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Combination of low-energy shock-wave therapy and bone marrow mesenchymal stem cell transplantation to improve the erectile function of diabetic rats 被引量:16
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作者 Hai-Tao Shan Hai-Bo Zhang +6 位作者 Wen-Tao Chen Feng-Zhi Chen Tao Wang Jin-Tai Luo Min Yue Ji-Hong Lin An-Yang Wei 《Asian Journal of Andrology》 SCIE CAS CSCD 2017年第1期26-33,共8页
Stem cell transplantation and low-energy shock-wave therapy (LESWT) have emerged as potential and effective treatment protocols for diabetic erectile dysfunction. During the tracking of transplanted stem cells in di... Stem cell transplantation and low-energy shock-wave therapy (LESWT) have emerged as potential and effective treatment protocols for diabetic erectile dysfunction. During the tracking of transplanted stem cells in diabetic erectile dysfunction models, the number of visible stem cells was rather low and decreased quickly. LESWT could recruit endogenous stem cells to the cavernous body and improve the microenvironment in diabetic cavernous tissue. Thus, we deduced that LESWT might benefit transplanted stem cell survival and improve the effects of stem cell transplantation. In this research, 42 streptozotocin-induced diabetic rats were randomized into four groups: the diabetic group (n = 6), the LESWT group (n = 6), the bone marrow-derived mesenchymal stem cell (BMSC) transplantation group (n = 15), and the combination of LESWT and BMSC transplantation group (n = 15). One and three days after BMSC transplantation, three rats were randomly chosen to observe the survival numbers of BMSCs in the cavernous body. Four weeks after BMSC transplantation, the following parameters were assessed: the surviving number of transplanted BMSCs in the cavernous tissue, erectile function, real-time polymerase chain reaction, and penile immunohistochemical assessment. Our research found that LESWT favored the survival of transplanted BMSCs in the cavernous body, which might be related to increased stromal cell-derived factor-1 expression and the enhancement of angiogenesis in the diabetic cavernous tissue. The combination of LESWT and BMSC transplantation could improve the erectile function of diabetic erectile function rats more effectively than LESWT or BMSC transplantation performed alone. 展开更多
关键词 bone marrow mesenchymal stem cell diabetes mellitus erectile function low-energy shock-wave therapy
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A study on turbulence transportation and modification of Spalart–Allmaras model for shock-wave/turbulent boundary layer interaction flow 被引量:11
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作者 Ma Li Lu Lipeng +1 位作者 Fang Jian Wang Qiuhui 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2014年第2期200-209,共10页
It is of great significance to improve the accuracy of turbulence models in shock-wave/ boundary layer interaction flow. The relationship between the pressure gradient, as well as the shear layer, and the development ... It is of great significance to improve the accuracy of turbulence models in shock-wave/ boundary layer interaction flow. The relationship between the pressure gradient, as well as the shear layer, and the development of turbulent kinetic energy in impinging shock-wave/turbulent bound- ary layer interaction flow at Mach 2.25 is analyzed based on the data of direct numerical simulation (DNS). It is found that the turbulent kinetic energy is amplified by strong shear in the separation zone and the adverse pressure gradient near the separation point. The pressure gradient was non-dimensionalised with local density, velocity, and viscosity. Spalart Allmaras (S A) model is modified by introducing the non-dimensional pressure gradient into the production term of the eddy viscosity transportation equation. Simulation results show that the production and dissipation of eddy viscosity are strongly enhanced by the modification of S-A model. Compared with DNS and experimental data, the wall pressure and the wall skin friction coefficient as well as the velocity profile of the modified S-A model are obviously improved. Thus it can be concluded that the mod- ification of S-A model with the pressure gradient can improve the predictive accuracy for simulat- ing the shock-wave/turbulent boundary laver interaction. 展开更多
关键词 Eddy viscosity Pressure gradient shock-wave/turbulentboundary layer interaction Spalart-Allmaras model Turbulent kinetic energytransport property
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Large-eddy simulation of shock-wave/turbulent boundary layer interaction with and without Spark Jet control 被引量:11
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作者 Yang Guang Yao Yufeng +3 位作者 Fang Jian Gan Tian Li Qiushi Lu Lipeng 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2016年第3期617-629,共13页
