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Multi-fracture interactions during two-phase flow of oil and water in deformable tight sandstone oil reservoirs 被引量:3
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作者 yongjun yu Wancheng Zhu +3 位作者 Lianchong Li Chenhui Wei Baoxu Yan Shuai Li 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2020年第4期821-849,共29页
Tight oil reservoirs are complex geological materials composed of solid matrix,pore structure,and mixed multiple phases of fluids,particularly for oil reservoirs suffering from high content of in situ pressurized wate... Tight oil reservoirs are complex geological materials composed of solid matrix,pore structure,and mixed multiple phases of fluids,particularly for oil reservoirs suffering from high content of in situ pressurized water found in China.In this regard,a coupled model considering two-phase flow of oil and water,as well as deformation and damage evolution of porous media,is proposed and validated using associated results,including the oil depletion process,analytical solution of stress shadow effect,and physical experiments on multi-fracture interactions and fracture propagation in unsaturated seepage fields.Then,the proposed model is used to study the behavior of multi-fracture interactions in an unsaturated reservoir in presence of water and oil.The results show that conspicuous interactions exist among multiple induced fractures.Interaction behavior varies from extracted geological profiles of the reservoir due to in situ stress anisotropy.The differential pressures of water and that of oil in different regions of reservoir affect interactions and trajectories of multi-fractures to a considerable degree.The absolute value of reservoir average pressure is a dominant factor affecting fracture interactions and in favor of enhancing fracture network complexity.In addition,difference of reservoir average pressures in different regions of reservoir would promote the fracturing effectiveness.Factors affecting fracture interactions and reservoir treatment effectiveness are quantitatively estimated through stimulated reservoir area.This study confirms the significance of incorporating the two-phase flow process in analyses of multifracture interactions and fracture trajectory predictions during tight sandstone oil reservoir developments. 展开更多
关键词 Multi-fracture interactions Two-phase flow Porous media deformation Hydraulic fracturing Continuum damage mechanics
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基于高分辨率全结肠测压探讨225例不同亚型便秘患者肠道动力学特征 被引量:5
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作者 焦晨蒙 许晨 +5 位作者 李玉玮 从继颖 刘婷婷 宇永军 张昭 刘筠 《中华消化杂志》 CAS CSCD 北大核心 2021年第12期835-841,共7页
目的比较慢传输型便秘(STC)、出口梗阻型便秘(OOC)、STC与OOC混合型和正常传输型便秘(NTC)4种亚型便秘患者的高分辨率全结肠测压(HRCM)结果,探讨不同亚型便秘患者的肠道动力学特征。方法回顾性分析2017年1月20日至2020年9月20日于天津... 目的比较慢传输型便秘(STC)、出口梗阻型便秘(OOC)、STC与OOC混合型和正常传输型便秘(NTC)4种亚型便秘患者的高分辨率全结肠测压(HRCM)结果,探讨不同亚型便秘患者的肠道动力学特征。方法回顾性分析2017年1月20日至2020年9月20日于天津市人民医院肛肠外科就诊的225例功能性便秘患者的HRCM结果,根据结肠传输试验结果将225例患者分为STC组(108例)、OOC组(36例)、STC与OOC混合型(混合型组,28例)和NTC组(53例)。比较4组患者的便秘Wexner评分等一般资料,临床症状(便意减退、肛门直肠堵塞感、需手助排便、自发排便频率<3次/周),以及高幅蠕动收缩波(HAPC)的发生率、1 d内发生次数(以下简称频率)、平均速度、平均波幅、平均持续收缩时间、平均收缩长度、平均压力的动力指数和低幅蠕动收缩波(LAPC)的频率、平均波幅、平均持续收缩时间、平均压力的动力指数。统计学方法采用单因素方差分析、Kruskal-Wallis检验和卡方检验。结果STC、OOC、混合型和NTC组的便秘Wexner评分分别为(13.17±4.04)、(13.97±4.55)、(11.36±4.03)和(11.58±4.06)分,差异有统计学意义(F=3.879,P=0.010);STC、OOC组的Wexner评分均高于混合型、NTC组,差异均有统计学意义(单因素方差分析多重比较,P均<0.05)。STC、OOC、混合型和NTC组患者的便意减退、肛门直肠堵塞感、需手助排便和自发排便频率<3次/周占比分别为47.2%(51/108)、36.1%(13/36)、14.3%(4/28)、20.8%(11/53),42.6%(46/108)、75.0%(27/36)、46.4%(13/28)、64.2%(34/53),31.5%(34/108)、38.9%(14/36)、3.6%(1/28)、18.9%(10/53),90.7%(98/108)、77.8%(28/36)、82.1%(23/28)、62.3%(33/53),差异均有统计学意义(χ^(2)=17.093、12.463、13.437、18.927,P均<0.01)。STC组患者的便意减退占比高于混合型和NTC组,自发排便频率<3次/周占比高于OOC和NTC组,差异均有统计学意义(χ^(2)=10.014、10.518、4.418、19.016,P均<0.05)。OOC组患者的肛门直肠堵塞感占比高于STC和混合型组,需手助排便占比高于混合型和NTC组,差异均有统计学意义(χ^(2)=9.511、5.486、10.948、4.363,P均<0.05)。STC、OOC、混合型和NTC组患者中,HAPC的发生率分别为39.8%(43/108)、36.1%(13/36)、57.1%(16/28)和60.4%(32/53),差异有统计学意义(χ^(2)=8.880,P=0.031)。STC组和OOC组的HAPC发生率均低于NTC组,差异有统计学意义(χ^(2)=6.041、5.050,P=0.014、0.025)。4组发生HAPC的患者间的HAPC频率、平均速度、平均波幅、平均持续收缩时间、平均收缩长度、平均压力的动力指数,以及4组患者间的LAPC频率、平均波幅、平均持续收缩时间和平均压力的动力指数比较差异均无统计学意义(P均>0.05)。结论医师能通过HRCM更清晰、直观地观察不同亚型便秘患者的肠道动力学特征。HRCM为功能性便秘的诊断和进一步治疗提供有力依据,具有较高的临床应用价值。 展开更多
