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双语推荐:低强度脉冲超声波

原发性骨质疏松症是多发于绝经后妇女及老年人的一种全身性的骨骼疾病,治疗方法种类繁多,作用特点也各不相同。目前常用的口服药物存在疗效缓慢,时间长,且有一定副作用的缺陷。本文主要从非药物治疗的角度对脉冲电磁场( PEMFs)、震动、体外冲击波( ESW)、低强度脉冲超声波( LIPUS)以及营养和运动疗法进行探讨,分析它们的作用机制、临床应用研究新进展,以指导临床更合理地选择治疗方法,并寻找进一步研究方向。
Primary osteoporosis is a systemic skeletal disease,mainly in postmenopausal women with menopause and the elderly. There are Various kinds of treatments for osteoporosis,with different roles and characteristics as well. The commonly used oral medications are of slow effect and bring about some side effects as well. This study from the perspectiVe of non-drug treatment inVestigates the pulsed electromagnetic fields ( PEMFs),Vibration,eXtracorporeal shock waVe( ESW),low-intensity pulsed ultrasound( LIPUS),nutrition and eXercise therapy,with their mechanism of action and updated progress in their clinical application comprehensiVely analyzed for more reasonably choosing clinical treatment measures and for deciding the direction of the further research.
目的 研究低强度脉冲超声波(LIPUS)对培养成肌细胞增殖分化的影响,探讨其治疗效应的细胞分子机制.方法 建立小鼠骨骼肌成肌细胞体外培养模型,将培养成肌细胞随机分增殖超声组、分化超声组、增殖对照组和分化对照组.增殖超声组和分化超声组均采用超声频率为1.5 MHz,平均强度为30 mW/cm2的低强度脉冲超声波辐射,每次20 min,每日1次,增殖超声组连续处理6d,分化超声组连续处理4d.增殖超声组与增殖对照组采用流式细胞仪进行细胞增殖动力学检测,免疫荧光染色检测成肌细胞生长因子MyoD、血红素加氧酶-1(HO-1)的表达,并对分化超声组与分化对照组进行肌球蛋白重链(MHC)染色和成肌细胞融合指数分析.结果 增殖超声组成肌细胞进入活性细胞周期G2/M与S期细胞比例和增殖指数(PI)分别为(19.30±5.14)%,(37.00±8.72)%和(47.93±0.87)%,与增殖对照组的(10.33±1.53)%,(25.00±4.36)%和(38.66 ±0.67)%比较,差异具有统计学意义(P<0.05);增殖超声组HO-1荧光染色阳性比例和平均荧光强度分别为(82.03 ±5.14)%和(152.02±4.76)%,与对照组的(60.01±3.22)%和(138.70±5.08)%比较,差异具有统计学意义(P<0.05);分化超声组成肌细胞融合指数(18.73 ±6.81)%,与分化对照组的(37.52±11.23)%比较,差异有统计学意义(P<0.05).结论 低强度脉冲超声波促进成肌细胞的增殖,抑制其分化,且不改变其肌原属性,血红素加氧酶-1参与该调控过程.
Objective To study in vitro the effects of low-intensity pulsed ultrasound (LIPUS) on the proliferation and differentiation of cultured myoblasts,and to explore the cellular and molecular mechanisms behind any therapeutic effect of LIPUS.Methods Myoblasts were isolated from the skeletal muscles of mice and cultured in vitro.Treatment and control groups of proliferating and differentiating myoblasts were defined.The treatment groups were exposed to LIPUS at 1.5 MHz and a spatial and temporal average intensity of 30 mW/cm2,for 20 min daily,the proliferation group for 6 consecutive days and the differentiation group for 4 consecutive days.The cell proliferation kinetics of the proliferation group were analyzed using flow cytometry.The expression of myogenic regulation factor MyoD and heme oxygenase-1 (HO-1) in the proliferation group,and of myosin heavy chain (MHC) in the differentiation group were examined by immunofluorescent staining.Myoblast fusion indexes were analyzed.Results In the

