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High-flow nasal oxygen availability for sedation decreases the use of general anesthesia during endoscopic retrograde cholangiopancreatography and endoscopic ultrasound 被引量:10
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作者 Roman Schumann Nikola S Natov +4 位作者 Klifford A Rocuts-Martinez Matthew D Finkelman Tom V Phan Sanjay R Hegde Robert M Knapp 《World Journal of Gastroenterology》 SCIE CAS 2016年第47期10398-10405,共8页
AIM To examine whether high-flow nasal oxygen(HFNO) availability influences the use of general anesthesia(GA) in patients undergoing endoscopic retrograde cholangiopancreatography(ERCP) and endoscopic ultrasound(EUS) ... AIM To examine whether high-flow nasal oxygen(HFNO) availability influences the use of general anesthesia(GA) in patients undergoing endoscopic retrograde cholangiopancreatography(ERCP) and endoscopic ultrasound(EUS) and associated outcomes.METHODS In this retrospective study, patients were stratified into 3 eras between October 1, 2013 and June 30, 2014 based on HFNO availability for deep sedation at the time of their endoscopy. During the first and last 3-mo eras(era 1 and 3), no HFNO was available, whereas it was an option during the second 3-mo era(era 2). The primary outcome was the percent utilization of GA vs deep sedation in each period. Secondary outcomes included oxygen saturation nadir during sedation between periods, as well as procedure duration, and anesthesia-only time between periods and for GA vs sedation cases respectively.RESULTS During the study period 238 ERCP or EUS cases were identified for analysis. Statistical testing was employed and a P < 0.050 was significant unless the Bonferroni correction for multiple comparisons was used. General anesthesia use was significantly lower in era 2 compared to era 1 with the same trend between era 2 and 3(P = 0.012 and 0.045 respectively). The oxygen saturation nadir during sedation was significantly higher in era 2 compared to era 3(P < 0.001) but not between eras 1 and 2(P = 0.028) or 1 and 3(P = 0.069). The procedure time within each era was significantly longer under GA compared to deep sedation(P ≤ 0.007) as was the anesthesia-only time(P ≤ 0.001).CONCLUSION High-flow nasal oxygen availability was associated with decreased GA utilization and improved oxygenation for ERCP and EUS during sedation. 展开更多
关键词 Endoscopic ultrasound Endoscopic retrograde cholangiopancreatography ENDOSCOPY SEDATION ANESTHESIA oxygenATION High flow nasal oxygen
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Flow field and dissolved oxygen distributions in the outer channel of the Orbal oxidation ditch by monitor and CFD simulation 被引量:6
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作者 Xuesong Guo Xin Zhou +1 位作者 Qiuwen Chen Junxin Liu 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2013年第4期645-651,共7页
In the Orbal oxidation ditch, denitrification is primarily accomplished in the outer channel. However, the detailed characteristics of the flow field and dissolved oxygen (DO) distribution in the outer channel are n... In the Orbal oxidation ditch, denitrification is primarily accomplished in the outer channel. However, the detailed characteristics of the flow field and dissolved oxygen (DO) distribution in the outer channel are not well understood. Therefore, in this study, the flow velocity and DO concentration in the outer channel of an Orbal oxidation ditch system in a wastewater treatment plant in Beijing (China) were monitored under actual operation conditions. The flow field and DO concentration distributions were analyzed by computed fluid dynamic modeling. In situ monitoring and modeling both showed that the flow velocity was heterogeneous in the outer channel. As a result, the DO was also heterogeneously distributed in the outer channel, with concentration gradients occurring along the flow direction as well as in the cross-section. This heterogeneous DO distribution created many anoxic and aerobic zones, which may have facilitated simultaneous nitrificafion-denitrification in the channel. These findings may provide supporting information for rational optimization of the performance of the Orbal oxidation ditch. 展开更多
