ObjectiveTo investigate the clinical effect of acupuncture among patients with dysphagia after cerebral infarction, and the nerve remodeling of acupuncture using diffusion tensor imaging.MethodsOne hundred and twenty ...ObjectiveTo investigate the clinical effect of acupuncture among patients with dysphagia after cerebral infarction, and the nerve remodeling of acupuncture using diffusion tensor imaging.MethodsOne hundred and twenty patients with dysphagia after cerebral infarction were randomly assigned to either acupuncture group or sham-acupuncture group with a 1:1 ratio. All patients received usual care and swallowing function training of neurology department. Additionally, acupuncture was applied at Sìshéncōng (四神聪EX-HN1), Băihuì (百会GV20), Tàiyáng (太阳EX-HN5), Fēngchí (风池GB20) and Shésānzhēn (舌三针three-tongue needling points, Extra) in acupuncture group. The needles were retained for 30 min each time, and five times a week for three weeks as a course of treatment. Two courses of treatments were required in total. In sham-acupuncture group, the blunt needles were put into the needle sleeve, and the top of needle was fixed on the skin. During treatment the blunt needle tip only had slight contact with the skin without any penetration. The blunt needle tips were placed on EX-HN1, GV20, EX-HN5, GB20 and three-tongue needling points, respectively. The duration of treatment in sham-acupuncture group was the same as that in acupuncture group. Before and after treatment, all patients underwent Kubota water swallowing test to evaluate the clinical effect. Using diffusion tensor image (DTI), the nerve remodeling was detected.ResultsClinical effect: After treatment and assessed by water swallowing test, there were 38 cases of normal swallowing function in acupuncture group, higher than 15 cases in sham-acupuncture group (P < 0.05). Nerve remodeling: (1) apparent diffusion coefficient (ADC): before treatment, ADC in acupuncture group and sham acupuncture group were 1.76 ± 0.45 mm/s and 1.68 ± 0.51 mm/s, respectively. After treatment, ADC were 0.66 ± 0.15 mm/s and 0.74 ± 0.11 mm/s, respectively. The difference in ADC had no statistical significance between two groups after treatment (P > 0.05);(2) f展开更多
针对中小型河流引水式水电站下游减脱水河段的生态修复问题,总结了5种常用的生态流量过程计算方法,将物元分析法(Matter Element Analysis)与Tennant法耦合,提出了ME-Tennant河流生态流量过程评价模型。以湖南省刘家坪水电站为例,应用...针对中小型河流引水式水电站下游减脱水河段的生态修复问题,总结了5种常用的生态流量过程计算方法,将物元分析法(Matter Element Analysis)与Tennant法耦合,提出了ME-Tennant河流生态流量过程评价模型。以湖南省刘家坪水电站为例,应用该模型对不同方法计算出来的生态流量过程进行评价,最终以NGPRP法和年内展布法的计算结果确定最小生态流量过程,以2种不同保证率下的逐月频率法计算结果确定适宜生态流量过程,结果符合研究流域的生态水文特征。研究为推求河道生态流量过程提供了新思路,也为水电站下游减脱水河段的生态修复提供了参考。展开更多
基金Supported by Scientific research project of traditional Chinese medicine of Fujian Provincial Health Commission:No.202130220305Fujian Natural Science:No.13181526。
文摘ObjectiveTo investigate the clinical effect of acupuncture among patients with dysphagia after cerebral infarction, and the nerve remodeling of acupuncture using diffusion tensor imaging.MethodsOne hundred and twenty patients with dysphagia after cerebral infarction were randomly assigned to either acupuncture group or sham-acupuncture group with a 1:1 ratio. All patients received usual care and swallowing function training of neurology department. Additionally, acupuncture was applied at Sìshéncōng (四神聪EX-HN1), Băihuì (百会GV20), Tàiyáng (太阳EX-HN5), Fēngchí (风池GB20) and Shésānzhēn (舌三针three-tongue needling points, Extra) in acupuncture group. The needles were retained for 30 min each time, and five times a week for three weeks as a course of treatment. Two courses of treatments were required in total. In sham-acupuncture group, the blunt needles were put into the needle sleeve, and the top of needle was fixed on the skin. During treatment the blunt needle tip only had slight contact with the skin without any penetration. The blunt needle tips were placed on EX-HN1, GV20, EX-HN5, GB20 and three-tongue needling points, respectively. The duration of treatment in sham-acupuncture group was the same as that in acupuncture group. Before and after treatment, all patients underwent Kubota water swallowing test to evaluate the clinical effect. Using diffusion tensor image (DTI), the nerve remodeling was detected.ResultsClinical effect: After treatment and assessed by water swallowing test, there were 38 cases of normal swallowing function in acupuncture group, higher than 15 cases in sham-acupuncture group (P < 0.05). Nerve remodeling: (1) apparent diffusion coefficient (ADC): before treatment, ADC in acupuncture group and sham acupuncture group were 1.76 ± 0.45 mm/s and 1.68 ± 0.51 mm/s, respectively. After treatment, ADC were 0.66 ± 0.15 mm/s and 0.74 ± 0.11 mm/s, respectively. The difference in ADC had no statistical significance between two groups after treatment (P > 0.05);(2) f
文摘针对中小型河流引水式水电站下游减脱水河段的生态修复问题,总结了5种常用的生态流量过程计算方法,将物元分析法(Matter Element Analysis)与Tennant法耦合,提出了ME-Tennant河流生态流量过程评价模型。以湖南省刘家坪水电站为例,应用该模型对不同方法计算出来的生态流量过程进行评价,最终以NGPRP法和年内展布法的计算结果确定最小生态流量过程,以2种不同保证率下的逐月频率法计算结果确定适宜生态流量过程,结果符合研究流域的生态水文特征。研究为推求河道生态流量过程提供了新思路,也为水电站下游减脱水河段的生态修复提供了参考。