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目的:研究低强度脉冲超声波(low-intensity pulsed ultrasound, LIPU)促进肌腱愈合以及减少肌腱粘连的作用机理。方法2010年7月—2012年10月,将我院急诊收治的指屈肌腱Ⅱ区切割损伤患者120例(138指)按照前瞻、随机、双盲的方法分为单纯肌腱损伤治疗组(LIPU组,33例,39指),单纯肌腱损伤对照组(Shame LIPU组,34例,41指),肌腱伴神经损伤治疗组(NLIPU组,28例,31指),肌腱伴神经损伤对照组(Shame NLIPU组,25例,27指)。所有病例行肌腱修复术2周后,治疗组(LIPU组与NLIPU组)于每日接受低强度超声刺激,对照组(Shame LIPU组和Shame NLIPU组)给予假刺激,治疗周期为2周,分别于术后4周,8周及12周对治疗组(LIPU组与NLIPU组)与对照组(Shame LIPU组和Shame NLIPU组)的切口痊愈程度、患手疼痛程度、患手功能、屈指肌力等方面进行评估,探讨LIPU促进肌腱愈合以及减少肌腱粘连的作用机理。结果术后4周患手切口均为甲级痊愈,无肌腱断裂情况;治疗组(LIPU与NLIPU)患手功能在术后12周较术后4周均有明显改善(P<0.01);术后4周,8周以及12周,LIPU组与Shame LIPU组、NLIPU组与Shame NLIPU组比较,LIPU组和NLIPU组患手功能具有明显的提高(P<0.01);术后12周,LIPU组与Sha
Objective To investigate the mechanism of low-intensity pulsed ultrasound (LIPU) in promote tendon healing and reducing tendon adhesions. Methods In accordance with the prospective, randomized, double-blind approach, the 120 cases (138 figures) were divided into tendon injury and tendon associated with nerve injury. The patients with flexor tendon injury in zone Ⅱ from emergency department were divided into treatment group (LIPU group, 33 cases, 39 figures) and control group (Shame LIPU group, 34 cases, 41 figures), and the patients with tendon associated with nerve injury were divided into treatment group (NLIPU group, 28 cases, 31 figures) and control group (Shame LIPU group, 25 cases, 27 figures). For two weeks after tendon repair operation, the treatment group (LIPU group and NLIPU group) received LIPU therapy daily, and the control group (Shame LIPU group and Shame NLIPU group) received sham stimulation. The treatment period was 2 weeks, and the effect of treatment were

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目的将超声波、磁场引入到微电铸过程中,改善电沉积镍晶微构件的表面性能。方法改变电流密度、脉冲占空比、超声波功率、磁场强度的方向和强度,进行电沉积镍晶微铸件,分析这些工艺参数对微铸件表面形貌和显微硬度的影响。结果微铸件的显微硬度随磁场强度的增大而显著提高,随着阴极电流密度、超声波功率及脉冲占空比的增大呈现出先升高、后下降的规律,其中脉冲占空比对电铸层显微硬度的影响较弱。优选的工艺参数为:垂直磁场强度0.8 T,阴极电流密度2 A/dm2,超声波功率240W,脉冲占空比20%。结论引入超声波和磁场后可优化电沉积环境,细化电铸层晶粒尺寸,改善电铸层微观形貌,提高微铸件显微硬度。
Objective In order to improve the surface properties of electro-deposited nickel micro-electroforming parts, ultrason-ic and magnetic fields were introduced into the micro electroforming process. Methods Current intensity, pulse duty cycle, ultra-sonic power, direction and intensity of magnetic field strength were altered during the electro-deposition of nickel micro-electrofor-ming parts, and the effects of the above parameters on the performance of the surface morphology and microhardness of the micro-electroforming parts were analyzed. Results The micro-hardness of the micro-casting part increased significantly along with the in-crease of the magnetic field intensity, while first increased and then decreased along with the increasing current intensity, pulse du-ty cycle and ultrasonic power, among which the pulse duty cycle had weaker effect on the micro-hardness as compared to the other parameters. The optimized parameters were: vertical magnetic field intensity 0. 8 T, c

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