目的:探讨触发点弹拨手法联合中药封包治疗前斜角肌综合征的临床效果。方法:回顾性选取2022年4月—2024年7月赣州市中医院收治的前斜角肌综合征患者82例为研究对象,根据治疗方案的不同,将患者分为对照组与观察组,各41例。两组均给予常...目的:探讨触发点弹拨手法联合中药封包治疗前斜角肌综合征的临床效果。方法:回顾性选取2022年4月—2024年7月赣州市中医院收治的前斜角肌综合征患者82例为研究对象,根据治疗方案的不同,将患者分为对照组与观察组,各41例。两组均给予常规针刺治疗,对照组针刺完毕后予常规推拿治疗,观察组针刺完毕后弹拨斜角肌触发点,并给予中药封包治疗。比较两组的中医症候积分、临床疗效、疼痛情况[视觉模拟评分法(visual analogue scale,VAS)评分]及上肢功能[臂、肩、手功能障碍(disabilites of the arm,shoulder,and hand,DASH)评分]。结果:治疗后,观察组治疗总有效率高于对照组,中医症候各项积分、VAS评分、DASH评分均低于对照组,差异均有统计学意义(P<0.05)。结论:触发点弹拨手法联合中药封包可提高前斜角肌综合征的临床疗效,缓解疼痛,提高上肢功能。展开更多
Evaluation of structural performance under seismic excitations from low intensity to high intensity is essential to verify the seismic resistant capacity of a structure, and usually carried out by the incremental dyna...Evaluation of structural performance under seismic excitations from low intensity to high intensity is essential to verify the seismic resistant capacity of a structure, and usually carried out by the incremental dynamic analysis (IDA) method or pushover method. The recently developed endurance time (ET) method is another method that uses dynamic pushover excitations, i.e., endurance time acceleration function, to obtain results similar to those obtained by IDA or pushover methods with low computational cost and acceptable accuracy. This study proposes an improvement on the ET method by considering more restrictions for both the elastic and inelastic response spectra in the generation procedure, and by specifying a target duration. Four reinforced concrete frame structures with 4, 8, 12, and 16 stories are adopted to verify the accuracy of the improved method. Comparison of the results obtained by the proposed method, the ET method and the IDA method shows that the improved method has a higher accuracy than the ET method. For evaluation of structural responses under specifi c ground motion intensity, which is typically required in seismic design codes, the results obtained by the proposed method are compared with fi ve commonly used ground motion selection methods, and shows the proposed method provides acceptable accuracy for engineering applications.展开更多
文摘目的:探讨触发点弹拨手法联合中药封包治疗前斜角肌综合征的临床效果。方法:回顾性选取2022年4月—2024年7月赣州市中医院收治的前斜角肌综合征患者82例为研究对象,根据治疗方案的不同,将患者分为对照组与观察组,各41例。两组均给予常规针刺治疗,对照组针刺完毕后予常规推拿治疗,观察组针刺完毕后弹拨斜角肌触发点,并给予中药封包治疗。比较两组的中医症候积分、临床疗效、疼痛情况[视觉模拟评分法(visual analogue scale,VAS)评分]及上肢功能[臂、肩、手功能障碍(disabilites of the arm,shoulder,and hand,DASH)评分]。结果:治疗后,观察组治疗总有效率高于对照组,中医症候各项积分、VAS评分、DASH评分均低于对照组,差异均有统计学意义(P<0.05)。结论:触发点弹拨手法联合中药封包可提高前斜角肌综合征的临床疗效,缓解疼痛,提高上肢功能。
基金National Key R&D Program of China under Grant No.2016YFC0701500National Natural Science Foundation of China under Grant No.51578202
文摘Evaluation of structural performance under seismic excitations from low intensity to high intensity is essential to verify the seismic resistant capacity of a structure, and usually carried out by the incremental dynamic analysis (IDA) method or pushover method. The recently developed endurance time (ET) method is another method that uses dynamic pushover excitations, i.e., endurance time acceleration function, to obtain results similar to those obtained by IDA or pushover methods with low computational cost and acceptable accuracy. This study proposes an improvement on the ET method by considering more restrictions for both the elastic and inelastic response spectra in the generation procedure, and by specifying a target duration. Four reinforced concrete frame structures with 4, 8, 12, and 16 stories are adopted to verify the accuracy of the improved method. Comparison of the results obtained by the proposed method, the ET method and the IDA method shows that the improved method has a higher accuracy than the ET method. For evaluation of structural responses under specifi c ground motion intensity, which is typically required in seismic design codes, the results obtained by the proposed method are compared with fi ve commonly used ground motion selection methods, and shows the proposed method provides acceptable accuracy for engineering applications.
