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Optimization of Short Stroke Control Preset for Automatic Width Control of Hot Rolling Mill 被引量:12
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作者 DU Xiao-zhong YANG Quan +2 位作者 LU Cheng WANG Ai-li Tieu A Kiet 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2010年第6期16-20,共5页
Automatic width control is a key issue in hot strip rolling process. The edge rolling has been widely used in the roughing stand of hot strip mill to control the width of the slab. However, the edge rolling and conseq... Automatic width control is a key issue in hot strip rolling process. The edge rolling has been widely used in the roughing stand of hot strip mill to control the width of the slab. However, the edge rolling and consequent hori- zontal rolling will cause a significant width change in the head part and tail part of the slab, which have to be trimmed before the finishing stands. Based on the width reduction deformation curve of the head and tail along the longitudinal direction of slab, the short stroke control (SSC) technology has been developed to overcome this problem. The finite element method has been used to simulate the unsteady edge rolling process. Three short stroke control curves have been compared in order to obtain the best width control result. The optimized short stroke control curve has been ap- plied to the automatic width control system of industrial hot rolling mill, and good performance is obtained. 展开更多
关键词 unsteady rolling edge rolling short stroke control automatic width control LS-DYNA
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Short Stroke Control with Gaussian Curve and PSO Algorithm in Plate Rolling Process 被引量:1
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作者 Jing-Guo Ding Li-Li Qu +1 位作者 Xian-Lei Hu Xiang-Hua Liu 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2013年第4期93-98,共6页
The precision width control is vital for product quality and production economy in plate width control process, so short stroke control method was used in plate rolling by opening or closing edger gap so as to avoid h... The precision width control is vital for product quality and production economy in plate width control process, so short stroke control method was used in plate rolling by opening or closing edger gap so as to avoid head end necking. Head end necking on different broadening ratio was analyzed, and sections of different elongations at edger roiling was calculated; based on the law of volume constancy, the adjustment functions were described by parabolic functions. Control curves were developed with three Gaussian curves by means of additional combining; SSC control curve was changed with different weights of those curves, w1 effect one-third of SSC length, w2 effect two-third of SSC length, w3 effect all three parts of SSC length. In order to adjust the amount of weights for precise quantification, PSO algorithm was used to build sufficiency function so as to obtain best rectangular degree by global optimization. Practical applications showed that the method proposed is available to improve the product rolling yields by 1.0% -2. 0% and worthy to apply to plate rolling. 展开更多
关键词 plate mill short stroke control ganssian curve PSO rolling yields
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Technological investigation on the Short Stroke Width Control Rolling in the Rougher Mills of Hot Strip Continuous Rolling Mill Train 被引量:1
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作者 SUN Ben Rong SHUAI Min +4 位作者 YANG Xin Fa FAN Mei Guang LI Yi Ying ZHOU Ren Yi SHEN Jian Guo 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 1995年第1期22-25,共4页
According to technological requirement of hot charge rolling and hot direct rolling,in this paper,we investigated the technology of the width control rolling in the rougher mills of hot strip continuous rolling mill t... According to technological requirement of hot charge rolling and hot direct rolling,in this paper,we investigated the technology of the width control rolling in the rougher mills of hot strip continuous rolling mill train.On the basis of improving width range of continuous casting of slab,we obtained a good result of greatly increasing the yield of slab→coil is achieved. 展开更多
关键词 hot charge rolling hot direct rolling short stroke width control rolling
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Fire-needle acupuncture for upper limb spastic paralysis after stroke:Study protocol for a randomized controlled trial 被引量:13
