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23G玻切术治疗PDR术后早期出血的危险因素分析 被引量:2
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作者 王翔 赵泽明 刘永帅 《国际眼科杂志》 CAS 北大核心 2019年第6期1059-1062,共4页
目的:分析23G玻璃体切割术治疗增生型糖尿病视网膜病变(PDR)术后早期发生出血的危险因素。方法:回顾性分析2016-06/2018-01于我院行23G玻璃体切割术治疗的PDR患者100例100眼的临床资料,根据术后早期(1mo内)是否发生玻璃体出血分为早期... 目的:分析23G玻璃体切割术治疗增生型糖尿病视网膜病变(PDR)术后早期发生出血的危险因素。方法:回顾性分析2016-06/2018-01于我院行23G玻璃体切割术治疗的PDR患者100例100眼的临床资料,根据术后早期(1mo内)是否发生玻璃体出血分为早期玻璃体出血组(27例)和无玻璃体出血组(73例),分析术后早期发生玻璃体出血的危险因素。结果:两组患者年龄、术前抗VEGF治疗、术前存在纤维血管膜增殖、术中视盘新生血管出血、术中注入气体情况有明显差异(P<0.01),其中术前存在纤维血管膜增殖、术中存在视盘新生血管出血是导致术后早期出血的独立危险因素。结论:23G玻璃体切割术治疗PDR术后早期玻璃体出血主要发生于眼底病变严重者,术前存在纤维血管膜增殖及术中视盘新生血管出血会增加其发生风险。 展开更多
关键词 23G玻璃体切割术 增生型糖尿病视网膜病变 玻璃体出血
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Vibration response analysis of floating slab track supported by nonlinear quasi-zero-stiffness vibration isolators 被引量:2
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作者 ze-ming zhao Kai WEI +3 位作者 Juan-juan REN Gao-feng XU Xiang-gang DU Ping WANG 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2021年第1期37-52,共16页
To improve the low-frequency vibration reduction effect of a steel spring floating slab track(FST),nonlinear quasizero-stiffness(QZS)vibration isolators composed of positive stiffness elements(PSEs)and negative stiffn... To improve the low-frequency vibration reduction effect of a steel spring floating slab track(FST),nonlinear quasizero-stiffness(QZS)vibration isolators composed of positive stiffness elements(PSEs)and negative stiffness elements(NSEs)were used to support the FST.First,considering the mechanical characteristics of the nonlinear QZS vibration isolators and the dynamic displacement limit(3 mm)of the FST,the feasible parameter groups were studied with the nonlinear stiffness variation range and bearing capacity as evaluation indices.A vertical vehicle quasi-zero-stiffness floating slab track(QZS-FST)coupled dynamic model was then established.To obtain a reasonable nonlinear stiffness within a few millimeters,the original length of the NSEs must be analyzed first,because it chiefly determines the stiffness nonlinearity level.The compression length of the NSEs at the equilibrium position must be determined to obtain the low stiffness of the floating slab without vehicle load.Meanwhile,to meet the dynamic displacement limit of the FST,the PSE stiffness must be increased to obtain a higher stiffness at the critical dynamic displacement.Various stiffness groups for the PSEs and NSEs can provide the same dynamic bearing capacity and yet have a significantly different vibration reduction effect.Excessive stiffness nonlinearity levels cannot effectively improve the vibration reduction effect at the natural frequency.Furthermore,they also significantly amplify the vibrations above the natural frequency.In this paper,the vertical vibration acceleration level(VAL)of the floating slab and the supporting force of the FST can be decreased by 6.9 dB and 55%,respectively,at the resonance frequency. 展开更多
关键词 Floating slab track(FST) Quasi-zero-stiffness(QZS)vibration isolators Vehicle track coupled dynamics Low-frequency vibration reduction
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