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桃红四物汤加减对股骨头坏死临床疗效及部分机制探讨 被引量:15
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作者 邓攀 王星 +1 位作者 纪海 杨乐 《世界中医药》 CAS 2019年第9期2339-2343,共5页
目的:分析桃红四物汤加减辨证和单纯西医治疗股骨头坏死临床疗效,探讨中医药治疗股骨头坏死作用机制,以期为股骨头坏死治疗方案选择提供依据。方法:选取2017年4月至2018年4月宝鸡市中医医院收治股骨头坏死患者78例作为研究对象,按照随... 目的:分析桃红四物汤加减辨证和单纯西医治疗股骨头坏死临床疗效,探讨中医药治疗股骨头坏死作用机制,以期为股骨头坏死治疗方案选择提供依据。方法:选取2017年4月至2018年4月宝鸡市中医医院收治股骨头坏死患者78例作为研究对象,按照随机数字表法将患者分为对照组和观察组,每组39例。对照组予髓芯减压手术治疗,术后常规预防感染、改善微循环,促进血循环等对症治疗。观察组在对照组基础上加用桃红四物汤加减辨证治疗,2组均同时治疗2周。观察2组患者治疗前、治疗末在血液流变学、红细胞聚集变化情况并比较;观察治疗前、治疗末Harris髋关节功能评分变化并比较;治疗过程中进行不良反应观察并比较;治疗末进行疗效比较。结果:1)2组患者治疗前全血高切、全血低切、全血中切、血浆黏度、红细胞聚集指数比较,差异无统计学意义(P>0.05),治疗末对照组较治疗前比较,差异无统计学意义(P>0.05)。治疗末观察组以上指标较治疗前显著下降(P<0.05),治疗末观察组患者以上指标显著低于对照组(P<0.05)。2)2组患者治疗前红细胞聚集程度狗情情况比较,差异无统计学意义(P>0.05),完成治疗后,2组患者红细胞无聚集率均较治疗前明显上升,且观察组明显高于对照组(P<0.05);3)2组患者治疗前Harris评分功能、疼痛、髋关节活动范围、下肢畸形和总分比较,差异无统计学意义(P>0.05),治疗末以上指标2组较治疗前均显著升高(P<0.05),治疗末观察组患者以上指标显著高于对照组(P<0.05)。4)完成治疗后观察组患者治愈率、总有效率明显高于对照组(P<0.05)。5)2组不良反应发生率上比较,差异无统计学意义(P>0.05)。结论:桃红四物汤加减能提高股骨头坏死疗效,改善股骨头微循环,提高髋关节功能,且不良反应少,能提高患者生命质量。 展开更多
关键词 桃红四物汤 股骨头坏死 临床效果 Haris评分 血液流变学 红细胞聚集 作用机制 安全性
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康复护理对股骨颈骨折患者全髋关节置换术后功能恢复的影响 被引量:65
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作者 沈晓玲 《实用临床医药杂志》 CAS 2018年第2期82-85,共4页
目的探讨康复护理对行全髋关节置换术治疗的股骨颈骨折患者术后功能恢复的影响。方法选择100例行全髋关节置换术的股骨颈骨折患者,按随机数表法分为观察组和对照组各50例,对照组术后采用常规护理,观察组术后采用针对性早期康复护理,比较... 目的探讨康复护理对行全髋关节置换术治疗的股骨颈骨折患者术后功能恢复的影响。方法选择100例行全髋关节置换术的股骨颈骨折患者,按随机数表法分为观察组和对照组各50例,对照组术后采用常规护理,观察组术后采用针对性早期康复护理,比较2组患者手术前后视觉模拟评分法(VAS)、生活质量(SF-36量表评分)、髋关节Harris评分以及临床疗效、并发症。结果 2组患者术后1周、1个月的VAS评分较手术前下降(P<0.05),且观察组低于对照组(P<0.05);手术1周、1个月后,2组患者SF-36量表评分较术前上升(P<0.05),且观察组评分高于对照组(P<0.05);术后1周、1个月、半年、1年时,2组Harris评分较术前升高(P<0.05),且观察组高于对照组(P<0.05);术后1年时,观察组疗效优良率92.00%高于对照组68.00%(P<0.05);观察组术后并发症8.00%低于对照组28.00%(P<0.05)。结论在股骨颈骨折患者全髋关节置换术后实施早期康复护理效果显著,可有效缓解疼痛,促进关节功能恢复,提高生活质量,临床应用价值高。 展开更多
关键词 康复护理 全髋关节置换术 股骨颈骨折 关节功能 视觉模拟评分法 SF-36量表评分 髋关节Haris评分
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艺术与现实的纽带——“喷嚏”歌剧《哈里·亚诺什》的创作分析
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作者 张雯霞 《社科纵横》 2007年第9期175-176,共2页
匈牙利拥有世界音乐史上众多的著名音乐家,柯达依便是来自这个国家的著名音乐教育家、作曲家,他的作品涉及全部音乐体裁,他创立的"柯达依教学法"被全世界音乐学习者广泛使用。歌剧《哈里.亚诺什》由于其极强的讽刺意味和独特... 匈牙利拥有世界音乐史上众多的著名音乐家,柯达依便是来自这个国家的著名音乐教育家、作曲家,他的作品涉及全部音乐体裁,他创立的"柯达依教学法"被全世界音乐学习者广泛使用。歌剧《哈里.亚诺什》由于其极强的讽刺意味和独特的序曲形式,成为其歌剧作品中的代表作。 展开更多
关键词 "喷嚏"歌剧 <哈里·亚诺什>(Hary Janos)
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An AW-HARIS Based Automated Segmentation of Human Liver Using CT Images
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作者 P.Naga Srinivasu Shakeel Ahmed +2 位作者 Abdulaziz Alhumam Akash Bhoi Kumar Muhammad Fazal Ijaz 《Computers, Materials & Continua》 SCIE EI 2021年第12期3303-3319,共17页
