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针刺配合郑氏舒活酊涂擦治疗经皮内镜下腰椎间盘切除术后感觉异常的临床研究

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中医正骨 2019年第7期31卷 27-33页

作者：吴忌李越楚福明王雯苏洪王艳杰唐小松黄子洋肖清清邓尚四川省骨科医院

目的:观察针刺配合郑氏舒活酊涂擦治疗经皮内镜下腰椎间盘切除术(percutaneous endoscopic lumbar discectomy,PELD)后感觉异常的临床疗效和安全性。方法:选择因腰椎间盘突出症接受PELD治疗后出现感觉异常的42例患者为研究对象。采用随... 详细信息

目的:观察针刺配合郑氏舒活酊涂擦治疗经皮内镜下腰椎间盘切除术(percutaneous endoscopic lumbar discectomy,PELD)后感觉异常的临床疗效和安全性。方法:选择因腰椎间盘突出症接受PELD治疗后出现感觉异常的42例患者为研究对象。采用随机数字表随机分为基础治疗组和联合治疗组,每组21例。基础治疗组静脉滴注20%甘露醇注射液(每次250 mL,每天1次,连用3 d)、地塞米松注射液(每次10 mg,每天1次,连用3 d),口服甲钴胺片(每次0.5 mg,每天3次,连用30 d),同时进行仰卧位抬腿及踝泵等功能锻炼。联合治疗组在基础治疗组治疗方案的基础上增加针刺治疗和郑氏舒活酊涂擦治疗,针刺治疗每次20 min、郑氏舒活酊涂擦治疗每次15 min,2种治疗方法均每天1次,连续5次为1个疗程,每个疗程结束后休息2 d,共治疗2个疗程。根据患者治疗期间的疼痛程度,必要时给予镇痛药物。分别于治疗前、治疗开始后2周及治疗开始后3个月采用视觉模拟量表(visual analogue scale,VAS)评定患者下肢疼痛和麻木程度,采用 Oswestry功能障碍指数(Oswestry disability index,ODI)问卷表评定感觉异常对患者日常生活的影响,治疗开始后3个月采用改良MacNab标准评价总体疗效,观察记录治疗期间患者镇痛药物的使用情况和不良反应的发生情况。结果:①疼痛VAS评分。时间因素与分组因素存在交互效应( F=6.748,P =0.002);2组疼痛VAS评分总体比较,差异有统计学意义,即存在分组效应( F=6.830,P =0.013);治疗前后不同时点之间疼痛VAS评分的差异有统计学意义,即存在时间效应( F=596.189,P =0.000);2组疼痛VAS评分随时间变化均呈降低趋势,但2组的降低趋势不完全一致[(5.762±0.816)分,(2.905±0.436)分,(1.571±0.598)分, F=339.958,P =0.000;(5.952±1.011)分,(3.881±0.757)分,(1.786± 0.624)分, F=269.273,P =0.000];治疗前及治疗开始后3个月,2组疼痛VAS评分比较,差异均无统计学意义( t=-0.672, P=0.506;t=-1.137,P =0.262);治疗开始后2周,联合治疗组的疼痛VAS评分低于基础治疗组( t=-5.121,P =0.000)。②感觉麻木VAS评分。时间因素与分组因素存在交互效应( F=7.534,P =0.001);2组感觉麻木VAS评分总体比较,差异有统计学意义,即存在分组效应( F=15.104,P =0.000);治疗前后不同时点之间感觉麻木VAS评分的差异有统计学意义,即存在时间效应( F=421.241,P =0.000);2组感觉麻木VAS评分随时间变化均呈降低趋势,但2组的降低趋势不完全一致[(5.238± 0.875)分,(2.738±0.561)分,(1.357±0.854)分, F=339.958,P =0.000;(5.429±0.763)分,(3.905±0.605)分,(1.857± 0.478)分, F=269.273,P =0.000];治疗前2组感觉麻木VAS评分比较,差异无统计学意义( t=-0.752,P =0.457);治疗开始后2周和治疗开始后3个月,联合治疗组的感觉麻木VAS评分均低于基础治疗组( t=-6.479,P=0.000;t=-2.342,P =0.024)。③ODI评分。时间因素与分组因素存在交互效应( F=4.346,P =0.016);2组ODI评分总体比较,差异无统计学意义,即不存在分组效应( F=1.459,P =0.234);治疗前后不同时点之间ODI评分的差异有统计学意义,即存在时间效应( F=261.210, P =0.000 );2组ODI评分随时间变化均呈降低趋势,但2组的降低趋势不完全一致[(39.789±10.930)分,(19.579±8.537)分,(11.325±6.242)分, F=339.958,P =0.000;(40.471±13.929)分,(24.022±9.124)分,(17.462±10.238)分, F=269.273,P =0.000];治疗前和治疗开始后2周,2组ODI评分比较,差异均无统计学意义( t=0.082,P=0.935;t=-1.630,P =0.111);治疗开始后3个月,联合治疗组的ODI评分低于基础治疗组( t=-2.345,P =0.024)。④总体疗效。按照改良MacNab标准评定总体疗效,联合治疗组优15例、良4例、可1例、差1例,基础治疗组优8例、良7例、可4例

