A theoretical investigation of the reaction mechanisms for C-H and C-C bond activation processes in the reaction of Ni with cycloalkanes C,,H2. (n = 3-7) is carried out. For the Ni + CnH2, (n = 3, 4) reactions, t...A theoretical investigation of the reaction mechanisms for C-H and C-C bond activation processes in the reaction of Ni with cycloalkanes C,,H2. (n = 3-7) is carried out. For the Ni + CnH2, (n = 3, 4) reactions, the major and minor reaction channels involve C-C and C-H bond activations, respectively, whereas Ni atom prefers the attacking of C-H bond over the C-C bond in CnH2n (n = 5=7). The results are in good agreement with the experimental study. In all cases, intermediates and transition states along the reaction paths of interest are characterized, It is found that both the C-H and C-C bond activation processes are proposed to proceed in a one-step manner via one transition state. The overall C-H and C-C bond activation processes are exothermic and involve low energy barriers, thus transition metal atom Ni is a good mediator for the activity of cycloalkanes CnH2n (n = 3 -7).展开更多
N,N′-diphenylurea reacted with phosphorus trichloride and phenyl dichlorophosphane giving the heterocyclic compounds 1 and 2 with a direct phosphorus-phosphorus bond (P-P bond), respectively. The new compounds were c...N,N′-diphenylurea reacted with phosphorus trichloride and phenyl dichlorophosphane giving the heterocyclic compounds 1 and 2 with a direct phosphorus-phosphorus bond (P-P bond), respectively. The new compounds were characterized by elementary analysis, NMR and IR spectra. The results of preliminary bioassay showed that these heterocycles possess selective herbicidal activity at 1.5 kg/hm2.展开更多
The potential energy surface and reaction mechanism corresponding to the reaction of ytterbium monocation with fluoromethane, which represents a prototype of the activation of C-F bond in fluorohydrocarbons by bare la...The potential energy surface and reaction mechanism corresponding to the reaction of ytterbium monocation with fluoromethane, which represents a prototype of the activation of C-F bond in fluorohydrocarbons by bare lanthanide cations, have been investigated for the first time by using density functional theory. A direct fluorine abstraction mechanism was revealed, and the related thermochemistry data were determined. The electron-transfer reactivity of the reaction was analyzed using the two-state model, and a strongly avoided crossing behavior on the transition state region was shown. The present results support the reaction mechanism inferred from early experimental data and the related thermochemistry data can provide a guide for further experimental researches.展开更多
Partial substitution of chemical fertilizers by organic amendments is adopted widely for promoting the availability of soil phosphorus(P)in agricultural production.However,few studies have comprehensively evaluated th...Partial substitution of chemical fertilizers by organic amendments is adopted widely for promoting the availability of soil phosphorus(P)in agricultural production.However,few studies have comprehensively evaluated the effects of longterm organic substitution on soil P availability and microbial activity in greenhouse vegetable fields.A 10-year(2009–2019)field experiment was carried out to investigate the impacts of organic fertilizer substitution on soil P pools,phosphatase activities and the microbial community,and identify factors that regulate these soil P transformation characteristics.Four treatments included 100%chemical N fertilizer(4 CN),50%substitution of chemical N by manure(2 CN+2 MN),straw(2 CN+2 SN),and combined manure with straw(2 CN+1 MN+1 SN).Compared with the 4 CN treatment,organic substitution treatments increased