目的研究Fugl-Meyer运动功能评分量表上肢部分(upper Fugl-Meyer motor function assessment,U-FMA)在脑卒中患者镜像康复治疗中的评估作用及与功能独立性评测量表(functional independence measure, FIM)的关系。方法将80例脑卒中后偏...目的研究Fugl-Meyer运动功能评分量表上肢部分(upper Fugl-Meyer motor function assessment,U-FMA)在脑卒中患者镜像康复治疗中的评估作用及与功能独立性评测量表(functional independence measure, FIM)的关系。方法将80例脑卒中后偏瘫的患者随机分为常规康复组(40例)和镜像治疗组(40例)。常规康复组给予常规康复训练,镜像治疗组在常规康复训练的基础上加用镜像疗法;疗程均为24周。治疗前及治疗8、16、24周后采用U-FMA量表评估运动功能、FIM量表评估日常独立活动能力。分析患者运动功能及日常生活活动能力改善程度,并分析两者间的相关性。结果两组治疗8周、16周、24周后,与治疗前U-FMA评分、FIM评分相比,差异有统计学意义(P<0.05)。两组U-FMA评分、FIM评分相比,差异有统计学意义(P<0.05)。相关性分析显示,U-FMA评分与FIM评分呈正相关。结论镜像治疗能够提高脑卒中偏瘫患者上肢运动功能,改善日常生活活动能力。U-FMA量表、FIM量表均能较好反映卒中患者康复后上肢运动功能、日常生活能力改善程度,两者具有良好的相关性。展开更多
The deep and confined Maastrichtian aquifer contains considerable groundwater resources. It stretches over nearly 200,000 km2, from the northern part of Mauritania to the South of Guinea Bissau where it becomes shallo...The deep and confined Maastrichtian aquifer contains considerable groundwater resources. It stretches over nearly 200,000 km2, from the northern part of Mauritania to the South of Guinea Bissau where it becomes shallow. The reservoir is composed mainly of coarse sands and sandstone interbedded with some clay units. The aquifer provides 40% of the total drinking water extracted from the different aquifers and nearly 800 wells equally distributed operate only in the top 50 m of the aquifer. Despite the importance of these resources for providing water in the rural and urban areas, the aquifer characteristics are not well defined. The present paper aims to define first the physical and chemical characteristics of the Maastrichtian aquifer. The reserve of the aquifer initially estimated at 350 billion m3, is reassessed using new data providing from cross sections realized as part of our research, through the Water Sectorial Project of the Ministry of Hydraulics. Data from oil wells and geophysical logging are used to investigate the geometry of the aquifer and the position of the fresh/salty water interface. The highest thickness of the aquifer is between 200 to 400 m and salty water is present below the fresh groundwater in the west side of the aquifer. In the Eastern side, potable water lies directly above the basement. The thickness of the aquifer increases from the west to the center, and then decreases towards the shallow basement rock in the South East. The average thickness is 250 m. Chemical data coming from pumping wells indicate high chloride (250 - 1600 mg/l) and fluoride content (1 - 5.5 mg/l). Therefore, the reassessment has to take into account the chemical aspect of the water.展开更多
目的:观察脏腑图点穴疗法联合康复训练治疗缺血性脑卒中肢体功能障碍的临床疗效。方法:将70例缺血性脑卒患者按1∶1的比例分为两组,每组35例。对照组于患者生命体征稳定后进行康复训练,45 min/次,6次/周;治疗组先给予康复训练,方法同对...目的:观察脏腑图点穴疗法联合康复训练治疗缺血性脑卒中肢体功能障碍的临床疗效。方法:将70例缺血性脑卒患者按1∶1的比例分为两组,每组35例。对照组于患者生命体征稳定后进行康复训练,45 min/次,6次/周;治疗组先给予康复训练,方法同对照组,待康复训练结束后给予脏腑图点穴法,90 min/次,6次/周。两组均治疗3周判定疗效,观察治疗前后Fugl-Meyer评定量表(Fugl-Meyerassessment,FMA)、美国国立卫生研究院卒中量表(National Institutes of Health stroke scale,NIHSS)、Barthel指数评分。结果:治疗后,治疗组上肢、下肢FMA评分高于对照组(P<0.01),NIHSS评分低于对照组(P<0.01),Barthel指数评分高于对照组(P<0.01)。结论:脏腑图点穴法联合康复训练治疗缺血性脑卒中肢体功能障碍可改善患者肢体运动功能,减轻神经缺损程度,提高日常生活活动能力。展开更多