关键词 computed fluid dynamic dissolved oxygen distribution flow field Orbal oxidation ditch
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High-flow nasal cannula oxygen therapy during anesthesia recovery for older orthopedic surgery patients: A prospective randomized controlled trial 被引量:4
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作者 Xiao-Na Li Cheng-Cheng Zhou +4 位作者 Zi-Qiang Lin Bin Jia Xiang-Yu Li Gao-Feng Zhao Fei Ye 《World Journal of Clinical Cases》 SCIE 2022年第24期8615-8624,共10页
BACKGROUND Hypoxemia is a common complication in older patients during postoperative recovery and can cause pulmonary complications.Therefore,reducing the incidence of postoperative hypoxemia is a clinical concern.AIM... BACKGROUND Hypoxemia is a common complication in older patients during postoperative recovery and can cause pulmonary complications.Therefore,reducing the incidence of postoperative hypoxemia is a clinical concern.AIM To investigate the clinical efficacy of high-flow nasal cannula oxygen(HFNCO)in the resuscitation period of older orthopedic patients.METHODS In this prospective randomized controlled trial,60 older patients who underwent orthopedic surgery under general anesthesia were randomly divided into two groups:those who used conventional face mask and those who used HFNCO.All patients were treated with 60%oxygen for 1 h after extubation.Patients in the conventional face mask group were treated with a combination of air(2 L)and oxygen(2 L)using a traditional mask,whereas those in the HFNCO group were treated with HFNCO at a constant temperature of 34℃ and flow rate of 40 L/min.We assessed the effectiveness of oxygen therapy by monitoring the patients’arterial blood gas,peripheral oxygen saturation,and postoperative complications.RESULTS The characteristics of the patients were comparable between the groups.One hour after extubation,patients in HFNCO group had a significantly higher arterial partial pressure of oxygen(paO_(2))than that of patients in conventional face mask group(P<0.001).At extubation and 1 h after extubation,patients in both groups showed a significantly higher arterial partial pressure of carbon dioxide(paCO_(2))than the baseline levels(P<0.001).There were no differences in the saturation of peripheral oxygen,paO_(2),and paCO_(2) between the groups before anesthesia and before extubation(P>0.05).There were statistically significant differences in paO_(2) between the two groups before anesthesia and 1 h after extubation and immediately after extubation and 1 h after extubation(P<0.001).However,there were no significant differences in the oxygen tolerance score before leaving the room,airway humidification,and pulmonary complications 3 d after surgery between the two groups(P>0.05).CONCLUSION HFNCO can improve oxygen partial pressure and respiratory function in elderly patients undergoing orthopedic surgery under general endotracheal anesthesia.Thus,HFNCO can be used to prevent postoperative hypoxemia. 展开更多
关键词 Anesthesia recovery High flow nasal cannula oxygen HYPOXEMIA Older patients Orthopedic surgery Pulmonary complications
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Air flow control based on optimal oxygen excess ratio in fuel cells for vehicles 被引量:1
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作者 Ai Guo Weirong Chen +2 位作者 Qi Li Zhixiang Liu Haidan Que 《Journal of Modern Transportation》 2013年第2期79-85,共7页
