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Activities of the Deriviatives of Chitin on the Osbeoblast Proliferation and the Effect on Bone Strength in Ovariectomized Rats 被引量:5
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作者 WEI Changzheng LIU Wanshun +1 位作者 HAN Baoqin DUAN Yixiang 《Wuhan University Journal of Natural Sciences》 CAS 2006年第3期715-719,共5页
This study intends to examine the effects of different concentrations of four kinds of degradations of chitin: glucosamine (GLC), N-acetyl-D-glucosamine (NAG), chitooligosaccharide(COS), CM-chitooligosaccharide... This study intends to examine the effects of different concentrations of four kinds of degradations of chitin: glucosamine (GLC), N-acetyl-D-glucosamine (NAG), chitooligosaccharide(COS), CM-chitooligosaccharide (CM-COS)—on the proliferation of MC3T3-E1 cell line cultured in vitro. Results suggest that all of the glucoses mentioned above promoted the proliferation of osteoblast, and various concentrations have different effects: the proliferation was remarkable when the concentration of GLC, NAG, COS, CM-COS was 100 , 100, 500, 500 μg/mL ,respectively. Furthermore we choose the glucosamine as the material and study the effect on the bone strength in ovariectomized rats. The results showed that the middle does of glucosamine can significantly increase the hone strength of femur in ovariectomized rats. 展开更多
关键词 GLUCOSAMINE CHITIN ovariectomized rats bone strength OSTEOPOROSIS osteohlast proliferation
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Diabetes-related impairment in bone strength is established early in the life course
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作者 Krista Casazza Lynae J Hanks +2 位作者 Gregory A Clines Hubert M Tse Alan W Eberhardt 《World Journal of Diabetes》 SCIE CAS 2013年第4期145-150,共6页
AIM: To evaluate properties of bone quantity/quality using young non-obese Type 1(T1D)-diabetic(NOD) prone and syngenic non-diabetic(NOD.scid) mice.METHODS: Quantitative bone assessment of tibia was conducted using du... AIM: To evaluate properties of bone quantity/quality using young non-obese Type 1(T1D)-diabetic(NOD) prone and syngenic non-diabetic(NOD.scid) mice.METHODS: Quantitative bone assessment of tibia was conducted using dual-energy X-ray absorptiometry(DXA) for the evaluation of body mass,bone mineral content,body fat mass and lean mass.Qualitative assessment was accomplished by three-point breakage for assessment of force to failure and micro-computed tomography for evaluation of trabecular and cortical properties of bone.In addition,fasting blood was evaluated prior to sacrifice at week eleven and fifteen to evaluate and compare glucose homeostasis between the strains of mice.RESULTS: Our findings support a perturbation in the relationship between bone quantity,quality,and subsequently,the association between structure and strength.There were no differences in DXA-assessed body composition(body fat,% fat mass and lean mass) and bone composition(bone mineral content and bone mineral density) between strains.However,relative to NOD.scid,NOD mice had lower trabecular bone volume,relative trabecular bone volume,trabecular number and trabecular total material density(P < 0.05).Conversely,NOD mice had greater cortical total mean volume(P < 0.05).General linear models analysis adjusted for body weight revealed a significant contribution of T1D to bone health as early as 5 wk.CONCLUSION: It is well-established that diabetes is a significant risk factor for increased fractures,although the underlying mechanisms are not fully understood.Investigation of bone parameters encompassing strength and structure early in the life course will facilitate the elucidation of the pathogenesis of impaired bone integrity. 展开更多