The efficiency and mechanism of an active control device "'Spark Jet" and its application in shock-induced separation control are studied using large-eddy simulation in this paper. The base flow is the interaction ... The efficiency and mechanism of an active control device "'Spark Jet" and its application in shock-induced separation control are studied using large-eddy simulation in this paper. The base flow is the interaction of an oblique shock-wave generated by 8° wedge and a spatially-developing Ma = 2.3 turbulent boundary layer. The Reynolds number based on the incoming flow property and the boundary layer displacement thickness at the impinging point without shock-wave is 20000. The detailed numerical approaches were presented. The inflow turbulence was generated using the digital filter method to avoid artificial temporal or streamwise periodicity. The , merical results including velocity profile, Reynolds stress profile, skin friction, and wall pressure were sys- tematically validated against the available wind tunnel particle image velocimetry (PIV) measure- ments of the same flow condition. Further study on the control of flow separation due to the strong shock-viscous interaction using an active control actuator "'Spark Jet'" was conducted. The single-pulsed characteristic of the device was obtained and compared with the experiment. Both instantaneous and time-averaged flow fields have shown that the jet flow issuing from the actuator cavity enhances the flow mixing inside the boundary layer, making the boundary layer more resis- tant to flow separation. Skin friction coefficient distribution shows that the separation bubble length is reduced by about 35% with control exerted. 展开更多
关键词 Large-eddy simulation shock-wave:Turbulent boundary layer INTERACTION Spark Jet control
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Shock-wave impact on the knee joint affected with osteoarthritis and after arthroplasty 被引量:1
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作者 Galina Eremina Alexey Smolin 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2023年第2期1-10,共10页
Degenerative diseases significantly reduce the quality of human life.Non-invasive treatments are used in the initial stages of osteoarthritis(OA).Total knee arthroplasty is used in the late stages of osteoarthritis of... Degenerative diseases significantly reduce the quality of human life.Non-invasive treatments are used in the initial stages of osteoarthritis(OA).Total knee arthroplasty is used in the late stages of osteoarthritis of the knee joint.Non-invasive methods based on mechanical action are also used for the rehabilitation of a patient after arthroplasty.This paper presents numerical models of the knee joint with degenerative OA changes and arthroplasty.Using these models,a computational study was made of the influence of the intensity of shock-wave exposure on the conditioning for the regeneration of bone and cartilage tissues.Based on the modeling results,it was found that in the knee joint with degenerative OA changes,conditions for the regeneration of cartilage and meniscus tissues were fulfilled under medium and highintensity loading.Under high-intensity loading(up to 0.9 m J/mm^(2)),the stress level was significantly below the ultimate value required for fracture.At knee arthroplasty,the conditions for bone tissue regeneration around the tibia component are fulfilled only under high-intensity loading. 展开更多
关键词 Knee joint Total knee replacement shock-wave therapy Computer simulation Method of movable cellular automata
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Distribution Regularity of Muzzle Shock-Wave Inside Protective Cover 被引量:1
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作者 WU Jun LIU Jingbo DU Yixin 《Transactions of Tianjin University》 EI CAS 2006年第B09期161-164,共4页
The injury of gunners caused by muzzle shock-wave has always been a great problem when firing inside the protective cover. The distribution regularity and personnel injury from the muzzle blast-wave were investigated ... The injury of gunners caused by muzzle shock-wave has always been a great problem when firing inside the protective cover. The distribution regularity and personnel injury from the muzzle blast-wave were investigated by both test and numerical simulation. Through the inside firing test, the changes of overpressure and noise have been measured at different measuring points in the thin-wall cover structure with different open widths and shallow covering thickness. The distribution regularity of muzzle shock-wave with different firing port widths is calculated by ANSYS/LSDYNA software. The overpressure distribution curves of muzzle shock-wave inside the structure can be obtained by comparing the test results with the numerical results. Then, the influence of open width and shallow covering thickness is proposed to give a reference to the protective design under the condition of the inside firing with the same cannon caliber. 展开更多
关键词 artillery inside firing muzzle shock-wave OVERPRESSURE distribution regularity
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Structural uncertainty quantification of Reynolds-Averaged Navier–Stokes closures for various shock-wave/boundary layer interaction flows
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作者 Fanzhi ZENG Tianxin ZHANG +2 位作者 Denggao TANG Jinping LI Chao YAN 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2024年第3期34-48,共15页
