期刊文献+
共找到1,762篇文章
< 1 2 89 >
每页显示 20 50 100
Numerical Computation of Stress Intensity Factors for Bolt-hole Corner Crack in Mechanical Joints 被引量:3
1
作者 王立清 盖秉政 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2008年第5期411-416,共6页
The three-dimensional finite element method is used to solve the problem of the quarter-elliptical comer crack of the bolt-hole in mechanical joints being subjected to remote tension. The square-root stress singularit... The three-dimensional finite element method is used to solve the problem of the quarter-elliptical comer crack of the bolt-hole in mechanical joints being subjected to remote tension. The square-root stress singularity around the corner crack front is simulated using the collapsed 20-node quarter point singular elements. The contact interaction between the bolt and the hole boundary is considered in the finite element analysis. The stress intensity factors (SIFs) along the crack front are evaluated by using the displacement correlation technique. The effects of the amount of clearance between the hole and the bolt on the SIFs are investigated. The numerical results indicate that the SIF for mode I decrease with the decreases in clearance, and in the cases of clearance being present, the corner crack is in a mix-mode, even if mode I loading is dominant. 展开更多
关键词 bolt-hole comer crack contact stress intensity factor mechanical joint CLEARANCE finite element method
在线阅读 下载PDF
Identification and preoperative optimization of risk factors to prevent periprosthetic joint infection 被引量:6
2
作者 Seung-Hoon Baek 《World Journal of Orthopedics》 2014年第3期362-367,共6页
Despite significant improvements over the past several decades in diagnosis,treatment and prevention of periprosthetic joint infection(PJI),it still remains a major challenge following total joint arthroplasty.Given t... Despite significant improvements over the past several decades in diagnosis,treatment and prevention of periprosthetic joint infection(PJI),it still remains a major challenge following total joint arthroplasty.Given the devastating nature and accelerated incidence of PJI,prevention is the most important strategy to deal with this challenging problem and should start from identifying risk factors.Understanding and well-organized optimization of these risk factors in individuals before elective arthroplasty are essential to the ultimate success in reducing the incidence of PJI.Even though some risk factors such as demographic characteristics are seldom changeable,they allow more accurate expectation regarding individual risks of PJI and thus,make proper counseling for shared preoperative decision-making possible.Others that increase the risk of PJI,but are potentially modifiable should be optimized prior to elective arthroplasty.Although remarkable advances have been achieved in past decades,many questions regarding standardized practice to prevent this catastrophic complication remain unanswered.The current study provide a comprehensive knowledge regarding risk factors based on general principles to control surgical siteinfection by the review of current literature and also share own practice at our institution to provide practical and better understandings. 展开更多
