检索结果-南通市图书馆

基于“心与小肠相表里”评价温阳通络安肠方治疗慢性心力衰竭合并肠功能障碍的临床疗效

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

中华中医药杂志 2024年第7期39卷 3848-3852页

作者：刘佳卉王彤王咏姜凌宇王丽丽张苗苗李雨程艳迟莉丽山东中医药大学济南250014 山东中医药大学附属医院济南250014

目的:评价温阳通络安肠方联合西医治疗慢性心力衰竭(CHF)合并肠功能障碍(ID)的疗效及安全性。方法:将2022年10月至2023年9月就诊于山东中医药大学附属医院的72例CHF合并ID心脾阳虚、痰瘀阻络证患者随机分为2组:对照组(36例)予西医常规治... 详细信息

目的:评价温阳通络安肠方联合西医治疗慢性心力衰竭(CHF)合并肠功能障碍(ID)的疗效及安全性。方法:将2022年10月至2023年9月就诊于山东中医药大学附属医院的72例CHF合并ID心脾阳虚、痰瘀阻络证患者随机分为2组:对照组(36例)予西医常规治疗,试验组(36例)在西医常规治疗基础上加用温阳通络安肠方浓煎口服,疗程均为8周。治疗前后观察患者中医证候积分、堪萨斯城心肌病患者生活质量量表(KCCQ)、急性胃肠损伤(AGI)分级和六分钟步行试验(6MWT)变化情况。检测超声心动图、N末端脑钠肽前体(NT-Pro BNP)、二胺氧化酶(DAO)、脂多糖(LPS)以及安全性指标;统计3个月内再入院率。结果:试验组总有效率[87.88%(29/33)显著优于对照组][65.63%(21/32)](P<0.05)。与对照组比较,治疗后试验组患者左心室舒张末期内径(LVEDD)、NT-ProBNP、DAO及LPS显著降低(P<0.05,P<0.01),6MWT距离显著提高(P<0.05)。试验组3个月内再入院率显著低于对照组(P<0.05)。两组患者在治疗期间均未出现明显的不良反应。结论:温阳通络安肠方治疗CHF合并ID疗效显著,能够改善心功能和肠功能,提高患者生活质量,降低再入院率,具有较好的安全性。

关键词：心与小肠相表里慢性心力衰竭肠功能障碍温阳通络安肠方心肠同治临床疗效

Abnormal relationship between rust particles size and rust layer compactness of weathering steels

在线全文

学校读者我要写书评

暂无评论

Acta Metallurgica Sinica(English Letters) 2010年第1期23卷 57-62页

作者： Ming ZHANG Shanwu YANG Hua ZHENG lili chi Xinlai HE School of Materials Science and Engineering University of Science and Technology Beijing Beijing 100083 China Wuhan Iron and Steel (Group) Corporation Wuhan 430080 China

In order to reveal evolution of the rust layer during atmospheric corrosion, commercial weathering steel （WS） 09CuPCrNi and a recently developed bainite WS were subjected to a salt fog test. The protection and compactness of the rust layer were evaluated by electrochemical analysis, absorption-desorption test, etc. The experimental results indicate that more compact rust layer could be derived from the rust particles with larger size. The well-established notion that the rust particle growth can induce the decrement of corrosion resistance of WS. However, the present investigation shows that the notion might not be universally accurate. The unusual result means that the rust particles might grow anisotropically during corrosion.

关键词： Weathering steel Corrosion Rust particle Coarsening

加味理肠饮治疗肝郁脾虚型腹泻型肠易激综合征临床研究

在线全文

学校读者我要写书评

暂无评论

山东中医杂志 2024年第10期43卷 1084-1091页

作者：梁峻尉白文筠迟莉丽山东中医药大学附属医院山东济南250014 喀什地区中医医院新疆维吾尔自治区喀什844000

目的:观察加味理肠饮治疗肝郁脾虚型腹泻型肠易激综合征(IBS-D)的疗效及对主要症状、疾病相关评分、炎症表现的影响。方法:将60例肝郁脾虚型IBS-D患者按随机数字表法分为中药复方组和西药组各30例,中药复方组给予加味理肠饮治疗,西药组... 详细信息