Accurate prediction of Shock-Wave/Boundary Layer Interaction(SWBLI)flows has been a persistent challenge for linear eddy viscosity models.A major limitation lies in the isotropic representation of the Reynolds stress,... Accurate prediction of Shock-Wave/Boundary Layer Interaction(SWBLI)flows has been a persistent challenge for linear eddy viscosity models.A major limitation lies in the isotropic representation of the Reynolds stress,as assumed under the Boussinesq approximation.Recent studies have shown promise in improving the prediction capability for incompressible separation flows by perturbing the Reynolds-stress anisotropy tensor.However,it remains uncertain whether this approach is effective for SWBLI flows,which involve compressibility and discontinuity.To address this issue,this study systematically quantifies the structural uncertainty of the anisotropy for oblique SWBLI flows.The eigenspace perturbation method is applied to perturb the anisotropy tensor predicted by the Menter Shear–Stress Transport(SST)model and reveal the impacts of anisotropy on the prediction of quantities of interest,such as separation and reattachment positions,wall static pressure,skin friction,and heat flux.The results demonstrate the potential and reveal the challenges of eigenspace perturbation in improving the SST model.Furthermore,a detailed analysis of turbulent characteristics is performed to identify the source of uncertainty.The findings indicate that eigenspace perturbation primarily affects turbulent shear stress,while the prediction error of the SST model is more related to turbulent kinetic energy. 展开更多
关键词 shock-wave/boundary layer interaction(SWBLI) Turbulence models Uncertainty analysis Eigenspace perturbation Anisotropy
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Quantum Electrostatic Shock-Waves in Symmetric Pair-Plasmas
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作者 Massoud Akbari-Moghanjoughi 《Open Journal of Acoustics》 2012年第2期72-79,共8页
In this paper, the quantum hydrodynamics (QHD) model is used to study the propagation of small- but finite-amplitude quantum electrostatic shock-wave in an inertial-less symmetric pair (ion) plasma with immobile backg... In this paper, the quantum hydrodynamics (QHD) model is used to study the propagation of small- but finite-amplitude quantum electrostatic shock-wave in an inertial-less symmetric pair (ion) plasma with immobile background positive constituents. The dispersion due to the quantum tunneling and inertial effects as well as dissipation caused by particle collisions leading to the shock-like or double-layer structures are considered. Investigation of both the stationary and traveling-wave solutions to Kortewege-de Veries-Burgers evolution equation show that critical values exist which govern the type of collective plasma structures. Current analysis apply to diverse kind of symmetric plasmas such as laboratory inertially confined or astrophysical pair-ion or electron-positron degenerate plasmas. 展开更多
关键词 ELECTROSTATIC shock-wave QUANTUM Plasma FERMI Statistics QUANTUM Hydrodynamics KdVB Equation QHD
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Near-wall behaviors of oblique-shock-wave/turbulent-boundary-layer interactions
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作者 Mingsheng YE Ming DONG 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2017年第10期1357-1376,共20页
A direct numerical simulation (DNS) on an oblique shock wave with an incident angle of 33.2° impinging on a Mach 2.25 supersonic turbulent boundary layer is performed. The numerical results are confirmed to be ... A direct numerical simulation (DNS) on an oblique shock wave with an incident angle of 33.2° impinging on a Mach 2.25 supersonic turbulent boundary layer is performed. The numerical results are confirmed to be of high accuracy by comparison with the reference data. Particular efforts have been made on the investigation of the near-wall behaviors in the interaction region, where the pressure gradient is so significant that a certain separation zone emerges. It is found that, the traditional linear and loga- rithmic laws, which describe the mean-velocity profiles in the viscous and meso sublayers, respectively, cease to be valid in the neighborhood of the interaction region, and two new laws of the wall are proposed by elevating the pressure gradient to the leading order. The new laws are inspired by the analysis on the incompressible separation flows, while the compressibility is additionally taken into account. It is verified by the DNS results that the new laws are adequate to reproduce the mean-velocity profiles both inside and outside the interaction region. Moreover, the normalization adopted in the new laws is able to regularize the Reynolds stress into an almost universal distribution even with a salient adverse pressure gradient (APG). 展开更多
关键词 shock wave turbulent boundary layer direct numerical simulation (DNS) adverse pressure gradient (APG) separation
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Can extracorporeal shock-wave therapy be used for the management of lateral elbow tendinopathy?
