ä¸æç§ææåæ°æ®åºï¼ææçï¼å»è¯å«ç
ä½è
ç®ä»ï¼é¹é¦ç
§ï¼1970âï¼ï¼ç·ï¼æ±èå京人ï¼å¤§å¦ä¸ç§ï¼ä¸»æ²»ä¸å»å¸ï¼åäº¬å¸æµ¦å£åºæç¸è¡éç³æ¡¥ç¤¾åºå«çæå¡ä¸å¿ï¼
ç ç©¶æ¹å为éç¸æ¨æ¿ã
è °æ¤é´ççªåºçåºç¨ä¸å»éç¸+æ¨æ¿æ²»ççææãVAS è¯
å以åè °çè¯åï¼M-JOA è¯åï¼è§å¯
é¹é¦ç §
åäº¬å¸æµ¦å£åºæç¸è¡éç³æ¡¥ç¤¾åºå«çæå¡ä¸å¿ï¼æ±è å京 210000
æè¦ï¼
ç®ç è§å¯å¨ä¸å»éç¸ææ¯å®è·µä¸ï¼äºè °æ¤é´ççªåºçæ£è ä¸å ç¨æ¨æ¿çæ³çææãæ¹æ³ è °æ¤é´ççªåºç
æ£è çäº 2022 å¹´ 10 æâ2024 å¹´ 2 ææé´ï¼66 ä¾å¯¹è±¡éè¿éæºæ°å表æ³åé ç»å«ï¼å¯¹ç §ç»ï¼33 ä¾ï¼æ¥çº³å¸¸è§æ²»
çï¼åºäºæ¤ï¼ç ç©¶ç»ï¼33 ä¾ï¼æ½ä»¥ä¸å»éç¸+æ¨æ¿æ²»çï¼æ¯å¯¹ç»é´çç»¼åæ²»çææãVAS è¯åãè °çè¯åï¼M-JOA
è¯åï¼ãåè½éç¢è¯åãç»æ æ¯å¯¹å¯¹ç §ç»ï¼78.79%ï¼æ²»çææçï¼ç ç©¶ç»ï¼96.97%ï¼ææ¾è¦é«ï¼P<0.05ï¼ãæ²»
çåç»é´ç¼çè¯ååç¸è¿ï¼P>0.05ï¼ï¼æ²»çåï¼ç ç©¶ç»ç VAS è¯åï¼0.89±0.12ï¼åãM-JOA è¯åï¼7.58±2.18ï¼
ååæ¯å¯¹ç §ç»è¦ä½ï¼P<0.05ï¼ãåè½éç¢è¯åæ²»çåæµå®ç»é´ç¸è¿ï¼P>0.05ï¼ï¼æ²»çåï¼ç ç©¶ç»ç麻æ¨ç¼ç
ï¼17.25±2.58ï¼åãåçï¼16.85±2.17ï¼åãç´è ¿æ¬é«è¯éªï¼15.58±2.31ï¼åãè¡èµ°ï¼16.84±2.25ï¼åãç
æ´»ä¸å·¥ä½è½åï¼15.65±2.61ï¼åãèåè·è ±åå°è¯åï¼15.91±3.05ï¼åãæ»è¯åï¼92.54±3.69ï¼ååæ¯å¯¹ç §
ç»è¦é«ï¼P<0.05ï¼ãç»è®º å¨ä¸å»éç¸ææ¯æ²»çè °æ¤é´ççªåºçæ£è ä¸è¾ ä»¥æ¨æ¿æ²»ççæææ¾èï¼å¯åè½»ç¼çç¨
åº¦ï¼æ¹åè °æ¤åè½ï¼æè¾é«ä¸´åºåºç¨ä»·å¼ã
å ³é®è¯ï¼
ä¸å»éç¸ï¼è °æ¤é´ççªåºçï¼æ¨æ¿ï¼è °çç ç©¶ç»æ°æ®ææ¾è¾å¯¹ç §ç»è¦é«
ä¸å¾åç±»å·ï¼
R473
Observation on the effect, VAS score and low back
pain score (M-JOA score) of lumbar disc herniation
treated by acupuncture and moxibustion+massage
ZOU Xiangzhao
Shiqiao Community Health Service Center,Xingdian Street, Pukou District, Jiangsu Nanjing 210000
Abstract
ï¼
Objective
ï¼
