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Efficacy observation on cervical spondylosis of nerve root type treated by the warm needling at Jiájǐ(夹脊EX-B 2) and tapping with plum-blossom needle 被引量:1
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作者 刘敏娟 穆敬平 +2 位作者 郑苏 任昌菊 WANG Fang 《World Journal of Acupuncture-Moxibustion》 2013年第4期6-10,共5页
Objective To observe the clinical effect on cervical spondylosis of nerve root type treated by warm needling therapy at Jiáj (夹脊 EX-B 2) and plum-blossom needle therapy. Methods According to the random number... Objective To observe the clinical effect on cervical spondylosis of nerve root type treated by warm needling therapy at Jiáj (夹脊 EX-B 2) and plum-blossom needle therapy. Methods According to the random number table, 150 cases of cervical spondylosis of nerve root type were randomized into an acupuncture-moxibustion group (75 cases) and a control group (75 cases). In the acupuncture-moxibustion group, the warm needling at EX-B 2 and tapping with plum-blossom needle were applied. EX-B 2 on the affected segments were selected and stimulated with warm needling technique for 20– 30 min. Afterward, the plum-blossom needle was used to tap the skin around the acupoints, for 3 min on each site. The treatment was given once every day. Seven treatments made one session. The interval between two sessions was 1 day. In the control group, the medication was used in combination with traction therapy. The intravenous drip with 5% glucose 250 mL and compound salvia miltiorrhiza injection 40 mL was used, once a day. In traction treatment, the patient was in a sitting position, neck anteflexion at 15°–30°, traction force at 10%–20% of the body mass, for 20–30 min in each time. The treatment was given once every day. The appointed person evaluated therapeutic effects after the three sessions of treatment in the two groups. Results The clinical curative rate was 49.3% (37/75) and the total effective rate was 94.7% (71/75) in the acupuncture-moxibustion group and those were 24.0% (18/75) and 81.3% (61/75) respectively in the control group. The total effective rate and clinical curative rate in the acupuncture-moxibustion group were superior to the control group (both P0.05). In the comparison of the duration of treatment and effect in the cured patients between the two groups, the curative rate in the 1st session of treatment in the acupuncture-moxibustion group was higher than that in the control group (P0.05). In the comparison of the 6-month follow-up visit in the cured patients between the two groups, the effect in the acupuncture-moxibustion group was much more stable (P0.05). Conclusion The warm needling therapy at EX-B 2 and tapping therapy with plum-blossom needle achieve the significant effect on cervical spondylosis of nerve root type. 展开更多
关键词 cervical spondylosis of nerve root type warm needling therapy Jiáj(夹脊 EX-B 2) tapping therapy with plum-blossom needle
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In-situ Horizontal Extrusion Test of Herbaceous Root-Soil with Different Root Types
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作者 Fangcui Liu Shengwen Qi +8 位作者 Shenglin Qi Xiaokun Hou Yanrong Li Guangming Luo Lei Xue Xueliang Wang Juanjuan Sun Songfeng Guo Bowen Zheng 《Journal of Earth Science》 SCIE CAS CSCD 2024年第3期918-928,共11页
The influence of different types of roots on the soil is complex and still remains unclear.Four in-situ extrusion tests were conducted on two types of root systems,namely fibrous and tap root system,for three plants,E... The influence of different types of roots on the soil is complex and still remains unclear.Four in-situ extrusion tests were conducted on two types of root systems,namely fibrous and tap root system,for three plants,Eleusine indica,Potentilla anserine,and Artemisia argyi,according to the classification in Botany,and the thrust-displacement curves and failure patterns of different samples were analysed by comparison to fill the aforementioned gap.Results reveal that the roots can reduce the characteristics of soil brittleness and enhance its capability to resist large deformation,and different root types contribute different effects to the strain-hardening behavior of the root-soil mass.The contribution of the fibrous root system to strength is limited,whilst the tap root system substantially enhances strength and stiffness.Results of failure patterns show that fibrous and tap root systems affect soil solidification and surface cracking reduction.However,the effect of the tap root system depends on the composition of lateral and tap roots:long and rich lateral roots are effective for resisting the creation of cracks,but thick tap roots with few and thin lateral roots may lead to several surface cracks. 展开更多
关键词 root types fibrous root tap root in-situ horizontal extrusion test root-soil cracks slope protection.
