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Design method and experimental study of three-step method for electrochemical machining of blisks
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作者 Moqi SHEN Jia LIU +1 位作者 Wenbo WU Di ZHU 《Chinese Journal of Aeronautics》 2025年第9期559-571,共13页
To ensure the dimensional accuracy of the final blade profile,it is necessary for precision Electrochemical Machining(ECM)of blade profile to come into an equilibrium state.However,after Electrochemical Trepanning(ECT... To ensure the dimensional accuracy of the final blade profile,it is necessary for precision Electrochemical Machining(ECM)of blade profile to come into an equilibrium state.However,after Electrochemical Trepanning(ECTr),the cascade channel of the blisk is narrow,and the blank allowance distribution is uneven,making it difficult for the precision ECM to become balanced.In blisk production,the two-step method cannot make precision ECM enter equilibrium for some blisk types.A three-step processing method is proposed to overcome this problem.The threestep method adds Electrochemical Homogenizing Machining(ECHM)between the ECTr and precision ECM steps so that the blank allowance can be homogenized quickly without unduly affecting the minimum allowance.Comparative machining experiments of the two-and three-step methods were performed to verify the improvement to blade machining accuracy.The processing results show that the contour parameters of the blade after the three-step method implementation are much better.The allowance difference of the concave(convex)side decreased by 70.5%(65%).In addition,the current in the three-step method is stable at 110 A at the end of precision ECM,verifying successfully entering the equilibrium state. 展开更多
关键词 Electrochemical machining BLISK Mathematical model Processing method three-step method
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External application of traditional Chinese medicine in combination with threestep analgesic ladder therapy for cancer-induced bone pain:a systematic review and meta-analysis
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作者 Fei WANG Guihua LAI +4 位作者 Fang ZHOU Duorui NIE Xiongtao CHENG Yue WANG Jianxiong CAO 《Digital Chinese Medicine》 2025年第1期59-75,共17页
Objective To systematically evaluate the overall efficacy of external application of traditional Chinese medicine(EA-TCM)in combination with oral three-step analgesic ladder therapy for patients suffering from cancer-... Objective To systematically evaluate the overall efficacy of external application of traditional Chinese medicine(EA-TCM)in combination with oral three-step analgesic ladder therapy for patients suffering from cancer-induced bone pain(CIBP).Methods We conducted a literature search of randomized controlled trials on the combination of EA-TCM and three-step analgesic ladder therapy for CIBP across ten databases and two registration systems.It included four Chinese databases[Chinese Biomedical Literature Database(SinoMed),China National Knowledge Infrastructure(CNKI),Wanfang Database,and China Science and Technology Journal Database(VIP)],six English databases(Scopus,Embase,Web of Science,PubMed,Cochrane Library,and OpenGrey),and two registration systems(Chinese Clinical Trial Registry and ClinicalTrials.gov).The timeframe for the literature