We study the temperature T and the phase of the Josephson critical current I(Ф) by taking into account the roughness scattering effect at inerface in an f-wave superconductor (S)/Insulator layer (I)/f-wave supe...We study the temperature T and the phase of the Josephson critical current I(Ф) by taking into account the roughness scattering effect at inerface in an f-wave superconductor (S)/Insulator layer (I)/f-wave superconductor (S) junction. It is found that the Josephson critical currents in f-wave Sir-wave S, the barrier strength and the roughness strength at inerface always suppress the Andreev reflection. When α=β, the phase dependence of the Josephson current I(Ф) between two f-wave S is predicted to be sin Ф; particularly, when a α≠ β, the phase dependence of the Josephson current I(Ф) between two f-wave superconductors is not predicted to be sin Ф and with the barrier strength increasing, the period of the I(Ф) turns decrease.展开更多
The tunneling spectroscopy and shot noise in ferromagnet/insulator/triplet-superconductor (FM/I/triplet- SC) structures are studied by taking into account the roughness interracial barrier and exchange splitting in th...The tunneling spectroscopy and shot noise in ferromagnet/insulator/triplet-superconductor (FM/I/triplet- SC) structures are studied by taking into account the roughness interracial barrier and exchange splitting in the FM. For the triplet-SG of Sr_2RuO_4,we consider two-dimensional f-wave order parameter symmetries having nodes within the RuO_2 plane,which reasonably describe both thermodynamic and thermal conductivity data.It is shown that the ferromagnetic exchange splitting gives rise to a decrease in the differential conductance,the average current,and the shot noise power,while the noise power-to-current ratio is increased;the interface roughness is found to lead to a decrease in the differential conductance and the average current,and an increase in the noise power-to-current ratio.展开更多
BACKGROUND: For many years, the extremities of stroke patients are divided into affected side and unaffected side according to clinical symptoms and body signs. Moreover, previous rehabilitation function training is d...BACKGROUND: For many years, the extremities of stroke patients are divided into affected side and unaffected side according to clinical symptoms and body signs. Moreover, previous rehabilitation function training is developed simply aiming to the dysfunction manifested by unaffected extremity. Problems of unaffected extremity are always ignored, such as left- and right- side connection dysfunction, abnormal muscular tension of unaffected side and so on. OBJECTIVE: To observe neurophysiological change characteristics of unaffected extremity of stroke patients with hemiplegia by electromyographical method. DESIGN: Case-control observation. SETTING: First Hospital, Jilin University. PARTICIPANTS: Eighty stroke patients with hemiplegia confirmed by skull CT or MRI, who firstly hospitalized in the Department of Neurology, First Hospital, Jilin University between July 2004 and March 2005, were retrieved. They were scored > 8 points in Glasgow Coma Scale and had stable vital sign. Nineteen normal persons who received healthy examination in the clinic were involved in normal control group. Following the classification criteria of Brunnstrom's Recovery Stages of Stroke (BRSS), 80 stroke patients with hemiplegia were assigned into 3 groups: BRSS Ⅰ-Ⅱ group (n =36), BRSS Ⅲ-Ⅳ group (n =23) and BRSSⅤ-Ⅵ (n =21). METHODS: F-wave parameters of median nerve of unaffected extremity were detected by electromyographical technique. The recording electrode (muscular belly of abductor pollicis brevis) and reference electrode (first finger bone) were connected with grounding electrode. Stimulating electrode