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齐拉西酮速效针剂治疗精神分裂症急性激越症状的疗效和安全性 被引量:9
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作者 王培源 张国富 +2 位作者 左晓伟 苏旭江 谢世平 《临床精神医学杂志》 2020年第4期224-226,共3页
目的:评估国产注射用甲磺酸齐拉西酮对精神分裂症患者急性期激越症状的疗效及安全性。方法:给予110例具有急性期激越症状住院治疗的精神分裂症患者(南京脑科医院38例,无锡市精神卫生中心42例,徐州市东方人民医院31例)肌内注射甲磺酸齐... 目的:评估国产注射用甲磺酸齐拉西酮对精神分裂症患者急性期激越症状的疗效及安全性。方法:给予110例具有急性期激越症状住院治疗的精神分裂症患者(南京脑科医院38例,无锡市精神卫生中心42例,徐州市东方人民医院31例)肌内注射甲磺酸齐拉西酮10~20 mg/次,根据病情4~6 h后可重复使用,总剂量不超过40 mg/d,疗程3 d。治疗后2、4、8、24、48及72 h给予阳性与阴性症状量表(PANSS)、行为活动评定量表(BARS)评分,以治疗72 h PANSS中兴奋因子分(PANSS-EC)减分率评定疗效;采用锥体外系不良反应量表(RESES)、Barnes静坐不能量表(BAS)、UKU不良反应量表以及心电图、实验室检查评估药物不良反应。结果:治疗后PANSS、BARS评分各时点逐渐下降,均明显低于治疗前(P均<0.01);根据PANSS-EC减分率,有效54例(48.6%)、好转41例(36.9%)、无变化16例(14.4%);30例(27.03%)患者出现不良反应:过度镇静9例(8.11%),静坐不能8例(7.2%),锥体外系反应3例(2.70%),心电图异常改变10例(9.01%)。结论:国产注射用甲磺酸齐拉西酮治疗精神分裂症急性期激越症状疗效确切,安全性较高。 展开更多
关键词 精神分裂症 注射用甲磺酸齐拉西酮 急性期激越症状
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阿立哌唑联用小剂量氯氮平治疗女性难治性精神分裂症对照分析 被引量:7
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作者 邹杨 左晓伟 周开矿 《系统医学》 2018年第16期42-44,共3页
目的探究将阿立哌唑联用小剂量氯氮平应用于女性难治性精神分裂症患者的治疗中的效果,评价其预后影响。方法将该院中2015年9月—2017年10月间收治的女性难治性精神分裂症患者82例纳入该次研究中应用为研究对象,按照患者的入院日期单双... 目的探究将阿立哌唑联用小剂量氯氮平应用于女性难治性精神分裂症患者的治疗中的效果,评价其预后影响。方法将该院中2015年9月—2017年10月间收治的女性难治性精神分裂症患者82例纳入该次研究中应用为研究对象,按照患者的入院日期单双号对患者进行随机分组,分别命名为对照组和实验组,每组中均包含41例患者。对照组患者采用单纯阿立哌唑进行治疗,而实验组则使用阿立哌唑联用小剂量氯氮平进行治疗,分别在治疗后4周、治疗后8周、12周和26周评价所有患者的PANSS总分,并记录所有患者治疗后不良反应发生状况。结果实验结果显示,实验组患者的4周评分,8周评分,12周评分,26周评分评分别为(70.61±5.8)分、(63.1±7.9)分、(50.9±6.2)分、(41.6±8.5)分,而对照组患者的各时间点评分分别为(76.23±6.1)分、(72.4±8.4)分、(63.6±9.6)分、(52.9±6.9)分,各时间点组间差异有统计学意义(t=4.275 2、5.164 1、7.115 8、6.608 9;P=0.000 0);并且实验组患者的治疗后不良反应发生率(19.51%)较对照组(14.63%)差异无统计学意义(χ~2=0.359 0,P=0.465 8)。结论将阿立哌唑联用小剂量氯氮平应用于女性难治性精神分裂症患者的治疗中,能够有效提高患者的治疗效果,改善患者的预后恢复,并且不会对患者造成额外的不良反应,具有较好的临床应用价值,值得推广使用。 展开更多
关键词 阿立哌唑 小剂量氯氮平 女性难治性精神分裂症
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产后抑郁症的相关因素分析及其与γ-氨基丁酸的相关性 被引量:1
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作者 左晓伟 张才溢 +1 位作者 杨永杰 张鹏 《中国急救复苏与灾害医学杂志》 2019年第11期1075-1078,共4页
目的探讨产后抑郁症(PPD)的高危因素及其与γ-氨基丁酸(GABA)的关系。方法徐州某三甲医院妇产科住院的足月孕妇被招募进行这项前瞻性纵向研究,分别于住院前及产后4周对产妇进行血GABA水平的检测。采用自制的基本情况量表了解产妇基本情... 目的探讨产后抑郁症(PPD)的高危因素及其与γ-氨基丁酸(GABA)的关系。方法徐州某三甲医院妇产科住院的足月孕妇被招募进行这项前瞻性纵向研究,分别于住院前及产后4周对产妇进行血GABA水平的检测。采用自制的基本情况量表了解产妇基本情况,通过爱丁堡产后抑郁量表(EPDS)将其划分为PPD组和非PPD组,分析PPD发生情况及相关影响因素。结果抑郁组13例,对照组64例。单因素方差分析结果显示,两组在经济条件、家庭关系、夫妻关系、喂养方式及新生儿疾病方面的差异具有统计学意义;进一步的多因素Logistic回归分析结果表明,家庭关系不融洽、夫妻关系差、未进行母乳喂养与产妇发生PPD有重要关系。两组产后4周GABA水平与产前比较差异均具有统计学意义,产后4周PPD组GABA水平明显高于非PPD组,两组产前的差异无统计学意义,EPDS与GABA水平呈正相关(r=0.348,P<0.05)。结论产后抑郁症由多种因素共同作用,与神经递质GABA水平的异常改变相关,早期关注产妇危险因素及提前检测产妇神经递质水平,有利于减少产后抑郁的发生。 展开更多
关键词 产后抑郁症 EPDS GABA
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Effect of 31.2T Magnetic Field on Microstructure and Performance of an Ag-45.8wt%Ni Alloy 被引量:1
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作者 ZHANG Lin HAN Ke +2 位作者 WANG En-gang zuo xiao-wei HE Ji-cheng 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2012年第S2期1063-1067,共5页
Ag/Ni Multilayers were prefabricated by Accumulative Roll-Bonding(ARB),with an average layer thickness ranging 20-100 nm.The Ag-45.8wt%Ni alloys were annealed under 31.2T high magnetic field to study its effect on mic... Ag/Ni Multilayers were prefabricated by Accumulative Roll-Bonding(ARB),with an average layer thickness ranging 20-100 nm.The Ag-45.8wt%Ni alloys were annealed under 31.2T high magnetic field to study its effect on microstructure and performance.31.2T high magnetic field significantly suppressed the coarsening of layer structure during annealing,the magnetic field parallel to the layer has a larger suppression effect.As the annealing temperature increased,the resistivity of Ag/Ni multilayers increased,and the hardness decreased.The case of perpendicular high magnetic field has the largest resistivity and the largest hardness,compared with the other two cases.The hysteresis loops shows that Ag-Ni has a hard ferromagnetic property.The case of parallel magnetic field has the largest coercivity about 90Gs. 展开更多