In the digestion of amino acids,carbohydrates,and lipids,as well as protein synthesis from the consumed food,the liver has many diverse responsibilities and functions that are to be performed.Liver disease may impact ... In the digestion of amino acids,carbohydrates,and lipids,as well as protein synthesis from the consumed food,the liver has many diverse responsibilities and functions that are to be performed.Liver disease may impact the hormonal and nutritional balance in the human body.The earlier diagnosis of such critical conditions may help to treat the patient effectively.A computationally efficient AW-HARIS algorithm is used in this paper to perform automated segmentation of CT scan images to identify abnormalities in the human liver.The proposed approach can recognize the abnormalities with better accuracy without training,unlike in supervisory procedures requiring considerable computational efforts for training.In the earlier stages,the CT images are pre-processed through an Adaptive Multiscale Data Condensation Kernel to normalize the underlying noise and enhance the image’s contrast for better segmentation.Then,the preliminary phase’s outcome is being fed as the input for the Anisotropic Weighted—Heuristic Algorithm for Real-time Image Segmentation algorithm that uses texture-related information,which has resulted in precise outcome with acceptable computational latency when compared to that of its counterparts.It is observed that the proposed approach has outperformed in the majority of the cases with an accuracy of 78%.The smart diagnosis approach would help the medical staff accurately predict the abnormality and disease progression in earlier ailment stages. 展开更多
关键词 CT image automated segmentation HARIS anisotropic weighted social group optimization
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The Dilemma of Global Capitalism and Ethical Reflection in Transmission
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作者 Yao-hung Haung 《Journal of Literature and Art Studies》 2018年第2期257-263,共7页
This essay focuses on the overwhelming influence of global capitalism, in which the eruption of the Zi^ekian Real serves as the disruptive subversion. This essay suggests that the reading of ZiZek's and Derridean eth... This essay focuses on the overwhelming influence of global capitalism, in which the eruption of the Zi^ekian Real serves as the disruptive subversion. This essay suggests that the reading of ZiZek's and Derridean ethical notions not only shed light on the present global disappointment, but unfold a complementary critical facet in our democratic society. In order to explore the complexity and contradiction of capitalism in Transmission, my reading locates the working of global capitalism as a psychoanalytical mode of drive and desire. These two modes become two elementary motivations forming one's dream of being wealthy and the nightmare of being abandoned in Haft Kunzru's Transmission. In the novel, the Indian computer engineer, Arjun Mehta, desires to save his job by creating a computer virus, which, I aver, turns out to trigger the eruption of the ZiZekian Real, dissolving the exclusive domain of global capitalism. Both Arjun and the CEO of Tomorrow, Guy Swift turn out to be the victims of global capitalism, even though the former believes in American dream and the later believes in the power of the future. It is the traumatic experience that shatters Guy's dream of global capitalism and triggers his absolute responsibility to the other. It also shatters Arjun's strong faith in global capitalism. I argue that it is imperative for readers to review the devouring drive of global capitalism to eschew the devastating consequence, by the reflecting ethically on global capitalism. Both ZiZek and Derrida's ethical reflection may offer us a way out of the dilemma of global capitalism. 展开更多
