因气候与生活习惯影响，广东地区老年性肩周炎临床特点及康复需求具有独特性，亟待制定规范、具有当地特色的康复方案。为制订适合地区差异化的康复方案，广东省中西医结合学会康复专业委员会联合广东省康复医学发展研究会疼痛康复发展研究分会牵头发起，省内多家机构专家学者共同制订《老年性肩周炎中医全周期康复广东专家共识（2026年版）》。该共识以ICF框架为基础，立足肩周炎康复循证医学证据，结合多学科专家产教研实践经验，对肩周炎 ICF评定、中医适宜技术及康复治疗技术运用、阶梯式干预性措施制定和中西医全周期康复协同等方面形成共识性意见。本共识的发布，将为老年性肩周炎中医全周期康复提供规范化、本土化的“广东方案”。

   Due to climatic and lifestyle influences，the clinical characteristics and rehabilitation needs of senile periarthritis of the shoulder in Guangdong region exhibit unique features，necessitating the development of standardized and locally tailored rehabilitation protocols．To formulate regionally differentiated rehabilitation plans，the Rehabilitation Professional Committee of Guangdong Association of Integrative Medicine and the Pain Rehabilitation Development Research Branch of Guangdong Rehabilitation Medicine Development Research Association jointly initiated the development of the “Guangdong Expert Consensus on TCM Full-Cycle Rehabilitation for Senile Periarthritis of the Shoulder（2026 Edition）” through collaboration with multiple provincial institutions and experts．Based on the International Classification of Functioning，Disability and Health（ICF）framework and evidence-based rehabilitation medicine for periarthritis of the shoulder，this consensus integrates multidisciplinary expertise from industry，academia，and research to establish unified guidelines on ICF assessment，application of appropriate TCM techniques and rehabilitation therapies，implementation of stepwise intervention measures，and integrated TCM-Western medicine full-cycle rehabilitation approaches．The publication of this consensus will provide a standardized and localized “Guangdong Solution” for TCM-based full-cycle rehabilitation of senile periarthritis of the shoulder．

目的 分析丹珍头痛胶囊联合疏肝调神针法治疗肝阳上亢型偏头痛患者的效果。方法 回顾性收集我院2023年8月～2025年4月148例肝阳上亢型偏头痛患者临床资料，依照治疗方案不同分为两组，各74例。对照组接受疏肝调神针法治疗，观察组接受丹珍头痛胶囊联合疏肝调神针法治疗，比较两组疗效、治疗前后临床症状[中医证候积分、发作情况（发作次数、持续时间、疼痛程度）]、睡眠质量[匹兹堡睡眠质量量表（PSQI）评分]、炎性相关因子[肿瘤坏死因子-α（TNF-α）、白细胞介素-6（IL-6）、细胞间黏附分子-1（ICAM-1）、白细胞介素-10（IL-10）]水平、安全性（不良事件、不良反应）。结果 观察组总有效率较对照组高（P＜0.05）；治疗后，两组临床症状均减轻，且观察组中医证候积分较对照组低，发作次数较对照组少，持续时间较对照组短，疼痛程度较对照组低（P＜0.05）；治疗后，两组睡眠质量均提升，且观察组PSQI评分较对照组低（P＜0.05）；与治疗前相比，两组治疗后血清TNF-α、IL-6、ICAM-1均降低，IL-10均升高，且观察组优于对照组（P＜0.05）；两组治疗期间均未发生断针等不良事件及恶心呕吐等不良反应。结论 丹珍头痛胶囊联合疏肝调神针法治疗肝阳上亢型偏头痛患者，能有效改善临床症状，提高睡眠质量，调节炎性相关因子水平。

目的 对比三维中等权重压缩感知并行采集序列（3D IW-CS-SENSE）与常规并行采集序列（3D IW-SENSE）在膝关节磁共振成像中的扫描时间、图像质量及诊断效能。方法 前瞻性采集100例膝关节磁共振影像。对比两组三维序列的定量指标、主观评分以及对损伤分级的准确率。结果 IW-CS-SENSE序列扫描时间显著缩短（122.0 ± 28.0 s vs. 221.0 ± 49.0 s，p<0.001）。IW-CS-SENSE序列信噪比、对比噪声比及显示效果评分均低于IW-SENSE序列（p＜0.001），但IW-CS-SENSE序列的SENSE伪影评分更优（5.00 ± 0.00 vs. 4.59 ± 0.62，p<0.001）。两序列对半月板、韧带及软骨损伤分级的准确率均无统计学差异（p值分别为0.33，0.58和0.15）。 结论 3D IW-CS-SENSE序列可显著缩短扫描时间和消除SENSE伪影，同时保持与4倍加速3D IW-SENSE序列相当的诊断效能。

