BACKGROUND In high-intensity sports like golf,knee joints are prone to injury,leading to pain,limited mobility,and decreased quality of life.Traditional treatment methods typically involve rehabilitation exercises,but...BACKGROUND In high-intensity sports like golf,knee joints are prone to injury,leading to pain,limited mobility,and decreased quality of life.Traditional treatment methods typically involve rehabilitation exercises,but their effectiveness may be limited.In recent years,sodium hyaluronate has emerged as a widely used biomedical material in the treatment of joint diseases.AIM To explore the effect of sodium hyaluronate combined with rehabilitation training on pain degree,flexion range of motion and motor function of knee joint injured by golf.METHODS Eighty patients with knee joint injury caused by golf were randomly divided into control(group B)and observation group(group A).The group B was treated with rehabilitation training,and the group A was treated with sodium hyaluronate combined with rehabilitation training.The clinical efficacy,range of motion and function of knee joint,quality of life and inflammatory factors were compared.RESULTS The excellent and good rate of rehabilitation in the group A was raised than group B.At 6 weeks and 3 months after treatment,the range of motion of the two groups was raised than that before treatment,and that of the group A was raised than group B.After treatment,the scores of Lysholm and International Knee Documentation Committee(IKDC)in the group A were raised,and those in the group A were raised than group B.The VAS score of the two groups was reduced than that of the group B,and the SF-36 score of the group A was reduced than group B.The interleukin(IL)-1β,IL-8 and tumor necrosis factor-αin the two groups were reduced,and those in the group A were reduced than group B.CONCLUSION Sodium hyaluronate combined with rehabilitation training has a good clinical effect in the treatment of patients with knee joint injury caused by golf,which relieve pain,maintain knee joint function and improve patients'life quality.展开更多
The strength of jointed rock mass is strongly controlled by the degree of interlock between its constituent rock blocks.The degree of interlock constrains the kinematic freedom of individual rock blocks to rotate and ...The strength of jointed rock mass is strongly controlled by the degree of interlock between its constituent rock blocks.The degree of interlock constrains the kinematic freedom of individual rock blocks to rotate and slide along the block forming joints.The HoekeBrown(HB)failure criterion and the geological strength index(GSI)were developed based on experiences from mine slopes and tunneling projects in moderately to poorly interlocked jointed rock masses.It has since then been demonstrated that the approach to estimate the HB strength parameters based on the GSI strength scaling equations(called the‘GSI strength equations’)tends to underestimate the confined peak strength of highly interlocked jointed rock masses(i.e.GSI>65),where the rock mass is often non-persistently jointed,and the intact rock blocks are strong and brittle.The estimation of the confined strength of such rock masses is relevant when designing mine pillars and abutments at great depths,where the confining pressure is high enough to prevent block rotation and free sliding on block boundaries.In this article,a grain-based distinct element modeling approach is used to simulate jointed rock masses of various degrees of interlock and to investigate the influences of block shape,joint persistence and joint surface condition on the confined peak strengths.The focus is on non-persistently jointed and blocky(persistently jointed)rock masses,consisting of hard and homogeneous rock blocks devoid of any strength degrading defects such as veins.The results from this investigation confirm that the GSI strength equations underestimate the confined strength of highly interlocked and non-persistently jointed rock masses.Moreover,the GSI strength equations are found to be valid to estimate the confined strength of persistently jointed rock masses with smooth and non-dilatant joint surfaces.展开更多
目的探究冰水冷疗在关节手术患者术后行关节锻炼镇痛中的有效性。方法选取钦州市第一人民医院行关节置换手术及关节镜手术的400例患者,随机数表法将其分为试验组和对照组,每组200例。2组进行关节锻炼后,对照组给予固体冰袋冷疗治疗;试...目的探究冰水冷疗在关节手术患者术后行关节锻炼镇痛中的有效性。方法选取钦州市第一人民医院行关节置换手术及关节镜手术的400例患者,随机数表法将其分为试验组和对照组,每组200例。2组进行关节锻炼后,对照组给予固体冰袋冷疗治疗;试验组行康玛士(Kindman)布冰袋冰水冷疗。比较2组患者术后疼痛程度[数字评分法(NPS)]、肿胀程度、关节活动度及并发症,并分析患者生活质量(SF-36量表)及对护理满意度。结果与对照组比较,试验组8、24、48 h NRS评分依次降低(P<0.05),且不同时间比较具有交互效应(P<0.05)。与对照组比较,试验组在8、24、48 h的肿胀程度降低效果更明显(P<0.05)。与对照组比较,试验组关节活动度优良率更高(P<0.05)。试验组并发症发生率低于对照组(P<0.05)。与对照组比较,试验组术后3、5 d SF-16评分均显著升高(P<0.05)。试验组护理满意度高于对照组(P<0.05)。结论康玛士布冰袋冰水冷疗在关节手术患者术后行关节锻炼中可明显降低患者疼痛程度,改善关节活动度,提高生活质量。展开更多
基金2022 project of the Training and Research Center for Ideological and Political Workers in Colleges and Universities of the Ministry of Education(Southwest Jiaotong University)titled"Research on the Sociocultural and Psychological Mechanism of Casting the Consciousness of the Chinese Nation Community",No.SWJTUKF22-06.