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作者 Xin-yu Yue Zhuo-qi Feng +3 位作者 Xi-yi Yu Jia-min Hu Xiao-Jing He Shi Shu 《Journal of Integrative Medicine》 SCIE CAS CSCD 2019年第3期167-172,共6页
Background: Fire-needle acupuncture, an important kind of acupuncture therapy, has been clinically used to treat upper limb spastic paralysis(ULSP) after stroke. Clinical experience has indicated that fire-needle acup... Background: Fire-needle acupuncture, an important kind of acupuncture therapy, has been clinically used to treat upper limb spastic paralysis(ULSP) after stroke. Clinical experience has indicated that fire-needle acupuncture treatment takes less time, requires fewer visits, and has more rapid results and fewer side effects compared to chemical medicine alternatives. This study will evaluate the effects of fire-needle acupuncture for ULSP in the context of standardized clinical research and provide high-quality data to inform clinical procedures and future study design.Methods/Design: A randomized controlled trial will be carried out to evaluate the effects of fire-needle acupuncture therapy in patients with ULSP from stroke. ULSP patients(n = 120) will be recruited at Changhai Hospital in Shanghai, China. Patients will be randomly divided into three groups, including fire-needle acupuncture group(FAG), filiform-needle acupuncture group(FFAG) and rehabilitation treatment group(RTG). During the 3-week treatment, the FAG will be treated every two days, while FFAG and RTG will be treated 5 d in a row and then rest for 2 d. The Simplified Fugl-Meyer Motor Function Scale and Modified Ashworth Scale will be used as the primary outcome measures. Statistical analysis will be conducted by an independent statistician.Discussion: Through this study, the utility of fire-needle acupuncture in treating ULSP after stroke will be tested, and some specific claims of fire-needle acupuncture therapy will be evaluated, such as relieving spasm and muscular tension, improving activities of daily living, rapidity of response and less frequency of treatment compared with other treatments. 展开更多
关键词 Fire-needle ACUPUNCTURE Upper limb SPASTIC PARALYSIS stroke Randomized controlled trial Study protocol
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Role of Trunk Rehabilitation on Trunk Control, Balance and Gait in Patients with Chronic Stroke: A Pre-Post Design 被引量:8
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作者 S. Karthikbabu John M. Solomon +3 位作者 N. Manikandan Bhamini K. Rao M. Chakrapani Akshatha Nayak 《Neuroscience & Medicine》 2011年第2期61-67,共7页
Purpose: Although proximal stability of the trunk is a prerequisite for balance and gait, to determine the role of trunk rehabilitation on trunk control, balance and gait in patients with chronic stroke is yet unknown... Purpose: Although proximal stability of the trunk is a prerequisite for balance and gait, to determine the role of trunk rehabilitation on trunk control, balance and gait in patients with chronic stroke is yet unknown. Method: Fifteen sub-jects (post-stroke duration (3.53 ± 2.98) years) who had the ability to walk 10 meters independently with or without a walking aid;scoring ≤ 21 on Trunk Impairment Scale (TIS), participated in a selective trunk muscle exercise regime, consisting of 45 minutes training per day, four days a week, and for four weeks duration in an outpatient stroke reha-bilitation centre. Results: The overall effect size index for trunk rehabilitation was 1.07. This study showed large effect size index for Trunk Impairment Scale (1.75), Berg Balance Scale (1.65) than for gait variables (0.65). After trunk rehabilitation, there was a significant improvement for gait speed (p= 0.015), cadence (p= 0.001) and gait symmetry (p=0.019) in patients with chronic stroke. In addition, all the spatial gait parameters had a significant change post-intervention. There was no significant change in temporal gait parameters with the exception of affected single limb support time. The level of significance was set at p < 0.05. Conclusion: The exercises consisted of selective trunk movement of the upper and the lower part of trunk had shown larger effect size index for trunk control and balance than for gait in patients with chronic stroke. Future randomized controlled studies incorporating large sample size would provide insight into the effectiveness and clinical relevance of this intervention. 展开更多
关键词 Selective TRUNK activity TRUNK REHABILITATION stroke TRUNK control BALANCE Gait.