关键词 便秘 结肠传输试验 高分辨率全结肠测压 高幅蠕动收缩波 低幅蠕动收缩波
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Global esophageal cancer epidemiology in 2022 and predictions for 2050:A comprehensive analysis and projections based on GLOBOCAN data 被引量:4
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作者 Ling Qi Mengfei Sun +6 位作者 Weixin Liu Xuefeng Zhang yongjun yu Ziqiang Tian Zhiyu Ni Rongshou Zheng Yong Li 《Chinese Medical Journal》 CSCD 2024年第24期3108-3116,共9页
Background:The burden of esophageal cancer varies across different regions of the world.The aim of this study is to analyze the current burden of esophageal cancer in 185 countries in 2022 and to project the trends up... Background:The burden of esophageal cancer varies across different regions of the world.The aim of this study is to analyze the current burden of esophageal cancer in 185 countries in 2022 and to project the trends up to the year 2050.Methods:We extracted data on primary esophageal cancer cases and deaths from the GLOBOCAN 2022 database,which includes data from 185 countries.Age-standardized incidence rates(ASIR)and mortality rates(ASMR)per 100,000 person-years were calculated by stratifying by Human Development Index(HDI)levels and regions.Considering changes in population size and age structure,we assumed that the risks of incidence and mortality remain constant at the levels of 2022 to forecast the number of new cases and deaths from esophageal cancer globally by 2050.Results:In 2022,an estimated 511,054 people were diagnosed with esophageal cancer globally,and 445,391 died from the disease.The global ASIR and ASMR for esophageal cancer were 5.00 and 4.30 per 100,000,respectively.The highest rates were observed in East Africa(7.60 for incidence,7.20 for mortality per 100,000),East Asia(7.60 for incidence,5.90 for mortality per 100,000),Southern Africa(6.30 for incidence,5.90 for mortality per 100,000),and South Central Asia(5.80 for incidence,5.50 for mortality per 100,000).Among the 185 countries worldwide,esophageal cancer was among the top five causes of cancer incidence in 18 countries and among the top five causes of cancer mortality in 25 countries.In 2022,China had 224,012 new cases and 187,467 deaths from esophageal cancer,accounting for approximately 43.8%and 42.1%of the global total,respectively,which is higher than the proportion of China’s population to the global population(17.9%).ASIR was 8.30 per 100,000,and ASMR was 6.70 per 100,000.The highest burden of esophageal cancer was in high HDI countries,with new cases and deaths accounting for 51.3%and 50.0%of the global total,respectively.The ASIR and ASMR were highest in the high HDI group(6.10 and 5.10 per 100,000,respectively),also exceeding the global averages.There was a trend of decreasing mortality to incidence ratio with increasing HDI,but no correlation was observed between HDI and ASIR or ASMR.In all regions worldwide,the incidence and mortality rates were higher in males than in females(with a male-to-female ASR ratio ranging from 1.10 to 28.7).Compared to 2022,it is projected that by 2050,the number of new esophageal cancer cases will increase by approximately 80.5%,and deaths will increase by 85.4%due to population growth and aging.Conclusions:The burden of esophageal cancer remains heavy.Adopting a healthy lifestyle,including reducing tobacco and alcohol intake,avoiding moldy foods,and increasing intake of fresh fruits and vegetables,can help reduce the risk of stomach and esophageal cancer.In addition,the development and implementation of evidence-based and effective public health policies are critical to reducing the global disease burden of esophageal cancer. 展开更多
关键词 Esophageal cancer INCIDENCE MORTALITY PROJECTION Disease burden
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