关键词：针刺疗法郑氏舒活酊椎间盘切除术,经皮手术后并发症感觉异常临床试验

Predictors and long-term prognosis of early and late recurrence for patients undergoing hepatic resection of hepatocellular carcinoma: a large-scale multicenter study

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Hepatobiliary Surgery and Nutrition 2023年第2期12卷 155-168,I0001页

作者： wen-Tao Yan Chao Li Lan-Qing Yao Hai-Bo Qiu Ming-Da Wang Xin-Fei Xu Ya-Hao Zhou Hong Wang Ting-Hao Chen Wei-Min Gu Jian-Hong Zhong Han Wu Timothy M.Pawlik Wan Yee Lau Feng Shen Tian Yang Department of Hepatobiliary Surgery Eastern Hepatobiliary Surgery HospitalSecond Military Medical University(Navy Medical University)ShanghaiChina Graduate School Second Military Medical University(Navy Medical University)ShanghaiChina Department of Anesthesiology Eastern Hepatobiliary Surgery HospitalSecond Military Medical University(Navy Medical University)ShanghaiChina Department of Hepatobiliary Surgery Pu’er People’s HospitalPu’erChina Department of General Surgery Liuyang People’s HospitalLiuyangChina Department of General Surgery Ziyang First People’s HospitalZiyangChina The First Department of General Surgery the Fourth Hospital of HarbinHarbinChina Department of Hepatobiliary Surgery Affiliated Tumor Hospital of Guangxi Medical UniversityNanningChina Department of Surgery Ohio State UniversityWexner Medical CenterColumbusOHUSA Faculty of Medicine the Chinese University of Hong KongShatinNew TerritoriesHong KongChina

Recurrence is common among patients undergoing hepatic resection for hepatocellular carcinoma(HCC),which greatly limits long-term *** aimed to identify predictors and long-term prognosis of early and late recurrence after HCC ***:Multicenter data of patients who underwent HCC resection between 2002 and 2016 were *** was divided into early(≤2 years)and late recurrence(>2 years after surgery).Predictors of early and late recurrence,and prognostic factors of post-recurrence survival(PRS)were identified by univariate and multivariate ***:Among 1,426 patients,554(38.8%)and 348(24.4%)developed early and late recurrence,*** predictors associated with early recurrence included preoperative alpha-fetoprotein level>400μg/L,resection margin5.0 cm,multiplicity,macrovascular and microvascular invasion,and satellites of the initial tumor at the first diagnosis of HCC;independent predictors associated with late recurrence included male,cirrhosis,and tumor size>5.0 cm,multiplicity,macrovascular and microvascular invasion,and satellites of the initial *** with early recurrence had a lower likelihood of undergoing potentially curative treatments for recurrence(37.2%vs.48.0%,P<0.001)and a worse median PRS(13.5 vs.36.6 months,P<0.001)*** who had late *** analysis revealed that early recurrence and irregular postoperative surveillance were independently associated with worse PRS[hazard ratio(HR)=1.250,95%CI:1.016-1.538,P=0.035;and HR=1.983,95%CI:1.677-2.345,P<0.001].Conclusions:Predictors associated with early and late recurrence after curative resection for patients with HCC were generally same,although several did *** with late recurrence had better long-term survival than patients with early recurrence.

