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Bilateral pericapsular end nerve blocks for steroid-induced avascular necrosis following COVID-19 infection requiring bilateral total hip replacement
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作者 Somita Christopher Sweety Dutta Thota Venkata Sanjeev Gopal 《World Journal of Anesthesiology》 2024年第1期1-8,共8页
BACKGROUND Osteonecrosis or avascular necrosis(AVN)of the hip was one of the dreaded complications of coronavirus disease 2019(COVID-19),which emerged in patients who received steroid therapy.Corticosteroids have been... BACKGROUND Osteonecrosis or avascular necrosis(AVN)of the hip was one of the dreaded complications of coronavirus disease 2019(COVID-19),which emerged in patients who received steroid therapy.Corticosteroids have been a mainstay in the treatment protocol of COVID-19 patients.Popular corticosteroid drugs used in patients suffering from COVID-19 were intravenous(IV)or oral dexamethasone,methylprednisolone or hydrocortisone.The use of such high doses of corticost-eroids has shown very positive results and has been lifesaving in many cases.Still,long-term consequences were drug-induced diabetes,osteoporosis,Cushing syndrome,muscle wasting,peripheral fat mobilization,AVN,hirsutism,sleep disturbances and poor wound healing.A significant number of young patients were admitted for bilateral total hip replacements(THR)secondary to AVN following steroid use for COVID-19 treatment.AIM To assess the efficacy of bilateral pericapsular end nerve group(PENG)blocks in patients posted for bilateral THR post-steroid therapy after COVID-19 infection and assess the time taken to first ambulate after surgery.METHODS This prospective observational study was conducted between January 2023 and August 2023 at Care Hospitals,Hyderabad,India.Twenty young patients 30-35 years of age who underwent bilateral THR were studied after due consent over 8 months.All the patients received spinal anaesthesia for surgery and bilateral PENG blocks for postoperative analgesia.RESULTS The duration of surgery was 2.5 h on average.Seventeen out of twenty patients(85%)had a Visual Analog Score(VAS)of less than 2 and did not require any supplementation.One patient was removed from the study,as he required re-exploration.The remaining two patients had a VAS of more than 8 and received IV morphine post-operatively as a rescue analgesic drug.Fifteen out of seventeen patients(88.2%)could be mobilized 12 h after the procedure.CONCLUSION Osteonecrosis or AVN of the hip was one of the dreaded complications of COVID-19,which surfaced in patients who received steroid therapy requiring surgical intervention.Bilateral PENG block is an effective technique to provide post-operative analgesia resulting in early mobilization and enhanced recovery after surgery. 展开更多
关键词 Avascular necrosis Pericapsular end nerve group block ANALGESIA Hip replacement COVID-19 STEROIDS
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Correlation between movement of tectonicblocks and earthquakes in groups 被引量:12
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作者 范俊喜 马瑾 +1 位作者 刁桂苓 单新建 《地震学报》 CSCD 北大核心 2001年第5期514-522,共9页
