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改良呼吸支持策略对慢性阻塞性肺疾病急性加重合并Ⅱ型呼吸衰竭患者的疗效
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作者 何秀 敖的 +1 位作者 杨郑 林小华 《中华卫生应急电子杂志》 2024年第3期140-144,共5页
目的探讨无创正压通气与经鼻高流量氧疗(HFNC)动态切换的改良呼吸支持策略在慢性阻塞性肺疾病急性加重(AECOPD)合并Ⅱ型呼吸衰竭患者中的疗效。方法将2021年至2023年入住华中科技大学协和深圳医院ICU的68例AECOPD合并Ⅱ型呼吸衰竭患者... 目的探讨无创正压通气与经鼻高流量氧疗(HFNC)动态切换的改良呼吸支持策略在慢性阻塞性肺疾病急性加重(AECOPD)合并Ⅱ型呼吸衰竭患者中的疗效。方法将2021年至2023年入住华中科技大学协和深圳医院ICU的68例AECOPD合并Ⅱ型呼吸衰竭患者分为试验组(34例)和对照组(34例),试验组患者采用改良呼吸支持策略,在治疗后2、6、12及24 h动态调整为经鼻高流量氧疗或无创通气,对照组采用经鼻高流量氧疗与无创通气交替使用6 h的治疗方案。比较两组患者的动脉血二氧化碳分压(PaCO2)及下降水平、pH值、氧合指数、心率、呼吸频率、血压、无创通气使用时长、呼吸困难评分、舒适度评分、膈肌运动度及28 d存活率等。结果两组患者基线水平无明显差异,在各研究时间点获取的PaCO2、pH值、PaO2、氧合指数及心率、呼吸、血压差异无统计学意义(P>0.05)。试验组在24 h内的无创通气时间明显低于对照组(4.53±8.10比12.00±0.00,P<0.001),且试验组呼吸困难评分更低、舒适度更高(P值分别为0.003,0.010)。结论在AECOPD合并Ⅱ型呼吸衰竭患者的治疗中,改良呼吸支持策略不但能有效降低PaCO2,而且还可以减少无创正压通气的使用时长,减轻患者呼吸困难症状,增加患者舒适性。 展开更多
关键词 慢性阻塞性肺疾病 Ⅱ型呼吸衰竭 无创正压通气 高流量氧疗 呼吸支持策略
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Genome-wide identification and characterization of odorant-binding protein (OBP) genes in the malaria vector Anopheles sinensis (Diptera: Culicidae) 被引量:16
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作者 xiu he Zheng-Bo he +4 位作者 Yu-Juan Zhang Yong Zhou Peng-Jie Xian Liang Qiao Bin Chen 《Insect Science》 SCIE CAS CSCD 2016年第3期366-376,共11页
Anopheles sinensis is a major malaria vector. Insect odorant-binding proteins (OBPs) may function in the reception of odorants in the olfactory system. The classification and characterization of the An. sinensis OBP... Anopheles sinensis is a major malaria vector. Insect odorant-binding proteins (OBPs) may function in the reception of odorants in the olfactory system. The classification and characterization of the An. sinensis OBP genes have not been systematically studied. In this study, 64 putative OBP genes were identified at the whole-genome level of An. sinensis based on the comparison between OBP conserved motifs, PBP_GOBE and phylogenetic analysis with An. gambiae OBPs. The characterization of An. sinensis OBPs, including the motifs conservation, gene structure, genomic organization and classification, were investigated. A new gene, AsOBP73, belonging to the Plus-C subfamily, was identified with the support of transcript and conservative motifs. These An. sinensis OBP genes were classified into three subfamilies with 37, 15 and 12 genes in the subfamily Classic, Atypical and Plus-C, respectively. The genomic organization of An. sinensis OBPs suggests a clustered distribution across nine different scaffolds. Eight genes (0BP23-28, 0BP63- 64) might originate from a single gene through a series of historic duplication events at least before divergence of Anopheles, Culex and Aedes. The microsynteny analyses indicate a very high synteny between An. sinensis and An. gambiae OBPs. OBP70 and OBP71 earlier classified under Plus-C in An. gambiae are recognized as belonging to the group Obp59a of the Classic subfamily, and OBP69 earlier classified under Plus-C has been moved to the Atypical subfamily in this study. The study established a basic information frame for further study of the OBP genes in insects as well as in An. sinensis. 展开更多
关键词 Anopheles sinensis CHARACTERIZATION classification genome-wide identifi-cation OBPs PHYLOGENETICS
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Study of the Sensing Characteristics of Irradiated Fiber Bragg Gratings and Fabry-Perot Interferometers Under Gamma Radiation 被引量:1
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作者 Zhuoyue LI Zengling RAN +7 位作者 Xianguo QING Zhengxi he Yaqin XIAO Tingting YANG xiu he Jialiang ZHU Peng he Sijie XU 《Photonic Sensors》 SCIE EI CSCD 2022年第1期91-98,共8页
The sensing characteristics of irradiated fiber Bragg gratings(FBGs)and Fabry-Perot interferometers(FPIs)were investigated under a 2MGy dose of gamma radiation.The study found that the pressure sensitivity of FP senso... The sensing characteristics of irradiated fiber Bragg gratings(FBGs)and Fabry-Perot interferometers(FPIs)were investigated under a 2MGy dose of gamma radiation.The study found that the pressure sensitivity of FP sensors after irradiation was stable,while the temperature sensitivity of FBG sensors was unstable,and both wavelengths displayed a shift.These findings offer the possibility for the application of FP pressure sensors in the gamma radiation environments,and FBG sensors require further research to be suitable for application in the nuclear radiation environments. 展开更多
