目的探讨针刺、苏合香丸联合高压氧对高血压脑出血(hypertensive intracerebral hemorrhage,HICH)患者的影响。方法随机选择2021年1月—2023年12月南京医科大学附属苏州医院神经康复科收治的60例HICH患者作为研究对象,通过信封法将研究...目的探讨针刺、苏合香丸联合高压氧对高血压脑出血(hypertensive intracerebral hemorrhage,HICH)患者的影响。方法随机选择2021年1月—2023年12月南京医科大学附属苏州医院神经康复科收治的60例HICH患者作为研究对象,通过信封法将研究对象分为研究组和对照组,各30例。对照组实施高压氧治疗,研究组在此基础上实施针刺、苏合香丸治疗。比较2组患者的治疗效果。结果干预后2组患者的美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)及Rivermead行为记忆评定量表(Rivermead behavioral memory test,RBMT)评分较干预前均有降低,且研究组低于对照组(P<0.05)。干预后2组患者的简易智力状态检查(mini-mental state examination,MMSE)、蒙特利尔认知评估(Montreal cognitive assessment,MoCA)、洛文斯顿认知功能评定测验(Loewenstein occupational therapy cognitive assessment,LOTCA)的水平较干预前均有改善,其中研究组的MMSE、Moca高于对照组,而LOTCA低于对照组(P<0.05)。干预后研究组的日常生活活动能力量表(activity of daily living scale,ADL)中工具性能力为(8.62±2.05)分,躯体生活评分为(7.62±1.38)分,均低于对照组的(11.24±2.28)分、(11.31±1.92)分(P<0.05)。结论对HICH患者实施针刺、苏合香丸联合高压氧可有效改善患者的神经功能、促进认知功能的恢复,从而提高治疗效果,改进日常生活能力。展开更多
A mathematical model considering free nuclei was developed to reveal the migration behavior of the free nuclei. Numerical simulation results show that most of the nuclei on the top surface of the melt move downwards a...A mathematical model considering free nuclei was developed to reveal the migration behavior of the free nuclei. Numerical simulation results show that most of the nuclei on the top surface of the melt move downwards and distribute randomly inside the Al melt, which induces more nucleation sites resulting in grain refinement. At the same time, the effect of nuclei size on the nuclei distribution and refinement employing electric current pulse (ECP) was also investigated. The smaller nuclei migrate a short distance with the Al melt at lower speed. But for the larger nuclei, the migration downwards with higher speed benefits the refinement of interior grains of the melt. The research results help to better understand the refinement process and provide a more reasonable explanation of the grain refinement mechanism using ECP.展开更多
文摘目的探讨针刺、苏合香丸联合高压氧对高血压脑出血(hypertensive intracerebral hemorrhage,HICH)患者的影响。方法随机选择2021年1月—2023年12月南京医科大学附属苏州医院神经康复科收治的60例HICH患者作为研究对象,通过信封法将研究对象分为研究组和对照组,各30例。对照组实施高压氧治疗,研究组在此基础上实施针刺、苏合香丸治疗。比较2组患者的治疗效果。结果干预后2组患者的美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)及Rivermead行为记忆评定量表(Rivermead behavioral memory test,RBMT)评分较干预前均有降低,且研究组低于对照组(P<0.05)。干预后2组患者的简易智力状态检查(mini-mental state examination,MMSE)、蒙特利尔认知评估(Montreal cognitive assessment,MoCA)、洛文斯顿认知功能评定测验(Loewenstein occupational therapy cognitive assessment,LOTCA)的水平较干预前均有改善,其中研究组的MMSE、Moca高于对照组,而LOTCA低于对照组(P<0.05)。干预后研究组的日常生活活动能力量表(activity of daily living scale,ADL)中工具性能力为(8.62±2.05)分,躯体生活评分为(7.62±1.38)分,均低于对照组的(11.24±2.28)分、(11.31±1.92)分(P<0.05)。结论对HICH患者实施针刺、苏合香丸联合高压氧可有效改善患者的神经功能、促进认知功能的恢复,从而提高治疗效果,改进日常生活能力。
基金Project(SELF-2011-01)supported by the Open Project of Shanghai Key Laboratory of Modern Metallurgy and Materials Processing,ChinaProjects(51204109,51035004)supported by the National Natural Science Foundation of China
文摘A mathematical model considering free nuclei was developed to reveal the migration behavior of the free nuclei. Numerical simulation results show that most of the nuclei on the top surface of the melt move downwards and distribute randomly inside the Al melt, which induces more nucleation sites resulting in grain refinement. At the same time, the effect of nuclei size on the nuclei distribution and refinement employing electric current pulse (ECP) was also investigated. The smaller nuclei migrate a short distance with the Al melt at lower speed. But for the larger nuclei, the migration downwards with higher speed benefits the refinement of interior grains of the melt. The research results help to better understand the refinement process and provide a more reasonable explanation of the grain refinement mechanism using ECP.