关键词 Total joint ARTHROPLASTY PERIPROSTHETIC joint infection Prevention Risk factors PREOPERATIVE OPTIMIZATION
暂未订购
Vertex centrality of complex networks based on joint nonnegative matrix factorization and graph embedding
3
作者 卢鹏丽 陈玮 《Chinese Physics B》 SCIE EI CAS CSCD 2023年第1期634-645,共12页
Finding crucial vertices is a key problem for improving the reliability and ensuring the effective operation of networks,solved by approaches based on multiple attribute decision that suffer from ignoring the correlat... Finding crucial vertices is a key problem for improving the reliability and ensuring the effective operation of networks,solved by approaches based on multiple attribute decision that suffer from ignoring the correlation among each attribute or the heterogeneity between attribute and structure. To overcome these problems, a novel vertex centrality approach, called VCJG, is proposed based on joint nonnegative matrix factorization and graph embedding. The potential attributes with linearly independent and the structure information are captured automatically in light of nonnegative matrix factorization for factorizing the weighted adjacent matrix and the structure matrix, which is generated by graph embedding. And the smoothness strategy is applied to eliminate the heterogeneity between attributes and structure by joint nonnegative matrix factorization. Then VCJG integrates the above steps to formulate an overall objective function, and obtain the ultimately potential attributes fused the structure information of network through optimizing the objective function. Finally, the attributes are combined with neighborhood rules to evaluate vertex's importance. Through comparative analyses with experiments on nine real-world networks, we demonstrate that the proposed approach outperforms nine state-of-the-art algorithms for identification of vital vertices with respect to correlation, monotonicity and accuracy of top-10 vertices ranking. 展开更多
关键词 complex networks CENTRALITY joint nonnegative matrix factorization graph embedding smoothness strategy
原文传递
Analysis of the relative factors affecting the functional restoration of knee joint after the fracture of patella
4
作者 王国新 江钟立 +1 位作者 李涛 陈文红 《中国临床康复》 CSCD 2002年第2期290-291,共2页
Objective To explore the relative factors affecting the functional restoration of knee joint after the fracture of patella, and to anticipate the effect of middle-term and short-time rehabilitation therapy. Method 23 ... Objective To explore the relative factors affecting the functional restoration of knee joint after the fracture of patella, and to anticipate the effect of middle-term and short-time rehabilitation therapy. Method 23 patients with limited flexion function of knee joint after the fracture of patella, accepted the