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作者 Dimitrios Stasinopoulos 《World Journal of Methodology》 2018年第3期37-39,共3页
Lateral elbow tendinopathy(LET) is one of the two most common tendinopathies of the upper limb. The most effective treatment in the management of LET is the exercise program. Clinicians combine exercise program with o... Lateral elbow tendinopathy(LET) is one of the two most common tendinopathies of the upper limb. The most effective treatment in the management of LET is the exercise program. Clinicians combine exercise program with other physiotherapy, electrotherapeutic and no, techniques. Extracorporeal shock wave therapy(ESWT) is one of the most common recommended electrotherapeutic modalities for the management of LET. Further research is needed to find out the optimal treatment protocol of ESWT in the management of 展开更多
关键词 LATERAL ELBOW TENDINOPATHY EXTRACORPOREAL shock wave THERAPY Exercise program Electrotherapy Tennis ELBOW LATERAL EPICONDYLITIS Physiotherapy Calcific TENDINOPATHY
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Structure Transformations in the Polycrystalline (Ti,Nb)<sub>3</sub>Al Alloy under Shock-Wave Loading
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作者 Nataliya V. Kazantseva Evgenii V. Shorokhov 《Journal of Modern Physics》 2011年第10期1141-1145,共5页
Structure transformations in the two-phase (Ti, Nb)3Al alloy, induced by shock-wave loading, were studied. The samples were subjected to an impact of a steel plate. The maximum pressure on the samples’ surfaces was 1... Structure transformations in the two-phase (Ti, Nb)3Al alloy, induced by shock-wave loading, were studied. The samples were subjected to an impact of a steel plate. The maximum pressure on the samples’ surfaces was 100 GPa, while the maximum temperature was 573 K. The β0→α2 phase transformation occurred during strong deformations. High temperature rectilinear dislocations (such types of dislocations usually could arise at 1073 K) with the c-component, which occasionally formed slip bands, were located at the α2-phase grains after the shock. The deformation α2-phase twins were not observed. 展开更多
关键词 TI3AL Phase Transformation Shock Waves
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Treatment of urinary lithiasis following kidney transplantation with extracorporeal shock-wave lithotripsy 被引量:6
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作者 LI Sha-dan WANG Qing-tang CHEN Wei-guo 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第9期1431-1434,共4页