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Effectiveness of Xinglouchengqi decoction on constipation in patients with acute ischemic stroke: a randomized controlled trial 被引量:9
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作者 Chen Pei Jiang Lan +9 位作者 Geng Hualei Han Xiao Xu Yinping Chen Yan Guo Jinbin Wu Shuang Wang Yahui Yan Ruyu Ren Yi ZouYihuai 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2020年第1期112-120,共9页
OBJECTIVE:To evaluate the effectiveness of traditional Chinese herbal Xinglouchengqi(XLCQ)decoction for the treatment of constipation in acute ischemic stroke patients,and figure out the role that bowel movements play... OBJECTIVE:To evaluate the effectiveness of traditional Chinese herbal Xinglouchengqi(XLCQ)decoction for the treatment of constipation in acute ischemic stroke patients,and figure out the role that bowel movements play in the treatment of acute ischemic stroke.METHODS:A total of 317 eligible patients were recruited and randomized to the XLCQ group(211 patients)or the control group(106 patients).In addition to conventional standard medical care and rehabilitation,participants in the XLCQ group received XLCQ decoction,while the control group received clysis therapy using glycerin enemas or lactulose oral solution.Both groups were given treatment for 3 to 6 d,during which they received daily visits to record defecation features and accompanying symptoms.Neurological assessments using the National Institutes of Health Stroke Scale(NIHSS)were conducted before and 1 month after treatment.RESULTS:Patients in the XLCQ group had lower aggregate constipation scores compared with the control group on days 3 and 5(P<0.05).Spontaneous bowel movements tended to reappear more rapidly after taking the XLCQ decoction than after conventional laxative treatment.Both the average aggregate constipation score and the time taken to achieve spontaneous bowel movements showed positive correlations with NIHSS scores before and1 month after treatment(P<0.01).CONCLUSION:Treatment with XLCQ decoction effectively alleviated the overall symptoms of constipation in acute ischemic stroke patients.The status of bowel movements in acute ischemic stroke can reflect the severity of neurological impairment and predict neurological outcomes at 1 month. 展开更多
关键词 stroke CONSTIPATION Xinglouchengqi DECOCTION RANDOMIZED controlled TRIAL
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Exercise-induced muscle fatigue in the unaffected knee joint and its influence on postural control and lower limb kinematics in stroke patients 被引量:2
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作者 Sun Wook Park Sung Min Son Na Kyung Lee 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第5期765-769,共5页
This study aimed to investigate the effects of exercise-induced muscle fatigue in the unaffected knee joint on postural control and kinematic changes in stroke patients. Forty participants(20 stroke patients, 20 age-... This study aimed to investigate the effects of exercise-induced muscle fatigue in the unaffected knee joint on postural control and kinematic changes in stroke patients. Forty participants(20 stroke patients, 20 age-matched healthy participants) were recruited. To induce fatigue, maximum voluntary isometric contractions were performed in the unaffected knee joint in a Leg Extension Rehab exercise machine using the pneumatic