目的:观察加味理肠饮治疗肝郁脾虚型腹泻型肠易激综合征(IBS-D)的疗效及对主要症状、疾病相关评分、炎症表现的影响。方法:将60例肝郁脾虚型IBS-D患者按随机数字表法分为中药复方组和西药组各30例,中药复方组给予加味理肠饮治疗,西药组给予利福昔明片,两组均持续治疗2周,治疗结束后4周进行随访。主要疗效指标为治疗2周后(治疗后)和治疗结束4周后(随访时)的有效应答率,即最严重腹痛评分的平均值较基线期改善30%且排便日记中6型或7型Bristol粪便天数较基线期减少50%的患者百分比。次要结局指标包括每周稀便天数、每周平均腹痛评分、IBS症状严重程度量表(IBS-SSS)评分、IBS专用生活质量问卷(IBS-QOL)评分、中医症状评分、血清炎症因子水平、结肠及回肠末端黏膜组织病理形态。结果:两组治疗后及随访时的有效应答率比较,差异无统计学意义(P>0.05)。与治疗前比较,两组患者治疗后及随访时每周稀便天数均减少(P<0.01),每周平均腹痛评分均降低(P<0.01),IBS-SSS、IBS-QOL、中医症状评分均改善(P<0.01);两组患者治疗后血清白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、P物质(SP)水平较治疗前均降低(P<0.01)。随访时,中药复方组每周稀便天数少于西药组(P=0.046),IBS-SSS评分优于西药组(P<0.01);治疗后及随访时,中药复方组IBS-QOL、中医症状评分均优于西药组(P<0.01);治疗后,西药组血清TNF-α水平低于中药复方组(P<0.01)。随访时,两组患者结肠及回肠末端黏膜组织绒毛结构完整,排列整齐,无炎症细胞浸润。结论:加味理肠饮能减轻肝郁脾虚型IBS-D患者的腹痛、腹泻症状,降低患者血清炎症因子水平,缓解肠黏膜组织低度炎症反应,作用较持久。

关键词：加味理肠饮腹泻型肠易激综合征肝郁脾虚腹痛炎症

结肠息肉的中医证型与病理类型及发病因素的相关性研究

同方期刊数据库博看期刊评论

在线全文

学校读者我要写书评

暂无评论

中医临床研究 2024年第15期16卷 141-145页

作者：刘家君杨金辉迟莉丽山东中医药大学山东济南250014 西安市第五医院陕西西安710082 山东中医药大学附属医院山东济南250014

目的:研究结肠息肉的中医证型分布,同时探讨其中医证型与病理类型及发病因素的相关性,旨在为结肠息肉临床辨证和中医防治提供依据。方法:通过回顾性研究的方法获取并整理结肠息肉患者的基本信息、中医证型、病理分型、血脂程度及结肠镜... 详细信息

目的:研究结肠息肉的中医证型分布,同时探讨其中医证型与病理类型及发病因素的相关性,旨在为结肠息肉临床辨证和中医防治提供依据。方法:通过回顾性研究的方法获取并整理结肠息肉患者的基本信息、中医证型、病理分型、血脂程度及结肠镜结果等信息,包括性别、年龄、饮食习惯、吸烟饮酒量、三酰甘油(Triglycerides,TG)、总胆固醇(Total Cholesterol,TC)、高密度脂蛋白(High-density Lipoprotein,HDL)、低密度脂蛋白(Low Density Lipoprotein,LDL)、息肉病理类型。统计分析结肠息肉中医证型与病理类型及发病因素之间的相关性。结果:①中医证型分布规律:大肠湿热证199例(39.5%)>肝郁气滞证127例(25.2%)>脾胃虚弱证101例(20.0%)>瘀血内停证46例(9.1%)>寒湿内阻证30例(5.9%)。②结肠息肉患者年龄大多≥45岁,447例,占88.86%;饮食习惯以肥甘厚味为主,有208例,占41.35%;吸烟者232例,占46.13%;饮酒者136例,占27.04%。③结肠息肉患者中腺瘤性息肉患者295例,占58.65%,非腺瘤性息肉患者208例,占41.35%。④非高总胆固醇血症124例,占24.65%,高总胆固醇血症379例,占75.35%;非高甘油三酯血症136例,占27.03%,高甘油三酯血症367例,占72.97%;非高脂血症139例,占27.63%,高脂血症364例,占72.37%;非低高密度脂蛋白血症222例,占44.13%,低高密度脂蛋白血症281例,占55.87%。结论:结肠息肉中医证型以大肠湿热证多见。腺瘤性息肉中医证型以大肠湿热证为主,非腺瘤性息肉中炎性息肉以大肠湿热证为主,增生性息肉以肝郁气滞证多见,差异具有统计学意义(P0.05)。

关键词：结肠息肉中医证型病理类型发病因素相关性研究

在线全文

学校读者我要写书评

暂无评论

黄疸中医诊疗专家共识(2023)