Background The incidence of urinary lithiasis following kidney transplantation is very low, and decision-supporting data are not available. The aim of this study was to review the diagnosis and treatment of urinary li... Background The incidence of urinary lithiasis following kidney transplantation is very low, and decision-supporting data are not available. The aim of this study was to review the diagnosis and treatment of urinary lithiasis following kidney transplantation, which is of realistic significance to reduce urinary lithiasis following kidney transplantation, prolong the survival of renal allografts.Methods The incidence, diagnosis and treatment of urinary lithiasis in ten patients following kidney transplantation were analyzed retrospectively. Seven out of these patients had stones sized approximately 0.4-1.1 cm, and they were treated with low-voltage, low-frequency extracorporeal shock-wave lithotripsy (ESWL). Two patients had stones sized <0.3 cm and they underwent cystoscopy and ureteroscopy. The ureteral catheter endoscopes were inserted in a retrograde manner to mobilize stones repeatedly. After elimination of obstruction, a ureteral double J stent was indwelt.One patient had a pelvic stone (1.2 cm), which was removed surgically.Results The major clinical manifestations were hematuria, oliguria or anuria. Some patients were asymptomatic and they were diagnosed through laboratory tests and imaging examinations, e.g., ultrasonography. After elimination of obstruction, subjective symptoms disappeared in all patients, and the function of renal allografts recovered. A six-month follow-up indicated no remnant stones or lithiasis relapse.Conclusions The diagnosis and treatment of renal allograft lithiasis are challenging. After prompt and appropriate treatment, the prognosis was satisfactory, and permanent renal functional impairment did not occur in most patients. 展开更多
关键词 kidney transplantation LITHIASIS extracorporeal shock-wave lithotripsy
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Experimental and Numerical Investigations of Shock-Wave Boundary Layer Interactions in a Highly Loaded Transonic Compressor Cascade 被引量:1
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作者 MENG Fanjie LI Kunhang +2 位作者 GUO Penghua GAN Jiuliang LI Jingyin 《Journal of Thermal Science》 SCIE EI CSCD 2024年第1期158-171,共14页
Experimental and numerical investigations were conducted to investigate the variations of shock-wave boundary layer interaction(SBLI) phenomena in a highly loaded transonic compressor cascade with Mach numbers.The sch... Experimental and numerical investigations were conducted to investigate the variations of shock-wave boundary layer interaction(SBLI) phenomena in a highly loaded transonic compressor cascade with Mach numbers.The schlieren technique was used to observe the shock structure in the cascade and the pressure tap method to measure the pressure distribution on the blade surface.The unsteady pressure distribution on blade surface was measured with the fast-response pressure-sensitive paint(PSP) technique to obtain the unsteady pressure distribution on the whole blade surface and to capture the shock