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79家医院718例结直肠肿瘤经自然腔道取标本手术回顾性研究 被引量:102
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作者 关旭 王贵玉 +98 位作者 周主青 周海涛 陈瑛罡 汤庆超 宋军民 蔡建春 鲍传庆 张宏 刘雁军 熊治国 吴淼 宋纯 郑阳春 蒋嘉睿 燕速 汪泳 胡清林 马丹 任柯 熊德海 张兴宏 杨明睿 白月奎 符炜 李蜀华 张诗峰 柳俊刚 莫显伟 宫红彦 江波 王铁 张安平 朱平 付涛 胡军红 贾文焯 秦长江 苏琪 王道荣 吴万庆 赵紫罡 朱洪波 金武勇 靖昌庆 李德钢 刘文志 刘志春 庞黎明 汤东 王小强 杨国山 姚坤厚 张学明 赵磊 钟晓刚 周雷 朱州 白雪峰 陈超武 陈诗伟 陈泽华 戴凌 付振保 高峰 高浩 高磊 龚剑锋 姜勇 介建政 金伟森 李德川 李军 蔺宏伟 刘宝林 刘春庆 刘明 孟建彬 邱健 饶贵安 孙东辉 孙学军 邰建东 王志刚 谢光伟 谢铭 韦烨 严俊 阎立昆 杨丰 杨鹤鸣 杨万军 陈路川 叶再生 喻志革 赵中海 钟鸣 朱玉萍 傅传刚 王锡山 《中华结直肠疾病电子杂志》 2017年第6期469-477,共9页
目的通过收集国内79家医院开展的结直肠肿瘤经自然腔道取标本手术(NOSES)病例,阐述NOSES术在结直肠肿瘤中的应用现状及其可行性。方法本研究最终共纳入718例结直肠肿瘤NOSES病例,收集资料包括患者术前一般资料、手术相关资料、术后病理... 目的通过收集国内79家医院开展的结直肠肿瘤经自然腔道取标本手术(NOSES)病例,阐述NOSES术在结直肠肿瘤中的应用现状及其可行性。方法本研究最终共纳入718例结直肠肿瘤NOSES病例,收集资料包括患者术前一般资料、手术相关资料、术后病理资料以及随访资料。结果患者一般资料显示:患者平均年龄为59.4±10.8岁,患者平均BMI指数为22.9±6.3 kg/m2,直肠NOSES术患者占总数的72.3%,有3.5%的患者接受了术前新辅助治疗;术后病理资料显示,I^IV期患者分别占31.3%,26.8%,30.8%,0.8%;中分化腺癌比例占病例总数的62.1%,肿瘤最大直径平均为4.1±1.8 cm,淋巴结检出数目平均为13.4±3.5枚。本研究中76.2%的患者行腹腔镜直肠前切除术联合经自然腔道取标本手术;90.4%的患者采用经直肠取标本,经阴道取标本病例占9.6%;NOSES手术时间平均为210.5±39.4分钟,术中出血量平均为61.8±23.1 ml,术后排气时间平均为44.5±10.3小时,术后进食时间平均为64.9±14.6小时,术后住院时间为12.1±4.0天,并发症发生率为10.6%,术后肛门功能障碍者占总数的1.5%,未发现阴道功能障碍者。结论结直肠肿瘤NOSES术在我国广泛开展,且表现出巨大的推广潜力。同时,NOSES术符合肿瘤根治术要求,并具有良好的近期疗效,因此该技术是一种安全可靠的微创外科技术。 展开更多
关键词 结直肠肿瘤 经自然腔道取标本手术 腹腔镜手术 微创外科
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Prediction of quality markers of traditional Chinese medicines based on network pharmacology 被引量:56
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作者 Yu-li wang Tao Cui +7 位作者 Ya-zhuo Li Mao-liang Liao Hong-bing Zhang Wen-bin Hou tie-jun Zhang Liang Liu He Huang Chang-xiao Liu 《Chinese Herbal Medicines》 CAS 2019年第4期349-356,共8页
Network pharmacology is a powerful tool to reflect the pharmacologically active effects,mechanism of action and toxic activity of traditional Chinese medicines(TCMs).The ingredients of TCMs,associated with quality con... Network pharmacology is a powerful tool to reflect the pharmacologically active effects,mechanism of action and toxic activity of traditional Chinese medicines(TCMs).The ingredients of TCMs,associated with quality control of TCM products,are those fundamental chemicals that exhibit biological activities.A great amount of effort has been made by scientists in that field in order to improve the quality of TCMs,though the approaches to determine their quality and the TCM theory and compatibility rules remain ambiguous.Now some methods and technologies must be applied to predict and explore the quality marker(Q-marker)for quality control,as well as to clarify the factors affecting the quality of TCM,which may give new insight into rational ground of establishment of appropriate quality control and assessment system.In this review paper,authors focus on the prediction of quality markers of TCMs by network pharmacology based on three aspects:(1)from network medicine to network pharmacology,(2)complex network system of traditional Chinese medicine,and(3)predicting TCM quality markers based on network pharmacology.Authors proposed the research pattern on network pharmacology based on biological and medical networks,and further TCM network pharmacology based on substantial basis of TCM formulae,and the idea of"effect-ingredient-target-fingerprint"to predict and recognize the TCM Qmarker was the ultimate goal.In addition,authors yet noted how to make full use of the advantages of network toxicology to provide new ideas for the toxicity study of complex TCM systems and the prediction of TCM toxicity markers. 展开更多