celery and tomato yields by 6.9-13.8%and 8.6-18.1%,respectively,with the highest yields being in the 2 CN+1 MN+1 SN treatment.After 10 years of fertilization,organic substitution treatments reduced total P and inorganic P accumulation,increased the concentrations of available P,organic P,and microbial biomass P,and promoted phosphatase activities(alkaline and acid phosphomonoesterase,phosphodiesterase,and phytase)and microbial growth in comparison with the 4 CN treatment.Further,organic substitution treatments significantly increased soil C/P,and the partial least squares path model(PLS-PM)revealed that the soil C/P ratio directly and significantly affected phosphatase activities and the microbial biomass and positively influenced soil P pools and vegetable yield.Partial least squares(PLS)regression demonstrated that arbuscular mycorrhizal fungi positively affected phosphatase activities.Our results suggest that organic fertilizer substitution can promote soil P transformation and availability.Combining manure with straw was more effective than applying these materials separately for developing sustainable P management practices.展开更多
Catalytic hydrogenation is an appropriate method for the improvement of C9 petroleum resin(C9PR) quality. In this study, the Ni2P/SiO2(containing 10% of Ni) catalyst prepared by the temperature-programmed reductio...Catalytic hydrogenation is an appropriate method for the improvement of C9 petroleum resin(C9PR) quality. In this study, the Ni2P/SiO2(containing 10% of Ni) catalyst prepared by the temperature-programmed reduction(TPR) method was used for hydrogenation of C9 petroleum resins. The effect of reaction conditions on catalytic performance was studied, and the results showed that the optimum reaction temperature, pressure and liquid hourly space velocity(LHSV) was 250 ℃, 6.0 MPa, and 1.0 h-1, respectively. The bromine numbers of hydrogenated products were maintained at low values(250 mg Br/100g) within 300h, showing the high activity and stability of Ni2P/SiO2 catalyst. The fresh and spent catalysts were characterized by X-ray diffraction(XRD), BET surface area(BET) analysis, scanning electron microscopy(SEM), transmission electron microscopy(TEM), Fourier transform infrared(FTIR) pyridine adsorption, and X-ray photoelectron spectroscopy(XPS). Compared with the traditional sulfurated-Ni W catalysts, Ni2P possessed globe-like structure instead of layered structure like the active phase of Ni WS, thereof exposing more active sites, which were responsible for the high activity of Ni2P/SiO2 catalyst. The stability of Ni2P/SiO2 catalyst was probably attributed to its high sulfur tolerance, antisintering, anti-coking and carbon-resistance ability. These properties might be further ascribed to the special Ni-P-S surface phase, high thermal stability of Ni2P nanoparticles and weak surface acidity for the Ni2P/SiO2 catalyst.展开更多
A metal-free,green,and sustainable functionalization of unactivated alkyl sp^(3) C—H bonds is reported using iodine(III)as a feasible dehydrogenation agent under visible light or KBr,and alkyl chlorides,bromides,alco...A metal-free,green,and sustainable functionalization of unactivated alkyl sp^(3) C—H bonds is reported using iodine(III)as a feasible dehydrogenation agent under visible light or KBr,and alkyl chlorides,bromides,alcohols,and ketones could be constructed by addition of different coupling reagents.Cheap and safe iodobenzene diacetate was used to form a radical to activate the alkyl sp^(3) C—H bond in a highly efficient manner,which can construct different alkylation products by adding corresponding coupling reagents.展开更多