search extended from the inception of each database to December 31,2023.Meta-analysis was performed using RevMan(v5.4.1),and the outcome indicators(pain relief rate,analgesic duration,quality of life,pain intensity,breakthrough pain frequency,and adverse reactions)were graded using GRADE profiler(v3.6).Results According to the established inclusion and exclusion criteria,a total of 43 studies was deemed eligible,involving 3142 participants with CIBP.The results of meta-analysis showed that compared with oral three-step analgesic ladder therapy alone,the combined therapy of EA-TCM and three-step analgesic ladder has a significant improvement in pain relief rate[risk ratio(RR)=1.32,95%confidence interval(CI):1.24 to 1.41,P<0.00001],analgesic duration[mean difference(MD)=1.33,95%CI:0.97 to 1.69,P<0.00001],and quality of life(MD=5.66,95%CI:4.88 to 6.44,P<0.00001).Furthermore,the combined therapy significantly reduced pain intensity(MD=-1.00,95%CI:-1.19 to-0.80,P<0.00001),breakthrough pain frequency(MD=-0.43,95%CI:-0.51 to-0.36,P<0.00001),and adverse reactions(RR=0.60,95%CI:0.53 to 0.68,P<0.00001)in CIBP patients.Based on the GRADE assessment,the level of evidence varied from low to moderate.Conclusion EA-TCM combined with the three-step analgesic ladder therapy can effectively alleviate pain symptoms in patients with CIBP and improve their quality of life.Additionally,the EA-TCM can effectively reduce the incidence of adverse reactions associated with threestep analgesic therapy. 展开更多
关键词 External application of traditional Chinese medicine(EA-TCM) three-step analgesic ladder therapy Cancer-induced bone pain(CIBP) Systematic review META-ANALYSIS
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A semi-implicit three-step method based on SUPG finite element formulation for flow in lid driven cavities with different geometries 被引量:1
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作者 Cheng HUAN Dai ZHOU Yan BAO 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2011年第1期33-45,共13页
A numerical algorithm using a bilinear or linear finite element and semi-implicit three-step method is presented for the analysis of incompressible viscous fluid problems. The streamline upwind/Petrov-Galerkin (SUPG) ... A numerical algorithm using a bilinear or linear finite element and semi-implicit three-step method is presented for the analysis of incompressible viscous fluid problems. The streamline upwind/Petrov-Galerkin (SUPG) stabilization scheme is used for the formulation of the Navier-Stokes equations. For the spatial discretization, the convection term is treated explicitly, while the viscous term is treated implicitly, and for the temporal discretization, a three-step method is employed. The present method is applied to simulate the lid driven cavity problems with different geometries at low and high Reynolds numbers. The results compared with other numerical experiments are found to be feasible and satisfactory. 展开更多
关键词 Semi-implicit three-step method Streamline upwind/Petrov-Galerkin (SUPG) finite element method (FEM) Unsteady incompressible flows Lid driven cavity problem
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ZnO micro-nano composite hydrophobic film prepared by the three-step method
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作者 马恺 李华 +3 位作者 张晗 许小亮 公茂刚 杨周 《Chinese Physics B》 SCIE EI CAS CSCD 2009年第5期1942-1946,共5页