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A CLINICAL OBSERVATION ON THE THERAPEUTIC EFFECT OF CERVICAL SPONDYLOPATHY OF NERVE ROOT TYPE TREATED BY COMBINED CERVICAL TRACTION AND ELECTROACUPUNCTURE
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作者 何涛 何岚 《World Journal of Acupuncture-Moxibustion》 2004年第4期20-23,共4页
Objective: To observe the therapeutic effect of combined cervical traction and electroacupuncture (EA) on Cervical Spondylopathy of Nerve Root Type (CSNRT). Methods: 145 patients diagnosed as CSNRT were randomized int... Objective: To observe the therapeutic effect of combined cervical traction and electroacupuncture (EA) on Cervical Spondylopathy of Nerve Root Type (CSNRT). Methods: 145 patients diagnosed as CSNRT were randomized into 3 groups: combined treatment group, EA group, and cervical traction (CT) group. The combined group was treated with traction followed by EA of Dazhui (大椎 GV 14), Fengchi (风池 GB 20), cervical Jiaji (夹脊 EX-B 2), etc.. Patients of two control groups were only treated by either CT or EA. Results: The markedly-effective rate and total effective rate were 76.0% and 94.0% respectively in the combined treatment group, 62.5% and 81.25% respectively in CT group, and 63.82% and 82.97% respectively in EA group. The therapeutic effect of the combined treatment group was significantly superior to that of two control groups (P<0.05). At 6-month follow-up, the above two markedly-effective and total effective rates in the combined treatment group remained 74.0% and 92.0%, still significantly higher than that in two control groups. Conclusion: Combining cervicle traction with EA treatment can effectively eliminate or relieve the symptoms and signs in patients with nerve root type cervical spondylopathy. 展开更多
关键词 Cervical spondylopathy of nerve root type Cervical traction Electroacupuncture
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CLINICAL OBSERVATION ON TREATMENT OF NERVE-ROOT TYPE CERVICAL SPONDYLOSIS WITH ACUPUNCTURE, TRACTION PLUS SELF-EXERCISE OF QIGONG
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作者 李庆雯 郭义 +2 位作者 王惠琴 郑万鹏 郑昆仑 《World Journal of Acupuncture-Moxibustion》 2002年第2期45-47,共3页
Purpose: To observe the therapeutic effect of acupuncture combined with traction and Qigong exercise for treatment of nerve root type cervical spondylosis. Methods: A total of 130 nerve root type cervical spondylosis ... Purpose: To observe the therapeutic effect of acupuncture combined with traction and Qigong exercise for treatment of nerve root type cervical spondylosis. Methods: A total of 130 nerve root type cervical spondylosis patients were randomly divided into acupuncture + traction + Qigong exercise (ATQE) group (n=59), acupuncture + Qigong exercise (AQE) group (n=40) and traction + Qigong exercise (TQE) group (n=31). Main acupoints used were Fengchi (GB 20) and cervical Jiaji (EX B 2) on the affected side. Results: After one month’s treatment, in ATQE, AQE and TQE groups, 43 (72.88%), 18 (45.00%) and 12 (45.16%) had remarkable amelioration, 14 (23.72%), 14 (35.00%) and 10 (32.26%) were effective, and 2 (3.39%), 8 (20.00%) and 7 (22.58%) had no apparent changes with the total effective rates being 96.61%, 80.00% and 77.41% respectively. The therapeutic effect of ATQE group was significantly superior to that of AQE and TQE groups (P<0.01). 展开更多
关键词 Acupuncture Mechanical traction Qigong exercise Nerve root type cervical spondylosis