The Chinese mainland is divided into some tectonic blocks by nearly NE- and EW-orientated faults. Meanwhile strong earthquakes in the Chinese mainland usually cluster in time and space. We call earthquakes in groups. ... The Chinese mainland is divided into some tectonic blocks by nearly NE- and EW-orientated faults. Meanwhile strong earthquakes in the Chinese mainland usually cluster in time and space. We call earthquakes in groups. Tectonic blocks separated by faults and earthquakes in groups are prominent features of the tectonics of the Chi-nese mainland. Correlation between movement of tectonic blocks and groups of earthquakes is discussed in this paper. The results show that earthquakes in groups often occurred at one or several block boundary faults. The released elastic strain energy is built up in the same periods and around blocks. It means that strong earthquakes in groups are mainly caused by movement of blocks. Four types of block movement are identified based ongroup earthquakes: movement along a single boundary of a block (or a combined blocks), movement of a single block, movement of multi-blocks, and movement in block interiors. If we consider distribution of all strong earthquakes occurred in the Chinese mainland, the movement along a single boundary of a block is more popular one inducing strong earthquakes. But if we only consider earthquakes in groups rather than single earthquakesthe movement of a block dominates among four modes. Statistics with respect to group earthquakes show that the Taihangshan mountain and the North China block are much active in the eastern part of Chinese mainland, and in western part of Chinese mainland the active blocks are Sichuan-Yunnan and the Kunlun-Songpan ones. 展开更多
关键词 成组地震 地块活动方式 中国大陆 地震构造 地震活动 断层
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Study on the Sr, Nd, Pb and O Isotopes of Basic Dyke Swarms in the Wudang Block and Basic Volcanics of the Yaolinghe Group 被引量:2
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作者 张成立 周鼎武 +2 位作者 金海龙 韩松 刘颖宇 《Chinese Journal Of Geochemistry》 EI CAS 2001年第3期193-200,共8页
The Sr, Nd and Pb isotopic characteristics of the Wudang basic dyke swarms and basic volcanics of the Yaolinghe Group show that they were derived from the same multi\|component mixing source in the mantle. The Wudang ... The Sr, Nd and Pb isotopic characteristics of the Wudang basic dyke swarms and basic volcanics of the Yaolinghe Group show that they were derived from the same multi\|component mixing source in the mantle. The Wudang basic dyke swarms have (\{\}\+\{87\}Sr/\{\}\+\{86\}Sr)\-i=\{0.6905\}~\{0.7061\}, ε\-\{Nd\}(t)=\{-1.9\}~\{5.0\}, Δ\{\}\+\{208\}Pb/\+\{204\}Pb=\{35.49\}~\{190.26\}, Δ\{\}\+\{207\}Pb/\{\}\+\{204\}Pb=4~85, low Th/Ta and a wide range of La/Yb ratios; and the basic volcanics of the Yaolinghe Group have (\{\}\+\{87\}Sr/\{\}\+\{86\}Sr)\-i=\{0.6487\}~\{0.7075\}, ε\-\{Nd\}(t)=\{0.11\}~\{3.94\}, Δ\{\}\+\{208\}Pb/\{\}\+\{204\}Pb=\{-81.58\}~\{219.95\}, Δ\{\}\+\{207\}Pb/\{\}\+\{204\}Pb=\{4.44\}~\{16.68\} and higher Th/Ta and La/Yb