Air flow control is one of the most important control methods for maintaining the stability and reliability of a fuel cell system, which can avoid oxygen starvation or oxygen saturation. The oxygen excess ratio (OER... Air flow control is one of the most important control methods for maintaining the stability and reliability of a fuel cell system, which can avoid oxygen starvation or oxygen saturation. The oxygen excess ratio (OER) is often used to indicate the air flow condition. Based on a fuel cell system model for vehicles, OER performance was analyzed for different stack currents and temperatures in this paper, and the results show that the optimal OER was affected weakly by the stack temperature. In order to ensure the system working in optimal OER, a control scheme that includes an optimal OER regulator and a fuzzy control was proposed. According to the stack current, a reference value of air flow rate was obtained with the optimal OER regulator and then the air compressor motor voltage was controlled with the fuzzy controller to adjust the air flow rate provided by the air compressor. Simulation results show that the control method has good dynamic and static characteristics. 展开更多
关键词 Fuel cells oxygen excess ratio Air flow Fuzzy control
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Simulation of Flow Field of Oxygen Lance Gas Jet Utilized for 50 t Converter 被引量:7
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作者 LI Jun-guo ZENG Ya-nan +1 位作者 WANG Jian-qiang HAN Zhi-jie 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2011年第4期11-18,共8页
Based on the operating conditions of oxygen lance utilized for a 50 t converter in Tangsteel,gas jet flow fields of three types of oxygen lances were simulated by FLUENT software.The influence of lance configuration a... Based on the operating conditions of oxygen lance utilized for a 50 t converter in Tangsteel,gas jet flow fields of three types of oxygen lances were simulated by FLUENT software.The influence of lance configuration and lance level on penetrating area was studied through cold model experiment.The results showed that the gas flow velocities of four-hole,variable angle four-hole and five-hole oxygen lances declined rapidly with an increase in gas jet length within 1 m,1 m and 0.8 m,respectively.Besides,the multi gas streams sprayed from these three lances should be syncretized at 1.6 m,1.7 m and 1.4 m,respectively.At the highest lance level,the effective penetrating area of these three lances could be 0.255 m2,0.385 m2 and 0.0907 m2,respectively.It was suggested that the effective penetrating area of variable angle four-hole oxygen lance was the biggest,while that of five-hole oxygen lance was the least.The validity of numerical simulation results was proved through cold model experiment.The lance level was suggested to be controlled in the range of 1-1.6 m,1-1.7 m and 0.8-1.4 m for the four-hole,variable angle four-hole and five-hole oxygen lances,respectively. 展开更多
关键词 oxygen lance variable angle four-hole flow field
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Experimental Study on Combustion Characteristics of Pulverized Coal under Enriched-oxygen Condition by Entrained Flow Reactor 被引量:1
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作者 Guo-Wei Liu Dao-Zhi Qu +1 位作者 Peng Dong Ru-Shan Bie 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2013年第1期46-51,共6页
Four different pulverized coals have been used to study the effects of oxygen concentration on combustion characteristics under different enriched-oxygen conditions by entrained flow reactor experiments. The results s... Four different pulverized coals have been used to study the effects of oxygen concentration on combustion characteristics under different enriched-oxygen conditions by entrained flow reactor experiments. The results show that: with the increase of oxygen concentration, the ignition temperature of four coals greatly decreases and the low volatile coals decrease faster; with the increase of oxygen concentration, the ignition mode of pulverized coal has an obviously transformation from homogeneous ignition to heterogeneous ignition, and the corresponding oxygen concentrations are about 40% and 50%-60% respectively for bituminous coal and lignite, and both about 30% for lean coal and anthracite; with the increase of oxygen concentration, the optimal pulverized coal concentrations of bituminous coal and lignite increase firstly and then decrease, but for lean coal and anthracite, the optimal pulverized coal concentrations decrease slowly with the increase of oxygen concentration. 展开更多