The hydrophobicity of the lotus leaf is mainly due to its surface micro-nano composite structure. In order to mimic the lotus structure, ZnO micro-nano composite hydrophobic films were prepared via the three-step meth... The hydrophobicity of the lotus leaf is mainly due to its surface micro-nano composite structure. In order to mimic the lotus structure, ZnO micro-nano composite hydrophobic films were prepared via the three-step method. On thin buffer films of SiO2, which were first fabricated on glass substrates by the so,gel dip-coating method, a ZnO seed layer was deposited via RF magnetron sputtering. Then two different ZnO films, micro-nano and micro-only flowerlike structures, were grown by the hydrothermal method. The prepared films have different hydrophobic properties after surface modification. The structures of the obtained ZnO films were characterized using x-ray diffraction and field-emission scanning electron microscopy. A conclusion that a micro-nano composite structure is more beneficial to hydrophobicity than a micro-only structure was obtained through research into the effect of structure on hydrophobic properties. 展开更多
关键词 three-step method ZNO micro-nano structure hydrophobic film
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General Convergence Analysis for Three-step Projection Methods and Applications to Variational Problems
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作者 L UO Hong-lin L UO Hui-lin 《Chinese Quarterly Journal of Mathematics》 CSCD 2009年第2期239-243,共5页
First a general model for a three-step projection method is introduced, and second it has been applied to the approximation solvability of a system of nonlinear variational inequality problems in a Hilbert space setti... First a general model for a three-step projection method is introduced, and second it has been applied to the approximation solvability of a system of nonlinear variational inequality problems in a Hilbert space setting. Let H be a real Hilbert space and K be a nonempty closed convex subset of H. For arbitrarily chosen initial points x0, y0, z0 ∈ K, compute sequences xn, yn, zn such thatT : K→ H is a nonlinear mapping onto K. At last three-step models are applied to some variational inequality problems. 展开更多
关键词 two-step model general three-step model system of strongly monotonic non-linear variational inequalities projection formulas convergence of three-projection method
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针灸辅助治疗癌性疼痛的临床研究进展
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作者 迪拉热·木拉提汉 王新宇 米勇 《首都食品与医药》 2026年第5期16-19,共4页
近年来,恶性肿瘤发病率持续攀升,与之相关的并发症也愈发受到重视,其中癌性疼痛(Cancer Pain,CP)是影响患者生活质量的核心问题。传统的三阶梯止痛法因其副作用与成瘾性使用受限。目前研究显示针灸联合治疗能有效降低癌痛程度、减少阿... 近年来,恶性肿瘤发病率持续攀升,与之相关的并发症也愈发受到重视,其中癌性疼痛(Cancer Pain,CP)是影响患者生活质量的核心问题。传统的三阶梯止痛法因其副作用与成瘾性使用受限。目前研究显示针灸联合治疗能有效降低癌痛程度、减少阿片类药物用量,还能减少药物相关的不良反应,并在改善患者情绪、睡眠及生活质量方面具备优势,形成更安全有效的治疗方案。本文综述针灸作为辅助疗法在癌痛管理中的研究进展,涵盖针刺、电针、灸法及特殊针法等多种针灸技术,并结合穴位贴敷、穴位注射等综合治疗方案。未来需进一步开展高质量随机对照试验,统一评估标准,深化针灸治疗癌痛的作用机制研究,推动针灸在肿瘤疼痛综合治疗中的规范化应用。 展开更多
关键词 癌性疼痛 针灸治疗 三阶梯止痛法
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地黄中地黄苷D的测定方法、含量变化规律和药理作用研究进展
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作者 张朋雨 高俊鸽 +4 位作者 杨雅贺 郝秋雯 胡靖翊 吴艳莹 丁宁 《中草药》 北大核心 2026年第1期355-363,共9页