关键词 Hari Zunzru DERRIDA Zizek Absolute Responsibility The Gift of Death Specters of Marx ETHICS
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记忆泡沫新应用:HARI MARI获得人字拖脚趾柱产品专利
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《环球聚氨酯》 2018年第11期15-15,共1页
Hari Mari今天宣布由美国专利局发布一项专利,该专利涵盖了Memory Foam Toe Post?,这是一种增强型脚趾柱产品,可以消除与鞋子的磨合期。Hari Mari专注于使用优质材料,在黑色和棕色的停滞市场中注入色彩,并帮助孩子们对抗儿科癌症。此外... Hari Mari今天宣布由美国专利局发布一项专利,该专利涵盖了Memory Foam Toe Post?,这是一种增强型脚趾柱产品,可以消除与鞋子的磨合期。Hari Mari专注于使用优质材料,在黑色和棕色的停滞市场中注入色彩,并帮助孩子们对抗儿科癌症。此外,舒适性是该品牌理念的重要组成部分,该专利进一步说明了Hari Mari对创新、设计和生产舒适产品的承诺。 展开更多
关键词 HARI MARI
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Characteristics and evolution of faults in the north-central Yin’e Basin and the effects on the coal-seam in the Cretaceous strata
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作者 Qiang YU Baojiang WANG +4 位作者 Zhanli REN Xianyao SUN Xianghe LEI Ahmed KHALED Qike YANG 《Frontiers of Earth Science》 SCIE CSCD 2023年第1期30-44,共15页
Research on the characteristics of faults and their evolutionary history since the Cretaceous in the Suhongtu-Dagu depressions can provide a theoretical basis for geological evaluation of the coal seams in the Suhongt... Research on the characteristics of faults and their evolutionary history since the Cretaceous in the Suhongtu-Dagu depressions can provide a theoretical basis for geological evaluation of the coal seams in the Suhongtu Formation in the northern-central region of the Yin’e Basin.Using 3-D seismic-logging inversion techniques,seismic stratigraphic calibration,stratigraphic sequence delineation,and thickness calculations on the Suhongtu-Dagu depressions were carried out to clarify the planar and profile distributions of the faults,as well as the evolutionary history of these faults and the tectonic history of the depressions.The results of this study revealed that the distribution of the faults in the Suhongtu-Dagu depressions in the northern part of the Yin’e Basin varies with region,and the fault system was multi-period,orthotropic,north-east-trending,and north-north-east-trending,with a certain degree of inheritance in terms of the geological setting.Three types of faults were identified:Y-shaped fractures,reverse Y-shaped fractures,and parallel fractures,which can be classified as Paleozoic-Cenozoic continuous syncline faults and intra-depression faults from the top of the Permian to the Upper Cretaceous series and inter-stratigraphic adjustment faults within the Cretaceous System,respectively.The evolution of these faults can be divided into three phases:the controlling faults were the faults that existed before the Early Cretaceous and had been active since then;synclinal faults that formed during the Early Cretaceous;and modified faults that formed since the Early Cretaceous.The development and modification of the coal seams in the Cretaceous Suhongtu Formation in the Hari,Kuanzihu,and Babei sags were strongly controlled and influenced by a multi-phase complex fault system. 展开更多
