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External Application of Herbal Medicine to Acupoints 被引量:8
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作者 杨继国 徐红 王惠珠 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2008年第1期21-23,共3页
Application of herbal medicine to acupoints is to regulate the meridians, yin-yang, and qi and blood for preventing and treating diseases through the pharmacological action of herbal medicines and with their stimulati... Application of herbal medicine to acupoints is to regulate the meridians, yin-yang, and qi and blood for preventing and treating diseases through the pharmacological action of herbal medicines and with their stimulation to the acupoints. This article explains how to apply herbal medicines and gave the examples for the treatment of hypertension, asthma, chronic bronchitis and allergic rhinitis. Application of herbal medicines to acupoints is one of the important components of TCM, which shows satisfactory effects in treatment of some chronic diseases. 展开更多
关键词 Medicine Herbal external application NOS therapeutic aspects
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Kinematic improvement after the external-application herbs combine rehabilitation in upper-limb spasticity due to stroke 被引量:2
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作者 Xiao Ding Zhen-Yao Wang +3 位作者 Hu Zhang Xin-wei Wang Wei-Hao Fang Da-Wei Zhan 《TMR Non-Drug Therapy》 2019年第2期48-54,共7页
Background: Spasm is one of the most serious physical impairment after stroke. the external-application herbs have showed some effects on the spasm. This study was conducted to evaluate the comparative effectiveness o... Background: Spasm is one of the most serious physical impairment after stroke. the external-application herbs have showed some effects on the spasm. This study was conducted to evaluate the comparative effectiveness of the external-application herbs and physical therapy in upper limb spasticity after stroke. Methods: A total of 100 patients with upper limb spasm after stroke (stroke time less than 1 month), have been recruited in Shun-yi Hospital of Beijing Traditional Chinese Medicine Hospital. Patients will be randomly allotted to one of two groups (N = 50, respectively): the TCM external application group, and the usual rehab (conventional physical therapy and medication treatment) group. The two groups will be administered once a month for three months. The primary outcome will be Modified Athworth Scale (MAS) and the simplified scale (Fugl-Meyer assessment, FMA) for upper limb. Results: Muscle tension and motor function were evaluated before and 4 weeks after treatments. There was a significant improvement in muscle tension and motor function in patients with stroke after the external-application herbs and physical therapy (P < 0.05). Conclusion: There was a significant improvement in kinematics in patients with stroke. 展开更多
关键词 external applicATION of Chinese HERBS TCM Anti-spastic Position UPPER LIMB
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External application of a Nocardia rubra cell wall skeleton in the treatment of diabetic foot ulcers 被引量:2
