糖尿病周围神经病变(DPN)作为一种常见的糖尿病并发症,给患者带来诸多困扰。其中,身体失衡问题尤为突出。本文深入探讨了DPN导致身体失衡的原因,旨在揭示其背后的病理机制。同时,对全身振动训练改善糖尿病周围神经病变患者身体平衡的有...糖尿病周围神经病变(DPN)作为一种常见的糖尿病并发症,给患者带来诸多困扰。其中,身体失衡问题尤为突出。本文深入探讨了DPN导致身体失衡的原因,旨在揭示其背后的病理机制。同时,对全身振动训练改善糖尿病周围神经病变患者身体平衡的有效性进行了系统阐述,为临床实践提供帮助。Diabetic peripheral neuropathy (DPN) is a common complication of diabetes, bringing many troubles to patients. Among them, the problem of body imbalance is particularly prominent. This paper deeply discusses the reasons for body imbalance caused by DPN, aiming to reveal the pathological mechanism behind it. At the same time, the effectiveness of whole body vibration training in improving the body balance of patients with diabetic peripheral neuropathy is systematically expounded to provide help for clinical practice.展开更多
There is little information about drivers’body balance responses to combined exposure of noise and vibration.To fill the gap,this study aims to investigate the combined effects of exposure to noise and whole-body vib...There is little information about drivers’body balance responses to combined exposure of noise and vibration.To fill the gap,this study aims to investigate the combined effects of exposure to noise and whole-body vibration(WBV)on the body balance under simulated driving conditions.For this purpose,30 male participants were exposed to noise level at 85 dB(A)and two vibration levels(0.87 and 1.3 m/s^(2))in five sessions.The design of the study was repeated-measures,and it attempted to assess the effects of 40 minutes of exposure to noise and/or WBV.Moreover,the participants’fatigue was measured with the Borg scale(CR 10).The findings revealed there was a significant change in body sway after WBV and combined noise and WBV exposure(p<0.05).However,no significant difference was found in exposure to noise alone(p>0.05).The effect sizes of exposure to noise,WBV(1.3 m/s^(2)),and combined noise and WBV(1.3 m/s^(2))on body balance were 0.035,0.425,and 0.635,respectively.Also,single exposure to WBV caused more fatigue than single exposure to noise(p<0.05).Combined noise and WBV exposure descriptively caused more fatigue in comparison with the influence of WBV alone.The study concluded that the combined effects of exposure to noise and vibration are more than the sum of them.So,some synergistic effects may be observed in human body balance.It is essential to increase drivers’awareness and revise current health care interventions about new possible effects of combined exposures.展开更多
依据2018年第65届美国运动学会(ACSM)学术年会、第9届"Exercise is Medicine(EIM)"世界大会内容,查阅相关文献资料,以EIM为基础,重点阐述2018年ACSM年会中5篇全身震动(WBV)交流论文及与其相关的WBV干预的研究现状。这些研究...依据2018年第65届美国运动学会(ACSM)学术年会、第9届"Exercise is Medicine(EIM)"世界大会内容,查阅相关文献资料,以EIM为基础,重点阐述2018年ACSM年会中5篇全身震动(WBV)交流论文及与其相关的WBV干预的研究现状。这些研究前沿和研究现状对进一步开展WBV健身效果的研究带来新启示和思路。研究认为,WBV能改善老年人姿势平衡、降低跌倒风险、增加身体功能和体成分、增进心血管系统和骨关节炎的神经肌肉表现等。WBV对健康促进效果显著。同时,也应该注意到,长期WBV干预对心血管系统健康和神经肌肉系统改善的影响仍不清楚,WBV干预与膝关节屈膝不同角度干预的积极效果间的相关性应进一步综合评定。需要深入开展涵盖下肢肌力、身体功能和体成分、姿势平衡和膝关节屈膝不同程度在内的系统的WBV评估体系构建,藉此使WBV健身手段获得正确评估,为WBV广泛开展提供更多科学依据。展开更多
目的探讨血栓心脉宁片联合银杏达莫治疗冠心病心绞痛的临床疗效。方法选取2015年9月—2016年9月在驻马店市中心医院进行治疗的冠心病心绞痛患者86例,随机分为对照组(43例)和治疗组(43例)。对照组患者静脉滴注银杏达莫注射液,20 m L加入...目的探讨血栓心脉宁片联合银杏达莫治疗冠心病心绞痛的临床疗效。方法选取2015年9月—2016年9月在驻马店市中心医院进行治疗的冠心病心绞痛患者86例,随机分为对照组(43例)和治疗组(43例)。对照组患者静脉滴注银杏达莫注射液,20 m L加入生理盐水250 m L中,2次/d。治疗组在对照组的基础上口服血栓心脉宁片,2片/次,3次/d。两组患者均连续治疗4周。观察两组患者临床疗效,同时比较两组患者治疗前后血液流变学指标、临床症状积分、心绞痛发作次数和持续时间以及血清炎性因子的变化。结果治疗后,对照组的总有效率为81.40%,显著低于治疗组的95.35%,两组总有效率比较差异具有统计学意义(P<0.05)。治疗后,两组患者全血黏度(WBV)、血浆黏度(PV)、纤维蛋白原(FIB)和血小板黏附率(PAR)均显著降低(P<0.05),且治疗组患者比对照组降低更显著(P<0.05)。治疗后两组患者胸痛、胸闷、心悸等临床症状积分均显著降低(P<0.05),且治疗组比对照组降低更显著(P<0.05)。治疗后,两组患者心绞痛发作次数和持续时间均显著缩短(P<0.05),且与对照组相比,治疗组缩短更显著(P<0.05)。治疗后,两组患者血清C反应蛋白(CRP)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平均显著降低(P<0.05),且治疗组患者比对照组降低更明显(P<0.05)。结论血栓心脉宁片联合银杏达莫治疗冠心病心绞痛效果显著,有利于临床症状改善,具有一定的临床推广应用价值。展开更多
文摘糖尿病周围神经病变(DPN)作为一种常见的糖尿病并发症,给患者带来诸多困扰。其中,身体失衡问题尤为突出。本文深入探讨了DPN导致身体失衡的原因,旨在揭示其背后的病理机制。同时,对全身振动训练改善糖尿病周围神经病变患者身体平衡的有效性进行了系统阐述,为临床实践提供帮助。Diabetic peripheral neuropathy (DPN) is a common complication of diabetes, bringing many troubles to patients. Among them, the problem of body imbalance is particularly prominent. This paper deeply discusses the reasons for body imbalance caused by DPN, aiming to reveal the pathological mechanism behind it. At the same time, the effectiveness of whole body vibration training in improving the body balance of patients with diabetic peripheral neuropathy is systematically expounded to provide help for clinical practice.