Observe the effect of adding massage therapy in patients with lumbar disc herniation in the
practice of TCM acupuncture technology. Methods
ï¼
66 patients with lumbar disc herniation were selected from October
2022 to February 2024. They were grouped by random number table method, and the control group (33 cases) were given
conventional treatment. Based on this, the study group (33 cases) was treated by Chinese medicine acupuncture and
moxibustion+massage, and the comprehensive treatment effect, VAS score, low back pain score (M-JOA score), and
dysfunction score between the groups were compared. Result
ï¼
Compared with the control group (78.79%), the study
group (96.97%) was significantly higher (P <0.05).Before treatment, the pain scores between the groups were similar
(P>0.05). After treatment, the VAS score (0.89 ± 0.12) and M-JOA score (7.58 ± 2.18) were lower than the control group
(P<0.05). The functional impairment scores measured before treatment were similar between groups (P>0.05). After
treatment, the numbness pain score (17.25 ± 2.58), tenderness score (16.85 ± 2.17), straight leg elevation test score
(15.58 ± 2.31), walking score (16.84 ± 2.25), life and work ability score (15.65 ± 2.61), knee and Achilles tendon reflex
â 81 â
ä¸æç§ææåæ°æ®åºï¼ææçï¼å»è¯å«ç
æ¶ç¨¿æ¥æï¼2024å¹´12æ21æ¥
https://www.cqvip.com/doc/journal/1000004280814?sign=6c1586387f820cc0fa94bf761092d1ff70dd723c9c317057d2ae0faf783dea0a&titlePack=167917&resourceId=1000004280814
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ä¸æç§ææåæ°æ®åºï¼ææçï¼å»è¯å«ç