关键词 enriched-oxygen condition combustion characteristics entrained flow reactor ignition mode
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Sleep Quality for Patients Receiving Noninvasive Positive Pressure Ventilation and Nasal High-Flow Oxygen Therapy in an ICU: Two Case Studies 被引量:1
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作者 Hiroaki Murata Yoko Yamaguchi 《Open Journal of Nursing》 2018年第9期605-615,共11页
Aim: The purpose of this case study was to examine the sleep quality of patients receiving noninvasive positive pressure ventilation (NPPV) or nasal high-flow oxygen therapy (NHF) in an intensive care unit and to inve... Aim: The purpose of this case study was to examine the sleep quality of patients receiving noninvasive positive pressure ventilation (NPPV) or nasal high-flow oxygen therapy (NHF) in an intensive care unit and to investigate what types of nursing support are offered to such patients. Methods: We examined one patient each for NPPV and NHF. Polysomnography (PSG), review of the patient charts, and semi-structured interviews were used to collect the data for analysis. Results: Patients treated with NPPV or NHF demonstrated a noticeable reduction in deep sleep, with most of their sleep being shallow. Their sleep patterns varied greatly from those of healthy individuals. These results suggest that, in addition to experiencing extremely fragmented sleep, sleep in these patients was more likely to be interrupted by nursing interventions, such as during auscultation of breath sounds. Furthermore, it was revealed that “anxiety or discomfort that accompanies the mask or air pressure” in patients treated with NPPV and “discomfort that accompanies the nasal cannula or NHF circuit” in patients treated with NHF may be primary causes of disrupted sleep. Our results suggest a need for nursing care aimed at improving sleep quality in patients treated with NPPV or NHF. 展开更多
关键词 Noninvasive Positive Pressure Ventilation (NPPV) NASAL High-flow oxygen Therapy (NHF) Sleep DEPRIVATION ICU Post Intensive Care Syndrome (PICS)
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Employment of Two-Stage Oxygen Feeding to Control Temperature in a Downdraft Entrained-Flow Coal Gasifier
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作者 Ting Wang Xijia Lu +1 位作者 Heng-Wen Hsu Cheng-Hsien Shen 《International Journal of Clean Coal and Energy》 2014年第3期29-45,共17页
The traditional practice of employing a two-stage coal-fed gasification process is to feed all of the oxygen to provide a vigorous amount of combustion in the first stage but only feed the coal without oxygen in the s... The traditional practice of employing a two-stage coal-fed gasification process is to feed all of the oxygen to provide a vigorous amount of combustion in the first stage but only feed the coal without oxygen in the second stage to allow the endothermic gasification process to occur downstream of the second stage. One of the merits of this 2-stage practice is to keep the gasifier temperature low downstream from the 2nd stage. This helps to extend the life of refractory bricks, decrease gasifier shut-down frequency for scheduled maintenance, and reduce the maintenance costs. In this traditional 2-stage practice, the temperature reduction in the second stage is achieved at the expense of a higher than normal temperature in the first stage. This study investigates a concept totally opposite to the traditional two-stage coal feeding practices in which the injected oxygen is split between the two stages, while all the coal is fed into the first stage. The hypothesis of this two-stage oxygen injection is that a distributed oxygen injection