ratios, indicating that their source is a mixture of DM and EMII, and the basic volcanics of the Yaolinghe Group were contaminated by crust materials en rout to the surface. Based on the geochemical features of continental tholeiitic basalts and being products of different facies derived from the same source, it can be concluded that an important rifting event in the South Qinling basement block occurred during Neoproterozoic, followed by a setting of oceanic basin in the Early Paleozoic. 展开更多
关键词 锶同位素 钕同位素 铅同位素 氧同位素 原生代克拉通 秦岭造山带
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An Improved Group Space-Time Block Code Through Constellation Rotation 被引量:1
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作者 ZHANG Hong-wei(张红伟) +7 位作者 ZHANG Hai-bin(张海滨) SONG Wen-tao(宋文涛) LUO Han-wen(罗汉文) LIU Xing-zhao(刘兴钊) 《Journal of Shanghai Jiaotong university(Science)》 EI 2005年第4期349-353,共5页
A new improved group space-time block code (G-STBC) based on constellation rotation for four transmit antennas was proposed. In comparison with the traditional G-STBC coding scheme, the proposed space-time code has lo... A new improved group space-time block code (G-STBC) based on constellation rotation for four transmit antennas was proposed. In comparison with the traditional G-STBC coding scheme, the proposed space-time code has longer code length and adopts proper rotation-based symbols, which can increase the minimum distance of space-time codes and thereby improve code gain and achieve full diversity performance. The simulation results verify that the proposed group space-time code can achieve better bit error performance than both the traditional group space-time code and other quasi-orthogonal space-time codes. Compared with Ma’s full diversity full rate (FDFR) codes, the proposed space-time code also can achieve the same excellent error performance. Furthermore, the design of the new space-time code gives another new and simple method to construct space-time codes with full diversity and high rate in case that it is not easy to design the traditional FDFR space-time codes. 展开更多
关键词 group space-time block code constellation rotation multiple-input multiple-output (MIMO) full diversity full rate
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Geochronology and Tectonic Implications of Diabase Intruded Into Xiangshan Group in the Southeastern Alxa Block, NW China 被引量:4
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作者 ZHANG Yiping CHEN Xuanhua ZHANG Jin 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2016年第S1期88-91,共4页
The southeastern Alxa Block(i.e.,the Hexi Corridor)is a tectonic junction between the North China Block(NCB)to the east,the Alxa Block to the north,and the western Qinling–North Qilian Orogenic Belt to the southwest(... The southeastern Alxa Block(i.e.,the Hexi Corridor)is a tectonic junction between the North China Block(NCB)to the east,the Alxa Block to the north,and the western Qinling–North Qilian Orogenic Belt to the southwest(Fig.1).The southeastern Alxa Block had undergone 展开更多
关键词 NW China Geochronology and Tectonic Implications of Diabase Intruded Into Xiangshan group in the Southeastern Alxa block
