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Pass矫治器与Twin-block功能矫治器联合自锁托槽在安氏Ⅱ类1分类错[牙合]畸形中的矫正效果比较
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作者 黄飞 陈倩 张胜男 《中国现代医学杂志》 2025年第6期6-11,共6页
目的对比Pass矫治器与Twin-block功能矫治器联合自锁托槽在安氏Ⅱ类1分类错[牙合]畸形中的矫正效果。方法选取2020年2月—2022年5月在彭州市中医医院就诊的安氏Ⅱ类1分类错[牙合]畸形患者72例,采用随机数字表法将其分成研究组和对照组,... 目的对比Pass矫治器与Twin-block功能矫治器联合自锁托槽在安氏Ⅱ类1分类错[牙合]畸形中的矫正效果。方法选取2020年2月—2022年5月在彭州市中医医院就诊的安氏Ⅱ类1分类错[牙合]畸形患者72例,采用随机数字表法将其分成研究组和对照组,每组36例。对照组接受Twin-block功能矫治器联合自锁托槽治疗,研究组接受Pass矫治器治疗。对比两组临床疗效、颌牙排齐时间、硬组织头影测量指标[上中切牙轴与蝶鞍中心-鼻根点平面夹角(U1-SN)、下中切牙轴与鼻根点-上齿槽座点连接角(U1-NA)、上齿槽座点、鼻根点及下次槽座点连接角(ANB)、蝶鞍中心、鼻根点及上齿槽座点连接角(SNA)]、软组织头影测量目标[上唇到审美平面距离(TUL-FP)、下唇H线距、下唇到审美平面距离(TLL-FP)、鼻唇角]、矫治效果及患者满意度。结果研究组总有效率高于对照组(P<0.05)。研究组上颌牙排齐时间和下颌牙排齐时间均短于对照组(P<0.05)。两组治疗前后U1-SN、ANB、SNA、SNB的差值比较,差异无统计学意义(P>0.05)。研究组治疗前后U1-NA的差值高于对照组(P<0.05)。研究组治疗前后下唇H线距、TUL-FP、鼻唇角、TLL-FP的差值高于对照组(P<0.05)。研究组治疗前后同行评估等级指数(PAR)评分的差值高于对照组(P<0.05)。研究组满意度高于对照组(P<0.05)。结论相比于Twin-block功能矫治器联合自锁托槽,Pass矫治器治疗安氏Ⅱ类1分类错[牙合]畸形患者效果确切,可提高矫治效果,改善面部侧貌美学,缩短颌牙排齐时间,且患者满意度较高。 展开更多
关键词 安氏Ⅱ类1分类错[牙合]畸形 Pass矫治器 TWIN-block功能矫治器 自锁托槽 矫正效果
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The blocking effect of the sand fences quantified using wind tunnel simulations 被引量:6
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作者 YU Yan-ping ZHANG Ke-cun +2 位作者 AN Zhi-shan WANG Tao HU Fei 《Journal of Mountain Science》 SCIE CSCD 2020年第10期2485-2496,共12页
Fences are one of the most effective measures to prevent and control wind-blown sand disasters,and the blocking effect of fences is largely determined by their porosity and height(H).This study employed wind tunnel ex... Fences are one of the most effective measures to prevent and control wind-blown sand disasters,and the blocking effect of fences is largely determined by their porosity and height(H).This study employed wind tunnel experiments to measure wind velocities on both sides of wire mesh sand fences with porosities of 75%,63%,56%,36%and heights of 10,5 and 2 cm.The effects of porosity and height on the blocking effect of the fences were evaluated on the basis of velocity variability,flow field,and the wind velocity reduction coefficient.Results show that the smaller the porosity,the stronger the blocking effect.The fence with a porosity of 36%had the strongest windproof efficiency of 0.70 and longest protection range of 9 H,and thus showed the best applicability in preventing and controlling wind-blown sand disasters.The fence with a porosity of 56%showed a windproof efficiency of 0.31 and a protection range of 7 H,which could be considered for adoption.However,fences with porosities of 75%and 63%were not recommended to be adopted,because their windproof efficiency and protection range were very small.Overall,the higher the fence,the stronger the blocking effect.The highest fence(10 cm)had the longest protection range of 90 cm,which was the best in application.Nevertheless,the 5 and 2 cm fences were almost consistent with 10 cm fence in windproof efficiency,which was still suitable for wind and sand fixation. 展开更多
关键词 Porous fence Fence height Windproof efficiency Protection range blocking effect
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Water blocking effect caused by the use of hydraulic methods for permeability enhancement in coal seams and methods for its removal 被引量:9