关键词： Hepatocellular carcinoma(HCC) recurrence predictor prognosis hepatectomy

Petroleum geology of marl in Triassic Leikoupo Formation and discovery significance of Well Chongtan1 in central Sichuan Basin,SW China

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Petroleum Exploration and Development 2023年第5期50卷 1092-1104页

作者： WANG Zecheng XIN Yongguang XIE Wuren wen Long ZHANG Hao XIE Zengye ZHANG Jianyong TIAN Han LI wenzheng FU Xiaodong SUN Haofei WANG Xiaofang HU Guoyi ZHANG Yu PetroChina Research Institute of Petroleum Exploration&Development Beijing 100083China Research Institute of Petroleum Exploration&Development PetroChina Southwest Oil&Gas Field CompanyChengdu 610041China Exploration Department PetroChina Southwest Oil&Gas Field CompanyChengdu 610041China

In 2022,the risk exploration well Chongtan1(CT1)in the Sichuan Basin revealed commercial oil and gas flow during test in a new zone–the marl of the second submember of the third member of Leikoupo Formation(Lei-32)of Middle Triassic,recording a significant ***,the hydrocarbon accumulation in marl remains unclear,which restricts the selection and deployment of exploration *** on Well CT1,the hydrocarbon accumulation characteristics of Lei-32 marl are analyzed to clarify the potential zones for *** following findings are ***,according to the geochemical analysis of petroleum and source rocks,oil and gas in the Lei-32 marl of Well CT1 are originated from the same *** marl acts as both source rock and reservoir ***,the Lei-32 marl in central Sichuan Basin is of lagoonal facies,with a thickness of 40–130 m,an area of about 40000 km^(2),a hydrocarbon generation intensity of(4–12)×10^(8) m^(3)/km^(2),and an estimated quantity of generated hydrocarbons of 25×10^(12) m^(3).Third,the lagoonal marl reservoirs are widely distributed in central Sichuan ***,in Xichong–Yilong,ziyang–Jianyang and Moxi South,the reservoirs are 20–60 m thick and cover an area of 7500 km^(2).Fourth,hydrocarbons in the lagoonal marl are generated and stored in the Lei-32 marl,which means that marl serves as both source rock and reservoir *** represent a new type of unconventional resource,which is worthy of ***,based on the interpretation of 2D and 3D seismic data from central Sichuan Basin,Xichong and Suining are defined as favorable prospects with estimated resources of(2000–3000)×10^(8) m^(3).

关键词： Sichuan Basin central Sichuan Basin Triassic Leikoupo Formation lagoonal marl source-reservoir integration marine unconventional oil and gas

益阳市资阳区职业女性心理压力及应对状况调查

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实用预防医学 2012年第11期19卷 1732-1734页

作者：文进先湖南省益阳市资阳区妇幼保健院保健科湖南益阳413001

目的了解湖南省益阳市资阳区职业女性的心理压力及应对状况，为制定相应的心理干预措施提供科学依据。方法采用自行设计的问卷，对386名通过分层随机抽样方法抽取的湖南省益阳市资阳区职业女性的心理压力及应对状况进行问卷调查。结果... 详细信息

目的了解湖南省益阳市资阳区职业女性的心理压力及应对状况，为制定相应的心理干预措施提供科学依据。方法采用自行设计的问卷，对386名通过分层随机抽样方法抽取的湖南省益阳市资阳区职业女性的心理压力及应对状况进行问卷调查。结果〈35岁职业女性的心理压力得分为（1．64±0．58），35-45岁职业女性的心理压力得分为（2．67±1．32），〉45岁职业女性的心理压力得分为（1．58±0．82）；〈35岁职业女性心理压力的应对得分为（2．01±0．69），35-45岁职业女性心理压力的应对得分为（2．43±1．12），〉45岁职业女性心理压力的应对得分为（2．73±1．13）；心理压力总分和应对方式总分的相关系数为0．812。结论职业女性的心理问题，主要集中在35-45岁这一年龄段，职业女性在面对压力时，最常采用的应对方式是制订计划和进行合理化解释。