基金This study was financially supported by Research Deputy of Hamadan University of Medical Sciences(Grant No.9802241621).We would like to appreciate the students of Hamadan University of Medical Sciences for their participation in this project。
文摘There is little information about drivers’body balance responses to combined exposure of noise and vibration.To fill the gap,this study aims to investigate the combined effects of exposure to noise and whole-body vibration(WBV)on the body balance under simulated driving conditions.For this purpose,30 male participants were exposed to noise level at 85 dB(A)and two vibration levels(0.87 and 1.3 m/s^(2))in five sessions.The design of the study was repeated-measures,and it attempted to assess the effects of 40 minutes of exposure to noise and/or WBV.Moreover,the participants’fatigue was measured with the Borg scale(CR 10).The findings revealed there was a significant change in body sway after WBV and combined noise and WBV exposure(p<0.05).However,no significant difference was found in exposure to noise alone(p>0.05).The effect sizes of exposure to noise,WBV(1.3 m/s^(2)),and combined noise and WBV(1.3 m/s^(2))on body balance were 0.035,0.425,and 0.635,respectively.Also,single exposure to WBV caused more fatigue than single exposure to noise(p<0.05).Combined noise and WBV exposure descriptively caused more fatigue in comparison with the influence of WBV alone.The study concluded that the combined effects of exposure to noise and vibration are more than the sum of them.So,some synergistic effects may be observed in human body balance.It is essential to increase drivers’awareness and revise current health care interventions about new possible effects of combined exposures.
文摘依据2018年第65届美国运动学会(ACSM)学术年会、第9届"Exercise is Medicine(EIM)"世界大会内容,查阅相关文献资料,以EIM为基础,重点阐述2018年ACSM年会中5篇全身震动(WBV)交流论文及与其相关的WBV干预的研究现状。这些研究前沿和研究现状对进一步开展WBV健身效果的研究带来新启示和思路。研究认为,WBV能改善老年人姿势平衡、降低跌倒风险、增加身体功能和体成分、增进心血管系统和骨关节炎的神经肌肉表现等。WBV对健康促进效果显著。同时,也应该注意到,长期WBV干预对心血管系统健康和神经肌肉系统改善的影响仍不清楚,WBV干预与膝关节屈膝不同角度干预的积极效果间的相关性应进一步综合评定。需要深入开展涵盖下肢肌力、身体功能和体成分、姿势平衡和膝关节屈膝不同程度在内的系统的WBV评估体系构建,藉此使WBV健身手段获得正确评估,为WBV广泛开展提供更多科学依据。
文摘目的探讨血栓心脉宁片联合银杏达莫治疗冠心病心绞痛的临床疗效。方法选取2015年9月—2016年9月在驻马店市中心医院进行治疗的冠心病心绞痛患者86例,随机分为对照组(43例)和治疗组(43例)。对照组患者静脉滴注银杏达莫注射液,20 m L加入生理盐水250 m L中,2次/d。治疗组在对照组的基础上口服血栓心脉宁片,2片/次,3次/d。两组患者均连续治疗4周。观察两组患者临床疗效,同时比较两组患者治疗前后血液流变学指标、临床症状积分、心绞痛发作次数和持续时间以及血清炎性因子的变化。结果治疗后,对照组的总有效率为81.40%,显著低于治疗组的95.35%,两组总有效率比较差异具有统计学意义(P<0.05)。治疗后,两组患者全血黏度(WBV)、血浆黏度(PV)、纤维蛋白原(FIB)和血小板黏附率(PAR)均显著降低(P<0.05),且治疗组患者比对照组降低更显著(P<0.05)。治疗后两组患者胸痛、胸闷、心悸等临床症状积分均显著降低(P<0.05),且治疗组比对照组降低更显著(P<0.05)。治疗后,两组患者心绞痛发作次数和持续时间均显著缩短(P<0.05),且与对照组相比,治疗组缩短更显著(P<0.05)。治疗后,两组患者血清C反应蛋白(CRP)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平均显著降低(P<0.05),且治疗组患者比对照组降低更明显(P<0.05)。结论血栓心脉宁片联合银杏达莫治疗冠心病心绞痛效果显著,有利于临床症状改善,具有一定的临床推广应用价值。
