Funding for this research was provided by:
the Medical Science Research Project of Hebei (20230749)
Article History
Received: 28 February 2026
Accepted: 5 May 2026
First Online: 12 May 2026
Declarations
:
: Not applicable.
: The authors declare no competing interests.
: This study was approved by the Ethics Committee of Hebei Medical University Third Hospital(Ethics No: W2023-078-1) in accordance with the ethical guidelines outlined in the 1964 Helsinki Declaration and its subsequent revisions. All clinical data were anonymized prior to analysis to ensure patient confidentiality. Written informed consent to participate was obtained from the parents or legal guardians of all participants .