地黄苷D是药食同源中药地黄Rehmannia glutinosa的指标性成分。地黄苷D属于天然环烯醚萜苷类化合物,具有滋阴补血、凉血止血、镇痛、抗抑郁、抗骨质疏松等药理作用,因此对其研究日益深入。综述了近年来地黄苷D的研究进展,详细总结了地黄... 地黄苷D是药食同源中药地黄Rehmannia glutinosa的指标性成分。地黄苷D属于天然环烯醚萜苷类化合物,具有滋阴补血、凉血止血、镇痛、抗抑郁、抗骨质疏松等药理作用,因此对其研究日益深入。综述了近年来地黄苷D的研究进展,详细总结了地黄苷D测定方法的优化与新技术应用,及在不同剂型中的含量测定;归纳了不同产地、不同炮制方法及地黄不同组织含量变化规律;并重点阐述了地黄苷D在内分泌与心血管系统、神经系统等方面的药理学作用。此外,对地黄苷D在研究中存在的相关问题进行讨论,为地黄苷D的深入研发和临床应用,及地黄的质量鉴定和资源综合利用提供科学依据。 展开更多
关键词 地黄苷D 测定方法 含量变化规律 镇痛 抗抑郁 抗骨质疏松
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Application of CLEAR-VOF method to wave and flow simulations 被引量:1
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作者 Ying-wei SUN Hai-gui KANG 《Water Science and Engineering》 EI CAS 2012年第1期67-78,共12页
A two-dimensional numerical model based on the Navier-Stokes equations and computational Lagrangian-Eulerian advection remap-volume of fluid (CLEAR-VOF) method was developed to simulate wave and flow problems. The N... A two-dimensional numerical model based on the Navier-Stokes equations and computational Lagrangian-Eulerian advection remap-volume of fluid (CLEAR-VOF) method was developed to simulate wave and flow problems. The Navier-Stokes equations were discretized with a three-step finite element method that has a third-order accuracy. In the CLEAR-VOF method, the VOF function F was calculated in the Lagrangian manner and allowed the complicated free surface to be accurately captured. The propagation of regular waves and solitary waves over a flat bottom, and shoaling and breaking of solitary waves on two different slopes were simulated with this model, and the numerical results agreed with experimental data and theoretical solutions. A benchmark test of dam-collapse flow was also simulated with an unstructured mesh, and the capability of the present model for wave and flow simulations with unstructured meshes, was verified. The results show that the model is effective for numerical simulation of wave and flow problems with both structured and unstructured meshes. 展开更多
关键词 water wave water flow numerical simulation CLEAR-VOF three-step finite element method
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Different methods of acupuncture for relief of pain due to liver cancer:A network meta-analysis 被引量:1
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作者 Hong-Yuan Mou Jing Chen +1 位作者 Zuo-Yun Chen Hong Du 《World Journal of Meta-Analysis》 2022年第2期52-62,共11页
BACKGROUND Pain in the liver is a common symptom of liver cancer in late stages,and the pain incidence rate exceeds 50%[1].In serious cancer pain,morphine and other major analgesics have been commonly administrated fo... BACKGROUND Pain in the liver is a common symptom of liver cancer in late stages,and the pain incidence rate exceeds 50%[1].In serious cancer pain,morphine and other major analgesics have been commonly administrated for clinical treatments,and their effects are accurate,but with a high incidence of side effects,such as nausea,vomiting,constipation,and other conditions.Acupuncture is a traditional Chinese medicine therapy.There have been many randomized controlled trials addressing the safety and usefulness of different methods of acupuncture in alleviating liver cancer pain.However,which of these methods is the most effective method is still unclear.AIM To compare the effectiveness of different acupuncture methods for alleviating pain due to liver cancer.METHODS