关键词 NETWORK PHARMACOLOGY NETWORK TOXICOLOGY PREDICTION QUALITY marker traditional Chinese MEDICINES
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Treatment of gastric varices by endoscopic sclerotherapy using butyl cyanoacrylate:10 years' experience of 635 cases 被引量:55
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作者 CHENG Liu-fang wang Zhi-qiang LI Chang-zheng CAI Feng-chun HUANG Qi-yang LINGHU En-qiang LI Wen CHAI Guo-jun SUN Guo-hui MAO Yong-ping wang Yan-mei LI Jing GAO Ping FAN tie-yan 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第23期2081-2085,共5页
Background Gastric varices (GV) are life-threatening for patients with portal hypertension. Endoscopic injection with butyl cyanoacrylate (BC), the mainstay of the therapy for GV, has been reported to be effective... Background Gastric varices (GV) are life-threatening for patients with portal hypertension. Endoscopic injection with butyl cyanoacrylate (BC), the mainstay of the therapy for GV, has been reported to be effective for hemostasis of bleeding varices, but its efficacy in the obliteration of GV and impact on the survival of patients still needs clarification. Here we summarized our experience of 10 years' practice to evaluate the efficacy and safety of endoscopic therapy using BC for GV patients. Methods From January 1997 to April 2006, GV cases treated with endoscopic injection using BC were collected. The "sandwich method" and the "modified sandwich method" were used to inject BC intravascularly. Retrograde analysis was made on the data of treatment and follow-up. Results A total of 635 GV cases treated with endoscopic injection using BC were collected, most of them (90.2%) suffered from post-hepatitis cirrhosis. Emergency hemostasis was achieved in 139 out of 146 sessions (95.2%). Complications occurred in 32 cases (5.2%), including hemorrhage due to early expulsion of tissue glue (3.1%), septicemia (1%) and ectopic thrombosis (0.5%), such as spleen infarction. Endoscopic follow-up in 503 patients showed complete disappearance (76.9%), collapse (17.3%) or remnants (5.8%) of gastric varices. A total of 550 patients were followed up clinically for 3 to 115 months. Of these patients, 44 had recurrent bleeding (8.0%) and 44 died from hepatic failure, recurrent bleeding, hepatic carcinoma or other causes. The longest survival was 115 months, with a median survival of 25 months. Survival rates at 1,2, 3, 4 and 5 year were 95%, 92%, 90%, 83% and 81%, respectively. Conclusions Endoscopic sclerotherapy with BC is effective for the hemostasis of bleeding GV, as well as obliteration of GV which contributes to less rebleeding and better survival. The modified sandwich method may be useful to minimize ectopic embolism, which we speculated to result from excess iodized 展开更多
关键词 gastric varices endoscopic sclerotherapy butyl cyanoacrylate SURVIVAL
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Exploration of relationships between phytoplankton biomass and related environmental variables using multivariate statistic analysis in a eutrophic shallow lake:A 5-year study 被引量:46
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作者 wang Xiao-long LU Yong-long +2 位作者 HE Gui-zhen HAN Jing-yi wang tie-yu 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2007年第8期920-927,共8页
