目的观察温针灸治疗阳气亏虚血瘀型慢性心力衰竭的临床疗效及对患者心功能和生活质量的影响。方法将60例阳气亏虚血瘀型慢性心力衰竭患者用随机数字表法分为对照组(30例)和研究组(30例)。两组均予内科常规基础治疗,对照组另予常规针刺治...目的观察温针灸治疗阳气亏虚血瘀型慢性心力衰竭的临床疗效及对患者心功能和生活质量的影响。方法将60例阳气亏虚血瘀型慢性心力衰竭患者用随机数字表法分为对照组(30例)和研究组(30例)。两组均予内科常规基础治疗,对照组另予常规针刺治疗,研究组另予温针灸治疗。观察两组治疗前后明尼苏达心功能不全生命质量量表(Minnesota living with heart failure questionnaire,MLHFQ)评分、6分钟步行试验(6-minute walk test,6MWT)结果、心功能指标[左室舒张末期内径(left ventricular end diastolic diameter,LVEDD)、左心室收缩末内径(left ventricular end systolic diameter,LVESD)和左室射血分数(left ventricular ejection fraction,LVEF)]以及血清肾素、醛固酮(aldosterone,ALD)、血管紧张素Ⅱ(angiotensinⅡ,AngⅡ)和血浆N末端B型利钠肽原(N-terminal pro-B-type natriuretic peptide,NT-proBNP)水平的变化,比较两组临床疗效。结果两组治疗后LVEDD、LVESD、肾素水平、ALD水平、AngⅡ水平、NT-proBNP水平和MLHFQ评分均较治疗前降低(P<0.05),LVEF和6MWT水平均较治疗前提高(P<0.05)。研究组治疗后LVEDD、LVESD、肾素水平、ALD水平、AngⅡ水平、NT-proBNP水平和MLHFQ评分均低于对照组(P<0.05),LVEF和6MWT水平均高于对照组(P<0.05)。研究组总有效率高于对照组(P<0.05)。结论在内科常规治疗基础上,温针灸治疗阳气亏虚血瘀型慢性心力衰竭的临床疗效优于常规针刺,可改善心脏功能,提高生活质量。展开更多
The controllable synthesis of uniform silver nanocubes with high purity is pivotal for the fundamental study of self-assembly and further research on the hollow nanostructures,gold nanocages for instance.Here,Ag nanoc...The controllable synthesis of uniform silver nanocubes with high purity is pivotal for the fundamental study of self-assembly and further research on the hollow nanostructures,gold nanocages for instance.Here,Ag nanocubes of different sizes were synthesized by an improved polyol method.With addition of HCl solution,Ag nanocubes with size about 100 nm were obtained under an air atmosphere.And Ag nanocubes with size around50 nm can be produced in a short time under Argon atmosphere with the presence of NaHS instead of HCl.Meanwhile,uniform Ag nanocubes with size larger than 100 nm were also synthesized successfully via adjusting experiment parameters.Results of transmission electron microscopy(TEM)combined with selected area electron diffraction(SAED)show that the Ag nanocubes are single crystalline with six(200)surface plane.In the UV-Vis-NIR optical absorption spectrum,the diple moment resonance absorption peak is changed in the range of 420—500nm with the increase of Ag nanocubes size.展开更多
文摘目的观察温针灸治疗阳气亏虚血瘀型慢性心力衰竭的临床疗效及对患者心功能和生活质量的影响。方法将60例阳气亏虚血瘀型慢性心力衰竭患者用随机数字表法分为对照组(30例)和研究组(30例)。两组均予内科常规基础治疗,对照组另予常规针刺治疗,研究组另予温针灸治疗。观察两组治疗前后明尼苏达心功能不全生命质量量表(Minnesota living with heart failure questionnaire,MLHFQ)评分、6分钟步行试验(6-minute walk test,6MWT)结果、心功能指标[左室舒张末期内径(left ventricular end diastolic diameter,LVEDD)、左心室收缩末内径(left ventricular end systolic diameter,LVESD)和左室射血分数(left ventricular ejection fraction,LVEF)]以及血清肾素、醛固酮(aldosterone,ALD)、血管紧张素Ⅱ(angiotensinⅡ,AngⅡ)和血浆N末端B型利钠肽原(N-terminal pro-B-type natriuretic peptide,NT-proBNP)水平的变化,比较两组临床疗效。结果两组治疗后LVEDD、LVESD、肾素水平、ALD水平、AngⅡ水平、NT-proBNP水平和MLHFQ评分均较治疗前降低(P<0.05),LVEF和6MWT水平均较治疗前提高(P<0.05)。研究组治疗后LVEDD、LVESD、肾素水平、ALD水平、AngⅡ水平、NT-proBNP水平和MLHFQ评分均低于对照组(P<0.05),LVEF和6MWT水平均高于对照组(P<0.05)。研究组总有效率高于对照组(P<0.05)。结论在内科常规治疗基础上,温针灸治疗阳气亏虚血瘀型慢性心力衰竭的临床疗效优于常规针刺,可改善心脏功能,提高生活质量。
基金supported by the National Natural Science the Foundations of China(Nos.11774171,11374159)the Fundamental Research Funds for the Central Universities(Nos.NJ20160105,NZ2015101)sponsored by Qing Lan Project of Jiangsu Province
文摘The controllable synthesis of uniform silver nanocubes with high purity is pivotal for the fundamental study of self-assembly and further research on the hollow nanostructures,gold nanocages for instance.Here,Ag nanocubes of different sizes were synthesized by an improved polyol method.With addition of HCl solution,Ag nanocubes with size about 100 nm were obtained under an air atmosphere.And Ag nanocubes with size around50 nm can be produced in a short time under Argon atmosphere with the presence of NaHS instead of HCl.Meanwhile,uniform Ag nanocubes with size larger than 100 nm were also synthesized successfully via adjusting experiment parameters.Results of transmission electron microscopy(TEM)combined with selected area electron diffraction(SAED)show that the Ag nanocubes are single crystalline with six(200)surface plane.In the UV-Vis-NIR optical absorption spectrum,the diple moment resonance absorption peak is changed in the range of 420—500nm with the increase of Ag nanocubes size.
