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Article History

Received: 22 April 2025

Accepted: 5 June 2025

First Online: 12 June 2025

Declarations

:

: This study was reviewed and approved by the Ethics Committee of Affiliated Hospital of GuiZhou Medical University (Approval No. 2022伦审第65号). All procedures involving human participants adhered to the ethical standards of the Declaration of Helsinki and its later amendments.

: Written informed consent for both participation and publication of anonymized data was obtained from all study participants prior to their inclusion in the research. The consent process included a detailed explanation of the study’s purpose, methodology, potential risks, and benefits. Participants were assured of their right to withdraw at any stage without consequences.

: The authors declare no competing interests.