Eligible studies were retrieved from eight databases(the Cochrane Library,PubMed,EMBASE,Medline,CNKI,CBM,Chongqing VIP,and Wan Fang Database)up to March 31,2021 and screened based on the established inclusion and exclusion criteria.The quality of the include studies was evaluated.Stata software was applied for statistical analyses.Publication bias of the included studies was also determined.Finally,the network meta-analysis was carried out to evaluate the efficacy of acupuncture methods for relief of pain due to liver cancer.RESULTS A total of eight randomized controlled trials were included in the network metaanalysis.Eight trials(covering 5 treatments and 734 patients)provided data suitable for analysis.Most trials focused on short-term effects and many were classed as being of poor quality with a high risk of bias,commonly associated with lack of blinding(which was sometimes impossible to achieve).End of treatment results showed that four interventions,including wrist-ankle acupuncture,triple puncture and remaining needle acupuncture,Tian Yuan acupuncture,and block acupuncture,produced a statistically significant reduction in pain when compared with the three-step analgesic ladder therapy.The surface under the cumulative ranking sorting results showed that triple puncture and remaining needle acupuncture had a relatively high effective rate.CONCLUSION The network meta-analysis results indicate that the overall effectiveness of triple puncture and remaining needle acupuncture is better than the other therapies. 展开更多
关键词 PAIN Liver cancer ACUPUNCTURE Network meta-analysis EFFECTIVENESS three-step analgesic ladder
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Study on the wind field and pollutant dispersion in street canyons using a stable numerical method
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作者 Dennis Y.C. LEUNG 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2005年第3期488-490,共3页
A stable finite element method for the time dependent Navier-Stokes equations was used for studying the wind flow and pollutant dispersion within street canyons. A three-step fractional method was used to solve the ve... A stable finite element method for the time dependent Navier-Stokes equations was used for studying the wind flow and pollutant dispersion within street canyons. A three-step fractional method was used to solve the velocity field and the pressure field separately from the governing equations. The Streamline Upwind Petrov-Galerkin(SUPG) method was used to get stable numerical results. Numerical oscillation was minimized and satisfactory results can be obtained for flows at high Reynolds numbers. Simulating the flow over a square cylinder within a wide range of Reynolds numbers validates the wind field model. The Strouhal numbers obtained from the numerical simulation had a good agreement with those obtained from experiment. The wind field model developed in the present study is applied to simulate more complex flow phenomena in street canyons with two different building configurations. The results indicated that the flow at rooftop of buildings might not be assumed parallel to the ground as some numerical modelers did. A counter-clockwise rotating vortex may be found in street canyons with an inflow from the left to right. In addition, increasing building height can increase velocity fluctuations in the street canyon under certain circumstances, which facilitate pollutant dispersion. At high Reynolds numbers, the flow regimes in street canyons do not change with inflow velocity. 展开更多