关键词 Ag-Ni high magnetic field ANNEALING MICROSTRUCTURE RESISTIVITY HARDNESS hysteresis loops
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Effect of Electromagnetic Stirring on the Distribution of Nb Phase in Cu-5wt%Nb Alloys 被引量:1
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作者 ZHANG Xing-wu ZHANG Lin +3 位作者 CHEN Shao-guang zuo xiao-wei WANG En-gang HE Ji-cheng 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2012年第S2期830-833,共4页
The effect of electromagnetic stirring(EMS)on the distribution of Nb particles in solidified microstructure of a Cu-5wt%Nb alloy were studied.In this paper,we have Cu-5wt%Nb alloy remelted and solidified with or witho... The effect of electromagnetic stirring(EMS)on the distribution of Nb particles in solidified microstructure of a Cu-5wt%Nb alloy were studied.In this paper,we have Cu-5wt%Nb alloy remelted and solidified with or without electromagnetic stirring,to study the effect of EMS on the distribution of Nb phase and the hardness of ingots.The 300A/16Hz EMS has refined the mircostrucrure of Cu-5%Nb alloy,with smaller particles sizes and larger amounts,and is benefit to the homogenous distribution of particles.The fitted lognormal distribution of particles diameter that in case without or with EMS are compared,and the EMS case has the highest frequency percentage in the range of smaller size. EMS considerably increased the hardness of Cu-5%Nb alloy ingot. 展开更多
关键词 magnetic field CU-NB SOLIDIFICATION CONDUCTIVITY ultimate tensile strength
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Effect of High Magnetic Field on Solidified Structure and Properties of Cu-Cr In Situ Composite
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作者 WANG Wen-bin WANG En-gang +2 位作者 ZHANG Lin zuo xiao-wei HE Ji-cheng 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2012年第S2期821-825,共5页
The microstructure of ripening processed Cu-15%Cr alloys and deformed samples were examined under a 12T high magnetic field.The high magnetic field has accelerated the Ostwald Ripening process of Cr phase,the Cr-rich ... The microstructure of ripening processed Cu-15%Cr alloys and deformed samples were examined under a 12T high magnetic field.The high magnetic field has accelerated the Ostwald Ripening process of Cr phase,the Cr-rich particles in 12T HMF case are coarser compared with 0T case.The 12T high magnetic field increased the peak strength of Cu(111)crystal plane and Cr(110)crystal plane,and appeared to has an orientation effect.Compared with the 0T case, the 12T high magnetic field case decreased the tensile strength and hardness. 展开更多
关键词 Cu-Cr alloy high magnetic field SOLIDIFICATION in situ deformation STRENGTH CONDUCTIVITY HARDNESS
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Large Magnetostriction of Fe-Ga Alloys by Solidification With a Static Magnetic Field
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作者 zuo xiao-wei WANG En-gang +1 位作者 ZHANG Lin HE Ji-cheng 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2012年第S1期406-409,共4页
A simple but effective process to fabricate the bulk and practical Fe-Ga alloys at low fields is proposed just by applying a static magnetic field to their solidification process.We have introduced a static 1-T magnet... A simple but effective process to fabricate the bulk and practical Fe-Ga alloys at low fields is proposed just by applying a static magnetic field to their solidification process.We have introduced a static 1-T magnetic field to solidify the Fe-17%Ga alloys.The results indicate that the magnetostriction of a polycrystalline textured Fe-17%Ga alloy is increased about threefold by solidifying with a 1-T magnetic field compared to that without a magnetic field.This large magnetostiction could be attributed to the increasing volume fraction and the strong texture of the disordered α-Fe phases. The systematic analysis shows that they are originated from the undercooling and orientation effects induced by the imposed magnetic field during the solidification process. 展开更多