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作者 Caiqi Shen Wuhan Wei +6 位作者 Aijun Zhang Changbo Tao Xueyang Li Yanping Guo Hanxiao Wei Qiang Li Peisheng Jin 《Chinese Journal of Plastic and Reconstructive Surgery》 2022年第1期17-19,共3页
Diabetic foot ulcers are one of the most severe complications of diabetes that have imposed great financial and psychological burdens on diabetic patients.A Nocardia rubra cell wall skeleton(Nr-CWS)can be externally a... Diabetic foot ulcers are one of the most severe complications of diabetes that have imposed great financial and psychological burdens on diabetic patients.A Nocardia rubra cell wall skeleton(Nr-CWS)can be externally applied to accelerate wound healing.However,its clinical application has not yet been reported.Herein,we report two patients with diabetic foot ulcers treated with Nr-CWS.After wound debridement,the wound was covered with a sterile cotton ball infiltrated with an Nr-CWS that was diluted with 2.0 mL of saline.The covers were changed every two days until complete wound healing occurred.The two wounds healed after 3 and 12 weeks,respectively.This article aims to provide a new treatment for diabetic foot ulcers,with the hope that physicians may consider an Nr-CWS as a complementary method for the treatment of chronic wounds. 展开更多
关键词 Diabetic foot ulcer Nocardia rubra cell wall skeleton external application Wound healing
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The research progress in external application of physic liquor exosmosis in mannitol intravenous infusion
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作者 YUAN Yuan XU Huiwen +2 位作者 AKIO Kitayama EN Takashi LIANG Jingyan 《中西医结合护理(中英文)》 2019年第8期240-244,共5页
Mannitol is the first choice of clinical dehydrating agent, which can alleviate brain edema and reduce intracranial pressure. As a hypertonic solution, it has strong vascular irritation. Moreover, fast infusion speed ... Mannitol is the first choice of clinical dehydrating agent, which can alleviate brain edema and reduce intracranial pressure. As a hypertonic solution, it has strong vascular irritation. Moreover, fast infusion speed is required, which can be related to pain, physic liquor exomosis and some other side effects. Regarding of the physic liquor exosmosis in mannitol intravenous infusion, this paper reviewed the research progress of different external application treatment, and provided references for clinical treatment of physic liquor exosmosis in mannitol intravenous infusion. 展开更多
关键词 MANNITOL INTRAVENOUS INFUSION PHYSIC LIQUOR exosmosis external application
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Application of external treatment of traditional Chinese medicine in the treatment of cancer-related fatigue
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作者 Ting Yu Jin-Lin Wu +1 位作者 Jia Wang Dong-Xin Tang 《TMR Integrative Medicine》 2020年第1期1-6,共6页