关键词 Diabetes bone strength SKELETAL integrity Development and growth NON-OBESE DIABETIC
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The relationship between orthopedic clinical imaging and bone strength prediction 被引量:1
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作者 He Gong Meng Zhang +1 位作者 Shaowei Jia Linwei Lv 《Medicine in Novel Technology and Devices》 2021年第1期9-17,共9页
Pathologic fracture is caused by bone diseases,which is common in middle-aged and elderly adults.Compromised bone strength is the leading contributor to this type of fracture.Therefore,accurately quantifying bone stre... Pathologic fracture is caused by bone diseases,which is common in middle-aged and elderly adults.Compromised bone strength is the leading contributor to this type of fracture.Therefore,accurately quantifying bone strength could help clinicians assess individualized fracture risk and develop therapeutic interventions.Orthopedic clinical imaging including dual X-ray absorptiometry(DXA),computed tomography(CT),and magnetic resonance imaging(MRI)has been an important tool to obtain radiology images of bone,which could be further used for noninvasive assessment of bone strength and related fracture risk.With the development of biomechanics and computer technology,the combination of finite element analysis with orthopedic imaging is the most advanced method for noninvasive prediction of bone strength in clinics.In this review,an overview is provided for the commonly noninvasive methods based on the radiology images(i.e.,DXA,CT,and MRI)to predict bone strength,which may improve the understanding of the relationship between orthopedic clinical imaging and biomechanics. 展开更多
关键词 Orthopedic clinical imaging BIOMECHANICS bone strength Finite element analysis
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Experimental repetitive mild traumatic brain injury induces deficits in trabecular bone microarchitecture and strength in mice 被引量:1
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作者 Chandrasekhar Kesavan Nikita M Bajwa +1 位作者 Heather Watt Subburaman Mohan 《Bone Research》 SCIE CAS CSCD 2017年第4期357-366,共10页
To evaluate the long-term consequence of repetitive mild traumatic brain injury (mTBI) on bone, mTBI was induced in 10-week-old female C57BL/6J mice using a weight drop model, once per day for 4 consecutive days at ... To evaluate the long-term consequence of repetitive mild traumatic brain injury (mTBI) on bone, mTBI was induced in 10-week-old female C57BL/6J mice using a weight drop model, once per day for 4 consecutive days at different drop heights (0.5, 1 and 1.5 m) and the skeletal phenotype was evaluated at different time points after the impact. In vivo micro-CT (μ-CT) analysis of the tibial metaphysis at 2, 8 and 12 weeks after the impact revealed a 5%-32% reduction in trabecular bone mass. Histomorphometric analyses showed a reduced bone formation rate in the secondary spongiosa ofl.5 m impacted mice at 12 weeks post impact. Apparent modulus (bone strength), was reduced by 30% (P 〈 0.05) at the proximal tibial metaphysis in the 1.5 m drop height group at 2 and 8 weeks post impact. Ex vivo μ-CT analysis of the fifth lumbar vertebra revealed a significant reduction in trabecular bone mass at 12 weeks of age in all three drop height groups. Serum levels of osteocalcin were decreased by 22%, 15%, and 19% in the 0.5, 1.0 and 1.5 m drop height groups, respectively, at 2 weeks post impact. Serum IGF-I levels were reduced by 18%-32% in mTBI mice compared to control mice at 2 weeks post impact. Serum osteocalcin and IGF-I levels correlated with trabecular BV/TV (r2 = 0.14 and 0.16, P 〈 0.05). In conclusion, repetitive mTBI exerts significant negative effects on the trabecular bone microarchitecture and bone mechanical properties by influencing osteoblast function via reduced endocrine IGF-I actions. 展开更多