文摘BACKGROUND In high-intensity sports like golf,knee joints are prone to injury,leading to pain,limited mobility,and decreased quality of life.Traditional treatment methods typically involve rehabilitation exercises,but their effectiveness may be limited.In recent years,sodium hyaluronate has emerged as a widely used biomedical material in the treatment of joint diseases.AIM To explore the effect of sodium hyaluronate combined with rehabilitation training on pain degree,flexion range of motion and motor function of knee joint injured by golf.METHODS Eighty patients with knee joint injury caused by golf were randomly divided into control(group B)and observation group(group A).The group B was treated with rehabilitation training,and the group A was treated with sodium hyaluronate combined with rehabilitation training.The clinical efficacy,range of motion and function of knee joint,quality of life and inflammatory factors were compared.RESULTS The excellent and good rate of rehabilitation in the group A was raised than group B.At 6 weeks and 3 months after treatment,the range of motion of the two groups was raised than that before treatment,and that of the group A was raised than group B.After treatment,the scores of Lysholm and International Knee Documentation Committee(IKDC)in the group A were raised,and those in the group A were raised than group B.The VAS score of the two groups was reduced than that of the group B,and the SF-36 score of the group A was reduced than group B.The interleukin(IL)-1β,IL-8 and tumor necrosis factor-αin the two groups were reduced,and those in the group A were reduced than group B.CONCLUSION Sodium hyaluronate combined with rehabilitation training has a good clinical effect in the treatment of patients with knee joint injury caused by golf,which relieve pain,maintain knee joint function and improve patients'life quality.
基金This research was supported by the Natural Sciences and Engineering Research Council of Canada,MIRARCO Mining Innovation,the Center for Excellence in Mining Innovation(CEMI),and Itasca Consulting Group.The authors wish to thank Dr.Evert Hoek for sharing his notes on the historical development of the HB failure criterion including laboratory test data on Panguna andesite and acknowledge his many constructive comments and suggestions during the conduct of the research reported here.
文摘The strength of jointed rock mass is strongly controlled by the degree of interlock between its constituent rock blocks.The degree of interlock constrains the kinematic freedom of individual rock blocks to rotate and slide along the block forming joints.The HoekeBrown(HB)failure criterion and the geological strength index(GSI)were developed based on experiences from mine slopes and tunneling projects in moderately to poorly interlocked jointed rock masses.It has since then been demonstrated that the approach to estimate the HB strength parameters based on the GSI strength scaling equations(called the‘GSI strength equations’)tends to underestimate the confined peak strength of highly interlocked jointed rock masses(i.e.GSI>65),where the rock mass is often non-persistently jointed,and the intact rock blocks are strong and brittle.The estimation of the confined strength of such rock masses is relevant when designing mine pillars and abutments at great depths,where the confining pressure is high enough to prevent block rotation and free sliding on block boundaries.In this article,a grain-based distinct element modeling approach is used to simulate jointed rock masses of various degrees of interlock and to investigate the influences of block shape,joint persistence and joint surface condition on the confined peak strengths.The focus is on non-persistently jointed and blocky(persistently jointed)rock masses,consisting of hard and homogeneous rock blocks devoid of any strength degrading defects such as veins.The results from this investigation confirm that the GSI strength equations underestimate the confined strength of highly interlocked and non-persistently jointed rock masses.Moreover,the GSI strength equations are found to be valid to estimate the confined strength of persistently jointed rock masses with smooth and non-dilatant joint surfaces.
文摘目的探究冰水冷疗在关节手术患者术后行关节锻炼镇痛中的有效性。方法选取钦州市第一人民医院行关节置换手术及关节镜手术的400例患者,随机数表法将其分为试验组和对照组,每组200例。2组进行关节锻炼后,对照组给予固体冰袋冷疗治疗;试验组行康玛士(Kindman)布冰袋冰水冷疗。比较2组患者术后疼痛程度[数字评分法(NPS)]、肿胀程度、关节活动度及并发症,并分析患者生活质量(SF-36量表)及对护理满意度。结果与对照组比较,试验组8、24、48 h NRS评分依次降低(P<0.05),且不同时间比较具有交互效应(P<0.05)。与对照组比较,试验组在8、24、48 h的肿胀程度降低效果更明显(P<0.05)。与对照组比较,试验组关节活动度优良率更高(P<0.05)。试验组并发症发生率低于对照组(P<0.05)。与对照组比较,试验组术后3、5 d SF-16评分均显著升高(P<0.05)。试验组护理满意度高于对照组(P<0.05)。结论康玛士布冰袋冰水冷疗在关节手术患者术后行关节锻炼中可明显降低患者疼痛程度,改善关节活动度,提高生活质量。