External treatment of traditional Chinese medicine(TCM),also known as external treatment of internal diseases,has many advantages,such as simple,easy to operate,cost-effective and so on.Therefore,external treatment of... External treatment of traditional Chinese medicine(TCM),also known as external treatment of internal diseases,has many advantages,such as simple,easy to operate,cost-effective and so on.Therefore,external treatment of TCM is favored by the majority of medical workers.By consulting the domestic literature reports on the treatment of cancer-related fatigue(CRF),it is found that the external treatment of TCM has a significant effect on the intervention of CRF,and has a good effect on reducing fatigue,improving the quality of life and prolonging the survival time.The purpose of this paper is to summarize the application of several external treatments in this disease,and to provide a variety of references for clinical treatment of CRF. 展开更多
关键词 external treatment of traditional Chinese medicine Cancer-related fatigue Clinical application Traditional Chinese medicine
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STUDY AND APPLICATION ABOUT COMPUTED SYSTEM FOR EXTERNAL CARDIAC MASSAGE, MONITOR OF HEART AND BODY TEMPERATURE
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作者 LIU Mingshun WU Wensheng +1 位作者 MENG Fanhang ZHU Shouzeng 《现代电生理学杂志》 2006年第1期26-27,共2页
Objective:To make and study computed system for external cardiac massage,monitor of heart and body temperature and observe its clinical effect.Method:The system was made and applied.Result:The effect of system was obv... Objective:To make and study computed system for external cardiac massage,monitor of heart and body temperature and observe its clinical effect.Method:The system was made and applied.Result:The effect of system was obvious.Conclusion: The system was an effective clinical equipment in treatment of patient with cardiac arrest. 展开更多
关键词 computed system for external cardiac massage monitor of heart and body temperature STUDY clinical application
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Effect of Infrared Irradiation Combined with External Application Nursing on Maintenance of Vascular Access in Hemodialysis Patients
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作者 Qi Liu 《Journal of Clinical and Nursing Research》 2021年第2期46-49,共4页
Objective:This paper mainly analyzes the effect of infrared radiation combined with external application nursing on maintenance of vascular access in hemodialysis patients.Methods:A total of 150 hemodialysis patients ... Objective:This paper mainly analyzes the effect of infrared radiation combined with external application nursing on maintenance of vascular access in hemodialysis patients.Methods:A total of 150 hemodialysis patients in our hospital from December 2019 to September 2020 were divided into the conventional group and the study group,75 cases in each group.The conventional group was given external application nursing alone,and the study group was given infrared radiation combined with external application nursing,and the effect on the maintenance of vascular access was counted.Results:After the intervention,the