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Depositional Age, Provenance Characteristics and Tectonic Setting of the Ailaoshan Group in the Southwestern South China Block 被引量:4
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作者 JI Lei LIU Fulai +1 位作者 WANG Fang TIAN Zhonghua 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2019年第6期1687-1710,共24页
The depositional and metamorphic ages and provenances of the Ailaoshan(ALS) Group in the Ailaoshan-Red River(ALS-RR) shear zone, southwestern South China Block(SCB), were investigated to constrain the tectonic history... The depositional and metamorphic ages and provenances of the Ailaoshan(ALS) Group in the Ailaoshan-Red River(ALS-RR) shear zone, southwestern South China Block(SCB), were investigated to constrain the tectonic history of the southwestern SCB. In this study, we use petrology, geochemical analysis, zircon cathodoluminescence imaging and UPb geochronology to analyse samples of quartzite, garnet-bearing two-mica schist and metapelite. The age spectra of detrital zircon grains from these metasediments show two dominant age peaks at 550–424 Ma and 876–730 Ma and two subordinate peaks at 970–955 Ma and ~2450 Ma. The youngest peak, corresponding to the early Palaeozoic, accounts for more than 20% of the total dates and constrains the deposition of the ALS Group to the Palaeozoic rather than the Palaeoproterozoic as traditionally thought. Moreover, two peaks of metamorphic ages corresponding to the Permo-Triassic and Cenozoic were also identified, and these ages document the tectonothermal events associated with the Indosinian collision between the Indochina Block and the SCB and the Himalayan collision between the Indian and Asian plates. Geochemical data suggest that the provenances of the ALS Group were dominated by continental arc and recycled metasedimentary rocks. The comparison of probability density distribution plots of the detrital zircon U-Pb age data indicates that the Neoproterozoic detritus in the ALS Group was probably derived from the arc-related Neoproterozoic intrusive bodies in the northwestern and southwestern SCB. Furthermore, the early Palaeozoic detritus might have been sourced from eroded early Palaeozoic strata and magmatic plutons in Cathaysia and volcanic rocks in the western Indochina Block. 展开更多
关键词 detrital zircon depositional age PROVENANCE Ailaoshan group South China block
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Expression for the Group Inverse of the 2×2 Block Matrix
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作者 杜法鹏 《Chinese Quarterly Journal of Mathematics》 2016年第4期412-421,共10页
In this paper, we present a method how to get the expression for the group inverse of 2×2 block matrix and get the explicit expressions of the block matrix (A C B D) under some conditions.
关键词 generalized inverse group inverse block matrix
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An Iterative Power Allocation Algorithm for Group-wise Space-Time Block Coding Systems
