目的:探讨解毒降糖复瘫汤联合针灸在脑梗死急性期合并糖尿病患者(气虚血瘀型)治疗中的应用价值。方法:所有脑梗死急性期合并糖尿病患者(气虚血瘀型)均于2020年10月至2022年9月在南昌市洪都中医院就诊并随机分为两组,两组均69例,对照组...目的:探讨解毒降糖复瘫汤联合针灸在脑梗死急性期合并糖尿病患者(气虚血瘀型)治疗中的应用价值。方法:所有脑梗死急性期合并糖尿病患者(气虚血瘀型)均于2020年10月至2022年9月在南昌市洪都中医院就诊并随机分为两组,两组均69例,对照组采用西医常规治疗,观察组联合解毒降糖复瘫汤及针灸治疗,治疗2周后比较疗效。结果:与治疗前比较,治疗后两组血清超氧化物歧化酶(SOD)、血管内皮生长因子(VEGF)、脑源性神经营养因子(BDNF)均升高;血清基质金属蛋白酶-9(MMP-9)、IL-6、空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)均降低;Barthel指数(BI)均升高,改良Rankin评分(mRS)、神经功能缺损评分(NIHSS)均降低(P<0.05)。与对照组比较,治疗后观察组血清SOD、VEGF、BDNF等指标水平更高;MMP-9、IL-6、FBG、2 h PG、HbA1c更低;BI更高,mRS、NIHSS更低,差异具有统计学意义(P<0.05);观察组总有效率为94.20%(65/69),高于对照组的84.06%(58/69)(P<0.05)。结论:联合解毒降糖复瘫汤及针灸治疗有助于促进脑梗死急性期合并糖尿病患者(气虚血瘀型)脑部供血,纠正氧化应激失衡,调控血糖水平,提高临床疗效。展开更多
The DIA-type Kawai cell possesses a larger volume and a quasi-hydrostatic pressure environment and has been widely used in materials’ synthesis and x-ray diffraction experiments.However, few high-pressure in situ neu...The DIA-type Kawai cell possesses a larger volume and a quasi-hydrostatic pressure environment and has been widely used in materials’ synthesis and x-ray diffraction experiments.However, few high-pressure in situ neutron diffraction experiments were performed in the DIA-type Kawai cell because there is no wide window for neutron diffraction and the second-stage anvils and guild block material attenuates the neutron signal significantly.In this work, we tentatively modified the normal DIA-type Kawai cell(MA 2-6-8) into a MA 2-8 mode by removing the six first-stage tungsten carbide anvils.As a consequence, the eight tungsten carbide anvils(Kawai cell) are directly driven by the guide blocks.The results of ex situ and in situ pressure calibration show that the cell pressure can reach 5 GPa with small truncation edge lengths(TEL) of 3 mm even at the load of 300 kN.It suggests that this MA 2-8 cell may open a new way for high-pressure and high-temperature in situ neutron diffraction.展开更多
文摘目的:探讨解毒降糖复瘫汤联合针灸在脑梗死急性期合并糖尿病患者(气虚血瘀型)治疗中的应用价值。方法:所有脑梗死急性期合并糖尿病患者(气虚血瘀型)均于2020年10月至2022年9月在南昌市洪都中医院就诊并随机分为两组,两组均69例,对照组采用西医常规治疗,观察组联合解毒降糖复瘫汤及针灸治疗,治疗2周后比较疗效。结果:与治疗前比较,治疗后两组血清超氧化物歧化酶(SOD)、血管内皮生长因子(VEGF)、脑源性神经营养因子(BDNF)均升高;血清基质金属蛋白酶-9(MMP-9)、IL-6、空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)均降低;Barthel指数(BI)均升高,改良Rankin评分(mRS)、神经功能缺损评分(NIHSS)均降低(P<0.05)。与对照组比较,治疗后观察组血清SOD、VEGF、BDNF等指标水平更高;MMP-9、IL-6、FBG、2 h PG、HbA1c更低;BI更高,mRS、NIHSS更低,差异具有统计学意义(P<0.05);观察组总有效率为94.20%(65/69),高于对照组的84.06%(58/69)(P<0.05)。结论:联合解毒降糖复瘫汤及针灸治疗有助于促进脑梗死急性期合并糖尿病患者(气虚血瘀型)脑部供血,纠正氧化应激失衡,调控血糖水平,提高临床疗效。
基金Project supported by the National Natural Science Foundation of China(Grant No.11427810)the National Key Research and Development Program of China(Grant No.2016YFA0401503)the Project for Science and Technology Plan of Sichuan Province,China(Grant No.2015GZ0053)
文摘The DIA-type Kawai cell possesses a larger volume and a quasi-hydrostatic pressure environment and has been widely used in materials’ synthesis and x-ray diffraction experiments.However, few high-pressure in situ neutron diffraction experiments were performed in the DIA-type Kawai cell because there is no wide window for neutron diffraction and the second-stage anvils and guild block material attenuates the neutron signal significantly.In this work, we tentatively modified the normal DIA-type Kawai cell(MA 2-6-8) into a MA 2-8 mode by removing the six first-stage tungsten carbide anvils.As a consequence, the eight tungsten carbide anvils(Kawai cell) are directly driven by the guide blocks.The results of ex situ and in situ pressure calibration show that the cell pressure can reach 5 GPa with small truncation edge lengths(TEL) of 3 mm even at the load of 300 kN.It suggests that this MA 2-8 cell may open a new way for high-pressure and high-temperature in situ neutron diffraction.