关键词 Fe-Ga alloys magnetic field MAGNETOSTRICTION SOLIDIFICATION magnetic materials MICROSTRUCTURE
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Effect of Magnetic Field on Solidification Microstructure of Cu-20wt%Nb Alloys and Properties of the In-Situ Deformed Wires
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作者 ZHANG Lin WANG Wen-bin +3 位作者 WANG En-gang zuo xiao-wei LI Zhuang HE Ji-cheng 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2012年第S1期331-334,共4页
Magnetic field has great impact on the second phase distribution in metal solidification process.In this paper, we have Cu-20wt%Nb alloy remelted and solidified with or without the imposition of magnetic field,to stud... Magnetic field has great impact on the second phase distribution in metal solidification process.In this paper, we have Cu-20wt%Nb alloy remelted and solidified with or without the imposition of magnetic field,to study the effect of magnetic field on the distribution of Nb phase and the properties of deformed wires.Magnetic field has an inhibiting effect on the ripening process of Nb particles,and is benefit to the prolongation of Nb-rich phase in deformed wires.Both the ultimate tensile strength and conductivity in 1 T case is larger than that in 0 T case. 展开更多
关键词 magnetic field CU-NB SOLIDIFICATION CONDUCTIVITY ultimate tensile strength
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Microstructure of Cu-6%Ag Alloys Solidified With Different EMS and Their Drawn Properties
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作者 SHANG Xue WANG En-gang +3 位作者 zuo xiao-wei ZHAO Cong-cong ZHANG Lin HE Ji-cheng 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2012年第S1期430-433,共4页
The effects of different electromagnetic stirring currents on the microstructures of Cu-6%Ag alloys by applying electromagnetic stirring during solidification process are investigated experimentally.The results show t... The effects of different electromagnetic stirring currents on the microstructures of Cu-6%Ag alloys by applying electromagnetic stirring during solidification process are investigated experimentally.The results show that with increasing stirring current,the macro-microstructural grains of the Cu-Ag alloys are refined gradually and evenly distributed.The observation on the microstructure indicates that the primary Cu dendrites become shorter and thicker,and the secondary dendrites are underdeveloped with small-sized equiaxed dendrites with increasing current.Cu-6%Ag alloys solidified with electromagnetic stirring are drawn to the composite wires with different drawing ratios.The results show that their microstructures are refined along the drawing direction when the stirring current increases from 100 A to 200 A. As the current increases to 350 A,the microstructure is not changed obviously.Correspondingly,the tensile strength of Cu-6%Ag alloys increases and the conductivity reduces with increasing drawing rate.Cu-6%Ag alloys could get the better strength with stirring current of 200 A,which is consistent with the microstructural results. 展开更多
关键词 Cu-Ag alloy electromagnetic stirring MICROSTRUCTURE STRENGTH CONDUCTIVITY
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Solidification Structure of Cu-Fe Alloy under a Rotary Electromagnetic Stirrer
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作者 QU Lei WANG En-gang +2 位作者 zuo xiao-wei ZHANG Lin HE Ji-cheng 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2012年第S1期351-354,共4页