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作者 张红伟 张海滨 +2 位作者 宋文涛 罗汉文 刘兴钊 《Journal of Shanghai Jiaotong university(Science)》 EI 2007年第4期481-485,共5页
An iterative transmit power allocation (PA) algorithm was proposed for group-wise space-time block coding (G-STBC) systems with group-wise successive interference cancellation (GSIC) receivers. Group-wise interference... An iterative transmit power allocation (PA) algorithm was proposed for group-wise space-time block coding (G-STBC) systems with group-wise successive interference cancellation (GSIC) receivers. Group-wise interference suppression (GIS) filters are employed to separate each group's transmit signals from other interferences and noise. While the total power on all transmit symbols is constrained, all transmit PA coefficients are updated jointly according to the channel information at each iteration. Through PA, each detection symbol has the same post-detection signal to interference-and-noise ratio (SINR). The simulation results verify that the proposed PA algorithm converges at the equilibrium quickly after few iterations, and it achieves much lower bit error rates than the previous single symbol SIC PA and the fixed ratio PA algorithms for G-STBC systems with GSIC receivers . 展开更多
关键词 power allocation (PA) group-wise space-time block coding (G-STBC) group-wise INTERFERENCE suppression (GIS) group-wise successive INTERFERENCE CANCELLATION (GSIC)
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Group Inverse of 2 × 2 Block Matrices over Minkowski Space M
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作者 Dandapany Krishnaswamy Tasaduq Hussain Khan 《Advances in Linear Algebra & Matrix Theory》 2016年第3期75-87,共13页
Necessary and sufficient conditions for the existence of the group inverse of the block matrix in Minkowski Space are studied, where are both square and . The representation of this group inverse and some related addi... Necessary and sufficient conditions for the existence of the group inverse of the block matrix in Minkowski Space are studied, where are both square and . The representation of this group inverse and some related additive results are also given. 展开更多
关键词 block Matrix group Inverse Minkowski Adjoint Minkowski Space
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Block-Transitive 4-(v,k,4) Designs and Ree Groups
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作者 Shaojun Dai Ruihai Zhang 《Advances in Pure Mathematics》 2016年第5期317-320,共4页
This article is a contribution to the study of the automorphism groups of  designs. Let be a non-trivial  design where for some positive integer , and  is block-transitive. If the socle of G is iso... This article is a contribution to the study of the automorphism groups of  designs. Let be a non-trivial  design where for some positive integer , and  is block-transitive. If the socle of G is isomorphic to the simple groups of lie type, then G is not flag-transitive. 展开更多
关键词 FLAG-TRANSITIVE block-TRANSITIVE T-DESIGN Ree group
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髋关节囊周围神经阻滞与髂筋膜间隙阻滞对老年股骨粗隆间骨折患者镇痛效果的对比研究 被引量:2
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作者 张文超 蔡楠 +3 位作者 罗太君 赵尧平 郑少强 王庚 《北京医学》 CAS 2024年第2期123-126,共4页
