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第三腰椎横突综合征患者的肌骨超声表现及与Oswestry功能障碍指数的相关性分析 被引量:20
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作者 刘凤飞 刘哲 +2 位作者 麻继红 张春东 吴菲 《中国现代医学杂志》 CAS 北大核心 2022年第4期79-83,共5页
目的分析第三腰椎横突综合征患者的肌骨超声表现及与Oswestry功能障碍指数(ODI)的相关性。方法回顾性分析2019年1月—2021年2月在河北省中医院就诊的121例第三腰椎横突综合征患者的临床资料(观察组),另取同期该院健康体检者50例作为对... 目的分析第三腰椎横突综合征患者的肌骨超声表现及与Oswestry功能障碍指数(ODI)的相关性。方法回顾性分析2019年1月—2021年2月在河北省中医院就诊的121例第三腰椎横突综合征患者的临床资料(观察组),另取同期该院健康体检者50例作为对照组。治疗前后采用肌骨超声对患者进行检查;并采用ODI评价患者腰椎功能,分析肌骨超声表现与ODI评分的相关性。结果治疗前,观察组肌骨超声评分、ODI评分高于对照组(P<0.05);治疗后观察组患者肌骨超声评分、ODI评分降低(P<0.05)。观察组治疗前后肌骨超声评分与ODI评分均呈正相关(r=0.735和0.681,P=0.009和0.018)。观察组治疗前后血清IL-6、IL-10、TNF-α水平均高于对照组(P<0.05);治疗后观察组血清IL-6、IL-10、TNF-α水平低于治疗前(P<0.05)。逐步多因素Logistic回归分析结果表明,肌骨超声评分[OR=1.881(95%CI:1.239,2.856)]、ODI评分[OR=1.848(95%CI:1.246,2.740)]、IL-6[OR=1.818(95%CI:1.234,2.681)]、IL-10[OR=1.868(95%CI:1.226,2.847)]、TNF-α[OR=1.837(95%CI:1.224,2.756)]是影响第三腰椎横突综合征患者发病的独立危险因素(P<0.05)结论第三腰椎横突综合征患者的肌骨超声表现与ODI评分呈正相关,肌骨超声评分、ODI评分、IL-6、IL-10、TNF-α是影响第三腰椎横突综合征患者发病的独立危险因素。 展开更多
关键词 第三腰椎横突综合征 肌骨超声 OSWESTRY功能障碍指数 相关性
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Effects of energy deposition on mechanical properties of sodium borosilicate glass irradiated by three heavy ions: P, Kr, and Xe
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作者 Xin Du Tian-Tian Wang +7 位作者 Bing-Huang Duan Xiao-Yang Zhang feng-fei liu Chang-Lin Lan Guang-Fu Wang Liang Chen Hai-Bo Peng Tie-Shan Wang 《Nuclear Science and Techniques》 SCIE CAS CSCD 2019年第7期91-99,共9页
Sodium borosilicate glasses are candidate materials for high-level radioactive waste vitrification;therefore, understanding the irradiation effects in model borosilicate glass is crucial. Effects of electronic energy ... Sodium borosilicate glasses are candidate materials for high-level radioactive waste vitrification;therefore, understanding the irradiation effects in model borosilicate glass is crucial. Effects of electronic energy deposition and nuclear energy deposition induced by the impact of heavy ions on the hardness and Young’s modulus of sodium borosilicate glass were investigated. The work concentrates on sodium borosilicate glasses, henceforth termed NBS1 (60.0% SiO2, 15.0% B2O3, and 25.0% Na2O in mol%). The NBS1 glasses were irradiated by P, Kr, and Xe ions with 0.3 MeV, 4 MeV, and 5 MeV, respectively. The hardness and Young’s modulus of ion-irradiated NBS1 glasses were measured by nanoindentation tests. The relationships between the evolution of the hardness, the change in the Young’s modulus of the NBS1 glasses, and the energy deposition were investigated. With the increase in the nuclear energy deposition, both the hardness and Young’s modulus of NBS1 glasses dropped exponentially and then saturated. Regardless of the ion species, the nuclear energy depositions required for the saturation of hardness and Young’s modulus were apparent at approximately 1.2 × 10^20 keV/cm^3 and 1.8 × 10^20 keV/cm^3, respectively. The dose dependency of the hardness and Young’s modulus of NBS1 glasses was consistent with previous studies by Peuget et al. Moreover, the electronic energy loss is less than 4 keV/nm, and the electronic energy deposition is less than 3.0 × 10^22 keV/cm^3 in this work. Therefore, the evolution of hardness and Young’s modulus could have been primarily induced by nuclear energy deposition. 展开更多
关键词 BOROSILICATE glass Hardness Young's MODULUS Irradiation Nuclear energy deposition
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腕踝针术中镇痛:腕踝针联合筋膜间阻滞完成两例急诊开腹手术病例报告
