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自动化腹膜透析超滤量与相关透析因素分析
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作者 刘淑文 彭方国 马宁 《当代医学》 2023年第12期177-180,共4页
目的探讨自动化腹膜透析超滤量与相关透析因素。方法回顾性分析2015年2月至2018年2月某三甲医院肾内科收治的99例行自动化腹膜透析(APD)治疗患者的临床资料,共行APD治疗703人次,收集患者的年龄、性别、腹透浓度、治疗时间、治疗量、治... 目的探讨自动化腹膜透析超滤量与相关透析因素。方法回顾性分析2015年2月至2018年2月某三甲医院肾内科收治的99例行自动化腹膜透析(APD)治疗患者的临床资料,共行APD治疗703人次,收集患者的年龄、性别、腹透浓度、治疗时间、治疗量、治疗周期、治疗总量、总治疗时间、超滤效果,分析自动化腹膜透析超滤量与相关透析因素。结果99例行APD治疗患者中,已行持续非卧床腹膜透析(CAPD)患者40例,占比40.4%;共行APD治疗295人次,占比42.0%。新置管组与已行CAPD组性别、总治疗天数比较差异无统计学意义;已行CAPD组年龄、腹透浓度均小于新置管组,治疗周期、治疗时间均短于新置管组、治疗总量少于新置管组,治疗量多于新置管组,差异有统计学意义(P<0.05)。研究组与对照组性别、治疗量、总治疗时间比较差异无统计学意义;研究组年龄、腹透浓度均小于对照组,治疗周期、治疗时间均短于对照组、治疗总量少于对照组,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,年龄、腹透浓度、治疗周期、治疗时间、治疗总量为影响APD超滤量的独立影响因素(P<0.05)。结论治疗APD患者应从年龄、腹透浓度、治疗周期、治疗时间、治疗总量等因素采取相应措施来提高患者的超滤量,以改善患者的生存质量和预后。 展开更多
关键词 自动化腹膜透析 新置管 持续非卧床腹膜透析 护理
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耦合碳捕集系统的燃气蒸汽联合循环综合性能研究 被引量:8
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作者 冯凌杰 翟融融 +2 位作者 郭一村 马宁 傅佳欣 《发电技术》 2022年第4期584-592,共9页
燃气蒸汽联合循环(natural gas combined cycle,NGCC)具有清洁、高效、部分变负荷能力强等特点,将NGCC机组与碳捕集系统耦合是实现碳减排的重要途径之一。以国际能源署(International Energy Agency,IEA)报告中的884 MW二拖一燃气蒸汽... 燃气蒸汽联合循环(natural gas combined cycle,NGCC)具有清洁、高效、部分变负荷能力强等特点,将NGCC机组与碳捕集系统耦合是实现碳减排的重要途径之一。以国际能源署(International Energy Agency,IEA)报告中的884 MW二拖一燃气蒸汽联合循环机组为参考对象,利用Ebsilon软件对其进行建模验证。基于能量梯级利用原则,提出了4个不同的NGCC机组与碳捕集系统耦合方案,分别是抽汽回除氧器、抽汽换热回除氧器,抽汽回凝汽器以及增设小汽机加回热回除氧器。并进一步分析了4种不同耦合方案的热力性能,其能量惩罚分别为6.67%、6.59%、 6.81%和5.46%,得出方案4能有效降低能量惩罚。 展开更多
关键词 燃气蒸汽联合循环(NGCC) 碳捕集 能量惩罚
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综合康复训练对老年吞咽障碍患者康复疗效及并发症的影响 被引量:9
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作者 马宁 裴莹 《实用医院临床杂志》 2019年第6期15-17,共3页
目的探讨对老年吞咽障碍患者实施综合康复训练对并发症和康复效果的影响,改善患者预后。方法选取老年吞咽障碍患者103例,随机分为对照组(51例)及观察组52例,其中对照组实施常规护理;观察组采取综合康复训练。对比两组患者治疗前后标准... 目的探讨对老年吞咽障碍患者实施综合康复训练对并发症和康复效果的影响,改善患者预后。方法选取老年吞咽障碍患者103例,随机分为对照组(51例)及观察组52例,其中对照组实施常规护理;观察组采取综合康复训练。对比两组患者治疗前后标准吞咽功能评定量表(SSA)和吞咽障碍生活质量量表(SWAL-QOL)评分和并发症发生情况。结果治疗2、3、4周时,观察组患者SSA得分、治疗4周时SWAL-QOL得分均明显高于对照组,差异有统计学意义(P<0.05)。观察组患者共有5例(9.62%)出现并发症,其中吸入性肺炎、误吸分别发生2例(3.85%)和3例(5.77%),明显少于对照组,差异有统计学意义(P<0.05)。结论对老年吞咽障碍患者进行综合康复训练,不仅可以改善患者吞咽功能、降低并发症发生率,还可改善患者生活质量。 展开更多
关键词 综合康复训练 老年患者 吞咽障碍 并发症
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空心阴极微推力器研究进展
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作者 马宁 张天平 《真空与低温》 2020年第2期165-171,共7页
空心阴极微推力器是一种通过空心阴极放电产生高密度的等离子体,并将其喷出产生相应推力的电推力器,具有体积小、结构简单、研制难度小、成本低的优点,非常适合作为微小卫星的电推进系统。概述了空心阴极微推力器的系统组成和工作原理,... 空心阴极微推力器是一种通过空心阴极放电产生高密度的等离子体,并将其喷出产生相应推力的电推力器,具有体积小、结构简单、研制难度小、成本低的优点,非常适合作为微小卫星的电推进系统。概述了空心阴极微推力器的系统组成和工作原理,介绍了国内外空心阴极微推力器的研究进展和发展现状,分析了不同结构的空心阴极微推力器的性能参数和特点,并对其关键技术及发展趋势进行了初步讨论。 展开更多
关键词 空心阴极微推力器 等离子体 电推进
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Microscopic—Theoretical Calculations of R—Line Thermal Shifts and Broadenings of MgO:V^2+
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作者 MADong-Ping maning 《Communications in Theoretical Physics》 SCIE CAS CSCD 2002年第5期631-636,共6页