关键词 Fiber Bragg gratings Fabry-Perot interferometers gamma radiation
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Fiber-Optic Raman Spectrum Sensor for Fast Diagnosis of Esophageal Cancer 被引量:4
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作者 Jianhua DAI xiu he +8 位作者 Zhuoyue LI Kang LI Tingting YANG Zengling RAN Lijian YIN Yao CheN Xiang ZOU Dianchun FANG Guiyong PENG 《Photonic Sensors》 SCIE EI CAS CSCD 2019年第1期53-59,共7页
A fiber-optic Raman spectrum sensor system is used for the fast diagnosis of esophageal cancer during clinical endoscopic examination.The system contains a 785nm exciting laser,a Raman fiber-optic probe with 7 large c... A fiber-optic Raman spectrum sensor system is used for the fast diagnosis of esophageal cancer during clinical endoscopic examination.The system contains a 785nm exciting laser,a Raman fiber-optic probe with 7 large core fibers and a focus lens,and a highly sensitive spectrum meter.The Raman spectrum of the tissue could be obtained within 1 second by using such a system. A signal baseline removal and denoising technology is used to improve the signal quality.A novel signal feature extraction method for differentiating the normal and esophageal cancer tissues is proposed,based on the differences in half-height width(HHW)in 1200cm^-1 to 1400cm^-1 frequency band and the ratios of the spectral integral energy between 1600cm^-1-1700cm^-1 and 1500cm^-1- 1600cm^-1 band.It shows a high specificity and effectivity for the diagnosis of esophageal cancer. 展开更多
关键词 Fiber-optic RAMAN SPECTRUM ESOPHAGEAL CANCER
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Fiber-Optic Microstructure Sensors:A Review 被引量:2
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作者 Zengling RAN xiu he +6 位作者 Yunjiang RAO Dong SUN Xiaojuan QIN Debiao ZENG Wangwei CHU Xiankun LI Yabin WEI 《Photonic Sensors》 SCIE EI CSCD 2021年第2期227-261,共35页
This paper reviews a wide variety of fiber-optic microstructure(FOM)sensors,such as fiber Bragg grating(FBG)sensors,long-period fiber grating(LPFG)sensors,Fabry-Perot interferometer(FPI)sensors,Mach-Zchnder interferom... This paper reviews a wide variety of fiber-optic microstructure(FOM)sensors,such as fiber Bragg grating(FBG)sensors,long-period fiber grating(LPFG)sensors,Fabry-Perot interferometer(FPI)sensors,Mach-Zchnder interferometer(MZI)sensors,Michelson interferometer(MI)sensors,and Sagnac interferometer(SI)sensors.Each FOM sensor has been introduced in the terms of structure types,fabrication methods,and their sensing applications.In addition,the sensing characteristics of different structures under the same type of FOM sensor are compared,and the sensing characteristics of the all FOM sensors,including advantages,disadvantages,and main sensing parameters,are summarized.We also discuss the future development of FOM sensors. 展开更多
关键词 Fiber-optic sensors Fabry-Perot fiber Bragg grating long period grating Mach-Zehndcr interferometer Michelson interferometer Sagnac interferometer
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Design of an All-Fiber Fabry-Perot Sensor for Strain Measurement in Radiative Environment
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作者 Tingting YANG Zengling RAN +6 位作者 xiu he Lupeng GAN Zhengxi he Jialiang ZHU Peng he Zhuoyue LI Dong SUN 《Photonic Sensors》 SCIE EI CSCD 2022年第4期81-90,共10页
A length-matched micro Fabry-Perot(FP)interferometer is proposed for strain measurement under irradiation environment.Theoretical simulation shows that a well length-matched FP sensor can achieve a very low drift of t... A length-matched micro Fabry-Perot(FP)interferometer is proposed for strain measurement under irradiation environment.Theoretical simulation shows that a well length-matched FP sensor can achieve a very low drift of the cavity length and strain sensitivity in irradiation environment.In experiment,such an FP cavity is realized by laser micromachining.It shows a low cavity length drift of−0.037μm and a strain sensitivity deviation of 0.52%,respectively,under gamma irradiation.Meanwhile,the intensity of interference fringes is also stable.As a result,such a length-matched FP cavity is a very promising candidate for strain sensing in radiative environments. 展开更多
关键词 Gamma radiation Fabry-Perot sensor radiation-induced compaction strain sensing
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