oscillation characteristics caused by SBLI.In addition,the Reynolds Averaged Navier Stokes simulations were used to compute the three-dimensional steady flow field in the transonic cascade.It was found that the shock wave patterns and behaviors are affected evidently with the increase in incoming Mach number at the design flow angle,especially with the presence of the separation bubble caused by SBLI.The time-averaged pressure distribution on the blade surface measured by PSP technique showed a symmetric pressure filed at Mach numbers of 0.85,while the pressure field on the blade surface was an asymmetric one at Mach numbers of 0.90 and 0.95.The oscillation of the shock wave was closely with the flow separation bubble on the blade surface and could transverse over nearly one interval of the pressure taps.The oscillation of the shock wave may smear the pressure jump phenomenon measured by the pressure taps. 展开更多
关键词 transonic flow transonic compressor cascade shock-wave boundary-layer interaction shock oscillation
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上斜方肌处体外冲击波与运动控制训练治疗慢性非特异性颈痛
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作者 李郝静 王新 +2 位作者 宋成林 张胜男 陈云昕 《中国组织工程研究》 北大核心 2026年第5期1162-1170,共9页
背景:慢性非特异性颈痛的发病率高且病因不明,肌筋膜疼痛与颈部深屈肌萎缩是关键因素。体外冲击波治疗能够改善微循环、缓解局部疼痛,并对颈椎退行性发展具有延缓作用;运动控制训练可显著改善颈部肌力与耐力、减轻颈部疼痛,两种方法单... 背景:慢性非特异性颈痛的发病率高且病因不明,肌筋膜疼痛与颈部深屈肌萎缩是关键因素。体外冲击波治疗能够改善微循环、缓解局部疼痛,并对颈椎退行性发展具有延缓作用;运动控制训练可显著改善颈部肌力与耐力、减轻颈部疼痛,两种方法单独应用的效果有限。目的:探讨上斜方肌处体外冲击波联合运动控制训练对慢性非特异性颈痛的治疗效果。方法:在沈阳体育学院招募慢性非特异性颈痛患者42例,均为男性,采用随机数字表法随机分3组干预:冲击波组(n=14)进行上斜方肌处体外冲击波干预,每周1次,每次10-15 min,共干预4周;训练组(n=14)进行运动控制训练,每周3次,每次40-50 min,共治疗4周;联合组(n=14)进行上斜方肌处体外冲击波干预联合运动控制训练,共干预4周。干预前及干预1,4周后,评估患者疼痛、颈椎功能,检测上斜方肌厚度、血流动力学参数及血清白细胞介素6与肿瘤坏死因子α水平。结果与结论:①与干预前比较,3组干预1,4周后的目测类比评分与颈部功能障碍指数均降低(P<0.05);干预1,4周后,联合组目测类比评分与颈部功能障碍指数均低于冲击波组、训练组(P<0.05);②与干预前比较,训练组、联合组干预4周后的上斜方肌厚度增加(P<0.05);联合组干预4周后的上斜方肌厚度大于冲击波组、训练组(P<0.05);③与干预前比较,冲击波组、联合组干预1,4周后的颈横动脉上升段收缩期峰值速度升高(P<0.05)、阻力指数降低(P<0.05),训练组干预4周后的颈横动脉上升段收缩期峰值速度升高(P<0.05)、阻力指数降低(P<0.05);干预1,4周后,联合组颈横动脉上升段收缩期峰值速度高于冲击波组、训练组(P<0.05),阻力指数低于冲击波组、训练组(P<0.05);④与干预前比较,冲击波组、联合组干预1,4周后的白细胞介素6与肿瘤坏死因子α水平降低(P<0.05),训练组干预4周后的白细胞介素6与肿瘤坏死因子α水平降低(P<0.05);干预1,4周后,联合组白细胞介素6与肿瘤坏死因子α水平低于冲击波组、训练组(P<0.05);⑤结果表明,体外冲击波联合运动控制训练治疗慢性非特异性颈痛可显著减轻疼痛、改善颈部功能,作用机制可能为促进触发点处血流速度、降低血流阻力、降低血清白细胞介素6与肿瘤坏死因子α水平、增加上斜方肌厚度。 展开更多
关键词 颈痛 上斜方肌 体外冲击波 运动控制 触发点 炎症 颈横动脉 工程化组织构建
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体外冲击波抗组织纤维化的应用及分子机制
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作者 黄思璟 崔瑞 +3 位作者 耿珑玉 高蓓瑶 葛瑞东 江山 《中国组织工程研究》 北大核心 2026年第17期4417-4429,共13页
