分段整复手法治疗颈源性咽异感症的临床疗效

目的观察分段整复手法治疗颈源性咽异感症的临床疗效。方法将68例颈源性咽异感症患者随机分为观察组和对照组,每组34例。两组患者均采用常规的松解手法治疗,在此基础上观察组采用分段整复手法治疗,对照组采用常规整复手法治疗,均隔日治疗1次,共治疗10次。观察两组患者治疗前及治疗10次后的颈部疼痛视觉模拟量表(VAS)评分、咽喉感觉知觉量表(LUMP)评分,并评价治疗效果。结果治疗后两组患者颈部疼痛VAS评分、LUMP评分均低于治疗前,并且观察组以上评分均低于对照组(均P<0.05)。治疗后观察组、对照组总有效率分别为94.1%、64.7%,观察组疗效优于对照组(P<0.05)。结论在常规松解手法治疗基础上,采用分段整复手法治疗颈源性咽异感症能有效缓解患者颈部疼痛症状及咽异感症状,治疗效果好于常规整复手法治疗。

Seismogenic fault and topography control on the spatial patterns of landslides triggered by the 2017 Jiuzhaigou earthquake

Jiuzhaigou National Park, located in northwest plateau of Sichuan Province, is a UNESCO World Heritage Site, and one of the most popular scenic areas in China. On August 8, 2017, a Mw 6.5 earthquake occurred 5 km to the west of a major scenic area, causing 25 deaths and injuring 525, and the Park was seriously affected. The objective of this study was to explore the controls of seismogenic fault and topographic factors on the spatial patterns of these landslides. Immediately after the main shock, field survey, remote-sensing investigations, and statistical and spatial analysis were undertaken. At least 2212 earthquake-triggered landslides were identified, covering a total area of 11.8 km^2. Thesewere mainly shallow landslides and rock falls. Results demonstrated that landslides exhibited a close spatial correlation with seismogenic faults. More than 85% of the landslides occurred at 2200 to 3700 m elevations. The largest quantity of landslides was recorded in places with local topographic reliefs ranging from 200 to 500 m. Slopes in the range of ~20°-50° are the most susceptible to failure. Landslides occurred mostly on slopes facing east-northeast(ENE), east(E), east-southeast(ESE), and southeast(SE), which were nearly vertical to the orientation of the seismogenic fault slip. The back-slope direction and thin ridge amplification effects were documented. These results provide insights on the control of the spatial pattern of earthquake-triggered landslides modified by the synergetic effect of seismogenic faults and topography.

Characteristics and failure mechanism of an ancient earthquake-induced landslide with an extremely wide distribution area

The Lamuajue landslide is located in Lamuajue village on the right bank of the Meigu River,Sichuan Province, China. This landslide is an ancient landslide with an extremely wide distribution area,covering an area of 19 km^2 with a maximum width of5.5 km and an estimated residual volume of 3×10~8 m^3.The objectives of this study were to identify the characteristics and failure mechanism of this landslide. In this study,based on field investigations,aerial photography, and profile surveys, the boundary,lithology, structure of the strata, and characteristics of the landslide deposits were determined. A gently angled weak interlayer consisting of shale was the main factor contributing to the occurrence of the Lamuajue landslide. The deposition area can be divided into three zones: zone A is an avalanche deposition area mainly composed of blocks,fragments, and debris with diameters ranging from0.1 m to 3 m; zone B is a residual integrated rock mass deposition area with large blocks,boulders and "fake bedrock"; and zone C is a deposition zone of limestone blocks and fragments. Three types of failure mechanism were analyzed and combined to explain the Lamuajue landslide based on the features of the accumulation area. First, a shattering-sliding mechanism caused by earthquakes in zone A. Second,a sliding mechanism along the weak intercalation caused by gravity and water in zone B. Third,a shattering-ejection mechanism generated by earthquakes in zone C. The results provide a distinctive case for the study of gigantic landslides induced by earthquakes, which is very important for understanding and assessing ancient earthquakeinduced landslides.

Source tectonic dynamics features of Jiuzhaigou Ms 7.0 earthquake in Sichuan Province,China

On August 8, 2017, a Ms 7.0 earthquake occurred 5 km to the west of Jiuzhaigou National Park, causing 25 deaths and injuring 525. The objective of this study was to explore the seismogenic fault of the earthquake and tectonic dynamics of the source rupture. Field investigations, radon activity tests, remote sensing interpretations, and geophysical data analyses were carried out immediately after the earthquake. The Jiuzhaigou earthquake occurred at the intersection of the northern margin of the Minshan uplift belt and the south part of the Wenxian–Maqin fault in the south margin of the West Qinling geosyncline. There are two surface rupture zones trending northwest(NW), which are ground coseismic ruptures caused by concealed earthquake faults. The rupture on the southwest is the structure triggering the earthquake, along the Jiuzhaitiantang–Epicenter–Wuhuahai. The other one on the northeast(Shangsizhai–Zhongcha–Bimang) is a reactivation and extension of the secondary fault trending NW. The source rupture of this earthquake is a strike-slipshear fracture associated with the fault plane trending NW 331° and steeply dipping 75°, which is continuously expanding at both ends. The tectonic dynamics process of the source rupture is that the "Jiuzhaigou protrusion" is left-lateral sheared along the seismogenic fault in the NW direction. Finally, the Maqin fault and the arc fault system at the top of the "Wenxian protrusion" will be gradually broken through sometime in far future, as well as earthquaketriggered landslides will be further occurred along the narrow corridor between the seismogenic faults. The research results revealed the basic geological data and tectonic dynamic mechanism in this earthquake.