasound group and the HBO group after treatment, the total scores of VSS, VAS, and POSAS of the HBO+ ultrasound group were significantly lower ( P<0.05). After 6 courses of treatment, within the ultrasound group, comparing the scores of VSS, VAS, and POSAS of the patients with total body surface area (TBSA) 2.1%-5.0% with those of the patients with TBSA 1.1%-2.0% and with the patients with 0.5%-1.0%, there was no significant difference ( P>0.05). In both the HBO group and the HBO+ ultrasound group, the VSS, VAS, and POSAS scores of the patients with TBSA 2.1%-5.0% were significantly higher than those of the patients with TBSA 1.1%-2.0% and 0.5%-1.0%; and all the differences were statistically significant ( P<0.05). Conclusion:HBO combined with ultrasound treatment can achieve a significant curative effect on pathological scars in early intervention, which is worthy of clinical application.

Objective:To investigate the clinical curative effect of hyperbaric oxygen (HBO) combined with ultrasound on pathological scars in early intervention.Methods:A total of 102 patients with pathologic scars admitted to the outpatient and the inpatient departments of Wuyi Traditional Chinese Medicine Hospital from June 2017 to November 2019 were randomly divided into ultrasound group, HBO group, and HBO+ ultrasound group, with 34 patients in each group. The ultrasound group only received ultrasound treatment; the HBO group only received HBO therapy; the HBO+ ultrasound group received HBO therapy combined with ultrasound treatment. Before and after treatment, Vancouver scar scale (VSS), visual analogue scale (VAS), and the patient and observer scar assessment scale (POSAS) were used to evaluate scar healing.Results:After 6 courses of treatment, the total scores of VSS, VAS, and POSAS in the three groups were significantly lower than those before treatment ( P<0.05). Compared with the ultrasound group and the HBO group after treatment, the total scores of VSS, VAS, and POSAS of the HBO+ ultrasound group were significantly lower ( P<0.05). After 6 courses of treatment, within the ultrasound group, comparing the scores of VSS, VAS, and POSAS of the patients with total body surface area (TBSA) 2.1%-5.0% with those of the patients with TBSA 1.1%-2.0% and with the patients with 0.5%-1.0%, there was no significant difference ( P>0.05). In both the HBO group and the HBO+ ultrasound group, the VSS, VAS, and POSAS scores of the patients with TBSA 2.1%-5.0% were significantly higher than those of the patients with TBSA 1.1%-2.0% and 0.5%-1.0%; and all the differences were statistically significant ( P<0.05). Conclusion:HBO combined with ultrasound treatment can achieve a significant curative effect on pathological scars in early intervention, which is worthy of clinical application.