关键词 IGF TBI Experimental repetitive mild traumatic brain injury induces deficits in trabecular bone microarchitecture and strength in mice
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Bone loss in chronic liver diseases:Could healthy liver be a requirement for good bone health? 被引量:4
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作者 Jelena Jadzic Danijela Djonic 《World Journal of Gastroenterology》 SCIE CAS 2023年第5期825-833,共9页
Given that the liver is involved in many metabolic mechanisms,it is not surprising that chronic liver disease(CLD)could have numerous complications.Secondary osteoporosis and increased bone fragility are frequently ov... Given that the liver is involved in many metabolic mechanisms,it is not surprising that chronic liver disease(CLD)could have numerous complications.Secondary osteoporosis and increased bone fragility are frequently overlooked complications in CLD patients.Previous studies implied that up to one-third of these individuals meet diagnostic criteria for osteopenia or osteoporosis.Recent publications indicated that CLD-induced bone fragility depends on the etiology,duration,and stage of liver disease.Therefore,the increased fracture risk in CLD patients puts a severe socioeconomic burden on the health system and urgently requires more effective prevention,diagnosis,and treatment measures.The pathogenesis of CLD-induced bone loss is multifactorial and still insufficiently understood,especially considering the relative impact of increased bone resorption and reduced bone formation in these individuals.It is essential to note that inconsistent findings regarding bone mineral density measurement were previously reported in these individuals.Bone mineral density is widely used as the“golden standard”in the clinical assessment of bone fragility although it is not adequate to predict individual fracture risk.Therefore,microscale bone alterations(bone microstructure,mechanical properties,and cellular indices)were analyzed in CLD individuals.These studies further support the thesis that bone strength could be compromised in CLD individuals,implying that an individualized approach to fracture risk assessment and subsequent therapy is necessary for CLD patients.However,more well-designed studies are required to solve the bone fragility puzzle in CLD patients. 展开更多
关键词 Chronic liver disease Fracture risk Hepatic osteodystrophy OSTEOPOROSIS bone strength
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Effects of Source of Inorganic Phosphorus and Phytase Supplementation on Performance,Physiological Parameters and Bone Mineralization in Broilers
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作者 W.I.Lee P.A.Thacker Y.K.Han 《Journal of Animal Science and Biotechnology》 SCIE CAS 2010年第1期15-24,共10页
The objective of this study was to eval- uate the effects of inorganic phosphorus source and phytase addition on performance, nutrient digestibility and bone mineralization in broiler chickens. In Exp. 1,150 two-day o... The objective of this study was to eval- uate the effects of inorganic phosphorus source and phytase addition on performance, nutrient digestibility and bone mineralization in broiler chickens. In Exp. 1,150 two-day old, male broiler chicks were fed a corn-soybean meal basal diet supplemented with phos- phorus provided by dicalcium phosphate, tricalcium phosphate or defluorinated rock phosphate. Five cages containing 