文摘目的研究Fugl-Meyer运动功能评分量表上肢部分(upper Fugl-Meyer motor function assessment,U-FMA)在脑卒中患者镜像康复治疗中的评估作用及与功能独立性评测量表(functional independence measure, FIM)的关系。方法将80例脑卒中后偏瘫的患者随机分为常规康复组(40例)和镜像治疗组(40例)。常规康复组给予常规康复训练,镜像治疗组在常规康复训练的基础上加用镜像疗法;疗程均为24周。治疗前及治疗8、16、24周后采用U-FMA量表评估运动功能、FIM量表评估日常独立活动能力。分析患者运动功能及日常生活活动能力改善程度,并分析两者间的相关性。结果两组治疗8周、16周、24周后,与治疗前U-FMA评分、FIM评分相比,差异有统计学意义(P<0.05)。两组U-FMA评分、FIM评分相比,差异有统计学意义(P<0.05)。相关性分析显示,U-FMA评分与FIM评分呈正相关。结论镜像治疗能够提高脑卒中偏瘫患者上肢运动功能,改善日常生活活动能力。U-FMA量表、FIM量表均能较好反映卒中患者康复后上肢运动功能、日常生活能力改善程度,两者具有良好的相关性。
文摘The deep and confined Maastrichtian aquifer contains considerable groundwater resources. It stretches over nearly 200,000 km2, from the northern part of Mauritania to the South of Guinea Bissau where it becomes shallow. The reservoir is composed mainly of coarse sands and sandstone interbedded with some clay units. The aquifer provides 40% of the total drinking water extracted from the different aquifers and nearly 800 wells equally distributed operate only in the top 50 m of the aquifer. Despite the importance of these resources for providing water in the rural and urban areas, the aquifer characteristics are not well defined. The present paper aims to define first the physical and chemical characteristics of the Maastrichtian aquifer. The reserve of the aquifer initially estimated at 350 billion m3, is reassessed using new data providing from cross sections realized as part of our research, through the Water Sectorial Project of the Ministry of Hydraulics. Data from oil wells and geophysical logging are used to investigate the geometry of the aquifer and the position of the fresh/salty water interface. The highest thickness of the aquifer is between 200 to 400 m and salty water is present below the fresh groundwater in the west side of the aquifer. In the Eastern side, potable water lies directly above the basement. The thickness of the aquifer increases from the west to the center, and then decreases towards the shallow basement rock in the South East. The average thickness is 250 m. Chemical data coming from pumping wells indicate high chloride (250 - 1600 mg/l) and fluoride content (1 - 5.5 mg/l). Therefore, the reassessment has to take into account the chemical aspect of the water.
文摘目的:观察脏腑图点穴疗法联合康复训练治疗缺血性脑卒中肢体功能障碍的临床疗效。方法:将70例缺血性脑卒患者按1∶1的比例分为两组,每组35例。对照组于患者生命体征稳定后进行康复训练,45 min/次,6次/周;治疗组先给予康复训练,方法同对照组,待康复训练结束后给予脏腑图点穴法,90 min/次,6次/周。两组均治疗3周判定疗效,观察治疗前后Fugl-Meyer评定量表(Fugl-Meyerassessment,FMA)、美国国立卫生研究院卒中量表(National Institutes of Health stroke scale,NIHSS)、Barthel指数评分。结果:治疗后,治疗组上肢、下肢FMA评分高于对照组(P<0.01),NIHSS评分低于对照组(P<0.01),Barthel指数评分高于对照组(P<0.01)。结论:脏腑图点穴法联合康复训练治疗缺血性脑卒中肢体功能障碍可改善患者肢体运动功能,减轻神经缺损程度,提高日常生活活动能力。