routine rehabilitation treatment in out -patient service, and some of the patients adopted local heat therapy at the same time. The 13 factors have been selected for regression analysis step by step under the help of SPSS statistical software. Result The flexible degree of the knee joint before rehabilitation (X1), the non-smooth posterior edge of patella (X2), and the immobilization time of the joint (X3) are relative factors for the flexible degree of knee joint 1 month after rehabilitation (Y1) and the flexible degree of knee joint 3 months after rehabilitation (Y2), and Y1 can also be affected by whether surgery therapy or not (X4), (partial regression coefficient P< 0.05). The differences between theoretical mean and practical mean of Y1 and Y2 are 5.6% and 4.2% respectively in the 23 cases. Conclusion The flexible degree of the knee joint before rehabilitation, whether the posterior edge of patella is smooth or not, and the immobilization time of the joint are relative factors affecting the middle-term and short-term flexible function of knee joint after the fracture of patella, and short-term restoration can also be affected by whether surgery therapy or not. The effects of middle-term and short-term rehabilitation can be predicted by regression equation primarily. 展开更多
关键词 髌骨骨折 屈膝功能 影响因素
暂未订购
Outcomes and prognostic factors of patients with stage? ⅠB and? ⅡA pancreatic cancer according to the 8^(th) edition American Joint Committee on Cancer criteria 被引量:2
5
作者 Yang Li Chuan-gang Tang +2 位作者 Yu Zhao Wu-You Cao guo-feng Qu 《World Journal of Gastroenterology》 SCIE CAS 2017年第15期2757-2762,共6页
AIM To evaluate the changes in the 8^(th) edition American Joint Committee on Cancer(AJCC) for defining stage?ⅠB and?ⅡA pancreatic cancer and identify their prognostic factors.METHODS Pancreatic cancer patients were... AIM To evaluate the changes in the 8^(th) edition American Joint Committee on Cancer(AJCC) for defining stage?ⅠB and?ⅡA pancreatic cancer and identify their prognostic factors.METHODS Pancreatic cancer patients were selected from the Surveillance Epidemiology and End Results database(1973-2013). The enrolled patients were divided into?ⅠB and?ⅡA groups based on tumor size according to the 8^(th) edition AJCC criteria. Clinical characteristics, including age, gender, race, tumor size, primary site, and grade were summarized. Univariate and multivariate analyses were performed to explore the prognostic factors of the?ⅠB and?ⅡA stages of pancreatic cancer under new criteria.RESULTS A total of 1349 pancreatic cancer patients were included. More patients had stage?ⅠB rather than stage?ⅡA. Stage?ⅠB tumors(54.85%) were mainly located in the head of the pancreas, while stage?ⅡA tumors were more often located in the tail and head of the pancreas(35.21% and 31.75%, respectively). The survival time of stage?ⅠB and?ⅡA patients had no significant difference. Univariate and multivariate analyses indicated that the prognostic factors of survival for stage?ⅠB and?