Objective To compare the imaging times, image quality, and diagnostic performance of three-dimensional (3D) intermediate-weighted compressed sensing sensitivity encoding (IW-CS-SENSE) sequence with conventional 3D IW-SENSE sequence in knee MR imaging. Methods MR images of one hundred knees were obtained prospectively. The quantitative indices, qualitative scores, and grading accuracies between the two 3D sequences were compared. Results Imaging times of IW-CS-SENSE sequences were significantly reduced (122.0 ± 28.0 s vs. 221.0 ± 49.0 s, p < 0.001). The signal-to-noise ratios, contrast-to-noise ratios, and visualization scores of IW-CS-SENSE sequences were significantly lower than IW-SENSE sequences (p < 0.001), while scores of SENSE artefact for IW-CS-SENSE sequences were superior (5.00 ± 0.00 vs. 4.59 ± 0.62, p < 0.001). The accuracies in grading meniscal, ACL, and cartilage tears were comparable between the two sequences (p = 0.33, p = 0.58 and p = 0.15, respectively). Conclusion 3D IW-CS-SENSE sequences can reduce scanning time significantly and eliminate SENSE artefacts, while maintaining the same diagnostic performance as the 4-fold accelerated 3D IW-SENSE sequences.

摘要 目的：针对混合痔日间手术后静脉镇痛泵无法带回家的临床困境，探索骶管内注射长效镇痛药联合长强、承山穴位埋线作为替代镇痛方案的有效性与安全性。 方法：回顾性纳入2023年6月至2025年9月行混合痔外剥内扎术的患者60例，根据术后镇痛方案分为两组：治疗组（骶管注射+穴位埋线，30例）和对照组（静脉镇痛泵，30例）。比较两组术后2、8、24、48 h的疼痛视觉模拟评分（VAS）及不良反应。 结果：治疗组术后2 h、8 h、24 h的VAS评分均显著低于对照组（均P<0.05）；48 h两组差异无统计学意义。治疗组尿失禁、尿潴留、排便困难各1例，对照组恶心呕吐4例、嗜睡5例、尿潴留4例，组间差异无统计学意义。 结论：骶管注射联合穴位埋线可有效缓解混合痔日间术后早期疼痛，避免了静脉镇痛泵无法家庭使用的限制，为日间手术提供了一种可行的镇痛替代方案。

目的 分析基于快速康复外科（ERAS）理念的医护一体化全程护理在先天性巨结肠手术患儿中的护理效果。方法 回顾性选取我院97例HSCR手术患儿（2018年5月—2025年7月）作为研究对象，依照护理模式不同分为对照组（49例）、观察组（48例）。对照组采用常规护理干预，观察组在上述基础上采用基于ERAS理念的医护一体化全程护理。比较2组术后恢复情况、并发症发生率、疼痛程度[FLACC疼痛评分法（FLACC）]、家属照护能力[家属照顾者照顾能力测量表（FCTI）]、家属满意度。结果 干预后，观察组胃管拔除时间、尿管拔除时间、肛管拔除时间、经口进食时间、术后首次排便时间、术后排气时间、肠鸣音恢复时间与住院时长均显著短于对照组，FCTI得分显著低于对照组（P＜0.05）；干预后，观察组并发症发生率显著低于对照组，家属护理满意度高于对照组（P＜0.05）；术后3d、7d，观察组FLACC得分均显著低于对照组（P＜0.05）。结论 基于ERAS理念的医护一体化全程护理可缓解HSCR手术患儿疼痛程度，提高家属照护能力，降低并发症发生率，促进术后恢复，提升家属满意度。

