目的:探讨补中益气汤辅助腹腔镜下子宫悬吊术治疗气虚下陷型盆腔脏器脱垂的临床疗效。方法:选取2020年9月至2022年9月于河北省中医院就诊的64例气虚下陷型盆腔脏器脱垂(pelvic organ prolapse, POP)患者,按照随机数字表法分成观察组和...目的:探讨补中益气汤辅助腹腔镜下子宫悬吊术治疗气虚下陷型盆腔脏器脱垂的临床疗效。方法:选取2020年9月至2022年9月于河北省中医院就诊的64例气虚下陷型盆腔脏器脱垂(pelvic organ prolapse, POP)患者,按照随机数字表法分成观察组和治疗组各32例。观察组予腹腔镜下子宫悬吊术治疗,治疗组在观察组的基础上加服补中益气汤。比较2组疗效、盆腔器官脱垂定量化分期(POP-Q分期)、盆底肌力分级、盆底功能障碍问卷(PFDI-20)、盆底疾病生活影响问卷(PFIQ-7)、中医证候评分变化及1年后复发率。结果:治疗组总有效率高于观察组(P<0.05),差异具有统计学意义。2组盆底肌力分级、POP-Q分期、PFDI-20和PFIQ-7评分组内比较,治疗后优于治疗前(P<0.05),治疗后组间比较,治疗组优于观察组(P<0.05);治疗组中医证候评分总有效率93.75%高于观察组62.50%(P<0.05);1年后随访治疗组复发率6.25%低于观察组28.13%(P<0.05)。结论:补中益气汤辅助腹腔镜下子宫悬吊术治疗气虚下陷型POP具有较好的临床疗效,能有效改善患者临床症状、中医证候,提高患者的生活质量。展开更多
For the 110 mining method,it is challenging to accurately calculate the support resistance of the roadway due to the lack of understanding of the dynamic movement of the overlying strata in this method.The consequenti...For the 110 mining method,it is challenging to accurately calculate the support resistance of the roadway due to the lack of understanding of the dynamic movement of the overlying strata in this method.The consequential excessive support results in a significant increase in the cost of roadway support.The authors explored the overlying strata movement and roadway deformation of the gob-entry retaining in the 110 mining method to solve this problem.First,the typical stages of the roof-cutting gob-side entry were defined.Second,the mechanical model and calculation formula of the support resistance on the roof were explored.Then,using numerical simulation software,the starting ranges of the specific supports at different stages were verified and the feasibility of the support scheme was examined.Finally,combined with the field measurement data,the stress and the deformation of the gob roadway at different stages under the influence of two mining processes in the 110 mining method were obtained.The numerical simulation results obtained are consistent with the field test results,providing a theoretical basis for precision support at different stages by the 110 mining method.展开更多
文摘目的:探讨补中益气汤辅助腹腔镜下子宫悬吊术治疗气虚下陷型盆腔脏器脱垂的临床疗效。方法:选取2020年9月至2022年9月于河北省中医院就诊的64例气虚下陷型盆腔脏器脱垂(pelvic organ prolapse, POP)患者,按照随机数字表法分成观察组和治疗组各32例。观察组予腹腔镜下子宫悬吊术治疗,治疗组在观察组的基础上加服补中益气汤。比较2组疗效、盆腔器官脱垂定量化分期(POP-Q分期)、盆底肌力分级、盆底功能障碍问卷(PFDI-20)、盆底疾病生活影响问卷(PFIQ-7)、中医证候评分变化及1年后复发率。结果:治疗组总有效率高于观察组(P<0.05),差异具有统计学意义。2组盆底肌力分级、POP-Q分期、PFDI-20和PFIQ-7评分组内比较,治疗后优于治疗前(P<0.05),治疗后组间比较,治疗组优于观察组(P<0.05);治疗组中医证候评分总有效率93.75%高于观察组62.50%(P<0.05);1年后随访治疗组复发率6.25%低于观察组28.13%(P<0.05)。结论:补中益气汤辅助腹腔镜下子宫悬吊术治疗气虚下陷型POP具有较好的临床疗效,能有效改善患者临床症状、中医证候,提高患者的生活质量。
基金Project(51674265) supported by the National Natural Science Foundation of ChinaProjects(2018YFC0603705,2016YFC0600901) supported by the State Key Research Development Program of ChinaProject supported by the Yueqi Outstanding Scholar Award Program of China University of Mining&Technology,Beijing,China。
文摘For the 110 mining method,it is challenging to accurately calculate the support resistance of the roadway due to the lack of understanding of the dynamic movement of the overlying strata in this method.The consequential excessive support results in a significant increase in the cost of roadway support.The authors explored the overlying strata movement and roadway deformation of the gob-entry retaining in the 110 mining method to solve this problem.First,the typical stages of the roof-cutting gob-side entry were defined.Second,the mechanical model and calculation formula of the support resistance on the roof were explored.Then,using numerical simulation software,the starting ranges of the specific supports at different stages were verified and the feasibility of the support scheme was examined.Finally,combined with the field measurement data,the stress and the deformation of the gob roadway at different stages under the influence of two mining processes in the 110 mining method were obtained.The numerical simulation results obtained are consistent with the field test results,providing a theoretical basis for precision support at different stages by the 110 mining method.