was placed in the median part of wrist joint with stimulation intensity of 130% that of threshold stimulation, stimulation frequency of 2 Hz, current pulse width of 0.2 ms, time course of 5 ms and sensitivity of 2 mV. The F-wave of median nerve of affected extremity under the resting stage (static status) and that of unaffected extremity under the maximum resistant contracted state were detected in order. The amplitude and appearance percentage of F wave were recorded. MAIN OUTCOME MEASURES: Comparison of F-wave parameters of median nerve between the unaffected extremity of stroke patients with hemiplegia and the extremity of control subjects under different status. RESULTS: All the patients accomplished the detection, and all of them participated in the final analysis. ①Under dynamic status, the amplitude and appearance percentage of F wave of unaffected extremity of patients in BRSS Ⅲ-Ⅳ group were significantly higher than those in the normal control group, respectively[(0.803 9±0.157 3) mV vs. (0.406 7±0.170 3) mV; (0.856 1±0.266 8)% vs. (0.650 0±0.197 6)%, P < 0.05]. Under static status, there were no significant differences in F-wave parameters of median nerve in the unaffected extremity of patients between BRSS Ⅰ-Ⅱ group and BRSS Ⅴ-Ⅵ group (P > 0.05). ②F-wave parameters of median nerve of unaffected extremity of patients in BRSS Ⅰ-Ⅱ group and BRSS Ⅴ-Ⅵ group under dynamic statewere higher than those under static status, without significant difference (P > 0.05), while the amplitude and appearance percentage of F wave of median nerve of unaffected extremity of patients in BRSS Ⅲ-Ⅳ group under dynamic statewere significantly higher than those under static state[(0.803 9±0.157 3) mV vs. (0.391 7±0.131 6) mV; (0.856 1±0.266 8 )% vs.(0.639 1 ±0.259 4)%,P < 0.05]. ③ There was no significant difference in F wave parameters among groups under static state(P > 0.05). However, under dynamic status, the amplitude and appearance percentage of F wave parameters of median nerve of unaffected extremity of patients in BRSS Ⅲ-Ⅳ group [(0.803 9±0.157 3) mV,(0.856 1±0.266 8)%] were significantly lower than those in the other two groups [(0.395 1±0.148 8),(0.437 1±0.157 6) mV;(0.612 5±0.232 8)%,(0.657 1±0.232 5)%,P < 0.05]. CONCLUSION: With the development of disease condition and the increase of muscular tension at anesthetic side, combination motor of affected extremity is caused following movement and muscular tension enhances to non-anesthetic-side. Therefore, F-wave parameters increase under dynamic status.展开更多
Objective: Health care providers refer their patients to electromyography (E<span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdan...Objective: Health care providers refer their patients to electromyography (E<span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">MG) laboratories for the evaluation of various sensory symptoms in the extremities and spine. The procedure is usually performed in conjunction with transcutaneous electrical stimulation of peripheral nerves and elicitation of the F-</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">wave and H-reflex. The present study aimed to determine the real value of these procedures in the diagnosis of sensory symptoms in the setting of a normal neurologic examination. Method: The EMG reports and clinical histories of 100 patients, including 10 patients evaluated by other electromyographers, were reviewed. The study was focused on those with normal neurological examinations and those without histories of ongoing medical disorders and major surgeries to the extremities and spine.