score (15.91 ± 3.05), and total score (92.54 ± 3.69)The data of the study group were significantly higher than those of the
control group (P<0.05). Conclusion
ï¼
In the treatment of patients with lumbar disc herniation by acupuncture and
moxibustion and moxibustion in traditional Chinese medicine, supplemented with massage, the effect is significant,
which can reduce the degree of pain, improve the lumbar function, and has higher clinical application value.
Keywords
ï¼
TCM acupuncture and moxibustion
ï¼
Lumbar disc herniation
ï¼
Tuina massage
ï¼
lumbago
è °æ¤é´ççªåºçæ¯ä¸ç§å¸¸è§çèæ±ç¾ç ï¼ä¸»è¦æ¯
ç±äºè °æ¤é´ççåé¨åï¼é«æ ¸ã纤维ç¯å软骨æ¿ï¼ï¼
å°¤å ¶æ¯é«æ ¸ï¼æä¸åç¨åº¦çéè¡æ§æ¹ååï¼å¨å¤åå
ç´ çä½ç¨ä¸ï¼æ¤é´çç髿 ¸ç»ç»çªåºï¼æè±åºï¼äºå
æ¹ææ¤ç®¡å ï¼å¯¼è´ç¸é»èç¥ç»æ ¹éååºæ¿æåè¿«ï¼ä»
è产çè °é¨ç¼çï¼ä¸ä¾§ä¸è¢æåä¸è¢éº»æ¨ãç¼ççä¸
ç³»å临åºçç¶ãå¨èæ±å¤ç§ç¾ç ä¸è °æ¤é´ççªåºçè¾
为常è§ï¼è¯¥ç¾ç ä¼å¼åç¼çççç¶ï¼å¯¹æ£è è °æ¤åè½
é ææä¼¤ï¼è¥åç åæ²¡æåæ¶æ¥åæææ²»çä¼å¼åå¤
ç§å¹¶åçï¼é使£è çæ´»è´¨é
[1]
ãå æ¤ï¼é«æçæ³ç¨äº
æ©æä»¥ç¼è§£çç¶è³å ³éè¦ã临åºå¤éåè¥¿è¯æ²»çï¼å¯
ç¼è§£ç¼çï¼æ¹åçç¶ï¼ä½è¥¿è¯æ²»çæ æ³æ ¹æ²»ç¾ç ï¼å
ä¸åºç¨æææ¬ ä½³
[2-3]
ãå¨ä¸å»å»çææ¯æç»åå±ä¸å ¶å¨
åç±»ç¾ç æ²»çä¸åºç¨éæ¸å¹¿æ³ï¼éç¸ä¸æ¨æ¿å为ä¸å»
ç¹è²çæ³ï¼éè¿åºæ¿ç©´ä½ãç»ç»è½å¤èµ·å°æ¢çãèç
æ´»è¡ãçéç»ç»çä½ç¨
[4]
ãæç ç©¶æ¾ç¤ºï¼ä¸å»éç¸ææ¯
ç§å¦ç»åæ¨æ¿ææ¯è¿ä¸æ¹æ¡ï¼å¨å¢å¼ºçæä¸ï¼å¯¹è °æ¤
é´ççªåºçè æææ¾è
[5]
ã对æ¤ï¼æ¬æ¬¡ç ç©¶è§å¯å¹¶åæ
äºå¨ä¸å»éç¸æ²»çææ¯åºç¡ä¸ï¼å¨è °æ¤é´ççªåºçæ£
è ä¸è¾ ä»¥æ¨æ¿çæ³çææï¼ç°æ¥åå¦ä¸ï¼
1 èµæä¸æ¹æ³
1.1 ä¸è¬èµæ
è °æ¤é´ççªåºçæ£è éèª 2023 å¹´ 1 æâ2024 å¹´ 4
æï¼66 ä¾å¯¹è±¡åé ç¨éæºæ°å表æ³ï¼å¯¹ç §ç»ï¼33 ä¾ï¼
女æ§å½è¿ 16 ä¾ï¼ç·æ§å½è¿ 17 ä¾ï¼å¹´é¾è®°å½å¨ 28ï½65
