目的探究膈肌放松技术结合抗阻呼吸训练对脑卒中患者运动能力的影响。方法以郑州市中心医院康复治疗部60例住院脑卒中患者为研究对象,将其随机分为A组、B组和C组。A组进行常规康复训练、膈肌放松和抗阻呼吸训练,B组进行常规康复训练和...目的探究膈肌放松技术结合抗阻呼吸训练对脑卒中患者运动能力的影响。方法以郑州市中心医院康复治疗部60例住院脑卒中患者为研究对象,将其随机分为A组、B组和C组。A组进行常规康复训练、膈肌放松和抗阻呼吸训练,B组进行常规康复训练和膈肌放松,C组进行常规康复训练和抗阻呼吸训练。分别在试验干预前、康复训练4周、8周和12周时对所有受试者的最大吸气压(maximal inspiratory pressure,MIP)、吸气流速峰值(peak inspiratory velocity,PIF)、肢体运动功能(fugl-Meyer motor function assessment,FMA)、10 m步行测试(10-meter walking test,10MWT)、Berg平衡功能(berg balance function,BBS)和稳定极限(limits of stability,LOS)进行评估,并对统计数据进行分析。结果试验干预前A组、B组和C组受试者MIP、PIF、FMA、10MWT、BBS和LOS间差异均无统计学意义(P>0.05);试验干预后,在4周、8周和12周时A组、B组和C组相比试验干预前MIP、PIF、FMA、BBS和LOS均显著增加(P<0.05),10MWT均显著减少(P<0.05);试验干预后,在4周、8周和12周时A组、B组和C组组间比较MIP、PIF、FMA、10MWT、BBS和LOS差异有统计学意义(P<0.05),其中A组MIP、PIF、FMA、BBS和LOS均高于B组和C组,A组10MWT较B组和C组更低(P<0.05);C组MIP、PIF、FMA、BBS和LOS均高于B组,C组10MWT较B组更低(P<0.05)。结论膈肌放松技术结合抗阻呼吸训练相比单独使用这两种训练方法康复效果更佳。膈肌放松技术可拓展应用作为脑卒中患者居家康复锻炼的选择。展开更多
Solar-thermal water evaporation has attracted increasing attention owing to the promising potential to solve the global clean water and energy crisis.But,the development of this strategy is limited by the lack of mate...Solar-thermal water evaporation has attracted increasing attention owing to the promising potential to solve the global clean water and energy crisis.But,the development of this strategy is limited by the lack of materials with high solar-thernal conversion efficiency,local heating of superficial water,easy preparation and low cost.Herein,we proposed a facile strategy to prepare a reduced graphene oxide/carbon fiber composite membrane,denoted as RGO/CF membrane.The surface of the RGO/CF membrane was highly hydrophobic,endowing the composite membrane with the self-floating ability on the water without any assistance.The light absorbance ability achieved as high as ca.98%in the wavelength range of 300-1200 nm.The steam evaporation efliciency under the illumination of3-sun was 97%,generating water steam at a rate of 4.54 kg·m^-2·h^-1.Moreover,the solar-thermal steam production rate showed high stability during successive 30 cvcle tests.展开更多
文摘目的探究膈肌放松技术结合抗阻呼吸训练对脑卒中患者运动能力的影响。方法以郑州市中心医院康复治疗部60例住院脑卒中患者为研究对象,将其随机分为A组、B组和C组。A组进行常规康复训练、膈肌放松和抗阻呼吸训练,B组进行常规康复训练和膈肌放松,C组进行常规康复训练和抗阻呼吸训练。分别在试验干预前、康复训练4周、8周和12周时对所有受试者的最大吸气压(maximal inspiratory pressure,MIP)、吸气流速峰值(peak inspiratory velocity,PIF)、肢体运动功能(fugl-Meyer motor function assessment,FMA)、10 m步行测试(10-meter walking test,10MWT)、Berg平衡功能(berg balance function,BBS)和稳定极限(limits of stability,LOS)进行评估,并对统计数据进行分析。结果试验干预前A组、B组和C组受试者MIP、PIF、FMA、10MWT、BBS和LOS间差异均无统计学意义(P>0.05);试验干预后,在4周、8周和12周时A组、B组和C组相比试验干预前MIP、PIF、FMA、BBS和LOS均显著增加(P<0.05),10MWT均显著减少(P<0.05);试验干预后,在4周、8周和12周时A组、B组和C组组间比较MIP、PIF、FMA、10MWT、BBS和LOS差异有统计学意义(P<0.05),其中A组MIP、PIF、FMA、BBS和LOS均高于B组和C组,A组10MWT较B组和C组更低(P<0.05);C组MIP、PIF、FMA、BBS和LOS均高于B组,C组10MWT较B组更低(P<0.05)。结论膈肌放松技术结合抗阻呼吸训练相比单独使用这两种训练方法康复效果更佳。膈肌放松技术可拓展应用作为脑卒中患者居家康复锻炼的选择。
基金Supported by the National Natural Science Foundation of China(No.21706191)the Program for Tianjin Innovative Research Team in Universities,China(No.TD 13-5031)the Tianin"131"Research Team of Innovative Talents,China.
文摘Solar-thermal water evaporation has attracted increasing attention owing to the promising potential to solve the global clean water and energy crisis.But,the development of this strategy is limited by the lack of materials with high solar-thernal conversion efficiency,local heating of superficial water,easy preparation and low cost.Herein,we proposed a facile strategy to prepare a reduced graphene oxide/carbon fiber composite membrane,denoted as RGO/CF membrane.The surface of the RGO/CF membrane was highly hydrophobic,endowing the composite membrane with the self-floating ability on the water without any assistance.The light absorbance ability achieved as high as ca.98%in the wavelength range of 300-1200 nm.The steam evaporation efliciency under the illumination of3-sun was 97%,generating water steam at a rate of 4.54 kg·m^-2·h^-1.Moreover,the solar-thermal steam production rate showed high stability during successive 30 cvcle tests.
