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脊柱内镜下联合独活寄生汤行椎板减压治疗退变性腰椎管狭窄症的临床效果观察 被引量:13
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作者 张忠武 严红勇 +1 位作者 柯昌武 李亮 《中国内镜杂志》 2021年第6期62-68,共7页
目的探讨脊柱内镜下联合独活寄生汤行椎板减压治疗退变性腰椎管狭窄症(DLSS)的临床效果。方法回顾性分析2014年1月-2019年1月该院收治的105例DLSS患者的临床资料,按照治疗方式分为对照组(n=52)和观察组(n=53)。对照组采用脊柱内镜下行... 目的探讨脊柱内镜下联合独活寄生汤行椎板减压治疗退变性腰椎管狭窄症(DLSS)的临床效果。方法回顾性分析2014年1月-2019年1月该院收治的105例DLSS患者的临床资料,按照治疗方式分为对照组(n=52)和观察组(n=53)。对照组采用脊柱内镜下行椎板减压术+安慰剂治疗,观察组采用脊柱内镜下行椎板减压术+独活寄生汤治疗,比较两组患者手术时间、切口长度、出血量、下床活动时间和术后住院时间;采用日本骨科协会(JOA)评分标准评估疗效;比较两组患者Oswestry功能障碍指数(ODI)评分、血清白细胞介素-1α(IL-1α)、肿瘤坏死因子-α(TNF-α)和单核细胞趋化蛋白-1 (MCP-1)的变化情况。结果观察组下床活动时间和术后住院时间均较对照组短(P <0.05);观察组术后6个月JOA优良率为92.45%,高于对照组的75.00%(P <0.05);观察组术后1、3和6个月ODI评分均低于对照组(P <0.05);观察组术后IL-1α、TNF-α和MCP-1水平均低于对照组(P <0.05)。结论脊柱内镜下联合独活寄生汤行椎板减压治疗DLSS能够促进患者术后恢复、提高疗效,且有利于改善腰椎功能、减轻炎症反应,值得临床推广。 展开更多
关键词 退变性腰椎管狭窄症 独活寄生汤 脊柱内镜 椎板减压
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Effect of Nb-content on the corrosion resistance of Co-free high entropy alloys in chloride environment
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作者 Peng-Fei Dai Yang zhang +3 位作者 Sergey Rogozhkin Ji-Hong Han Shu-Wen Li zhong-wu zhang 《Tungsten》 EI 2024年第4期778-793,共16页
This study investigated the effect of Nb-content on the corrosion behavior of the Al_(7)Cr_(20)Fe_(35-x)Ni_(35)Mo_(3)Nb_(x)(x=0,1 and 2)high-entropy alloys in a Cl-environment.The results indicated that only the face ... This study investigated the effect of Nb-content on the corrosion behavior of the Al_(7)Cr_(20)Fe_(35-x)Ni_(35)Mo_(3)Nb_(x)(x=0,1 and 2)high-entropy alloys in a Cl-environment.The results indicated that only the face centered cubic phase existed in the NbO and Nbl alloys,while the emergence of Laves phase was observed when Nb-content reached 2 at.%.The NbO and Nb1alloys exhibited pitting corrosion,while the NiAl-rich phase experienced localized preferential corrosion in the Nb2 alloy.The electrochemical results revealed that the corrosion current density of the Nbx(x=0,1 and 2)alloys fell within the range of 10^(-8)-10-7 A·cm^(-2),with a pitting corrosion potential exceeding 700 mVSCE.Notably,the Nb1 alloy exhibited the most impressive corrosion resistance,as its corrosion current density(7×10^(-8)A·cm^(-2))was merely half that of 316LN stainless steel.This is attributed to its rapid passivation process,resulting in the development of a protective film characterized by an increased Cr_(2)O_(3)/Al_(2)O_(3)+Cr(OH)_(3)ratio.This study highlighted that the addition of Nb contributed to gram refinement,decreased corrosion current density,and elevated pitting potential,favoring passivation and improving corrosion resistance.However,excessive Nb-content resulted in the emergence of the Laves phase,inducing galvanic corrosion and diminishing resistance to corrosion. 展开更多
关键词 High entropy alloys Microstructure Corrosion Passive film Niobium
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