[Clinical study of electroacupuncture therapy on postoperative rehabilitation of patients with knee fractures].

OBJECTIVE: To investigate the effect of electroacupuncture therapy on postoperative rehabilitation training of patients with knee fractures. METHODS: Patients with knee fractures from July 2020 to July 2021 were randomly assigned to either the experimental group or a control group according to the double-blind principle. Both groups were given surgical treatment and postoperative conventional rehabilitation training. There were 40 cases in the control group, including 27 males and 13 females;the age ranged from 20 to 66 years old with an average of (36.46±6.29) years old, continuous passive motion (CPM) training was performed after operation. There were 40 patients in the experimental group, including 24 males and 16 females. The age ranged from 21 to 68 years old with an average of (37.62±7.08) years old, on the basis of the control group, electroacupuncture was given. After 4 weeks of intervention, the excellent rate of knee function score, visual analogue scale (VAS) before and after intervention, serum pain mediators, prostaglandin E (PGE), substance P (SP), bradykinin (BK), joint range of motion and quality of life were compared between the two groups. RESULTS: After 4 weeks of intervention, the Rasmussen score for knee function in the experimental group (24.15±1.36) scores was higher than that in the control group (21.25±2.20) scores (P<0.001). The VAS in the experimental group (2.04±0.51) scores was lower than that in the control group (2.78±0.60) after 4 weeks of intervention (P<0.05). Serum PGE (2.25±0.37) mg·L-1, SP (4.43±1.05) ng·ml-1, BK (2.67±0.68) ng·ml-1 in the experimental group were lower than those in the control group (3.91±0.44) mg·L-1, (6.12±1.37) ng·ml-1, (4.55±1.03) ng·ml-1 after 4 weeks of intervention(P<0.05);in the experimental group, the active knee flexion angle of the knee joint was (108.63±9.76)°, the active knee extension angle (-2.46±0.70)°, passive knee flexion angle (116.83±6.57)°, passive knee extension angle (1.44±0.38)° were better than control group (100.24±8.15)°, (-3.51±0.86)°, (111.04±8.22)°, (0.78±0.24)° (P<0.05);the experimental group's psychological score (73.12±5.08), physiological score (72.26±5.89), social function score (72.57±4.23), overall health score (75.12±5.16) were higher than that of the control group (68.49±4.13), (68.13±5.27), (69.04±3.42), and(70.88±3.97) respectvely(P<0.05). CONCLUSION: Electroacupuncture combined with CPM training after knee fracture surgery can significantly improve knee function and range of motion, reduce pain levels, and also improve quality of life and reduce the incidence of adverse events.

[Exploring the sensitive indicators of uterotrophic assay in immature SD rats exposed to para-nonylphenol].

OBJECTIVE: To investigate the estrogenic activity of para-nonylphenol in immature SD rats and explore the mechanism and sensitive indicators of its action in uterotrophic assay. METHODS: The vehicle control (peanut oil), positive control(estradiol benzoate, E2B, 0.4 mg/kg) and p-NP(60 mg/kg, 90 mg/kg and 120 mg/kg) were given orally (by gavage) q.d. on the 21st, 22nd, 23rd postnatal days. Then the rats were sacrificed 24 hours after the last administration. By using ABC immunohistochemistry, the progesterone receptor (PR), estrogen receptor (ER), and proliferating cell nuclear antigen (PCNA) of the rat uterine were analysed. RESULTS: Uterine weight, uterine/body weight significantly increased in E2B 0.4 mg/kg, p-NP 90 mg/kg and 120 mg/kg groups as compared with those of vehicle control group (P < 0.01), and a dose-response relationship was observed. The expressions of PR, ER and PCNA in the nuclei of stromal and myometrial cells of uterus were detected in all the p-NP groups, and a dose-effect relationship was noted. CONCLUSION: Expressions of PR, ER and PCNA as indicators tested by immunohistochemical technique are more sensitive than uterine weight in uterotrophic assay. Hyperplasia of stromal and myometrial cells of uterus is the reason why the uterine weight of the rat increased.