Objective To investigate the clinical application value of novel light-cured TheraCal LC pulp capping agent in children receiving deciduous teeth pulpotomy. Methods A retrospective study was performed on clinical data of 90 children who underwent deciduous teeth pulpotomy from August 2023 to May 2025. Subjects were divided according to different capping materials: 45 cases using TheraCal LC as study group, another 45 cases treated with iRoot BP Plus as control group. The treatment success rate, pain score, masticatory efficiency, gingival crevicular fluid inflammatory factors [interleukin-6 (IL-6), matrix metalloproteinase-3 (MMP-3)], root resorption, dentin bridge formation and adverse reactions were compared between two groups. Results There was no significant difference was found in treatment success rate at 12 months after operation between groups (P>0.05). At postoperative 3 months, the study group had lower pain score and higher masticatory efficiency than the control group (P<0.05), whereas no intergroup differences were observed at 6 and 12 months (P>0.05). The levels of gingival crevicular fluid IL-6 and MMP-3 in study group were significantly lower at 3, 6 and 12 months postoperatively (P<0.05). There was no significant difference in root resorption degree and dentin bridge formation rate at postoperative 12 months (P>0.05). No pulp inflammation, tooth discoloration or secondary caries occurred in either group. Conclusion The novel light-cured TheraCal LC shows favorable overall efficacy and safety in deciduous teeth pulpotomy; it can effectively suppress early gingival inflammation, relieve early postoperative pain and improve early masticatory function.

目的 探讨3M复合树脂填充乳牙龋齿患儿治疗中的临床价值。方法 回顾性收集2023年4月至2025年4月我院口腔科128例乳牙龋齿患儿临床资料，根据治疗方法不同分为对照组（高强度玻璃离子填充，67例）、观察组（3M复合树脂填充，61例），采用倾向匹配评分法匹配，按照1:1配对选例，两组均纳入53例。比较两组疗效、治疗前后疼痛程度[Wong-Baker面部疼痛评分量表（Wong-Baker评分）]、牙髓活力、牙齿敏感性、龈沟液炎症因子[白细胞介素（IL）-6、IL-8、单核细胞趋化蛋白-1（MCP-1）]、儿童口腔健康影响量表（ECOHIS）评分及并发症。结果 观察组治疗总有效率94.34%高于对照组81.13%（P＜0.05）；治疗后1周观察组Wong-Baker评分、牙髓活力评分低于对照组，牙齿敏感性分级优于对照组（P＜0.05）；治疗后1周，观察组龈沟液IL-6、IL-8、MCP-1水平低于对照组（P＜0.05）；治疗后6个月，观察组口腔症状、口腔功能、心理状态评分低于对照组（P＜0.05）；两组并发症发生率比较，无显著差异（P＞0.05）。结论 3M复合树脂填充治疗乳牙龋齿患儿效果显著，能抑制龈沟液炎症，降低牙齿敏感性，提升牙髓活力，缓解患儿疼痛，改善口腔健康，且安全性较高。

       目的  分析改良经脊柱内椎间孔镜系统技术（TESSYS）对腰椎间盘突出症患者疼痛及功能的影响，以期分析该术式优劣，丰富该研究领域。方法  回顾性选取2022年10月—2024年10月医院治疗的80例腰椎间盘突出症患者作为研究对象，根据治疗方式的不同划分为观察组（TESSYS技术治疗）和对照组（经皮椎间孔镜髓核摘除术治疗），每组各40例。观察两组患者疗效、手术时间、术中出血量、住院时间、透视次数、切口长度等情况。比较两组患者术前、术后6 h、术后1天、术后1周、术后1个月VAS评分情况，比较两组患者术前及术后1个月腰椎功能情况，包括Oswestry功能障碍指数（ODI）、腰椎曲度、腰背肌后伸活动度。比较两组患者术前及术后24 h的血清超敏C-反应蛋白（hs-CRP）、白细胞介素-6（IL-6）水平。结果   观察组患者疗效优于对照组（Z=-3.737，P＜0.001）。交互效应下，两组疼痛因不同术式而随着时间增加而有所不同（P＜0.05）；时点效应下，观察组、对照组各组均随着时点增加疼痛随之减少（P＜0.05）；组间效应下，干预前、干预后1个月两组差异不明显，但是观察组疼痛干预后6 h（Z=-2.831，P=0.005）、干预后1天（Z=-3.253，P=0.001）低于对照组。术后1个月，观察组患者的ODI（Z=-4.804，P＜0.001）低于对照组，而腰椎曲度（Z=-6.218，P＜0.001）、腰背肌后伸活动度（Z=-7.014，P=0.001）高于对照组。术后24 h后，观察组患者的hs-CRP（Z=-5.671，P＜0.001）、IL-6（Z=-3.262，P＜0.001）低于对照组。结论  TESSYS相较于经皮椎间孔镜髓核摘除术在治疗腰椎间盘突出症时具有显著优势，可提高疗效，减少出血量，减轻疼痛，减少炎症反应，加快腰椎功能康复，缩短住院时间。

