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基于血栓弹力图抗栓治疗动脉粥样硬化性脑梗死的疗效分析 被引量:17
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作者 葛中林 钱明月 +6 位作者 周萍 谭玉 伏兵 张照婷 张浩江 庄爱霞 陈皆春 《中国现代医学杂志》 CAS 2019年第11期78-83,共6页
目的探讨基于血栓弹力图(TEG)抗栓治疗急性动脉粥样硬化性脑梗死的疗效。方法选取连云港市第二人民医院收治的184例急性动脉粥样硬化性脑梗死(ACI)患者。随机分为:A组,阿司匹林抗栓治疗;B组,氯吡格雷抗栓治疗;C组,氯吡格雷联合阿司匹林... 目的探讨基于血栓弹力图(TEG)抗栓治疗急性动脉粥样硬化性脑梗死的疗效。方法选取连云港市第二人民医院收治的184例急性动脉粥样硬化性脑梗死(ACI)患者。随机分为:A组,阿司匹林抗栓治疗;B组,氯吡格雷抗栓治疗;C组,氯吡格雷联合阿司匹林抗栓治疗;D组,用血栓弹力图仪检测血小板抑制率,选择血小板抑制率高的抗栓药物治疗,每组46例。比较患者治疗前后神经功能缺损评分(NIHSS)、日常生活能力评分(ADL)、微栓子(MES)阳性率改善情况,统计卒中复发率及出血性事件的发生率。结果治疗后4组患者的NIHSS评分下降,而ADL评分提高(P<0.05),且治疗后C、D组NIHSS评分低于A、B组,ADL评分高于A、B组(P <0.05)。治疗后,C、D两组临床治疗有效率高于A组(P<0.0167)。治疗后,4组患者的MES阳性率均降低(P<0.05),且C组MES阳性率均低于A、B组(P<0.0167)。4组胃肠道不适、病死率比较,差异无统计学意义(P>0.05);治疗后C、D两组复发率低于A组(P <0.0167),但C、D两组间比较,差异无统计学意义(P>0.05)。出血事件B、D两组低于C组(P <0.0167)。结论采用基于血栓弹力图个体化治疗ACI的抗栓效果优于阿司匹林和氯吡格雷单用,同时能够有效降低双抗药物联合治疗带来的出血性事件风险。 展开更多
关键词 梗塞 大脑中动脉 血栓弹力图 氯吡格雷 阿司匹林 动脉粥样硬化 微栓子
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Recent advances and perspectives on prelithiation strategies for lithium-ion capacitors 被引量:3
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作者 Jiang-Min Jiang Zhi-Wei Li +7 位作者 zhao-ting zhang Shi-Jing Wang Hai Xu Xin-Ran Zheng Ya-Xin Chen Zhi-Cheng Ju Hui Dou Xiao-Gang zhang 《Rare Metals》 SCIE EI CAS CSCD 2022年第10期3322-3335,共14页
Lithium-ion capacitors(LICs),consisting of a capacitor-type material and a battery-type material together with organic electrolytes,are the state-of-the-art electrochemical energy storage devices compared with superca... Lithium-ion capacitors(LICs),consisting of a capacitor-type material and a battery-type material together with organic electrolytes,are the state-of-the-art electrochemical energy storage devices compared with supercapacitors and batteries.Owing to their unique characteristics,LICs received a lot of attentions,and great progresses have been achieved,especially in the exploration of cathode and anode materials.Prelithiation techniques are regarded as indispensable procedures for LICs systems,which can compensate for the initial irreversible capacity loss,increase the Li^(+)concentration in the electrolyte,raise the working voltage and resolve the safety and cycle stability issues;however,its research progress is slow,and there is not enough attention until now.In this overview,we look into the ongoing processes on the recent development of prelithiation technologies,especially in organic electrolyte consumption-type LICs.In particular,some prelithiation strategies for LICs are summarized and discussed in detail,including the ex situ electrochemical method,in situ electrochemical method,and cathode prelithiation additives method.Moreover,we propose some unresolved challenges and prospects for prelithiation technologies from the basic research ideas and future key research directions.This work aims to bring up new insights to reassess the significance of premetallation strategies for advanced hybrid-ion capacitors based on the currently proposed prelithiation strategies. 展开更多
关键词 Lithium-ion capacitors(LICs) Prelithiation Initial irreversible capacity Stabilized lithium metal powder Self-sacrificial additives
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