resistance. We measured static and dynamic balance and lower-limb kinematics during gait. Changes in postural control parameters anteroposterior sway speed and total center of pressure distance differed significantly between the stroke and control groups. In addition, changes in gait kinematic parameters knee and ankle angles of initial contact differed significantly between stroke(paretic and non-paretic) and control groups. Muscle fatigue in the unaffected knee and ankle impaired postural control and debilitates kinematic movement of ipsilateral and contralateral lower limbs, and may place the fatigued stroke patients at greater risk for falls. 展开更多
关键词 nerve regeneration KNEE muscle fatigue stroke postural control gait kinemetics neural regeneration
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Supported Rehabilitation for Individuals Who Have Experienced a Stroke: A Pilot Control Trial
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作者 Charlotte Gaynor Laura Devaux +3 位作者 Morley Stephanie Kate Petropoulou Brendon Stubbs Andrew Soundy 《Open Journal of Therapy and Rehabilitation》 2016年第2期87-98,共12页
The purpose of this study was to pilot an innovative and supported intervention for individuals with a stroke. A pilot control trial with qualitative interviews was undertaken within a university- community setting. T... The purpose of this study was to pilot an innovative and supported intervention for individuals with a stroke. A pilot control trial with qualitative interviews was undertaken within a university- community setting. Thirteen individuals who had experienced a stroke for periods of least 6 months (6 male, average 71 years) were assigned to the intervention group and 7 individuals (2 male, average age 67.9 years) assigned to the control group. Eight individuals from the intervention group completed a single interview. The procedures that related to recruitment and retention and data collection methods were considered. Outcome measures including;self-efficacy, falls self-efficacy and group membership, for both groups were taken at baseline, 11 weeks, 22 weeks. There was an additional assessment at 52 weeks for the intervention group. The structured interview was designed to focus on experiences of the intervention. Self-efficacy remained stable across time for both groups. An improvement in falls self-efficacy was noted in the intervention group at 11 weeks. Consistent improvement (from baseline) was observed in the identity scale across the 52 weeks. Qualitative data provided additional findings related to identity and confidence. Details considering recruitment and retention are also provided. This pilot study provided data that can be used for a further full-scale trial to be considered. 展开更多
关键词 stroke Pilot controlled Trial EXERCISE REHABILITATION
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Reducing Participation Bias in Case-Control Studies: Type 1 Diabetes in Children and Stroke in Adults
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作者 Claire Keeble Stuart Barber +2 位作者 Paul David Baxter Roger Charles Parslow Graham Richard Law 《Open Journal of Epidemiology》 2014年第3期129-134,共6页
