目的 探究关节镜下前交叉韧带重建术联合玻璃酸钠对患者膝关节活动度及血清骨桥蛋白(OPN)、CD44水平的影响。方法 前瞻性选择2017年1月至2018年3月接受治疗的交叉韧带损伤的患者60例,按照随机数表法分为两组,对照组进行关节镜下交叉韧...目的 探究关节镜下前交叉韧带重建术联合玻璃酸钠对患者膝关节活动度及血清骨桥蛋白(OPN)、CD44水平的影响。方法 前瞻性选择2017年1月至2018年3月接受治疗的交叉韧带损伤的患者60例,按照随机数表法分为两组,对照组进行关节镜下交叉韧带重建术,观察组在对照组基础上在术后使用玻璃酸钠治疗。比较两组患者的术中指标、术后临床疗效和不良反应发生情况。检测并比较两组患者治疗前后的国际膝关节评分委员会韧带评分法(IKDC)评分、膝关节活动度以及血清OPN、CD44水平。结果 两组患者的术中指标无显著差异( P >0.05)。观察组患者的有效率(96.67%)显著高于对照组(80.00%)( P <0.05)。治疗前两组患者的IKDC评分和膝关节活动度无显著差异( P >0.05),治疗后两组患者的IKDC评分和膝关节活动度均显著升高,且观察组患者显著高于对照组( P <0.05)。治疗前两组患者血清OPN、CD44无显著差异( P >0.05),治疗后两组患者血清OPN、CD44均显著降低,且观察组显著低于对照组( P <0.05)。两组患者不良反应发生率无显著差异( P >0.05)。结论 玻璃酸钠可帮助接受关节镜下前交叉韧带重建术的患者提高膝关节活动度和膝关节功能,具有更好的临床疗效,同时具有较好的安全性。展开更多
The analysis of bending in finishing rolling was performed. An asymmetrical rolling force model was established, and the upper and lower neutral points were determined. Thc bending which resulted from the asymmetrical...The analysis of bending in finishing rolling was performed. An asymmetrical rolling force model was established, and the upper and lower neutral points were determined. Thc bending which resulted from the asymmetrical rolling force at the roll gap was studied and related flexibility equations were proposed according to elastic mechanics. Moreover, material mechanics was used to analyze the effects of temperature difference and self-weight on the bending out of the roll gap, and the flexibility equations were constructed. The main factors on bending were summed up, and the bending rule in the rolling could be obtained. In addition practical calculation was made with the production data of ribbon steel from Laiwu Iron & Steel Group Co. Ltd.展开更多
文摘目的 探究关节镜下前交叉韧带重建术联合玻璃酸钠对患者膝关节活动度及血清骨桥蛋白(OPN)、CD44水平的影响。方法 前瞻性选择2017年1月至2018年3月接受治疗的交叉韧带损伤的患者60例,按照随机数表法分为两组,对照组进行关节镜下交叉韧带重建术,观察组在对照组基础上在术后使用玻璃酸钠治疗。比较两组患者的术中指标、术后临床疗效和不良反应发生情况。检测并比较两组患者治疗前后的国际膝关节评分委员会韧带评分法(IKDC)评分、膝关节活动度以及血清OPN、CD44水平。结果 两组患者的术中指标无显著差异( P >0.05)。观察组患者的有效率(96.67%)显著高于对照组(80.00%)( P <0.05)。治疗前两组患者的IKDC评分和膝关节活动度无显著差异( P >0.05),治疗后两组患者的IKDC评分和膝关节活动度均显著升高,且观察组患者显著高于对照组( P <0.05)。治疗前两组患者血清OPN、CD44无显著差异( P >0.05),治疗后两组患者血清OPN、CD44均显著降低,且观察组显著低于对照组( P <0.05)。两组患者不良反应发生率无显著差异( P >0.05)。结论 玻璃酸钠可帮助接受关节镜下前交叉韧带重建术的患者提高膝关节活动度和膝关节功能,具有更好的临床疗效,同时具有较好的安全性。
文摘The analysis of bending in finishing rolling was performed. An asymmetrical rolling force model was established, and the upper and lower neutral points were determined. Thc bending which resulted from the asymmetrical rolling force at the roll gap was studied and related flexibility equations were proposed according to elastic mechanics. Moreover, material mechanics was used to analyze the effects of temperature difference and self-weight on the bending out of the roll gap, and the flexibility equations were constructed. The main factors on bending were summed up, and the bending rule in the rolling could be obtained. In addition practical calculation was made with the production data of ribbon steel from Laiwu Iron & Steel Group Co. Ltd.