AIM: to assess the impact of colorectal anastomotic leakage on the severity of low anterior rectal resection syndrome and the quality of life.PATIENTS AND METHODS: the results of 375 patients with rectal tumors were analyzed. In 26 patients, surgery was complicated by anastomosis failure. For a assessment of the quality of life of patients with anastomotic leakage, each patient was matched with a pair from the group of respondents with an uncomplicated postoperative period. The quality of life was assessed in all patients using the EORTC QLQ-C30 questionnaire with the Cr-29 module.RESULTS: patients with anastomosis leakage have more severe low anterior rectal resection syndrome — 29 (17;34), versus 20 (9;28) points (p = 0.03) and a lower global score (p = 0.01), physical (p = 0.01) and social (p = 0.04) functioning. The symptom scales of the EORTC QLQ-C30 questionnaire, supplemented by the Cr-29 module, had significant differences between groups on the scales of body image (p = 0.01), fecal incontinence (p = 0.04) and embarrassment (p = 0.01).CONCLUSION: colorectal anastomosis leakage negatively affects the quality of life of patients.

BACKGROUND: patients with rectal cancer after low anterior resections and with permanent colostomy inevitably face negative functional consequences of treatment. The question of anastomosis performing often remains unanswered. AIM: to compare the quality of life of patients with rectal cancer after low anterior resections and surgical treatment with a permanent colostomy.MATERIALS AND METHODS: literature search was performed in MEDLINE database according to PRISMA criteria using the keywords: “QoL”, “Quality of life”, “EORTC”, “low anterior resection” “rectal”, “stoma”, “ostomy” using suffixes [OR], [AND]. The meta-analysis included 9 retrospective studies with 2438 patients.RESULTS: no significant differences were found in global health status between the groups (p = 0.11). A significant difference with a worse score in ostomy patients is noted on the physical (p = 0.003), role (p = 0.002), emotional (p = 0.03) and social functioning (p = 0.004). In contrast, patients undergoing sphincter-preserving surgery have a higher incidence of constipation and diarrhea (p < 0.00001).CONCLUSION: patients with permanent stoma and after low anterior resections have comparable global health status. These patients have different profiles of disturbances in QoL patterns and functional consequences of surgery.

Objective: To explore and analyze the clinical efficacy of Chinese medicine combined with acupuncture and moxibustion in the treatment of insomnia. Method: 80 patients with primary insomnia were selected as the study sample, with 20 cases randomly selected as the control group and the rest as the observation group. The control group was treated with ordinary western medicine, while the observation group patients were treated with traditional Chinese medicine combined with acupuncture and moxibustion based on this syndrome differentiation. The comparison items were treatment effect, sleep quality, mental health, quality of life, specific sleep indicators, cerebral blood flow and neurotransmitters. Result: The treatment effectiveness showed that the observation group had a higher treatment effectiveness rate than the control group (P<0.05); The results of sleep quality showed that after treatment, the scores of the observation group were lower than those of the control group in seven dimensions: sleep quality, sleep time, sleep onset time, sleep efficiency, sleep disorders, hypnotic drugs, and daytime dysfunction score (P<0.05); The quality of life results showed that after treatment, the observation group had higher scores than the control group in eight dimensions: physiological function, physiological function, physical pain, health status, energy, social function, emotional function, and mental health (P<0.05); The results of slow wave sleep time and fast eye movement sleep time showed that after treatment, the HAMA and HAMD scores of the physiological mechanism in the observation group were lower than those in the control group (P<0.05); The results of cerebral blood flow and neurotransmitter indicators show that after treatment, glutamate γ- the peak systolic blood flow velocity of aminobutyric acid, vertebral artery, and basilar artery in the observation group was higher than that in the control group (P<0.05). Conclusion: The clinical treatment of Chinese medicine combined with acupuncture and moxibustion in the treatment of insomnia patients can significantly improve the clinical treatment effect, and improve the cerebral hemorrhage and neurotransmitter status of patients, promote the improvement of their physical and mental status, can more significantly improve the quality of sleep, reduce sleep difficulties, reduce the dosage of sleeping pills, which has important clinical application value.

Starting from the corrosion mechanism, this paper analyzes the characteristics of various types of stainless steel and selects the best performance composite plate composite plate stainless steel. Analyze and select the most suitable corrosion detection method based on specific practical multi working conditions, discuss the interference factors that affect metal corrosion during experimental simulation, and the advantages of newly developed sheet metal. The new development of composite board panels, with the substrate and composite materials applying their respective capabilities for MED, will bring breakthrough progress to the scientific research and engineering application of composite boards.