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Wet Cupping Therapy Improves Local Blood Perfusion and Analgesic Effects in Patients with Nerve-Root Type Cervical Spondylosis 被引量:41
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作者 MENG Xiang-wen WANG Ying +6 位作者 PIAO Sheng-ai LV Wen-tao ZHU Cheng-hui MU Ming-yuan LI Dan-dan LIU Hua-peng GUO Yi 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2018年第11期830-834,共5页
Objective: To observe wet cupping therapy(WCT) on local blood perfusion and analgesic effects in patients with nerve-root type cervical spondylosis(NT-CS). Methods: Fifty-seven NT-CS patients were randomly divid... Objective: To observe wet cupping therapy(WCT) on local blood perfusion and analgesic effects in patients with nerve-root type cervical spondylosis(NT-CS). Methods: Fifty-seven NT-CS patients were randomly divided into WCT group and Jiaji acupoint-acupuncture(JA) group according a random number table. WCT group(30 cases) was treated with WCT for 10 min, and JA group(27 cases) was treated with acupuncture for 10 min. The treatment efficacies were evaluated with a Visual Analogue Scale(VAS). Blood perfusion at Dazhui(GV 14) and Jianjing(GB 21) acupoints(affected side) was observed with a laser speckle flowmetry, and its variations before and after treatment in both groups were compared as well. Results: In both groups, the VAS scores significantly decreased after the intervention(P〈0.01), while the blood perfusion at the two acupoints significantly increased after intervention(P〈0.05); however, the increasement magnitude caused by WCT was obvious compared with JA(P〈0.05). Conclusion: WCT could improve analgesic effects in patients with NT-CS, which might be related to increasing local blood perfusion of acupunct points. 展开更多
关键词 wet cupping nerve-root type cervical spondylosis blood perfusion amount acupuncture Jiaji acupoint
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The type, position and age effect on the cutting reproduction of Picea crassifolia and its rooting mechanism in the Qilian Mountains 被引量:7
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作者 Jianjun Kang Wenzhi Zhao +3 位作者 Ming Zhao Guangyu Li Jiqiang Zhang Zhisheng Zhang 《Journal of Forestry Research》 SCIE CAS CSCD 2015年第4期993-1002,共10页
Picea crassifolia Kom, a perennial arbor spe- cies is recognized as one of the most adaptable plants found to date in Qilian Mountains. To explore the cutting reproduction technology of P. crassifolia and reveal its r... Picea crassifolia Kom, a perennial arbor spe- cies is recognized as one of the most adaptable plants found to date in Qilian Mountains. To explore the cutting reproduction technology of P. crassifolia and reveal its rooting mechanism, cuttings of P. crassifolia with different cutting types (softwood, hardwood and root), positions (top, upper, middle and bottom) and ages (7, 10, 15, 20, 25 year-old) were cultivated in a field experiment. One- year old softwood and hardwood cuttings were collected from 7-, 10-, 15-, 20-, and 25 year-old healthy ortets to analyze the changes from endogenous hormones and organic nutrients. Results indicate that the softwood cut- tings (0.5-1.0 cm in diameter) from upper branches of 15 year-old ortets shows better growth performance by improving rooting indexes, including a significant increasein rooting rate and a decrease in basal rot rate. Concomi- tantly, increasing rooting quantity and root length also increased. It is noteworthy that the high rooting rate of P. crassifolia cuttings due to its ability to accumulate high concentrations of indole-3-acetic acid (IAA) and total carbon (TC) rather than abscisic acid (ABA) and total nitrogen (TN). The rooting rate was mainly regulated by the IAA/ABA and TC/TN ratio. In summary, our results suggest that the softwood cuttings (0.5-1.0 cm in diameter) from upper branches of 15 year-old P. crassifolia can be considered as an effective strategy to improve cutting rooting rate, and the IAA/ABA and TC/TN ratio was one of the main factors limiting the cutting rooting rate of P. crassifolia. 展开更多