10 birds were allotted to each of the three treatments. In Exp. 2,120 three-day old, male broiler chicks were fed the basal diet from Exp. 1 supplemen- ted with 0,250,500 ,or 1,000 P-'rU phytase per kg of diet. Six cages containing five chicks were allotted to each of the four treatments. In Exp. 1, there was no difference in weight gain, feed intake or feed conver- sion as a result of feeding the different sources of in- organic phosphorus. The digestibility of phosphorus was significantly lower (P =0.01 ) for chicks fed di- ets supplemented with tricalcium phosphate than for chicks fed the other two diets. However, despite the lower digestibility, serum phosphorus levels did not differ among the three treatments. For Exp. 2, feedconversion showed a linear improvement (P = 0.03 ) with increasing levels of phytase inclusion ( days 0 to 33 ). Phytase supplementation resulted in linear increa- ses in the digestibility of dry matter (P = 0.02 ), crude protein ( P --- 0.04 ) and energy ( P 〈 0.01 ). Chicks fed 1,000 FTU/kg phytase had significantly higher bone calcium ( P = 0.05 ) and bone breaking strength (P = 0.04 ) than chicks fed the basal diet on day 33. In conclusion, the results of the current study indicated that the performance of birds fed diets sup- plemented with dicalcium phosphate, tricalcium phos- phate or defluorinated phosphate was similar and therefore production costs could be lowered by choo- sing the cheapest inorganic phosphorus source when formulating diets for poultry. When diets were formu- lated to meet dietary phosphorus requirements, the growth of broilers was not enhanced with phytase sup- plementation. However, increases in feed conversion and bone breaking strength and its potential to impact culling and mortality in broiler operations may be suf- ficient justification for the routine inclusion of phytase in diets fed to broilers. 展开更多
关键词 bone strength BROILERS DIGESTIBILITY inorganic phosphorus PERFORMANCE PHYTASE
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绝经后骨质疏松症:肌肉质量、握力、四肢骨骼肌质量指数的预测价值
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作者 杨志杰 赵瑞 +6 位作者 杨昊霖 李小韵 李扬博 黄佳纯 林燕平 万雷 黄宏兴 《中国组织工程研究》 北大核心 2026年第5期1073-1080,共8页
背景:绝经后女性骨质疏松症的发病率较高,但目前对于肌肉质量、握力以及这些因素如何影响骨质疏松症的研究尚不充分,它们之间的确切联系尚未明确。目的:探讨绝经后女性骨质疏松症患者的肌肉质量、握力、四肢骨骼肌质量指数与骨密度之间... 背景:绝经后女性骨质疏松症的发病率较高,但目前对于肌肉质量、握力以及这些因素如何影响骨质疏松症的研究尚不充分,它们之间的确切联系尚未明确。目的:探讨绝经后女性骨质疏松症患者的肌肉质量、握力、四肢骨骼肌质量指数与骨密度之间的相关性,并评估这些指标在预测和诊断绝经后骨质疏松症方面的潜在价值。方法:于2023年2月至2024年1月在广州中医药大学第三附属医院门诊根据纳排标准收集83例绝经后女性作为研究对象,收集一般资料,检测骨密度并记录T值、各部位肌肉质量、握力,计算体质量指数和四肢骨骼肌质量指数。按T值及骨折史将患者分为非骨质疏松组(n=17)和绝经后骨质疏松症组(n=66),进行相应的统计学分析。结果与结论:①非骨质疏松组的体质量、体质量指数、腰椎整体骨密度、肌肉质量及四肢骨骼肌质量指数均高于绝经后骨质疏松症组(P<0.05);②肌肉质量与腰椎整体骨密度及各个椎体骨密度之间均呈正相关(P<0.05);③多元逐步线性回归分析表明,体质量和握力与肌肉质量呈线性正相关;身高和肌肉质量与握力呈线性正相关,体质量与握力呈线性负相关;体质量指数与骨密度呈线性正相关,年龄与骨密度呈线性负相关;④受试者工作特征曲线分析显示,肌肉质量(曲线下面积、灵敏度、特异性、临界值分别为0.744,76.50%,74.20%和36.50 kg,P=0.002)和四肢骨骼肌质量指数(曲线下面积、灵敏度、特异性、临界值分别为0.739,82.40%,62.10%和5.81 kg/m^(2),且P=0.002)对绝经后骨质疏松症均具有良好的预测价值。结果显示:肌肉质量及四肢骨骼肌质量指数下降有助于绝经后骨质疏松症发生风险的预测,当绝经后女性肌肉质量<36.50 kg或四肢骨骼肌质量指数<5.81 kg/m^(2)时,就要重视骨质疏松发生的可能,以预防绝经后骨质疏松症的发生。 展开更多
关键词 绝经后骨质疏松症 肌肉质量 握力 四肢骨骼肌质量指数 骨密度 工程化组织构建
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Strength and selection of corticocancellous allografts for anterior interbody spinal fusion
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作者 陈德玉 《Journal of Medical Colleges of PLA(China)》 CAS 1999年第1期29-33,共5页