目的 探讨髋关节囊周围神经(pericapsular nerve group, PENG)阻滞与髂筋膜间隙阻滞(fascia iliaca compartment block, FICB)对老年股骨粗隆间骨折(intertrochanteric femur fracture, IFF)患者股骨近端防旋髓内钉(proximal femoral na... 目的 探讨髋关节囊周围神经(pericapsular nerve group, PENG)阻滞与髂筋膜间隙阻滞(fascia iliaca compartment block, FICB)对老年股骨粗隆间骨折(intertrochanteric femur fracture, IFF)患者股骨近端防旋髓内钉(proximal femoral nail anti-rotation, PFNA)内固定术的镇痛效果。方法 选取2022年1—12月首都医科大学附属北京积水潭医院老年IFF患者60例,随机分为P组和F组,每组各30例。P组采用PENG阻滞,F组采用FICB。两组患者均接受椎管内麻醉进行手术,术后均给予患者静脉自控镇痛(patient controlled intravenous analgesia, PCIA)。比较两组患者不同时点(T1,神经阻滞前;T2,神经阻滞后30 min;T3,术后6 h;T4,术后24 h;T5,术后48 h)静息和运动时的视觉模拟评分(visual analogue score, VAS)、术后补救镇痛率、镇痛满意度评分、住院时间、PCIA按压次数及不良反应发生率。结果 60例患者中,男23例,女37例,年龄65~85岁,平均(70.6±6.0)岁。两组T2~T5时点静息和运动时VAS均低于T1时点,差异均有统计学意义(P <0.05);两组静息和运动时所有时点VAS、术后补救镇痛率、镇痛满意度评分、住院时间、PCIA按压次数及不良反应发生率的比较,差异均无统计学意义(P>0.05)。结论 PENG阻滞与FICB均可缓解老年IFF患者PFNA内固定术的镇痛,且镇痛效果相当。 展开更多
关键词 髋关节囊周围神经阻滞 髂筋膜间隙阻滞 股骨粗隆间骨折 老年 股骨近端防旋髓内钉内固定术 镇痛效果
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超声引导下髋关节囊周围神经阻滞与髂筋膜间隙阻滞对老年髋部骨折术后疼痛及恢复影响
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作者 戚小航 孙东辉 +1 位作者 吴振宇 龚姗 《创伤与急危重病医学》 2024年第3期155-158,共4页
目的探讨超声引导下髋关节囊周围神经阻滞(PENGB)与髂筋膜间隙阻滞(FICB)对老年髋部骨折术后疼痛及恢复的影响。方法选取秦皇岛市第一医院自2019年4月至2023年12月收治的80例老年髋部骨折患者为研究对象,按照随机数字表法分为FICB组与PE... 目的探讨超声引导下髋关节囊周围神经阻滞(PENGB)与髂筋膜间隙阻滞(FICB)对老年髋部骨折术后疼痛及恢复的影响。方法选取秦皇岛市第一医院自2019年4月至2023年12月收治的80例老年髋部骨折患者为研究对象,按照随机数字表法分为FICB组与PENGB组,每组各40例。患者均接受手术治疗,FICB组在全身麻醉诱导前超声引导下行FICB,PENGB组在全身麻醉诱导前超声引导下行PENGB。比较两组的视觉模拟量表(VAS)评分,感觉阻滞有效率,术中丙泊酚和瑞芬太尼用量,简易智力状态检查量表(MMSE)评分,不良反应发生率,以及术后1个月的认知功能障碍发生率。结果PENGB组术后6、12、24 h的静息状态下和运动状态下VAS评分均低于FICB组,差异有统计学意义(P<0.05);两组术后48 h的静息状态下和运动状态下VAS评分比较,差异均无统计学意义(P>0.05)。PENGB组术后6、12、24 h的感觉阻滞有效率均高于FICB组,差异有统计学意义(P<0.05);两组术后48 h的感觉阻滞有效率比较,差异无统计学意义(P>0.05)。两组术中丙泊酚用量比较,差异无统计学意义(P>0.05);PENGB组术中瑞芬太尼用量少于FICB组,差异有统计学意义(P<0.05)。两组术前12 h、术后24 h的MMSE评分比较,差异均无统计学意义(P>0.05);PENGB组术后48、72 h的MMSE评分均高于FICB组,差异有统计学意义(P<0.05)。两组不良反应发生率和认知功能障碍发生率比较,差异均无统计学意义(P>0.05)。结论与全身麻醉复合超声引导下采用FICB比较,采用PENGB在老年髋部骨折术中可取得更好的镇痛效果,术中麻醉药物用量更小,更利于患者术后认知功能恢复。 展开更多
关键词 髋关节囊周围神经阻滞 髂筋膜间隙阻滞 超声 全身麻醉 髋部骨折
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基于帝国竞争反向传播神经网络的断块油田开发顺序优化
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作者 徐庆岩 孙晓飞 +3 位作者 翟光华 王瑞峰 雷诚 张瑾琳 《石油地质与工程》 CAS 2024年第3期77-81,89,共6页
明确断块油田群中断块的开发顺序是进行开发方案设计的前提条件。断块油田数量较少时,可以进行技术经济的组合对比,但是断块数量较多时会形成海量的组合,耗费时间也长。断块油田开发顺序评价的现有方法有权重评价法、层次分析法、综合... 明确断块油田群中断块的开发顺序是进行开发方案设计的前提条件。断块油田数量较少时,可以进行技术经济的组合对比,但是断块数量较多时会形成海量的组合,耗费时间也长。断块油田开发顺序评价的现有方法有权重评价法、层次分析法、综合模糊评判法等,这些方法在选择评价指标和指标权重上带有较强的主观性,无法做到完全客观的评价。因此本文提出一种基于帝国竞争算法改进的反向传播神经网络模型,首先采用Spearman相关系数法确定影响断块油田开发的主控因素,其次使用分段三次Hermite插值方法实现断块油田群开发数据库的扩充,最后在扩充后的大量数据库训练样本的基础上,基于帝国竞争算法改进的反向传播神经网络模型可以确定影响开发效果参数的权重并预测断块油田群中各断块油田的净现值,根据净现值大小可以确定每个断块的开发顺序。该方法以实际断块油田群的地质油藏数据库作为评价依据,断块油田的开发顺序更加的科学合理,项目整体的净现值也明显高于依靠传统方法确定的开发顺序组合,避免了人为主观性,也节省了数值模拟和经济评价的工作量,克服了现有方法的局限性,对于提高断块油田群开发综合效益具有重要意义。 展开更多
关键词 帝国竞争算法 反向传播神经网络 开发参数权重 投产顺序优化 断块油田群 净现值
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CT引导下脉冲射频联合连续神经阻滞治疗顽固性带状疱疹后神经痛的临床疗效研究
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作者 高谦 李宝福 +2 位作者 刘冰 王春满 李琳 《介入放射学杂志》 CSCD 北大核心 2024年第3期264-268,共5页