ⅡA patients were different. for stage?ⅠB patients, age and primary site were the independent prognostic factors; for stage?ⅡA patients, age and grade were the independent prognostic factors. The risk of death was lower among patients aged ≤ 65 years than those aged > 65 years.CONCLUSION The prognostic factors for stage?ⅠB and?ⅡA patients are different, but age is the independent prognostic factor for all patients. The survival time of stage?ⅠB and?ⅡA patients has no significant difference. 展开更多
关键词 Pancreatic cancer Prognostic factor 8th American joint Committee on Cancer TNM Tumor size
暂未订购
Influence of geometric parameters on stress concentration factors of undermatched butt joint with single V-groove under three-point bending load 被引量:1
6
作者 王佳杰 董志波 +3 位作者 刘雪松 张敬强 方洪渊 刚铁 《China Welding》 EI CAS 2014年第3期59-62,共4页
In order to improve the bending load-carrying capacity (BLCC) of undermatched butt joint under three-point bending load, the influence of joint geometric parameters on stress concentration factors (SCF) at the wel... In order to improve the bending load-carrying capacity (BLCC) of undermatched butt joint under three-point bending load, the influence of joint geometric parameters on stress concentration factors (SCF) at the weld bottom center and the weld toe of uudermatched butt joint with single V-groove are studied respectively based on the finite element method in this paper. Results show that the reinforcement height and the cover pass width play decisive role in the BLCC for undermatched butt joint. BLCC of undermatched butt joint can be improved by choosing the appropriate joint geometric parameters. 展开更多
关键词 undermatched butt joint with single V-groove joint geometric parameters stress concentration factors finiteelement method
在线阅读 下载PDF
Analysis of the stress intensity factor of welded joints under prior corrosion and complex stress fields
7
作者 Zhiyu Jie Yadong Li Xing Wei 《Journal of Modern Transportation》 2016年第4期270-276,共7页
Taking cruciform welded joints under different corrosion degrees, together with 45° inclined angle and full penetration load-carrying fillet, as the research object, the stress intensity factor of a quarter-circu... Taking cruciform welded joints under different corrosion degrees, together with 45° inclined angle and full penetration load-carrying fillet, as the research object, the stress intensity factor of a quarter-circular comer crack of welded joints is calculated based on FRANC3D with ABAQUS. Effects of different corrosion pit sizes, crack aspect ratios, and crack depths on stress intensity factor are analyzed. The results show that pit depth plays a major role in stress intensity factor, while the effect of pit radius is relatively small. The cracking modes of the surface and the deepest point are mode I, and mixed modes I and II, respectively. Effects of pit depths, crack aspect ratios, and crack depths on the stress intensity factor at the surface point are greater than at the deepest point. 展开更多