indexes of URR,kt/V and human albumin in the study group were higher than those in the routine group,and the indexes of β2-mg and MIS in the study group were lower than those in the routine group,P<0.05;The improvement of vascular elasticity and quality of life in the study group was higher than that in the conventional group,and the incidence of complications was lower than that in the conventional group,P<0.05.Conclusion:Infrared radiation combined with external application of nursing care in hemodialysis patients with vascular access maintenance effect is significant,can effectively improve vascular elasticity. 展开更多
关键词 Infrared radiation external application nursing HEMODIALYSIS Vascular access maintenance
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STUDY ON COMPUETD APPARATUS FOR EXTERNAL CARDIAC MASSAGE AND ITS CLINICAL APPLICATION
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作者 LIUMingshun ZHUShouzeng 《现代电生理学杂志》 2002年第3期111-111,共1页
为了帮助提高读者和作者的英文水平和进行国际交流,自本期开始,将每期刊登1~2篇英文稿,供同志们参考。
关键词 心脏 体外人工信息 计算机评估 临床应用
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TCD无创监测颅脑外伤患者ICP变化的临床价值探讨 被引量:7
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作者 邓超 孙晓川 《重庆医科大学学报》 CAS CSCD 北大核心 2009年第7期938-942,共5页
目的:通过对颅脑外伤患者的颅内压(Intracranial pressure,ICP)和经颅多普勒(Transcranial doppler ultrasonography,TCD)监测结果进行对比分析,以进一步评估TCD无创监测ICP的临床应用价值。方法:对进行手术治疗的32名脑外伤患者行持续... 目的:通过对颅脑外伤患者的颅内压(Intracranial pressure,ICP)和经颅多普勒(Transcranial doppler ultrasonography,TCD)监测结果进行对比分析,以进一步评估TCD无创监测ICP的临床应用价值。方法:对进行手术治疗的32名脑外伤患者行持续床旁ICP监测,术后次日采用经颅多普勒超声床旁检测患侧大脑中动脉的频谱图像及各参数并记录即时的颅内压值,按颅内压进行分组,将颅内压增高的各组的TCD频谱图像和参数与颅内压正常组进行比较分析。结果:(1)频谱图像:颅内压轻度增高组的频谱图像和颅内压正常组无明显差别,在颅内压中度增高组中有D峰前切迹加深现象,颅内压重度增高组中有S2峰消失和"单尖峰"出现,舒张期血流下降明显。(2)TCD参数:随着ICP增高,Vs、Vd和Vm均逐渐下降,以Vd下降最明显,而PI和RI则逐渐升高。结论:TCD进行无创的颅内压监测有一定的临床应用价值,对颅脑外伤患者在颅内压增高明显时能有提示,但不能在颅内压增高的早期作出明确的提示,对颅内压增高的判断频谱图像优于参数。 展开更多
关键词 颅内压 经颅多普勒 颅脑外伤 临床应用
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浅析客车运行安全监控系统(TCDS)的应用 被引量:1
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作者 董本平 《铁道车辆》 北大核心 2006年第11期33-35,共3页
通过客车运行安全监控系统(TCDS)的实际应用情况,对25T型客车的轮对动平衡值等超限产生的危害进行了分析。
关键词 客车运行安全监控系(tcdS) 检测 应用
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TCD在老年人椎基底动脉缺血检查中的应用价值分析
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作者 王艳 王姗 《中国医药科学》 2012年第8期69-69,75,共2页
目的总结和分析TCD在老年人椎基底动脉缺血检查中的应用情况,并对其临床应用价值进行探讨。方法对于收治的椎基底动脉缺血的老年患者150例,应用TCD技术检测脑血管血流。选取50例正常健康者作为对照,将两者进行比较,观察VBI患者脑血流变... 目的总结和分析TCD在老年人椎基底动脉缺血检查中的应用情况,并对其临床应用价值进行探讨。方法对于收治的椎基底动脉缺血的老年患者150例,应用TCD技术检测脑血管血流。选取50例正常健康者作为对照,将两者进行比较,观察VBI患者脑血流变化情况。结果 TCD能够准确检测出LVA、RVA和BA血流峰速度及脑血管血流异常情况。结论 TCD观测结果能反映VBI的变化情况,可以用于临床VBI的诊断及疗效观察。 展开更多
关键词 tcd 椎基底动脉缺血 老年人 应用价值
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TCDS铁路客车运行安全监控系统运用探讨 被引量:1
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作者 李彤 《铁道机车车辆》 2006年第6期46-49,共4页
介绍了车辆段通过TCDS的车载子系统、地面分析子系统发现、排除了25T型客车制动、转向架系统等重大故障的案例,并总结、扩展了TCDS在车辆段的具体使用方法,最后提出了TCDS使用中的体会和建议。
关键词 tcdS的应用 制动系统监测 转向架系统监测
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Advances in the treatment of peptic ulcer by acupoint application therapy