å²ï¼åå¼ï¼46.32±2.15ï¼å²ï¼ç ç¨å¨ 1ï½7 å¹´ï¼åå¼
ï¼4.32±1.05ï¼å¹´ãç ç©¶ç»ï¼33 ä¾ï¼å¥³æ§å½è¿ 15 ä¾ï¼
ç·æ§å½è¿ 18 ä¾ï¼å¹´é¾è®°å½å¨ 27ï½65 å²ï¼åå¼ï¼46.41
±2.28ï¼å²ï¼ç ç¨è·¨è¶ 1ï½8 å¹´ï¼åå¼ï¼4.58±1.14ï¼
å¹´ãä¸è¬ä¿¡æ¯å¯¹æ¯ï¼P>0.05ï¼ç»é´å ·å¤å¯æ¯æ§ã
çº³å ¥æ åï¼â ä¸è °æ¤é´ççªåºçè¯æå项æ¡ä»¶ç¸
符åè ï¼â¡å¯¹ç¸å ³ä¿¡æ¯å ¨é¢äºè§£ï¼åæåä¸è ï¼â¢å®¡
æ ¸ä¸´åºèµæåå¨å®æ´æ§ã
æé¤æ åï¼â å¿èè¡ç®¡ç¾ç å¹¶åè ï¼â¡ç²¾ç¥çç¶
ç¹å¼æ§çªåºè ï¼â¢åå¹¶è °æ¤å¤ä¼¤è ã
1.2 æ¹æ³
å¯¹ç §ç»æ½ä»¥å¸¸è§æ²»çï¼äºä»¥ç²é´èºçï¼ç±æ±è迪
èµè¯ºå¶è¯æéå ¬å¸ç产ï¼0.5mg ä¸ºè§æ ¼ï¼æ£ç´¢å°å½è¯å
å为 H20052564ï¼æ²»çï¼æ¯æ¬¡å° 0.5mg ç»å£æç¨ï¼æ¯å¤©
ç¨è¯ä¸æ¬¡ã使ç¨çµå¼åºè¿è¡æºæ¢°çµå¼æ²»çï¼æ ¹æ®èå
ç¨åº¦è°èçµå¼ééï¼æ¯æ¬¡æç» 20minï¼æ¯å¤©æ²»ç䏿¬¡ã
åºäºæ¤ï¼ç ç©¶ç»æ½ä»¥ä¸å»éç¸+æ¨æ¿æ²»çï¼â éç¸
æ²»çï¼æå¯¼éåæ£ç¡®ä½ä½ï¼ä»¥ä¿¯å§ä½ãä¾§å§ä½ä¸ºä¸»ï¼
辨è¯åç©´ï¼å æ¬å°è ä¿ãå ³å ä¿ãè °é³å ³ãæ°æµ·ä¿ã
æä»ãæ¿æ¶ãæ¿å±±ãè¾ä¿ãå§ä¸çï¼æ¶æ¯ç¨åºç¨äºç©´
ä½ç®è¤ï¼
以 3mm ä¸ºéæ©æ åå夿¯«éï¼
è¿ç¨æåºææ¯ï¼
以 15°为åï¼å©ç¨å¹³è¡¥å¹³æ³»æ³å®æï¼çéç»´æ 30minï¼
ä¹åå¯ç§»é¤éå ·ãè¾ç¸æ²»çæ¶é´å¨éåºåï¼è¾¨è¯åç©´ï¼
æ¶µçè °é³å ³ç©´ãè³é³ç©´ãå½é¨ç©´ä»¥å大æ¤ç©´çï¼å¨è¾
å¶æ¡åå¤ä¸ï¼å°å ¶å®è£ å¨é¶éçæ«ç«¯å¹¶ç¹çï¼ä»¥è¡è¾
ç¸ãææå¤å®ï¼å±é¨çº¢æï¼è¥è¾ç¸é¨ä½éå®è °è ¹é¨ï¼
åéæç» 40min å以ä¸ï¼è¥éå®è ¿é¨ï¼åéæç» 20minï¼
æ¯å¤©æ²»ç䏿¬¡ãâ¡æ¨æ¿æ²»çï¼éåæãæãç¹çææ³
å¯¹è °é¨ä¸¤ä¾§ãèæ±ä¸¤ä¾§è¿è¡ææ©ï¼æç» 5minï¼æ¾æ¾æ£
è èèï¼å¯¹å¤§è ä¿ç©´ãæ¿å±±ç©´ãè¾ä¿ç©´ãå°è ä¿ç©´ã
æ¿æ¶ç©´ä½çå®ä»¥æææ¹å¼æ§è¡æ¨æ¿ï¼è¿ä¸è¿ç¨ 10minã
æ¨æ¿ä¸ä¾æ®ä½ç¨å¯¹è±¡çèååº¦çµæ´»è°æ§ååº¦ï¼æ¯å¤©æ²»
ç䏿¬¡ï¼ç»é´åè¿ç»æ²»ç 6 个æã
1.3 è§å¯ææ
æ²»çææï¼æ¾èï¼çç¶ï¼ç¼çãå±é¨åµç¡¬ï¼æ£è¯
åå®å ¨æ¶å¤±ï¼ç´è ¿æ¬é«è§åº¦æµé 80°å以ä¸ãææï¼