关键词：职业女性心理健康问卷调查

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机车不锈钢薄壁管自动化焊接工艺研究

全面腐蚀控制 2024年第1期38卷 59-62页

作者：闻学伟中车资阳机车有限公司四川资阳641301

根据对不锈钢薄壁管焊接的特点进行分析,本研究旨在评定奥氏体不锈钢的自动化焊接工艺,并详细介绍其评定过程。研究采用了焊前清理、焊接保护、焊接工艺和操作要点等方法进行讨论分析。实验结果验证表明,通过正确操作和合理控制焊接工艺... 详细信息

根据对不锈钢薄壁管焊接的特点进行分析,本研究旨在评定奥氏体不锈钢的自动化焊接工艺,并详细介绍其评定过程。研究采用了焊前清理、焊接保护、焊接工艺和操作要点等方法进行讨论分析。实验结果验证表明,通过正确操作和合理控制焊接工艺,奥氏体不锈钢薄壁管的自动化焊接工艺是合格的,并能够满足实际生产的需求。

关键词：不锈钢薄壁管自动化焊接工艺

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再谈杜甫诗中的赤甲山、白盐山、赤甲宅

重庆三峡学院学报 2006年第6期22卷 32-34页

作者：谭文兴重庆三峡学院文学与新闻学院重庆万州404000

杜甫诗中说的赤甲山、白盐山的位置与现在的赤甲山、白盐山完全一样。杜甫的赤甲宅在赤甲山的西南角。把当地人称呼的子阳山说成是杜甫诗中的赤甲山与《水经注》的记载不合,与杜甫的整个创作情况也不一致。

关键词：杜甫赤甲山子阳山白盐山赤甲宅

江西省基层少儿体操孵化培育基地建设的探索与实施——以上饶市婺源紫阳小学体操训练基地为例

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宜春学院学报 2017年第9期39卷 104-107页

作者：郭文吉宜春学院体育学院江西宜春336000

婺源紫阳小学体操训练基地在江西省体操中心的帮助与指导下,经过四年多的操作运行在发展概况、发展理念、建设内容及建设目标等方面已经取得了显著的成效,本文运用调查法对婺源紫阳小学少儿体操训练基地的总体设想、目标与建设基础、建... 详细信息

婺源紫阳小学体操训练基地在江西省体操中心的帮助与指导下,经过四年多的操作运行在发展概况、发展理念、建设内容及建设目标等方面已经取得了显著的成效,本文运用调查法对婺源紫阳小学少儿体操训练基地的总体设想、目标与建设基础、建设情况与实施效果进行调查,研究发现少儿体操训练基地建设,为不同年级小学生构建了一个体育创新教育、体操后备人才孵化和提高学生身体素质提供了平台保障,体操训练孵化基地建设效果显著。在不断的探索与实践中,江西省少儿体操训练孵化基地的建设取得一些成绩,培养出更多高水平体操后备人才,促进江西体操项目的发展。

关键词：少儿体操孵化基地体操训练

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探究焊条电弧焊单面焊双面成型焊接技术

内燃机与配件 2021年第2期 105-106页

作者：闻学伟中车资阳机车有限公司资阳641301

焊条电弧焊单面焊双面成型技术是焊工施工中的一项重要技术,应用广泛,操作难度较大,对于焊工的要求较高,这就需要相关从业者对这一技术进行详细地了解,不断提高自身的操作水平。

关键词：焊条电弧焊单面焊双面成型焊接技术

Two-dimensional materials for future information technology: status and prospects

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Science China(Information Sciences) 2024年第6期67卷 1-147页