Understanding the process of the changing phytoplankton patterns can be particularly useful in water quality improvement and management decisions. However, it is generally not easy to illustrate the interactions betwe... Understanding the process of the changing phytoplankton patterns can be particularly useful in water quality improvement and management decisions. However, it is generally not easy to illustrate the interactions between phytoplankton biomass and related environmental variables given their high spatial and temporal heterogeneity. To elucidate relationships between them, in a eutrophic shallow lake, Taihu Lake, relative long-term data set of biotic and abiotic parameters of water quality in the lake were conducted using multivariate statistical analysis within seasonal periodicity. The results indicate that water temperature and total phosphorus (TP) played governing roles in phytoplankton dynamics in most seasons (i.e. temperature in winter, spring and summer; TP in spring, summer and autumn); COD (chemical oxygen demand) and BOD (biological oxygen demand) presented significant positive relationships with phytoplankton biomass in spring, summer and autumn. However, a complex interplay was found between phytoplankton biomass and nitrogen considering significant positive relationships occurring between them in spring and autumn, and conversely negative ones in summer. As the predatory factor, zooplankton presented significant grazing-pressure on phytoplankton biomass during summer in view of negative relationship between them in the season. Significant feedback effects of phytoplankton development were identified in summer and autumn in view that significant relationships were obser,qed between phytoplankton biomass and pH, Trans (transparency of water) and DO. The results indicate that interactions between phyto:plankton biomass and related environmental variables are highly sensitive to seasonal periodicity, which improves understanding of different roles of biotic and abiotic variables upon phytoplankton variability, and hence, advances management methods for eutrophic lakes. 展开更多
关键词 EUTROPHICATION PHYTOPLANKTON ZOOPLANKTON Taihu Lake
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5个砧木苹果枝条的抗寒性评价 被引量:35
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作者 刘兴禄 王红平 +3 位作者 孙文泰 董铁 牛军强 马明 《果树学报》 CAS CSCD 北大核心 2021年第8期1264-1274,共11页
【目的】对不同砧木的长富2号(Nagano Fuji No.2)苹果枝条进行抗寒性综合评价,旨在筛选能提高长富2号苹果抗寒性的优良砧木,为陇东地区长富2号苹果抗寒栽培和砧木引进提供理论依据。【方法】以SH1、Y-1、B9、T337和M26砧木嫁接的1年生... 【目的】对不同砧木的长富2号(Nagano Fuji No.2)苹果枝条进行抗寒性综合评价,旨在筛选能提高长富2号苹果抗寒性的优良砧木,为陇东地区长富2号苹果抗寒栽培和砧木引进提供理论依据。【方法】以SH1、Y-1、B9、T337和M26砧木嫁接的1年生深度休眠期苹果枝条为试材,分别在-15、-20、-25、-30、-35、-40℃的低温处理12 h,测定相对电导率(REC),丙二醛(MDA)、可溶性糖(SS)、游离脯氨酸(Pro)含量,以及过氧化物酶(POD)、超氧化物歧化酶(SOD)活性等生理指标。利用电导法结合Logistic方程和隶属函数法综合评价5个砧木苹果枝条的抗寒性。【结果】随着温度的降低,5个砧木苹果枝条的相对电导率逐渐升高,呈“S”形变化曲线;丙二醛、可溶性糖和游离脯氨酸在低温半致死温度附近出现突然跃变的现象;抗寒性强的砧木品种能保持较高的酶活性。【结论】5个砧木品种的耐寒性由强到弱依次为B9(-40.1℃)>SH1(-36.0℃)>Y-1(-32.7℃)>M26(-31.3℃)>T337(-23.4℃)。 展开更多
关键词 苹果砧木 苹果枝条 抗寒性 低温胁迫 低温半致死温度 隶属函数法 生理变化
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Clinical observations on the treatment of prolapsing hemorrhoids with tissue selecting therapy 被引量:34
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作者 Zhi-Gang wang Yong Zhang +6 位作者 Xian-Dong Zeng tie-Hui Zhang Qi-Dong Zhu De-Long Liu Yun-Yu Qiao Nan Mu Zhi-Tao Yin 《World Journal of Gastroenterology》 SCIE CAS 2015年第8期2490-2496,共7页