çç¶æ£è¯åæææ¹åï¼ç´è ¿æ¬é«æµéå¨ 60°-79°è§åº¦ã
æ æï¼çç¶æ£è¯åæ è¾å¤§çæ¹åï¼ç´è ¿æ¬é«è®°å½ï¼60°ã
æ»ææç=æ¾èç+ææçã
VAS è¯åï¼ä¾æ®è§è§æ¨¡æè¯åæ³é表ï¼VAS é表ï¼ï¼
10 å设å®ä¸ºä¸éï¼0 åæ è®°æ ç¼çï¼ï¼3 åç¨åº¦è¦ç为
轻度ï¼4ï½6 åæ è®°ä¸åº¦ï¼ï¼7 å记为é度ç¼çã
M-JOA è¯åï¼ä»¥ M-JOA é表为åï¼ä¸é为 29 åï¼
â 82 â
ä¸æç§ææåæ°æ®åºï¼ææçï¼å»è¯å«ç
https://www.cqvip.com/doc/journal/1000004280814?sign=6c1586387f820cc0fa94bf761092d1ff70dd723c9c317057d2ae0faf783dea0a&titlePack=167917&resourceId=1000004280814
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ä¸æç§ææåæ°æ®åºï¼ææçï¼å»è¯å«ç
表 1 æ²»çææå¯¹æ¯ nï¼%ï¼
ç»å«
n
æ¾è
ææ
æ æ
æ»ææç
ç ç©¶ç»
33
21ï¼63.64%ï¼
11ï¼33.33%ï¼
1ï¼3.03%ï¼
ï¼32ï¼96.97%
å¯¹ç §ç»
33
17ï¼51.52%ï¼
9ï¼27.27%ï¼
7ï¼21.21%ï¼
ï¼26ï¼78.79%
--
--
--
--
5.121
P
--
--
--
--
0.024
表 2 VASãM-JOA è¯å对æ¯ï¼
xÌ
±sï¼åï¼
ç»å«
n
VAS
M-JOA
æ²»çå
æ²»çå
æ²»çå
æ²»çå
ç ç©¶ç»
33
8.21±2.34
0.89±0.12
20.39±3.65
7.58±2.18
å¯¹ç §ç»
33
8.41±2.49
2.62±0.82
20.54±3.74
10.54±2.34
t
--
0.336
11.992
0.165
5.317
P
--
0.738
0.000
0.870
0.000
表 3 åè½éç¢è¯å对æ¯ï¼
xÌ
±sï¼åï¼
ç»å«
n
麻æ¨ç¼ç
åç
ç´è ¿æ¬é«è¯éª
è¡èµ°
æ²»çå
æ²»çå
æ²»çå
æ²»çå
æ²»çå
æ²»çå
æ²»çå
æ²»çå
ç ç©¶
ç»
33
12.53±
3.25
17.25±
2.58
11.24±
2.96
16.85±
2.17
9.75±
2.34
15.58±
2.31
10.78±
2.71
16.84±
2.25
å¯¹ç §
ç»
33
12.62±
3.34
15.04±
2.48
11.34±
2.87
14.22±
2.06
9.69±
2.51
13.34±
2.24
10.91±
2.68
13.54±
2.49
t
--
0.111
3.548
0.139
5.049
0.100
3.999
0.196
5.649
P
--
0.912
0.001
0.890
0.000
0.920
0.000
0.845
0.000
ç»å«
n
çæ´»ä¸å·¥ä½è½å
èåè·è ±åå°
æ»è¯å
æ²»çå
æ²»çå
æ²»çå
æ²»çå
æ²»çå
æ²»çå
ç ç©¶ç»
33
8.59±2.32
15.65±2.61
8.82±2.71
15.91±3.05
59.32±3.65