Objective: To quantify the strength of the grafts from different body sites and determine the optimalselection of corticocancellous allografts for anterior interbody fusion. Methods: Complete sets of paired freshfroze... Objective: To quantify the strength of the grafts from different body sites and determine the optimalselection of corticocancellous allografts for anterior interbody fusion. Methods: Complete sets of paired freshfrozen femurs, humeri, tibias and iliac crests were obtained from 6 individual donors. One centimeter thick slicesstarting from the proximal and distal bone ends were cut from the non--diaphysial portions of the long bones usinga razor saw with a customized miter box. 2. 5 cm× 3. 0 cm × 1. 0 cm unicortical bone blocks were shaped similarlyfor clinical use as a lumbar interbody graft. Multiple 1 cm thick grafts with 1. 5 cm depth were obtained from theiliac crests, to simulate a cervical interbody graft. The left and right sides of each pair were randomized intoperpendicular and parallel cut groups in the long bones or tricortical and bicortical preparations of the iliac graft.The samples were tested on an MTS by applying a compressive load to failure. Results: The failure loads of distaltibia and femoral head grafts were significantly higher than distal femur, proximal tibia and burneral head grafts(PR0. 05). The strength of the grafts prepared by parallel cutting decreased significantly as compared with theperpendicular cutting (P <0. 05). No significant changes were seen in femoral and burneral head grafts for the 2sectioning orientations. The grafts closer to the anterior superior iliac spine had significant higher failure loads andfailure strengths than those closer to the posterior superior iliac spine. After trimming off the lateral cortex, themean strength of the bicortical grafts decreased significantly as compared with the tricortical grafts (P <0. 05).Conclusion: The grafts from femoral head and distal tibia by perpendicular cutting have higher failure load than theload bearing in lumbar spine. The grafts cut close to the anterior superior iliac spine are recommended for cervicalinterbody fusion. 展开更多
关键词 SPINE INTERBODY fusion bone strength ALLOGRAFT
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松脂醇二葡萄糖苷提高生长期小鼠骨强度的研究 被引量:1
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作者 李亮 唐汉琴 +5 位作者 马智慧 轩莹莹 杨玉田 高玉海 申栋帅 陈克明 《中国骨质疏松杂志》 北大核心 2025年第1期31-37,共7页
目的探究松脂醇二葡萄糖苷(pinoresinol diglucoside,PDG)对生长期小鼠骨强度的影响,以预防骨质疏松症的发生。方法选取1月龄的C57雌性小鼠,随机分为对照组(Control,等体积的蒸馏水)、PDG-L组[PDG,36 mg/(kg·d)]和PDG-H组[PDG,72 m... 目的探究松脂醇二葡萄糖苷(pinoresinol diglucoside,PDG)对生长期小鼠骨强度的影响,以预防骨质疏松症的发生。方法选取1月龄的C57雌性小鼠,随机分为对照组(Control,等体积的蒸馏水)、PDG-L组[PDG,36 mg/(kg·d)]和PDG-H组[PDG,72 mg/(kg·d)],每组15只,6周后处死所有动物。进行Micro-CT成像分析、生物力学检测、双荧光标记分析、血清生化指标检测和骨组织相关蛋白表达分析等。结果PDG给药对小鼠主要脏器未发生明显病理改变;与Control组相比,PDG-L组胫骨的Tb.BMD显著增加(P<0.01),Tb.N、Tb.Th、Tb.BV/TV明显增加(P<0.05),Tb.Sp显著降低(P<0.01),PDG-H组Tb.BMD明显增加(P<0.05);PDG-L组股骨的最大载荷和弯曲模量显著提高(P<0.01),弯曲强度明显高于Control组(P<0.05),PDG-H组最大载荷和弯曲强度也高于Control组(P<0.05);PDG各组胫骨皮质骨荧光间距显著增加(P<0.01),骨形成速率提高,骨矿化沉积速率加快;PDG-L组OPG水平相比于Control组显著提高(P<0.01),RANKL水平显著降低(P<0.01);PDG各组成骨相关蛋白BMP2、OSX和Runx2的表达量显著上调(P<0.01),骨调节蛋白OPG显著提高(P<0.01),RANKL显著降低(P<0.05)。结论PDG能有效提高骨密度,改善骨微结构,提高骨质量,促进骨形成及抑制骨吸收,提高生长期小鼠的骨强度。 展开更多
关键词 松脂醇二葡萄糖苷 骨密度 骨微结构 骨强度 骨质疏松
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Mechanical Experiment for 3D Printing of Titanium Bone Bionic Dental Implants
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作者 Yanzheng SUN Jincheng WU +1 位作者 Yi LI Jianjun YANG 《Medicinal Plant》 CAS 2018年第4期91-93,96,共4页