关键词 Stress intensity factor Welded joint Prior corrosion Complex stress field. Numerical simulation
在线阅读 下载PDF
The influence of joint geometric parameters on shape factor of butt joint with center through crack
8
作者 张敬强 杨建国 +3 位作者 王涛 刘雪松 董志波 方洪渊 《China Welding》 EI CAS 2012年第2期52-54,共3页
In this research, the influence of such joint geometric parameters as weld width and reinforcement on shape ~actor of butt joint with center crack subjected to static loading was investigated by finite element analyse... In this research, the influence of such joint geometric parameters as weld width and reinforcement on shape ~actor of butt joint with center crack subjected to static loading was investigated by finite element analyses method. According to the analytical resuhs, a well fracture resistant joint shape of butt joint with center crack has been approved. 展开更多
关键词 joint geometric parameters butt joint with center crack shape factor
在线阅读 下载PDF
Clinical Evaluation of Platelet Rich Growth Factors (PRGFS) in Treatment of Temporomandibular Joint Disc Displacement—Study Report
9
作者 Lahaou Baladji Touré Oumar Ongoïba +2 位作者 Djibril Kassogué Wael Ahmed Elmohandes Elsaeed Mohamed Abdellatif 《Open Journal of Stomatology》 CAS 2023年第5期174-187,共14页
Objective: The aim of the study was to evaluate the effect of platelet rich growth factors (PRGFs) in treatment of temporomandibular joint disc displacement. Materials and Methods: The study subjects included 8 female... Objective: The aim of the study was to evaluate the effect of platelet rich growth factors (PRGFs) in treatment of temporomandibular joint disc displacement. Materials and Methods: The study subjects included 8 females having bilateral anterior disc displacement with reduction and 1 female having bilateral anterior disc displacement without reduction with the age range between 20 - 35 years. The process of obtaining PRGFs was carried out following the Anitua Technique. Results: Clinical parameters of Interincisal distance, Lateral excursion of mandible using digital caliper in millimeters and Visual Analogue Scale (VAS 0/10) for pain intensity score were used. All of these parameters were running through the intervals of two, four, and eight weeks till the end of the follow-up period at twenty-six weeks (six months). The participated patients showed the clinical improvement in the different clinical statuses such as interincisal distance;lateral excursion of mandible and Pain Score. Conclusion: the study reported early efficacy of PRGFs after the arthrocentesis of the joint in treatment of TMJ disc displacement, and according to our results, the injection of PRGFs could be a possible alternative treatment for patients who did not respond to standard treatment. 展开更多
关键词 Platelet Rich Growth factors Platelet Rich Plasma Temporomandibular joint
暂未订购
老年股骨转子间骨折患者PFNA术后髋关节功能不良风险等级预测模型的构建和评价
10
作者 武志刚 张海东 刘海洋 《临床误诊误治》 2026年第1期44-52,共9页