Background: Case-control studies have been used extensively in determining the aetiology of rare diseases. However, case-control studies often suffer from participation bias in the control group, resulting in biased o... Background: Case-control studies have been used extensively in determining the aetiology of rare diseases. However, case-control studies often suffer from participation bias in the control group, resulting in biased odds ratios that cause problems with interpretation. Participation bias can be hard to detect and is often ignored. Methods: Population data can be used in place of the possibly biased control group, to investigate whether participation bias may have affected the results in previous studies, or in place of controls in future studies. We demonstrate this approach by reanalysing and comparing the results of two case-control studies: Type 1 diabetes in Yorkshire children and stroke in Indian adults. Findings: Using population data to represent the control groups reduced the width of the confidence intervals given in the original studies and confirmed the findings for the two diabetes risk factors used;caesarean birth (odds ratio (OR) = 2.12 (1.53, 2.95) compared with 1.84 (1.09, 3.10)) and amniocentesis (OR = 3.38 (2.09, 5.47) compared with 3.85 (1.34, 11.04)). The three stroke risk factors investigated were found to have increased odds ratios when using population data;hypertension (OR = 5.645 (5.639, 5.650) compared with 3.807 (2.114, 6.856)), diabetes (OR = 12.212 (12.200, 12.224) compared with 3.473 (1.757, 6.866)) and smoking (OR = 5.701 (5.696, 5.707) compared with 2.242 (1.255, 4.005)). Interpretation: Participation bias can greatly affect the results of a study and cause some potential risk factors to be over-or underestimated. This approach allows previous studies to be investigated for participation bias and presents an alternative to a control group in future studies, while improving precision. 展开更多
关键词 CASE-control DIABETES PARTICIPATION BIAS stroke Selection BIAS
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Early Application of Citicoline in the Treatment of Acute Stroke:A Meta-analysis of Randomized Controlled Trials
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作者 石佩玉 周小翠 +3 位作者 尹晓雪 许亮亮 张兴明 白宏英 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2016年第2期270-277,共8页
This study was to evaluate the efficacy and safety of early application of citicoline in the treatment of patients with acute stroke by meta-analysis. Randomized controlled trials published until May 2015 were electro... This study was to evaluate the efficacy and safety of early application of citicoline in the treatment of patients with acute stroke by meta-analysis. Randomized controlled trials published until May 2015 were electronically searched in MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, WHO International Clinical Trial Registration Platform, Clinical Trial.gov, and China Biology Medicine disc. Two reviewers independently screened the articles and extracted the data based on the inclusion and exclusion criteria. The quality of included articles was evaluated by using Revman5.0, and meta-analysis was performed. The results showed that 1027 articles were obtained in initial retrieval, and finally 7 articles, involving a total of 4039 cases, were included for analysis. The meta-analysis showed that no significant differences were found in the long-term mortality(OR=0.91, 95% CI 0.07 to 1.09, P=0.30), the rate of dependency(OR=1.02, 95% CI 0.87 to 1.24, P=0.85), and the effective rate(OR=0.98, 95% CI 0.84 to 1.14, P=0.82) between citicoline group and control group. The overall rate of adverse events in citicoline group was not significantly different from that in control group(P=0.30). The quality of included articles reached moderate-low level. In conclusion, citicolne cannot reduce long-term mortality and dependence rate in the treatment of acute stroke, and the effective rate of citivoline may be not better than that of controls but with reliable safety. 展开更多
