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综合护理干预对老年膝骨关节炎患者功能恢复及生活质量的影响 被引量:18
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作者 荀淑英 程桯 +4 位作者 王玲玲 范钰 孙彬 王洁 张阳 《中国中医基础医学杂志》 CAS CSCD 北大核心 2016年第4期517-519,共3页
目的:探讨综合干预对老年膝骨关节炎患者功能恢复及生活质量的影响。方法:收集我院收治的膝骨关节炎患者100例,根据护理方式不同分为对照组和实验组各50例,分别给予相应的护理方式,治疗结束后对所有患者的关节疼痛程度、屈伸活动度、生... 目的:探讨综合干预对老年膝骨关节炎患者功能恢复及生活质量的影响。方法:收集我院收治的膝骨关节炎患者100例,根据护理方式不同分为对照组和实验组各50例,分别给予相应的护理方式,治疗结束后对所有患者的关节疼痛程度、屈伸活动度、生活质量评分、疼痛缓解时间以及住院时间进行检测。结果:1实验组患者关节疼痛程度下降较为显著,患者关节屈伸度升高较为显著;患者生活质量评分上升较为显著,疼痛缓解时间以及住院时间较短。结论:综合护理干预能够显著降低老年膝骨关节炎患者关节疼痛程度,升高关节屈伸度,缩短患者疼痛缓解时间以及住院时间并显著提高患者生活质量,对临床具有指导意义。 展开更多
关键词 综合干预 膝骨关节炎 生活质量 关节屈伸度
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钛制弹性髓内钉治疗小儿尺桡骨不稳定骨折的临床效果观察 被引量:9
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作者 张春燕 《中国医刊》 CAS 2021年第3期271-273,共3页
目的探讨钛制弹性髓内钉治疗小儿尺桡骨不稳定骨折的临床效果。方法选取2018年2月至2019年12月浙江省杭州市萧山区中医院收治的85例小儿尺桡骨不稳定双骨折患儿,采用随机数字表法分为对照组(42例)和观察组(43例)。对照组采用钢板内固定... 目的探讨钛制弹性髓内钉治疗小儿尺桡骨不稳定骨折的临床效果。方法选取2018年2月至2019年12月浙江省杭州市萧山区中医院收治的85例小儿尺桡骨不稳定双骨折患儿,采用随机数字表法分为对照组(42例)和观察组(43例)。对照组采用钢板内固定治疗,观察组采用钛制弹性髓内钉治疗。比较两组患儿术前及术后3个月的前臂旋前、旋后角度,术前及术后1d的疼痛视觉模拟量表(visual analogue scale,VAS)评分。术后3个月采用Broberg-Morrey评分评价两组患儿的肘关节功能情况,并比较两组的并发症发生情况。结果术后3个月两组患儿的前臂旋前、旋后角度均明显高于术前(P<0.05),术前及术后组间比较差异均无显著性(P>0.05)。两组术前VAS评分比较差异无显著性(P>0.05),术后1d观察组VAS评分明显低于对照组,差异有显著性(P<0.05)。Broberg-Morrey肘关节功能评分显示,术后3个月时观察组优良率为95.35%(41/43),明显高于对照组的80.95%(34/42),差异有显著性(P<0.05)。两组患者的并发症发生情况差异无显著性(P>0.05)。结论钛制弹性髓内钉治疗小儿尺桡骨不稳定骨折可有效减轻术后疼痛,改善肘关节功能,不良反应情况可控,值得临床应用。 展开更多
关键词 小儿尺桡骨不稳定双骨折 屈伸度 桡神经损伤 钛制弹性髓内钉 内固定
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Influence of temperature on tensile behavior and deformation mechanism of Re-containing single crystal superalloy 被引量:5
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作者 刘金来 于金江 +3 位作者 金涛 孙晓峰 管恒荣 胡壮麒 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2011年第7期1518-1523,共6页
Tensile properties of a Re-containing single crystal superalloy were determined within the temperature range from 20 to 1 100 ℃with a constant strain rate of 1.67 ×10^-4 s^-1.From room temperature to 600 ℃,the ... Tensile properties of a Re-containing single crystal superalloy were determined within the temperature range from 20 to 1 100 ℃with a constant strain rate of 1.67 ×10^-4 s^-1.From room temperature to 600 ℃,the yield strength increases slightly with increasing temperature.The yield strength decreases to aminimum at 760 ℃,while a maximum is reached dramatically at 800 ℃.The elongation and area reduction decrease gradually from room temperature to 800 ℃.Above 800 ℃,the yield strength decreases significantly with increasing temperature.The γ' phase is sheared by antiphase boundary (APB) below 600 ℃while elongated SSF (superlattice stacking fault) is left in γ' as debris.At 760 ℃the γ' phase is sheared by a/3 112 superpartial dislocation,which causes decrease of yield strength due to low energy of SSF.Above 800 ℃dislocations overcome γ' through by-passing mechanism. 展开更多
关键词 single crystal superalloy tensile behavior yield strength MICROSTRUCTURE
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Microstructure and tensile properties of AE42-based magnesium alloys with calcium addition 被引量:2
