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早期肠内营养配合复元针法治疗脓毒症急性胃肠损伤的疗效观察 被引量:5
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作者 彭小菊 钟迪 何琪 《中国中西医结合消化杂志》 CAS 2022年第12期838-843,共6页
目的:探讨早期肠内营养配合复元针法治疗脓毒症急性胃肠损伤(AGI)的疗效。方法:选择2018年1月—2022年1月收治的195例脓毒症AGI患者为研究对象,采用随机数字表法将其分为观察组(n=65)、早期肠内营养组(n=65)及复元针法组(n=65)。所有患... 目的:探讨早期肠内营养配合复元针法治疗脓毒症急性胃肠损伤(AGI)的疗效。方法:选择2018年1月—2022年1月收治的195例脓毒症AGI患者为研究对象,采用随机数字表法将其分为观察组(n=65)、早期肠内营养组(n=65)及复元针法组(n=65)。所有患者入院后给予常规处理,早期肠内营养组给予早期肠内营养支持干预,复元针法组给予复元针法干预,观察组采用早期肠内营养配合复元针法进行干预,对比3组干预前后的腹内压、腹围、肠鸣音,自开通肠内营养至肠内营养达标时间、入住重症监护室(ICU)时间及住院总时间,干预前后的急性生理与慢性健康评分Ⅱ(APACHEⅡ)、AGI分级,对比3组干预前后的血清转铁蛋白(TF)、血清总蛋白(ALB)、血红蛋白(Hb)、前清蛋白(PA)的表达水平。结果:观察组的腹内压均低于早期肠内营养组和复元针法组,观察组的肠鸣音均多于早期肠内营养组和复元针法组,差异有统计学意义(P<0.05)。观察组的营养达标时间、入住ICU时间及住院总时间均短于早期肠内营养组和复元针法组,差异有统计学意义(P<0.05)。干预后观察组的APACHEⅡ评分及AGI评分均低于早期肠内营养组和复元针法组,差异有统计学意义(P<0.05)。干预后观察组的TF、ALB、Hb及PA均高于早期肠内营养组和复元针法组,差异有统计学意义(P<0.05)。干预后早期肠内营养组的ALB、Hb及PA均高于复元针法组,差异有统计学意义(P<0.05)。结论:早期肠内营养联合复元针法能改善脓毒症AGI患者的腹部症状,促进患者康复,改善机体整体状态及营养状况。 展开更多
关键词 早期肠内营养 复元针法 脓毒症 急性胃肠损伤
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Prediction of the thermo-elastic properties of knitted structural composites using FEM
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作者 胡红 万水 周荣星 《Journal of Southeast University(English Edition)》 EI CAS 2003年第3期280-282,共3页
It is a very important and complex task to estimate the thermo-elasticproperties of a textile structural composite. In this paper, the finite element method (FEM) wasused for the prediction of the orthotropic thermo-e... It is a very important and complex task to estimate the thermo-elasticproperties of a textile structural composite. In this paper, the finite element method (FEM) wasused for the prediction of the orthotropic thermo-elastic properties of a composite reinforced byglass fiber knitted fabric. In order to define the final 3-D configuration of the loop reinforcingstructure, the interactions between the adjacent loops, the large displacement and the contactelements without friction were considered. The values predicted were compared with the experimentalresults. 展开更多
关键词 textile composite knitted structure FEM
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Controlled observation of posthemiplegic omalgia treated by acupuncture-moxibustion and rehabilitation 被引量:2
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作者 贺新泽 戴淑青 +1 位作者 苏莉 WANG Fang 《World Journal of Acupuncture-Moxibustion》 2012年第4期18-22,共5页
Objective To compare the efficacy difference between the acupuncture-moxibustion therapy for tonifying the primary and strengthening the shoulder and the rehabilitation therapy in the treatment of posthemiplegic omalg... Objective To compare the efficacy difference between the acupuncture-moxibustion therapy for tonifying the primary and strengthening the shoulder and the rehabilitation therapy in the treatment of posthemiplegic omalgia (PO). Methods Fifty-six cases of PO were randomized into an acupuncture-moxibustion group (30 cases) and a rehabilitation group (26 cases). In the acupuncture-moxibustion group, the mild moxibustion with moxa stick was applied to Guānyuán (关元 CV 4), Qìhǎi (气海 CV 6) and Zúsānlǐ (足三里 ST 36) and acupuncture was applied to Jiānzhēn (肩贞 SI 9), Nàoshū (臑俞 SI 10), Qūchí (曲池 LI 11), etc. In the rehabilitation group, the conventional rehabilitation therapy was provided, including massaging local tissues, anti-cramping activity, etc. In both groups, the treatment was given once per day, 15 treatments made one session and two sessions were required totally. The visual analogue scale (VAS), Fugl-Meyer assessment (FMA) and clinical neurologic impairment scale were adopted as the observation indicators for the evaluation of the analgesic effect and functional effect before and 30 days after treatment separately. Results The total analgesic effective rate was 100.0% (30/30) in the acupuncture-moxibustion group and was 96.2% (25/26) in the rehabilitation group, without presenting the statistical significant difference between two groups (P0.05). VAS scores were all reduced significantly after treatment in both groups as compared with those before treatment (all P0.01), but the comparison of the D-values before and after treatment did not reach the statistical significance between two groups (P0.05). The scores of FMA and the clinical neurologic impairment scale were all improved significantly after treatment in both groups (all P0.01). The improvements in the acupuncture-moxibustion group were superior to the rehabilitation group (all P0.01). Conclusion Both therapies can achieve the analgesic effect on PO. The recovery of the motor and neurological functions after the impairment of the affected upper limb is superior in the treatment with the acupuncture and moxibustion therapy for tonifying the primary and strengthening the shoulder as compared with the rehabilitation therapy. 展开更多
关键词 Posthemiplegic Omalgia (PO) therapy for tonifying the primary and strengthening the shoulder acupuncture-moxibustion therapy rehabilitation therapy
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