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Article History

Received: 20 February 2026

Accepted: 27 April 2026

First Online: 2 May 2026

Declarations

:

: The authors declare no competing interests.

: This study was reviewed and approved by the Medical Ethics Committee of the First Affiliated Hospital of Xinxiang Medical University, and was performed in strict adherence to the ethical principles outlined in the Declaration of Helsinki by the World Medical Association and other relevant guidelines and regulations.

: All participants provided written informed consent prior to their enrollment in the study.