</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">Results: All EMGs, F-wave, and H-reflex reports reviewed were normal, including those obtained </span><span style="font-family:Verdana;">from the second procedure performed in some patients and of those who su</span><span style="font-family:Verdana;">bsequently underwent spinal surgery. Neurologic examination in all patients</span><span style="font-family:Verdana;"> was </span><span style="font-family:Verdana;">normal. Conclusion: Needle EMG, F-wave and H-Reflex examinations are pr</span><span style="font-family:Verdana;">edictably normal in patients with non-dermatomal, non-neuropathic sensory symptoms with normal neurologic examination and without history of pre</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">existing medical and surgical disorders. A good neurologic examination sh</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">ould determine the need to perform these procedures. Our findings have important diagnostic, therapeutic, prognostic, economic and legal implications</span></span></span><span style="font-family:Verdana;">.</span>展开更多
Objective:to explore the changes of the F-wave in the posterior tibial nerve of rabbits after different levels of lumbar spinal cord ischaemic injury and its correlation with motor function and the extent of lumbar sp...Objective:to explore the changes of the F-wave in the posterior tibial nerve of rabbits after different levels of lumbar spinal cord ischaemic injury and its correlation with motor function and the extent of lumbar spinal cord pathological damage.Methods:thirty New Zealand rabbits were randomly divided into 6 groups.The control group(n=5)was used to exclude the influence of anaesthesia and surgery on the F-wave.Different levels of lumbar arteries were ligated in the five experimental groups(n=5).The F-wave was recorded to observe the changes in the acute phase of spinal cord ischaemia.The correlation between the changes of the F-wave in the acute reversible phase and the motor function of the spinal cord was analysed.Motor functions were assessed after surgery and 2 d after vascular ligation.The specimens were taken 2 d after ligation for histopathologic observation.Results:the results for the control group indicated that anaesthesia and surgery did not affect the F-wave results.There was no statistically significant difference in the F-wave amplitudes and latency before and after ligation in the 1 and 2 level ligation groups.The F-wave changed immediately after ligation in the 3,4 and 5 ligation groups.The latency of the F-wave gradually extended,the amplitude of the F-wave gradually reduced.The amplitude variations of the F-wave were positively correlated with the motor function 2 d after ligation,there was a statistically significant difference.With the increase in the number of vascular ligation,the degree of destruction of the motor neurons in the anterior horn of the spinal cord in the pathological specimens increased.Conclusion:the F-waves in the posterior tibial nerve of rabbits were found to be sensitive to the lumbar spinal cord ischaemic injury and specific to predict motor function.展开更多
Using the modified Blonder-Tinkham-Klapwijk(BTK)theory,the interplay between the lifetime of quasi particles and the magnetic gap in a topological insulator-based ferromagnet/fwave superconductor(TI-based FM/f-wave SC...Using the modified Blonder-Tinkham-Klapwijk(BTK)theory,the interplay between the lifetime of quasi particles and the magnetic gap in a topological insulator-based ferromagnet/fwave superconductor(TI-based FM/f-wave SC)tunnel structure is theoretically studied.Two symmetries of f_(1) and f_(2) waves are considered for superconducting pairing states.The results indicate that reducing the finite quasi-particle lifetime will induce a transformation of energy-gap peaks into a zero-bias peak in tunneling conductance spectrum,as well as a transformation of energy-gap dips into a zero-bias dip in shot noise