AIM:To compare the effects and postoperative complications between tissue selecting therapy stapler(TST)and Milligan-Morgan hemorrhoidectomy(M-M).METHODS:Four hundred and eighty patients with severe prolapsing hemorrh... AIM:To compare the effects and postoperative complications between tissue selecting therapy stapler(TST)and Milligan-Morgan hemorrhoidectomy(M-M).METHODS:Four hundred and eighty patients with severe prolapsing hemorrhoids,who were admitted to the Shenyang Coloproctology Hospital between 2009and 2012,were randomly divided into observation(n=240)and control(n=240)groups.Hemorrhoidectomies were performed with TST in the observation group and with the M-M technique in the control group.The therapeutic effects,operation security,and postoperative complications in the two groups were compared.The immediate and long-term complications were assessed according to corresponding criteria.Pain was assessed on a visual analogue scale.The efficacy was assessed by specialized criteria.The follow-up was conducted one year after the operation.RESULTS:The total effective rates of the observation and control groups were 99.5%(217/218)and 98.6%(218/221)respectively;the difference was not statistically significant(P=0.322).Their were significant differences between observation and control groups in intraoperative blood loss(5.07±1.14 vs 2.45±0.57,P=0.000),pain(12 h after the surgery:5.08±1.62 vs 7.19±2.01,P=0.000;at first dressing change:2.64±0.87 vs 4.34±1.15,P=0.000;first defecation:3.91±1.47 vs 5.63±1.98,P=0.001),urine retention(n=22 vs n=47,P=0.001),anal pendant expansion after the surgery(2.35±0.56 vs 5.16±1.42,P=0.000),operation time(18.3±5.6 min vs 29.5±8.2 min,P=0.000),and the length of hospital stay(5.3±0.6 d vs 11.4±1.8 d,P=0.000).Moreover TST showed significant reductions compared to M-M in the rates of long-term complications such as fecal incontinence(n=3 vs n=16,P=0.003),difficult bowel movement(n=1 vs n=9,P=0.011),intractable pain(n=2 vs n=12,P=0.007),and anal discharge(n=3 vs n=23,P=0.000).CONCLUSION:TST for severe prolapsing hemorrhoids is a satisfactory technique for more rapid recovery,lower complication rates,and higher operation security. 展开更多
关键词 COMPLICATION rate MILLIGAN-MORGAN HEMORRHOIDECTOMY
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河钢唐钢新区数字化绿色智能工厂的设计与实施 被引量:33
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作者 王新东 李铁 +5 位作者 张弛 李传民 薛军安 李晓刚 薛颖建 王永涛 《河北冶金》 2021年第7期1-6,共6页
河钢唐钢新区是河北省钢铁企业转型升级、结构调整的示范工程,是河钢集团全力推动高质量发展的行动体现。项目以“绿色化、智能化、品牌化”为建设目标,通过对全流程进行解析与集成,科学匹配工序单元,采用最先进的流程界面技术,实现钢... 河钢唐钢新区是河北省钢铁企业转型升级、结构调整的示范工程,是河钢集团全力推动高质量发展的行动体现。项目以“绿色化、智能化、品牌化”为建设目标,通过对全流程进行解析与集成,科学匹配工序单元,采用最先进的流程界面技术,实现钢厂“动态-有序”、“协同-连续”的精准设计;实施三维数字化设计,通过能量流与物质流高效耦合,将数字化信息流贯穿于钢铁生产全流程,实现信息化系统与物理系统融合设计;通过采用最先进的能源环保技术和设施,实现行业最严排放标准和最高的能源利用效率,全力打造流程型数字化绿色智能工厂。 展开更多
关键词 钢厂设计 数字化 绿色化 界面技术 智能工厂
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Magnetic resonance diffusion tensor imaging following major ozonated autohemotherapy for treatment of acute cerebral infarction 被引量:32
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作者 Xiao-na Wu Tao Zhang +9 位作者 Jun wang Xiao-yan Liu Zhen-sheng Li Wei Xiang Wei-qing Du Hong-jun Yang tie-gen Xiong Wen-ting Deng Kai-run Peng Su-yue Pan 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第7期1115-1121,共7页
Major ozonated autohemotherapy has been shown to promote recovery of upper limb motor function in patients with acute cerebral infarction, but whether naajor ozonated autohelnotherapy affects remote in)ury remains po... Major ozonated autohemotherapy has been shown to promote recovery of upper limb motor function in patients with acute cerebral infarction, but whether naajor ozonated autohelnotherapy affects remote in)ury remains poorly understood. Here, we assumed that major ozonated autohemotherapy contributes to recovery of clinical