3d-Metal-catalyzed tertiary C(sp^(3))–H bond activation has been a formidable challenge.Herein,a tertiary C(sp^(3))–H bond is smoothly activated by Ni–Al bimetallic catalysts for dual C–H annulation of formamides ...3d-Metal-catalyzed tertiary C(sp^(3))–H bond activation has been a formidable challenge.Herein,a tertiary C(sp^(3))–H bond is smoothly activated by Ni–Al bimetallic catalysts for dual C–H annulation of formamides with alkynes,delivering a series of δ-lactams with a quaternary carbon up to 98%yield.Various tertiary C(sp^(3))–H bonds such as noncyclic,monocyclic and bridged-ring tertiary C(sp^(3))–H bonds are all compatible with the reaction.展开更多
A polystyrene-bonded stannic chloride catalyst was synthesized by the method of lithium polystyryl combined with stannic chloride. This catalyst is a polymeric organometallic compound containing 0.25 mmol Sn (Ⅳ)/g ca...A polystyrene-bonded stannic chloride catalyst was synthesized by the method of lithium polystyryl combined with stannic chloride. This catalyst is a polymeric organometallic compound containing 0.25 mmol Sn (Ⅳ)/g catalyst. The catalyst showed sufficient stability and catalytic activity in organic reaction such as esterification, acetalation and ketal formation, and it could be reused many times without losing its catalytic activity.展开更多
The structure, chemical bonds and hydra-tion activity of C12A were studied by SCC-DV-Xa method of computational quantum chemistry. The calculated results show that Ca-O bond will be first broken off when C12A hydrates...The structure, chemical bonds and hydra-tion activity of C12A were studied by SCC-DV-Xa method of computational quantum chemistry. The calculated results show that Ca-O bond will be first broken off when C12A hydrates, the reactivity of Al(2)O4 tetrahedron is superior to that of Al(1)O4 tet, thedron and the rupture of the Al-O-Al chain composed of two types of AlO4 tetrahedra under the action of water lies in the very weak Al(2)-O(2) bonds. the Al-O bond strength of C12A7 is between C3A and C11A7·CaF2.展开更多
<span style="line-height:1.5;">Natural plant products have been used by the population of the south-eastern part of C</span><span lang="EN-US" style="line-height:1.5;">&...<span style="line-height:1.5;">Natural plant products have been used by the population of the south-eastern part of C</span><span lang="EN-US" style="line-height:1.5;">ô</span><span style="line-height:1.5;">te d’Ivoire in the management of sickle cell anemia. </span><span style="line-height:1.5;">This study was aimed at investigating the antisickling activity of the hydro-ethanolic extract </span><span "="" style="line-height:1.5;"><span>of a combination of the leaves of </span><i><span>J</span></i><span>. </span><i><span>secunda</span></i><span>, </span><i><span>J</span></i><span>. </span><i><span>gossypiifolia</span></i></span><span style="line-height:1.5;"> a</span><span "="" style="line-height:1.5;"><span>nd </span><i><span>P</span></i><span>. </span><i><span>nigrescens</span></i><span>.</span></span><span style="line-height:1.5;"> These three plants species were used in the Ivorian traditional herbal medicine. Preliminary phytochemistry was carried out using standard methods. As for the sickling reversal test, the Hb SS blood sickling was induced with 2% sodium metabisulfite. After 120 minutes of incubation, the plant extract was added. Every 30 minutes for a period of 120 minutes, a drop of the prepared solution was observed at (40</span><span style="line-height:1.5;">×</span><span "="" style="line-height:1.5;"><span>) magnification and the percentage of reversion calculated. The phytochemical analysis revealed the presence of Alkaloids, Flavonoids, Polyphenols, Catechic Tannins, Sterols and Polyterpenes. The results of the reversal test showed that the percentage of sickling reversal effect of the combination of the plants (75.00 ± 