关键词 coal-seam tectonic evolution seismotectonic interpretation Hari depression 3D distribution of faults oil-gas exploration Guaizihu depression
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肝动脉阻力指数联和血清miRNA-122a对脓毒症休克合并肝损伤的诊断及预后价值 被引量:8
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作者 桑珍珍 高杰 +1 位作者 贾春梅 李勇 《中华急诊医学杂志》 CAS CSCD 北大核心 2020年第2期193-198,共6页
目的探讨肝动脉阻力指数(Hepatic artery resistance index,HARI),miRNA-122a对脓毒症休克合并肝损伤的早期诊断及预后评估的临床价值。方法选择2016年12月至2019年02月沧州市中心医院EICU收治的176例脓毒症休克患者作为研究对象,根据... 目的探讨肝动脉阻力指数(Hepatic artery resistance index,HARI),miRNA-122a对脓毒症休克合并肝损伤的早期诊断及预后评估的临床价值。方法选择2016年12月至2019年02月沧州市中心医院EICU收治的176例脓毒症休克患者作为研究对象,根据有无肝损伤分为无肝损伤组(90例)、肝损伤组(86例)。肝损伤组患者再按肝损伤程度分为轻度肝损伤组(20例)、中度肝损伤组(25例)、重度肝损伤组(41例)。脓毒症休克合并肝损伤患者根据28d转归分为存活组(26例)和死亡组(60例)。选择健康体检者40例作为对照组。分析两组患者的临床资料,采用彩色多普勒超声测定肝动脉阻力指数(HARI),采用反转录-聚合酶链反应(RT-PCR)测定血清miRNA-122a表达量。采用受试者工作特征(receiver operating characteristic,ROC)曲线分析HARI、血清miRNA-122a对脓毒症休克合并肝损伤的早期诊断价值。采用二元Logistic回归分析影响脓毒症休克合并肝损伤患考预后的危险因素。结果①与对照组比较,脓毒症休克无肝损伤组、脓毒症休克合并肝损伤组患者的HARI、血清miRNA-122a呈递增趋势,差异有显著统计学意义(P<0.01)。ROC曲线分析显示,HARI、血清miRNA-122a诊断脓毒症休克合并肝损伤的AUC分别为:0.872[95%CI=(0.813,0.919)]、0.796[95%CI=(0.728,0.854)]。当HARI最佳临界值为0.738时,其诊断脓毒症休克合并肝损伤的敏感度为77.65%,特异度为83.53%。当miRNA-122a表达量最佳临界值为2.80时,其诊断脓毒症相关肝损伤的敏感度为71.76%,特异度为75.29%。当HARI联合miRNA-122a诊断脓毒症休克合并肝损伤的AUC为0.927[95%CI=(0.876,0.961)],最佳临界值为0.276时,其诊断脓毒症休克合并肝损伤的敏感度为91.76%,特异度为85.29%。②脓毒症休克无肝损伤组与轻度肝损伤组比较,HARI差异无统计学意义(P>0.05),而血清miRNA-122a差异有统计学意义(P<O.O1)。随肝损伤严重程度加重,HAR1、血清miRNA-122a呈递增趋势,重度肝损伤组显著高于轻度和中度肝损伤组,差异有显著统计学意义(P<0.01)。③与存活组比较,单因素分析显示,脓毒症休克合并肝损伤28d死亡组患者的肝损伤严重程度、APACHEⅡ评分、SOFA评分、PCT、Lac,miRNA-122a,HARI显著升高,差异有统计学意义(P<0.01)。④二元Logistic回归分析发现,肝损伤严重程度、APACHE D评分、SOFA评分、HARI,miRNA-122a是影响脓毒症休克合并肝损伤患者预后的独立危险因素。结论HARI联合血清miRNA-122a检测对评估脓毒症休克合并肝损伤具有较高的敏感度和特异度,且对预后评估有一定的临床价值。 展开更多
关键词 肝动脉阻力指数(HARI) miRNA-122a 脓毒症休克合并肝损伤 诊断 预后
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SOLUTION OF A CLASS OF NONHOMOGENEOUS ELLIPTIC SYSTEM INVOLVING CRITICAL SOBOLEV EXPONENT
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作者 ZhangGuoqing LiuSanyang 《Annals of Differential Equations》 2005年第1期85-92,共8页
In this paper, we discuss the problem of solving a class of nonhomogeneous semilinear elliptic system with critical Sobolev exponent changing into one of critical points of some given functional. Using Nehari techniqu... In this paper, we discuss the problem of solving a class of nonhomogeneous semilinear elliptic system with critical Sobolev exponent changing into one of critical points of some given functional. Using Nehari technique, the given functional attain its minimum by adding suitable constraints, and the minimal point becomes a critical point of the original functional after eliminating the added constraints, thus the solution of the nonhomogeneous elliptic system is obtained. 展开更多
关键词 critical Sobolev exponent nonhomogeneous elliptic system Ne hari technique
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