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Article History

Received: 1 October 2025

Accepted: 11 December 2025

First Online: 25 December 2025

Declarations

:

: All participants provided written informed consent. The study was conducted in accordance with the Declaration of Helsinki and was approved by the Ethics Committee of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine (Approval No: (2023) Lun Shen No. (053) - KY).

: All authors approved the final manuscript and the submission to this journal.

: There are no conflicts of interest in this study. All authors have read and approved this version of the article, and due care has been taken to ensure the integrity of the work. Neither the entire paper nor any part of its content has been published or has been accepted elsewhere. It is not being submitted to any other journal.