4.33</span><sup><span>b,c</span></sup><span>) was highly superior than the negative control (10.17 ± 0.55</span><sup><span>d</span></sup><span>) but was significantly (p < 0.05) the same as the percentage of the individual plant (</span><i><span>J</span></i><span>. </span><i><span>secunda</span></i><span>: 83.50 ± 2.33</span><sup><span>a</span></sup><span>;</span><i><span>J</span></i><span>. </span><i><span>gossypiifolia</span></i><span>: 78.00 ± 3.67</span><sup><span>b,c</span></sup><span> and </span><i><span>P</span></i><span>. </span><i><span>nigrescens</span></i><span>: 77.83 ± 2.89</span><sup><span>b,c</span></sup><span>) and the positive control (80.66 ± 2.22</span><sup><span>a,b</span></sup><span>). From the results, the extracts </span><i><span>J. secunda</span></i><span>, </span><i><span>J</span></i><span>. </span><i><span>gossypiifolia</span></i><span> and </span><i><span>P</span></i><span>. </span><i><span>nigrescens</span></i><span> have shown to be therapeutically beneficial to the population. Their use is also justified in the management of sickle cell disease in the south-eastern part of C</span></span><span lang="EN-US" style="line-height:1.5;">ô</span><span style="line-height:1.5;">te d’Ivoire.展开更多
目的:探讨P选择素、抗心磷脂抗体(anticardiolipin antibody,ACA)及活化蛋白C抵抗(activated protein c resistance,APCR)对下肢创伤骨折术后深静脉血栓形成(deep venous thrombosis,DVT)的预测价值。方法:选择接受手术治疗的下肢创伤...目的:探讨P选择素、抗心磷脂抗体(anticardiolipin antibody,ACA)及活化蛋白C抵抗(activated protein c resistance,APCR)对下肢创伤骨折术后深静脉血栓形成(deep venous thrombosis,DVT)的预测价值。方法:选择接受手术治疗的下肢创伤骨折患者,术后第3天抽取患者静脉血,采用酶联免疫吸附法测定P选择素含量和ACA阳性率,采用Dahlback法测定APCR阳性率。按照《深静脉血栓形成的诊断和治疗指南(第三版)》中DVT的诊断标准判断患者术后2周内是否发生DVT,比较DVT组和无DVT组的血清P选择素含量、血清ACA阳性率及血清APCR阳性率。以是否发生DVT为因变量,以血清P选择素、ACA及APCR为自变量,进行多因素Logistic回归分析。结果:共纳入648例患者,其中31例患者术后2周内发生DVT(DVT组),其余617例均未检出DVT(无DVT组)。2组患者的血清P选择素含量、血清ACA阳性率及血清APCR阳性率比较,差异均有统计学意义(t=26.989,P=0.000;χ^2=0.010,P=0.000;χ^2=12.447,P=0.000)。多因素Logistic回归分析结果显示,血清P选择素、ACA及APCR是下肢创伤骨折术后DVT的危险因素(OR=1.219,P=0.019;OR=1.292,P=0.009;OR=2.430,P=0.012)。结论:P选择素、ACA及APCR是下肢创伤骨折术后DVT的危险因素,可作为预测下肢创伤骨折术后DVT的检测指标。展开更多
基金Supported by the National Natural Science Foundation of China(No.20773014 and 20933001)the Research Foundation of Education Bureau of Hebei Province(No.Z2011115)+3 种基金the 111 Project of China(No.B07012)the Natural Science Foundation of Hebei Province(No.B2012105002)the Research Foundation of Tangshan Administration of Science&Technology(121302011a)the Research Foundation of Tangshan normal college(2013A04)for their support of this work
文摘A theoretical investigation of the reaction mechanisms for C-H and C-C bond activation processes in the reaction of Ni with cycloalkanes C,,H2. (n = 3-7) is carried out. For the Ni + CnH2, (n = 3, 4) reactions, the major and minor reaction channels involve C-C and C-H bond activations, respectively, whereas Ni atom prefers the attacking of C-H bond over the C-C bond in CnH2n (n = 5=7). The results are in good agreement with the experimental study. In all cases, intermediates and transition states along the reaction paths of interest are characterized, It is found that both the C-H and C-C bond activation processes are proposed to proceed in a one-step manner via one transition state. The overall C-H and C-C bond activation processes are exothermic and involve low energy barriers, thus transition metal atom Ni is a good mediator for the activity of cycloalkanes CnH2n (n = 3 -7).
文摘N,N′-diphenylurea reacted with phosphorus trichloride and phenyl dichlorophosphane giving the heterocyclic compounds 1 and 2 with a direct phosphorus-phosphorus bond (P-P bond), respectively. The new compounds were characterized by elementary analysis, NMR and IR spectra. The results of preliminary bioassay showed that these heterocycles possess selective herbicidal activity at 1.5 kg/hm2.