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作者 李燕 徐哲 +5 位作者 刘凤飞 杨丽 卢志霞 刘敏肖 李朝杰 郝巍 《World Journal of Acupuncture-Moxibustion》 CAS CSCD 2024年第2期169-173,共5页
This article reported the application of wrist-ankle acupuncture with the ultrasound-guided interfascial plane block(Transversus abdominis plane block,TAPB;Rectus sheath block,RSB;Rhomboid intercostal and sub-serratus... This article reported the application of wrist-ankle acupuncture with the ultrasound-guided interfascial plane block(Transversus abdominis plane block,TAPB;Rectus sheath block,RSB;Rhomboid intercostal and sub-serratus block,RISSB) in two emergency laparotomy in elderly frail patients.These cases were successfully completed with only a small dosage of narcotic analgesics,and the patient's spontaneous breathing was preserved and the vital signs of the patients were stable with the Visual Analogue Scale(VAS) of 2 points and the oxygen saturation level over 95%.Both patients recovered soon after the surgery.The combination of wrist-ankle acupuncture and interfascial plane block to preserve spontaneous breathing during laparotomy in elderly frail patients in China had not been previously reported. 展开更多
关键词 Wrist-ankle acupuncture Interfascial planeblock FRAILTY LAPAROTOMY Case report Intraoperative analgesia
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Effect of wrist-ankle acupuncture on postoperative nausea and vomiting undergoing radiofrequency ablation in thyroid nodule:A randomized controlled trial 被引量:3
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作者 Yan LI Na ZHOU +2 位作者 feng-fei liu Hui-ru REN Wei HAO 《World Journal of Acupuncture-Moxibustion》 CSCD 2020年第3期183-187,共5页
Objective:To observe the influence of wrist-ankle acupuncture(WAA)on postoperative nausea and vomiting(PONV)undergoing radiofrequency ablation(RFA)in thyroid nodule and its analgesic effect.Methods:A total of 66 patie... Objective:To observe the influence of wrist-ankle acupuncture(WAA)on postoperative nausea and vomiting(PONV)undergoing radiofrequency ablation(RFA)in thyroid nodule and its analgesic effect.Methods:A total of 66 patients with thyroid nodule and undergoing RFA were randomized into a WAA group and a sham-acupuncture(SA)group,33 cases in each one.Acupuncture was exerted after the patients entering operation room.In the WAA group,WAA was applied on the bilateral Upper 1,2 and 3 areas.In the SA group,the sham-acupuncture was given on the same areas.In 30 min after needle insertion,the routine RFA started in the patients of the two groups.All the needles were removed when the operation was finished.The proportion of intraoperative sufentanil supplementation,the incidence of24 h PONV and the proportion of intraoperative intravenous injection of urapidil were recorded in the patients of the two groups.Results:In the WAA group,sufentanil was supplemented by 12.90%,obviously less than 36.36%in the SA group.The incidence of 24 h PONV was 9.68%in the WAA group,remarkably lower than 27.27%in the SA group,indicating statistical significances(both P<0.05).The intravenous injection of urapidil was not applied during operation in the two groups,without statistical difference between the groups(P>0.05).Conclusion:Wrist-ankle acupuncture reduces the intraoperative demand of sufentanil in radiofrequency ablation of thyroid nodule and this therapy is preventive for PONV. 展开更多
关键词 Wrist ankle acupuncture Nausea and vomiting Radiofrequency ablation Thyroid nodule Randomized controlled trial(RCT)
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