关键词 Picea crassifolia Kom type Positionand age effect Cutting reproduction rooting rate HORMONES Organic substances
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Effects of curcumin on sodium currents of dorsal root ganglion neurons in type 2 diabetic neuropathic pain rats
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作者 Bo MENG Lu-lu SHEN +4 位作者 Xiao-ting SHI Yong-sheng GONG Xiao-fang FAN Jun LI Hong CAO 《中国应用生理学杂志》 CAS CSCD 2015年第6期541-548,共8页
Along with the development of economy and society, type 2 diabetic mellitus(T2DM) has become one of the most common diseases at the global level. As one of the complications of T2 DM, diabetic neuropathic pain(DNP) st... Along with the development of economy and society, type 2 diabetic mellitus(T2DM) has become one of the most common diseases at the global level. As one of the complications of T2 DM, diabetic neuropathic pain(DNP) stubbornly and chronically affects the health and life of human beings. In the pain field, dorsal root ganglion(DRG) is generally considered as the first stage of the sensory pathway where the hyperexcitability of injured neurons is associated with different kinds of peripheral neuropathic pains. The abnormal electrophysiology is mainly due to the changed properties of voltage-gated sodium channels(VGSCs) and the increased sodium currents(INa). Curcumin is an active ingredient extracted from turmeric and has been demonstrated to ameliorate T2 DM and its various complications including DNP effectively. The present study demonstrates that the INa of small-sized DRG neurons are significantly increased with the abnormal electrophysiological characteristics of VGSCs in type 2 diabetic neuropathic pain rats. And these abnormalities can be ameliorated efficaciously by a period of treatment with curcumin. 展开更多
关键词 背根神经节神经元 2型糖尿病 姜黄素 钠电流 神经痛 大鼠 DRG神经元 电压门控钠通道
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中国人群根管治疗与非根管治疗根折后牙的锥形束CT特征比较
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作者 傅承艺 潘笑 +1 位作者 刘澍 林梓桐 《华西口腔医学杂志》 北大核心 2026年第1期113-119,共7页
目的探究根管治疗与非根管治疗根折后牙的临床及锥形束CT(CBCT)特征是否存在差异。方法回顾性收集CBCT检查发现的305例患者的340颗根折后牙,根据根折牙是否行根管治疗分为根管治疗牙和非根管治疗牙。记录根折患者的年龄和性别,在CBCT图... 目的探究根管治疗与非根管治疗根折后牙的临床及锥形束CT(CBCT)特征是否存在差异。方法回顾性收集CBCT检查发现的305例患者的340颗根折后牙,根据根折牙是否行根管治疗分为根管治疗牙和非根管治疗牙。记录根折患者的年龄和性别,在CBCT图像上评估根折发生的牙位、牙根位、根折类型(纵折、横折、斜折、不规则折)、牙根纵折方向、横折线位置及根折线周围骨吸收情况。结果1)非根管治疗与根管治疗根折的牙位差异有统计学意义(P=0.028)。二者根折的牙位均以上颌磨牙和下颌磨牙为主,但根管治疗牙前磨牙的发生比例(27.2%)高于非根管治疗牙(14.2%)。2)非根管治疗与根管治疗根折的牙根位差异有统计学意义(P=0.037),最常见牙根位均是下颌磨牙近中根(发生率分别为36.4%、32.2%),但排名第二的牙根位分别是上颌磨牙腭根(23.0%)、上颌前磨牙牙根(20.3%)。3)非根管治疗与根管治疗根折牙折裂类型的差异有统计学意义(P<0.001)。非根管治疗牙纵折占比为43.6%,而根管治疗牙纵折占比高达75.6%。4)非根管治疗与根管治疗纵折牙根纵折方向的差异无统计学意义(P=0.58),均以颊舌向为主(86.0%、84.1%)。5)非根管治疗与根管治疗牙横折发生位置的差异无统计学意义(P=0.132),均以根颈1/3区最常见。6)非根管治疗与根管治疗根折折裂线周围骨吸收的差异有统计学意义(P<0.001)。59.0%的非根管治疗根折牙折裂线周围有骨吸收,而根管治疗根折牙中91.8%折裂线周围有骨吸收。结论非根管治疗与根管治疗根折牙在临床和CBCT特征上均存在差异,非根管治疗根折牙更加复杂多变的特征表明复杂的咬合因素在根折发生中所起的作用,而根管治疗根折牙更高的一致性表明其根折发生可能与根管治疗对牙齿的结构改变有关。 展开更多
关键词 根折 后牙 根管治疗 锥形束CT 根折类型