关键词 finite element method Streamline Upwind Petrov-Galerkin method three-step fractional method
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Application of Three Steps and Middle Column Method in Shallow Buried Tunnel with Strong Expansive Surrounding Rock
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作者 LIMingyu 《外文科技期刊数据库(文摘版)工程技术》 2022年第6期031-038,共8页
In the Chenggong tunnel of Kunming, aiming at the engineering of shallow buried and strongly expanded surrounding rock, the construction method of three steps plus central columns is introduced. The soil of Chenggong ... In the Chenggong tunnel of Kunming, aiming at the engineering of shallow buried and strongly expanded surrounding rock, the construction method of three steps plus central columns is introduced. The soil of Chenggong Tunnel is tested in laboratory to determine its expansibility. The traditional three-step method and three-step plus center pillar method are compared and analyzed by using MIDAS-GTS. Finally, the deformation of surrounding rock after the construction of three-step plus center pillar method is obtained through on-site monitoring. The results show that: 1) The free expansion rate, montmorillonite content and cation exchange capacity of Chenggong tunnel soil are determined, and the expansive parameters are obtained. 2) Through numerical simulation, it is concluded that under the condition of strong expansive soil and weak surrounding rock, the settlement of vault and two sides caused by the traditional step method are both larger than that of the three steps plus center pillar method. This new improved method can effectively reduce the disturbance to surrounding rock and significantly reduce the settlement of vault;3) The data of vault settlement and displacement of two sides of the tunnel after the construction of the three-step plus center pillar method are obtained by on-site monitoring, and are simulated and analyzed by using MIDAS-GTS software. The relative error value of vault settlement obtained by the two methods is 1%, which indicates that MIDAS-GTS has good simulation effect on the stress state and deformation state of the tunnel, and further indicates that this method is very practical for the case of small convergence of side walls and large vault settlement. 展开更多
关键词 shallow buried tunnel with strong swelling surrounding rock three-step middle column method laboratory tests numerical simulation field monitoring
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Box-Behnken设计-响应面法优化醋艾叶炮制工艺及其对镇痛活性的影响 被引量:1
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作者 史永洁 张少萌 +2 位作者 孙堂强 吕洁丽 张来宾 《南京中医药大学学报》 北大核心 2025年第8期1075-1086,共12页
目的优选醋艾叶最佳炮制工艺,并分析炮制前后指标成分含量及镇痛活性差异。方法分别以异泽兰黄素和Santamarine为对照品,建立艾叶中总黄酮和总萜含量测定方法;采用HPLC-VWD建立同时测定艾叶中6-Methoxytricin、Santamarine、异泽兰黄素... 目的优选醋艾叶最佳炮制工艺,并分析炮制前后指标成分含量及镇痛活性差异。方法分别以异泽兰黄素和Santamarine为对照品,建立艾叶中总黄酮和总萜含量测定方法;采用HPLC-VWD建立同时测定艾叶中6-Methoxytricin、Santamarine、异泽兰黄素及Artemisolide 4种活性成分含量的方法。以总黄酮、总萜和4种活性成分含量为考察指标,以米醋用量、闷润时间、炒制温度和炒制时间为考察因素,采用Box-Behnken设计-响应面法优化醋艾叶的最佳炮制工艺。同时采用定量分析结合聚类分析(Hierarchical cluster analysis,HCA)、主成分分析(Principal component analysis,PCA)和正交偏最小二乘判别分析(Orthogonal partial least squares discriminant analysis,OPLS-DA)开展优化工艺的验证性实验,评价炮制前后指标成分的含量差异,采用福尔马林致痛小鼠模型考察醋艾叶炮制前后镇痛活性差异。结果醋艾叶最佳炮制工艺参数为米醋用量16%、闷润时间50 min、炒制温度160℃、炒制时间12 min。验证性实验结果证实炮制前后指标成分含量存在显著差异,且醋艾叶镇痛活性显著优于艾叶。结论优选出的醋艾叶炮制工艺稳定可行,可为规范醋艾叶的标准化生产提供科学依据。 展开更多