92.54±3.69
å¯¹ç §ç»
33
8.82±2.68
12.32±2.26
8.75±2.53
11.61±3.25
59.48±3.74
79.06±3.84
t
--
0.373
5.541
0.108
5.542
0.176
14.541
P
--
0.711
0.000
0.914
0.000
0.861
0.000
å¾åå¼è¶é«æç¤ºè °çç¨åº¦è¶ä¸¥éã
åè½éç¢è¯åï¼ä¾æ®éæ© Oswestry åè½éç¢ææ°
éè¡¨ï¼æ¶µç 6 个维度ï¼ä¸é为 100 åï¼å¾åå¼è¶é«æ
ç¤ºè °æ¤åè½è¶å¥½ã
1.4 ç»è®¡å¦åæ
æ°æ®è¾å ¥ spss25.0 软件ä¸å¤çï¼ç¬¦åæ£æåå¸ç
计éèµæï¼ï¼
xÌ
±sï¼è¡¨ç¤ºï¼t æ£éªã计æ°èµæï¼nï¼%ï¼
表示ï¼x²æ£éªï¼äºç»è®¡å¦ç»´åº¦æè¿°æå·®å¼ï¼P<0.05ã
2 ç»æ
2.1 æ²»çææ
ç ç©¶ç»ç弿´é«ï¼P<0.05ï¼è§è¡¨ 1ã
2.2 VASãM-JOA è¯å
æ²»çåç»é´æ°å¼ç¸è¿ï¼P>0.05ï¼ï¼æ²»çåï¼ç ç©¶
ç»çå¼åè¾ä½ï¼P<0.05ï¼è§è¡¨ 2ã
2.3 åè½éç¢è¯å
æ²»çåç»é´æ°å¼ç¸è¿ï¼P>0.05ï¼ï¼æ²»çåï¼ç ç©¶
ç»çå¼åè¾é«ï¼P<0.05ï¼è§è¡¨ 3ã
3 讨论
æ¤é´çé忝å¼åè °æ¤é´ççªåºçæ ¹æ¬åå ï¼è
å¹´é¾å ç´ ã积累æä¼¤çä¸è¯¥ç¾ç çå ³è度é«
[6]
ãå¨å¹´é¾
å¢é¿ä¸ï¼æ¤é´çä¼ç»åéåè¿ç¨ï¼å ¶ç»æååè½éä¹
åå¼±ã卿¤è¿ç¨ä¸ï¼å¤åçæ½å åæç»çå³æç´¯ç§¯ç
é«å±å ç´ çåä¸ä¼å¯¼è´æ¤é´çç ´è£ï¼ä½¿å¾éè¦ç»ç»å
åæ¹çªåºï¼å³çº¤ç»´ç¯å髿 ¸ï¼ä»èå¼èµ·ç¥ç»ååçç
ç¶ã
[7]
ãç±äºå³æç§¯ç´¯ä¸ºä¸»è¦å ç´ ï¼ä½¿å¾é¿æä¼æ¡å·¥ä½ã
éä½åå³å¨è çæ£ç é£é©å¢é«ï¼å¯¼è´è¯¥ç¾ç åç群ä½
åç°å¹´è½»åè¶å¿
[8]
ã该ç¾ç å ¸å临åºçç¶è¡¨ç°ä¸ºå骨ç¥
ç»çãè °ççï¼ä¼´éè °æ¤æ´»å¨åº¦åå°ãèæ±ä¾§å¸çç
ç¶ï¼ç æ 䏥鿶ä¼å¯¼è´è °æ¤å¨å´èèè缩æèåä¸éã
大å°ä¾¿éç¢ççç¶ï¼ä¸¥éå±å®³æ£è çå½å¥åº·
[9]
ãå æ¤ï¼
æ©æäºä»¥é«ææ²»çååéè¦ã
ä¸å»éç¸æ²»ççä¸»è¦æºå¶å¨äºå ¶éè¿æ½å åºæ¿äº
ç»ç»ãç©´ä½çé¨ä½ï¼éçææåæ¥ï¼å¯ä¿è¿ç»ç»çéï¼
è¡æ¶²å¾ªç¯è·å¾æ¹åãæ¨æ¿çæ³ä¸å ·æå伤æ§ï¼éè¿æ¨
æ¿ææ³å¯¹ç»ç»åç©´ä½åºæ¿ï¼ä¹å¯è¾¾å°æ¢çãçéç»ç»
ççæãæ¬æ¬¡ç ç©¶ç»ææ¾ç¤ºï¼æ²»çææçæ¯å¯¹ä¸ï¼ç
ç©¶ç»ç弿´é«ï¼P<0.05ï¼ãVASãM-JOA è¯åæ²»ç忝
对ï¼ç ç©¶ç»çå¼åè¾ä½ï¼P<0.05ï¼ãåè½éç¢è¯åæ¯
对å¯è§ï¼ç ç©¶ç»æ²»çåçå¾åå¼åè¾é«ï¼P<0.05ï¼ï¼
