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中药熏蒸与冲击波联合治疗脑卒中后偏瘫肩痛疼痛改善及上肢功能康复疗效观察 被引量:44
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作者 何俊 谈雪梅 +4 位作者 彭冬祥 焦素芹 钱雪 马静 吴冲 《辽宁中医药大学学报》 CAS 2018年第5期125-128,共4页
目的:探讨中药熏蒸与冲击波联合治疗脑卒中后偏瘫肩痛的疼痛改善及对上肢功能康复疗效的影响。方法:选取2016年9月—2017年6月常州市德安医院康复中心收治的90例脑卒中后偏瘫肩痛患者,按数字表法随机分为中药熏蒸组、冲击波组以及中... 目的:探讨中药熏蒸与冲击波联合治疗脑卒中后偏瘫肩痛的疼痛改善及对上肢功能康复疗效的影响。方法:选取2016年9月—2017年6月常州市德安医院康复中心收治的90例脑卒中后偏瘫肩痛患者,按数字表法随机分为中药熏蒸组、冲击波组以及中药熏蒸与冲击波联合治疗组各30例,3组在给予常规康复训练,另分别采取中药熏蒸治疗、冲击波治疗以及中药熏蒸与冲击波联合治疗,3组均治疗20 d为1个疗程,完成1个疗程后进行疼痛疗效评估,上肢功能康复(Fugl-Meyer)与生活质量(SF-36)评估。结果:在1个疗程结束时,3组患者VAS评分较治疗前均有明显降低(P〈0.05),其中,联合治疗组VAS评分显著低于中药熏蒸组与冲击波组(P〈0.05),冲击波组VAS评分明显低于中药熏蒸组(P〈0.05);联合治疗组疼痛治疗有效率达到96.7%,明显高于中药熏蒸组的73.3%与冲击波组的86.7%(P〈0.05);联合治疗组患者疗程结束后Fugl-Meyer上肢评分明显高于中药熏蒸组与冲击波组(P〈0.05);联合治疗组患者在躯体功能、疼痛、精神状态方面改善明显优于其他两组(P〈0.05)。结论:中药熏蒸与冲击波联合方案治疗脑卒中后偏瘫肩痛,其疗效优于单一中药熏蒸治疗与单一冲击波治疗,并且可明显提高患者的上肢运动功能以及生活质量。 展开更多
关键词 中药熏蒸 冲击波 偏瘫肩痛 上肢功能 康复
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Tectonic and Environmental Evolutions of the Northern Tibetan Plateau Prior to the Collision of India with Asia 被引量:6
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作者 DAI Shuang ZHANG Mingzhen +4 位作者 peng dongxiang WANG Huawei WU Maoxian CHEN Ruiling ZHANG Xiang 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2014年第2期425-443,共19页
Tectonic and environmental patterns and evolution of the present North Tibetan Plateau (NTP) prior to the India collision with Asia is significant to understand the formation of the Tibetan Plateau and its influence... Tectonic and environmental patterns and evolution of the present North Tibetan Plateau (NTP) prior to the India collision with Asia is significant to understand the formation of the Tibetan Plateau and its influence on the environment.In this study,we integrated and analyzed the tectonostratigraphy and the special sedimentary layers whose climatic implications are clear in the NTP.Additionally,we stressed the tectonic and environmental events and their evolutions from the Mesozoic to the Early Cenozoic.Our results show that four tectonic phases,which sequentially took place during the Triassic,Jurassic,Cretaceous and Paleogene,played an important role on the formation of the North Tibet.The climate was basically dry and hot from the Triassic to the Eocene and became dry and cool since the Oligocene in this region.The climatic evolution was characterized by a transition from a wet and hot phase during the Triassic-Middle Jurassic,to a dry and hot phase during the Late Jurassic-Eocene.Both phases encompassed 5 wet and hot periods followed by 5 dry and hot climate events,respectively.In addition,we found that the tectonic deformation and the climatic conditions were spatially and temporally different.In detail,in the regions north of the PaleoTian Shan and Paleo-Qilian Mts.the tectonic deformation and climatic condition were stronger and wetter than in regions south of the Paleo-Tian Shan and Paleo-Qilian Mts.during the Late Triassic-Jurassic.Whereas in the Cretaceous,the tectonic movement was intensive in the west but steady in the east,and climate was dry in the south but wet in the north of NTP.The formation of the tectonic and climatic patterns in NTP were the consequence of either global climate change or regional tectonics,including the Paleo-Asian Ocean closure and the Qiangtang block,Lhasa block and India plate collision subsequently to Asia.Furthermore,the regional tectonic events occurred before any global climate change and drove the climatic change in the NTP. 展开更多
关键词 tectonic-climate background North Tibet MESOZOIC Early Cenozoic
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Early Cretaceous Climate Changes Recorded in Magnetic Susceptibility and Color Index Variations of the Lower Liupanshan Group, Central China 被引量:4
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作者 DAI Shuang ZHU Qiang +9 位作者 HUANG Yongbo DA SILVA Anne-Christine ZHAO Jie LIU Junwei KONG Li peng dongxiang LUO Lingling YAN Ningyun WANG Wenjie ZHANG Xiang 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2016年第3期1011-1023,共13页
This study carried out comprehensive analysis on sedimentology, magnetic susceptibility (7of) and color data of the continental sediments of the Liupanshan Group in Central China so as to obtain climatic change info... This study carried out comprehensive analysis on sedimentology, magnetic susceptibility (7of) and color data of the continental sediments of the Liupanshan Group in Central China so as to obtain climatic change information during the 129.14-122.98 Ma interval. Based on the results of the Xlf and of the redness (a*), the section can be divided into two segments: (1) 129.14-126.3 Ma, with the lowest Xlf values and strongly variable relatively high values of redness and (2) 126.3-122.98 Ma, with high Elf values and relatively low redness. Analysis of the lithology and facies as well as the magnetic minerals and their contents points to a detrital origin of the magnetic minerals and this allow us to interpret the relationship between magnetic susceptibility variations and climate changes. Our study shows that the climate was significantly dry and hot during the whole studied interval although the interval between 126.3 Ma and 122.98 was a little bit cooler with increased humidity. 展开更多
关键词 magnetic susceptibility color index climate change Liupanshan Group Early Cretaceous
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