关键词 cytidine diphosphate choline acute stroke META-ANALYSIS randomized controlled trials
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Frequency compensation control method for opposedpiston two-stroke folded-cranktrain engine's common rail system by loop-shaping theory
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作者 左哲 张哲瑜 +2 位作者 钱李龙 张付军 岳广臣 《Journal of Beijing Institute of Technology》 EI CAS 2016年第2期194-201,共8页
A frequency compensation control method for the opposed-piston two-stroke folded-cranktrain( OPFC) diesel engine's common rail system is presented as a result of the study of the loop-shaping theory. A common rail ... A frequency compensation control method for the opposed-piston two-stroke folded-cranktrain( OPFC) diesel engine's common rail system is presented as a result of the study of the loop-shaping theory. A common rail working process and the classical frequency control theory are combined to construct a frequency restriction of common rail pressure. A frequency compensator is utilized to improve the robustness of multiplicative perturbations and disturbance. The loop-shaping method has been applied to design the common rail pressure controller of the OPFC diesel engine. Simulation and bench test results show that in the condition of perturbation that comes from the effect of injection,multi-injection,fuel pumping of a pre-cylinder,and instantaneous pressure fluctuation,the controller indicates high precision. Compared with the original controller,this method improves the control precision by 67. 3%. 展开更多
关键词 robust control opposed-piston two-stroke folded-cranktrain diesel engine loop-sha-ping frequency compensator common rail control
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诺丁斯关怀理论下溯源预控护理对脑卒中患者高危风险事件的影响
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作者 雷丽君 王宏茹 +1 位作者 徐美琪 蒋孟珠 《临床心身疾病杂志》 2026年第1期145-149,共5页
目的探讨诺丁斯关怀理论下溯源预控护理对脑卒中患者高危风险事件的影响。方法选取194例脑卒中患者为研究对象,按照随机数字表法分组为对照组和研究组,每组97例。对照组患者进行常规护理,研究组患者在对照组基础上进行诺丁斯关怀理论下... 目的探讨诺丁斯关怀理论下溯源预控护理对脑卒中患者高危风险事件的影响。方法选取194例脑卒中患者为研究对象,按照随机数字表法分组为对照组和研究组,每组97例。对照组患者进行常规护理,研究组患者在对照组基础上进行诺丁斯关怀理论下的溯源预控护理。护理前后,评估两组患者的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、家庭功能[家庭关怀度指数问卷(Family APGAR)评分]、自我管理行为[脑卒中自我管理行为评定量表(SSMS)评分]。比较护理期间两组患者的高危风险事件发生情况。结果护理后,两组患者SAS、SDS评分较护理前降低,且研究组低于对照组(P<0.01);两组患者Family APGAR总分及各维度评分、SSMS总分及各维度评分较护理前升高,且研究组高于对照组(P<0.05或0.01);研究组患者高危风险事件发生率为6.19%,低于对照组的16.49%(P<0.05)。结论诺丁斯关怀理论下的溯源预控护理能够有效改善脑卒中患者的心理状态和家庭功能,提升其自我管理行为,降低高危风险事件发生率,值得临床推广应用。 展开更多
关键词 诺丁斯关怀理论 溯源预控护理 脑卒中 应用效果
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An Electro-Mechanical Controller for Adjusting Piston Pump Stroke On-the-Go for Site-Specific Application of Crop Nutrients
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作者 Ali Mirzakhani Nafchi Joe Mari Maja +6 位作者 Ahmad Khalilian Young Han Nicholas Rogers Jose O. Payero Michael W. Marshall Phillip B. Williams Jonathan Fox 《Agricultural Sciences》 2017年第9期949-959,共11页
