目的:观察柴胡桂枝干姜汤治疗上热下寒型失眠的临床疗效。方法:选择2023年4—10月安阳市中医院脑病三科门诊诊治的100例上热下寒型失眠患者,按照随机数字表法分为对照组和试验组,每组各50例。对照组给予艾司唑仑片治疗,试验组给予柴胡...目的:观察柴胡桂枝干姜汤治疗上热下寒型失眠的临床疗效。方法:选择2023年4—10月安阳市中医院脑病三科门诊诊治的100例上热下寒型失眠患者,按照随机数字表法分为对照组和试验组,每组各50例。对照组给予艾司唑仑片治疗,试验组给予柴胡桂枝干姜汤加减治疗。比较两组患者的临床疗效、不良反应积分及治疗前后中医证候积分、匹兹堡睡眠治疗指数、世界卫生组织生存质量测定量表简表(the world health organization quality of life scale,WHOQOL-BREF)积分变化情况。结果:两组患者治疗后中医证候积分低于本组治疗前,且治疗后试验组低于对照组(P<0.05)。试验组有效率为92.0%,高于对照组的86.0%,差异有统计学意义(P<0.05)。两组患者治疗后匹兹堡睡眠指数低于本组治疗前,且治疗后试验组低于对照组(P<0.05)。两组患者治疗后WHOQOL-BREF评分高于本组治疗前,且治疗后试验组高于对照组(P<0.05)。对照组不良反应积分为(2.72±0.73)分,试验组不良反应积分为(0.60±0.67)分,差异具有统计学意义(P<0.05)。结论:柴胡桂枝干姜汤加减治疗上热下寒型失眠临床疗效确切,可改善患者的临床症状,提高睡眠质量及生活质量。展开更多
Recently,natural draft dry cooling system with the main-auxiliary integrated air-cooled heat exchangers in the up and lower layers,has drawn attention to the electric power industry.This research firstly develops two ...Recently,natural draft dry cooling system with the main-auxiliary integrated air-cooled heat exchangers in the up and lower layers,has drawn attention to the electric power industry.This research firstly develops two physical models for the integrated cooling system,namely Case A and Case B.In Case A,the main air-cooled heat exchanger is arranged in the upper layer and the auxiliary air-cooled heat exchanger arranged in the lower layer,while in Case B,the two heat exchanger systems are arranged in the opposite way.And then,directing at the engineering TMCR and TRL 1 working conditions,the unit-local-overall thermo-flow characteristics of Case A and Case B are obtained and compared by numerical simulation.The findings show that,for the auxiliary air-cooled exchanger,Case A has obviously higher cooling performances than Case B,with the difference varying from 5.46%to 7.55%.Whereas,for the main air-cooled exchanger,Case B shows the recovered cooling performances,with the difference changing from 1.15%to 2.99%.Case A is preferably recommended to the engineering application in consideration of more strict cooling demand of the auxiliary cooling system.Conclusively,this research will provide some theoretical guidelines for the design and construction of the main-auxiliary integrated natural draft dry cooling system.展开更多
文摘目的:观察柴胡桂枝干姜汤治疗上热下寒型失眠的临床疗效。方法:选择2023年4—10月安阳市中医院脑病三科门诊诊治的100例上热下寒型失眠患者,按照随机数字表法分为对照组和试验组,每组各50例。对照组给予艾司唑仑片治疗,试验组给予柴胡桂枝干姜汤加减治疗。比较两组患者的临床疗效、不良反应积分及治疗前后中医证候积分、匹兹堡睡眠治疗指数、世界卫生组织生存质量测定量表简表(the world health organization quality of life scale,WHOQOL-BREF)积分变化情况。结果:两组患者治疗后中医证候积分低于本组治疗前,且治疗后试验组低于对照组(P<0.05)。试验组有效率为92.0%,高于对照组的86.0%,差异有统计学意义(P<0.05)。两组患者治疗后匹兹堡睡眠指数低于本组治疗前,且治疗后试验组低于对照组(P<0.05)。两组患者治疗后WHOQOL-BREF评分高于本组治疗前,且治疗后试验组高于对照组(P<0.05)。对照组不良反应积分为(2.72±0.73)分,试验组不良反应积分为(0.60±0.67)分,差异具有统计学意义(P<0.05)。结论:柴胡桂枝干姜汤加减治疗上热下寒型失眠临床疗效确切,可改善患者的临床症状,提高睡眠质量及生活质量。
基金The financial supports for this research,from the National Natural Science Foundation of China(Grant No52006065)Fundamental Research Funds for Central Universities(2022BJ0273,2023JC001)。
文摘Recently,natural draft dry cooling system with the main-auxiliary integrated air-cooled heat exchangers in the up and lower layers,has drawn attention to the electric power industry.This research firstly develops two physical models for the integrated cooling system,namely Case A and Case B.In Case A,the main air-cooled heat exchanger is arranged in the upper layer and the auxiliary air-cooled heat exchanger arranged in the lower layer,while in Case B,the two heat exchanger systems are arranged in the opposite way.And then,directing at the engineering TMCR and TRL 1 working conditions,the unit-local-overall thermo-flow characteristics of Case A and Case B are obtained and compared by numerical simulation.The findings show that,for the auxiliary air-cooled exchanger,Case A has obviously higher cooling performances than Case B,with the difference varying from 5.46%to 7.55%.Whereas,for the main air-cooled exchanger,Case B shows the recovered cooling performances,with the difference changing from 1.15%to 2.99%.Case A is preferably recommended to the engineering application in consideration of more strict cooling demand of the auxiliary cooling system.Conclusively,this research will provide some theoretical guidelines for the design and construction of the main-auxiliary integrated natural draft dry cooling system.