[Objectives] To explore the flexural strength of 3D printed titanium bone bionic dental implants and provide a scientific basis for the clinical application of 3D printed porous bionic bone dental implants. [Methods] ... [Objectives] To explore the flexural strength of 3D printed titanium bone bionic dental implants and provide a scientific basis for the clinical application of 3D printed porous bionic bone dental implants. [Methods] The cone-beam CT( CBCT) image information of 20 premolars extracted by orthodontic requirement was collected,and a new porous bone bionic dental implant was produced using modeling software and 3D printer. The premolars were divided into two groups( A and B). The universal testing machine was used to test the flexural strength of the two groups and the difference in flexural strength between the two groups was compared through statistics. [Results]Twenty 3D printed porous titanium bone bionic implants were accurately produced; the morphology of group A and group B were extremely similar to each other; the average flexural strength of group A was 2 767. 92 N,while the average flexural strength of group B was 778. 77 N,showing that the average flexural strength of group A was significantly higher than that of group B,and the difference was statistically significant( P < 0. 05).[Conclusions]The personalized porous structure root implants produced by 3D printing technology are very similar to the target tooth morphology,and show high accuracy and small error of production. Besides,the flexural strength of 3D printed personalized porous structure root implants can fully meet the requirements of the maximum occlusal force for dental implant restoration. It is expected to provide a scientific basis for clinical application of 3 D printed porous bionic bone tooth implants. 展开更多
关键词 Dental implant 3D printing technology Porous bionic bone tooth implant Flexural strength
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Relationship between Muscle Strength, Muscle Mass and BMD in Postmenopausal Female of Zhuang in Guangxi Province of China
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作者 Peizhao Shi Songyi Mo +10 位作者 Jiahui Li Qingxiu Feng Yuanxin Huang Xinling Ma Biao Li Ziyang Fang Huiling Liu Guangwu Huang Ling Tang Jinhua Wang Xiaoyan Fang 《Journal of Biosciences and Medicines》 2022年第2期87-97,共11页
Objective: To explore the correlation between muscle strength, muscle mass and bone mineral density (BMD) in Zhuang female population, body composition analysis and grip strength, and to analyze the possible influenci... Objective: To explore the correlation between muscle strength, muscle mass and bone mineral density (BMD) in Zhuang female population, body composition analysis and grip strength, and to analyze the possible influencing factors of BMD. Methods: 182 postmenopausal women were selected from Guangxi Province of China. Broadband ultrasound attenuation (BUA) was used to evaluate BMD. Grip dynamometer to assess muscle strength. Height, weight and muscle mass of each part were measured by body composition measuring instrument. Body mass index (BMI), skeletal muscle mass index (SMI) and limb skeletal muscle mass (SM) were calculated according to the measurement results. Results: BUA, grip strength and SMI in postmenopausal women of Zhuang nationality showed a decreasing trend with age (p p p r = 0.305, p Conclusion: With the increase of age, the decline rate of muscle strength of postmenopausal Zhuang women in Guangxi is slower than that of BMD and muscle mass. SM can better reflect the BMD level of the body than SMI, and the LSM is the main influencing factor of BMD. 展开更多
关键词 Muscle strength Muscle Mass Musculoskeletal System bone Mineral Density Postmenopausal Females
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超声骨密度仪在儿童体检中的应用研究
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作者 曹婷婷 《科技与健康》 2025年第12期49-52,共4页