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作者 Guo-Ying Liang Yu-Jie Xi +2 位作者 Hui Li Yi Ding Hong-Bo Cai 《Journal of Hainan Medical University》 2021年第21期69-74,共6页
Acupoint application therapy is a convenient,effective and with few side effects traditional Chinese medicine external treatment method.It’s dual effects of drug absorption and acupoint stimulation show unique advant... Acupoint application therapy is a convenient,effective and with few side effects traditional Chinese medicine external treatment method.It’s dual effects of drug absorption and acupoint stimulation show unique advantages in the clinical treatment of peptic ulcer(PU).This paper summarized its research progress in terms of its medication,acupoint selection and the synergistic application.It’s clear that acupoint application has a positive effect in the treatment of PU and it can better improve the clinical symptoms of epigastric pain in patients with PU,so as to provide new ideas for further exploration of its research direction and demonstration of its efficacy. 展开更多
关键词 Peptic ulcer Epigastric pain Acupoint application external treatment
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Setup and application of a structural seismic hybrid simulation system on local area network
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作者 王大鹏 《Journal of Chongqing University》 CAS 2012年第3期103-111,共9页
To implement structural hybrid simulation independent of the control system of any testing equipment in civil engineering, an external command control approach is put forward. Several setup technologies and the corres... To implement structural hybrid simulation independent of the control system of any testing equipment in civil engineering, an external command control approach is put forward. Several setup technologies and the corresponding API approaches are investigated to simultaneously combine numerical simulation with physical testing. Hybrid program technology is put forward and described in detail, using Visual C++ program to effectively and accurately control testing equipment and MATLAB program to implement numerical simulation with easy extension. The control program of testing equipment and numerical simulation program are integrated by calling MATLAB engine in Visual C++. A hybrid simulation about a full-scale six-story masonry structure is carried out. The testing results manifest that the external command control approach has the versatility because of simple hardware connection and control program independent on control software of testing equipment; powerful program function of Visual C++ and flexible program of MATLAB are integrated by hybrid program technology; hybrid simulation system provides a realistic and cost-effective testing platform that enables earthquake engineer researchers to accurately and efficiently capture the seismic performance of large or complex structures without having to carry out physical testing of the entire structure. 展开更多
关键词 hybrid simulation external command control application program interface hybrid program control structural seismic testing
