Background Insulin resistance（IR）is significantly associated with coronary artery disease and cardiovascular events in patients with or without type 2 diabetes mellitus.This study aimed to evaluate the influence of ...Background Insulin resistance（IR）is significantly associated with coronary artery disease and cardiovascular events in patients with or without type 2 diabetes mellitus.This study aimed to evaluate the influence of IR on long-term outcomes of patients undergoing percutaneous coronary intervention（PCI）with sirolimus-eluting stent（SES）implantation.Methods A total of 467 consecutive patients undergoing SES-based PCI were divided into lR group（n=104）and non-IR group（n=363）.The patients were followed up for one year.The rate of major adverse cardiac events（MACEs） including death, non-fatal myocardial infarction and recurrent angina pectoris was compared by the log-rank test,and the independent risk factors were identified by the Cox regression analysis.Results MACEs occurred more frequently,and cumulative survival rate was lower in the IR group than in the non-IR group during the follow-up （all P〈0.05）.IR was an independent risk factor for the occurrence of cardiac death and non-fatal myocardial infarction（OR=2176,95% CI=1.35-5.47,P=0.034）.Old age,diabetes,and multi-vessel disease were determinants for recurrent angina pectoris after PCI（P〈0.05）.Subgroup analysis revealed that IR（OR=3.35,95% CI=1.07-13.59,P=0.013）and multi-vessel disease（OR=2.19,95%CI=1.01-5.14,P=0.044）were independent risk predictors for recurrent angina pectoris in patients with diabetes after PCI.Conclusions IR is associated with reduced MACE-free survival and remains an independent predictor for recurrent angina pectoris after PCI with SES implantation.展开更多
为了提升驱油用聚合物在苛刻油藏环境中的耐温与抗盐性,设计合成了一种以多元胺-丙烯酸甲酯为聚合前体,具有超支化结构的聚酰胺-胺类单体,并在此基础上合成了一种长效抗剪切聚合物(LSRP)。考查了聚合单体浓度、引发温度、聚合时间、引...为了提升驱油用聚合物在苛刻油藏环境中的耐温与抗盐性,设计合成了一种以多元胺-丙烯酸甲酯为聚合前体,具有超支化结构的聚酰胺-胺类单体,并在此基础上合成了一种长效抗剪切聚合物(LSRP)。考查了聚合单体浓度、引发温度、聚合时间、引发剂组成和加量及水解度等因素对LSRP溶液黏度的影响,采用FTIR和1HNMR表征了单体及聚合物结构,对聚合物增黏、抗剪切、抗盐、注入性及驱油性能进行了评价。结果表明:聚合物LSRP具有较好的增黏能力、抗剪切性和稳定性,当原油黏度70～300 m Pa·s时,室内驱油实验采收率较水驱增加20%以上,矿场试验注入后期压力平稳上升。展开更多
文摘Background Insulin resistance（IR）is significantly associated with coronary artery disease and cardiovascular events in patients with or without type 2 diabetes mellitus.This study aimed to evaluate the influence of IR on long-term outcomes of patients undergoing percutaneous coronary intervention（PCI）with sirolimus-eluting stent（SES）implantation.Methods A total of 467 consecutive patients undergoing SES-based PCI were divided into lR group（n=104）and non-IR group（n=363）.The patients were followed up for one year.The rate of major adverse cardiac events（MACEs） including death, non-fatal myocardial infarction and recurrent angina pectoris was compared by the log-rank test,and the independent risk factors were identified by the Cox regression analysis.Results MACEs occurred more frequently,and cumulative survival rate was lower in the IR group than in the non-IR group during the follow-up （all P〈0.05）.IR was an independent risk factor for the occurrence of cardiac death and non-fatal myocardial infarction（OR=2176,95% CI=1.35-5.47,P=0.034）.Old age,diabetes,and multi-vessel disease were determinants for recurrent angina pectoris after PCI（P〈0.05）.Subgroup analysis revealed that IR（OR=3.35,95% CI=1.07-13.59,P=0.013）and multi-vessel disease（OR=2.19,95%CI=1.01-5.14,P=0.044）were independent risk predictors for recurrent angina pectoris in patients with diabetes after PCI.Conclusions IR is associated with reduced MACE-free survival and remains an independent predictor for recurrent angina pectoris after PCI with SES implantation.
文摘为了提升驱油用聚合物在苛刻油藏环境中的耐温与抗盐性,设计合成了一种以多元胺-丙烯酸甲酯为聚合前体,具有超支化结构的聚酰胺-胺类单体,并在此基础上合成了一种长效抗剪切聚合物(LSRP)。考查了聚合单体浓度、引发温度、聚合时间、引发剂组成和加量及水解度等因素对LSRP溶液黏度的影响,采用FTIR和1HNMR表征了单体及聚合物结构,对聚合物增黏、抗剪切、抗盐、注入性及驱油性能进行了评价。结果表明:聚合物LSRP具有较好的增黏能力、抗剪切性和稳定性,当原油黏度70～300 m Pa·s时,室内驱油实验采收率较水驱增加20%以上,矿场试验注入后期压力平稳上升。