function, possibly by reducing remote injury after acute cerebral infarction. Sixty acute cerebral infarction patients aged 30-80 years were equally and randomly allocated to ozone treatment and control groups. Patients in the ozone treatment group received medical treatment and major ozonated autohemotherapy (47 mg/L, 100 mL ozone) for 10 ± 2 days. Patients in the control group received medical treatment only. National Institutes of Health Stroke Scale score, modified Rankin scale score, and reduced degree of fractional anisotropy values of brain magnetic resonance diffusion tensor imaging were remarkably decreased, brain function improved, clinical efficiency significantly increased, and no obvious adverse reactions detected in the ozone treatment group compared with the control group. These findings suggest that major ozonated autohemotherapy promotes recovery of neurological function in acute cerebral infarction patients by reducing re,note injury, and additionally, exhibits high safety. 展开更多
关键词 nerve regeneration OZONE cerebral infarction magnetic resonance diffusion tensor imaging anisotropy internal capsule whitematter corticospinal tract cerebral peduncle neural regeneration
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中药黄柏抗炎作用机制的网络药理学分析 被引量:29
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作者 刘静茹 姚姗姗 +3 位作者 王文静 张鹏 张铁 王春光 《黑龙江畜牧兽医》 CAS 北大核心 2020年第20期117-121,127,161,共7页
为了验证中药黄柏(Phellodendron chinense Schneid)的抗炎作用及机理,试验通过小鼠耳廓肿胀试验、网络药理学方法检索黄柏与炎症相关蛋白的互作(PPI)关系以及信号转导通路(KEGG),初步分析黄柏抗炎主要活性成分及药理作用机制。结果表明... 为了验证中药黄柏(Phellodendron chinense Schneid)的抗炎作用及机理,试验通过小鼠耳廓肿胀试验、网络药理学方法检索黄柏与炎症相关蛋白的互作(PPI)关系以及信号转导通路(KEGG),初步分析黄柏抗炎主要活性成分及药理作用机制。结果表明:中药黄柏对二甲苯所致的小鼠耳廓肿胀的抑制率为43.70%,与模型组差异显著(P<0.05),验证了中药黄柏的抗炎作用;网络药理学分析发现,黄柏发挥抗炎作用的成分是小檗碱、槲皮素、β-谷甾醇、异山梨胺,通过肿瘤坏死因子(TNF)信号通路、Toll样受体信号通路、核转录因子(NF-κB)信号通路、趋化因子信号通路等多条途径实现,其作用的靶点为白细胞介素(IL)-6、IL-1β、丝裂原活化蛋白激酶14(MAPK14)等。说明黄柏是通过多成分、多通路、多靶点来调控炎症过程的发生。 展开更多
关键词 黄柏 抗炎 网络药理学 活性成分 靶点 蛋白互作 信号通路
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5个苹果砧木品种枝条的低温半致死温度及耐寒性评价 被引量:27
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作者 王红平 董铁 +4 位作者 刘兴禄 尹晓宁 孙文泰 牛军强 马明 《果树学报》 CAS CSCD 北大核心 2020年第4期495-501,共7页
【目的】探寻适宜评价苹果砧木抗寒性的方法,将低温半致死温度(LT50)和冻害指数相结合而快速准确判断植物的抗寒能力。【方法】以SH1、Y-1、B9、M9T337和M26的1 a生深度休眠期的枝条为试材,对其进行-15℃、-20℃、-25℃、-30℃、-35℃、... 【目的】探寻适宜评价苹果砧木抗寒性的方法,将低温半致死温度(LT50)和冻害指数相结合而快速准确判断植物的抗寒能力。【方法】以SH1、Y-1、B9、M9T337和M26的1 a生深度休眠期的枝条为试材,对其进行-15℃、-20℃、-25℃、-30℃、-35℃、-40℃低温冷冻12 h,测定低温胁迫后的相对电导率,利用Logistic方程确定LT50的大小,同时采用目测法计算相应胁迫温度下的冻害指数。【结果】经低温胁迫,5个苹果砧木枝条的相对电导率呈"S"型曲线,相对电导率与胁迫温度之间呈极显著负相关。利用相对电导率拟合Logistic方程确定的SH1、Y-1、B9、M9T337和M26低温半致死温度分别为-36.0℃、-32.7℃、-40.1℃、-23.4℃和-31.3℃。冻害指数随着胁迫温度的降低呈不等幅度的上升趋势且在某一低温区出现突然越级的现象。【结论】利用低温半致死温度和冻害指数法可简单快速评价苹果砧木枝条的抗寒性。综合得出,5个苹果砧木枝条的抗寒能力依次为B9>SH1>Y-1>M26>M9T337。 展开更多
关键词 苹果砧木 抗寒性 相对电导率 半致死温度 冻害指数
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Clinical observation of warm needling moxibustion plus flash cupping for remission-stage peripheral facial paralysis due to wind-cold 被引量:27
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作者 Zhang Sai-nan Chen Guo +3 位作者 Xiang Juan wang Xu-zhe Ouyang Li-zhi Li tie-lang 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第1期42-46,共5页
