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己酮可可碱改善急性缺血性卒中患者头晕/眩晕症状的多中心、对照、开放性病例登记研究 被引量:1
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作者 尹延伟 陈大伟 +7 位作者 张光运 杨芬 赵发国 李文平 赵聪 张振 张微微 石进 《中国合理用药探索》 CAS 2023年第9期57-65,共9页
目的:探讨己酮可可碱对急性缺血性卒中患者头晕/眩晕症状的治疗效果。方法:选取2020年6月~2022年1月期间全国38家医院1202例急性缺血性卒中合并头晕/眩晕症状患者,其中14例不符合纳入标准,99例随访期间疗效指标缺失,最终纳入1089例,采... 目的:探讨己酮可可碱对急性缺血性卒中患者头晕/眩晕症状的治疗效果。方法:选取2020年6月~2022年1月期间全国38家医院1202例急性缺血性卒中合并头晕/眩晕症状患者,其中14例不符合纳入标准,99例随访期间疗效指标缺失,最终纳入1089例,采用配对分组方法分为对照组(n=532)与观察组(n=557)。对照组给予急性缺血性卒中基础用药,观察组在对照组基础上加用己酮可可碱缓释片,连续用药4周或至头晕/眩晕缓解后3天。比较两组眩晕评定量表(DARS)评分、视觉模拟评分法(VAS)评分、改良Rankin量表(m RS)评分及不良反应的发生情况。结果:治疗1周后,两组DARS评分0~3分比率比较无统计学差异(P>0.05);治疗4周后,观察组DARS评分为0~3分的比率(81.1%)高于对照组(63.5%,P<0.05)。治疗4周后,两组DARS评分均较基线降低(P<0.05),且观察组DARS评分低于对照组(P<0.05)。治疗1周及4周后,观察组VAS评分为0~1分的比率均高于对照组(P<0.05);治疗4周后,两组VAS评分均较基线降低(P<0.05),且观察组VAS评分低于对照组(P<0.05)。治疗4周后,观察组m RS≤1分的患者比率(91.4%)高于对照组(86.1%,P<0.05)。两组不良反应总发生率比较无统计学差异(P>0.05)。结论:己酮可可碱可改善急性缺血性卒中患者头晕/眩晕症状,且安全性良好。 展开更多
关键词 卒中 脑梗死 头晕 眩晕 己酮可可碱
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Designing principles of an ecological water storage basin on coastal saline: a case study 被引量:1
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作者 LIUPing-ping YINCheng-qing +4 位作者 QUJiu-hui zhangguang-yun FENGWen-qing LIUJun-xin ZHONGZhi 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2005年第1期62-66,共5页
The degradation of water source environment becomes serious problems accompanying with rapid urbanization in China. Ecological engineering provides ecologically sound and cost effective solution to solving this proble... The degradation of water source environment becomes serious problems accompanying with rapid urbanization in China. Ecological engineering provides ecologically sound and cost effective solution to solving this problem. As a case study, a 15 hm 2 ecological water storage basin for a water plant was designed and constructed on the TEDA area in Tianjin City. Located on saline, the construction of this project has to face serious difficulties, such as high salinity, scarce seed banks of macrophytes, and strong winds. Freshwater replacement, soil amendation and macrophytes planting at the basinshore, wooden water breaker and plastic membrane installation and other measures were conducted for the assistance of plant community establishment. The result showed that the chloride concentration in the basin water decreased from 11600 mg/L to less than 100 mg/L, and the chloride content in the basin sediment decreased from 2 1% to 0 35% after freshwater soaking. The introduced macrophytes of 8 species all survived and 11 other macrophytes species were occurred in the basin. A new ecosystem was created with increased biological diversity in the original saline, and the water quality was improved. This ecological water storage basin also provided a pleasing landscape for local people. 展开更多
关键词 drinking water source water quality coastal saline urban ecological engineering
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