spectrum,ultimately resulting in the smoothing of the zero-bias conductance peak and the zero-bias shot noise dip.An increase in magnetic gap will suppress the tunnel conductance and shot noise when the conventional Andreev retroreflection dominates,but will enhance them when the specular Andreev reflection is dominant.Both specular Andreev reflection and conventional Andreev retro-reflection will be enhanced as the quasi-particle lifetime increases.When Fermi energy equals the magnetic gap,shot noise and tunneling conductance vanish across all energy ranges.These findings not only contribute to a better understanding of specular Andreev reflection in the FM/f-wave SC junction based on TIs but also provide insights for experimentally determining the f-wave pairing symmetry.展开更多
目的探讨陈氏挑针与牵旋法对腰椎间盘突出症(prolapse of lumbar intervertebral disc,LIDP)患者血液流变指标及疗效的影响。方法将218例LIDP患者按数字表法随机分为观察组各109例,最终观察组脱落4例,对照组脱落8例;分别为观察组105例,...目的探讨陈氏挑针与牵旋法对腰椎间盘突出症(prolapse of lumbar intervertebral disc,LIDP)患者血液流变指标及疗效的影响。方法将218例LIDP患者按数字表法随机分为观察组各109例,最终观察组脱落4例,对照组脱落8例;分别为观察组105例,对照组101例。其中观察组挑针与牵旋法治疗腰椎间盘突出相应节段椎旁神经根;对照组单纯牵旋治疗,每个疗程10次,两组均治疗2个疗程后,对比两组治疗前后血液黏稠度改变、胫腓神经F波传导速度和JOA评分,并观察针挑对患者神经根、症状缓解和疗效情况。结果与治疗前比较,观察组治疗后的胫腓神经F波传导速度、JOA评分均明显高于治疗前(P<0.01),且观察组高于对照组(P<0.01或P<0.05)。观察组治疗后全血表观黏度及血浆度值均明显下降(P<0.05);观察组总有效率明显优于对照组(P<0.05)。结论陈氏挑针与牵旋法可明显改善LIDP患者临床症状,调节血液流变学指数。同时,可提升由于LIDP神经根病损所致患肢胫、腓神经F波传导速度,缓解下肢症状群。展开更多
目的:探讨温通柔筋法结合泻阴补阳针刺法治疗脑卒中后上肢痉挛性偏瘫患者的临床效果。方法:选取2021年1月-2022年9月泰安市中医医院收治的脑卒中后上肢痉挛患者92例,随机分为对照组和观察组,各46例。两组患者均给予常规内科治疗+康复训...目的:探讨温通柔筋法结合泻阴补阳针刺法治疗脑卒中后上肢痉挛性偏瘫患者的临床效果。方法:选取2021年1月-2022年9月泰安市中医医院收治的脑卒中后上肢痉挛患者92例,随机分为对照组和观察组,各46例。两组患者均给予常规内科治疗+康复训练,对照组在常规治疗基础上,予泻阴补阳针刺法治疗,观察组在对照组基础上另予温通柔筋法治疗,疗程均为8周。比较两组治疗前、治疗8周后改良Ashworth量表(modified Ashworth scale,MAS)、Fugl-Meyer运动功能评定量表上肢部分(Fugl-Meyer assessment of the upper extremity,FMA-UE)评分、改良Barthel指数(modified Barthel index,MBI)及肌电图F波波幅、潜伏期,并记录两组不良反应。结果:治疗8周后,两组MAS分级及F波波幅、潜伏期均较治疗前明显降低,且观察组均明显低于对照组(P<0.05);治疗8周后,两组FMA、MBI评分均较治疗前明显提高,且观察组评分均高于对照组(P<0.05);两组均未出现不良反应。结论:温通柔筋法结合泻阴补阳针刺法可明显改善脑卒中后上肢痉挛程度,提高运动功能和日常生活自理能力。展开更多
基金Supported by the"333"Project Funds of Jiangsu Province of China,the National Natural Science Foundation of China under Grant No.20571029by the Program for Excellent Talents in Huangshi Institute of Technology
文摘We study the temperature T and the phase of the Josephson critical current I(Ф) by taking into account the roughness scattering effect at inerface in an f-wave superconductor (S)/Insulator layer (I)/f-wave superconductor (S) junction. It is found that the Josephson critical currents in f-wave Sir-wave S, the barrier strength and the roughness strength at inerface always suppress the Andreev reflection. When α=β, the phase dependence of the Josephson current I(Ф) between two f-wave S is predicted to be sin Ф; particularly, when a α≠ β, the phase dependence of the Josephson current I(Ф) between two f-wave superconductors is not predicted to be sin Ф and with the barrier strength increasing, the period of the I(Ф) turns decrease.
文摘The tunneling spectroscopy and shot noise in ferromagnet/insulator/triplet-superconductor (FM/I/triplet- SC) structures are studied by taking into account the roughness interracial barrier and exchange splitting in the FM. For the triplet-SG of Sr_2RuO_4,we consider two-dimensional f-wave order parameter symmetries having nodes within the RuO_2 plane,which reasonably describe both thermodynamic and thermal conductivity data.It is shown that the ferromagnetic exchange splitting gives rise to a decrease in the differential conductance,the average current,and the shot noise power,while the noise power-to-current ratio is increased;the interface roughness is found to lead to a decrease in the differential conductance and the average current,and an increase in the noise power-to-current ratio.