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作者 Liu Qian Guo Yusen +2 位作者 An Fenghua Lin Luyao Lai Yongming 《International Journal of Mining Science and Technology》 SCIE EI CSCD 2016年第4期615-621,共7页
To research techniques for removing the water blocking effect caused by hydraulic applications in coal seams,the use of surfactants is proposed,based on the mechanics of the water blocking effect.Centrifugal experimen... To research techniques for removing the water blocking effect caused by hydraulic applications in coal seams,the use of surfactants is proposed,based on the mechanics of the water blocking effect.Centrifugal experiments were used to validate the effects of using surfactants;the results show that after dealing with vacuum saturation with water,the volume of micropores decreases,which results in a larger average pore size,and the volume of transitional pores,mesopores,macropores and total pores increases.Based on the distribution of pore size,the operation mode of ‘‘water infusion after gas extraction,then continuing gas extraction" is recommended to improve the volume of coal mine gas drainage.When the reflectance of vitrinite in coal samples is less than 1,using the surfactants Fast T,1631,APG,BS can mitigate the damage caused by the water blocking effect.But when the reflectance of vitrinite is larger than 1.4,the damage caused by the water blocking effect can be increased.When the surfactant CMC is used in hydraulic applications,the capillary forces of coal samples are almost negative,which means the capillary force is in the same direction as the gas extraction.The direction of capillary forces benefits the gas flow.So,using CMC can play an active role in removing the water blocking effect.Centrifugal experiments confirm that using CMC can effectively remove the water blocking effect,which has a beneficial effect on improving the gas drainage volume. 展开更多
关键词 Gas extraction Hydraulic measures Water blocking effect Capillary force Surfactant
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Blocking Effects of Spleen Vaccine on Vertical Transmission of Classical Swine Fever Virus in Sows 被引量:1
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作者 LIU Xin-ping GAO Lin +3 位作者 XU Jun-jie FENG Xuan-biao HUANG Jian-hua YANG Feng-mei 《Animal Husbandry and Feed Science》 CAS 2010年第5期24-25,28,共3页
[ Objective] To investigate the blocking effects of spleen vaccine on vertical transmission of classical swine fever virus (CSFV) in sows. [ Method] Sows infected by CSFV were selected from three large-scale pig far... [ Objective] To investigate the blocking effects of spleen vaccine on vertical transmission of classical swine fever virus (CSFV) in sows. [ Method] Sows infected by CSFV were selected from three large-scale pig farms and they were randomly divided into group Ⅰ, group Ⅱ and control group. The sows in the group Ⅰ were vaccinated with CSF spleen vaccine at a 1.5 times normal dose per pig; those in the group Ⅱ were vaccinated with CSF spleen vaccine at a 2.0 times normal dose per pig; and those in the control group were vaccinated with cell vaccine at a 4.0 times normal- dose per pig. The CSF antigens of piglets were detected by enzyme-linked immunosorbent assay (ELISA). [ Result] The antigen positive rate of piglets in the experimental group (18.5%) was significantly lower than that in the control group (48.1% ). No significant difference was found be- tween the group Ⅰ and the group Ⅱ. [ Condmion] CSF spleen vaccine has good blocking effects on vertical transmission of CSFV in sows. 展开更多