2
x
â 83 â
ä¸æç§ææåæ°æ®åºï¼ææçï¼å»è¯å«ç
https://www.cqvip.com/doc/journal/1000004280814?sign=6c1586387f820cc0fa94bf761092d1ff70dd723c9c317057d2ae0faf783dea0a&titlePack=167917&resourceId=1000004280814
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ä¸æç§ææåæ°æ®åºï¼ææçï¼å»è¯å«ç
ç±æ¤è¯´æï¼ä¸å»æ¨æ¿ä¸éç¸ææ¯çç»åæ²»ç卿¤é´ç
çªåºçæå¼èµ·çç¼çæç¼è§£ä¸ä½ç¨çªåºï¼å¯æ¹å临åº
çç¶åè °æ¤åè½ãåå åæä¸ºï¼âç¹çâåâè °çâ
æ¯è °æ¤é´ççªåºçå¨ä¸å»å¦é¢åä¸ç主è¦åç±»ï¼è®¤ä¸º
æ°è¡åæ»ãèç»ä¸éç ãé£å¯æ¹¿ä¾µå ¥æºä½çå ç´ ä¸è¯¥
ç¾ç çåçæç´§å¯èç³»ï¼æ²»çåºä»¥çéç»ç»ãæ´»è¡å
çãæ¢çç为主
[10]
ãä½ä¸ºç©ççæ³ï¼éç¸ç宿½è½å¤
èµ·å°è°èæºä½é´é³ãä¿è¿è¡æ¶²å¾ªç¯ãéçãå¢å¼ºå ç«
åãçéç»ç»çä½ç¨ãå¨éç¸æ²»çæ¶è¾©è¯éåç©´ä½å¯
æåæ²»çé对æ§ï¼ä»¥è¶³å¤ªé³èè±ç»ãè¶³å°é´è¾ç»ä¸ºä¸»
è¦é¨ä½åç©´ï¼å¦å¯¹è¶³ä¸éç©´éç¸å¯èµ·å°è°åé´é³ãæ¹
åæ°è¡çä½ç¨ï¼å¯¹æ¿æ¶ç©´éç¸å¯èµ·å°çéçéª¨çææã
ä¸é´äº¤ãå ³å ç©´åºæ¿åå¯åæ¥ç¥çæ¢ççä½ç¨ãå¹¶ä¸
éç¸æ²»çä¸ä» å¯éè¿éåºç©´ä½åæ¥çæï¼å¨è¾ç¸çç
åä½ç¨ä¸å¯è¾ å©éç¸çæ³ï¼æ´å¥½åºæ¿ç©´ä½ãæ¿åç»æ°
æ´»å¨ï¼è¾¾å°ç¼è§£ç¼çï¼æ¹åè °æ¤åè½çä½ç¨ãæ¨æ¿é
è¿å¯¹ä½è¡¨ç¹å®é¨ä½è¿è¡ææ©ï¼é对æ§å®æ½ææ©ææ³è½
å¤èµ·å°çéç»ç»ãç¼è§£èèç²å³ãä¿è¿è¡æ¶²å¾ªç¯çä½
ç¨ï¼å¹¶ä¸æ¨æ¿çæ³ä½ç¨äºèæ±é¨ä½å¯ä½¿ç§»ä½ç»ç»å¤ä½ï¼
使æ£è èæ±å ³èè§£åç»ææ¢å¤æ£å¸¸ï¼æåæ¤é´ççå¹³
è¡¡æ§ï¼ä»èæ¶é¤è °æ¤é´ççªåºççç çï¼æ¹åå æ·¤è¡
黿»ãèç»ä¸éçå ç´ å¼èµ·çç¼çãåè½éç¢ççç¶ã
ç±æ¤ï¼å°éç¸ä¸æ¨æ¿èåæ²»çè½å¤èµ·å°åå墿ãæ
æ¬å ¼æ²»çææï¼å©äºåç¼æ£è æ¤é´çéè¡æ§æ¹åé度ï¼
æ´å¥½ç¼è§£è °é¨ç¼çæï¼æ¹åè °æ¤åè½ã
综ä¸ï¼å¨ä¸å»éç¸ææ¯æ²»çè °æ¤é´ççªåºçæ£è
ä¸ç»åè¿ç¨æ¨æ¿çæ³å¯æåçæï¼è½å¤åè½»ç¼çï¼æ¹
åå ¶è °æ¤åè½ï¼ææ¨å¹¿æä¹ã
åèæç®
[1]éç,宿¯æ¯,èµµæ è¡,ç.夹è穴温éç¸è忍æ¿çæ³æ²»çè °æ¤é´ççªåºççå顾æ§åæ[J].ä¸å½ä¸å»éª¨ä¼¤ç§
æå¿,2024,32(4):73-76.