Objective: To observe the clinical efficacy of warm needling moxibustion plus flash cupping for remission-stage peripheral facial paralysis (FP) due to wind-cold. Methods: Fifty eligible patients were randomized i... Objective: To observe the clinical efficacy of warm needling moxibustion plus flash cupping for remission-stage peripheral facial paralysis (FP) due to wind-cold. Methods: Fifty eligible patients were randomized into a warm needling moxibustion group and an acupuncture-cupping group, 25 cases in each group. The warm needling moxibustion group was intervened by acupuncture at Fengchi (GB 20), Yangbai (GB 14) towards Yuyao (EX-HN 4), Xiaguan (ST 7), Dicang (ST 4) towards Jiache (ST 6), Quanliao (SI 18), and Hegu (LI 4), plus warm needling moxibustion at Quanliao (SI 18); the acupuncture-cupping group received flash cupping on the affected side in addition to the intervention given to the warm needling moxibustion group. The two groups were both treated once a day, 10 times as a treatment course, for 3 courses in total. The House-Brackmann (H-B) facial nerve grading system was observed before and after the intervention to evaluate the facial nerve function in the two groups, and the therapeutic efficacies were also compared between the two groups. Results: The two treatment protocols both can promote the recovery of facial nerve function. The total effective rate was 92.0% in the acupuncture-cupping group versus 72.0% in the warm needling moxibustion group, and the between-group difference was statistically significant (P〈O.05). Conclusion: Warm needling moxibustion plus flash cupping can produce a more significant efficacy than dry warm needling moxibustion in treating remission-stage peripheral FP due to wind-cold. 展开更多
关键词 Acupuncture Therapy Warm Needling Therapy Cupping Therapy Quick Cupping Therapy Facial Paralysis
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川藏铁路交通廊道地质调查工程主要进展与成果 被引量:25
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作者 郭长宝 王保弟 +12 位作者 刘建康 涂杰楠 张永双 马剑飞 铁永波 韩冰 马鑫 刘峰 李雪 孟文 钟宁 杨志华 吴瑞安 《中国地质调查》 2020年第6期1-12,共12页
川藏铁路是我国正在规划建设的重点工程,由于其位于地形地貌和地质构造都极为复杂的青藏高原东部,在铁路规划建设中面临一系列迫切需要解决的关键地质问题:区域性活动断裂与断错影响、地质灾害、高地应力及其引起的岩爆和大变形、高温... 川藏铁路是我国正在规划建设的重点工程,由于其位于地形地貌和地质构造都极为复杂的青藏高原东部,在铁路规划建设中面临一系列迫切需要解决的关键地质问题:区域性活动断裂与断错影响、地质灾害、高地应力及其引起的岩爆和大变形、高温热害、断裂带高压水与涌水突泥、高陡边坡稳定性等。为满足技术支撑川藏铁路规划建设、精准服务国家重大战略实施的需要,中国地质调查局部署了“川藏铁路交通廊道地质调查工程”,聚焦制约川藏铁路规划建设的关键问题,充分发挥地质调查工作对国家重大工程规划建设的支撑作用。2019年主要完成铁路沿线1∶5万区域地质调查1350 km 2、1∶5万地质灾害调查5000 km 2,建设6口大地热流地质参数井、8个地温监测站,完成地应力测量20孔,编制完成11份地质调查专报,提出的大渡河大桥段、理塘车站段、毛垭坝盆地段等线路优化建议/防灾建议被采纳;首次将1∶5000大比例尺航空物探技术引入复杂山地铁路工程勘察,创新形成千米级超长水平钻孔定向取心钻进技术,实现500 m深的水平孔地应力测量突破等。该工程通过2019年调查研究,全力提升了铁路沿线地质调查程度与精度,并创新了复杂艰险山区重大工程地质问题与探测技术、地质灾害风险防控理论与减灾关键技术,有效支撑服务了川藏铁路规划建设。 展开更多
关键词 川藏铁路 区域地质 活动断裂 地质灾害 高温热害与涌水突泥 地应力
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针灸治疗抑郁症研究进展 被引量:25
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作者 郑雅峰 魏超 +2 位作者 王健 铁李丽 韩兴军 《中医学报》 CAS 2019年第4期732-736,共5页
抑郁症的针灸治疗重在以督脉、手厥阴心包经和足厥阴肝经的腧穴为主,疏肝解郁、补气养血,可激发经气感传、疏通经络、调和气血、扶正祛邪、激发经气、调整阴阳、运行气血、扶正祛邪,最终达阴平阳秘,使经络功能得以恢复。针灸治疗安全、... 抑郁症的针灸治疗重在以督脉、手厥阴心包经和足厥阴肝经的腧穴为主,疏肝解郁、补气养血,可激发经气感传、疏通经络、调和气血、扶正祛邪、激发经气、调整阴阳、运行气血、扶正祛邪,最终达阴平阳秘,使经络功能得以恢复。针灸治疗安全、无不良反应、疗效好,但研究发现目前对抑郁症的发病机制缺乏统一认识,对作用机制的研究也是各执己见,在治疗过程中针刺选穴因治疗原则不同亦未统一,缺乏抑郁症辨证分型选穴标准,无法体现针刺治疗的特色及优势,缺乏客观的疗效评定标准、严谨的实验设计,同时在统计方法上存在诸多不合理之处,导致无法做出客观的疗效评价,阻碍了针灸临床治疗的发展。今后的研究应将循证医学方法与传统特色疗法相融合,增加针灸治疗大样本、高质量的随机对照研究等,制定出统一的临床研究实践标准,指导临床科研和治疗。 展开更多
关键词 抑郁症 针灸 围绝经期抑郁 脑卒中后抑郁 产后抑郁 老年性抑郁
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超声引导下空芯针穿刺活检诊断的乳腺导管原位癌病理学低估的危险因素分析 被引量:23
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作者 曹威 何英剑 +6 位作者 李金锋 解云涛 王天峰 范铁 王歆光 汪星 范照青 《中国癌症杂志》 CAS CSCD 北大核心 2020年第3期217-223,共7页