scheme can also distribute the release of heat to a larger gasifier volume and, thus, reduce the peak temperature distribution in the gasifier. The increased life expectancy and reduced maintenance of the refractory bricks can prevail in the entire gasifier and not just downstream from the second stage. In this study, both experiments and computational simulations have been performed to verify the hypothesis. A series of experiments conducted at 2.5 - 3.0 bars shows that the peak temperature and temperature range in the gasifier do decrease from 600?C - 1550?C with one stage oxygen injection to 950?C - 1230?C with a 60 - 40 oxygen split-injection. The CFD results conducted at 2.5 bars show that 1) the carbon conversion ratio for different oxygen injection schemes are all above 95%;2) H2 (about 70% vol.) dominates the syngas composition at the exit;3) the 80% - 20% case yields the lowest peak temperature and the most uniform temperature distribution along the gasifier;and 4) the 40% - 60% case produces the syngas with the highest HHV. Both experimental data and CFD predictions verify the hypothesis that it is feasible to reduce the peak temperature and achieve more uniform temperature in the gasifier by adequately controlling a two-stage oxygen injection with only minor changes of the composition and heating value of the syngas. 展开更多
关键词 TWO-STAGE oxygen FEEDING Entrained-flow COAL GASIFICATION GASIFICATION Simulation Syngas Composition Clean COAL Technology Multiphase flow Simulation
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流速对吉富罗非鱼幼鱼游泳行为及生理生化的影响
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作者 张静 郭伯立 +2 位作者 胡长圣 王学锋 汤保贵 《水产学报》 北大核心 2026年第3期44-55,共12页
【目的】通过流速对吉富罗非鱼幼鱼的游泳行为进行实验研究,初步揭示其对流速变化的生化调节机制,为池塘循环流水养殖模式下吉富罗非鱼的养殖提供科学依据。【方法】实验采用泳道呼吸仪SY28060进行鱼类游泳行为实验;采用“递增流速法”... 【目的】通过流速对吉富罗非鱼幼鱼的游泳行为进行实验研究,初步揭示其对流速变化的生化调节机制,为池塘循环流水养殖模式下吉富罗非鱼的养殖提供科学依据。【方法】实验采用泳道呼吸仪SY28060进行鱼类游泳行为实验;采用“递增流速法”测定了吉富罗非鱼幼鱼[体长:(3.55±0.47) cm,体重:(1.63±0.69) g]的游泳速度;测定了不同流速梯度下吉富罗非鱼幼鱼的摆尾频率和耗氧率;取样并测定了不同流速梯度和运动时间作用下吉富罗非鱼幼鱼白肌和肝脏中乳酸、糖原和葡萄糖的含量。【结果】吉富罗非鱼幼鱼的感应流速为(9.76±1.42) cm/s、临界游泳速度为(75.28±12.30) cm/s、爆发游泳速度为(57.11±10.80) cm/s;摆尾频率和流速之间存在显著的线性正相关关系;静止耗氧率为(117.42±38.68) mg/(kg·h),运动耗氧率随着流速的增大而增大,呈指数关系;单位距离能耗最小值出现在40%U_(crit)处,无氧代谢启动速率发生在60%U_(crit);到达临界游泳速度时的无氧代谢功率比例为7.87%。在高流速(≥80%U_(crit))下短时间(20 min)的持续运动会增加鱼类的应激,导致乳酸的积累;而较长时间(60 min)的持续运动增强了鱼类对环境应激的适应,加速了乳酸的清除和利用;在中、低流速(≤60%U_(crit))下短时间的持续运动会加快鱼类的恢复。【结论】吉富罗非鱼的持续游泳能力和耐低氧能力较强,建议吉富罗非鱼幼鱼适宜的养殖流速为32 cm/s,不宜超过48 cm/s。 展开更多
关键词 吉富罗非鱼 流速 游泳行为 耗氧率 生理生化
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基于系统反向泄漏的高阻隔性薄膜透气性测试模型与特性
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作者 刘孝锋 苏志从 +2 位作者 胡宝法 庄加福 褚若波 《包装工程》 北大核心 2026年第1期31-37,共7页
目的为提高塑料薄膜和薄片等食药品软包装材料氧气阻隔性的检测精度,简化实际的透气性测试而提高测试效益。方法把系统反向泄漏和气体渗透视为分子流状态,根据气量守恒和流阻不变性,建立具有外层辅助密封室和反向泄漏的高阻隔性软包装... 目的为提高塑料薄膜和薄片等食药品软包装材料氧气阻隔性的检测精度,简化实际的透气性测试而提高测试效益。方法把系统反向泄漏和气体渗透视为分子流状态,根据气量守恒和流阻不变性,建立具有外层辅助密封室和反向泄漏的高阻隔性软包装材料透气性测试数学模型,得出透气性测试系统内、外层密封室压强和漏率变化特性,给出反向泄漏测试系统等效测试时间表达式。结果具有外层辅助密封室的透气性测试系统等效测试时间远大于24h,透气性测试相对误差约为1.35%。结论具有外层辅助密封室的透气性测试装置测试,其测试结果与忽略系统泄漏的理想测试结果比较,误差可忽略,无需进行系统泄漏测量和测试校正,准确测出氧气阻隔性。为高阻隔性薄膜透气性高精高效测试提供理论依据。 展开更多
关键词 系统反向泄漏 氧气阻隔性 分子流状态 透气性测试 等效测试时间
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Effect of Oxygen Content on Structural and Optical Properties of Single Cu_2O Film by Reactive Magnetron Sputtering Method 被引量:2
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作者 李斌斌 朱建勋 +2 位作者 陈照峰 沈鸿烈 罗建 《Journal of Shanghai Jiaotong university(Science)》 EI 2012年第5期523-526,共4页