临床肝胆病杂志 2024年第10期40卷 1959-1966页

作者：中华中医药学会脾胃病分会迟莉丽唐旭东孙大娟不详山东中医药大学附属医院

黄疸是临床比较常见的病症之一,尤以目睛黄染为主要特征,病证分型及选方不断改善。本共识阐述了黄疸的概念、病名沿革、病因病机、常见证候、临床治疗、疗效评定、预防调摄和转归与随访等内容,突出了临床实用性,体现了最新研究进展。

关键词：黄疸中医诊断治疗共识

Additive manufacturing of micropatterned functional surfaces:a review

在线全文

学校读者我要写书评

暂无评论

International Journal of Extreme Manufacturing 2024年第4期6卷 86-114页

作者： Aditya chivate chi Zhou Department of Industrial and Systems Engineering University at BuffaloThe State University of New YorkBuffaloNY 14260United States of America

Over the course of millions of years,nature has evolved to ensure survival and presents us with a myriad of functional surfaces and structures that can boast high efficiency,multifunctionality,and *** makes these surfaces particularly practical and effective is the intricate micropatterning that enables selective interactions with *** of these structures have been realized in the laboratory environment using numerous fabrication techniques by tailoring specific surface *** the available manufacturing methods,additive manufacturing(AM)has created opportunities for fabricating these structures as the complex architectures of the naturally occurring microstructures far exceed the traditional *** paper presents a concise overview of the fundamentals of such patterned microstructured surfaces,their fabrication techniques,and diverse applications.A comprehensive evaluation of micro fabrication methods is conducted,delving into their respective strengths and *** emphasis is placed on AM processes like inkjet printing and micro digital light projection printing due to the intrinsic advantages of these processes to additively fabricate high resolution structures with high fidelity and *** paper explores the various advancements in these processes in relation to their use in microfabrication and also presents the recent trends in applications like the fabrication of microlens arrays,microneedles,and tissue scaffolds.

关键词： additive manufacturing micropatterned surfaces drop-on-demand inkjet DLP printing

Finite-time Prescribed Performance Time-Varying Formation Control for Second-Order Multi-Agent Systems With Non-Strict Feedback Based on a Neural Network Observer

在线全文

学校读者我要写书评

暂无评论

IEEE/CAA Journal of Automatica Sinica 2024年第4期11卷 1039-1050页

作者： chi Ma Dianbiao Dong the School of Mechanical Engineering Northwestern Polytechnical UniversityXi’an 710072China

This paper studies the problem of time-varying formation control with finite-time prescribed performance for nonstrict feedback second-order multi-agent systems with unmeasured states and unknown *** eliminate nonlinearities,neural networks are applied to approximate the inherent dynamics of the *** addition,due to the limitations of the actual working conditions,each follower agent can only obtain the locally measurable partial state information of the leader *** address this problem,a neural network state observer based on the leader state information is ***,a finite-time prescribed performance adaptive output feedback control strategy is proposed by restricting the sliding mode surface to a prescribed region,which ensures that the closed-loop system has practical finite-time stability and that formation errors of the multi-agent systems converge to the prescribed performance bound in finite ***,a numerical simulation is provided to demonstrate the practicality and effectiveness of the developed algorithm.

关键词： Finite-time control multi-agent systems neural network prescribed performance control time-varying formation control

Opinion Dynamics in Two-Layer Networks with Hypocrisy

在线全文

学校读者我要写书评

暂无评论

Journal of the Operations Research Society of china 2024年第1期12卷 109-132页

作者： chi Zhao Elena Parilina Saint Petersburg State University Saint Petersburg199034Russia Qingdao University School of Mathematics and StatisticsQingdao 266071ShandongChina

We propose a general concealed voter model(GCVM),in which individuals interact in two layers and can exchange their opinions in the internal *** interaction is not allowed in a *** exchanging opinions in the internal layer,we mean that individuals share their real or internal opinions with their close *** process of opinion formation in GCVM is presented in the *** make the series of numerical simulations of GCVM with different network structures(both external and internal)and get some counterintuitive *** instance,we find out that sometimes with a relatively simple network structure of an external layer the consensus within the individuals’opinions cannot be reached,and if individuals in the network are not good at expressing their opinions publicly(in an external layer),exchanging opinions with their close friends(in an internal layer)is almost useless.

关键词： Opinion dynamics Voter model Concealed voter model General concealed voter model

Beyond the lab:a nanoimprint metalens arraybased augmented reality

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Light(Science & Applications) 2024年第5期13卷 801-802页

作者： chi Li Haoran Ren School of Physics and Astronomy Monash UniversityMelbourneVICAustralia

A see-through augmented reality prototype has been developed based on an ultrathin nanoimprint metalens array,opening up a full-colour,video-rate,and low-cost 3D near-eye display.

关键词： cost ens imprint