作者： Hao QIU Zhihao YU Tiange ZHAO Qi ZHANG Mingsheng XU Peifeng LI Taotao LI wenzhong BAO Yang CHAI Shula CHEN Yiqi CHEN Hui-Ming CHENG Daoxin DAI Zengfeng DI Zhuo DONG Xidong DUAN Yuhan FENG Yu FU Jingshu GUO Pengwen GUO Yue HAO Jun HE Xiao HE Jingyi HU Weida HU Zehua HU Xinyue HUANG ziyang HUANG Ali IMRAN Ziqiang KONG Jia LI Qian LI Weisheng LI Lei LIAO Bilu LIU Can LIU Chunsen LIU Guanyu LIU Kaihui LIU Liwei LIU Sheng LIU Yuan LIU Donglin LU Likuan MA Feng MIAO Zhenhua NI Jing NING Anlian PAN Tian-Ling REN Haowen SHU Litao SUN Yue SUN Quanyang TAO Zi-Ao TIAN Dong WANG Hao WANG Haomin WANG Jialong WANG Junyong WANG wenhui WANG Xingjun WANG Yeliang WANG Yuwei WANG Zhenyu WANG Yao WE... School of Electronic Science and Engineering Nanjing University School of Integrated Circuits Interdisciplinary Research Center for Future Intelligent Chips (Chip-X)Nanjing University School of Integrated Circuit Science and Engineering Nanjing University of Posts and Telecommunications State Key Laboratory of Infrared Physics Shanghai Institute of Technical Physics Chinese Academy of Sciences School of Physics and Key Lab of Quantum Materials and Devices of the Ministry of Education School of Electronic Science & EngineeringSoutheast University College of Integrated Circuits State Key Laboratory of Silicon and Advanced Semiconductor MaterialsZhejiang University Suzhou Laboratory State Key Laboratory of Integrated Chips and Systems School of MicroelectronicsFudan University Shaoxin Laboratory Department of Applied Physics The Hong Kong Polytechnic University Key Laboratory for Micro-Nano Physics and Technology of Hunan Province College of Materials Science and EngineeringHunan University College of Integrated Circuits Zhejiang University Shenzhen Geim Graphene Center Shenzhen Key Laboratory of Layered Materials for Value-Added ApplicationsTsinghua-Berkeley Shenzhen Institute & Institute of Materials ResearchTsinghua Shenzhen International Graduate SchoolTsinghua University State Key Laboratory of Extreme Photonics and Instrumentation College of Optical Science and EngineeringInternational Research Center for Advanced PhotonicsZijingang CampusZhejiang University National Key Laboratory of Materials for Integrated Circuits Shanghai Institute of Microsystem and Information TechnologyChinese Academy of Sciences CAS Key Laboratory of Nanophotonic Materials and Devices & Key Laboratory of Nanodevices and Applications i-LabSuzhou Institute of Nano-Tech and Nano-Bionics (SINANO)Chinese Academy of Sciences College of Chemistry and Chemical Engineering Hunan University Key Laboratory of Quantum State Construction and Manipulation (Ministry of Education) Department of PhysicsRenmin University of China School

Over the past 70 years, the semiconductor industry has undergone transformative changes,largely driven by the miniaturization of devices and the integration of innovative structures and materials. Two-dimensional(2D) materials like transition metal dichalcogenides(TMDs) and graphene are pivotal in overcoming the limitations of silicon-based technologies, offering innovative approaches in transistor design and functionality, enabling atomic-thin channel transistors and monolithic 3D integration. We review the important progress in the application of 2D materials in future information technology, focusing in particular on microelectronics and optoelectronics. We comprehensively summarize the key advancements across material production, characterization metrology, electronic devices, optoelectronic devices, and heterogeneous integration on silicon. A strategic roadmap and key challenges for the transition of 2D materials from basic research to industrial development are outlined. To facilitate such a transition, key technologies and tools dedicated to 2D materials must be developed to meet industrial standards, and the employment of AI in material growth, characterizations, and circuit design will be essential. It is time for academia to actively engage with industry to drive the next 10 years of 2D material research.

关键词： two-dimensional (2D) materials information technology production technology standardization of characterization microelectronicdevices optoelectronic devices multi-functional integration