Cuprous oxide(Cu_2O) thin films have been deposited on glass substrate by reactive magnetron sputtering method using Cu target and argon oxygen gas atmosphere.Effect of oxygen flow rate on structural and optical prope... Cuprous oxide(Cu_2O) thin films have been deposited on glass substrate by reactive magnetron sputtering method using Cu target and argon oxygen gas atmosphere.Effect of oxygen flow rate on structural and optical properties of thin films has been discussed.The results of X-ray diffraction,ultraviolet-visible spectrophotometry and atomic force micrograph indicated that the condition window for single Cu_2O phase was about 3.8 to 4.4 cm^3/min,and the optimum oxygen flow rate was 4.2 cm^3/min.The optical band gap E_g of Cu_2O film was determined by using the data of transmittance versus wavelength,and slightly decreased from 2.46 to 2.40 eV with the increase of oxygen flow rate from 3.8 to 4.4 cm^3/min.The Cu_2O film formed at the oxygen flow rate of 4.2 cm^3/min had an optical band gap of 2.43 eV. 展开更多
关键词 cuprous oxide reactive magnetron sputtering oxygen flow rate
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高流量湿化氧疗对老年低氧性呼吸衰竭患者下呼吸道菌群特征及炎症微环境的影响
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作者 曲忠慧 李军 周健 《中国病原生物学杂志》 北大核心 2026年第1期34-40,共7页
目的探讨高流量湿化氧疗(HFNC)对老年低氧性呼吸衰竭患者下呼吸道菌群特征及炎症微环境的影响。方法前瞻性纳入70例老年低氧性呼吸衰竭患者,根据氧疗方式分为HFNC组和传统氧疗(COT)组,每组35例。于基线(T0)、治疗72 h(T1)和7 d(T2)采集... 目的探讨高流量湿化氧疗(HFNC)对老年低氧性呼吸衰竭患者下呼吸道菌群特征及炎症微环境的影响。方法前瞻性纳入70例老年低氧性呼吸衰竭患者,根据氧疗方式分为HFNC组和传统氧疗(COT)组,每组35例。于基线(T0)、治疗72 h(T1)和7 d(T2)采集诱导痰和血液标本。采用16S rRNA高通量测序分析菌群组成,ELISA法检测炎症因子水平。结果治疗7 d后,HFNC组Shannon指数从3.84降至3.51(下降8.6%),COT组从3.81降至2.94(下降22.8%),组间差异显著(P<0.01)。COT组假单胞菌属和克雷伯菌属相对丰度分别增至12.48%和10.76%,而HFNC组仅为4.18%和3.47%。HFNC组诱导痰IL-6下降42.05%,COT组仅下降17.30%;血清CRP在HFNC组下降59.47%,COT组下降36.08%。Shannon指数变化与CRP变化呈正相关(r=0.682,P<0.01)。HFNC组PaO_(2)/FiO_(2)改善59.38%,住院时间(8.46±2.48 d)较COT组(11.17±3.16 d)缩短2.71 d(P<0.01)。结论HFNC能有效维持老年低氧性呼吸衰竭患者下呼吸道菌群多样性,抑制致病菌过度生长,改善炎症微环境,从而缩短住院时间,其菌群保护效应可能是改善临床结局的重要机制。 展开更多
关键词 高流量湿化氧疗 呼吸道菌群 炎症微环境 低氧性呼吸衰竭 老年患者
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经鼻高流量氧疗支持下深肌松免插管麻醉在肺结核患者纤维支气管镜检查中的应用
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作者 解东明 王佳 +2 位作者 邓友明 殷国平 刘存明 《临床麻醉学杂志》 北大核心 2026年第1期10-14,共5页
目的探究经鼻高流量氧疗支持下深肌松免插管(H-NIDP)麻醉在肺结核患者纤维支气管镜检查中应用的有效性和安全性。方法选择择期行无痛纤维支气管镜检查的肺结核患者,年龄18~64岁,BMI 18.5~25.0 kg/m^(2),ASAⅠ或Ⅱ级。采用随机数字法将... 目的探究经鼻高流量氧疗支持下深肌松免插管(H-NIDP)麻醉在肺结核患者纤维支气管镜检查中应用的有效性和安全性。方法选择择期行无痛纤维支气管镜检查的肺结核患者,年龄18~64岁,BMI 18.5~25.0 kg/m^(2),ASAⅠ或Ⅱ级。采用随机数字法将患者分为两组:H-NIDP组(H组)和传统静脉组(C组)。H组采用H-NIDP麻醉;C组采用传统静脉麻醉。两组均采用相同麻醉诱导及维持方案,其中H组术中使用高流量装置吸氧,且在患者意识消失后给予罗库溴铵0.6 mg/kg;C组术中使用鼻导管吸氧。主要指标为术中低氧血症(SpO_(2)<90%且持续30 s)发生率。次要指标包括术前、苏醒后PaCO_(2),术中呛咳评分,麻醉诱导前5 min、插入纤维支气管镜即刻、纤维支气管镜进至隆突时、纤维支气管镜退出时及麻醉苏醒后HR、MAP和SpO_(2),术中环泊酚及瑞芬太尼用量、操作时间、苏醒时间、手术室时间,患者和操作者满意度情况以及术中高血压、低血压、体动、心动过速、心动过缓以及术后咽痛、恶心、呕吐等不良反应的发生情况。结果共纳入患者60例,每组30例。与C组比较,H组低氧血症发生率、呛咳评分明显降低,操作时间、手术室时间明显缩短,术中高血压、体动、心动过速及术后咽痛发生率明显降低,苏醒后PaCO_(2)、操作者满意度明显升高(P<0.05)。两组术前PaCO_(2)、术中环泊酚及瑞芬太尼用量、患者满意度、术中低血压、心动过缓、术后恶心呕吐等不良反应的发生率差异无统计学意义。结论与传统静脉麻醉比较,H-NIDP麻醉用于肺结核患者无痛纤维支气管镜检查可显著降低检查过程中低氧血症的发生率,有效抑制患者呛咳反应,提高了操作者满意度,且不良反应更少。 展开更多
关键词 经鼻高流量氧疗 深肌松免插管麻醉 纤维支气管镜 肺结核 低氧血症
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无呼吸性气流通气联合持续中低流量给氧在胸腔镜肺癌单肺通气肺保护中的效果
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作者 方博渊 杨明磊 汪炎磊 《中国现代医学杂志》 2026年第2期1-6,共6页
目的探讨无呼吸性气流通气联合持续中低流量给氧在胸腔镜肺癌单肺通气肺保护中的效果。方法前瞻性选取2021年1月—2023年6月在宁波市杭州湾医院接受胸腔镜下肺癌根治术患者102例,采用随机数字表法分为对照组和观察组(各51例)。对照组单... 目的探讨无呼吸性气流通气联合持续中低流量给氧在胸腔镜肺癌单肺通气肺保护中的效果。方法前瞻性选取2021年1月—2023年6月在宁波市杭州湾医院接受胸腔镜下肺癌根治术患者102例,采用随机数字表法分为对照组和观察组(各51例)。对照组单肺通气后采用持续中低流量给氧,观察组在对照组的基础上采用无呼吸性气流通气。对比两组呼吸指数(RI)、动脉血二氧化碳分压(PaCO_(2))、肺萎陷及手术视野暴露效果、肺组织损伤评分、肺组织细胞凋亡指数、术后住院时间、术后机械通气辅助时间及并发症。结果观察组与对照组麻醉诱导后1 min(T0)、单肺通气后30 min(T1)、单肺通气后1 h(T2)时刻的RI、PaCO_(2)水平比较,结果:①不同时间点RI、PaCO_(2)水平比较,差异均有统计学意义(F=11.265、13.785,均P<0.05);②观察组与对照组RI、PaCO_(2)水平比较,差异均有统计学意义(F=9.143、11.068,均P<0.05);③两组RI、PaCO_(2)水平变化趋势比较,差异均有统计学意义(F=10.372、12.412,均P<0.05)。观察组肺萎陷及手术视野暴露总有效率高于对照组(P<0.05)。观察组肺组织损伤评分和肺组织细胞凋亡指数均低于对照组(P<0.05)。观察组术后住院时间、术后机械通气辅助时间均短于对照组(P<0.05)。两组患者并发症总发生率比较,差异无统计学意义(P>0.05)。结论无呼吸性气流通气联合持续中低流量给氧在胸腔镜肺癌单肺通气肺保护中效果确切,可减轻肺组织损伤,改善RI、PaCO_(2)水平,促进术后康复,且安全性可靠。 展开更多
关键词 肺癌 胸腔镜 单肺通气 无呼吸性气流通气 持续中低流量给氧 肺保护
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五指毛桃黄酮提取纯化及抑制HepG2增殖活性
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作者 唐蓉 龚舒 +6 位作者 刘天开 郑顺彤 叶晓彤 穆晓琨 龚记熠 乙引 刘文华 《精细化工》 北大核心 2026年第1期144-154,共11页