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中国锂矿的多旋回深循环内外生一体化成矿理论及其找矿应用 被引量:1
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作者 王登红 代鸿章 +9 位作者 刘善宝 王成辉 李建康 李鹏 陈郑辉 于扬 秦锦华 孙艳 娄德波 姚佛军 《地质学报》 EI CAS CSCD 北大核心 2024年第3期889-897,共9页
中国锂资源的分布具有卤水型与硬岩型相伴相随、若即若离的特点。“多旋回深循环内外生一体化”成锂理论,在多年三稀金属矿产找矿实践和理论研究的基础上不断丰富完善。中国锂矿的形成与“多旋回”构造运动密切相关,从前寒武纪到新生代... 中国锂资源的分布具有卤水型与硬岩型相伴相随、若即若离的特点。“多旋回深循环内外生一体化”成锂理论,在多年三稀金属矿产找矿实践和理论研究的基础上不断丰富完善。中国锂矿的形成与“多旋回”构造运动密切相关,从前寒武纪到新生代均有成矿潜力,可构成一个完整的多旋回成矿谱系。锂的“深循环”,一是锂深度参与成岩成矿的物质循环;二是需要一个“圈闭”的构造背景将锂“捕获”以避免其过度分散,锂从开始加入到岩浆与最终定位的深度之差,是硬岩型锂矿成矿的关键之一,压差越大越有利于伟晶岩型锂矿的形成。大量锂矿实例显示锂的物质循环是“内外生一体化”的统一过程,高海拔地区(山上)的含锂地质体(花岗岩类甚至直接就是含锂矿床)经风化剥蚀之后,可能成为沉积型锂矿的物质来源之一;而富含锂的沉积岩经过埋藏、变质、深熔也可以形成含锂的岩浆岩、伟晶岩。我国西部塔里木盆地、四川盆地、扎布耶盆地及东部的江汉盆地、吉泰盆地、周田盆地等大小不一的盆地均含锂,而其周边造山带中也不同程度发育硬岩型锂矿,这就为区域找矿指明了方向。“多旋回深循环内外生一体化”成锂理论是三稀矿产成矿理论的重要组成部分,为我国锂矿找矿工作提供了指导和借鉴,在甲基卡、可尔因、阿尔金、幕阜山等锂矿矿集区的找矿实践中发挥了积极作用。 展开更多
关键词 锂矿 构造运动 “多旋回深循环内外生一体化”成矿理论 找矿应用
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Treatment of 70 Cases of Shoulder Periarthritis by Puncturing “Taijian Acupoint” plus External Application of Chinese Medicine 被引量:1
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作者 王占慧 《Journal of Acupuncture and Tuina Science》 2005年第5期39-40,共2页
The doctor used gauze with Semen Sinapis ( 白芥了) mastic to scrape emphatically on pro-shoulder, post- shoulder and deltoid muscle. After the skin became red, the shoulder was massaged for 5-10 min. When the patien... The doctor used gauze with Semen Sinapis ( 白芥了) mastic to scrape emphatically on pro-shoulder, post- shoulder and deltoid muscle. After the skin became red, the shoulder was massaged for 5-10 min. When the patient was asked to abduce the upper arm 30°-45°, Taijian- raising shoulder acupoint was selected. The needle 0.5-1 mm in diameter and 90-100 mm in length was inserted vertically from down to up till touching bone. After backed off slightly, the needle was twisted a little. The patient was asked to raise shoulder when the needle was twisted. The needle was stopped twisting after the arm was raised overhead. Seventy patients with shoulder periarthritis were treated by this method. The result showed that pain disappeared and the function of shoulder recovered to normal in 35 cases, pain alleviated obviously and the function of shoulder improved distinctly in 25 cases, pain alleviated and the function of shoulder improved slightly in 8 cases and pain didn't alleviated and the function of shoulder didn't improved distinctly in 2 cases. 展开更多
关键词 Acupuncture Therapy Shoulder Joint external applications (tcd Inflammation
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中药外敷联合复合超声关节治疗仪治疗膝骨关节炎的临床效果 被引量:1
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作者 武文渊 冯树豆 +1 位作者 黄磊 张克清 《河南医学研究》 CAS 2024年第5期901-905,共5页