目的探究CT引导下脉冲射频联合连续神经阻滞治疗顽固性带状疱疹后神经痛(PHN)的临床疗效。方法选取2021年1月至2023年1月本院收治的208例顽固性PHN患者为对象,随机数表法分为联合组和对照组,每组各104例。对照组接受CT引导下脉冲射频治... 目的探究CT引导下脉冲射频联合连续神经阻滞治疗顽固性带状疱疹后神经痛(PHN)的临床疗效。方法选取2021年1月至2023年1月本院收治的208例顽固性PHN患者为对象,随机数表法分为联合组和对照组,每组各104例。对照组接受CT引导下脉冲射频治疗,联合组在对照组的基础上行连续硬膜外神经阻滞治疗。比较两组患者不同时间点疼痛情况、临床有效率、镇痛补救情况、睡眠质量,血清高迁移率族蛋白B1(HMGB1)、白细胞介素-1β(IL-1β)和白细胞介素-10(IL-10)水平。结果随访期间,4例患者失访。最终纳入联合组103例,对照组101例。联合组治疗总有效率为89.32%,明显高于对照组的78.22%(P<0.05)。患者疼痛视觉模拟量表(VAS)评分、阿森斯失眠量表(AIS)评分的时间、组间、时间与组间交互效应差异均具有统计学意义(P<0.05);治疗后1、2、4周联合组VAS、AIS评分均低于对照组(P<0.05);联合组镇痛补救次数低于对照组,曲马多使用剂量少于对照组(P<0.05);治疗后4周联合组血清HMGB1、IL-1β、IL-10水平均低于对照组(P<0.05)。结论CT引导下脉冲射频联合连续神经阻滞治疗顽固性PHN,能有效减轻神经炎性损伤,改善患者疼痛症状,提高睡眠质量,其镇痛效果及临床疗效优于单纯使用CT引导下脉冲射频疗法。 展开更多
关键词 带状疱疹后神经痛 脉冲射频 连续神经阻滞 高迁移率族蛋白B1 白细胞介素-1Β 白细胞介素-10
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滇西南大红山群变火山-沉积岩地球化学属性、年代格架及其构造意义
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作者 姜杭云 刘福来 +2 位作者 王舫 王慧宁 李同宇 《岩石矿物学杂志》 CAS CSCD 北大核心 2024年第2期393-426,共34页
云南新平地区大红山群出露于扬子地块西南缘,主要由低绿片岩相-角闪岩相变质的火山-沉积岩组成。大红山群的岩石成因、年代格架及其形成的构造背景缺乏系统研究,制约了地质学家们全面认识和理解扬子西南缘<~1.75 Ga的构造演化历史。... 云南新平地区大红山群出露于扬子地块西南缘,主要由低绿片岩相-角闪岩相变质的火山-沉积岩组成。大红山群的岩石成因、年代格架及其形成的构造背景缺乏系统研究,制约了地质学家们全面认识和理解扬子西南缘<~1.75 Ga的构造演化历史。本文以大红山群底部老厂河组变沉积岩及其内部变火山岩夹层为重点研究对象,开展岩相学、全岩地球化学和锆石U-Pb定年等综合研究。岩石地球化学研究结果表明,变沉积岩的化学成分与大陆上地壳沉积物成分接近,原岩为成熟度较高的泥岩/页岩,未经历沉积再循环,形成于被动大陆边缘的构造背景;变火山岩原岩化学成分相当于钙碱性过铝质A型流纹岩,形成于造山后的大陆裂谷拉张环境。锆石U-Pb定年结果显示,老厂河组变沉积岩的碎屑锆石记录了2.3~2.2 Ga和1.9~1.75 Ga两个主年龄峰以及2.7~2.6 Ga次年龄峰。结合前人研究结果,表明大红山群物源主要来源于扬子地块西南缘的太古宙-古元古代基底岩石。变火山岩样品的岩浆锆石核部记录了1713~1711 Ma的年龄,应代表老厂河组原岩的形成时代,锆石的变质增生边限定峰期变质时代为约843 Ma。综合前人研究结果表明,大红山群普遍经历了849~837 Ma的新元古代变质事件。综上所述,扬子地块西南缘的大红山群完好记录了与Columbia超大陆裂解有关的非造山岩浆活动,新元古代变质事件可能与Rodinia超大陆裂解和聚合过程密切相关。 展开更多
关键词 扬子地块西南缘 大红山群 变火山-沉积岩 锆石U-PB定年 地球化学
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超声引导下髋关节囊周神经阻滞在小儿髋关节手术中的应用
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作者 王亚琴 陈培章 +3 位作者 张凯 石翊飒 罗炜 黄生辉 《临床小儿外科杂志》 CAS CSCD 北大核心 2024年第3期223-228,共6页
目的比较超声引导下髋关节囊周神经(pericapsular nerve group,PENG)阻滞与骶管阻滞在发育性髋关节脱位(developmental dislocation of the hip,DDH)手术患儿中的镇痛效果,初步探讨超声引导下PENG阻滞用于小儿髋关节手术的有效性及安全... 目的比较超声引导下髋关节囊周神经(pericapsular nerve group,PENG)阻滞与骶管阻滞在发育性髋关节脱位(developmental dislocation of the hip,DDH)手术患儿中的镇痛效果,初步探讨超声引导下PENG阻滞用于小儿髋关节手术的有效性及安全性。方法本研究为前瞻性研究,纳入2022年1月至2023年1月在兰州大学第二医院择期行全身麻醉下单侧DDH开放复位手术的患儿40例,年龄1~5岁,体重10~21 kg,ASA分级Ⅰ~Ⅱ级,将患儿随机分为两组:骶管阻滞组(C组)和髋关节囊周神经阻滞组(P组),每组各20例。患儿均于全身麻醉诱导气管插管后行超声引导下区域阻滞,2组均采用0.2%罗哌卡因1 mL/kg。记录术中舒芬太尼和七氟醚的总用量,术后1 h、2 h、4 h、8 h、12 h、18 h、24 h、36 h、48 h的疼痛行为评分(face legs activity cry consolability,FLACC),术后48 h内首次补救镇痛时间和补救镇痛总量(布洛芬混悬液),术后住院时间、围手术期不良反应发生情况及家长满意度评分。结果与C组比较,P组术后首次补救镇痛时间明显延长[4(4,8)h比12(8,40.5)h],补救镇痛布洛芬总量明显减少[(227.0±142.2)mg比(142.0±114.4)mg],家长满意度评分更高[(3.0±0.7)分比(3.4±0.5)分],差异均有统计学意义(P<0.05)。2组术中舒芬太尼消耗量[(9.1±3.4)μg比(8.8±2.6)μg]、七氟醚消耗量[(29.0±4.8)mL比(28.8±5.6)mL]、术后住院时间[(7.2±1.2)d比(6.9±0.9)d]、术后各时点FLACC评分及围手术期不良反应发生情况差异均无统计学意义(P>0.05)。结论与骶管阻滞相比,超声引导下PENG阻滞可明显延长DDH患儿术后48 h内的首次补救镇痛时间,减少术后镇痛药物用量,家长满意度更高,值得临床进一步探索应用。 展开更多
关键词 超声引导 髋关节囊周神经阻滞 发育性髋关节脱位 外科手术 儿童
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髋关节囊周围神经丛阻滞联合股外侧皮神经阻滞用于髋部骨折手术效果观察