A great improvement on a previous work (Phys. Rev. B48 (1993) 14067) has been made. By taking into account all the irreducible representations and their components in the electron-phonon interaction (EPI) as well as a... A great improvement on a previous work (Phys. Rev. B48 (1993) 14067) has been made. By taking into account all the irreducible representations and their components in the electron-phonon interaction (EPI) as well as all the levels and the admixtures of basic wavefunctions within d<SUP>3</SUP> electronic configuration, the values of all the parameters in the expressions of thermal shift (TS) and thermal broadening (TB) from EPI for the ground level, R level and R line of MgO:V<SUP>2+</SUP> have microscopically been evaluated; and then, both the TS and TB of R line and various contributions to them have uniformly been calculated. The results are in very good agreement with the experimental data. It is found that all the three terms of TS from EPI are red shifts; the term of the contribution to TS from thermal expansion is blue shift. The Raman term is the largest, and the other terms are also important for TS. The R-line TS of MgO:V<SUP>2+</SUP> comes from the first-order term of EPI. The elastic Raman scattering of acoustic phonons plays a dominant role in R-line TB of MgO:V<SUP>2+</SUP>. For calculations of both the TS and TB, it is very important to take into account all the admixtures of wavefunctions. 展开更多
关键词 crystal fields optical properties electron-phonon interaction electronic structure thermal shift and broadening thermal expansion
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Thermal Shifts and Electron—Phonon Interactions of ^4T2 and ^4T1 Broad Bands for Ruby
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作者 MADong-Ping maning 《Communications in Theoretical Physics》 SCIE CAS CSCD 2002年第2期247-252,共6页
For the first timc, by taking into account all the irreducible representations and their components in theelectron-phonon interaction (EPI) as well as all the levels and the admixtures of wavefunctions within d3 elect... For the first timc, by taking into account all the irreducible representations and their components in theelectron-phonon interaction (EPI) as well as all the levels and the admixtures of wavefunctions within d3 electronicconfiguration, the values of parameters in expressions of Raman and optical-branch terms of thermal shifts (TS) due toEPI for three levels, 4T2 band and 4T1 band of ruby have been evaluated; the contributions to TS of 4T2 and 4T1 broadbands from thermal expansion have also been calculated; and then, the TS of the peak energies of 4T2 and 4T1 broadbands have been calculated. The results are in satisfactory agreement with observed data. The values of single-electronreduced matrix elements representing the strengths of EPI of 4T2 and 4T1 bands have respectively been determined. ForTS of the peak energies of 4T2 and 4T1 bands, it is found that the contribution to TS from the second-order term in EPIHamiltonian is dominant; TS due to EPI of acoustic branches are over two times as much as those of optical branches,and both of them increase rapidly with temperature; the neighbor-level term is insignificant; the contribution to TS fromthermal expansion is specially important, and all the three terms of TS of 4T2 or 4T1 band are red shifts. 展开更多