探讨超声骨密度仪在儿童体检中的应用效果。选取2024年1月—2025年1月100例儿童为研究对象,均实施超声骨密度仪检查,观察不同年龄段(6个月~2岁、3~5岁、6~11岁、12~14岁)、不同性别(男性、女性)、不同生活类型(城市、农村)下儿童的骨密... 探讨超声骨密度仪在儿童体检中的应用效果。选取2024年1月—2025年1月100例儿童为研究对象,均实施超声骨密度仪检查,观察不同年龄段(6个月~2岁、3~5岁、6~11岁、12~14岁)、不同性别(男性、女性)、不同生活类型(城市、农村)下儿童的骨密度异常检出情况。结果显示,100例体检儿童中,30例检出骨密度异常,检出率为30.00%,其中骨强度轻度不足12例,中度不足8例,重度不足10例。6个月~2岁12例(60.00%),3~5岁10例(25.64%),6~11岁5例(17.24%),12~14岁3例(25.00),不同年龄段的骨密度异常检出情况比较,差异有统计学意义(χ^(2)=11.315,P<0.05);不同性别儿童的骨密度异常检出率对比,无统计学差异(P>0.05);不同生活类型儿童的骨密度异常检出率对比,无统计学差异(P>0.05)。研究发现,6个月~2岁儿童骨强度不足发生率较高,但性别、生活环境等因素对其影响较小。 展开更多
关键词 超声骨密度仪 儿童 体检 骨密度强度
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桃红四物汤对股骨头坏死保髋术后关节肌力、骨密度恢复的疗效机制
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作者 张鑫 张猛 +1 位作者 刘健 何海军 《广州中医药大学学报》 2025年第8期1890-1897,共8页
【目的】探究桃红四物汤对股骨头坏死患者保髋术后关节肌力、骨密度恢复的疗效机制。【方法】选取2022年4月~2024年4月中国中医科学院广安门医院保定医院收治的110例股骨头坏死患者,采用随机数字表法将患者随机分为对照组和研究组,每组... 【目的】探究桃红四物汤对股骨头坏死患者保髋术后关节肌力、骨密度恢复的疗效机制。【方法】选取2022年4月~2024年4月中国中医科学院广安门医院保定医院收治的110例股骨头坏死患者,采用随机数字表法将患者随机分为对照组和研究组,每组各55例。所有入组患者均行股骨头钻孔减压术治疗,对照组术后给予西医常规治疗,研究组在对照组的基础上给予桃红四物汤加减治疗,疗程均为8周。观察2组患者治疗前后中医证候积分、疼痛程度视觉模拟量表(VAS)评分、关节功能Harris评分、关节肌力、骨密度、血液流变学指标(包括血浆黏度、全血高切黏度、全血低切黏度)、骨代谢指标[包括碱性磷酸酶(ALP)、骨钙素(BGP)、骨形态发生蛋白2(BMP-2)]的变化情况,并评估2组患者的临床疗效。【结果】(1)疗效方面,治疗8周后,研究组的总有效率为92.73%(51/55),显著高于对照组的72.73%(40/55),组间比较,差异有统计学意义(χ^(2)=7.698,P<0.01)。(2)中医证候方面,治疗后,2组患者的髋关节疼痛、腰膝酸软、神疲乏力、脉沉细涩积分均较治疗前降低(P<0.05),且研究组的降低幅度均明显优于对照组(P<0.01)。(3)疼痛程度和关节功能方面,治疗后,2组患者的疼痛程度VAS评分均较治疗前降低(P<0.05),关节功能Harris评分均较治疗前升高(P<0.05),且研究组对疼痛程度VAS评分的降低幅度和对关节功能Harris评分的升高幅度均明显优于对照组(P<0.01)。(4)血液流变学方面,治疗后,2组患者的血浆黏度、全血高切黏度、全血低切黏度均较治疗前降低(P<0.05),且研究组的降低幅度均明显优于对照组(P<0.01)。(5)骨代谢指标方面,治疗后,2组患者的血清ALP水平均较治疗前降低(P<0.05),血清BGP、BMP-2水平均较治疗前升高(P<0.05),且研究组对血清ALP水平的降低幅度和对血清BGP、BMP-2水平的升高幅度均明显优于对照组(P<0.01)。(6)关节肌力方面,治疗后,研究组患者的关节肌力3级人数均较治疗前明显减少,4级人数均较治疗前明显增多,差异均有统计学意义(P<0.05);而对照组的关节肌力虽有一定程度改善,但差异均无统计学意义(P>0.05);治疗后组间比较,研究组的关节肌力3级人数较对照组明显减少,4级人数较对照组明显增多,差异均有统计学意义(P<0.01)。(7)骨密度方面,治疗后,2组患者的股骨头局部骨密度和平均骨密度均较治疗前升高(P<0.05),且研究组的升高幅度均明显优于对照组(P<0.01)。【结论】桃红四物汤应用于股骨头坏死保髋术后的治疗中,能有效降低中医证候积分,减轻疼痛程度,改善关节功能和血液流变学状态,恢复骨密度和骨代谢情况,提高临床整体治疗效果。 展开更多
关键词 桃红四物汤 股骨头坏死 保髋术后 关节肌力 骨密度 碱性磷酸酶 骨钙素 骨形态发生蛋白2
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Mechanical Properties of a Vacuum-Sintered Apatite Body for Use as Artificial Bone
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作者 Kenichi Tamura 《Journal of Biomaterials and Nanobiotechnology》 2015年第1期45-52,共8页
Regenerative artificial bone material and bone parts were fabricated using vacuum-sintered bodies of a “titanium medical apatite (TMA?)” that is formed by chemically connecting Ti oxide molecules to the reactive [Ca... Regenerative artificial bone material and bone parts were fabricated using vacuum-sintered bodies of a “titanium medical apatite (TMA?)” that is formed by chemically connecting Ti oxide molecules to the reactive [Ca10 (PO4 )6 ] group of hydroxyapatite (HAp). Sintering at temperatures of 1273 - 1773 K caused this TMA sintered bodies to recrystallize and form a varying mix of α-TCP (tricalcium phosphate), β-TCP and Perovskite-CaTiO3 phases. The Perovskite crystals proved to be quite stable and hard, forming a uniform distribution of similarly sized fibers in all directions under vacuum sintering, but an irregular distribution and size when sintered in the presence of oxygen. Complete recrystallization was achieved by vacuum sintering at temperatures in excess of 1473 K. In particular, TMA vacuum-sintered bodies at 1573 K are given the maximum value;a Vickers hardness of 400, a bending strength of 43 MPa, a compressive strength of 270 MPa and a density of approximately 2300 kg/m3 was achieved that closely corresponds to that of compact bone or a tooth. As these TMA bodies could also be cut into various forms, they are considered a promising biomaterial for use as artificial bone in the regeneration of natural bone, or to provide reinforcement of bone junctions in dental and orthopedic surgery. 展开更多