Nutrient application systems are designed to apply a relatively uniform amount of a fertilizer to agricultural fields. However, considerable variation in soil texture and other characteristics often occurs within and ... Nutrient application systems are designed to apply a relatively uniform amount of a fertilizer to agricultural fields. However, considerable variation in soil texture and other characteristics often occurs within and across production fields, which could have a major impact on fertilizer management strategies. Therefore, uniform application of a fertilizer over the entire field can be both costly and environmentally unsound. Due to their rugged and fool-proof design, crankshaft type piston pumps are widely used in agriculture. The on-the-go outlet flow of these pumps can only be varied by changing the drive shaft speed for each pump stroke setting. But only a limited range of flow rates can be achieved by changing the drive shaft speed. There is a need for an electronic controller, which can adjust the pump stroke on-the-go, for real-time, variable-rate application of crop nutrients. The Clemson “Electro-me-chanical controller for adjusting pump stroke on-the-go” was designed to replace the current manual stroke adjustment system on positive displacement piston pumps. This affordable system can be retrofitted on most John Blue - piston pumps for real-time adjustment of the pump stroke and can be controlled using pre-described position sequences (map-based) or real-time sensor commands (such as optical, pressure, and flow sensors) combined with fertilizer calculation algorithms. In addition, it can adjust pump stroke manually, using an eclectic dial from the tractor’s cab. 展开更多
关键词 Electro-Mechanical controlLER METERING PISTON Pumps Nutrient Management Precision Agriculture Pump stroke
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不同身体测量指标与脑卒中发病风险的巢式病例对照研究
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作者 王小楠 阮晓楠 +7 位作者 刘杨 吴抗 邱桦 刘庆平 宋家慧 高娇娇 周弋 刘晓琳 《中国全科医学》 北大核心 2026年第8期1020-1028,共9页
背景随着我国经济社会发展,超重/肥胖患病率显著上升,成为重大公共卫生问题。目前,常用的肥胖判断指标BMI和腰围(WC)无法区分皮下脂肪和内脏脂肪,而内脏脂肪与慢性病密切相关。因此,研究新型身体测量指标与脑卒中发病风险的相关性具有... 背景随着我国经济社会发展,超重/肥胖患病率显著上升,成为重大公共卫生问题。目前,常用的肥胖判断指标BMI和腰围(WC)无法区分皮下脂肪和内脏脂肪,而内脏脂肪与慢性病密切相关。因此,研究新型身体测量指标与脑卒中发病风险的相关性具有重要意义。目的探索不同身体测量指标与脑卒中发生的相关性及发生风险预测能力,旨在为社区开展慢性病健康管理及心脑血管疾病监测提供依据。方法基于浦东新区慢性病及其危险因素监测队列研究项目,采用巢式病例对照研究设计,选取参加2016年和2019年现场调查的研究对象,观察随访至2023-12-31,以发生脑卒中研究对象作为病例组,未发生者作为对照组。采用统一设计的流行病学调查表收集一般人口学资料、既往疾病史及家族史、相关疾病主要危险因素。收集体格检查和实验室检查指标。采用Logistic回归模型和限制性立方样条(RCS)回归模型分析不同身体测量指标与脑卒中之间的关联,并利用受试者工作特征(ROC)曲线评价不同身体测量指标对脑卒中的预测能力,采用DeLong检验进行两两比较。结果纳入分析的15440名研究对象中,共有930名发生脑卒中。BMI、WC、身体圆度指数(BRI)和中国人内脏脂肪指数(CVAI)每升高1个单位,脑卒中发生风险分别增加3.8%(OR=1.038,95%CI=1.017~1.058)、1.2%(OR=1.012,95%CI=1.004~1.020)、10.6%(OR=1.106,95%CI=1.042~1.174)、0.5%(OR=1.005,95%CI=1.003~1.007)(P<0.05)。RCS回归模型分析发现,BMI、WC和BRI与脑卒中发生风险之间存在线性剂量-反应关系(P_(总)<0.05,P_(非线性)>0.05),CVAI与脑卒中发生风险之间存在非线性剂量-反应关系(P_(总)<0.001,P_(非线性)=0.009)。ROC曲线结果显示,CVAI预测脑卒中发生风险的能力(AUC=0.66)优于BMI(Z=-12.713,P<0.001)、WC(Z=-13.512,P<0.001)和BRI(Z=-8.696,P<0.001)。结论BMI、WC、BRI和CVAI与脑卒中发病风险存在相关性。CVAI预测脑卒中发生风险优于BMI、WC和BRI,因此可作为预测脑卒中发生风险的适用指标。同时提示基层慢性病健康管理要进行综合管理,并做好体重管理,重点关注内脏肥胖的影响。 展开更多
关键词 脑卒中 内脏脂肪 巢式病例对照 LOGISTIC回归模型 风险预测
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卒中高危人群血压干预策略及效果随机对照研究进展
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作者 贾佳静 王春娟 +1 位作者 姜勇 李子孝 《首都医科大学学报》 北大核心 2026年第1期16-29,共14页