关键词 晶体 热位移 带加宽 电子-声子相互作用
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Theoretical Calculations of Strain—Induced Splittings and/or Shifts of t2^32E and t2^34A2 Levels for MgO:Cr^3+
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作者 MADong-Ping maning 《Communications in Theoretical Physics》 SCIE CAS CSCD 2001年第2期219-226,共8页
Under various uniaxial stresses,both strains with low symmetry and isotropic strains of crystals take place.The former fives the strain-induced low-symmetry crystal fields and accordingly splittings of levels;the latt... Under various uniaxial stresses,both strains with low symmetry and isotropic strains of crystals take place.The former fives the strain-induced low-symmetry crystal fields and accordingly splittings of levels;the latter gives the isotropic parts of strain-induced crystal fields and accordingly shifts of levels.By using the wavefunctions obtained from the diagonalization of the complete d^3 energy matrix in a regular octahedral field,the relevant matrix elements and accordingly strain-induced splittings and/or shifts of t2^32E and t2^34A2 for MgO:Cr^3+ have been calculated.Their physical origins have been thoroughly analyzed and revealed.It is the admixtures of basic wavefunctions resulted from the spinorbit interaction and/ork Coulomb interaction and/or Kramers degeneracy that make strain-induced splittings of levels nonzero.In contrast with this,strain-induced shifts come mainly from the zero-order approximate wavefunctions.It is found that there are nonvanishing matrix elements of operators T2ξ,T2η and T2ζ between wavefunctions with positive Ms and those with negative ms',which have important effects on strain-induced splittings of levels.The shifts of t2^32E under both hydrostatic pressure and uniaxial pressure have been uniformly calculated.The important results of Yc,Zc,Pc,Qc and <t2||C(A1)||t2> have been evaluated. 展开更多
关键词 晶体 MgO:Cr^3+ 能级位移 混合波函数
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Pressure—Induced Shifts of Energy Spectra of α—Al2O3:Mn^4+
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作者 MADong-Ping maning 《Communications in Theoretical Physics》 SCIE CAS CSCD 2002年第1期111-116,共6页
By making use of the diagonalization of the complete d3 energy matrix in a trigonally distorted cubic-field and the theory of pressure-induced shifts (PS) of energy spectra, the whole energy spectrum of α-Al2 O3 :Mn4... By making use of the diagonalization of the complete d3 energy matrix in a trigonally distorted cubic-field and the theory of pressure-induced shifts (PS) of energy spectra, the whole energy spectrum of α-Al2 O3 :Mn4+ and PS of levels have been calculated. All the calculated results are in excellent agreement with the experimental data. The comparison between the results ofα-AlO3:Mn4+ and ruby has been made. It is found that on one hand, R1-line and R2line PS of α-Al2O3:Mn4+ and ruby are linear in pressure over 0 ~ 100 kbar, and their values of the principal parameter for PS are very close to each other. On the other hand, the sensitivities of R1-line and R2-line PS of α-Al2O3:Mn4+are higher than those of ruby respectively, which comes mainly from the difference between