采用超声波辅助醇提法提取五指毛桃粗黄酮,通过单因素实验和正交实验,考察了超声时间、料液比(g∶mL,下同)、乙醇体积分数、超声功率对五指毛桃黄酮提取量的影响。通过大孔树脂的静态和动态纯化,探讨了大孔树脂类型、五指毛桃粗黄酮样... 采用超声波辅助醇提法提取五指毛桃粗黄酮,通过单因素实验和正交实验,考察了超声时间、料液比(g∶mL,下同)、乙醇体积分数、超声功率对五指毛桃黄酮提取量的影响。通过大孔树脂的静态和动态纯化,探讨了大孔树脂类型、五指毛桃粗黄酮样品液质量浓度、pH对五指毛桃黄酮纯度的影响。基于噻唑蓝法、核染色法、活性氧检测法、流式细胞术,探究了纯化后的五指毛桃黄酮抑制HepG2细胞的增殖活性。结果表明,在超声时间90 min、料液比1∶40、乙醇体积分数80%的水溶液、超声功率400 W的最佳提取条件下,五指毛桃黄酮的平均提取量为(5.720±0.713)mg/g,五指毛桃粗黄酮纯度为6.05%。大孔树脂AB-8表现出最佳的纯化五指毛桃黄酮的性能,其最佳静态纯化条件为五指毛桃粗黄酮样品液质量浓度为0.7408 g/L、pH=4、解吸液为乙醇体积分数60%的水溶液;动态纯化最佳条件为五指毛桃粗黄酮样品液质量浓度为0.2408 g/L、pH=4、上样量为75 mL、洗脱剂为乙醇体积分数60%的水溶液,用量40 mL。通过AB-8的动态纯化,五指毛桃黄酮的纯度由五指毛桃粗黄酮的6.05%提高到32.67%。AB-8纯化后的五指毛桃黄酮对HepG2细胞的增殖有抑制效果,可降低细胞存活率,促进细胞凋亡。 展开更多
关键词 五指毛桃黄酮 超声波辅助醇提法 大孔树脂 噻唑蓝法 核染色法 活性氧检测法 流式细胞术 中药现代化技术
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正压排痰机联合经鼻高流量氧疗治疗肺部感染合并肺不张的效果研究
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作者 葛德芹 《中国实用医药》 2026年第4期35-37,共3页
目的探究正压排痰机联合经鼻高流量氧疗治疗肺部感染合并肺不张的价值。方法研究对象为62例肺部感染合并肺不张患者,采用随机数字表分组法分成对照组和观察组,各31例。对照组使用正压排痰机治疗,观察组使用正压排痰机联合经鼻高流量氧... 目的探究正压排痰机联合经鼻高流量氧疗治疗肺部感染合并肺不张的价值。方法研究对象为62例肺部感染合并肺不张患者,采用随机数字表分组法分成对照组和观察组,各31例。对照组使用正压排痰机治疗,观察组使用正压排痰机联合经鼻高流量氧疗治疗。对比两组患者临床症状消失时间,血气指标[动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))及血氧饱和度(SaO_(2))],临床疗效,不同时间段排痰量。结果观察组发绀、肺部啰音及气促消失时间分别为(0.47±0.13)、(4.85±1.02)、(5.22±0.93)d,均短于对照组的(0.92±0.27)、(7.14±1.68)、(7.78±1.46)d(P<0.05)。观察组PaO_(2)(75.52±6.29)mm Hg(1 mm Hg=0.133 kPa)及SaO_(2)(94.39±3.82)%相比于对照组的(68.84±5.26)mm Hg、(89.61±5.17)%更高,PaCO_(2)(46.81±4.92)mm Hg相比于对照组的(52.76±5.85)mm Hg更低(P<0.05)。观察组取得的临床总有效率(96.77%)相比于对照组(74.19%)更高(P<0.05)。治疗3、7 d,两组排痰量均较治疗前增加,且观察组排痰量(35.65±3.42)、(41.02±4.25)ml比对照组的(30.23±3.22)、(35.22±4.69)ml更多(P<0.05)。结论肺部感染合并肺不张患者采用正压排痰机联合经鼻高流量氧疗治疗可快速改善患者临床症状和血气指标,提升临床疗效及排痰量,值得进一步推广和应用。 展开更多
关键词 经鼻高流量氧疗 正压排痰机 肺部感染 肺不张
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Experiment and numerical simulation of melt convection and oxygen distribution in 400-mm Czochralski silicon crystal growth 被引量:6
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作者 Ran Teng Yang Li +3 位作者 Bin Cui Qing Chang Qing-Hua Xiao Guo-Hu Zhang 《Rare Metals》 SCIE EI CAS CSCD 2017年第2期134-141,共8页
Single-crystalline silicon materials with large dimensions have been widely used as assemblies in plasma silicon etching machines.However,information about large-diameter low-cost preparation technology has not been s... Single-crystalline silicon materials with large dimensions have been widely used as assemblies in plasma silicon etching machines.However,information about large-diameter low-cost preparation technology has not been sufficiently reported.In this paper,it was focused on the preparation of 400-mm silicon(100) crystal lightly doped with boron from 28-in.hot zones.Resistivity uniformity and oxygen concentration of the silicon crystal were investigated by direct-current(DC) four-point probes method and Fourier transform infrared spectroscopy(FTIR),respectively.The global heat transfer,melt flow and oxygen distribution were calculated by finite element method(FEM).The results show that 28-in.hot zones can replace conventional 32 in.ones to grow 400-mm-diameter silicon single crystals.The change in crucible diameter can save energy,reduce cost and improve efficiency.The trend of oxygen distribution obtained in calculations is in good agreement with experimental values.The present model can well predict the 400-mm-diameter silicon crystal growth and is essential for the optimization of furnace design and process condition. 展开更多
关键词 Silicon crystal preparation Computer simulation Czochralski method Heat transfer Melt flow oxygen distribution
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Numerical Simulation of Decarburization in a Top-Blown Basic Oxygen Furnace 被引量:1
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作者 Miguel A. Barron Dulce Y. Medina Isaias Hilerio 《Modeling and Numerical Simulation of Material Science》 2014年第3期94-103,共10页