[2]å¼ ä¸½ä¸½,å´æç§,æ±æ §æ¢ .循ç»åç©´æ¨æ¿è忏©éç¸å¯¹è °æ¤é´ççªåºçæ£è ODI ææ°åè °æ¤æ´»å¨åº¦çå½±å[J].ä¸
å½ä¸å»æ¥ç,2023,32(1):123-126.
[3]çä¿,èé¦é,æå©,ç.温éç¸é åç©´ä½æ³¨å°æ²»ç湿çåè °æ¤é´ççªåºçç临åºè§å¯[J].广å·ä¸å»è¯å¤§å¦å¦
æ¥,2023,40(5):1173-1178.
[4]è¡æ æ ,é±ç±å¨,æåºä¸°.éç¸ç»ååº·å¤æ²»çè °æ¤é´ççªåºççææ å对æ£è çæ´»è´¨éçå½±å[J].è´µå·å»
è¯,2023,47(8):1258-1259.
[5]å建æ¢,çè,æ¯ç¦æ,ç.éç¸èåææ³æ¨æ¿å¯¹è °æ¤é´ççªåºççåºç¨ææåè¡æµÎ²-å å¡è½åè °æ¤åè½çå½±
å[J].ç°ä»£çç©å»å¦è¿å±,2023,23(20):3869-3873.
[6]åéé¢è±è¹.温éç¸èåä¸å»å®åéè¯æ²»çè °æ¤é´ççªåºç(坿¹¿ç¹é»è¯)对æ£è ççå åæ°´å¹³,åè½æ¢å¤åç¼
çç¶åµçå½±å[J].æµ·åå»å¦,2022,33(22):2914-2917.
[7]å´é¹é£,æå©§,å¼ ç .ä¸å»éç¸èåæ¨æ¿æ²»çè °æ¤é´ççªåºçççæå对ç¼çæ¶å¤±æ¶é´çå½±å [J].ä¸å¤å»
ç,2023,42(19):5-9.
[8] æ± äº æ¥ , é ä¿ æ³¢ . ä¸ å» é ç¸ æ¨ æ¿ å çµ å¼ æ²» ç è ° æ¤ é´ ç çª åº ç ç 临 åº æ æ å æ [J]. ä¸ å» ä¸´ åº ç
ç©¶,2023,15(3):113-115.
[9]é»çæ .ä¸å»éç¸ç»¼åæ²»çè °æ¤é´ççªåºçççæåå ¶å®å ¨æ§è¯ä»·ç ç©¶[J].æ°çä¸å»è¯,2022,40(3):39-41.
[10] å ä¼ äº . ä¸ å» é ç¸ æ¨ æ¿ æ²» ç è ° æ¤ é´ ç çª åº ç 对 è ° æ¤ å è½ å ç ç å åº ç å½± å [J]. å å° ç æ³ ä¸ åº· å¤ å»
å¦,2022,3(10):42-44.
â 84 â
ä¸æç§ææåæ°æ®åºï¼ææçï¼å»è¯å«ç
https://www.cqvip.com/doc/journal/1000004280814?sign=6c1586387f820cc0fa94bf761092d1ff70dd723c9c317057d2ae0faf783dea0a&titlePack=167917&resourceId=1000004280814
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã
ãä¸æç§ææåæ°æ®åºã