目的构建老年股骨转子间骨折患者股骨近端防旋髓内钉(PFNA)术后髋关节功能不良的风险等级预测模型,并评价其效能。方法选取2021年1月至2023年6月收治的208例老年股骨转子间骨折患者为研究对象,通过一般资料调查表、医院电子病历系统、Ha... 目的构建老年股骨转子间骨折患者股骨近端防旋髓内钉(PFNA)术后髋关节功能不良的风险等级预测模型,并评价其效能。方法选取2021年1月至2023年6月收治的208例老年股骨转子间骨折患者为研究对象,通过一般资料调查表、医院电子病历系统、Harris髋关节功能评分系统、恐动症Tampa量表进行问卷调查。采用单因素、多因素Logistic回归分析老年股骨转子间骨折患者PFNA术后髋关节功能不良的影响因素,将Logistic回归分析中有意义变量纳入列线图模型,采用受试者工作特征(ROC)曲线验证其效能,根据个体携带的危险因素,运用列线图模型计算患者PFNA术后髋关节功能不良的风险总得分及其风险概率,并根据风险总得分进行危险等级划分。结果最终完成206例老年股骨转子间骨折患者的随访及资料收集,Harris髋关节功能评分(86.12±7.32)分,髋关节功能预后良好率为75.24%(155/206),预后不良率为24.76%(51/206)。单因素、多因素Logistic回归分析显示,超重/肥胖、不稳定性骨折、手术时机≥7 d、Clavien-Dindo分级、恐动症、营养不良、骨质疏松症、血清Ⅰ型胶原氨基端前肽、血清骨织素均为老年股骨转子间骨折患者PFNA术后髋关节功能不良的独立危险因素,而功能锻炼依从性、血清25羟维生素D3是其保护因素(P<0.01)。基于上述影响因素构建列线图模型预测PFNA术后髋关节功能不良的曲线下面积为0.861(95%CI:0.793,0.928)。依据列线图模型计算髋关节功能不良风险总得分、预测风险概率,依据总得分分为低风险(≤160分)、中风险(>160~200分)、高风险(>200分)3个等级,对应概率分别为≤10%、>10%~50%、>50%。结论超重/肥胖、营养不良、骨质疏松症等是老年股骨转子间骨折患者PFNA术后髋关节功能不良的影响因素,以此为基础构建的列线图模型具有良好临床预测效用,可指导临床建立风险预警模式。 展开更多
关键词 股骨转子间骨折 老年 股骨近端防旋髓内钉 髋关节功能 危险因素 预测模型 列线图
暂未订购
Strength and deformation characteristics of irregular columnar jointed rock mass: A combined experimental and theoretical study 被引量:7
11
作者 Xiangcheng Que Zhende Zhu +2 位作者 Yanxin He Zihao Niu Haonan Huang 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2023年第2期429-441,共13页
The irregularity of jointed network poses a challenge to the determination of field mechanical param-eters of columnar jointed rock mass(CJRM),and a reasonable prediction of deformation and strength characteristics of... The irregularity of jointed network poses a challenge to the determination of field mechanical param-eters of columnar jointed rock mass(CJRM),and a reasonable prediction of deformation and strength characteristics of CJRM is important for engineering construction.The Voronoi diagram and three-dimensional printing technology were used to make an irregular columnar jointed mold,and the irregular CJRM(ICJRM)specimens with different dip directions and dip angles were prepared.Uniaxial compression tests were performed,and the anisotropic strength and deformation characteristics of ICJRM were described.The failure modes and mechanisms were revealed in accordance with the final appearances of the ICJRM specimens.Based on the model test results,the empirical correlations for determining the field deformation and strength parameters of CJRM were derived using the dip angle and modified joint factor.The proposed empirical equations were used in the Baihetan Project,and the calculated mechanical parameters were compared with the field test results and those obtained from the tunneling quality index method.Results showed that the deformation parameters determined by the two proposed methods are all consistent with the field test results,and these two methods can also estimate the strength parameters effectively. 展开更多
关键词 Irregular columnar jointed rock mass (ICJRM) Physical model test Anisotropic characteristic Empirical relations Dip angle Modified joint factor
在线阅读 下载PDF
影响保留髌骨的全膝关节置换术后膝前痛发生的多因素分析
12
作者 陈有泉 鲍星安 +3 位作者 黄易 杨辉 乐林丰 刘锋 《南京医科大学学报(自然科学版)》 北大核心 2026年第3期435-443,共9页