背景:现有研究发现,体外冲击波可有效抑制组织纤维化形成,但有关体外冲击波抗纤维化的实验研究结果与总结较少,且未对相关信号通路进行归纳整理。目的:综述目前临床或临床前原始研究,对体外冲击波在纤维化组织中的应用及相关分子机制进... 背景:现有研究发现,体外冲击波可有效抑制组织纤维化形成,但有关体外冲击波抗纤维化的实验研究结果与总结较少,且未对相关信号通路进行归纳整理。目的:综述目前临床或临床前原始研究,对体外冲击波在纤维化组织中的应用及相关分子机制进行归纳总结,为临床治疗纤维化疾病提供新思路。方法:使用计算机检索PubMed、Web of Science以及中国知网、万方、维普数据库中的相关原创性研究,检索时限为2014年1月至2024年9月,英文检索词为“extracorporeal shockwave therapy,shock wave therapy,shock wave,fibrosis,fibroses”等,中文检索词为“冲击波,体外冲击波疗法,纤维化,抗纤维化”,采用主题词和自由词结合的方式进行检索。依据纳入排除标准对检索结果进行筛选、排除,最终纳入67篇文献进行综述分析。结果与结论:①体外冲击波对多种组织纤维化相关疾病有益,可有效降低组织纤维化程度,改善患者临床症状;②体外冲击波主要通过转化生长因子β1、丝裂原活化蛋白激酶、血管生长因子以及炎症信号转导通路,影响纤维化相关细胞因子表达及细胞外基质组成,从而抑制纤维化过度形成;③目前纳入的临床研究数量较少,缺少临床数据支持;另外由于各研究的干预对象及体外冲击波干预方案差异大,实验结果单一,可能对体外冲击波抗纤维化的具体量效机制及总体分子作用体系产生影响;④研究结果表明,体外冲击波未来或可作为一种有效治疗手段参与到纤维化相关疾病的临床治疗中。 展开更多
关键词 体外冲击波 冲击波 体外冲击波疗法 抗纤维化 纤维化 分子机制 康复治疗 综述
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Maitland关节松动术联合冲击波治疗对偏瘫肩痛及日常生活能力的影响
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作者 盛志春 刘小亚 +1 位作者 袁惠佳 李燕辉 《中国实用医药》 2026年第3期173-176,共4页
目的探讨Maitland关节松动术联合冲击波治疗偏瘫肩痛的效果。方法选取40例偏瘫肩痛患者,采用随机数字表法分为常规康复治疗组和常规康复治疗+Maitland关节松动术联合冲击波治疗组,各20例。比较两组干预前及干预第2、第4的肩痛程度[视觉... 目的探讨Maitland关节松动术联合冲击波治疗偏瘫肩痛的效果。方法选取40例偏瘫肩痛患者,采用随机数字表法分为常规康复治疗组和常规康复治疗+Maitland关节松动术联合冲击波治疗组,各20例。比较两组干预前及干预第2、第4的肩痛程度[视觉模拟评分法(VAS)评分]、上肢功能[Fugl-Meyer运动功能评定量表(FMA)评分]、日常生活能力[改良Barthel指数(MBI)评分]。结果干预第2周,常规康复治疗+Maitland关节松动术联合冲击波治疗组VAS评分(3.75±0.92)分低于常规康复治疗组的(5.12±1.03)分,FMA评分(43.65±5.87)分、MBI评分(61.23±7.56)分均高于常规康复治疗组的(36.23±5.42)、(52.14±7.12)分(P<0.05);干预第4周,常规康复治疗+Maitland关节松动术联合冲击波治疗组VAS评分(2.34±0.87)分低于常规康复治疗组的(4.52±1.01)分,FMA评分(56.76±6.43)分、MBI评分(78.88±8.54)分均显著高于常规康复治疗组的(42.32±5.85)、(62.32±7.87)分(P<0.05)。结论Maitland关节松动术联合冲击波治疗可有效减轻偏瘫肩痛患者的疼痛程度,改善上肢功能和日常生活能力。 展开更多
关键词 偏瘫 肩痛 Maitland关节松动术 冲击波
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体外冲击波对膝骨关节炎患者关节疼痛及功能的影响
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作者 黄文海 《中国现代药物应用》 2026年第1期33-36,共4页
目的探讨体外冲击波对膝骨关节炎(KOA)患者关节疼痛及功能的影响。方法采用抽签的方法将87例KOA患者进行分组,分别为对照组(43例)和观察组(44例)。两组均进行功能训练,对照组在此基础上外用双氯芬酸二乙胺乳胶剂(商品名:扶他林),观察组... 目的探讨体外冲击波对膝骨关节炎(KOA)患者关节疼痛及功能的影响。方法采用抽签的方法将87例KOA患者进行分组,分别为对照组(43例)和观察组(44例)。两组均进行功能训练,对照组在此基础上外用双氯芬酸二乙胺乳胶剂(商品名:扶他林),观察组在对照组的基础上采用体外冲击波治疗。比较两组患者治疗前后的骨关节炎指数(WOMAC)各维度评分,治疗前后的膝关节屈曲活动度、6 min步行距离,临床疗效,不良反应发生情况。结果治疗后,两组WOMAC中的疼痛、僵硬、日常生活评分均比本组治疗前降低,且观察组WOMAC中的疼痛评分(9.86±2.48)分、僵硬评分(4.21±1.13)分、日常生活评分(35.64±7.78)分与对照组的(11.53±2.92)、(5.04±1.21)、(41.32±8.25)分相比更低,差异有显著性(P<0.05)。治疗后,两组的膝关节屈曲活动度、6 min步行距离均较本组治疗前有所改善,且观察组的膝关节屈曲活动度(106.54±15.78)°与对照组的(99.12±12.43)°相比更大,6 min步行距离(335.69±28.25)m与对照组的(316.64±32.12)m相比更长,差异有显著性(P<0.05)。观察组、对照组的治疗总有效率分别为88.64%、69.77%,相比前者更高,差异有显著性(P<0.05)。对照组的不良反应发生率为6.98%(3/43),观察组的不良反应发生率为11.36%(5/44);两组不良反应发生率相比无显著性差异(χ^(2)=0.501,P=0.479>0.05)。结论体外冲击波能提高药物治疗KOA的疗效,减轻患者的疼痛,促进膝关节功能、运动耐力的恢复,且安全性较高,值得应用。 展开更多
关键词 体外冲击波 膝骨关节炎 关节疼痛 功能
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正清风痛宁注射液联合体外冲击波治疗早期膝关节骨性关节炎的疗效
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作者 张骞 张鸿斌 +2 位作者 姚敦炳 袁琳睿 胥韵 《贵州医药》 2026年第1期46-49,54,共5页