文摘BACKGROUND: For many years, the extremities of stroke patients are divided into affected side and unaffected side according to clinical symptoms and body signs. Moreover, previous rehabilitation function training is developed simply aiming to the dysfunction manifested by unaffected extremity. Problems of unaffected extremity are always ignored, such as left- and right- side connection dysfunction, abnormal muscular tension of unaffected side and so on. OBJECTIVE: To observe neurophysiological change characteristics of unaffected extremity of stroke patients with hemiplegia by electromyographical method. DESIGN: Case-control observation. SETTING: First Hospital, Jilin University. PARTICIPANTS: Eighty stroke patients with hemiplegia confirmed by skull CT or MRI, who firstly hospitalized in the Department of Neurology, First Hospital, Jilin University between July 2004 and March 2005, were retrieved. They were scored > 8 points in Glasgow Coma Scale and had stable vital sign. Nineteen normal persons who received healthy examination in the clinic were involved in normal control group. Following the classification criteria of Brunnstrom's Recovery Stages of Stroke (BRSS), 80 stroke patients with hemiplegia were assigned into 3 groups: BRSS Ⅰ-Ⅱ group (n =36), BRSS Ⅲ-Ⅳ group (n =23) and BRSSⅤ-Ⅵ (n =21). METHODS: F-wave parameters of median nerve of unaffected extremity were detected by electromyographical technique. The recording electrode (muscular belly of abductor pollicis brevis) and reference electrode (first finger bone) were connected with grounding electrode. Stimulating electrode was placed in the median part of wrist joint with stimulation intensity of 130% that of threshold stimulation, stimulation frequency of 2 Hz, current pulse width of 0.2 ms, time course of 5 ms and sensitivity of 2 mV. The F-wave of median nerve of affected extremity under the resting stage (static status) and that of unaffected extremity under the maximum resistant contracted state were detected in order. The amplitude and appearance percentage of F wave were recorded. MAIN OUTCOME MEASURES: Comparison of F-wave parameters of median nerve between the unaffected extremity of stroke patients with hemiplegia and the extremity of control subjects under different status. RESULTS: All the patients accomplished the detection, and all of them participated in the final analysis. ①Under dynamic status, the amplitude and appearance percentage of F wave of unaffected extremity of patients in BRSS Ⅲ-Ⅳ group were significantly higher than those in the normal control group, respectively[(0.803 9±0.157 3) mV vs. (0.406 7±0.170 3) mV; (0.856 1±0.266 8)% vs. (0.650 0±0.197 6)%, P < 0.05]. Under static status, there were no significant differences in F-wave parameters of median nerve in the unaffected extremity of patients between BRSS Ⅰ-Ⅱ group and BRSS Ⅴ-Ⅵ group (P > 0.05). ②F-wave parameters of median nerve of unaffected extremity of patients in BRSS Ⅰ-Ⅱ group and BRSS Ⅴ-Ⅵ group under dynamic statewere higher than those under static status, without significant difference (P > 0.05), while the amplitude and appearance percentage of F wave of median nerve of unaffected extremity of patients in BRSS Ⅲ-Ⅳ group under dynamic statewere significantly higher than those under static state[(0.803 9±0.157 3) mV vs. (0.391 7±0.131 6) mV; (0.856 1±0.266 8 )% vs.(0.639 1 ±0.259 4)%,P < 0.05]. ③ There was no significant difference in F wave parameters among groups under static state(P > 0.05). However, under dynamic status, the amplitude and appearance percentage of F wave parameters of median nerve of unaffected extremity of patients in BRSS Ⅲ-Ⅳ group [(0.803 9±0.157 3) mV,(0.856 1±0.266 8)%] were significantly lower than those in the other two groups [(0.395 1±0.148 8),(0.437 1±0.157 6) mV;(0.612 5±0.232 8)%,(0.657 1±0.232 5)%,P < 0.05]. CONCLUSION: With the development of disease condition and the increase of muscular tension at anesthetic side, combination motor of affected extremity is caused following movement and muscular tension enhances to non-anesthetic-side. Therefore, F-wave parameters increase under dynamic status.