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Expression of gamma-aminobutyric acid type A receptor α_2 subunit in the dorsal root ganglion of rats with sciatic nerve injury 被引量:1
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作者 Yu Lian Yang Wang +5 位作者 Ketao Ma Lei Zhao Zhongshuang Zhang Yuanyuan Shang Junqiang Si Li Li 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第32期2492-2499,共8页
The γ-aminobutyric acid neurotransmitter in the spinal cord dorsal horn plays an important role in pain modulation through primary afferent-mediated presynaptic inhibition. The weakening of γ-aminobutyric acid-media... The γ-aminobutyric acid neurotransmitter in the spinal cord dorsal horn plays an important role in pain modulation through primary afferent-mediated presynaptic inhibition. The weakening of γ-aminobutyric acid-mediated presynaptic inhibition may be an important cause of neuropathic pain. γ-aminobutyric acid-mediated presynaptic inhibition is related to the current strength of γ-aminobutyric acid A receptor activation. In view of this, the whole-cell patch-clamp technique was used here to record the change in muscimol activated current of dorsal root ganglion neurons in a chronic constriction injury model. Results found that damage in rat dorsal root ganglion neurons following application of muscimol caused concentration-dependent activation of current, and compared with the sham group, its current strength and γ-aminobutyric acid A receptor protein expression decreased. Immunofluorescence revealed that γ-aminobutyric acid type A receptor α2 subunit protein expression decreased and was most obvious at 12 and 15 days after modeling. Our experimental findings confirmed that the y-aminobutyric acid type A receptor α2 subunit in the chronic constriction injury model rat dorsal root ganglion was downregulated, which may be one of the reasons for the reduction of injury in dorsal root ganglion neurons following muscimol-activated currents. 展开更多
关键词 γ-aminobutyric acid γ-aminobutyric acid type A receptor α2 subunit neuropathic pain dorsal root ganglion whole-cell patch clamp IMMUNOFLUORESCENCE primary afferent depolarization paw withdrawal latency MUSCIMOL
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2型糖尿病患者抑郁现状及危险因素:一项全国多中心横断面研究
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作者 廖秋红 陶红 +5 位作者 杨晓辉 袁勇贵 林珊珊 徐微 李玉秀 裴育 《中国全科医学》 北大核心 2026年第12期1558-1565,共8页
背景糖尿病和抑郁成为两大公共卫生挑战,抑郁会影响患者的预后和生活质量,增加自杀及死亡风险。目前糖尿病患者抑郁诊断率和治疗率均低,因此,主动识别筛查具有抑郁风险的2型糖尿病患者,并深入分析各种影响因素,具有重要的临床意义。目的... 背景糖尿病和抑郁成为两大公共卫生挑战,抑郁会影响患者的预后和生活质量,增加自杀及死亡风险。目前糖尿病患者抑郁诊断率和治疗率均低,因此,主动识别筛查具有抑郁风险的2型糖尿病患者,并深入分析各种影响因素,具有重要的临床意义。目的 探讨中国2型糖尿病患者抑郁患病率及其影响因素,为制订糖尿病患者精神心理健康干预策略提供依据。方法 采用概率与规模成比例(PPS)抽样方法,于2022年5月—2023年12月在全国52家综合医院招募了18~75岁的门诊及住院的2型糖尿病患者为研究对象。使用抑郁症状自评量表(PHQ-9)评估抑郁(以PHQ-9≥10分为临床抑郁)。通过查阅文献确定空腹血糖、餐后2 h血糖、糖化血红蛋白、血脂四项、三酰甘油-葡萄糖指数(TyG)、糖尿病病程、糖尿病并发症及合并症等共29个影响因素。采用多因素Logistic回归分析2型糖尿病患者抑郁的影响因素。采用限制性立方样条回归分析年龄、TyG与抑郁剂量-反应关系并计算拐点。结果 在1 659例2型糖尿病患者中,抑郁患病率为13.3%(220例)。多因素Logistic回归分析显示,2型糖尿病患者发生抑郁的独立危险因素为性别(女性:OR=1.815,95%CI=1.220~2.701)、年龄(OR=0.969,95%CI=0.952~0.987)、受教育水平(高中以下:OR=1.488,95%CI=1.049~2.110)、婚姻(未婚及其他:OR=1.864,95%CI=1.068~3.254)、BMI(OR=0.936,95%CI=0.896~0.977)、经济困难(OR=3.654,95%CI=2.403~5.558)、糖尿病病程(OR=1.031,95%CI=1.006~1.057)、糖尿病周围神经病变(OR=2.170,95%CI=1.275~3.693)、心血管疾病(OR=1.844,95%CI=1.248~2.723)、高血压(OR=1.625,95%CI=1.163~2.271)、TyG(OR=1.717,95%CI=1.026~2.874)(P<0.05)。在控制全部混杂因素后,TyG与抑郁呈线性正相关(P_(非线性)=0.191),男性人群的年龄与抑郁呈线性负相关(P_(非线性)=0.946)。女性人群的年龄与抑郁呈非线性关系(P_(非线性)=0.013),与抑郁关系的时间拐点为49岁(年龄<49岁时OR=0.921,95%CI=0.857~0.990,P_(非线性)=0.025;年龄≥49岁时OR=1.036,95%CI=1.003~1.070,P_(非线性)=0.032)。结论 中国2型糖尿病患者抑郁患病率为13.3%,高TyG、低教育水平、未婚及离异、经济困难、合并糖尿病周围神经病变、心血管疾病和高血压的患者更易发生抑郁。男性患者随着年龄增加,抑郁患病率降低。女性患者年龄与糖尿病抑郁发病率呈非线性关系,49岁后抑郁风险升高。建议针对这些高危人群进行早期抑郁筛查和干预,以改善2型糖尿病患者的整体健康状况和生活质量。 展开更多