关键词 Classical swine fever spleen vaccine SOWS Vertical transmission blocking effects
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The Blocking Effect of Phenolic Acid on N-Nitrosomorpholine Formation in vitro 被引量:2
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作者 LI PlNG WANG HUAI-ZHOU WANG XU-QING AND WU YONG-NING(Institute of Nutrition and Food Hygiene, Chinese Academy of PreventiveMedicine, 29 Nanwei Road, Beijing 100050, China)( Present address: Institute of Environmental Health and Engineering, Chinese Acad 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 1994年第1期68-78,共11页
Phenolic acids (PAs) are widely found in many daily consumed vegetables and fruits.The inhibitory effects of PAs on Nnitrosomorpholine (NMOR) formation in vitro undersimulated gastric juice condition were studied. The... Phenolic acids (PAs) are widely found in many daily consumed vegetables and fruits.The inhibitory effects of PAs on Nnitrosomorpholine (NMOR) formation in vitro undersimulated gastric juice condition were studied. The results showed that the inhibjtoryIX)tency of thirteen varieties of PAs differed greatly, which may be related to theirchemical structures; the blocking rate (BR) of different killds of PAs were as follows:caf feic acid, 92.5%; tannic acid, 90.0%; gallic acid, 86.8%; sinaPinic acid, 86.2%; ferulicacid, 8l.l%; chlorogenic acid, 69.4%; gentisic acid, 69.2%; syringic acid, 62.1%; protocatechuic acid, 56.0%; p-coumaric acid, 52.5%; vannilic acid, 35.4%; moreover,p-hydroxybenzoic acid and m-coumaric acid had the least blocking effect or even slightcatalyzing effect. The results also demonstrated that amounts of NMOR formed werenegatively correlated with molar ratio of PAs to nitrite and that the optimum pH forinhibition was between 2 and 3. 展开更多
关键词 The blocking effect of Phenolic Acid on N-Nitrosomorpholine Formation in vitro
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Effect of cerebral lymphatic block on cerebral morphology and cortical evoked potential in rats
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作者 Zuoli Xia1, Baoliang Sun2, Mingfeng Yang1, Dongmei Hu2, Tong Zhao2, Jingzhong Niu2 1Institute of Brain Microcirculation, Taishan Medical College, Taian 271000, Shandong Province, China 2Department of Neurology, Affiliated Hospital of Taishan Medical College, Taian 271000, Shandong Province, China 《Neural Regeneration Research》 SCIE CAS CSCD 2006年第7期657-660,共4页
BACKGROUND: It has been shown that although brain does not contain lining endothelial lymphatic vessel, it has lymphatic drain. Anterior lymphatic system of lymphatic vessel in brain tissue plays a key role in introdu... BACKGROUND: It has been shown that although brain does not contain lining endothelial lymphatic vessel, it has lymphatic drain. Anterior lymphatic system of lymphatic vessel in brain tissue plays a key role in introducing brain interstitial fluid to lymphatic system; however, the significance of lymphatic drain and the effect on cerebral edema remains unclear. OBJECTIVE: To investigate the effect of cerebral lymphatic block on cerebral morphology and cortical evoked potential in rats. DESIGN: Randomized controlled animal study. SETTING: Institute of Cerebral Microcirculation of Taishan Medical College and Department of Neurology of Affiliated Hospital. MATERIALS: A total of 63 healthy adult male Wistar rats weighing 300-350 g were selected in this study. Forty-seven rats were used for the morphological observation induced by lymphatic drain and randomly divided into three groups: general observation group (n =12), light microscopic observation group (n =21) and electronic microscopic observation group (n =14). The rats in each group were divided into cerebral lymphatic block subgroup and sham-operation control subgroup. Sixteen rats were used for observing the effect of cerebral lymphatic block on cortical evoked potential, in which the animals were randomly divided into sham-operation group (n =6) and cerebral lymphatic block group (n =10). METHODS: The experiment was carried out in the Institute of Cerebral Microcirculation of Taishan Medical College from January to August 2003. Rats in cerebral lymphatic block group were anesthetized and separated bilateral superficial and deep cervical lymph nodes under sterile condition. Superior and inferior boarders of lymph nodes were ligated the inputting and outputting channels, respectively, and then lymph node was removed so as to establish cerebral lymphatic drain disorder models. Rats in sham-operation control group were not ligated the lymphatic vessel and removed lymph nodes, and other operations were as the same as those in cerebral lymphatic block group. Morphological changes of the brain and alterations of latency of cortical evoked potential were detected on the 1st, 2nd, 3rd, 5th, 7th, 10th and 15th days after operation under general, light microscope and electronic microscope observations. MAIN OUTCOME MEASURES: ① Cerebral morphological changes; ② latent changes of cortical evoked potential. RESULTS: A total of 63 rats were involved in the final analysis. ① Cerebral morphological changes: General observation showed that, for cerebral lymphatic block rats, the surface of brain was pale and full, and cerebral gyrus was wide and flattened sulci after cerebral lymphatic block; and cerebral tissue space prolongation, increased interstitial fluid, neuronal degeneration and necrosis, diffused phagocytes and satellitosis were observed under light microscope. Neuronal swell and necrosis, glial cell swell, apparent subcellular changes such as mitochondron were observed under electronic microscope. ② Latent changes of cortical evoked potential: As compared with sham-operation control group, latency of cortical evoked potential in cerebral lymphatic blockage group prolonged on the 5th day and 7th day after cerebral lymphatic block [(6.28±0.23), (6.97±0.35) ms; (6.23±0.22), (7.12±0.20) ms; P < 0.01]. CONCLUSION: ① Cerebral lymphatic block plays an important role in cerebral morphology, and may result in abnormality of sensitive impulse conduction and prolong latency of cortical evoked potential. ② Examination of cortical evoked potential is easy and convenient, so it is regarded as a key index for lymphatic disturbed cerebral injury. 展开更多
关键词 effect of cerebral lymphatic block on cerebral morphology and cortical evoked potential in rats
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Blocking Response Surface Designs Incorporating Neigh-bour Effects
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作者 Eldho Varghese Seema Jaggi 《Open Journal of Statistics》 2011年第3期199-204,共6页