关键词 醋艾叶 炮制工艺 Box-Behnken设计-响应面法 总黄酮 总萜 6-Methoxytricin Santamarine 异泽兰黄素 Artemisolide 镇痛活性
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Box-Behnken响应面法优化艾纳香提取物颗粒剂的成型工艺
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作者 潘淑娟 龙利 +2 位作者 杨会 齐维金 王鲁 《华西药学杂志》 北大核心 2025年第6期672-676,共5页
目的制备艾纳香提取物颗粒剂,并研究其抗炎镇痛活性。方法从艾纳香药材中提取艾纳香油和黄酮类成分;通过动物模型评价艾纳香提取物的抗炎镇痛活性,并采用响应面优化设计优选艾纳香颗粒剂的最佳成型工艺。结果艾纳香提取物能显著降低小... 目的制备艾纳香提取物颗粒剂,并研究其抗炎镇痛活性。方法从艾纳香药材中提取艾纳香油和黄酮类成分;通过动物模型评价艾纳香提取物的抗炎镇痛活性,并采用响应面优化设计优选艾纳香颗粒剂的最佳成型工艺。结果艾纳香提取物能显著降低小鼠的扭体次数和耳廓肿胀度,对疼痛抑制率达59.32%,对肿胀抑制率达62.16%。颗粒剂的最佳成型工艺为:艾纳香提取物-乳糖(1:3.9),润湿剂为55%乙醇,黏合剂为2%羧甲基纤维素钠、添加量为5%。结论艾纳香提取物具有较好的抗炎镇痛活性;优化后的艾纳香颗粒剂成型工艺稳定可行,为艾纳香的开发与应用提供了实验依据。 展开更多
关键词 艾纳香 艾纳香油 黄酮类物质 抗炎 镇痛 颗粒剂 响应面法 成型工艺
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复方中药厚朴温中汤镇痛作用效果及代谢机制的研究
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作者 杨代晓 许雄伟 +4 位作者 申健 彭晓放 汤莉 张磊 彭拓华 《药学前沿》 2025年第2期201-209,共9页
目的本研究旨在通过气相色谱-质谱联用(GC/MS)代谢组学技术,深入探讨厚朴温中汤的镇痛作用及其潜在的代谢机制,为中药镇痛药物的开发提供科学依据。方法采用热板法和醋酸扭体法评估厚朴温中汤的镇痛效果,将小鼠随机分为模型组、阳性对照... 目的本研究旨在通过气相色谱-质谱联用(GC/MS)代谢组学技术,深入探讨厚朴温中汤的镇痛作用及其潜在的代谢机制,为中药镇痛药物的开发提供科学依据。方法采用热板法和醋酸扭体法评估厚朴温中汤的镇痛效果,将小鼠随机分为模型组、阳性对照组(阿司匹林,0.2 g/kg)和厚朴温中汤高(3.6 g/kg)、中(1.8 g/kg)、低(0.9 g/kg)剂量组,连续给药7 d后,测定小鼠在热板上的舔足潜伏期;将小鼠随机分为空白组、模型组、厚朴温中汤组(3.6 g/kg),连续给药7 d后,计算醋酸诱导的扭体次数。利用GC/MS代谢组学分析小鼠血液样本,筛选潜在生物标志物并解析相关代谢通路。结果热板法实验结果显示,厚朴温中汤具有显著的剂量依赖性镇痛效果,与模型组比较,高、中剂量组在给药后30 min和60 min时舔足潜伏期显著延长(P<0.05);醋酸扭体实验结果显示,厚朴温中汤组小鼠扭体次数较模型组显著降低(P<0.05)。代谢组学分析发现19个潜在生物标志物,涉及7条代谢通路,其中丙氨酸、天冬氨酸和谷氨酸代谢通路尤为关键,丙氨酸的丰度变化与镇痛效果密切相关。结论本研究通过热板法和醋酸扭体法证实厚朴温中汤具有显著的镇痛作用,并基于代谢组学技术揭示其镇痛机制与丙氨酸、天冬氨酸和谷氨酸代谢通路密切相关,为厚朴温中汤的进一步研究及药物开发提供了重要的理论依据。 展开更多
关键词 中药 厚朴温中汤 代谢组学 热板法 醋酸扭体法 代谢通路 镇痛机制
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刺血拔罐法在血瘀型腰椎间盘突出症急性期的镇痛效应分析 被引量:2
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作者 金绵棉 周萍萍 周彩丽 《全科医学临床与教育》 2025年第3期227-229,共3页
目的 探讨刺血拔罐法应用于血瘀型腰椎间盘突出症急性期时的镇痛效应。方法 选择100例血瘀型腰椎间盘突出症急性期患者为研究对象,使用随机数字表法将其分为两组,每组50例,其中对照组患者进行常规镇痛治疗措施,拔罐组患者在对照组基础... 目的 探讨刺血拔罐法应用于血瘀型腰椎间盘突出症急性期时的镇痛效应。方法 选择100例血瘀型腰椎间盘突出症急性期患者为研究对象,使用随机数字表法将其分为两组,每组50例,其中对照组患者进行常规镇痛治疗措施,拔罐组患者在对照组基础上接受刺血拔罐法进行治疗,比较两组患者治疗前后临床疗效、中医证候积分、视觉疼痛模拟评分(VAS)、Oswestry功能障碍指数问卷(ODI)、日本骨科协会评估治疗分数(JOA)。结果 治疗后,拔罐组总有效率明显高于对照组,差异有统计学意义(χ^(2)=4.57,P<0.05)。治疗前,两组中医证候积分、VAS、ODI、JOA评分比较,差异无统计学意义(t分别=0.43、0.15、0.14、0.27,P均>0.05),治疗后,拔罐组中医证候积分、VAS及ODI评分明显低于对照组,JOA评分则明显高于对照组,差异有统计学意义(t分别=-8.38、-7.62、-6.07、10.10,P均<0.05)。结论 刺血拔罐法对于血瘀型腰椎间盘突出症急性期患者镇痛效果较好,对其腰椎功能状况有一定改善效果。 展开更多
关键词 刺血拔罐法 血瘀型腰椎间盘突出症急性期 镇痛效应
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不同镇痛方式对直结肠癌根治术后患者血流动力学及睡眠质量的影响
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作者 吴毅阳 林淑娥 《世界睡眠医学杂志》 2025年第4期753-756,共4页
目的:探究不同镇痛方式应用于直结肠癌根治术后患者,对其血流动力学指标及睡眠质量的具体影响。方法:选取2023年4月至2024年4月泉州市第一医院收治的接受直结肠癌根治术患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组4... 目的:探究不同镇痛方式应用于直结肠癌根治术后患者,对其血流动力学指标及睡眠质量的具体影响。方法:选取2023年4月至2024年4月泉州市第一医院收治的接受直结肠癌根治术患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组采用静脉镇痛,观察组实施硬膜外镇痛麻醉方式,观察并记录患者血流动力学指标以及睡眠质量。结果:术后各个时间点,观察组睡眠质量评分明显低于对照组,差异有统计学意义(P<0.05);术后1 d、3 d观察组患者睡眠各项指标均优于对照组,差异有统计学意义(P<0.05);观察组血流动力学比较平稳,严重睡眠障碍发生情况比较少,差异有统计学意义(P<0.05)。结论:通过硬膜外镇痛麻醉的方式,可有效稳定血流动力学指标,改善患者睡眠状况,对患者术后恢复意义重大,需综合考量多因素以优化镇痛方案。 展开更多