目的:探讨影响保留髌骨的全膝关节置换(total knee arthroplasty,TKA)术后膝前痛发生的因素。方法:回顾性分析2020年9月—2025年5月于南京医科大学第一附属医院骨科接受保留髌骨的TKA患者2 027例,根据术后是否发生膝前痛,将患者分为无... 目的:探讨影响保留髌骨的全膝关节置换(total knee arthroplasty,TKA)术后膝前痛发生的因素。方法:回顾性分析2020年9月—2025年5月于南京医科大学第一附属医院骨科接受保留髌骨的TKA患者2 027例,根据术后是否发生膝前痛,将患者分为无膝前痛组(1 886例)和有膝前痛组(141例)。测量并比较两组患者术前与术后的影像学指标。采用单因素分析及多因素Logistic回归分析确定影响膝前痛的独立危险因素。结果:两组患者性别、年龄、体重指数的差异均无统计学意义(P >0.05)。两组患者术前髌骨倾斜角、术前髌骨移位、术前髌骨形态、术后髌骨倾斜角、术后髌骨移位、术后髌骨形态、髌股关节充填距离差异有统计学意义(P<0.05)。术前髌骨厚度、术前髌骨高度、术前髋-膝-踝(hip-knee-ankle,HKA)角、术后髌骨厚度、术后髌骨高度、术后HKA角差异无统计学意义(P > 0.05)。多因素分析显示,术后髌骨倾斜角、术后髌骨移位、髌股关节充填距离、髌骨高度具有统计学意义(P<0.05)。中介效应分析显示,髌骨形态对膝前痛无直接效应,其影响完全由髌骨倾斜角与髌骨移位两个中介变量产生。结论:术后倾斜角增大、术后髌骨移位增加、术后低位髌骨和髌骨过度充填为保留髌骨的TKA术后膝前痛发生的独立危险因素。中介效应分析进一步表明,髌骨形态对膝前痛的影响完全由髌骨倾斜角与髌骨移位介导。 展开更多
关键词 关节置换术 膝前痛 髌股关节 危险因素 LOGISTIC模型
原文传递
全关节置换术后下肢深静脉血栓形成影响因素分析及护理对策
13
作者 程建军 蒋玮 +6 位作者 王娇 盛孝敏 代娟 曾聪 谢小伟 巨杉 郑凤 《医药高职教育与现代护理》 2026年第1期31-36,共6页
目的 研究全关节置换术后下肢深静脉血栓形成(DVT)影响因素及护理对策。方法 采用便利抽样法,选取2022年10月至2023年12月在重庆医科大学附属第二医院行全关节置换术的患者作为研究对象。按照术后30天内是否出现下肢DVT将其分为DVT组和... 目的 研究全关节置换术后下肢深静脉血栓形成(DVT)影响因素及护理对策。方法 采用便利抽样法,选取2022年10月至2023年12月在重庆医科大学附属第二医院行全关节置换术的患者作为研究对象。按照术后30天内是否出现下肢DVT将其分为DVT组和非DVT组,采用广义线性混合模型分析DVT的影响因素。结果 共纳入106例患者,其中DVT组30例,占28.3%,非DVT组76例,占71.7%。广义线性混合模型分析显示,年龄[比值比=1.110,95%置信区间(1.030~1.198),P=0.007]、Charlson评分[比值比=1.650,95%置信区间(1.140,2.390,P=0.009]、术后卧床时间(d)[比值比=1.161,95%置信区间(1.016~1.393),P=0.040]、术后药物预防启动时间(h)[比值比=1.012,95%置信区间(1.003~1.021),P=0.046]、术后机械性预防启动时间(h)[比值比=1.027,95%置信区间(1.005~1.056),P=0.037]是全关节置换术后下肢深静脉血栓形成影响因素。结论 临床医护人员应关注高龄患者及多病共存患者的DVT的防治,尽早启动机械性预防与药物预防,同时关注患者术后的活动能力,鼓励并指导患者早期下床活动,灵活制定个性化防治方案,避免DVT的发生,从而改善预后。 展开更多
关键词 全关节置换术 深静脉血栓 影响因素 护理
暂未订购
基于三维扫描技术的管节点疲劳热点应力集中系数分析
14
作者 马永亮 张应铭 +2 位作者 陆国庆 杨跃富 韩超帅 《浙江大学学报(工学版)》 北大核心 2026年第2期260-268,278,共10页
为了准确评估焊接管节点的疲劳热点应力集中系数(SCF),验证现有方法的准确性,提出新的建模方法.以T形管节点为研究对象,通过三维激光扫描技术获取焊缝形状数据,利用逆向建模方法建立焊缝模型并导入有限元软件,形成含有焊缝的管节点模型... 为了准确评估焊接管节点的疲劳热点应力集中系数(SCF),验证现有方法的准确性,提出新的建模方法.以T形管节点为研究对象,通过三维激光扫描技术获取焊缝形状数据,利用逆向建模方法建立焊缝模型并导入有限元软件,形成含有焊缝的管节点模型.进行轴向拉伸加载下的T形管节点测试,按照表面应力插值法得到SCF.使用所提模型、美国焊接学会(AWS)规范焊缝模型和无焊缝模型计算试验管节点的SCF,将计算结果与测试数据进行对比分析.结果表明,所提模型的计算结果与测试数据最接近,AWS规范焊缝模型其次,无焊缝模型的计算结果保守,且不能准确给出SCF沿焊趾的分布.在缺乏焊缝数据时,AWS规范焊缝模型的计算结果符合测试数据的分布规律,且误差不超过25%.所提方法可方便地推广到其他类型管节点模拟中. 展开更多
关键词 三维扫描技术 逆向建模 T形管节点 应力集中系数(SCF) 试验测试
在线阅读 下载PDF
膝内侧间室骨关节炎单髁置换中有限元分析的应用价值 被引量:2
15
作者 张子峥 罗旺 刘长路 《中国组织工程研究》 北大核心 2026年第9期2313-2322,共10页
背景:单髁置换已成为治疗终末期内侧间室膝骨关节炎的重要微创手段,在关节外科领域应用日益广泛。有限元分析作为一种先进的生物力学研究方法,能模拟真实人体,揭示膝关节生物力学特性,为优化手术方案及开发新型植入材料提供有力支持。目... 背景:单髁置换已成为治疗终末期内侧间室膝骨关节炎的重要微创手段,在关节外科领域应用日益广泛。有限元分析作为一种先进的生物力学研究方法,能模拟真实人体,揭示膝关节生物力学特性,为优化手术方案及开发新型植入材料提供有力支持。目的:综述膝内侧间室骨关节炎单髁置换中有限元分析技术的应用进展,并展望了未来的发展趋势。方法:第一作者于PubMed数据库和中国知网检索建库至2024年12月发表的文献,以“finite element analysis,medial compartment osteoarthritis of the knee,unicompartmental knee arthroplasty,prosthesis alignment,joint line,prosthesis design,fracture risk factors”为英文检索词进行检索;以“有限元分析,膝关节,单髁置换术,假体排列,关节线,假体设计,骨折危险因素”为中文检索词进行检索。最终纳入53篇文献进行分析。结果与结论:①胫骨假体排列:固定平台单髁置换在冠状面推荐0°,后倾5°-7°;活动平台单髁置换则推荐冠状面内翻4°至外翻4°,后倾3°-7°,轴位旋转0°至外旋3°;②股骨假体排列:固定平台单髁置换在冠状面排列推荐股骨髁远端中心0°(中立位),矢状面排列为后倾9°-12°;活动平台单髁置换中,股骨假体冠状面排列为内翻4°至外翻4°,轴位旋转为0°(中立位)至内旋6°;③关节线高度:建议维持原关节线高度;④假体设计:固定平台假体单髁置换建议采用平底或解剖模拟设计的衬垫;活动平台假体单髁置换则推荐采用解剖模拟或与人体解剖一致性高的衬垫;此外,单髁置换胫骨托盘设计推荐两直立柱与鳍骨或小龙骨的组合设计,胫骨假体立柱长度以33 mm为宜。 展开更多
