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Therapeutic Effects of 35 kDa Hyaluronan Injection at Trigger Points in the Treatment of Myofascial Pain Syndrome
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作者 Enkhbat Purevsuren Dylan Treger +5 位作者 Zhaohui Ma Xiaoxiao Jia Taivanbat Ganbaatar Munkh-Amgalan Gantumur Mizhou Hui Davaajargal Nkhtuvshin 《International Journal of Clinical Medicine》 2025年第1期1-15,共15页
Objectives: This study aimed to evaluate the prolonged therapeutic effects of a 35 kDa molecular weight hyaluronan fragment (HA35) in alleviating pain associated with myofascial pain syndrome (MPS). Hyaluronan interac... Objectives: This study aimed to evaluate the prolonged therapeutic effects of a 35 kDa molecular weight hyaluronan fragment (HA35) in alleviating pain associated with myofascial pain syndrome (MPS). Hyaluronan interacts with various receptors in the human body, including CD44, LYVE-1, RHAMM, and TLR2, and is well-known for its analgesic effects when used in intra-articular or ultrasound-guided nerve trunk injections. Studies have shown that hyaluronidase cleaves high molecular weight HA to generate HA35, a low molecular weight fragment with enhanced tissue permeability, capable of binding to HA receptors on cell surfaces to produce broad-spectrum analgesic effects. Methods: Ten patients diagnosed with MPS were treated and assessed in this study. HA35 was administered through injection at a dosage of 100 mg daily for 15 days. Patients evaluated their MPS, overall pain levels, and treatment satisfaction using the Numerical Pain Rating Scale (NPRS), the Global Pain Scale (GPS), and the Treatment Satisfaction Questionnaire for Medication (TSQM 1.4). Follow-up evaluations were performed three months post-treatment to assess the duration of therapeutic effects. Results: Significant improvements were observed in NPRS, GPS, and TSQM scores both during and after the treatment period (P Conclusions: HA35 provides effective and sustained relief from pain associated with MPS, demonstrating a prolonged therapeutic benefit. 展开更多
关键词 35 kDa Hyaluronan Fragment ha35 PAIN Myofascial Pain Syndrome Myofascial Trigger Points
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Analgesic Effect of 35 kDa Hyaluronan Fragment on Vaginal Oocyte Retrieval Operation-Associated Pain: A Case Report
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作者 Hua Zhang Dylan Treger +2 位作者 Xiaoxiao Jia Zhaohui Ma Mizhou Hui 《Case Reports in Clinical Medicine》 2024年第12期503-511,共9页
Transvaginal oocyte retrieval (TVOR) is a common yet painful procedure in assisted reproductive technologies (ART) like in vitro fertilization (IVF). Effective pain management during and after TVOR is essential, parti... Transvaginal oocyte retrieval (TVOR) is a common yet painful procedure in assisted reproductive technologies (ART) like in vitro fertilization (IVF). Effective pain management during and after TVOR is essential, particularly since anesthesia may influence oocyte quality and treatment outcomes. This case report aims to evaluate the analgesic efficacy of 35 kDa hyaluronan fragments (HA35) to manage TVOR-associated pain. A 40-year-old patient with infertility underwent two TVOR procedures ten months apart under nearly identical preparatory conditions, including a subcutaneous injection of recombinant human chorionic gonadotropin to stimulate oocyte maturation. During the first procedure, pain management consisted of diclofenac sodium suppositories alone, while the second procedure included additional subcutaneous and topical HA35 administration alongside diclofenac sodium. The primary outcome measured was the patient’s self-reported pain level on the Numeric Pain Rating Scale (NPRS), alongside secondary indicators of postoperative recovery and discomfort. Results demonstrated that the addition of HA35 reduced the patient’s pain score by half, shortened the duration of pain, significantly improved comfort, and prevented postoperative bleeding, allowing for immediate discharge. This case suggests that HA35 may offer an effective, low-risk approach to enhance analgesia, reduce side effects, and improve patient recovery in TVOR procedures. 展开更多
关键词 Transvaginal Oocyte Retrieval 35 kDa Hyaluronan Fragments ha35 ANALGESIA Pain Relief Wound Healing
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Effect of milling time on microstructure of Ti35Nb2.5Sn/10HA biocomposite fabricated by powder metallurgy and sintering 被引量:1
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作者 王晓鹏 徐丽娟 +4 位作者 陈玉勇 禹基道 肖树龙 孔凡涛 刘志光 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2012年第3期608-612,共5页
A new β-Ti based Ti35Nb2.5Sn/10 hydroxyapitite(HA) biocompatible composite was fabricated by mechanical milling and pulsed current activated sintering(PCAS).The microstructures of Ti35Nb2.5Sn/10HA powder particle... A new β-Ti based Ti35Nb2.5Sn/10 hydroxyapitite(HA) biocompatible composite was fabricated by mechanical milling and pulsed current activated sintering(PCAS).The microstructures of Ti35Nb2.5Sn/10HA powder particles and composites sintered from the milled powders were studied.Results indicated that α-Ti phase began to transform into β-Ti phase after the powders were mechanically milled for 8 h.After mechanical milling for 12 h,α-Ti completely transformed into β-Ti phase,and the ultra fine Ti35Nb2.5Sn/10HA composite powders were obtained.And ultra fine grain sized Ti35Nb2.5Sn/10HA sintered composites were obtained by PCAS.The hardness and relative density of the sintered composites both increased with increasing the ball milling time. 展开更多
关键词 Ti35Nb2.5Sn/10HA ultrafine grain powder metallurgy milling time
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粉末冶金制备的Ti35Nb2.5Sn5HA生物复合材料的组织与性能研究 被引量:2
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作者 王晓鹏 徐丽娟 +3 位作者 陈玉勇 肖树龙 孔凡涛 禹基道 《钛工业进展》 CAS 2011年第5期12-16,共5页
采用高能机械球磨和脉冲电流活化烧结方法制备了一种新型的不含Al、V等有毒元素的β钛合金基体的Ti35Nb2.5Sn5HA生物复合材料。研究了不同机械球磨时间球磨的Ti35Nb2.5Sn5HA粉末以及用这几种粉末烧结制备的样品微观组织和显微硬度变化,... 采用高能机械球磨和脉冲电流活化烧结方法制备了一种新型的不含Al、V等有毒元素的β钛合金基体的Ti35Nb2.5Sn5HA生物复合材料。研究了不同机械球磨时间球磨的Ti35Nb2.5Sn5HA粉末以及用这几种粉末烧结制备的样品微观组织和显微硬度变化,球磨时间对烧结复合材料的微观组织和性能的影响。结果表明:随着球磨时间的增加,Ti35Nb2.5Sn5HA粉末的颗粒尺寸逐渐减小,Nb和Sn开始与Ti发生固溶,形成Ti的过饱和固溶体,而且α-Ti也开始向β-Ti转化。当球磨时间达到12 h,球磨粉末中α-Ti完全转化为β-Ti,粉末颗粒的平均尺寸为500 nm左右。12 h球磨的粉末烧结制备的复合材料具有超细晶粒尺寸,晶粒平均尺寸为200 nm,这种复合材料的维氏显微硬度可以达到10 187.3 MPa。 展开更多
关键词 Ti35Nb2.5Sn5HA复合材料 高能球磨 电流活化烧结 微观结构
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