In this paper, blocking in response surface for fitting first order model incorporating neighbour effects has been investigated. The conditions for orthogonal estimation of the parameters of the model have been obtain... In this paper, blocking in response surface for fitting first order model incorporating neighbour effects has been investigated. The conditions for orthogonal estimation of the parameters of the model have been obtained. A method of constructing designs which ensures the constancy of variance of the parameter estimates of the model has also been given. 展开更多
关键词 RESPONSE SURFACE Model Neighbour effectS blockING in RESPONSE SURFACE Conditions for ORTHOGONAL Estimation
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Effect of Mg-Preflow for p-AlGaN Electron Blocking Layer on the Electroluminescence of Green LEDs with V-Shaped Pits
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作者 Ai-Xing Li Chun-Lan Mo +5 位作者 Jian-Li Zhang Xiao-Lan Wang Xiao-Ming Wn Guang-Xu Wang Jun-Lin Liu Feng-Yi Jiang 《Chinese Physics Letters》 SCIE CAS CSCD 2018年第2期88-92,共5页
In GaN-based green light-emitting diodes(LEDs) with and without Mg-preflow before the growth of p-Al GaN electron blocking layer(EBL) are investigated experimentally.A higher Mg doping concentration is achieved in... In GaN-based green light-emitting diodes(LEDs) with and without Mg-preflow before the growth of p-Al GaN electron blocking layer(EBL) are investigated experimentally.A higher Mg doping concentration is achieved in the EBL after Mg-preflow treatment,effectively alleviating the commonly observed efficiency collapse and electrons overflowing at cryogenic temperatures.However,unexpected decline in quantum efficiency is observed after Mg-preflow treatment at room temperature.Our conclusions are drawn such that the efficiency decline is probably the result of different emission positions.Higher Mg doping concentration in the EBL after Mg-preflow treatment will make it easier for a hole to be injected into multiple quantum wells with emission closer to pGaN side through the(8-plane rather than the V-shape pits,which is not favorable to luminous efficiency due to the preferred occurrence of accumulated strain relaxation and structural defects in upper QWs closer to p-GaN.Within this framework,apparently disparate experimental observations regarding electroluminescence properties,in this work,are well reconciled. 展开更多
关键词 GaN EBL effect of Mg-Preflow for p-AlGaN Electron blocking Layer on the Electroluminescence of Green LEDs with V-Shaped Pits
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髋部骨折麻醉前应用股神经阻滞和舒芬太尼镇痛的效果对比 被引量:3
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作者 张丽 郝建红 +2 位作者 刘瑶 张亮 申新 《医学研究前沿》 2025年第1期37-39,共3页
目的探讨对比髋部骨折麻醉前应用股神经阻滞(FNB)和舒芬太尼镇痛的效果。方法将2023年1月至2024年5月在我院治疗的74例髋部骨折手术患者随机划分为两个组别,在麻醉诱导程序启动之前,对照组采纳舒芬太尼作为预处理手段,观察组则选用FNB... 目的探讨对比髋部骨折麻醉前应用股神经阻滞(FNB)和舒芬太尼镇痛的效果。方法将2023年1月至2024年5月在我院治疗的74例髋部骨折手术患者随机划分为两个组别,在麻醉诱导程序启动之前,对照组采纳舒芬太尼作为预处理手段,观察组则选用FNB。结果在T1-3的时间点,观察组MAP、HR均更稳定,保持较合理水平(P<0.05);观察组所需的瑞芬太尼与丙泊酚剂量较少,术后1h、3h、6h的VAS疼痛评分也低一些(P<0.05);观察组恶心呕吐、尿潴留、头晕、呼吸抑制等不良反应发生率低于对照组(P<0.05)。结论对于髋部骨折患者而言,麻醉诱导前采用FNB相较于舒芬太尼能更有效地减少麻醉药物用量,增强血流动力学稳定性,提升术后镇痛质量,减少不良反应。 展开更多
关键词 髋部骨折 麻醉 股神经阻滞 舒芬太尼 效果
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Left- and Right-Handers May Unintentionally Apply Different Cognitive Strategies in Response to Situational Demands: Study Using the Block-Wise Proportion Congruency Effect