An improved mathematical model to describe the decarburization process in basic oxygen furnaces for steelmaking is presented in this work. This model takes into account those factors or parameters that determine the b... An improved mathematical model to describe the decarburization process in basic oxygen furnaces for steelmaking is presented in this work. This model takes into account those factors or parameters that determine the bath-oxygen impact area, such as the cavity depth, the lance height, the number of nozzles and the nozzles diameter. In the thermal issue, the model includes the targeted carbon content and temperature. The model is numerically solved, and is validated using reported data plant. The oxygen flow rate and the lance height are varied in the numerical simulations to study their effect on the carbon content and decarburization rate. 展开更多
关键词 Basic oxygen FURNACE Carbon Content DECARBURIZATION LANCE HEIGHT Numerical Simulation oxygen flow Rate oxygen STEELMAKING
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经鼻高流量湿化氧疗联合无创正压通气治疗慢性阻塞性肺疾病合并呼吸衰竭患者的效果
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作者 林荣华 肖清波 李燕玉 《中国民康医学》 2026年第1期33-35,共3页
目的:观察经鼻高流量湿化氧疗联合无创正压通气治疗慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者的效果。方法:回顾性分析2020年2月至2023年2月该院收治的86例COPD合并呼吸衰竭患者的临床资料,根据治疗方法不同将其分为对照组和研究组各43... 目的:观察经鼻高流量湿化氧疗联合无创正压通气治疗慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者的效果。方法:回顾性分析2020年2月至2023年2月该院收治的86例COPD合并呼吸衰竭患者的临床资料,根据治疗方法不同将其分为对照组和研究组各43例。对照组采用无创正压通气治疗,研究组在对照组基础上联合经鼻高流量湿化氧疗。比较两组临床疗效,治疗前后血气分析指标[动脉血二氧化碳分压(PaCO_(2))、动脉血氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))、PaO_(2)/吸入氧浓度(FiO_(2))]、呼吸力学指标[气道峰压(PIP)、每分通气量(MV)]水平,以及并发症发生率。结果:研究组治疗总有效率为95.35%,高于对照组的79.07%,差异有统计学意义(P<0.05);治疗后,两组SaO_(2)、PaO_(2)、PaO_(2)/FiO_(2)水平均高于治疗前,且研究组高于对照组,两组PaCO_(2)水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组MV、PIP水平均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:经鼻高流量湿化氧疗联合无创正压通气治疗COPD合并呼吸衰竭患者可提高治疗总有效率和呼吸力学指标水平,以及改善动脉血气分析指标水平,效果优于单纯无创正压通气治疗。 展开更多
关键词 经鼻高流量湿化氧疗 无创正压通气 慢性阻塞性肺疾病 呼吸衰竭 血气分析 呼吸力学 并发症
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Redox catalysts for aprotic Li-O2 batteries: Toward a redox flow system 被引量:1
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作者 YunGuang Zhu F.W.Thomas Goh Qing Wang 《Nano Materials Science》 CAS 2019年第3期173-183,共11页
Large-scale electrical energy storage with high energy density and round-trip efficiency is important to the resilience of power grids and the effective use of intermittent renewable energy such as solar and wind.Lith... Large-scale electrical energy storage with high energy density and round-trip efficiency is important to the resilience of power grids and the effective use of intermittent renewable energy such as solar and wind.Lithiumoxygen battery,due to its high energy density,is believed to be one of the most promising energy storage systems for the future.However,large overpotentials,poor cycling stability,and degradation of electrolytes and cathodes have been hindering the development of lithium-oxygen batteries.Numerous heterogeneous oxygen electrocatalysts have been investigated to lower the overpotentials and enhance the cycling stability of lithium-oxygen batteries.Unfortunately,the prevailing issues of electrode passivation and clogging remain.Over the past few years,redox mediators were explored as homogenous catalysts to address the issues,while only limited success has been achieved for these soluble catalysts.In conjunction with a flowing electrolyte system,a new redox flow lithium-oxygen battery(RFLOB)has been devised to tackle the aforementioned issues.The working mechanism and schematic processes will be elaborated in this review.In addition,the performance gap of RFLOB with respect to practical requirements will be analysed.With the above,we anticipate RFLOB would be a credible solution for the implementation of lithium-oxygen battery chemistry for the next generation energy storage. 展开更多
关键词 Lithium-air battery Redox CATALYSIS oxygen reduction REACTION oxygen evolution REACTION Redox flow cell
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