关键词 Titanium Medical APATITE (TMA) VACUUM Sintering VICKERS Hardness Bending strength Compressive strength Crystal Morphology REGENERATIVE Artificial bone 1.
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基于经皮椎体后凸成形术球囊压力评估骨质疏松症患者骨强度的研究
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作者 穆雪萌 张恒岩 张嘉 《中华骨质疏松和骨矿盐疾病杂志》 北大核心 2025年第3期288-293,共6页
目的建立一种方法,测量人体生理情况下真实的骨强度数值。方法纳入30例腰椎压缩性骨折患者,通过病历系统查阅患者病历资料,获得临床特征、骨密度等变量。提取患者经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)手术记录中术中椎体... 目的建立一种方法,测量人体生理情况下真实的骨强度数值。方法纳入30例腰椎压缩性骨折患者,通过病历系统查阅患者病历资料,获得临床特征、骨密度等变量。提取患者经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)手术记录中术中椎体内球囊压力数值以反映患者骨强度水平。结果研究对象平均年龄(69.60±10.17)岁,腰椎L1-L4处双能X线吸收法(dual-energy X-ray absorptiometry,DXA)测量得到的骨密度值为(0.91±0.19)g/cm^(2)。术中测得球囊压力为114.50(103.00,145.00)psi。作为骨强度值替代的椎体松质骨区域灰度平均值为37.43(16.25,55.77)。经过相关性分析,患者的性别、年龄、吸烟、饮酒情况等均与骨强度相关检查数值无显著相关性。L1-L4 DXA骨密度检查的数值与骨强度的相关性为60%,术中球囊测得压力值与其相关性为81%。结论基于PKP手术术中球囊压力测量椎体松质骨骨强度的方法能够直接反映约81%的骨强度,高于传统骨密度测量方法60%的反映率,在骨强度评估中有显著优势,能够为骨折的风险评估和个性化筛查提供支持。 展开更多
关键词 骨强度 骨密度 椎体压缩性骨折 方法学
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定量CT在骨质疏松诊疗中的应用进展 被引量:2
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作者 夏宁 廖冬发 +1 位作者 李相位 刘达 《中国医学科学院学报》 北大核心 2025年第1期118-123,共6页
定量CT(QCT)是在临床CT扫描的基础上,经过QCT体模校准和专业软件分析,对人体骨组织进行骨密度测量的方法。与双能X线吸收法相比,QCT不仅能有效区分皮质骨和松质骨,且检测不受骨质增生及血管钙化等因素的影响,可以更好地反映患者骨量情... 定量CT(QCT)是在临床CT扫描的基础上,经过QCT体模校准和专业软件分析,对人体骨组织进行骨密度测量的方法。与双能X线吸收法相比,QCT不仅能有效区分皮质骨和松质骨,且检测不受骨质增生及血管钙化等因素的影响,可以更好地反映患者骨量情况。近年来,QCT与骨质疏松(OP)的相关研究日益增多,其在OP诊断、评估椎体骨质条件、预测骨折风险及抗OP疗效评估方面的应用不断受到国内外学者的广泛关注。本文总结了该技术在OP诊疗中的应用进展,以期为QCT在OP方面的临床研究提供参考。 展开更多
关键词 骨质疏松 定量CT 骨密度 骨强度
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益生核桃钙对骨质疏松大鼠骨密度及肝脏代谢的影响 被引量:1
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作者 牛若楠 徐冬月 赵声兰 《食品研究与开发》 2025年第10期52-61,共10页
为研究益生核桃钙对骨质疏松大鼠骨密度的改善作用及其对肝脏代谢的影响,将40只大鼠随机分为模型(MC)组、阳性对照(CA)组、益生核桃钙高(WCH)、中(WCM)、低剂量(WCL)组,采用营养干预造模法造模,3个月后,进行骨相关参数和肝脏代谢组学检... 为研究益生核桃钙对骨质疏松大鼠骨密度的改善作用及其对肝脏代谢的影响,将40只大鼠随机分为模型(MC)组、阳性对照(CA)组、益生核桃钙高(WCH)、中(WCM)、低剂量(WCL)组,采用营养干预造模法造模,3个月后,进行骨相关参数和肝脏代谢组学检测分析。结果表明,与MC组相比,CA及WCH组血清钙含量、骨强度、骨钙含量及骨密度显著增高(P<0.05),且WCH组的升高幅度及显著水平均优于CA组。与MC组相比,WCH组和CA组在肝脏代谢水平上涉及的差异代谢物分别为145个和144个,其中38个相同代谢物的上调和下调趋势相同。WCH组与CA组相比有107个差异显著的代谢物,提示益生核桃钙和碳酸钙对肝脏代谢的影响不完全相同。MC组、WCH组和CA组间的大部分差异代谢物富集在嘌呤、能量和神经相关代谢通路以及FoxO信号通路,甲状旁腺激素的合成、分泌和作用,成瘾代谢和蛋白质消化吸收等。提示益生核桃钙含有有机钙、核桃蛋白和益生元,这些成分能够共同作用于相关代谢途径,调节机体肝脏的代谢功能,有助于促进钙吸收、提高股骨的骨强度、达到改善骨质疏松的作用。 展开更多
关键词 益生核桃钙 营养干预造模法 骨强度 血清钙 肝脏代谢
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羊胎盘粉对青年大鼠骨质量影响
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作者 杨世超 宋慕格 +6 位作者 高玉海 王龙飞 王立强 安梓栋 李亮 谢高倩 陈克明 《中国骨质疏松杂志》 北大核心 2025年第2期175-181,共7页
目的探讨羊胎盘粉对青年大鼠骨质量的影响。方法选取40只SPF级一月龄SD大鼠,按照随机数字表法分为对照(Ctrl)组和羊胎盘粉低(L)、中(M)、高(H)剂量组。灌服给药6周后处死所有大鼠,进行骨密度、Micro-CT扫描、双荧光标记观察、生物力学... 目的探讨羊胎盘粉对青年大鼠骨质量的影响。方法选取40只SPF级一月龄SD大鼠,按照随机数字表法分为对照(Ctrl)组和羊胎盘粉低(L)、中(M)、高(H)剂量组。灌服给药6周后处死所有大鼠,进行骨密度、Micro-CT扫描、双荧光标记观察、生物力学试验、病理学检查等,通过ELISA法检测血清骨代谢指标BALP、PINP、CTX-1和TRAP水平。结果在实验过程中,各组大鼠体重、主要脏器无明显改变,脏器指数无统计学差异(P>0.05),心、肝、脾、肺、肾脏器病理学观察未见明显异常;股骨和椎骨骨密度检测结果显示,在羊胎盘粉各干预组中,与Ctrl组比较,M组和H组大鼠股骨和椎骨骨密度均显著升高;Micro-CT扫描重建结果,与Ctrl组比较,M组骨体积分数、骨表面总体积、骨小梁数量、骨小梁厚度均显著提高(P<0.05),H组极显著提高(P<0.01)。骨小梁分离度方面,M组显著下降(P<0.05),H组极显著下降(P<0.01);股骨病理学观察可见,各干预组中,骨小梁数量出现不同程度的增加,其中H组效果最为明显;骨生物力学试验结果显示,M组和H组能够显著提升大鼠股骨的最大载荷和抗压强度;双荧光标记结果显示,与Ctrl组比较,各给药组荧光标记间距均有增大,其中M组和H组较为明显;血清骨代谢指标检测结果显示,与Ctrl组比较,M组和H组能够显著提高骨形成指标PINP和BALP水平,同时H组能够显著降低CTX-1和TRAP水平(P<0.01);羊胎盘粉能够不同程度的提高成骨相关蛋白BMP2、RUNX2的表达,抑制破骨相关蛋白RANKL的表达。结论羊胎盘粉可能通过促进骨形成和抑制骨吸收来提高青年大鼠骨密度和骨强度,且在75~300 mg/kg浓度范围内呈剂量依赖性。 展开更多
关键词 羊胎盘粉 峰值骨量 骨形成 骨代谢 骨强度
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