the values of parameters at normal pressure of two crystals; moreover, the expansion ofd-electron wavefunctions of α-Al2 O3 :Mn4+ with compression is slightly larger than the one of ruby, and the effective charge experienced by d-electrons of α-Al2O3:Mn4+ decreases with compression more rapidly than the one of ruby. In the final analysis, all these can be explained in terms of the facts that the two crystals are doped α-Al2O3 with two isoelectronic ions; the strengths of the crystal field and covalency of α-Al2O3 :Mn4+ are larger than those of ruby respectively, due to the charge of Mn4+ to be larger than that of Cr3+. 展开更多
关键词 晶体 能谱位移 高压效应
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腹腔镜切口疝修补术中腹腔粘连的诊断、分型及分离技巧 被引量:5
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作者 曾兵 李英儒 +5 位作者 甘文昌 侯泽辉 马宁 江志鹏 周太成 陈双 《中国普通外科杂志》 CAS CSCD 北大核心 2022年第4期457-464,共8页
背景与目的:切口疝是腹部手术的常见并发症之一,而患者在经历了腹部手术后常有不同程度的腹腔内粘连,分离粘连是切口疝修补过程中不可回避且有相对难度的工作。术前人工渐进性气腹是腹腔镜切口疝修补术中的重要环节,笔者前期发现,通过... 背景与目的:切口疝是腹部手术的常见并发症之一,而患者在经历了腹部手术后常有不同程度的腹腔内粘连,分离粘连是切口疝修补过程中不可回避且有相对难度的工作。术前人工渐进性气腹是腹腔镜切口疝修补术中的重要环节,笔者前期发现,通过对比气腹前后的影像学资料,可评估切口疝患者腹腔内状态,有利于手术预判,提高手术精准度,减少手术风险。本文旨在进一步探讨人工气腹结合腹部CT在伴腹腔粘连切口疝患者的腹腔镜修补术中的应用价值,并总结腹腔粘连的类型和分离粘连的手术技巧。方法:回顾性收集分析2019年4月—2020年5月在中山大学附属第六医院胃肠、疝和腹壁外科行腹腔镜切口疝修补术患者的临床资料和手术录像。通过术前人工气腹前、后腹部CT对比,判断是否存在腹腔粘连。研究者通过手术录像复盘,观察腹腔粘连的分型,总结粘连分离的技巧,记录术中粘连分离时间和并发症,统计观察孔穿刺时副损伤情况,术后并发症与恢复情况。结果:共收集72例行腹腔镜切口疝修补术病例,其中15例术前未建立人工气腹,7例建立人工气腹后术前未复查腹部CT,15例气腹前或气腹后未行疝囊三维CT重建,均予以排除。最终纳入35例患者,均为II型腹壁缺损;复发疝5例;男16例,女19例;年龄(63.26±11.11)岁;体质量指数25.04(23.03~27.34)kg/m^(2);既往手术术后有腹腔内感染伴切口感染者4例,切口感染者7例;最多手术次数5次。通过人工气腹前、后腹部CT对比,诊断存在腹腔内容物与腹壁粘连者33例(94.29%),无粘连者2例(5.71%)。其中主要粘连物为肠管20例(60.61%),主要粘连物为网膜组织13例(39.39%)。根据粘连的形态可分为:点状粘连,线状粘连,片状粘连及混合型粘连。根据粘连的质地可分为:膜性粘连,瘢痕性粘连及复合型粘连。粘连分离采取层面变峰面,面转化线和点,钝锐结合分离膜性粘连,锐性分离瘢痕性粘连的程序化方法。全组均成功松解分离粘连,分离时间32(4.50~46.50)min。其中5例发生小肠壁浆肌层损伤,予3-0可吸收缝线行浆肌层缝合。在行观察孔穿刺时,均未发生腹腔内脏器损伤。术后1例出现肺部感染,术后恢复排气时间3(2~4)d。结论:术前人工气腹结合腹部CT有助于判断是否存在腹腔粘连及粘连部位,有利于观察孔布局的选择。根据其形态和性质采取程序化的方法有利于简化腹腔粘连的分离。 展开更多
关键词 切口疝 组织黏连 气腹 人工 粘连分解
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基于数据分析与计算的模型化布孔法在腹腔镜腹壁切口疝修补术中的应用 被引量:1
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作者 周俊杰 马宁 +6 位作者 汤福鑫 黄恩民 马涛 杨伟胜 刘创雄 陈双 周太成 《中国普通外科杂志》 CAS CSCD 北大核心 2022年第4期449-456,共8页
背景与目的:随着微创理念及技术的发展,经腹腔镜完成腹壁切口疝手术已成为趋势,但由于腹壁切口疝位置大小不定,暂无成熟的布孔方法供术者参考,使得手术术式的学习难度较大,不合理的布孔还易导致手术难度加大。笔者在此介绍一种基于数据... 背景与目的:随着微创理念及技术的发展,经腹腔镜完成腹壁切口疝手术已成为趋势,但由于腹壁切口疝位置大小不定,暂无成熟的布孔方法供术者参考,使得手术术式的学习难度较大,不合理的布孔还易导致手术难度加大。笔者在此介绍一种基于数据分析与计算的模型化布孔方法,并通过与传统经验性布孔法进行比较,探讨其优势和临床效果。方法:选择2017年1月—2018年5月中山大学附属第六医院收治并拟行腹腔内补片植入术(IPOM)的44例腹壁切口疝患者,用随机数字表法将患者分为对照组(21例)和研究组(23例),对照组采用术中放置观察孔后以手术经验放置操作孔的布孔方法,研究组采用术前腹部轮廓分析,并按照步骤划定限制条件,根据操作器械尺寸计算合理距离的方法指导穿刺孔放置位置的方法。比较两组患者术中及术后的相关临床指标。结果:两组患者一般资料差异无统计学意义(均P>0.05)。与对照组比较,研究组的平均布孔时间(7.28 min vs.9.93 min)、平均手术时间(67.62 min vs.79.10 min)、术中加孔率(17%vs.48%)均明显减少(均P<0.05)。研究组与对照组患者的术后并发症发生率(4.3%vs.19.0%),术后住院时间(5.13 d vs.5.76 d)及术后复发率(4.3%vs.4.8%)差异均无统计学意义(均P>0.05)。结论:在腹腔镜腹壁切口疝IPOM手术采用模型化布孔法可以缩短布孔时间,合理的操作孔布置可以降低腹腔镜下粘连分离、缺损缝合及补片固定的难度,降低手术总时间及术中增加操作孔的几率,并不增加术后并发症发生率,住院时间及复发疝的几率。模型化布孔法以客观数据+定量计算代替传统布孔法的经验决策,在方法步骤上更明晰,并可以在使用中不断更新改进,将有助于腹腔镜腹壁切口疝手术的规范与推广。 展开更多
关键词 腹切口疝 疝修补术 腹腔镜 手术器械 数据分析
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