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作者 Kazuhito Yoshizaki Yurina Watanabe 《Journal of Behavioral and Brain Science》 2022年第1期10-21,共12页
We investigated the effects of handedness on developing latent cognitive response strategies according to situation variables. We used the findings of the block-wise Proportion Congruency (PC) effect in which the prop... We investigated the effects of handedness on developing latent cognitive response strategies according to situation variables. We used the findings of the block-wise Proportion Congruency (PC) effect in which the proportion of congruent trials in a given block modulates the compatibility effect in its block. The block-wise PC effect cannot be intentionally controlled. A Simon task with three different types of Proportion Congruency (PC) in a given block was used to measure the block-wise PC effects. This task was administered to 24 left-handed and 24 right-handed participants. The reaction time and error rates, consistent with previous studies, demonstrated that the block-wise PC effect was observed in left- and right-handers. Crucially, the block-wise PC effect was more pronounced in left- than right-handers, suggesting that left- and right-handers unintentionally apply different cognitive strategies in response to conflict resolution experiences. 展开更多
关键词 Cognitive Control HANDEDNESS block-Wise Proportion Congruency (PC) effect
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建筑群立面风驱雨捕集特性
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作者 刘向伟 吴柄璇 +2 位作者 郭兴国 罗娜 杜立志 《化学工程》 北大核心 2025年第1期23-28,35,共7页
风驱雨作为建筑围护结构中最重要的湿源,对建筑围护结构的热湿性能、力学性能、耐久性、建筑能耗和碳排放等均有重要影响。很多学者对建筑立面风驱雨展开深入的研究,但研究对象多为独栋建筑。实际上,中国建筑多以建筑群落的形式存在,建... 风驱雨作为建筑围护结构中最重要的湿源,对建筑围护结构的热湿性能、力学性能、耐久性、建筑能耗和碳排放等均有重要影响。很多学者对建筑立面风驱雨展开深入的研究,但研究对象多为独栋建筑。实际上,中国建筑多以建筑群落的形式存在,建筑自身对风场有干扰,建筑群内各建筑立面的风向和风速均可能会发生较大变化,从而影响入侵到建筑立面的风驱雨。为了揭示建筑群内各建筑立面的风驱雨捕集特性,基于风相和雨相质量和动量守恒原理,采用欧拉多相流方法建立并验证建筑风驱雨模型,并应用该模型对建筑群立面的风驱雨捕集特性进行分析。以广州地区为例,由结果可知:建筑群立面风驱雨捕集比与独栋建筑立面风驱雨捕集比相比有较大差异,其中最大差异高达26.3%,最小差异亦可达5.2%。另外,由于受风阻效应的影响,建筑群内各建筑立面的捕集比也存在差异。 展开更多
关键词 风驱雨 欧拉多相流 捕集比 风阻效应
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滚石冲击作用下考虑全植株形态的树木拦挡效应与能量吸收特性
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作者 豆红强 郑彬彬 +1 位作者 王浩 严华祥 《振动与冲击》 北大核心 2025年第15期259-271,共13页
防护林在抵御滚石灾害方面具有重要的拦挡作用,但由于树木“冠-干-根-土”的复杂结构和各向异性特性,导致其对滚石冲击拦挡效应和能量吸收特性的研究相对不足。为此,构建了树木全植株形态“冠-干-根-土”系统的三维数值仿真模型,研究了... 防护林在抵御滚石灾害方面具有重要的拦挡作用,但由于树木“冠-干-根-土”的复杂结构和各向异性特性,导致其对滚石冲击拦挡效应和能量吸收特性的研究相对不足。为此,构建了树木全植株形态“冠-干-根-土”系统的三维数值仿真模型,研究了不同碰撞工况下单株树木对滚石冲击的拦挡效应和能量吸收特性。研究结果表明:树木通过干冠缓冲承载、根系锚固及土壤消散的多层结构协同作用,拦挡滚石并吸收其冲击能量;树木的能量吸收率随滚石动能的增大而降低,峰值冲击力随滚石动能的增大而增大,但二者均随碰撞高度和碰撞偏心率的增大而降低;当滚石冲击动能较小时,约75%的滚石动能在最初25 ms内通过树冠晃动和树干断裂破坏被吸收,树木结构的能量吸收占比为80%~90%,根-土系统和周围土体的能量吸收占比总和为10%~20%;树木对滚石的能量吸收率随冲击角度的增大呈现先增大后减小的趋势,根-土系统和周围土体的能量吸收占比总和在15%~25%。研究成果可为滚石灾害防护林的优化设计和应用提供理论依据。 展开更多
关键词 全植株树木 滚石灾害 数值仿真 拦挡效应 能量吸收特性
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砂岩不同含水特性对超低摩擦效应影响试验研究 被引量:1
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作者 李利萍 余泓浩 +1 位作者 李秋雨 潘一山 《力学学报》 北大核心 2025年第3期687-700,共14页
为揭示应力扰动下巷道砂岩含水特性对超低摩擦型冲击地压影响机制,利用自制超低摩擦试验装置,以沈阳某矿砂岩为研究对象,通过改变砂岩块体含水率和浸水高度分别模拟深部岩体整体和分层含水特性,以中间砂岩为工作块体,利用其峰值水平位... 为揭示应力扰动下巷道砂岩含水特性对超低摩擦型冲击地压影响机制,利用自制超低摩擦试验装置,以沈阳某矿砂岩为研究对象,通过改变砂岩块体含水率和浸水高度分别模拟深部岩体整体和分层含水特性,以中间砂岩为工作块体,利用其峰值水平位移和岩岩界面合摩擦力分别表征超低摩擦效应强度和阻力,开展砂岩不同含水特性对超低摩擦效应影响试验研究.研究结果表明:(1)不同含水率和浸水高度工作块体位移时程曲线,均有准备、冲击和振荡3个阶段性特征,同时其峰值水平位移随垂直扰动频率增加均具有明显分区特性,超低摩擦效应强影响区和弱影响区分界处峰值水平位移均值分别为0.232和0.368 mm;(2)工作块体干燥、饱和含水率下超低摩擦效应平均强度分别比自然含水率状态下高165%和89.7%,含水率增加后摩擦力平均最大降幅为16.6%,表明砂岩含水率由自然状态下继续增加易发生超低摩擦效应但强度减弱;(3)工作块体浸水高度75 mm时超低摩擦效应强度平均增幅146%,摩擦力最大降幅为12.1%,表明此时易发生超低摩擦效应且强度较高;(4)砂岩块体含水率1.05%和浸水高度75 mm时,超低摩擦效应强度最高,实际工况中需合理控制岩体含水率和浸水高度,防止超低摩擦型冲击地压灾害发生. 展开更多