背景与目的:由于存在病理学低估,乳腺导管原位癌(ductal carcinoma in situ,DCIS)是否需要行腋窝前哨淋巴结活检(sentinel lymph node biopsy,SLNB)仍有争议。通过回顾性分析,探索超声引导下空芯针穿刺活检(core needle biopsy,CNB)诊断... 背景与目的:由于存在病理学低估,乳腺导管原位癌(ductal carcinoma in situ,DCIS)是否需要行腋窝前哨淋巴结活检(sentinel lymph node biopsy,SLNB)仍有争议。通过回顾性分析,探索超声引导下空芯针穿刺活检(core needle biopsy,CNB)诊断的DCIS出现病理学低估的危险因素,探讨穿刺病理学诊断为单纯DCIS的患者免除腋窝SLNB的可能性。方法:选取2005年3月—2014年10月北京大学肿瘤医院暨北京市肿瘤防治研究所乳腺癌预防治疗中心收治的符合以下条件的乳腺癌病例纳入研究:女性;超声引导下CNB诊断为乳腺DCIS(含微浸润);腋窝淋巴结临床阴性;接受规范的手术、放疗或全身系统性治疗。统计患者的临床病理学特征,采用χ2检验或Fisher精确概率法进行临床病理学特征与病理学低估比例的相关性分析,采用logistic回归探索病理学低估可能的危险因素。结果:研究纳入单纯DCIS、DCIS伴微浸润和DCIS可疑微浸润分别360、63和31例。单纯DCIS术后病理未升级占56.4%,升级为微浸润癌和浸润癌分别为21.7%和21.9%;后两组术后病理学诊断为微浸润癌的比例为30.2%和35.5%,浸润癌的比例为66.7%和61.3%,组间差异有统计学意义(P<0.001)。肿瘤>3 cm和核分级高发生病理学低估的风险,分别是肿瘤≤3 cm和核分级中低的1.97倍(95%CI:1.17~3.32,P=0.011)和2.30倍(95%CI:1.34~3.98,P=0.003),而人表皮生长因子受体2(human epidemal growth factor receptor 2,HER2)不确定(OR=0.37,95%CI:0.19~0.72,P=0.003)和阳性(OR=0.38,95%CI:0.20~0.73,P=0.004)发生病理学低估的风险低于HER2阴性,差异有统计学意义。肿瘤>3 cm、核分级高、HER2阳性的CNB单纯原位癌的病理学低估比例最高,为73.1%;肿瘤>3 cm、核分级高、HER2不确定的病理学低估比例最低,为11.9%。结论:超声引导下CNB诊断的DCIS伴微浸润或DCIS可疑微浸润病理学低估的比例远高于单纯DCIS,二者不能免除SLNB。肿瘤>3 cm、核分级高和HER2阴性� 展开更多
关键词 乳腺 导管原位癌 空芯针穿刺活检 病理学低估 危险因素
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农户参与乡村旅游的前因条件与组态路径——基于QCA方法的探索 被引量:24
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作者 王铁 李梅 +1 位作者 孙德健 邰鹏飞 《旅游学刊》 CSSCI 北大核心 2021年第3期70-82,共13页
乡村旅游在我国减贫事业和乡村振兴中发挥着不可或缺的作用。鉴于农户和农家乐在我国乡村社区和乡村旅游中的重要性、乡村立地的差异性以及农户数量的小样本性,研究提出采用QCA(定性比较分析)来探查农户参与农家乐的前因条件和组态路径... 乡村旅游在我国减贫事业和乡村振兴中发挥着不可或缺的作用。鉴于农户和农家乐在我国乡村社区和乡村旅游中的重要性、乡村立地的差异性以及农户数量的小样本性,研究提出采用QCA(定性比较分析)来探查农户参与农家乐的前因条件和组态路径。继而,以山东省淄博市平楼村为例,分别使用fsQCA(模糊集定性比较分析)和csQCA(清晰集定性比较分析)对数据进行探索。研究发现:fsQCA求解出了结果为"~参与"的障碍条件和约束组态,而csQCA则识别了"参与"的两个核心条件和5个组态路径,这为提高农户参与度的措施制定提供了依据和方向。更为重要的是",参与"的核心条件与使用二项逻辑斯蒂回归模型筛选出的主要影响因子一致,结论验证了QCA的稳健性,体现出明确的方法论意义。 展开更多
关键词 前因条件 组态路径 QCA 农户 乡村旅游
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胰岛素泵强化治疗后阿格列汀对初诊2型糖尿病的效果及对IL-6的影响 被引量:24
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作者 王晓军 翟铁 郝凤杰 《检验医学与临床》 CAS 2019年第16期2306-2308,共3页
目的观察胰岛素泵强化治疗后阿格列汀对初诊2型糖尿病(T2DM)患者的效果及对白细胞介素-6(IL-6)的影响。方法T2DM患者80例,随机分为试验组、对照组,每组40例。对照组患者应用二甲双胍联合阿卡波糖降糖治疗,试验组患者应用阿格列汀联合阿... 目的观察胰岛素泵强化治疗后阿格列汀对初诊2型糖尿病(T2DM)患者的效果及对白细胞介素-6(IL-6)的影响。方法T2DM患者80例,随机分为试验组、对照组,每组40例。对照组患者应用二甲双胍联合阿卡波糖降糖治疗,试验组患者应用阿格列汀联合阿卡波糖降糖治疗,观察12周。结果(1)治疗后,两组患者空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)水平均较治疗前明显下降(P<0.05),且试验组较对照组下降更明显(P<0.05);两组空腹及餐后2 h C肽水平较治疗前升高(P<0.05),但两组之间差异无统计学意义(P>0.05)。(2)治疗后试验组不良反应明显少于对照组,治疗依从性明显优于对照组,差异均有统计学意义(P<0.05)。(3)治疗后两组IL-6水平均下降,试验组下降更明显(P<0.05)。结论对于初诊的T2DM患者,短期胰岛素泵强化治疗后应用阿格列汀能够较好控制血糖,不良反应少,患者依从性好,同时阿格列汀可以降低炎症介质IL-6水平。 展开更多
关键词 2型糖尿病 阿卡波糖 阿格列汀 白细胞介素-6
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焊接机器人的研究进展与发展趋势 被引量:23
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作者 郭岩宝 王斌 +4 位作者 王德国 于海德 周玄黎 尹铁 周伦 《现代制造工程》 CSCD 北大核心 2021年第5期53-63,共11页
焊接机器人的应用有效地提高了劳动生产率,改善了工人劳动强度,而且具有良好的稳定性。然而焊接机器人的适用范围狭窄,经常出现焊偏、咬边和气孔等问题,导致其对焊接精度和控制方法的要求较高,阻碍了焊接机器人的应用和发展。针对环境... 焊接机器人的应用有效地提高了劳动生产率,改善了工人劳动强度,而且具有良好的稳定性。然而焊接机器人的适用范围狭窄,经常出现焊偏、咬边和气孔等问题,导致其对焊接精度和控制方法的要求较高,阻碍了焊接机器人的应用和发展。针对环境视觉分析、控制方法、运动学原理、虚拟现实技术和传感器技术等方面对国内外焊接机器人的研究进展进行回顾、综述和分析;按照技术原理对焊接机器人进行归纳分类,从控制方法型、机器视觉型、运动学原理型、人机交互型和其他类型5个方面介绍焊接机器人研究的关键技术和发展趋势;针对当前焊接机器人的研究进展和发展趋势做出总结。未来焊接机器人将朝着多元化、智能化的方向发展,对未来焊接工业的发展将起到重要推动作用。 展开更多
关键词 焊接机器人 视觉分析 控制方法 运动学原理 虚拟现实技术 传感器技术
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基于CT图像的纹理分析在膀胱癌不同病理级别鉴别中的价值 被引量:23
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作者 刘震昊 石家源 +5 位作者 王海屹 叶慧义 王湛博 杨铁 马鑫 白旭 《中华肿瘤杂志》 CAS CSCD 北大核心 2018年第5期379-383,共5页