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作者 白晶 孙扬善 +2 位作者 丁绍松 薛烽 汪黎 《Journal of Southeast University(English Edition)》 EI CAS 2004年第1期43-48,共6页
The as-cast microstructure of AE42 was of typical dendritic and composed of the a matrix and some needle-shaped interphases Al11RE3. A small mount of Ca addition results in significant microstructural refinement and f... The as-cast microstructure of AE42 was of typical dendritic and composed of the a matrix and some needle-shaped interphases Al11RE3. A small mount of Ca addition results in significant microstructural refinement and formation of a Al2Ca phase, which showed two kinds of morphologies, lamellar and tiny granular. The former distributes on grain boundaries and the later is within the matrix grains. With the increase of Ca addition the volume fraction of Al-RE compound (Al11RE3) decreases, but Al2Ca increases. Addition of Ca causes a significant increase of yield strength of the alloy both at ambient and elevated temperatures, but a little decrease of the ductility. With calcium addition the ultimate strength decreases at ambient temperature and 150°t, but increases at 175°C and 200°C. 展开更多
关键词 ADDITIVES Aluminum compounds CALCIUM DUCTILITY Grain boundaries Metallographic microstructure Morphology Tensile properties Volume fraction
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舒筋活络方加减治疗下肢骨折后期膝关节僵硬的疗效观察
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作者 郑振炜 黄承应 +1 位作者 邓盛灌 陈涛 《中医外治杂志》 2022年第3期34-35,共2页
目的:观察中药方剂舒筋活络方加减治疗下肢骨折后期膝关节僵硬的临床疗效。方法:选取2018年1月~2020年1月收治的下肢骨折后期膝关节僵硬患者92例作为研究病例,以随机数字表法分为两组,各46例,对照组应用膝关节康复治疗法治疗,研究组应... 目的:观察中药方剂舒筋活络方加减治疗下肢骨折后期膝关节僵硬的临床疗效。方法:选取2018年1月~2020年1月收治的下肢骨折后期膝关节僵硬患者92例作为研究病例,以随机数字表法分为两组,各46例,对照组应用膝关节康复治疗法治疗,研究组应用中药方剂舒筋活络方加减法治疗。比较两组治疗3个月后的优良率、肌力、屈伸度。结果:研究组肌力、屈伸度优于对照组;研究组总优良率为84.78%,与对照组(63.04%)比较,差异有统计学意义(P<0.05)。结论:应用中药方剂舒筋活络方加减治疗下肢骨折后期膝关节僵硬的临床价值显著,可提高患者治疗优良率,值得临床应用。 展开更多
关键词 下肢骨折 膝关节僵硬 舒筋活络方 肌力 屈伸度 屈膝障碍
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补肾活血汤结合平乐正骨手法治疗膝骨关节炎的早期临床疗效观察
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作者 喻旭 《中文科技期刊数据库(引文版)医药卫生》 2022年第6期14-17,共4页
研究膝骨关节炎(KOA)患者行补肾活血汤+平乐正骨手法治疗效果。方法:数据取自本院2020年5月-2021年5月收治的60例KOA患者,“随机数字表法”分采纳组(塞来昔布胶囊,n30)、科研组(补肾活血汤+平乐正骨手法,n30),比较两组疗效。结果:治疗... 研究膝骨关节炎(KOA)患者行补肾活血汤+平乐正骨手法治疗效果。方法:数据取自本院2020年5月-2021年5月收治的60例KOA患者,“随机数字表法”分采纳组(塞来昔布胶囊,n30)、科研组(补肾活血汤+平乐正骨手法,n30),比较两组疗效。结果:治疗前比较中医证候积分、临床指标及炎症因子无意义,治疗后比较不良反应无意义,P>0.05;治疗后与采纳组相比,科研组中医证候积分更低;Lysholm值、膝关节屈伸度更高,VAS值更低;IL-1、IL-1β及TNF-α值更低;科研组有效率(96.67%)高于采纳组(80.00%),x24.043,p0.044,P0.05(具有统计学意义)。结论:补肾活血汤+平乐正骨手法治疗KOA患者可减缓临床症状,改善膝关节功能、屈伸度,减缓疼痛、改善炎症反应,增强疗效、保证治疗安全性,值得推崇。 展开更多
关键词 补肾活血汤 平乐正骨手法 膝骨关节炎 膝关节功能 屈伸度 临床疗效 安全性
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膝关节周围骨折术后病人护理中超前镇痛的临床应用效果
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作者 周丹 《临床研究》 2014年第7期32-32,共1页
目的 对膝关节周围骨折术后病人护理中超前镇痛的临床应用效果进行分析.方法 选取膝关节周围骨折手术患者78例,随机分为两组,对照组36例未进行超前镇痛,观察组42例在术前行超前镇痛,术后均展开被动锻炼,对比术后不同时间两组患者膝关节... 目的 对膝关节周围骨折术后病人护理中超前镇痛的临床应用效果进行分析.方法 选取膝关节周围骨折手术患者78例,随机分为两组,对照组36例未进行超前镇痛,观察组42例在术前行超前镇痛,术后均展开被动锻炼,对比术后不同时间两组患者膝关节屈曲度.结果 随着时间延长两组患者膝关节被动屈曲度与主动屈曲度均显著增大,且在术后各时段观察组患者膝关节被动屈曲度与主动屈曲度均显著大于对照组.结论 对于接受手术治疗的膝关节周围骨折患者,在术前行超前镇痛,术后展开持续性被动运动机锻炼,可促使膝关节主动、被动屈伸度显著改善,促进患者术后康复,值得在临床中推广. 展开更多