关键词 岩石力学 岩岩界面 含水特性 超低摩擦效应 砂岩块体
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沙漠公路阻沙措施优化及防护效果研究 被引量:1
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作者 李良英 李琦 +2 位作者 王旭 辛国伟 王振强 《泥沙研究》 北大核心 2025年第2期67-73,80,共8页
阻沙栅栏作为沙漠公路防护的第一道屏障,对公路安全至关重要,采用CFD数值模拟,对比分析阻沙栅栏改进前后防风阻沙效果,结果表明:采用阻沙栅栏高度2.5 m、布设间距20 m改进方案时,相较改进前,第一、二道阻沙栅栏间近地表水平风速和平均... 阻沙栅栏作为沙漠公路防护的第一道屏障,对公路安全至关重要,采用CFD数值模拟,对比分析阻沙栅栏改进前后防风阻沙效果,结果表明:采用阻沙栅栏高度2.5 m、布设间距20 m改进方案时,相较改进前,第一、二道阻沙栅栏间近地表水平风速和平均防风效率变化不大;第二、三道阻沙栅栏间和第三道阻沙栅栏至高立式大网格沙障间,近地表水平风速分别降低了13.63%和17.63%,平均防风效率分别提高10.26%和18.46%;三道阻沙栅栏后方区域积沙厚度分别增加了15.79%、50%和40%。采用改进方案时,沙粒沉积范围完全覆盖整个积沙区间,路堤顶面积沙明显减少,具有良好的防风阻沙效果。 展开更多
关键词 沙漠公路 防护措施 阻沙栅栏 数值模拟 保护效果
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静脉全麻复合硬膜外阻滞与单纯全麻对Ⅰa2~Ⅱa2期宫颈癌根治术患者麻醉效果和应激反应的影响
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作者 董真真 袁峰 +2 位作者 李彬 朱洁芳 邱江江 《实用癌症杂志》 2025年第8期1373-1378,共6页
目的探究静脉全麻复合硬膜外阻滞与单纯全麻对Ⅰa2~Ⅱa2期宫颈癌根治术患者麻醉效果和应激反应的影响。方法对150例Ⅰa2~Ⅱa2期宫颈癌(CC)患者的临床资料进行回顾性分析,按CC根治术中麻醉方式的不同分为全麻组(n=77)和复合组(n=73),分... 目的探究静脉全麻复合硬膜外阻滞与单纯全麻对Ⅰa2~Ⅱa2期宫颈癌根治术患者麻醉效果和应激反应的影响。方法对150例Ⅰa2~Ⅱa2期宫颈癌(CC)患者的临床资料进行回顾性分析,按CC根治术中麻醉方式的不同分为全麻组(n=77)和复合组(n=73),分别予以单纯静脉全身麻醉及小剂量罗哌卡因硬膜外阻滞复合全麻。比较2组应激反应、不同时间点[麻醉前(T0)、麻醉诱导后5 min(T1)、麻醉维持时(T2)、术毕(T3)]生命体征、麻醉效果、麻醉苏醒质量、术后康复情况和麻醉不良反应发生率的差异。结果术毕时2组去甲肾上腺素(NE)、肾上腺素(E)、血管紧张素-Ⅱ(Ang-Ⅱ)、皮质醇(Cor)水平均高于麻醉前,而复合组应激指标水平均低于全麻组(P<0.05);T0时2组心率、平均动脉压无明显差异(P>0.05);T1、T2、T3时2组的心率、平均动脉压均高于T0时,而复合组均低于全麻组(P<0.05);复合组麻醉优良率高于全麻组(100.00%vs 86.30%,P<0.05);复合组麻醉药物(舒芬太尼、丙泊酚)用量少于全麻组,麻醉、呼吸恢复、拔管、苏醒、首次排气及首次下床活动时间均短于全麻组,疼痛视觉模拟评分(VAS)低于全麻组,Ramsay镇静评分(RSS)高于全麻组(P<0.05);复合组不良反应发生率低于全麻组(9.09%vs 24.66%,P<0.05)。结论相比于单纯全麻,Ⅰa2~Ⅱa2期CC根治术患者应用静脉全麻复合小剂量罗哌卡因硬膜外阻滞麻醉更能有效缓解应激反应,维持生命体征平稳,提高麻醉优良率及苏醒质量,减少相关不良反应发生,促进早日康复。 展开更多
关键词 Ⅰa2~Ⅱa2期宫颈癌 静脉全身麻醉 罗哌卡因 硬膜外阻滞 麻醉效果 应激反应
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罗哌卡因用于单孔胸腔镜肺叶切除术椎旁神经阻滞的半数有效浓度
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作者 张世勇 杨正雄 张媛梅 《山东医药》 2025年第9期89-92,99,共5页
目的探讨罗哌卡因用于单孔胸腔镜肺叶切除术椎旁神经阻滞的半数有效浓度。方法拟行单孔胸腔镜肺叶切除术的患者34例,在超声引导下行椎旁神经阻滞。将0.3%罗哌卡因0.3 mL/kg作为初始浓度,如果第1例患者达到最佳有效镇痛标准(有效),则第2... 目的探讨罗哌卡因用于单孔胸腔镜肺叶切除术椎旁神经阻滞的半数有效浓度。方法拟行单孔胸腔镜肺叶切除术的患者34例,在超声引导下行椎旁神经阻滞。将0.3%罗哌卡因0.3 mL/kg作为初始浓度,如果第1例患者达到最佳有效镇痛标准(有效),则第2例患者的局部麻醉药容量下降1个阶梯(减少0.02%);如果第1例患者未达到最佳有效镇痛标准,则第2例患者需增加0.02%;以此类推,直至出现7个未达最佳有效镇痛标准为药物浓度拐点。采用Probit概率单位回归法计算罗哌卡因的半数有效浓度及其95%CI。记录入手术室(T_(0))、阻滞完成(T_(1))、麻醉诱导后(T_(2))、手术切皮前(T_(3))、手术切皮后(T_(4))、手术30 min(T_(5))、手术结束(T_(6))时的心率、平均动脉压、血氧饱和度;分别于阻滞后5 min、2 h、12 h、24 h静息及咳嗽状态下采用疼痛视觉模拟量表(VAS)评估疼痛情况,指导患者使用自控镇痛(PCA)泵及采取补救麻醉措施。结果34例患者中,有效18例、无效16例。有效患者T_(1)、T_(2)、T_(3)、T_(4)、T_(5)、T_(6)的心率、平均动脉压低于无效患者,T_(3)的血氧饱和度高于无效患者,拔管后5 min、2 h、12 h、24 h静息和活动时VAS评分低于无效患者(P均<0.05)。有效患者使用PCA泵占比及采取补救措施占比低于无效患者(P均<0.05)。患者麻醉过程中无穿刺部位出血、血肿,无头晕、耳鸣等麻醉药物不良反应,无气胸、血胸等并发症发生。罗哌卡因用于单孔胸腔镜肺叶切除术椎旁神经阻滞的半数有效浓度为0.220%(95%CI:0.197%~0.242%)。结论罗哌卡因用于单孔胸腔镜肺叶切除术椎旁神经阻滞的半数有效浓度为0.220%(95%CI:0.197%~0.242%)。 展开更多
关键词 罗哌卡因 单孔胸腔镜肺叶切除术 椎旁神经阻滞 半数有效浓度 局部麻醉
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艾司氯胺酮复合骶管阻滞麻醉在小儿下腹部手术中的应用效果研究
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作者 闫鑫 汪慧娟 《中国现代药物应用》 2025年第2期1-4,共4页
