[目的]观察针灸治疗膝关节骨性关节炎疗效。[方法]使用随机平行对照方法,将105例门诊患者按就诊顺序编号法随机分为两组。对照组65例双氯芬酸钠双释放肠溶胶囊75mg/次,1次/d,口服。治疗组65例针灸,取穴血海、梁丘、膝眼、阳陵泉、阴陵...[目的]观察针灸治疗膝关节骨性关节炎疗效。[方法]使用随机平行对照方法,将105例门诊患者按就诊顺序编号法随机分为两组。对照组65例双氯芬酸钠双释放肠溶胶囊75mg/次,1次/d,口服。治疗组65例针灸,取穴血海、梁丘、膝眼、阳陵泉、阴陵泉、足三里、太溪和阿氏穴。患者取仰卧位,常规消毒后选用0.30mm×40 mm 30号毫针,直刺l～1.5寸,得气后用平补平泻法,接HT-2温针、电针综合治疗仪,连续波,强度以患者能耐受为度,留针20min,1次/d。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组治愈29例,显效23例,有效11例,无效2例,总有效率96.92%。对照组治愈11例,显效7例,有效14例,无效8例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。[结论]针灸治疗膝关节骨性关节炎效果显著,值得推广。展开更多
目的评价口服痹祺胶囊联合关节腔内臭氧注射治疗膝骨性关节炎的临床效果。方法选取60例膝骨性关节炎患者,按随机数字表法分为治疗组和对照组,每组各30例。两组患者均给予关节腔内臭氧注射治疗,每周1次,共注射2次;在此基础上,对照组患者...目的评价口服痹祺胶囊联合关节腔内臭氧注射治疗膝骨性关节炎的临床效果。方法选取60例膝骨性关节炎患者,按随机数字表法分为治疗组和对照组,每组各30例。两组患者均给予关节腔内臭氧注射治疗,每周1次,共注射2次;在此基础上,对照组患者口服双氯芬酸钠双释放肠溶胶囊,50 mg/次,2次/d;治疗组患者口服痹祺胶囊4粒/次,2次/d;两组患者均治疗1个疗程(14 d)。观察两组的临床疗效,比较治疗前后两组疼痛视觉模拟评分(visual analogue score,VAS)、症状和体征量表分值、膝关节功能评分(knee society score,KSS)、生活能力量表(activity of daily living scale,ADL)评分。结果治疗1个疗程后,治疗组的总有效率93%,明显高于对照组的80%,两组差异具有统计学意义(P<0.05);治疗结束1个月后,对两组患者进行随访、评分,治疗组总有效率90%,对照组总有效率70%,两组差异具有统计学意义(P<0.05)。治疗后,两组VAS评分、症状和体征量表分值较治疗前明显降低(P<0.05),而KSS评分、ADL评分较治疗前明显升高(P<0.05),且治疗组VAS评分、症状和体征量表分值、KSS评分、ADL评分明显优于对照组(P<0.05)。两组均未出现明显不良反应。结论痹祺胶囊联合关节腔内臭氧注射治疗膝骨性关节炎疗效较好,在缓解患者症状、改善患膝功能方面效果更好,远期疗效明显。展开更多
Serious fouling and slagging problems are associated with the combustion of Chinese Zhun-Dong coal due to its high content of sodium （Na）. Understanding the release characteristic of Na during the combustion is esse...Serious fouling and slagging problems are associated with the combustion of Chinese Zhun-Dong coal due to its high content of sodium （Na）. Understanding the release characteristic of Na during the combustion is essential to viable utilization of this coal. In this work, coal samples were treated with a sequence of solvents： water （H2O）, ammonium acetate （NH4Ac）, hydrochloric acid （HC1）, and the release characteristics of various classes of Na during coal combustion were investigated using the technique of laser-induced breakdown spectroscopy. The relative contribution of various Na classes to the Na release during each combustion stage was found to be similar, in the order of H2O-soluble Na 〉 NHaAcsoluble Na 〉 HCl-soluble Na 〉 insoluble Na. Sodium released during the devolatilization stage can be attributed to each of the sodium classes. After the devolatilization stage, H2O-soluble Na and NHaAc-soluble Na dominated the Na release during both char and ash stages. Over 64 % of the total Na released during combustion comes from the H2O-soluble Na, which suggests that the Na release during the combustion of Zhun-Dong coal can be reduced effectively after treatment by H2O washing.展开更多