文摘Objective: Health care providers refer their patients to electromyography (E<span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">MG) laboratories for the evaluation of various sensory symptoms in the extremities and spine. The procedure is usually performed in conjunction with transcutaneous electrical stimulation of peripheral nerves and elicitation of the F-</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">wave and H-reflex. The present study aimed to determine the real value of these procedures in the diagnosis of sensory symptoms in the setting of a normal neurologic examination. Method: The EMG reports and clinical histories of 100 patients, including 10 patients evaluated by other electromyographers, were reviewed. The study was focused on those with normal neurological examinations and those without histories of ongoing medical disorders and major surgeries to the extremities and spine.</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">Results: All EMGs, F-wave, and H-reflex reports reviewed were normal, including those obtained </span><span style="font-family:Verdana;">from the second procedure performed in some patients and of those who su</span><span style="font-family:Verdana;">bsequently underwent spinal surgery. Neurologic examination in all patients</span><span style="font-family:Verdana;"> was </span><span style="font-family:Verdana;">normal. Conclusion: Needle EMG, F-wave and H-Reflex examinations are pr</span><span style="font-family:Verdana;">edictably normal in patients with non-dermatomal, non-neuropathic sensory symptoms with normal neurologic examination and without history of pre</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">existing medical and surgical disorders. A good neurologic examination sh</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">ould determine the need to perform these procedures. Our findings have important diagnostic, therapeutic, prognostic, economic and legal implications</span></span></span><span style="font-family:Verdana;">.</span>
基金This work was supported by the funds from the Medical and Health Science and Technology Development Project of Shandong Province,China(grant nos.2015WS0375 and 2019WS125)Scientific and Technological Project of Henan Province,China(grant nos.192102310114 and 192102310110).
文摘Objective:to explore the changes of the F-wave in the posterior tibial nerve of rabbits after different levels of lumbar spinal cord ischaemic injury and its correlation with motor function and the extent of lumbar spinal cord pathological damage.Methods:thirty New Zealand rabbits were randomly divided into 6 groups.The control group(n=5)was used to exclude the influence of anaesthesia and surgery on the F-wave.Different levels of lumbar arteries were ligated in the five experimental groups(n=5).The F-wave was recorded to observe the changes in the acute phase of spinal cord ischaemia.The correlation between the changes of the F-wave in the acute reversible phase and the motor function of the spinal cord was analysed.Motor functions were assessed after surgery and 2 d after vascular ligation.The specimens were taken 2 d after ligation for histopathologic observation.Results:the results for the control group indicated that anaesthesia and surgery did not affect the F-wave results.There was no statistically significant difference in the F-wave amplitudes and latency before and after ligation in the 1 and 2 level ligation groups.The F-wave changed immediately after ligation in the 3,4 and 5 ligation groups.The latency of the F-wave gradually extended,the amplitude of the F-wave gradually reduced.The amplitude variations of the F-wave were positively correlated with the motor function 2 d after ligation,there was a statistically significant difference.With the increase in the number of vascular ligation,the degree of destruction of the motor neurons in the anterior horn of the spinal cord in the pathological specimens increased.Conclusion:the F-waves in the posterior tibial nerve of rabbits were found to be sensitive to the lumbar spinal cord ischaemic injury and specific to predict motor function.
文摘Using the modified Blonder-Tinkham-Klapwijk(BTK)theory,the interplay between the lifetime of quasi particles and the magnetic gap in a topological insulator-based ferromagnet/fwave superconductor(TI-based FM/f-wave SC)tunnel structure is theoretically studied.Two symmetries of f_(1) and f_(2) waves are considered for superconducting pairing states.The results indicate that reducing the finite quasi-particle lifetime will induce a transformation of energy-gap peaks into a zero-bias peak in tunneling conductance spectrum,as well as a transformation of energy-gap dips into a zero-bias dip in shot noise spectrum,ultimately resulting in the smoothing of the zero-bias conductance peak and the zero-bias shot noise dip.An increase in magnetic gap will suppress the tunnel conductance and shot noise when the conventional Andreev retroreflection dominates,but will enhance them when the specular Andreev reflection is dominant.Both specular Andreev reflection and conventional Andreev retro-reflection will be enhanced as the quasi-particle lifetime increases.When Fermi energy equals the magnetic gap,shot noise and tunneling conductance vanish across all energy ranges.These findings not only contribute to a better understanding of specular Andreev reflection in the FM/f-wave SC junction based on TIs but also provide insights for experimentally determining the f-wave pairing symmetry.