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作者 项明琼 张敏 +3 位作者 陈昼琳 谢飞 田涛 杨志萍 《浙江医学》 CAS 2024年第18期1974-1978,共5页
目的观察超声引导下髋关节囊周围神经丛阻滞(PENGB)联合股外侧皮神经阻滞(LFCNB)用于髋部骨折手术的效果。方法选择2022年2月至2023年6月在上海市杨浦区中心医院因髋部骨折行人工股骨头置换术或股骨转子间骨折闭合复位髓内钉内固定术患... 目的观察超声引导下髋关节囊周围神经丛阻滞(PENGB)联合股外侧皮神经阻滞(LFCNB)用于髋部骨折手术的效果。方法选择2022年2月至2023年6月在上海市杨浦区中心医院因髋部骨折行人工股骨头置换术或股骨转子间骨折闭合复位髓内钉内固定术患者60例,按随机数字表法分为神经阻滞组和对照组,每组30例。神经阻滞组于蛛网膜下腔阻滞体位摆放前30 min行PENGB及LFCNB,对照组于体位摆放前5 min静脉给予枸橼酸舒芬太尼0.1μg/kg。记录所有患者术前、神经阻滞后30 min或静脉用药后5 min、体位摆放时的视觉模拟评分法(VAS)评分及患者配合程度、术后6、12、24和48 h的VAS评分、术后6 h患侧下肢肌力、术前和术后CRP、血清淀粉样蛋白A(SAA)、术中及术后短期并发症的发生情况及患者满意度。结果两组患者术前VAS评分比较差异无统计学意义(P>0.05);神经阻滞或静脉用药后,VAS评分均明显改善(均P<0.05),且神经阻滞组优于对照组(P<0.05);蛛网膜下腔阻滞摆放体位时,神经阻滞组VAS评分和患者配合度均优于对照组(均P<0.05);神经阻滞组术后6、12和24 h活动VAS评分及术后12、24 h的静息VAS评分均优于对照组(均P<0.05);两组患者术后6 h患侧下肢肌力及术后短期并发症发生率比较差异均无统计学意义(均P>0.05);两组患者术后CRP及SAA均高于术前(均P<0.01),但组间比较差异均无统计学意义(均P>0.05);神经阻滞组患者满意度高于对照组(P<0.05)。结论PENGB联合LFCNB可以有效减轻髋部骨折患者围术期疼痛、提高患者配合度及满意度、对术后患侧下肢肌力及炎症反应没有影响,可以安全应用于临床。 展开更多
关键词 关节囊周围神经丛阻滞 股外侧皮神经阻滞 髋部骨折
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海南岛抱板岩群的形成时代及其大地构造意义 被引量:1
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作者 龙文国 王晶 +5 位作者 谭满堂 田洋 金巍 杨博 童喜润 周进波 《华南地质》 CAS 2024年第2期270-285,共16页
抱板岩群(原称抱板群)是目前海南岛发现的最古老的前寒武纪结晶基底,经历了多期构造热事件的改造,是研究海南(海南岛)地块大地构造属性及块体划分的重要载体。在总结前人已有研究成果的基础上,本文对海南岛东方市抱板地区抱板岩群混合... 抱板岩群(原称抱板群)是目前海南岛发现的最古老的前寒武纪结晶基底,经历了多期构造热事件的改造,是研究海南(海南岛)地块大地构造属性及块体划分的重要载体。在总结前人已有研究成果的基础上,本文对海南岛东方市抱板地区抱板岩群混合岩及后期侵入的花岗岩、基性岩开展了SHRIMP和LA-ICP-MS锆石U-Pb年代学研究,厘定了抱板杂岩的形成时代、经历的构造热事件,并探讨其所代表的大地构造意义。根据岩石组合特征,本文将抱板岩群进一步划分为戈枕村岩组和峨文岭岩组,二者均被晚期花岗质和基性岩浆侵入,它们一起构成了抱板杂岩。锆石年代学结果表明:戈枕村岩组形成时代应介于1480~1440 Ma之间,峨文岭岩组形成时代介于1460~1430 Ma之间,片麻状花岗岩侵入时代为1450~1430 Ma,基性岩侵入时代为1425~1410 Ma。抱板岩群在中元古代早中期经历了花岗岩侵入、混合岩化作用、基性岩侵入等多期构造热事件的改造,中元古代晚期-新元古代早期经历了与罗迪尼亚超大陆汇聚有关的构造热事件。区域上块体对比分析表明,海南地块与越南昆嵩地块具有相似的前寒武纪结晶基底组成及多期构造热事件记录,显示二者具有亲缘关系。 展开更多
关键词 抱板岩群 中元古代 前寒武纪 结晶基底 锆石 海南地块
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枕下肌群筋膜阻滞治疗颈源性头痛的价值分析
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作者 庞金磊 符舟洋 +3 位作者 刘亚静 孙海燕 冉广原 何明伟 《中国医药》 2024年第10期1481-1484,共4页
目的探究枕下肌群筋膜阻滞治疗颈源性头痛(CEH)的价值。方法选取2023年1—12月在首都医科大学附属北京安贞医院就诊的100例CEH患者作为研究对象。按照随机数字表法分为观察组和对照组,各50例。对照组给予布洛芬缓释胶囊口服治疗,观察组... 目的探究枕下肌群筋膜阻滞治疗颈源性头痛(CEH)的价值。方法选取2023年1—12月在首都医科大学附属北京安贞医院就诊的100例CEH患者作为研究对象。按照随机数字表法分为观察组和对照组,各50例。对照组给予布洛芬缓释胶囊口服治疗,观察组给予枕下肌群筋膜阻滞治疗。比较2组疼痛视觉模拟量表(VAS)评分、疼痛分级指数(PRI)评分、颈椎功能障碍指数(NDI)评分、疗效及安全性指标。结果治疗后2组患者VAS、PRI、NDI评分均低于治疗前且观察组均低于对照组(均P<0.05)。对照组治愈0例、显效2例、好转38例、无效10例,总有效率80.0%(40/50);观察组治愈0例、显效13例、好转35例、无效2例,总有效率96.0%(48/50);观察组疗效优于对照组,差异有统计学意义(Z=-3.649,P<0.001)。观察组患者未出现出血、治疗区域感染等不良事件情况。对照组中有3例患者诉口服药物后出现恶心呕吐的不适感,症状较轻微,能自行缓解。结论枕下肌群筋膜阻滞在治疗CEH中具有一定的价值。其能够显著减少头痛的频率和强度,改善患者的生活质量,并且安全性良好。 展开更多
关键词 颈源性头痛 枕下肌群筋膜阻滞 临床疗效 安全性
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Block型李代数的系数在其模上的一阶上同调群 被引量:4
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作者 程永胜 张明亮 《河南大学学报(自然科学版)》 CAS 北大核心 2008年第2期111-115,共5页
在特征为零的域F上,一个无心Block型李代数L由基{La,i|a∈,-1≤i∈}及李括号[La,i,Lb,j]=(b(i+1)-a(j+1))La+b,i+j所确定.通过伴随对角作用构造了一个L-模V,证明了系数在模V上的Block型李代数的一阶上同调群是平凡的.
关键词 一阶上同调群 block型李代数 导子
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