目的 探究艾司氯胺酮复合骶管阻滞麻醉在小儿下腹部手术中的应用效果。方法 将64例行下腹部手术患儿作为研究对象,基于随机数字表法将患儿分为观察组与对照组,各32例。对照组患儿给予全身麻醉(全麻)复合骶管阻滞麻醉,观察组患儿给予艾... 目的 探究艾司氯胺酮复合骶管阻滞麻醉在小儿下腹部手术中的应用效果。方法 将64例行下腹部手术患儿作为研究对象,基于随机数字表法将患儿分为观察组与对照组,各32例。对照组患儿给予全身麻醉(全麻)复合骶管阻滞麻醉,观察组患儿给予艾司氯胺酮预处理后行超声引导下骶管阻滞麻醉。对比两组患儿血流动力学指标、相关麻醉指标、认知功能及不良反应发生率。结果 两组麻醉前(T0)的舒张压(DBP)、收缩压(SBP)、心率(HR)对比,无统计学差异(P>0.05);观察组麻醉后15 min(T1)、麻醉后30 min(T2)、手术结束时(T3)的DBP、SBP、HR均低于对照组(P<0.05)。观察组患儿麻醉苏醒时间(12.27±5.78)min、恢复室停留时间(20.04±4.72)min均明显短于对照组的(20.31±7.24)、(32.75±5.68)min,苏醒期躁动发生率6.25%低于对照组的25.00%(P<0.05)。观察组患儿术后6、12 h的认知功能评分分别为(20.16±5.14)、(24.16±5.08)分,均明显高于对照组的(16.02±4.82)、(18.67±4.83)分(P<0.05)。观察组患儿不良反应发生率6.25%(2/32)与对照组的12.50%(4/32)对比无统计学差异(P>0.05)。结论 在小儿下腹部手术麻醉中,艾司氯胺酮复合骶管阻滞麻醉效果显著,可有效稳定患儿的血流动力学指标,改善认知水平,降低苏醒期躁动发生率,值得推广应用。 展开更多
关键词 小儿 下腹部手术 艾司氯胺酮 骶管阻滞麻醉 效果
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超声引导平面内与平面外胸椎旁阻滞在胸腔镜肺癌根治术中的镇痛效果比较
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作者 索小燕 王照飞 +2 位作者 杨倚天 郭守玉 张继兵 《西安交通大学学报(医学版)》 北大核心 2025年第6期979-984,共6页
目的探讨超声引导下平面内与平面外胸椎旁神经阻滞(thoracic paravertebral block,TPVB)技术在胸腔镜肺癌根治术患者术后镇痛效果、炎症反应及术后恢复方面的差异,为临床选择最佳阻滞技术提供依据。方法选取2022年3月至9月行胸腔镜肺癌... 目的探讨超声引导下平面内与平面外胸椎旁神经阻滞(thoracic paravertebral block,TPVB)技术在胸腔镜肺癌根治术患者术后镇痛效果、炎症反应及术后恢复方面的差异,为临床选择最佳阻滞技术提供依据。方法选取2022年3月至9月行胸腔镜肺癌根治术患者80例,随机分为平面内组(n=40)和平面外组(n=40)。两组患者均在麻醉诱导前,超声引导下于T4、T6椎旁间隙分别采用平面内或平面外技术注射0.33%罗哌卡因10 mL。比较两组患者的神经阻滞操作时间、阻滞起效时间、术后48 h内疼痛视觉模拟评分(visual analog scale,VAS)、术后恶心呕吐(postoperative nausea and vomiting,PONV)发生率及血清C反应蛋白(C-reactive protein,CRP)、白细胞介素-6(interleukin 6,IL-6)、皮质醇(cortisol,Cor)及去甲肾上腺素(norepinephrine,NE)等炎症与应激指标。结果两组患者的阻滞操作时间、起效时间及镇痛持续时间无统计学差异(P>0.05)。与平面外组相比,平面内组的PONV发生率显著降低(15.0%vs.35.0%,P=0.039),术后24 h血清CRP、IL-6及Cor水平显著更低(P<0.05)。平面内组未发生胸膜刺破(0%),而平面外组发生率为15.0%,但组间并发症总发生率差异无统计学意义(P=0.060)。结论超声引导下平面内与平面外TPVB均可有效用于胸腔镜肺癌术后镇痛,但平面内技术能更显著降低PONV发生率和术后炎症反应,且操作安全性更高,值得临床优先考虑。 展开更多
关键词 胸椎旁神经阻滞 胸腔镜手术 麻醉效果 VAS评分 肺癌根治术 术后镇痛
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超声引导下神经阻滞麻醉联合全身麻醉对全膝关节置换术患者麻醉效果的影响
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作者 梁然 刘萍 +4 位作者 胡鹏 刘敏 唐巧 李王明 王睿 《系统医学》 2025年第7期61-64,共4页
目的 围绕全膝关节置换术(total knee arthroplasty, TKA)的麻醉方法进行分析,在常规全麻基础上,利用超声引导实施神经阻滞麻醉,并分析其对麻醉效果的影响。方法 随机选取2019年1月—2023年12月连云港市中医院收治的82例TKA患者为研究... 目的 围绕全膝关节置换术(total knee arthroplasty, TKA)的麻醉方法进行分析,在常规全麻基础上,利用超声引导实施神经阻滞麻醉,并分析其对麻醉效果的影响。方法 随机选取2019年1月—2023年12月连云港市中医院收治的82例TKA患者为研究对象。根据麻醉方法不同分为两组,各41例。对照组常规全麻,观察组全麻+神经阻滞麻醉,比较两组麻醉诱导起效时间与苏醒时间,手术过程中丙泊酚的用量,术前与术后不同时点认知功能及疼痛程度的评估结果,各类不良反应的发生情况。结果 观察组麻醉诱导起效时间与苏醒时间分别为(7.88±1.61)min、(6.92±0.95)min,均短于对照组的(13.80±4.85)min、(9.69±1.78)min,观察组丙泊酚用量为(283.18±53.48)mg,少于对照组的(343.37±106.09)mg,差异均有统计学意义(t=7.418,8.791,3.244;P均<0.05)。观察组认知功能评分高于对照组,疼痛评分低于对照组,不良反应总发生率低于对照组,差异均有统计学意义(P均<0.05)。结论 在TKA患者常规全麻的基础上,增用神经阻滞技术,并借助超声引导进行准确定位,能够缩短麻醉诱导起效时间与苏醒时间,减少麻醉维持阶段丙泊酚的用量与寒战、低血压等事件的发生,且对术后早期疼痛、认知功能等指标也有较好改善作用。 展开更多
关键词 膝关节置换术 神经阻滞麻醉 超声引导 麻醉效果
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鞭梢块体结构特性对超低摩擦效应影响分析
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作者 李利萍 李秋雨 +1 位作者 潘一山 唐垒 《地下空间与工程学报》 北大核心 2025年第4期1278-1285,1298,共9页
开采扰动下深部岩体动力响应与地震作用下高层建筑“鞭梢效应”极为相似,将鞭梢结构引入岩体超低摩擦效应研究,建立鞭梢块体超低摩擦效应模型,研究其结构特性对超低摩擦效应的影响。利用自主研制的超低摩擦效应实验装置,通过改变鞭梢块... 开采扰动下深部岩体动力响应与地震作用下高层建筑“鞭梢效应”极为相似,将鞭梢结构引入岩体超低摩擦效应研究,建立鞭梢块体超低摩擦效应模型,研究其结构特性对超低摩擦效应的影响。利用自主研制的超低摩擦效应实验装置,通过改变鞭梢块体尺寸、位置、高宽比结构特性参数,分析鞭梢块体水平位移大小,得到结构特性参数对超低摩擦效应影响规律。结果表明:不同工况下鞭梢块体水平位移时程曲线均具有两阶段特征;鞭梢块体尺寸增大,水平位移降低,超低摩擦效应减弱;垂直扰动作用下,鞭梢块体超低摩擦效应随其位置远离扰动源呈增大趋势,高宽比存在超低摩擦效应显著影响区间。 展开更多
关键词 鞭梢结构 块系岩体 超低摩擦效应 鞭梢块体 水平位移 高宽比
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