In recent years, the incidence rate of stroke has increased year by year. Post stroke depression is one of its main complications, which seriously affects the recovery of physiological functions and quality of life of stroke patients. Traditional Chinese medicine has significant therapeutic effects in treating this disease. This article provides a classification and review of traditional Chinese medicine treatment methods for post-stroke depression, and looks forward to the current problems.

Through continuous equipment technology transformation and full utilization of Ma Steel's abundant gas, the boiler no longer relies on fuel oil for stable combustion during boiler startup, sliding parameter shutdown, and RB, thus achieving safe and stable operation of the boiler under any abnormal working conditions, and achieving good economic and social benefits.

The "spleen" in traditional Chinese medicine is the "acquired foundation" and the "source of qi and blood biochemistry". Strengthening the "spleen" is one of the important treatment methods in traditional Chinese medicine; The gut microbiota has been a hot topic in modern scientific research in recent years, and its nutritional and immune functions correspond to some of the functions of the spleen in traditional Chinese medicine. In terms of philosophy, traditional Chinese medicine emphasizes the balance between the spleen and the gut microbiota, emphasizing the importance of supporting the right and eliminating evil, preventing diseases before they occur, seeking the root cause of treatment, and adapting measures to the three causes; Clinically, the treatment of obesity, constipation, diarrhea and other diseases by invigorating the spleen and the treatment mechanism of acupuncture and moxibustion, chiropractic and invigorating the spleen are all related to microecology. This article combines relevant literature on traditional Chinese medicine's "spleen" and "spleen health" to explore the treatment concept, clinical application, and correlation with intestinal microbiota of traditional Chinese medicine's "spleen health". It also elaborates on the latest literature, aiming to exchange ideas with peers and promote research on the microbiota of traditional Chinese medicine's "spleen".

Irritable bowel syndrome (IBS-D) with diarrhea is a common gastrointestinal functional disease in clinical practice, which seriously affects the quality of life of patients. Currently, Western medicine has poor therapeutic effects, while traditional Chinese medicine has unique advantages in relieving IBS-D symptoms and preventing recurrence. In recent years, especially with external treatment of traditional Chinese medicine, it has become a new treatment direction in clinical practice and has achieved good therapeutic effects. This article will provide a review of recent research on the treatment of IBS-D using traditional Chinese medicine external treatment methods.

In recent years, the World Health Organization has proposed the concept that only intestinal health can lead to longevity. It can be seen that gut microbiota plays an important role in maintaining human health, and gut microbiota has become a hot topic in medical research. With the change of Chinese residents' lifestyle, the incidence rate of diabetes is increasing rapidly. Research shows that the incidence of diabetes is closely related to intestinal flora imbalance. Traditional Chinese medicine can reduce blood sugar and improve clinical symptoms by regulating intestinal flora. Based on the theory of traditional Chinese medicine, this paper discusses the etiology and pathogenesis of intestinal flora imbalance, and provides a theoretical basis for traditional Chinese medicine to regulate intestinal flora to prevent and treat diabetes. Intestinal flora is a complex ecosystem, which plays an important role in maintaining human health. The imbalance of intestinal flora may lead to the occurrence of diabetes. The dynamic balance of gut microbiota is closely related to the kidneys, spleen, liver, and lungs. Traditional Chinese medicine monomer and compound can prevent and cure diabetes by regulating intestinal flora.

Knee osteoarthritis (KOA) is a degenerative disease characterized by pathological changes in the cartilage and subchondral bone of the knee joint. Initially, knee joint pain is the main symptom, and in the later stages, deformities and mobility disorders may occur. Modern medicine lacks effective treatment methods for early and mid stage KOA, and has drawbacks such as significant side effects and high costs. A large number of studies have confirmed that traditional Chinese medicine has unique advantages in treating KOA, and has obvious advantages such as small trauma, low cost, and definite therapeutic effect, which are gradually being accepted by a large number of KOA patients. The commonly used methods for preventing and treating KOA with traditional Chinese medicine in clinical practice include: oral administration of traditional Chinese medicine, external application of traditional Chinese medicine, fumigation, acupuncture therapy, massage therapy for regulating tendons, and targeted penetration therapy of traditional Chinese medicine. According to relevant literature, traditional Chinese medicine can significantly alleviate knee joint symptoms and improve knee joint function in patients with knee osteoarthritis, which is of great significance for the prevention and treatment of knee osteoarthritis. This article provides a review of the research progress in the prevention and treatment of KOA using traditional Chinese medicine in recent years.