The effect of rotary electromagnetic stirring(EMS)on the Cu grain size and Fe dendrites is investigated in this paper,in order to get a Cu-Fe alloy ingot with good quality.The macro-and micro-structures are observed b... The effect of rotary electromagnetic stirring(EMS)on the Cu grain size and Fe dendrites is investigated in this paper,in order to get a Cu-Fe alloy ingot with good quality.The macro-and micro-structures are observed by Leica-DMR optical microscope.The solidification structures of Cu-2 and 8wt.%Fe consist with finer equiaxed grains. The Cu grain size is most sensitive to the Fe content.EMS can't effectively improve the grain size for the Cu-Fe alloy. For ingot cooled without EMS,there are also many large Fe-rich particles distribute in the Cu-matrix,beside the Fe dendrites,because of the existence of metastable miscibility gap in the undercooled liquid state.And the Fe-rich phases are not found in the ingots with EMS,indicating the EMS can affect the undercooling of the liquid and further restrain the liquid phase separation.Under the EMS,the Fe dendrites break up into many smaller Fe fragments.And the size of Fe fragments decreases with the increasing stirring current. 展开更多
关键词 Cu-Fe alloy rotary electromagnetic stirring grain size Fe dendrites
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Effect of Electromagnetic Stirring on Fine Grain Formation and Tensile Property Improvement for Fe-Ni Superalloy
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作者 JIA Peng LU Hui +2 位作者 zuo xiao-wei WANG En-gang HE Ji-cheng 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2012年第S1期369-372,共4页
Due to its excellent creep rupture strength and low cost,superalloy GH2984 has becoming a promising material to be used as heat exchanger in the prospective 700 oC fossil power plant.The mechanical strength,which is a... Due to its excellent creep rupture strength and low cost,superalloy GH2984 has becoming a promising material to be used as heat exchanger in the prospective 700 oC fossil power plant.The mechanical strength,which is a particularly important indicator for the superalloy,strongly depends on the grain size and crabide distribution.In current study,we have investigated the influence of a rotating magnetic field(RMF)on the solidified microstructures and tensile properties of superalloy GH2984.RMF has been applied to provide a forced convection within the solidifying melt.The melt stirring by a sufficiently high magnetic field provides homogeneous grain size and elements distribution in the sample volume.Meanwhile,yield strength is found to be effectively enhanced for the sample solidified under magnetic field.The result has demonstrated that the RMF method on the melt solidification process shows a promising perspective for refining the grains and promoting the mechanical strength of superalloy GH2984. 展开更多
关键词 SUPERALLOY rotating magnetic field grain refinement tensile property
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Microstructure Evolution of Cu-6%Ag Alloys by Modified Unidirectional Solidification Under a Horizontal Static Magnetic Field
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作者 zuo xiao-wei ZHAO Cong-cong +2 位作者 MA Ming WANG En-gang HE Ji-cheng 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2012年第S1期248-251,共4页
The microstructure evolution of Cu dendrites in Cu-6%Ag alloys by modified unidirectional solidification under a static magnetic field has been investigated experimentally and quantitatively.The results show that the ... The microstructure evolution of Cu dendrites in Cu-6%Ag alloys by modified unidirectional solidification under a static magnetic field has been investigated experimentally and quantitatively.The results show that the proeutectic Cu dendrites are finer when they are closer to the water-cooling copper mould and the unidirectional effect is more obvious,which is attributed to the higher solidification velocity.The quantitative analysis of the microstructure indicates that with increasing external magnetic flux density,the primary arms of the proeutectic Cu dendrites are refined and along a given direction.The analysis indicates that it is both the thermoelectromagnetic convection effect by the external magnetic field and the branch effect of the dendrites. 展开更多
关键词 CU-AG unidirectional solidification microstructure evolution static magnetic field
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