高血压是卒中最主要的可控危险因素之一,有效控制血压可显著降低卒中的发病率与死亡率,是卒中一级预防的核心环节。本文系统梳理了卒中高危人群血压干预相关随机对照研究的证据,聚焦强化降压、可穿戴设备与远程血压监测两大核心策略,深... 高血压是卒中最主要的可控危险因素之一,有效控制血压可显著降低卒中的发病率与死亡率,是卒中一级预防的核心环节。本文系统梳理了卒中高危人群血压干预相关随机对照研究的证据,聚焦强化降压、可穿戴设备与远程血压监测两大核心策略,深入剖析不同干预措施对血压控制及卒中风险的影响,旨在为基层医疗机构开展卒中高危人群一级预防工作提供循证依据与实践参考。 展开更多
关键词 随机对照研究 高血压 卒中 高危人群 血压干预 血压监测
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从“肾主阴阳”理论视角探析线粒体质量控制在急性缺血性卒中神经保护中的调控机制
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作者 杨钦茹 段俊妤 +4 位作者 刘珍洪 高永红 刘婧訸 许颖智 唐璐 《中国实验方剂学杂志》 北大核心 2026年第4期249-257,共9页
线粒体质量控制(MQC)稳态是维持线粒体结构与功能的核心保障。其失衡通过能量代谢障碍,氧化应激加剧及融合/裂变失调等多重机制驱动急性缺血性脑卒中(AIS)的病理进程。该团队基于中医“肾主阴阳”理论,创新性构建“阴阳动态平衡-MQC稳... 线粒体质量控制(MQC)稳态是维持线粒体结构与功能的核心保障。其失衡通过能量代谢障碍,氧化应激加剧及融合/裂变失调等多重机制驱动急性缺血性脑卒中(AIS)的病理进程。该团队基于中医“肾主阴阳”理论,创新性构建“阴阳动态平衡-MQC稳态”的互诠模型,系统揭示肾阳虚衰,推动无力致融合抑制,氧化磷酸化效率下降,三磷酸腺苷(ATP)生成受阻;肾阴失用,痰瘀壅盛则裂变亢进,活性氧(ROS)爆发性蓄积,氧化应激加重。两者互结共同导致“阴阳失调、气血逆乱”的AIS核心病机。并针对此病机,提出“补肾扶正治本为主,化痰祛瘀治标为辅”的治疗策略:补肾治本以修复MQC稳态,化痰祛瘀以截断毒损脑络恶性循环。将中医整体观与现代分子机制耦合,这不仅为AIS防治提供“肾-线粒体轴”精准干预靶点,更建立了中西医结合防治脑卒中的新范式。未来需聚焦中医药靶向调控MQC防治AIS的相关作用机制,深度融合经典理论与现代医学,推动理论向临床的转化。 展开更多
关键词 急性缺血性卒中 线粒体质量控制 补肾扶正 阴阳理论
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轻型脑卒中溶栓治疗的研究进展与展望
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作者 雷如美 吴波 姜帅 《中风与神经疾病杂志》 2026年第3期199-203,F0002,共6页
轻型脑卒中是急性缺血性脑卒中的常见亚型,以NIHSS评分≤3分或≤5分为主要界定标准,临床症状轻微但存在早期病情恶化风险,其溶栓治疗策略争议已久。本文系统梳理近年关键随机对照试验结果发现,阿替普酶、替奈普酶、尿激酶原等溶栓药物... 轻型脑卒中是急性缺血性脑卒中的常见亚型,以NIHSS评分≤3分或≤5分为主要界定标准,临床症状轻微但存在早期病情恶化风险,其溶栓治疗策略争议已久。本文系统梳理近年关键随机对照试验结果发现,阿替普酶、替奈普酶、尿激酶原等溶栓药物间虽证实非劣效性,但在轻型脑卒中的治疗中均未显示出优于双联抗血小板治疗(DAPT)或阿司匹林单药的功能改善效果,且存在症状性颅内出血等安全风险。亚组分析提示NIHSS>3分、致残症状或大动脉粥样硬化型患者可能获益,但证据一致性不足。溶栓获益有限的核心原因包括定义异质性、自然预后较好及出血风险抵消潜在获益。未来需通过统一标准定义、借助多模态影像精准筛选人群、优化药物方案,最终实现轻型脑卒中溶栓治疗的精准分层个体化干预。 展开更多
关键词 轻型脑卒中 静脉溶栓 随机对照试验
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控制呼吸模式下吞咽康复协调训练对缺血性脑卒中患者吞咽功能及吞咽相关生活质量的影响
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作者 张宇辰 张淑君 《中国医药指南》 2026年第2期72-75,共4页
目的探讨控制呼吸模式下吞咽康复协调训练对缺血性脑卒中患者吞咽功能及吞咽相关生活质量的影响。方法选择2023年2月至2024年7月江宁医院收治的缺血性脑卒中伴吞咽功能障碍患者166例,采用双盲临床试验中的信封随机分组法分为对照组和观... 目的探讨控制呼吸模式下吞咽康复协调训练对缺血性脑卒中患者吞咽功能及吞咽相关生活质量的影响。方法选择2023年2月至2024年7月江宁医院收治的缺血性脑卒中伴吞咽功能障碍患者166例,采用双盲临床试验中的信封随机分组法分为对照组和观察组,各83例。对照组行常规吞咽康复训练,观察组行控制呼吸模式下吞咽康复协调训练。比较两组训练前后吞咽功能和吞咽相关生活质量。结果训练1个月、2个月、3个月后,观察组的吞咽功能评定量表(SSA)评分均低于对照组(P<0.05)。训练3个月后,观察组的吞咽生命质量量表(SWAL-QOL)(中文版)总分均高于对照组(P<0.05)。结论控制呼吸模式下吞咽康复协调训练可改善缺血性脑卒中患者吞咽功能,提高吞咽相关生活质量,对改善患者预后有积极影响。 展开更多
关键词 缺血性脑卒中 控制呼吸模式 吞咽功能 吞咽康复协调训练 吞咽相关生活质量
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基于前馈控制理论的综合康复训练对脑卒中后偏瘫患者康复效果和生活质量的影响
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作者 郭世燕 石伟伟 +1 位作者 刘方 刘恒方 《中国实用神经疾病杂志》 2026年第3期368-372,共5页
目的探讨基于前馈控制(FFC)理论的综合康复训练治疗脑卒中后偏瘫患者的康复效果,为制定康复措施提供参考。方法回顾性选取郑州大学第五附属医院2023-01—12收治的86例脑卒中后偏瘫患者的临床资料,根据康复训练方案不同分为常规康复组(n=... 目的探讨基于前馈控制(FFC)理论的综合康复训练治疗脑卒中后偏瘫患者的康复效果,为制定康复措施提供参考。方法回顾性选取郑州大学第五附属医院2023-01—12收治的86例脑卒中后偏瘫患者的临床资料,根据康复训练方案不同分为常规康复组(n=44)和FFC康复组(n=42),分别行常规康复训练和在常规康复训练基础上进行基于FFC理论的综合康复训练。干预3个月后,评估康复效果、干预前后Fugl-Meyer运动功能评分量表(FMA)评分、Berg平衡量表(BBS)评分、贝克抑郁量表(BDI)评分、贝克焦虑量表(BAI)评分、日常生活能力评定量表(BI)评分、脑卒中影响量表(SIS)评分及康复干预期间不良事件发生情况。结果干预后,FFC康复组康复总有效率明显高于常规康复组(P<0.05);FFC康复组上肢FMA评分、下肢FMA评分、BBS评分、BI评分、SIS评分均高于常规康复组,BAI和BDI评分均低于常规康复组(P<0.05)。康复干预期间,FFC康复组不良事件发生率低于常规康复组(P<0.05)。结论基于FFC理论的综合康复训练可提升脑卒中后偏瘫患者的康复效果,改善焦虑与抑郁情绪,减少不良事件的发生,促进上下肢运动功能恢复,提高患者的平衡能力、日常生活能力和生活质量。 展开更多
关键词 脑卒中后偏瘫 前馈控制理论 康复训练 运动功能 平衡能力 日常生活能力
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