       Objective  The effect of modified transforaminal endoscopic spine system（TESSYS） on pain and function in patients with lumbar disc herniation was analyzed，so as to analyze the advantages and disadvantages of this procedure and enrich the research field．Methods  Retrospectively，80 patients with lumbar disc herniation treated in the hospital from October 2022 to October 2024 were selected as the study subjects．These patients were divided into two groups based on their treatment methods：the observation group（treated with TESSYS technology）and the control group（treated with percutaneous endoscopic discectomy）．Each group consisted of 40 patients．The study evaluated the treatment efficacy，surgical duration，intraoperative bleeding volume，hospital stay fluoroscopy frequency，and incision length for both groups．Additionally，we compared the VAS  scores of  both groups before surgery，six hours post-surgery，one day post-surgery，one week post-surgery，and one month post-surgery．We also compared the lumbar function of both groups before surgery and 1 month post-surgery，including the Oswestry Functional Index（ODI），lumbar lordosis，and lumbar back muscle extension activity．Furthermore，we compared the serum levels of high-sensitivity C-reactive protein（hs-CRP）and interleukin-6（IL-6）in both groups before and 24 hours after surgery．Results  The therapeutic effect of the observation group was better than that of the control group（Z=-3.737，P＜0.001）．Under the interaction effect，the pain of the two groups varied with time due to different surgical procedures（P＜0.05）．Under the time effect，both the observation group and the control group showed a decrease trend in pain as the time to treatment increased（P＜0.05）．Under the inter group effect，there was no significant difference between the two groups before and 1 month after intervention，but the pain in the observation group was less than that in the control group at 6 hours after intervention（Z=-2.831，P=0.005）and 1 day after intervention（Z=-3.253，P=0.001）．One month after surgery，the ODI（Z=-4.804，P＜0.001）of the observation group patients was lower than that of the control group，while the lumbar curvature（Z=-6.218，P＜0.001）and lumbar back muscle extension activity（Z=-7.014，P=0.001）were higher than those of the control group．Twenty-four hours after surgery，the hs-CRP（Z=-5.671，P＜0.001）and IL-6（Z=-3.262，P＜0.001）levels in the observation group were lower than those in the control group．Conclusions  The improved  percutaneous transforaminal endoscopic technique  has  significant advantages over  percutaneous transforaminal discectomy in the treatment of lumbar disc herniation．It can improve efficacy，reduce bleeding，alleviate pain，reduce inflammatory reactions，accelerate lumbar functional recovery，and shorten hospitalization time．

        目的 探究四子散中药封包药熨在股骨骨折术后疼痛及肿胀中的临床疗效及安全性。方法 选取2024年6月—2025年5月婺源县人民医院骨科收治的60例股骨骨折术后患者, 随机分为观察组（30例,常规治疗+四子散中药封包药熨）与对照组（30例,常规治疗）。比较两组治疗前后疼痛评分（NRS-11）、肿胀程度评分、C反应蛋白（CRP）、白细胞介素-6（IL-6）水平及不良事件发生率。结果 治疗前两组患者疼痛、肿胀评分、CRP、IL-6水平比较差异无统计学意义（P>0.05）; 治疗1周后,观察组疼痛评分为（2.11±0.48）分、肿胀程度为（0.35±0.43）度、CRP为（12.23±3.12）mg/L、IL-6为（16.03±4.01）ng/L,均低于对照组的（3.54±0.56）分、（1.04±0.58）度、（24.31±4.51）mg/L、（23.19±6.75）ng/L,差异有统计学意义（P<0.001）。观察组与对照组均无发生不良事件。结论 四子散中药封包药熨可缓解股骨骨折术后疼痛及肿胀,安全性良好。

