目的研究桡骨远端伸直型骨折患者应用中医正骨手法联合筋伤膏对腕关节活动度的影响。方法选取2018年3月—2020年3月酒泉市中医院收治的100例桡骨远端伸直型骨折患者为研究对象,按挂号的先后顺序分为对照组和观察组,各50例。对照组采用...目的研究桡骨远端伸直型骨折患者应用中医正骨手法联合筋伤膏对腕关节活动度的影响。方法选取2018年3月—2020年3月酒泉市中医院收治的100例桡骨远端伸直型骨折患者为研究对象,按挂号的先后顺序分为对照组和观察组,各50例。对照组采用西医复位治疗,观察组采用中医正骨手法联合筋伤膏治疗。比较两组临床疗效、临床指标变化、治疗前后视觉模拟评分量表(Visual Analog Scale,VAS)评分、腕关节功能改良加特兰德-韦利评分(Gartland-Werley,GW)及治疗前后腕关节活动度。结果观察组总有效率为100.00%高于对照组,差异有统计学意义(χ^(2)=5.982,P=0.014)。治疗后,观察组各项临床指标优于对照组,差异有统计学意义(P均<0.05)。治疗后,两组背伸度、掌屈度、旋后度明显升高,差异有统计学意义(P均<0.05),且观察组治疗后背伸度、掌屈度、旋后度更高,差异有统计学意义(P均<0.05)。治疗后,两组VAS、GW评分显著降低,差异有统计学意义(P均<0.05),且观察组治疗后VAS、GW评分更低,差异有统计学意义(P均<0.05)。结论桡骨远端伸直型骨折患者采用中医正骨手法联合筋伤膏治疗效果显著,可改善患者临床症状,促进骨折愈合,提高腕关节活动度。展开更多
A new kind of multiple metal （Cu, Mg, Ce） doped Ni based mixed oxide catalyst, synthesized by the co-precipitation method, was used for efficient production of hydrogen from bio-oil reforming at 250-500℃. Two refor...A new kind of multiple metal （Cu, Mg, Ce） doped Ni based mixed oxide catalyst, synthesized by the co-precipitation method, was used for efficient production of hydrogen from bio-oil reforming at 250-500℃. Two reforming processes, the conventional steam reforming （CSR） and the electrochemical catalytic reforming （ECR）, were performed for the bio-oil reforming. The catalyst with an atomic mol ratio of Ni：Cu：Mg：Ce：AI=5.6：1.1：1.9：1.0：9.9 exhibited very high reforming activity both in CSR and ECR processes, reaching 82.8% hydrogen yield at 500℃ in the CSR, yield of 91.1% at 400℃ and 3.1 A in the ECR, respectively. The influences of reforming temperature and the current through the catalyst in the ECR were investigated. It was observed that the reforming and decomposition of the bio-oil were significantly enhanced by the current. The promoting effects of current on the decomposition and reforming processes of bio-oil were further studied by using the model compounds of bio- oil （acetic acid and ethanol） under 101 kPa or low pressure （0.1 Pa） through the time of flight analysis. The catalyst also shows high water gas shift activity in the range of 300-600 ℃. The catalyst features and alterations in the bio-oil reforming were characterized by the ICP, XRD, XPS and BET measurements. The mechanism of bio-oil reforming was discussed based on the study of the elemental reactions and catalyst characterizations. The research catalyst, potentially, may be a practical catalyst for high efficient production of hydrogen from reforming of bio-oil at mild-temperature.展开更多
文摘目的研究桡骨远端伸直型骨折患者应用中医正骨手法联合筋伤膏对腕关节活动度的影响。方法选取2018年3月—2020年3月酒泉市中医院收治的100例桡骨远端伸直型骨折患者为研究对象,按挂号的先后顺序分为对照组和观察组,各50例。对照组采用西医复位治疗,观察组采用中医正骨手法联合筋伤膏治疗。比较两组临床疗效、临床指标变化、治疗前后视觉模拟评分量表(Visual Analog Scale,VAS)评分、腕关节功能改良加特兰德-韦利评分(Gartland-Werley,GW)及治疗前后腕关节活动度。结果观察组总有效率为100.00%高于对照组,差异有统计学意义(χ^(2)=5.982,P=0.014)。治疗后,观察组各项临床指标优于对照组,差异有统计学意义(P均<0.05)。治疗后,两组背伸度、掌屈度、旋后度明显升高,差异有统计学意义(P均<0.05),且观察组治疗后背伸度、掌屈度、旋后度更高,差异有统计学意义(P均<0.05)。治疗后,两组VAS、GW评分显著降低,差异有统计学意义(P均<0.05),且观察组治疗后VAS、GW评分更低,差异有统计学意义(P均<0.05)。结论桡骨远端伸直型骨折患者采用中医正骨手法联合筋伤膏治疗效果显著,可改善患者临床症状,促进骨折愈合,提高腕关节活动度。
文摘A new kind of multiple metal （Cu, Mg, Ce） doped Ni based mixed oxide catalyst, synthesized by the co-precipitation method, was used for efficient production of hydrogen from bio-oil reforming at 250-500℃. Two reforming processes, the conventional steam reforming （CSR） and the electrochemical catalytic reforming （ECR）, were performed for the bio-oil reforming. The catalyst with an atomic mol ratio of Ni：Cu：Mg：Ce：AI=5.6：1.1：1.9：1.0：9.9 exhibited very high reforming activity both in CSR and ECR processes, reaching 82.8% hydrogen yield at 500℃ in the CSR, yield of 91.1% at 400℃ and 3.1 A in the ECR, respectively. The influences of reforming temperature and the current through the catalyst in the ECR were investigated. It was observed that the reforming and decomposition of the bio-oil were significantly enhanced by the current. The promoting effects of current on the decomposition and reforming processes of bio-oil were further studied by using the model compounds of bio- oil （acetic acid and ethanol） under 101 kPa or low pressure （0.1 Pa） through the time of flight analysis. The catalyst also shows high water gas shift activity in the range of 300-600 ℃. The catalyst features and alterations in the bio-oil reforming were characterized by the ICP, XRD, XPS and BET measurements. The mechanism of bio-oil reforming was discussed based on the study of the elemental reactions and catalyst characterizations. The research catalyst, potentially, may be a practical catalyst for high efficient production of hydrogen from reforming of bio-oil at mild-temperature.