文摘目的探讨陈氏挑针与牵旋法对腰椎间盘突出症(prolapse of lumbar intervertebral disc,LIDP)患者血液流变指标及疗效的影响。方法将218例LIDP患者按数字表法随机分为观察组各109例,最终观察组脱落4例,对照组脱落8例;分别为观察组105例,对照组101例。其中观察组挑针与牵旋法治疗腰椎间盘突出相应节段椎旁神经根;对照组单纯牵旋治疗,每个疗程10次,两组均治疗2个疗程后,对比两组治疗前后血液黏稠度改变、胫腓神经F波传导速度和JOA评分,并观察针挑对患者神经根、症状缓解和疗效情况。结果与治疗前比较,观察组治疗后的胫腓神经F波传导速度、JOA评分均明显高于治疗前(P<0.01),且观察组高于对照组(P<0.01或P<0.05)。观察组治疗后全血表观黏度及血浆度值均明显下降(P<0.05);观察组总有效率明显优于对照组(P<0.05)。结论陈氏挑针与牵旋法可明显改善LIDP患者临床症状,调节血液流变学指数。同时,可提升由于LIDP神经根病损所致患肢胫、腓神经F波传导速度,缓解下肢症状群。
文摘目的:探讨温通柔筋法结合泻阴补阳针刺法治疗脑卒中后上肢痉挛性偏瘫患者的临床效果。方法:选取2021年1月-2022年9月泰安市中医医院收治的脑卒中后上肢痉挛患者92例,随机分为对照组和观察组,各46例。两组患者均给予常规内科治疗+康复训练,对照组在常规治疗基础上,予泻阴补阳针刺法治疗,观察组在对照组基础上另予温通柔筋法治疗,疗程均为8周。比较两组治疗前、治疗8周后改良Ashworth量表(modified Ashworth scale,MAS)、Fugl-Meyer运动功能评定量表上肢部分(Fugl-Meyer assessment of the upper extremity,FMA-UE)评分、改良Barthel指数(modified Barthel index,MBI)及肌电图F波波幅、潜伏期,并记录两组不良反应。结果:治疗8周后,两组MAS分级及F波波幅、潜伏期均较治疗前明显降低,且观察组均明显低于对照组(P<0.05);治疗8周后,两组FMA、MBI评分均较治疗前明显提高,且观察组评分均高于对照组(P<0.05);两组均未出现不良反应。结论:温通柔筋法结合泻阴补阳针刺法可明显改善脑卒中后上肢痉挛程度,提高运动功能和日常生活自理能力。
文摘目的 探讨体表心电图相关参数预测心房颤动(AF)射频消融术(RFCA)后复发的价值,并分析其临床意义。方法 选取2019年1月—2021年8月收治的542例AF,均行RFCA术治疗,根据术后6个月是否复发分为复发组(72例)与未复发组(470例),比较2组临床资料、手术前后体表心电图相关参数[V_(1)导联f波平均振幅、P波时限(PWD)、最大P波时限(P_(max))、P波离散度(Pd)]及各参数变化差值,分析各参数变化差值与术后复发风险的关系及预测价值。结果 复发组年龄、右心房内径大于未复发组,病程长于未复发组,合并高血压病比例高于未复发组(P<0.01)。2组术后1 d V_(1)导联f波平均振幅长于术前,PWD、P_(max)、Pd低于术前(P<0.05);复发组术前、术后1 d V_(1)导联f波平均振幅短于未复发组,PWD、P_(max)、Pd高于未复发组(P<0.01)。复发组V_(1)导联f波平均振幅、PWD、P_(max)、Pd变化差值小于未复发组(P<0.01)。危险度分析显示,V_(1)导联f波平均振幅、PWD、P_(max)、Pd变化差值为低值时会显著增加术后AF复发风险。受试者工作特征曲线分析显示,V_(1)导联f波平均振幅、PWD、P_(max)、Pd变化差值联合预测术后复发的曲线下面积和95%CI分别为0.931和0.907,0.951,大于各参数变化差值单独预测。结论 V_(1)导联f波平均振幅、PWD、P_(max)、Pd变化差值对AF患者RFCA术后复发具有较强的预测价值,联合检测有利于预防术后复发。