目的探讨肠通膏穴位贴敷对慢性肾脏病患者消化道并发症的效果。方法选择2021年1月~2021年10月在我院肾病内科进行住院治疗的95例第3~5期慢性肾脏病伴消化道并发症患者作为研究对象,用随机排列的方法分为对照组(n=47)和观察组(n=48),其...目的探讨肠通膏穴位贴敷对慢性肾脏病患者消化道并发症的效果。方法选择2021年1月~2021年10月在我院肾病内科进行住院治疗的95例第3~5期慢性肾脏病伴消化道并发症患者作为研究对象,用随机排列的方法分为对照组(n=47)和观察组(n=48),其中对照组应用常规的治疗方法,观察组在此基础上增加肠通膏贴敷治疗,治疗2周后对两组患者的胃肠道症状、胃肠激素、肾脏功能、满意度等多维度进行对比分析。结果治疗前,两组患者胃肠道症状量表(GSRS)评分比较、血清生长抑素(SS)和血管活性肠肽(VIP)、胃动素(MOT)、肌酐(Scr)、尿素氮(BUN)、24 h尿蛋白(24 h UTP)比较,差异无统计学意义(P>0.05)。干预2周后,观察组患者的胃肠道症状量表(GSRS)评分、胃动素(MOT)含量水平、胃肠功能恢复正常时间、Scr、24 h UTP水平均低于对照组(P<0.05);观察组患者满意度高于对照组(P<0.05);两组患者治疗前后BUN、生长抑素(SS)和血管活性多肽(VIP)含量无明显改变,差异无统计学意义(P>0.05)。结论肠通膏穴位贴敷治疗3~5期慢性肾脏病伴有消化道并发症的患者,可有效减轻其胃肠反应症状,降低患者的胃肠激素水平,提升患者满意度,临床未产生明显不良反应,可供临床借鉴。展开更多
Based on geochemical data from natural gas samples across spring water systems and sedimentary basins,including Songliao,Bohai Bay,Sanshui,Sichuan,Ordos,Tarim and Ying-Qiong,this paper systematically compares the geoc...Based on geochemical data from natural gas samples across spring water systems and sedimentary basins,including Songliao,Bohai Bay,Sanshui,Sichuan,Ordos,Tarim and Ying-Qiong,this paper systematically compares the geochemical compositions of abiogenic versus biogenic gases.Emphasis is placed on the diagnostic signatures of abiogenic gases in terms of gas composition,and carbon,hydrogen and helium isotopes.The main findings are as follows.(1)In hydrothermal spring systems,abiogenic alkane gases are extremely scarce.Methane concentrations are typically less than 1%,with almost no detectable C^(2+)hydrocarbons.The gas is dominantly composed of CO_(2),while N_(2)is the major component in a few samples.(2)Abiogenic alkane gases display distinct isotopic signatures,including enriched methane carbon isotopic compositions(δ^(13)C_(1)>-25‰generally),complete carbon isotopic reversal(δ^(13)C_(1)>δ^(13)C_(2)>δ^(13)C_(3)>δ^(13)C_(4)),and enriched helium isotope(R/Ra>0.5,CH_(4)/^(3)He≤10^(6)generally).(3)The hydrogen isotopic composition of abiogenic alkane gases may be characterized by a positive sequence(δD_(1)<δD_(2)<δD_(3)),or a complete reversal(δD_(1)>δD_(2)>δD_(3)),or a V-shaped distribution(δD_(1)>δD_(2),δD_(2)<δD_(3)).The hydrogen isotopic compositions of methane generally show limited variation(about 9‰),possibly due to hydrogen isotopic exchange with connate water.(4)In terms of identifying gas origin,CH_(4)/^(3)He-R/Ra andδ^(13)CCO_(2)-R/Ra charts are more effective than CO_(2)/^(3)He-R/Ra chart.These new geological insights provide theoretical clues and diagnostic charts for the genetic identification of natural gas and further research on abiogenic gases.展开更多
文摘目的探讨肠通膏穴位贴敷对慢性肾脏病患者消化道并发症的效果。方法选择2021年1月~2021年10月在我院肾病内科进行住院治疗的95例第3~5期慢性肾脏病伴消化道并发症患者作为研究对象,用随机排列的方法分为对照组(n=47)和观察组(n=48),其中对照组应用常规的治疗方法,观察组在此基础上增加肠通膏贴敷治疗,治疗2周后对两组患者的胃肠道症状、胃肠激素、肾脏功能、满意度等多维度进行对比分析。结果治疗前,两组患者胃肠道症状量表(GSRS)评分比较、血清生长抑素(SS)和血管活性肠肽(VIP)、胃动素(MOT)、肌酐(Scr)、尿素氮(BUN)、24 h尿蛋白(24 h UTP)比较,差异无统计学意义(P>0.05)。干预2周后,观察组患者的胃肠道症状量表(GSRS)评分、胃动素(MOT)含量水平、胃肠功能恢复正常时间、Scr、24 h UTP水平均低于对照组(P<0.05);观察组患者满意度高于对照组(P<0.05);两组患者治疗前后BUN、生长抑素(SS)和血管活性多肽(VIP)含量无明显改变,差异无统计学意义(P>0.05)。结论肠通膏穴位贴敷治疗3~5期慢性肾脏病伴有消化道并发症的患者,可有效减轻其胃肠反应症状,降低患者的胃肠激素水平,提升患者满意度,临床未产生明显不良反应,可供临床借鉴。
基金Supported by PetroChina Science and Technology Research and Technology Development Project(2021DJ0502)Open Research Project of Key Laboratory of Shale Gas Resources Exploration,Ministry of Natural Resources(Chongqing Institute of Geology and Mineral Resources)(KLSGE-2023).
文摘Based on geochemical data from natural gas samples across spring water systems and sedimentary basins,including Songliao,Bohai Bay,Sanshui,Sichuan,Ordos,Tarim and Ying-Qiong,this paper systematically compares the geochemical compositions of abiogenic versus biogenic gases.Emphasis is placed on the diagnostic signatures of abiogenic gases in terms of gas composition,and carbon,hydrogen and helium isotopes.The main findings are as follows.(1)In hydrothermal spring systems,abiogenic alkane gases are extremely scarce.Methane concentrations are typically less than 1%,with almost no detectable C^(2+)hydrocarbons.The gas is dominantly composed of CO_(2),while N_(2)is the major component in a few samples.(2)Abiogenic alkane gases display distinct isotopic signatures,including enriched methane carbon isotopic compositions(δ^(13)C_(1)>-25‰generally),complete carbon isotopic reversal(δ^(13)C_(1)>δ^(13)C_(2)>δ^(13)C_(3)>δ^(13)C_(4)),and enriched helium isotope(R/Ra>0.5,CH_(4)/^(3)He≤10^(6)generally).(3)The hydrogen isotopic composition of abiogenic alkane gases may be characterized by a positive sequence(δD_(1)<δD_(2)<δD_(3)),or a complete reversal(δD_(1)>δD_(2)>δD_(3)),or a V-shaped distribution(δD_(1)>δD_(2),δD_(2)<δD_(3)).The hydrogen isotopic compositions of methane generally show limited variation(about 9‰),possibly due to hydrogen isotopic exchange with connate water.(4)In terms of identifying gas origin,CH_(4)/^(3)He-R/Ra andδ^(13)CCO_(2)-R/Ra charts are more effective than CO_(2)/^(3)He-R/Ra chart.These new geological insights provide theoretical clues and diagnostic charts for the genetic identification of natural gas and further research on abiogenic gases.