关键词 糖尿病 2型 抑郁 影响因素分析 三酰甘油-葡萄糖指数 多中心研究
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莲藕山药粗提液对链脲菌素诱导的二型糖尿病小鼠的干预作用
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作者 史泽夫 黄晓君 +3 位作者 杨辰涵 李甲 闫骄阳 聂少平 《食品研究与开发》 2026年第3期68-75,共8页
基于食药同源相关古籍与现代食品科学,将记录中具有一定缓解消渴症同时具有降糖功效潜力的食物原料莲藕与山药按照一定比例制备为粗提液,并进行功效验证。基于链脲菌素(streptozotocin,STZ)诱导的二型糖尿病小鼠模型实验,通过空腹血糖... 基于食药同源相关古籍与现代食品科学,将记录中具有一定缓解消渴症同时具有降糖功效潜力的食物原料莲藕与山药按照一定比例制备为粗提液,并进行功效验证。基于链脲菌素(streptozotocin,STZ)诱导的二型糖尿病小鼠模型实验,通过空腹血糖、胰岛素抵抗和敏感水平、肝脏损伤等主要病理指标验证其干预功效。结果显示,粗提液能显著缓解STZ诱导的二型糖尿病小鼠的空腹血糖升高(P<0.01)、胰岛素抵抗指数(P<0.01)、葡萄糖耐量(P<0.05)等指标。综上,莲藕山药粗提液对STZ诱导下小鼠二型糖尿病有一定的干预作用。 展开更多
关键词 食药同源 食品 二型糖尿病 莲藕 山药
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郑氏“颈四步”手法联合穴位埋线治疗对神经根型颈椎病的疗效
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作者 王新宇 王俊华 +4 位作者 陈从山 张远洋 李明辉 黄钰滢 方兴刚 《检验医学与临床》 2026年第5期634-639,共6页
目的探讨郑氏“颈四步”手法联合穴位埋线治疗对神经根型颈椎病(CSR)的疗效。方法选取2021年6月至2023年12月在该院接受诊治的120例CSR患者作为研究对象,采用随机数字表法将所有研究对象分为联合组和穴位埋线组,每组60例。穴位埋线组采... 目的探讨郑氏“颈四步”手法联合穴位埋线治疗对神经根型颈椎病(CSR)的疗效。方法选取2021年6月至2023年12月在该院接受诊治的120例CSR患者作为研究对象,采用随机数字表法将所有研究对象分为联合组和穴位埋线组,每组60例。穴位埋线组采用穴位埋线方案治疗,联合组在穴位埋线组治疗基础上联合郑氏“颈四步”手法治疗。比较2组临床疗效、中医证候积分、疼痛情况、颈椎活动度、实验室指标[前列腺素E2(PGE2)、白细胞介素-8(IL-8)与C反应蛋白(CRP)]水平、生活质量及治疗期间患者不良反应发生情况。结果治疗后,联合组总有效率为91.67%,高于穴位埋线组的75.00%,差异有统计学意义(P<0.05)。治疗后,2组颈肩部疼痛、活动受限、颈部压痛、上肢疼痛麻木证候积分、日常生活能力量表(ADL)评分、视觉模拟评分法(VAS)评分,以及PGE2、IL-8、CRP水平均低于治疗前,前倾角度、后屈角度、左转角度、右转角度均大于治疗前,且联合组颈肩部疼痛、活动受限、颈部压痛、上肢疼痛麻木中医证候积分、ADL评分、VAS评分,以及PGE2、IL-8、CRP水平均低于穴位埋线组,前倾角度、后屈角度、左转角度、右转角度均大于穴位埋线组,差异均有统计学意义(P<0.05)。2组治疗期间局部疼痛、头晕、皮疹、红肿不良反应总发生率比较,差异无统计学意义(P>0.05)。结论郑氏“颈四步”手法联合穴位埋线治疗可有效减轻CSR患者机体炎症反应,改善患者颈椎活动度,疗效较为理想,值得临床推广应用。 展开更多
关键词 颈椎病 神经根型 穴位埋线 推拿手法 中医证候积分 郑氏“颈四步”手法
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“体病相关”视角下探析老年2型糖尿病伴轻度认知障碍现状及影响因素研究:以四川省为例 被引量:1
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作者 马玉萍 乔梦媛 +3 位作者 何雁云 徐曼如 陈崇利 伍文彬 《中国全科医学》 北大核心 2026年第2期188-194,共7页
背景老年人2型糖尿病高发已经成为全球严峻的公共卫生问题。糖尿病对认知功能损害极大,目前仍缺乏简便指标对其进行早期监测及识别,亟待更多探讨和挖掘。本研究基于真实世界横断面数据分析,从“体病相关”视角下探究该病对临床诊治有一... 背景老年人2型糖尿病高发已经成为全球严峻的公共卫生问题。糖尿病对认知功能损害极大,目前仍缺乏简便指标对其进行早期监测及识别,亟待更多探讨和挖掘。本研究基于真实世界横断面数据分析,从“体病相关”视角下探究该病对临床诊治有一定参考价值。目的以四川地区为例,探讨老年2型糖尿病患轻度认知障碍的现状及其影响因素。方法于2021年11月—2023年11月在四川省6个市(成都市、德阳市、巴中市、峨眉山市、眉山市、绵阳市)多个不同社区及3个养老院选取≥60岁老年2型糖尿病患者进行调查。使用纸质问卷进行面对面调查,调查问卷包括基本资料、长沙版蒙特利尔认知评估量表(MoCA)、中医体质评估。采用单因素分析结合多因素Logistic回归分析探究2型糖尿病伴轻度认知障碍的独立影响因素。采用Pearson相关分析探究不同认知域与阳虚质间相关性。结果共发放调查问卷407份,回收有效问卷397份,有效回收率为97.54%。397例研究对象包括社区老年人348例(87.7%),养老院老年人49例(12.3%);轻度认知障碍患者84例,2型糖尿病伴轻度认知障碍患病率为21.2%。依据患者是否伴轻度认知障碍将其分为2型糖尿病伴轻度认知障碍组(n=84)和2型糖尿病不伴轻度认知障碍组(n=313)。两组患者受教育程度、抑郁、读书看报、气虚质、阳虚质、痰湿质、湿热质比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,受教育程度(初中:OR=0.487,95%CI=0.253~0.939;大学及以上:OR=0.149,95%CI=0.034~0.659)、阳虚质(OR=2.284,95%CI=1.220~4.279)为老年2型糖尿病患者发生轻度认知障碍的独立影响因素(P<0.05)。相关分析结果显示:阳虚质得分与延迟记忆认知域得分呈负相关(r=-0.106,P<0.05)。结论四川省老年2型糖尿病患者轻度认知障碍患病率为21.2%,且低教育程度、阳虚质是发生轻度认知障碍的高危人群。结合中医“体质可分-体病相关-体质可调”理论,针对阳虚者进行早期干预,可能有助于降低糖尿病认知障碍转化。 展开更多
关键词 2型糖尿病 轻度认知障碍 老年人 影响因素分析 中医体质
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南京紫金山2种典型林分土壤氮库动态特征及影响因素
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作者 刘丽丽 吴茜 +3 位作者 杨佳怡 秦添 徐童庆 关庆伟 《中南林业科技大学学报》 北大核心 2026年第2期137-146,共10页