关键词 膝关节周围骨折 超前镇痛 膝关节屈伸度
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Strengthening and stress drop of ultrafine grain aluminum after annealing 被引量:2
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作者 任江伟 单爱党 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2010年第11期2139-2142,共4页
Ultrafine grain pure aluminum was produced by equal channel angular pressing and cold rolling, the deformed aluminum was annealed at 200 ℃ for 1 h. The tensile curves of deformed and annealed aluminum show that yield... Ultrafine grain pure aluminum was produced by equal channel angular pressing and cold rolling, the deformed aluminum was annealed at 200 ℃ for 1 h. The tensile curves of deformed and annealed aluminum show that yield strength of deformed aluminum increases by 100%-300% and its elongation decreases by about 20%. After low temperature annealing, strength of annealed aluminum increases by 20% and elongation decreases by over 50%, the recovery of dislocations may be the main cause of annealing strengthening. In addition, there is an abrupt stress drop in the tensile curves of annealed aluminum and the formation of shear band is responsible for it. 展开更多
关键词 ALUMINUM ultraftne grain mechanical properties heat treatment
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Influence of impurities on damping properties of ZK60 magnesium alloy 被引量:2
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作者 陈先华 毛建军 +2 位作者 潘复生 彭建 王敬丰 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2010年第7期1305-1310,共6页
The influence of impurities on damping capacities of ZK60 magnesium alloys in the as-cast,as-extruded and T4-treated states was investigated by dynamically mechanical analyzer at room temperature.Granato and Lucke dis... The influence of impurities on damping capacities of ZK60 magnesium alloys in the as-cast,as-extruded and T4-treated states was investigated by dynamically mechanical analyzer at room temperature.Granato and Lucke dislocation pinning model was employed to explain damping properties of the alloys.It is found that reducing impurity content can decrease the amount of second-phase particles,increase grain size and improve damping capacity of the as-cast alloy slightly.The as-extruded alloy with lower impurity content is found to possess obviously higher damping capacity in the relatively high strain region than that with higher impurity concentration,which appears to originate mainly from different dislocation characteristics.The variation tendency of damping property with change of impurity content after solution-treatment is also similar to that in the as-extruded and as-cast states. Meanwhile,the purification of the alloy results in an evident improvement in tensile yield strength in the as-extruded state. 展开更多
关键词 ZK60 magnesium alloy IMPURITIES DAMPING DISLOCATION
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Semi-solid near-net shape rheocasting of heat treatable wrought aluminum alloys 被引量:10
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作者 U.A.C URLE 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2010年第9期1719-1724,共6页