       Objective To explore the clinical efficacy and safety of Sizi powder pack hot compress in the treatment of pain and swelling after femoral fracture surgery．Methods From June 2024 to May 2025, 60 patients after femoral fracture surgery were admitted to the Orthopedics Department of Wuyuan County People's Hospital and randomly divided into observation group（30 cases, conventional treatment+Sizi power pack hot compress）and control group（30 cases, conventional treatment）． The pain score（NRS-11）, swelling score, CRP,IL-6 levels and incidence of adverse events before and after treatment were compared between the two groups．Results There was no significant difference in pain and swelling scores between the two groups before treatment（P>0.05）．After 1 week of treatment, the pain score（2.11±0.48）, swelling score（0.35±0.43）, CRP（12.23±3.12 mg/L）, IL-6（16.03±4.01 ng/L）levels in the observation group were significantly lower than those in the control group（3.54±0.56, 1.04±0.58, 24.31±4.51 mg/L, 16.03+4.01 ng/L）, and the difference was statistically significant（P<0.001）．There were no adverse events in the observation group or the control group．Conclusions Sizi power pack hot compress can significantly alleviate the pain and swelling after femoral fracture surgery,and with good safety．

       目的   探讨肌骨超声（MSUS）在慢性肌肉骨骼疼痛（CMP）康复精准化教学中的应用效果。方法   选取在广州市第一人民医院南沙医院康复医学科实习的43名大专及本科学生，对照组进行常规CMP康复精准化教学，MSUS组在常规教学基础上增加MSUS辅助教学。实习结束后，通过专业理论考试和实践考核观察教学效果，并以问卷调查学生对教学形式和效果的满意度。结果  MSUS组的理论考核成绩为（84.62±5.14）分，对照组为（81.45±6.21）分，两组间差异无统计学意义（P＞0.05）。MSUS组的实践考核成绩（4.71±1.06）分高于对照组（3.64±1.14）分（P＜0.05）。问卷调查显示，MSUS组学生的总体满意度（35.24±3.43）高于对照组（32.64±3.98），P＜0.05。其中，对于教学方法的满意度，MSUS组（9.81±0.60）高于对照组（8.82±1.18）（P＜0.05）；对于综合分析与实践能力的满意度，MSUS组（7.43±1.91）高于对照组（6.18±1.62）（P＜0.05）。结论  MSUS教学在夯实学生专业基础知识、深化临床实践、提高综合分析能力和学习积极性方面具有显著优势，为精准化康复教学提供了有效手段。

       Objective  To explore the application effect of musculoskeletal ultrasound（MSUS）in the precise teaching of chronic musculoskeletal pain（CMP）rehabilitation．Methods  Forty-three college and undergraduate  students interning in Rehabilitation Medicine Department of Nansha Hospital，Guangzhou First People’s Hospital were selected，control group conducted conventional CMP rehabilitation teaching，and the MSUS group  received additional MSUS-assisted teaching on the basis of the conventional teaching．After the internship，the teaching effectiveness was observed through professional theoretical examinations and practical assessments，and a questionnaire survey was conducted to evaluate students’satisfaction with the teaching methods and outcomes．Results  The theoretical assessment score of the MSUS group were（84.62±5.14）and（81.45±6.21）of the control group，there was no difference between the two groups（P＞0.05）．The practical assessment scores of the MSUS group（4.71±1.06）were higher than those of the control group（3.64±1.14），and a significant difference was found between the two groups（P＜0.05）．The questionnaire survey showed that the overall satisfaction of the MSUS group students（35.24±3.43）was higher than that of the control group（32.64±3.97）（P＜0.05）．Among them，satisfaction with the teaching method was higher in the MSUS group（9.81±0.60）than in the control group（8.82±1.18）（P＜0.05），satisfaction with comprehensive analysis and practical ability was also higher in the MSUS group（7.43±1.91）than in the control group（6.18±1.62）（P＜0.05）．Conclusions  MSUS teaching has significant advantages in consolidating students’basic professional knowledge，deepening clinical practice，improving comprehensive analysis ability and learning enthusiasm．It provides an effective means for precise rehabilitation teaching．