文摘[目的]观察针灸治疗膝关节骨性关节炎疗效。[方法]使用随机平行对照方法,将105例门诊患者按就诊顺序编号法随机分为两组。对照组65例双氯芬酸钠双释放肠溶胶囊75mg/次,1次/d,口服。治疗组65例针灸,取穴血海、梁丘、膝眼、阳陵泉、阴陵泉、足三里、太溪和阿氏穴。患者取仰卧位,常规消毒后选用0.30mm×40 mm 30号毫针,直刺l～1.5寸,得气后用平补平泻法,接HT-2温针、电针综合治疗仪,连续波,强度以患者能耐受为度,留针20min,1次/d。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组治愈29例,显效23例,有效11例,无效2例,总有效率96.92%。对照组治愈11例,显效7例,有效14例,无效8例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。[结论]针灸治疗膝关节骨性关节炎效果显著,值得推广。
文摘目的评价口服痹祺胶囊联合关节腔内臭氧注射治疗膝骨性关节炎的临床效果。方法选取60例膝骨性关节炎患者,按随机数字表法分为治疗组和对照组,每组各30例。两组患者均给予关节腔内臭氧注射治疗,每周1次,共注射2次;在此基础上,对照组患者口服双氯芬酸钠双释放肠溶胶囊,50 mg/次,2次/d;治疗组患者口服痹祺胶囊4粒/次,2次/d;两组患者均治疗1个疗程(14 d)。观察两组的临床疗效,比较治疗前后两组疼痛视觉模拟评分(visual analogue score,VAS)、症状和体征量表分值、膝关节功能评分(knee society score,KSS)、生活能力量表(activity of daily living scale,ADL)评分。结果治疗1个疗程后,治疗组的总有效率93%,明显高于对照组的80%,两组差异具有统计学意义(P<0.05);治疗结束1个月后,对两组患者进行随访、评分,治疗组总有效率90%,对照组总有效率70%,两组差异具有统计学意义(P<0.05)。治疗后,两组VAS评分、症状和体征量表分值较治疗前明显降低(P<0.05),而KSS评分、ADL评分较治疗前明显升高(P<0.05),且治疗组VAS评分、症状和体征量表分值、KSS评分、ADL评分明显优于对照组(P<0.05)。两组均未出现明显不良反应。结论痹祺胶囊联合关节腔内臭氧注射治疗膝骨性关节炎疗效较好,在缓解患者症状、改善患膝功能方面效果更好,远期疗效明显。
基金supported by the National Natural Science Foundation of China(51406178)China Postdoctoral Science Foundation(2014M551732)+1 种基金National Basic Research Program of China(2012CB214906)Specialized Research Fund for the Doctoral Program of Higher Education of China(20130101110095)
文摘Serious fouling and slagging problems are associated with the combustion of Chinese Zhun-Dong coal due to its high content of sodium （Na）. Understanding the release characteristic of Na during the combustion is essential to viable utilization of this coal. In this work, coal samples were treated with a sequence of solvents： water （H2O）, ammonium acetate （NH4Ac）, hydrochloric acid （HC1）, and the release characteristics of various classes of Na during coal combustion were investigated using the technique of laser-induced breakdown spectroscopy. The relative contribution of various Na classes to the Na release during each combustion stage was found to be similar, in the order of H2O-soluble Na 〉 NHaAcsoluble Na 〉 HCl-soluble Na 〉 insoluble Na. Sodium released during the devolatilization stage can be attributed to each of the sodium classes. After the devolatilization stage, H2O-soluble Na and NHaAc-soluble Na dominated the Na release during both char and ash stages. Over 64 % of the total Na released during combustion comes from the H2O-soluble Na, which suggests that the Na release during the combustion of Zhun-Dong coal can be reduced effectively after treatment by H2O washing.