关键词 有限元分析 膝内侧间室骨关节炎 单髁置换术 膝关节 假体排列 关节线 假体设计 骨折危险因素
暂未订购
基于Ubiquitous-Joint模型的层状岩坡稳定性分析 被引量:5
16
作者 王曰国 王星华 林杭 《灾害学》 CSCD 2007年第4期46-50,共5页
在应力的作用下,层状岩土体表现出来的力学行为比较复杂,目前广泛使用的各向同性模型不再适用,因此,有必要建立合理描述层状岩质边坡的力学模型。以某公路边坡为工程背景,首先,探讨了层状岩质边坡的失稳机制;然后,利用快速拉格朗日差分... 在应力的作用下,层状岩土体表现出来的力学行为比较复杂,目前广泛使用的各向同性模型不再适用,因此,有必要建立合理描述层状岩质边坡的力学模型。以某公路边坡为工程背景,首先,探讨了层状岩质边坡的失稳机制;然后,利用快速拉格朗日差分法(FLAC3D),建立该边坡的数值分析模型,探讨了强度折减技术在U-biquitous-Joint模型中的实施方法,即对岩体和层理面参数同时进行折减,采用计算不收敛作为边坡临界失稳判据;最后,通过数值计算,分析层状岩质边坡稳定性的影响因素,得到边坡整体安全系数F随节理倾角β先减小后增大,呈现两头高中间低的形态。 展开更多
关键词 层状边坡 稳定性 Ubiquitous—joint模型 强度折减法 失稳判据 影响因素
在线阅读 下载PDF
人工关节感染治疗失败的危险因素分析与药学干预对策
17
作者 李业 周建寅 +2 位作者 钱宇章 何丹丹 李澍 《现代生物医学进展》 2026年第2期203-209,共7页
目的:探讨人工关节假体周围感染(PJI)治疗失败的危险因素,并分析个性化药学干预对改善预后的作用。方法:回顾性分析2018年1月至2022年12月收治的45例PJI患者临床资料,根据治疗结局分为失败组(12例)和成功组(33例)。收集患者基线特征、... 目的:探讨人工关节假体周围感染(PJI)治疗失败的危险因素,并分析个性化药学干预对改善预后的作用。方法:回顾性分析2018年1月至2022年12月收治的45例PJI患者临床资料,根据治疗结局分为失败组(12例)和成功组(33例)。收集患者基线特征、感染指标及药学干预细节,采用多因素Logistic回归筛选失败危险因素,并比较普通与个性化药学干预的疗效。结果:感染症状持续时间>14天(OR=12.632,P=0.004)、术前窦道形成(OR=4.891,P=0.036)、未接受个性化药学干预(OR=8.367,P=0.019)是独立危险因素。个性化干预组治疗失败率显著低于普通干预组(10.7%vs 52.9%,P<0.001),且药敏指导用药比例、疗程达标率更高,不良反应发生率更低(P均<0.05)。联合危险因素模型预测失败的AUC为0.926(灵敏度83.3%,特异度90.9%)。结论:延长感染症状持续时间、术前窦道形成及缺乏个性化药学干预会增加PJI治疗失败风险。多学科协作的个性化药学干预可显著提升疗效,值得临床推广。 展开更多
关键词 人工关节假体周围感染 治疗失败 危险因素 药学干预 个性化治疗
原文传递
加味宣痹汤内服外洗辅助治疗类风湿关节炎患者的效果及对其机体炎性因子水平和关节功能的影响
18
作者 赵嫚 郭雪梅 《中国民族医药杂志》 2026年第2期7-9,共3页
目的:探讨加味宣痹汤内服外洗辅助治疗类风湿关节炎(RA)患者的效果及对其机体炎性因子水平和关节功能的影响。方法:选择2023年1月—2025年1月期间于我院接受治疗的94例RA患者,根据随机数表法分为2组,对照组47例给予常规免疫治疗,观察组4... 目的:探讨加味宣痹汤内服外洗辅助治疗类风湿关节炎(RA)患者的效果及对其机体炎性因子水平和关节功能的影响。方法:选择2023年1月—2025年1月期间于我院接受治疗的94例RA患者,根据随机数表法分为2组,对照组47例给予常规免疫治疗,观察组47例增加加味宣痹汤内服外洗辅助治疗,比较临床疗效、关节功能指标、炎性因子水平以及不良反应。结果:与对照组(82.98%)比,观察组总有效率(97.87%)明显更高(P<0.05)。治疗后,与对照组比,观察组CRP、ESR、RF水平明显更低(P<0.05)。治疗后,与对照组比,观察组的mTSS、ES、JSNS评分明显较对照组低(P<0.05)。与对照组(19.15%)比,观察组不良反应发生率(4.26%)明显更低(P<0.05)。结论:对RA患者应用加味宣痹汤内服外洗辅助治疗的疗效较为显著,能够有效降低机体炎性因子水平,改善关节功能,并减少不良反应的发生。 展开更多
关键词 类风湿关节炎 加味宣痹汤 炎性因子 关节功能
暂未订购
关节镜H-Loop无结双排修复技术治疗L型肩袖撕裂的临床效果分析
19
作者 吴仁政 张跃正 张志远 《浙江创伤外科》 2026年第1期21-24,共4页
目的分析关节镜H-Loop无结双排修复技术治疗L型肩袖撕裂的临床效果。方法选取2021年3月至2025年6月于东阳花园田氏医院收治的62例L型肩袖撕裂患者作为研究对象,按随机数字表法分为对照组和观察组各31例。对照组给予患者传统双排缝合修复... 目的分析关节镜H-Loop无结双排修复技术治疗L型肩袖撕裂的临床效果。方法选取2021年3月至2025年6月于东阳花园田氏医院收治的62例L型肩袖撕裂患者作为研究对象,按随机数字表法分为对照组和观察组各31例。对照组给予患者传统双排缝合修复,观察组给予患者关节镜H-Loop无结双排修复。比较两组术前、术后1周及术后6周的肩关节功能评分(Constant-Murley)、视觉模拟评分(visual analogue score,VAS)、健康调查简表(SF-36)评分、肩关节活动度(Range of Motion,ROM)、血清炎症因子[血清白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-alpha,TNF-α)],统计两组治疗期间的并发症情况。结果术后1周、术后6周,观察组Constant-Murley评分高于对照组,VAS评分低于对照组(P<0.05);观察组SF-36评分、ROM高于对照组(P<0.05);观察组IL-6、TNF-α水平低于对照组(P<0.05);治疗期间,观察组患者的并发症总发生率低于对照组(P<0.05)。结论关节镜H-Loop无结双排修复技术可有效促进L型肩袖撕裂患者的肩关节功能恢复,减轻疼痛感,改善生活质量,控制术后炎症反应。 展开更多
关键词 肩袖撕裂 关节镜 肩关节功能 炎症因子 并发症
暂未订购
上一页 1 2 89 下一页 到第
使用帮助 返回顶部