关键词 直结肠癌根治术 镇痛方式 血流动力学 睡眠质量 睡眠效率 觉醒指数 硬膜外镇痛 静脉镇痛
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全程硬膜外分娩镇痛联合护理支持对产妇的影响 被引量:38
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作者 谢建英 蔡玉娟 +3 位作者 钟少平 崔菊芬 徐忠平 张引法 《解放军护理杂志》 CSCD 2016年第14期29-31,共3页
目的观察全程硬膜外分娩镇痛联合护理支持对产妇的影响。方法 2014年10月至2015年3月,便利抽样法选择在嘉兴市妇幼保健院实施硬膜外镇痛分娩的产妇450例为研究对象。按随机数字表法将其分为A、B、C三组,每组150例。A组产妇行全程硬膜外... 目的观察全程硬膜外分娩镇痛联合护理支持对产妇的影响。方法 2014年10月至2015年3月,便利抽样法选择在嘉兴市妇幼保健院实施硬膜外镇痛分娩的产妇450例为研究对象。按随机数字表法将其分为A、B、C三组,每组150例。A组产妇行全程硬膜外分娩镇痛联合护理支持,包括语言交流、情感支持、拉玛泽呼吸、体位干预等;B组产妇行全程硬膜外分娩镇痛,其他按常规护理;C组产妇第二产程停用镇痛泵直至分娩结束,其他按常规护理。观察三组产妇第二产程时间、分娩结局、记录各时段[宫口开1.0 cm(T1)、宫口开3.0 cm(T2)、宫口开10.0 cm(T3)、胎儿娩出(T4)及产后会阴部损伤修复时(T5)]疼痛视觉模拟评分(visual analog scale,V.AS)。结果三组产妇在T1、T2和T3时段VAS评分的差异均无统计学意义(均P>0.05);A、B组患者在T4、T5时段VAS评分明显低于c组,差异均有统计学意义(均P<0.05)。A组和C组第二产程时间明显短于B组,差异均有统计学意义(均P<0.01);A组自然分娩率高于B组和C组,差异均有统计学意义(均P<0.01);A组和B组在产后对镇痛分娩的满意率明显高于C组,差异均有统计学意义(均P<0.05)。结论全程分娩镇痛联合有效护理支持的镇痛模式,在不影响第二产程时间及分娩结局的基础上能促进自然分娩,对母婴是安全的。 展开更多
关键词 全程硬膜外分娩镇痛 护理支持 分娩方式 镇痛满意度
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全程硬膜外分娩镇痛对第二产程及分娩方式的影响 被引量:51
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作者 王娴 徐世琴 +1 位作者 冯善武 沈晓凤 《临床麻醉学杂志》 CAS CSCD 北大核心 2013年第9期856-858,共3页
目的观察全程硬膜外分娩镇痛对第二产程及分娩方式的影响。方法选择要求硬膜外分娩镇痛的产妇449例,当镇痛效果确切,进入第二产程后分别给予罗哌卡因复合舒芬太尼(持续镇痛组,R组,n=287)或生理盐水(暂停镇痛组,N组,n=162)。胎儿娩出后,... 目的观察全程硬膜外分娩镇痛对第二产程及分娩方式的影响。方法选择要求硬膜外分娩镇痛的产妇449例,当镇痛效果确切,进入第二产程后分别给予罗哌卡因复合舒芬太尼(持续镇痛组,R组,n=287)或生理盐水(暂停镇痛组,N组,n=162)。胎儿娩出后,比较两组产妇的产程时间、分娩方式、产程镇痛满意度、会阴部修复时VAS评分。结果两组产妇第二产程时间及分娩方式差异无统计学意义;R组产妇第二产程镇痛满意度(91±6)分,明显高于N组(84±7)分(P<0.05),而R组会阴部修复时VAS评分为(0.7±0.6)分,明显低于N组(1.2±0.8)分(P<0.05)。结论全程硬膜外分娩镇痛对第二产程及分娩方式无明显影响,而且第二产程及会阴部修复时镇痛满意度较高。 展开更多
关键词 全程硬膜外分娩镇痛 第二产程 分娩方式 镇痛满意度
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青岛地区29家医院阿片类镇痛药使用分析 被引量:8
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作者 李祥鹏 秦贤 +2 位作者 荆凡波 韩冰 隋忠国 《中国药房》 CAS 北大核心 2016年第26期3621-3623,共3页
目的:了解青岛地区阿片类镇痛药用量及销售金额构成情况。方法:调查该地区29家二级以上公立医院阿片类镇痛药的消耗数据,采用ABC分析法及限定日剂量法进行统计分析。结果:ABC分析中A类5种药品占全部品种数的20%,销售金额占比为77.38%;B... 目的:了解青岛地区阿片类镇痛药用量及销售金额构成情况。方法:调查该地区29家二级以上公立医院阿片类镇痛药的消耗数据,采用ABC分析法及限定日剂量法进行统计分析。结果:ABC分析中A类5种药品占全部品种数的20%,销售金额占比为77.38%;B类4种药品占全部品种数的16.00%,销售金额占比为11.98%;其余16种药品占全部品种数的64.00%,销售金额占比为10.64%。盐酸羟考酮缓释片和硫酸吗啡缓释片作为使用频度(DDDs)最高,消耗了较多的医疗费用,序号比=1.00,同步性较好,符合临床工作的实际需要。结论:该地区阿片类镇痛药的费用构成比例与理论值相符,未出现明显的费用与DDDs不符的现象。 展开更多
关键词 ABC分析法 阿片类镇痛药 限定日剂量 销售金额 用药频度
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布托啡诺的不同给药方式对老年患者术后镇痛效果的影响 被引量:3
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作者 吴安生 赵梓煜 +2 位作者 赵敏 夏海杰 钱江洁 《中国医院药学杂志》 CAS CSCD 北大核心 2011年第11期919-922,共4页
目的:研究布托啡诺的不同给药方式对老年患者术后镇痛效果的影响。方法:80例硬膜外麻醉下行人工全髋关节置换术患者,随机分为硬膜外组(Y)与静脉组(J)2组,各40例,Y组为硬膜外给予1mg布托啡诺作术后镇痛者,J组为静脉给予1mg布... 目的:研究布托啡诺的不同给药方式对老年患者术后镇痛效果的影响。方法:80例硬膜外麻醉下行人工全髋关节置换术患者,随机分为硬膜外组(Y)与静脉组(J)2组,各40例,Y组为硬膜外给予1mg布托啡诺作术后镇痛者,J组为静脉给予1mg布托啡诺者,记录两组术后恶心、呕吐、瘙瘁、头痛、头晕、呼吸抑制等不良反应的发生情况,采用视觉模拟评分尺(vAS)和镇静评级(Ramesay)评估镇痛及镇静程度。结果:两组患者均无呼吸抑制、瘙痒的发生,Y组恶心呕吐和头晕的发生率高于J组(P〈0.05),两组VAS评分术后2~12hJ组总体高于Y组(P〈0.05),两组患者术后2,4hVAS评分差异均无统计学意义(P〈0.05),术后8h时间点J组高于Y组(P〈0.05),术后12,24h时间点J组高于Y组(P〈0.01)。两组镇静评分Ramesay术后2~12hJ组总体J组高于Y组(P〈0.05),术后2,4,8h时间点J组明显高于Y组(P〈0.01),12h时间点J组高于Y组(P〈0.05),术后24h时间点两组差异无统计学意义(P〉0.05)。结论:布托啡诺硬膜外镇痛作用比静脉持续时间长,不良反应少。 展开更多
关键词 布托啡诺 镇痛效果 给药方式
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