【目的】明晰紫金山不同林分类型土壤氮库动态特征及主要影响因素,以期为北亚热带区域提高土壤氮有效性和维持土壤肥力提供数据支撑。【方法】以南京市紫金山朴树-糙叶树落叶阔叶林(落叶阔叶林)与马尾松-枫香针阔混交林(针阔混交林)2种... 【目的】明晰紫金山不同林分类型土壤氮库动态特征及主要影响因素,以期为北亚热带区域提高土壤氮有效性和维持土壤肥力提供数据支撑。【方法】以南京市紫金山朴树-糙叶树落叶阔叶林(落叶阔叶林)与马尾松-枫香针阔混交林(针阔混交林)2种典型林分为研究对象,测定2种典型林分在不同生长时期0~20 cm(上层)和20~40 cm(下层)土层的土壤氮含量与组分及凋落物、细根的化学组成和酶活性等特征。【结果】1)落叶阔叶林和针阔混交林土壤全氮、硝态氮、铵态氮、微生物生物量氮变化范围分别为3.33~7.63 g·kg^(-1)和1.57~5.70 g·kg^(-1)、2.56~6.82 mg·kg^(-1)和1.42~5.14 mg·kg^(-1)、4.16~12.04 mg·kg^(-1)和4.92~15.33 mg·kg^(-1)、13.81~37.24 mg·kg^(-1)和10.82~33.74 mg·kg^(-1),并具有明显的表聚效应;2)落叶阔叶中林除硝态氮以外,其余氮组分均显著高于针阔混交林(P<0.05)。2种林分全氮均表现为生长旺期显著高于生长初期与末期(P<0.05),铵态氮均表现为生长旺期与末期显著高于生长初期(P<0.05),微生物生物量氮均表现为生长初期显著高于生长旺期与末期(P<0.05);3)冗余分析结果表明,凋落物生物量和碳氮比是影响落叶阔叶林氮含量变化的主要因素,解释率分别为40.9%与26.3%。细根生物量是针阔混交林氮含量变化的主要因素,解释率为43.8%;4)Mental检验表明,落叶阔叶林中,亚硝酸还原酶、脲酶均对全氮、铵态氮有显著影响(P<0.05),蛋白酶、硝酸还原酶均对铵态氮有极显著影响(P<0.01);针阔混交林中,亚硝酸还原酶对全氮、硝态氮、微生物生物量氮有显著影响(P<0.05),蛋白酶、硝酸还原酶均对硝态氮、微生物生物量氮有极显著影响(P<0.01)。【结论】落叶阔叶林由于具有较高的凋落物和细根生物量,养分归还速度快,促进了微生物生长和酶活性,导致土壤氮含量高于针阔混交林,建议在今后的北亚热带植被恢复过程中,应优先营建落叶阔叶林。 展开更多
关键词 植被类型 生长时期 氮组分 酶活性 细根 凋落物
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iRootSP糊剂热牙胶垂直加压与AH-Plus糊剂热牙胶垂直加压、iRootSP冷侧压在C形根管充填中的效果比较 被引量:26
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作者 于敏 贺洪远 +2 位作者 郑智明 计春波 白杨 《新疆医科大学学报》 CAS 2023年第5期663-667,共5页
目的 对比爱汝特(iRootSP)糊剂热牙胶垂直加压与环氧树脂类糊剂(AH-Plus)热牙胶垂直加压、iRootSP冷侧压在C形根管充填中的效果。方法 选取2021年5月至2022年6月在秦皇岛市海港医院接受C形根管充填治疗的患者102例,依据随机数字表法分为... 目的 对比爱汝特(iRootSP)糊剂热牙胶垂直加压与环氧树脂类糊剂(AH-Plus)热牙胶垂直加压、iRootSP冷侧压在C形根管充填中的效果。方法 选取2021年5月至2022年6月在秦皇岛市海港医院接受C形根管充填治疗的患者102例,依据随机数字表法分为A组(n=34)、B组(n=34)、C组(n=34)。A组采取iRootSP冷侧压法,B组采取iRootSP糊剂热牙胶垂直加压法,C组采取AH-Plus糊剂热牙胶垂直加压法。统计3组根管充填操作用时、根管充填效果、治疗效果、治疗前及治疗1个月、3个月后疼痛程度(VAS)评分。结果 (1)3组根管充填操作用时差异有统计学意义(P<0.05),A组根管充填操作用时短于B组、C组(P<0.05),B组根管充填操作用时与C组比较,差异无统计学意义(P>0.05)。(2)3组根管充填效果比较差异无统计学意义(P>0.05)。(3)3组治疗效果比较差异无统计学意义(P>0.05)。(4)治疗后1个月、3个月,3组VAS分值较治疗前降低,且A组VAS分值低于B组、C组,差异有统计学意义(P<0.05)。结论 采取iRootSP糊剂热牙胶垂直加压与AH-Plus糊剂热牙胶垂直加压、iRootSP冷侧压用于C形根管充填均能取得良好效果,但iRootSP冷侧压法操作简单,且更有助于减轻疼痛感,临床实际可根据患者具体状况选取对应治疗方式。 展开更多
关键词 C形根管充填 irootSP糊剂热牙胶垂直加压 AH-Plus糊剂热牙胶垂直加压 irootSP冷侧压
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iRoot SP冷侧法在C型根管填充治疗牙体牙髓病中的应用效果 被引量:1
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作者 李逸舒 《中外医药研究》 2023年第29期21-23,共3页
目的:探讨iRoot SP冷测法在C型根管填充治疗牙体牙髓病中的应用效果。方法:选取2019年7月—2022年7月苏州市第九人民医院收治的70例牙体牙髓病患者作为研究对象,按照随机数字表法分为对照组和观察组,各35例。对照组采取热牙胶垂直加压法... 目的:探讨iRoot SP冷测法在C型根管填充治疗牙体牙髓病中的应用效果。方法:选取2019年7月—2022年7月苏州市第九人民医院收治的70例牙体牙髓病患者作为研究对象,按照随机数字表法分为对照组和观察组,各35例。对照组采取热牙胶垂直加压法,观察组采取iRoot SP冷测法。比较两组充填效果、临床疗效及牙周状态。结果:两组适填率、欠填率、超填率比较,差异无统计学意义(P>0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P=0.032)。治疗后,观察组探诊出血指数、菌斑指数、牙龈指数及牙周袋深度均低于对照组,差异有统计学意义(P<0.001)。结论:iRoot SP冷测法在C型根管填充治疗牙体牙髓病中的应用效果显著,可保证填充效果,提高临床疗效,改善牙周状态。 展开更多
关键词 牙体牙髓病 iroot SP冷测法 C型根管填充 牙周状态
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Variations in shoot and root growth of three provenances of Faidherbia albida in clay and sand soil
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作者 Agnes Gachuiri Catherine Muthuri +2 位作者 Jonathan K.Muriuki Ramni H.Jamnadass Fergus Sinclair 《Journal of Forestry Research》 SCIE CAS CSCD 2016年第1期59-66,共8页