目的探究中药外敷联合复合超声关节治疗仪在膝骨关节炎(KOA)中的应用效果。方法选取2022年8月至2023年8月就诊于安阳市中医院的99例KOA患者为研究对象,随机分为3组,每组33例。超声组接受超声关节治疗仪治疗,中药组接受中药外敷治疗,联... 目的探究中药外敷联合复合超声关节治疗仪在膝骨关节炎(KOA)中的应用效果。方法选取2022年8月至2023年8月就诊于安阳市中医院的99例KOA患者为研究对象,随机分为3组,每组33例。超声组接受超声关节治疗仪治疗,中药组接受中药外敷治疗,联合组接受中药外敷联合超声关节治疗仪治疗。对比3组疗效及治疗前后西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、视觉模拟评分法(VAS)、奎森功能演算(Lequesne)指数评分、成纤维细胞生长因子2(FGF-2)、Ⅰ型胶原C-末端肽(CTX-I)、软骨寡聚基质蛋白(COMP)及不良反应。结果联合组总有效率[93.94%(31/33)]高于超声组[75.76%(25/33)]、中药组[72.73%(24/33)](P<0.05),超声组与中药组总有效率对比,差异无统计学意义(P>0.05);治疗3个疗程后联合组FGF-2高于超声组、中药组,CTX-1、COMP、Lequesne、WOMAC评分低于超声组、中药组(P<0.05),超声组、中药组组间对比,差异无统计学意义(P>0.05);治疗3个疗程后联合组静态、动态VAS评分<中药组<超声组(P<0.05);治疗期间3组均未出现不良反应。结论中药外敷与复合超声关节治疗仪联合治疗KOA患者效果确切,可有效调节骨代谢指标,有助于缓解患者疼痛感,恢复膝关节功能。 展开更多
关键词 中药外敷 复合超声关节治疗仪 膝骨关节炎 骨代谢 疼痛
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基于TCD检测数据的慢病健康管理研究
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作者 巫波 官菊 《保健医学研究与实践》 2019年第6期32-34,39,共4页
目的探讨影响个体经颅多普勒超声(TCD)检出结果的因素,为防治个体颅内血管疾病和慢性非传染性疾病提供科学依据。方法采用随机整群抽样,选取2018年4月及11月内所有于成都某医院进行健康体检并接受了TCD检查的人群作为研究对象,共317人... 目的探讨影响个体经颅多普勒超声(TCD)检出结果的因素,为防治个体颅内血管疾病和慢性非传染性疾病提供科学依据。方法采用随机整群抽样,选取2018年4月及11月内所有于成都某医院进行健康体检并接受了TCD检查的人群作为研究对象,共317人。收集所有研究对象的基本信息及健康信息,并结合研究对象的TCD检出结果进行分析。结果共213例研究对象TCD检出异常,检出率为67.2%。吸烟频率与饮酒频率不同的研究对象TCD异常检出率差异均有统计学意义(P<0.05),其中饮酒频率越高的研究对象TCD异常检出率越高。TCD检出结果正常的男性研究对象的年龄、收缩压、舒张压、血糖水平、血尿酸水平和体质指数(BMI)均低于TCD检出结果为异常的男性研究对象,且差异均具有统计学意义(P<0.05);TCD检出结果为正常的女性研究对象的年龄、收缩压、舒张压、血糖水平、血尿酸水平均低于TCD检出结果为异常的女性研究对象,且差异均具有统计学意义(P<0.05)。多因素Logistic回归分析结果发现,对于男性、女性而言,血糖均是TCD检出异常的危险因素(P<0.05)。结论 TCD检查能够准确反映颅内动脉硬化等导致的血流动力学变化,能够有助于识别糖尿病和高血压高危人群,且能够对糖尿病和高血压患者的脑血管病变进行预测。 展开更多
关键词 tcd异常 影响因素 临床应用 慢性非传染疾病 脑血管病变 健康行为
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中西医结合法治疗小儿阑尾周围脓肿的疗效
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作者 刘瑜 王城 +3 位作者 周柯均 邓琳 郑蕾 蒲娟 《川北医学院学报》 CAS 2024年第6期807-810,共4页
目的:探究中西医结合法治疗小儿阑尾周围脓肿的临床疗效。方法:选取161例阑尾周围脓肿患儿作为研究对象,根据不同治疗方案分为西医组(n=82)及中西医结合组(n=79)。西医组患儿予以西医常规治疗;中西医结合组在西医组治疗的基础上应用中... 目的:探究中西医结合法治疗小儿阑尾周围脓肿的临床疗效。方法:选取161例阑尾周围脓肿患儿作为研究对象,根据不同治疗方案分为西医组(n=82)及中西医结合组(n=79)。西医组患儿予以西医常规治疗;中西医结合组在西医组治疗的基础上应用中药外敷治疗。比较两组患儿的临床疗效、不同时间点空腹静脉血中白细胞(WBC)、C-反应蛋白(CRP)及腹腔脓肿直径的变化情况。结果:中西医结合组的总体有效率为89.87%,高于西医组的71.95%(P<0.05)。治疗3、7、14 d后,两组WBC均降低,且中西医结合组低于西医组(P<0.05);治疗3、7、14 d后,两组CRP均降低,且治疗7、14 d后中西医结合组低于西医组(P<0.05)。中西医结合组腹腔脓肿直径小于西医组(P<0.05)。结论:中西医结合治疗小儿阑尾周围脓肿较常规的西医治疗更加有效,安全性高,值得在临床推广。 展开更多
关键词 儿童阑尾脓肿 中西医结合疗法 外敷
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早期应用跨关节外固定支架对胫骨平台骨折患者膝关节软组织的保护效果
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作者 齐巍 高烁 +4 位作者 左金增 王一兵 侍朋举 孙柏山 王建生 《河北医药》 CAS 2024年第12期1822-1825,共4页
目的 探讨早期应用跨关节外固定支架治疗,对Ⅵ型胫骨平台骨折患者膝关节软组织的保护效果。方法 选取2019年1月至2020年12月收治的Ⅵ型胫骨平台骨折患者122例为研究对象,以信封法进行随机分成研究组和对照组,每组61例。研究组患者给予早... 目的 探讨早期应用跨关节外固定支架治疗,对Ⅵ型胫骨平台骨折患者膝关节软组织的保护效果。方法 选取2019年1月至2020年12月收治的Ⅵ型胫骨平台骨折患者122例为研究对象,以信封法进行随机分成研究组和对照组,每组61例。研究组患者给予早期(收治12 h内)跨关节外固定支架联合内固定手术;对照组患者给予延期(收治24~72 h内)跨关节外固定支架联合内固定手术。观察和比较2组患者的手术情况指标、术后恢复指标、膝关节疗效、膝关节功能评分、膝关节软组织损伤指标。结果 研究组外固定手术时间和内固定手术时间均短于对照组,外固定术后VAS评分低于对照组,内固定术中出血少于对照组;研究组康复时间和骨折愈合时间均短于对照组,差异均有统计学意义(P<0.05);2组并发症发生率和膝关键治疗优良率比较,差异无统计学意义(P>0.05);术后,2组患者各项膝关节功能评分均降低,且研究组低于对照组,差异均有统计学意义(P<0.05);研究组外固定术后水疱发生率低于对照组,外固定术后肿胀程度小于对照组,水疱痂皮愈合时间早于对照组,差异均有统计学意义(P<0.05)。结论 与延期时机相比,给予Ⅵ型胫骨平台骨折患者早期跨关节外固定支架联合内固定手术治疗,能够缩短手术时间,提升患者骨折愈合和术后康复进程,促进患者膝关节功能和膝关节软组织损伤的恢复。 展开更多
关键词 跨关节外固定支架 早期应用 胫骨平台骨折 膝关节 软组织
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