目的 观察早期膝关节骨性关节炎(KOA)患者采用正清风痛宁注射液联合体外冲击波治疗对其疼痛及活动的影响。方法 选取60例早期KOA患者,根据随机非双盲法分为A、B、C三组,各20例,A组行正清风痛宁注射液膝关节腔灌注治疗联合体外冲击波治... 目的 观察早期膝关节骨性关节炎(KOA)患者采用正清风痛宁注射液联合体外冲击波治疗对其疼痛及活动的影响。方法 选取60例早期KOA患者,根据随机非双盲法分为A、B、C三组,各20例,A组行正清风痛宁注射液膝关节腔灌注治疗联合体外冲击波治疗,B组行体外冲击波治疗,C组行正清风痛宁注射液膝关节腔灌注治疗。比较三组的NRS评分、WOMAC评分及不良反应发生情况。结果 治疗后第7、28天,A组NRS评分均低于B、C组(P<0.05);治疗后第84天,NRS评分三组评分差异无统计学意义(P>0.05)。治疗后第28天,A组WOMAC评分低于B、C组(P<0.05);治疗后第84天,WOCAM评分三组评分无统计学差异(P>0.05)。全部患者均未发生全身性的不良反应。结论 应用正清风痛宁注射液联合体外冲击波治疗能更快地缓解早期KOA患者的疼痛,提升其膝关节活动能力。 展开更多
关键词 正清风痛宁 膝关节骨性关节炎 体外冲击波 青藤碱
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中药足浴联合体外冲击波治疗跟痛症的临床效果
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作者 高明 顾奎 《中国医学创新》 2026年第1期129-132,共4页
目的:探讨中药足浴联合体外冲击波治疗跟痛症的临床效果。方法:选取2022年10月—2024年6月海安市中医院收治的跟痛症患者104例,按照随机数字表法将患者分为对照组(n=51,采用体外冲击波治疗)与联合组(n=53,采用中药足浴联合体外冲击波治... 目的:探讨中药足浴联合体外冲击波治疗跟痛症的临床效果。方法:选取2022年10月—2024年6月海安市中医院收治的跟痛症患者104例,按照随机数字表法将患者分为对照组(n=51,采用体外冲击波治疗)与联合组(n=53,采用中药足浴联合体外冲击波治疗)。两组治疗4周。比较两组临床效果,采用VAS、美国足踝外科协会(AOFAS)踝-后足评分量表对两组足跟疼痛程度及足部功能进行评估。结果:联合组治疗总有效率为92.45%(49/53),高于对照组的78.43%(40/51)(P<0.05)。治疗后,两组VAS评分较治疗前下降,联合组低于对照组(P<0.05)。治疗后,两组AOFAS踝-后足评分系统各项评分较治疗前升高,联合组高于对照组(P<0.05)。结论:中药足浴联合体外冲击波治疗跟痛症能提高临床效果,有效缓解患者足跟疼痛症状,促进足部功能恢复。 展开更多
关键词 跟痛症 中药足浴 体外冲击波
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高马赫数条件燃烧室斜爆轰波起爆过程试验 被引量:1
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作者 张晓源 李进平 +3 位作者 马虎 张仕忠 陈硕 陆星宇 《航空学报》 北大核心 2025年第9期230-240,共11页
斜爆轰技术具有结构简单、燃烧效率高和比冲高等优点,而试验条件的局限性限制了对斜爆轰的深入理解和该技术的进一步发展。基于反向爆轰驱动激波风洞直连试验系统,模拟了飞行高度30 km、马赫数9的来流条件,针对乙烯燃料进行了25°... 斜爆轰技术具有结构简单、燃烧效率高和比冲高等优点,而试验条件的局限性限制了对斜爆轰的深入理解和该技术的进一步发展。基于反向爆轰驱动激波风洞直连试验系统,模拟了飞行高度30 km、马赫数9的来流条件,针对乙烯燃料进行了25°斜劈的斜爆轰波起爆试验。该系统通过激波管产生高温高压空气,经喷管加速后进入燃烧室,待空气流场建立后喷入燃料,与空气混合起爆。对斜爆轰波的结构特征及起爆过程进行观测与分析,在斜劈处形成了清晰的斜爆轰波系结构,准确识别出斜激波、斜爆轰波、横波和三波点等特征。在波后存在高亮度区域,表明了强烈化学反应的发生。斜爆轰波在试验中稳定时间约为6 ms,角度保持在80°±2°范围内,且试验具有良好的重复性。分析表明,试验中获得的斜爆轰波位于极曲线的过驱动强解区域。试验展示了斜爆轰波的起爆过程:燃料喷注前,斜劈前首先形成稳定的斜激波;燃料喷注后,斜激波与分离激波的交汇位置触发混合燃气起爆;起爆后形成的爆轰波面由化学反应支撑,逐渐向前推进,波面长度不断增加,直至达到稳定状态。最终,激波管内反射激波产生的高压破坏了斜爆轰波结构。 展开更多
关键词 斜爆轰 激波 起爆 波系结构 激波风洞
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体外冲击波碎石联合输尿管镜碎石术在输尿管结石中的应用及对血清NO、ET-1及预后的影响 被引量:3
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作者 范利 辛峰 +2 位作者 刘久华 姚东伟 杨江华 《分子诊断与治疗杂志》 2025年第2期346-349,共4页
目的研究术前1周体外冲击波碎石联合输尿管镜碎石术在输尿管结石中的应用及对血清一氧化氮(NO)、内皮素1(ET-1)及预后的影响。方法选取2020年1月至2023年5月连云港市第二人民医院收治的115例输尿管结石患者,根据治疗方式将患者分为对照... 目的研究术前1周体外冲击波碎石联合输尿管镜碎石术在输尿管结石中的应用及对血清一氧化氮(NO)、内皮素1(ET-1)及预后的影响。方法选取2020年1月至2023年5月连云港市第二人民医院收治的115例输尿管结石患者,根据治疗方式将患者分为对照组(n=57)和试验组(n=58),对照组直接给予输尿管镜碎石术治疗,试验组术前1周给予体外冲击波碎石未排石或者排石不尽的给予输尿管镜碎石术治疗,观察两组患者结石清除率、血管内皮损伤指标(NO、ET-1)、肾功能指标(BUN、Scr及24hUP)及不良反应发生情况。结果试验组患者术后7 d、术后14 d结石清除率63.79%、93.10%,高于对照组的36.84%、75.44%,差异有统计学意义(P<0.05);两组患者ET-1升高,且试验组高于对照组,差异有统计学意义(P<0.05),两组患者NO降低,且试验组低于对照组,差异有统计学意义(P<0.05);两组患者BUN、Scr及24 h尿蛋白(24hUP)降低,且试验组低于对照组,差异有统计学意义(P<0.05);两组手术并发症发生率分别为5.17%、8.77%,比较差异无统计学意义(P>0.05)。结论术前1周体外冲击波碎石联合输尿管镜碎石术治疗输尿管结石效果显著,可有效降低对患者血管内皮的损伤,从而改善预后。 展开更多
关键词 体外冲击波碎石 输尿管镜碎石术 输尿管结石 一氧化氮 内皮素1
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