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气管切开重症患者行腹部电刺激后对患者肺部感染情况及气道廓清能力的影响
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作者 王旋 赵秀民 +1 位作者 李燕梅 连平 《医学临床研究》 CAS 2023年第9期1342-1345,共4页
【目的】探讨气管切开重症患者行腹部电刺激后对患者肺部感染情况及气道廓清能力的影响。【方法】选择2021年2月至2022年2月山东省立第三医院收治的80例行气管切开术的重症患者,按照随机数字表法分为对照组和观察组,每组40例,对照组采... 【目的】探讨气管切开重症患者行腹部电刺激后对患者肺部感染情况及气道廓清能力的影响。【方法】选择2021年2月至2022年2月山东省立第三医院收治的80例行气管切开术的重症患者,按照随机数字表法分为对照组和观察组,每组40例,对照组采用常规治疗及早期训练,观察组在对照组基础上加用腹部电刺激治疗,两组均治疗2周。比较两组肺部感染发生率、平均住院时间、气管套管留置时间及治疗前后第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、第1秒用力呼气容积/用力肺活量(FEV_(1)/FVC)、膈肌移动度、膈肌增厚分数、排痰量、腹部肌肉厚度及自主咳嗽峰流速。【结果】观察组患者肺部感染率、平均住院时间、气管管套留置时间均少于对照组(P<0.05);治疗后,观察组FEV_(1)、FVC、FEV_(1)/FVC、膈肌移动度、膈肌增厚分数、排痰量均高于治疗前及对照组治疗后(P<0.05);两组治疗前后腹外斜肌厚度、腹内斜肌厚度比较,差异无统计学意义(P>0.05);治疗后,观察组自主咳嗽峰流速明显高于治疗前及对照组治疗后(P<0.05)。【结论】气管切开重症患者行腹部电刺激后,可增加膈肌移动度,提高患者咳嗽能力及痰液排出量,改善患者气道廓清能力,从而降低肺部感染发生率,缩短气管套管留置时间和住院时间,值得临床推广应用。 展开更多
关键词 气管切开术 电刺激 手术中并发症 肺炎 气管/生理学
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Boron nitride nanotube growth via boron oxide assisted chemical vapor transport-deposition process using LiNO3 as a promoter 被引量:2
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作者 Andrei T. Matveev Konstantin L. Firestein +4 位作者 Alexander E. Steinman Andrey M. Kovalskii Oleg I. Lebedev Dmitry V. Shtansky Dmitri Golberg 《Nano Research》 SCIE EI CAS CSCD 2015年第6期2063-2072,共10页
High-purity straight and discrete multiwalled boron nitride nanotubes (BNNTs) were grown via a boron oxide vapor reaction with ammonia using LiNO3 as a promoter. Only a trace amount of boron oxide was detected as an... High-purity straight and discrete multiwalled boron nitride nanotubes (BNNTs) were grown via a boron oxide vapor reaction with ammonia using LiNO3 as a promoter. Only a trace amount of boron oxide was detected as an impurity in the BNNTs by energy-dispersive X-ray (EDX) and Raman spectroscopies. Boron oxide vapor was generated from a mixture of B, FeO, and MgO powders heated to 1,150 ℃, and it was transported to the reaction zone by flowing ammonia. Lithium nitrate was applied to the upper side of a BN bar from a water solution. The bar was placed along a temperature gradient zone in a horizontal tubular furnace. BNNTs with average diameters of 30-50 nm were mostly observed in a temperature range of 1,280-1,320 ℃. At higher temperatures, curled polycrystalline BN fibers appeared. Above 1,320 ℃, the number of BNNTs drastically decreased, whereas the quantity and diameter of the fibers increased. The mechanism of BNNT and fiber growth is proposed and discussed. 展开更多
关键词 boron nit-ride nanotubes CVD lithium nitrate lithium borate BNNT growth mechanism
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