Flexibility of the CSIR-RCS, induction stirring with simultaneous air cooling process, in combination with high pressure die casting is successfully demonstrated by semi-solid rheocasting of plates performed on commer... Flexibility of the CSIR-RCS, induction stirring with simultaneous air cooling process, in combination with high pressure die casting is successfully demonstrated by semi-solid rheocasting of plates performed on commercial 2024, 6082 and 7075 wrought aluminum alloys. Tensile properties were measured for the above mentioned rheocast wrought aluminum alloys in the T6 condition. The results showed that tensile properties were close to or even in some cases exceeded the minimum specifications. The yield strength and elongation of rheocast 2024-T6 exceeded the minimum requirements of the wrought alloy in the T6 condition but the ultimate tensile strength achieved only 90% of the specification because the Mg content of the starting alloy was below the commercial alloy specification. The strengths of rheocast 6082-T6 exceeded all of the wrought alloy T6 strength targets but the elongation only managed 36% of the required minimum due to porosity, caused by incipient melting during solution heat treatment, and the presence of fine intermetallie needles in the eutectic. The yield strength of rheocast 7075 exceeded the required one and the ultimate tensile strength also managed 97% of the specification; while the elongation only reached 46% of the minimum requirement also due to incipient melting porosity caused during the solution heat treatment process. 展开更多
关键词 high pressure die casting (HPDC) aluminum alloys as-cast condition T6 treatment incipient melting
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Microstructures and mechanical properties of extruded Mg-1Mn-3.5Y and Mg-1Mn-1Y-2.5Nd alloys
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作者 房大庆 江中浩 +2 位作者 毕广利 李荣广 李光玉 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2010年第B07期555-560,共6页
Both Mg-1Mn-3.5Y and Mg-1Mn-1Y-2.5Nd alloys(mass fraction,%)were extruded at 380?C.Most of the(10^-10) crystal planes in the Mg-1Mn-3.5Y alloy are parallel to the normal direction,while most of the(10^-11)cryst... Both Mg-1Mn-3.5Y and Mg-1Mn-1Y-2.5Nd alloys(mass fraction,%)were extruded at 380?C.Most of the(10^-10) crystal planes in the Mg-1Mn-3.5Y alloy are parallel to the normal direction,while most of the(10^-11)crystal planes in the Mg-1Mn-1Y-2.5Nd alloy are parallel to the normal direction.The tensile tests at room temperature,100℃ and 200℃ show that the Mg-1Mn-3.5Y alloy exhibits higher yield strength,but lower elongation to failure as compared with the Mg-1Mn-1Y-2.5Nd alloy. These differences in the tensile mechanical properties between the two alloys are mainly attributed to their different texture types and amount and distribution of the Mg24Y5 precipitates.The serration flow behavior is observed in the Mg-1Mn-1Y-2.5Nd alloy at 200℃,but does not occur in the Mg-1Mn-3.5Y alloy.The Mg-1Mn-3.5Y alloy shows the cleavage fracture mode,while the Mg-1Mn-1Y-2.5Nd alloy exhibits the dimple fracture mode. 展开更多
关键词 magnesium alloys earth elements MICROSTRUCTURES deformation behavior mechanical properties
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