The variation in shoot and root seedling growth traits was compared among three Faidherbia albida (Del). A. Chev. provenances originating from Kenya (Taveta), Malawi (Bolero) and Ghana (Bolgatanga); representi... The variation in shoot and root seedling growth traits was compared among three Faidherbia albida (Del). A. Chev. provenances originating from Kenya (Taveta), Malawi (Bolero) and Ghana (Bolgatanga); representing east, south and west Africa, respectively. Bulked seeds from three provenances were grown in two soil types (clay and sand) at the World Agroforestry Centre nursery, Nairobi. Seedlings grown in clay soil had high shoot growth and shoot to root ratios but shorter root length, lower number of nodules and specific root length compared to seedlings in sand soil. Shoot to root ratios reduced with time and this was more pronounced in sand soil. Overall, the Bolero and Taveta provenances had higher growth than the Bolgatanga provenance. This was probably because plants grown in nutrient-rich clay soil invest more in shoot growth as compared to root growth. Longer root growth in sand soil shows a better adaptive mechanism that increases competitive ability and survival in nutrient-poor systems. Variations observed among the seedling variables such us shoot and root growth could be used for early selection for reforestation and agroforestry in predominantly clay and sand soil areas. 展开更多
关键词 Faidherbia albida PROVENANCE Soil type Shoot and root growth
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热牙胶垂直加压联合iRoot SP单尖对非手术C型根管治疗牙周观察
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作者 龙静 《全科口腔医学电子杂志》 2022年第2期84-86,66,共4页
目的研究对非手术C型根管采取热牙胶垂直加压联合iRoot SP单尖法治疗的临床效果。方法从2018年1月至2019年10月本院收治的患者中选取360例非手术C型根管治疗患者,按照随机数字表法分为对照组、联合组,对照组采取热牙胶垂直加压加Anplus... 目的研究对非手术C型根管采取热牙胶垂直加压联合iRoot SP单尖法治疗的临床效果。方法从2018年1月至2019年10月本院收治的患者中选取360例非手术C型根管治疗患者,按照随机数字表法分为对照组、联合组,对照组采取热牙胶垂直加压加Anplus根管糊剂治疗(n=180)、联合组采取热牙胶垂直加压联合iRoot SP单尖法治疗(n=180),对比两组疗效。结果治疗后6个月、1年、2年两组牙龈指数(GI)、牙周袋深度(PD)、菌斑指数(PLI)、出血指数(BI)均呈下降趋势,且联合组均较对照组低(P<0.05)。结论对非手术C型根管治疗患者给予热牙胶垂直加压联合生物陶瓷材料iRootSP单尖法充填,可显著提升充填效果,改善牙周指数,值得借鉴。 展开更多
关键词 C型根管 热牙胶垂直加压 irootSP单尖法 Anplus根管糊剂
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磁共振平衡稳态快速梯度回波序列在儿童神经根型骶管囊肿术前评估与定位中的价值
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作者 李林 赵建设 +2 位作者 易明岗 董春华 崔若棣 《分子影像学杂志》 2025年第10期1257-1262,共6页
目的探讨磁共振平衡稳态快速梯度回波序列(3D_BFFE)在儿童神经根型骶管囊肿术前评估与定位中的价值。方法回顾性分析2018年4月~2024年12月就诊于山东大学附属儿童医院神经外科的47例神经根型骶管囊肿患儿MRI及临床资料,其中男性31例,女... 目的探讨磁共振平衡稳态快速梯度回波序列(3D_BFFE)在儿童神经根型骶管囊肿术前评估与定位中的价值。方法回顾性分析2018年4月~2024年12月就诊于山东大学附属儿童医院神经外科的47例神经根型骶管囊肿患儿MRI及临床资料,其中男性31例,女性16例。本研究中所有患儿均行MRI常规序列及3D_BFFE与三维高分辨神经成像(3D_NerveVIEW)两种不同神经根成像序列扫描,并分别进行三维重建获取神经根与囊肿关系的图像。对比上述两种序列在显示神经根走行及神经根与囊肿关系中的差异,包括神经根在囊肿内穿行的数量、神经根分支的数量及神经根贴囊肿壁走行的数量,并与手术结果进行对照。结果手术证实47例患儿中,31例神经根在囊肿内穿行,3D_BFFE能够清晰显示28例走行路径、2例显示略模糊,仅1例无法显示其走行路径,而3D_NerveVIEW只能清晰显示2例神经根的走行路径,其余大部分显示较模糊或无法辨认神经根走行路径,两者差异有统计学意义(P<0.001);22例神经根分支患儿中,3D_BFFE能够清晰显示20例神经根走行路径,只有1例较模糊、1例无法显示,而3D_NerveVIEW只能清晰显示2例神经根走行路径,其余均显示不佳,差异有统计学意义(P<0.001);手术证实神经根贴壁走行16例,3D_BFFE能够清晰显示12例神经根与囊肿的关系,其余为模糊或无法显示,而3D_NerveVIEW只能清晰显示2例,其余均显示不佳,差异有统计学意义(P<0.001)。3D_BFFE在显示神经根在囊肿内走行路径、神经根分支的数量及神经根与囊肿壁的关系中明显优于3D_NerveVIEW序列,与术中结果基本一致。结论3D_BFFE可以清楚显示神经根走行与囊肿的关系,能够为手术方案的制定提供更为确凿、可靠的依据,从而避免了对神经根的损伤。 展开更多
关键词 磁共振成像 平衡稳态快速梯度回波 神经根型骶管囊肿
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iRoot SP配合不同根管充填方法在C型根管充填中的临床效果分析
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作者 张堃 田晓蓓 宋文婷 《全科口腔医学电子杂志》 2023年第26期1-4,共4页
目的分析iRoot SP配合不同根管充填方法在C型根管充填中的临床效果。方法抽取2021年5月至2022年5月本院牙体牙髓病科收治的牙髓炎患者80例(患牙均为下颌第二磨牙,共80颗)。依照治疗方式不同分为对照组(热牙胶垂直加压法,n=40)和研究组(... 目的分析iRoot SP配合不同根管充填方法在C型根管充填中的临床效果。方法抽取2021年5月至2022年5月本院牙体牙髓病科收治的牙髓炎患者80例(患牙均为下颌第二磨牙,共80颗)。依照治疗方式不同分为对照组(热牙胶垂直加压法,n=40)和研究组(单尖法,n=40)。比较两组干预效果。结果研究组治疗后牙周指标及牙周疼痛评分均较对照组低;研究组恰填率优于对照组(P<0.05)。结论在C型根管充填治疗中,应用iRoot SP进行单尖法充填,不仅恰填率高,且治疗后患者的牙周指标及疼痛评分均处于较低水平,可推广。 展开更多
关键词 C型根管充填 牙体牙髓病 iroot SP 热牙胶垂直加压 单尖法
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