目的探讨CT图像纹理分析方法在鉴别膀胱尿路上皮癌不同病理学级别中的价值。方法回顾性分析43例经术后病理证实的膀胱癌患者的53个病灶,其中高级别尿路上皮癌(HGUC)27个,低级别尿路上皮癌(LGUC)26个。所有患者在同一台CT机上,以... 目的探讨CT图像纹理分析方法在鉴别膀胱尿路上皮癌不同病理学级别中的价值。方法回顾性分析43例经术后病理证实的膀胱癌患者的53个病灶,其中高级别尿路上皮癌(HGUC)27个,低级别尿路上皮癌(LGUC)26个。所有患者在同一台CT机上,以同样的扫描参数进行盆腔CT平扫和增强扫描。2名影像科医师分别利用软件工具在CT平扫和增强图像上对病灶进行勾画,并获得感兴趣容积(VOI),生成基于特征类的92个参数,取2名影像科医师测量数据的平均值。采用非参数检验筛选HGUC组和LGUC组间的差异参数,绘制其受试者工作特征(ROC)曲线,确定差异参数的最佳界值,并对诊断效果进行评价。结果筛选出HGUC组和LGUC组间的差异纹理参数9个,其中平扫图像参数5个,分别是偏度、均方根、集群阴暗度、区域百分比和大面积高灰度增强;增强图像参数4个,分别是偏度、峰度、集群阴暗度和区域百分比。根据平扫图像VOI获得偏度的曲线下面积最大,为0.840±0.058(95%可信区间:0.726~0.955)。偏度的最佳界值为0.186 5,诊断HGUC的敏感度为92.59%,特异度为73.08%,阳性预测值为78.13%,阴性预测值为90.48%,准确性为83.02%。结论基于CT图像的纹理分析方法可有效区分膀胱LGUC与HGUC,其中偏度这一参数诊断效能最佳。 展开更多
关键词 膀胱肿瘤 体层摄影术 螺旋计算机 诊断 鉴别 组织学分级 定量纹理分析
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Comparative Analysis on Chemical Components and Sensory Quality of Aging Flue-Cured Tobacco from Four Main Tobacco Areas of China 被引量:23
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作者 SUN Jing-guo HE Jie-wang +4 位作者 WU Feng-guang TU Shu-xing YAN tie-jun SI Hui XIE Hao 《Agricultural Sciences in China》 CAS CSCD 2011年第8期1222-1231,共10页
Complicated changes are happening during the aging process of flue-cured tobacco (FCT) and understanding of the changing components is of great significance in improving the quality,shortening aging time,and enhanci... Complicated changes are happening during the aging process of flue-cured tobacco (FCT) and understanding of the changing components is of great significance in improving the quality,shortening aging time,and enhancing production and economic efficiency in tobacco industry.The aging samples of FCT from four main producing areas of China,i.e.,Yunnan,Sichuan,Hubei,and Dongbei,were used to study the changing rule of the components such as alkali,acid,and carbohydrate as well as the aroma and their relationship with sensory quality;and based on the correlation among the components and the sensory quality index,multivariable models were established to predict the aging quality.The results showed that the sensory quality of FCT increased steadily during the aging time,and at the same time,the acidic components (total organic acids,volatile acids) increased gradually,while the alkaline substances (nicotine,volatile alkali),carbohydrate (total sugars,reducing sugar) and pH values showed a downward trend.Correlation analysis found that the sensory quality and pH values were negatively correlated (P0.05),while the sensory quality with total organic acids and aroma were positively correlated.The optimal model for predicting the quality of FCT was y=56.75-0.63x12+50.09x2-13.27x22,(y:sensory quality;x1:pH;x2:total organic acids).The average predicating error was 1.04% with maximum predicating error of 2.89% and the accuracy rate of above 97%. 展开更多
关键词 chemical component flue-cured tobacco AGING sensory quality regression model
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保乳术联合术中放疗治疗早期乳腺癌的近期疗效及安全性 被引量:21
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作者 张扬 杨飏 +7 位作者 王歆光 铁剑 何英剑 李金锋 解云涛 王天峰 欧阳涛 范照青 《中华肿瘤杂志》 CAS CSCD 北大核心 2020年第8期682-686,共5页
目的探讨保乳术联合术中放疗治疗早期乳腺癌的近期疗效及安全性。方法回顾性分析101例接受保乳术联合术中放疗的早期乳腺癌患者的临床病理资料及近期随访结果,采用单因素分析方法和多因素Logistic回归模型分析术后不良反应及乳房美容效... 目的探讨保乳术联合术中放疗治疗早期乳腺癌的近期疗效及安全性。方法回顾性分析101例接受保乳术联合术中放疗的早期乳腺癌患者的临床病理资料及近期随访结果,采用单因素分析方法和多因素Logistic回归模型分析术后不良反应及乳房美容效果的影响因素。结果101例患者中,4例出现复发或转移,术后3年无病生存率为94.9%,3年累积复发率为5.1%。单因素分析显示,月经状态和术后全乳放疗与术后不良反应发生有关(均P<0.05),T分期和施源器直径与乳房美容效果有关(均P<0.05)。多因素分析显示,施源器直径(OR=3.701,P=0.026)和术后全乳放疗(OR=5.962,P=0.005)是术后不良反应发生的独立影响因素,施源器直径(OR=2.522,P=0.037)是乳房美容效果的独立影响因素。结论保乳术联合术中放疗治疗低危的早期乳腺癌具有较好的近期疗效和安全性。 展开更多
关键词 乳腺肿瘤 保乳术 术中放疗 美容效果 不良反应
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