Objective To evaluate the clinical efficacy of dynamic muscle-regulating acupuncture combined with warm needling in treating cervical spondylotic radiculopathy(CSR).Methods Sixty patients diagnosed with CSR at the Acupuncture Department of Dongguan Traditional Chinese Medicine Hospital from July to December 2024 were enrolled and randomly divided into an observation group and a control group using a random number table,with 30 cases in each group.The control group received warm needling therapy,while the observation group received additional dynamic muscle-regulating acupuncture.Treatments were administered three times weekly for a total of 10 sessions(one treatment course).After 10 sessions,clinical efficacy was evaluated,and total effective rates,changes in Yasuhiko Tanaka's cervical spondylosis symptom scale scores,Visual Analogue Scale(VAS)of pain scores were observed.The cervical range of motion(ROM),and incidence of adverse reactions were evaluated.Results(1)The total effective rate of the observation group was 93.33%(28/30),and the control group was 80.00%(24/30).The clinical efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P＜0.05).(2)After treatment,the cervical spondylosis symptom scale scores of Yasuhisa Tanaka in the two groups significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving the cervical spondylosis symptom scale scores of Yasuhisa Tanaka,with a statistically significant difference(P＜0.05).(3)After treatment,the VAS scores of patients in the two groups significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving the VAS scores,and the difference was statistically significant(P＜0.05).(4)After treatment,the cervical joint mobility of patients in the two groups significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving cervical joint mobility,with a statistically significant difference(P＜0.05).(5)The incidence rate of adverse reactions in the observation group was 3.33%(1/30);there were no adverse reaction events in the control group.The difference in the incidence rate of adverse reactions between the observation group and the control group was not statistically significant(P＞0.05).Conclusion The combination of dynamic muscle-regulating acupuncture and warm needling effectively improves cervical function,alleviates pain symptoms,and demonstrates high safety with significant clinical efficacy in treating CSR.

Frailty is a clinical syndrome characterized by the gradual decline of multiple organ func-tion and the emergence of vulnerable phenotype.Patients with frailty exhibit diminished resistance to stress,which often leads to unfavorable outcomes following surgery,including cognitive decline,prolonged hospital-ization,and increased rates of complications and mortality.Given that frailty is a dynamic and reversible process,it is recommended to implement appropriate optimization measures during the perioperative period in order to improve patient outcomes.Recent studies have revealed that abnormal energy metabolism plays a crucial role in the development and occurrence of frailty.This article will primarily focus on abnormalities in glucose metabolism,lipid metabolism,and amino acid metabolism among frail patients,and emphasize the significance of correcting these metabolic irregularities during the perioperative period in order to reduce complications and improving surgical safety.

Objectives: To study the e ect of human P27KIP1 gene AVV virus combining with Chinese herb Pien Tze Huang on human osteosarcoma mice model. Methods: 40 standardized human osteosarcoma mice model were divided into 5 groups, treated with PBS, Paav-MCS, human P27KIP1 gene AVV virus, Chinese herb Pien Tze Huang or human P27KIP1 gene AVV virus combining with Chinese herb Pien Tze Huang in each di erent group. Results: ① Mice model of transplant human osteosarcoma were established successfully. ②Osteosarcoma were inhibited successfully by human P27KIP1 gene AVV virus, Chinese herb Pien Tze Huang or human P27KIP1 gene AVV virus combining with Chinese herb Pien Tze Huang. ③Mice model of transplant human osteosarcoma were active during observation. Conclusions: ①These results suggested that human P27KIP1 gene AVV virus, herb Pien Tze Huang and human P27KIP1 gene AVV virus combined with herb Pien Tze Huang were e ective on human osteosarcoma. ②Among them, the most e ective treatment was human P27KIP1 gene AVV virus combining with herb Pien Tze Huang. ③Chinese herb Pien Tze Huang was possible useful for life improvement of osteosarcoma patient.