基金supported by the National Science Foundation of Shandong Province(No.Z2000B02).
文摘The potential energy surface and reaction mechanism corresponding to the reaction of ytterbium monocation with fluoromethane, which represents a prototype of the activation of C-F bond in fluorohydrocarbons by bare lanthanide cations, have been investigated for the first time by using density functional theory. A direct fluorine abstraction mechanism was revealed, and the related thermochemistry data were determined. The electron-transfer reactivity of the reaction was analyzed using the two-state model, and a strongly avoided crossing behavior on the transition state region was shown. The present results support the reaction mechanism inferred from early experimental data and the related thermochemistry data can provide a guide for further experimental researches.
基金supported by the China Agriculture Research System of MOF and MARA(CARS-23-B04)the National Key Research and Development Program of China(2016YFD0201001)。
文摘Partial substitution of chemical fertilizers by organic amendments is adopted widely for promoting the availability of soil phosphorus(P)in agricultural production.However,few studies have comprehensively evaluated the effects of longterm organic substitution on soil P availability and microbial activity in greenhouse vegetable fields.A 10-year(2009–2019)field experiment was carried out to investigate the impacts of organic fertilizer substitution on soil P pools,phosphatase activities and the microbial community,and identify factors that regulate these soil P transformation characteristics.Four treatments included 100%chemical N fertilizer(4 CN),50%substitution of chemical N by manure(2 CN+2 MN),straw(2 CN+2 SN),and combined manure with straw(2 CN+1 MN+1 SN).Compared with the 4 CN treatment,organic substitution treatments increased celery and tomato yields by 6.9-13.8%and 8.6-18.1%,respectively,with the highest yields being in the 2 CN+1 MN+1 SN treatment.After 10 years of fertilization,organic substitution treatments reduced total P and inorganic P accumulation,increased the concentrations of available P,organic P,and microbial biomass P,and promoted phosphatase activities(alkaline and acid phosphomonoesterase,phosphodiesterase,and phytase)and microbial growth in comparison with the 4 CN treatment.Further,organic substitution treatments significantly increased soil C/P,and the partial least squares path model(PLS-PM)revealed that the soil C/P ratio directly and significantly affected phosphatase activities and the microbial biomass and positively influenced soil P pools and vegetable yield.Partial least squares(PLS)regression demonstrated that arbuscular mycorrhizal fungi positively affected phosphatase activities.Our results suggest that organic fertilizer substitution can promote soil P transformation and availability.Combining manure with straw was more effective than applying these materials separately for developing sustainable P management practices.
基金financially supported by the Scientific Research Fund of Zhejiang Provincial Education Department (Y201225114)the Natural Science Foundation of Zhejiang Province (LY13B030006)
文摘Catalytic hydrogenation is an appropriate method for the improvement of C9 petroleum resin(C9PR) quality. In this study, the Ni2P/SiO2(containing 10% of Ni) catalyst prepared by the temperature-programmed reduction(TPR) method was used for hydrogenation of C9 petroleum resins. The effect of reaction conditions on catalytic performance was studied, and the results showed that the optimum reaction temperature, pressure and liquid hourly space velocity(LHSV) was 250 ℃, 6.0 MPa, and 1.0 h-1, respectively. The bromine numbers of hydrogenated products were maintained at low values(250 mg Br/100g) within 300h, showing the high activity and stability of Ni2P/SiO2 catalyst. The fresh and spent catalysts were characterized by X-ray diffraction(XRD), BET surface area(BET) analysis, scanning electron microscopy(SEM), transmission electron microscopy(TEM), Fourier transform infrared(FTIR) pyridine adsorption, and X-ray photoelectron spectroscopy(XPS). Compared with the traditional sulfurated-Ni W catalysts, Ni2P possessed globe-like structure instead of layered structure like the active phase of Ni WS, thereof exposing more active sites, which were responsible for the high activity of Ni2P/SiO2 catalyst. The stability of Ni2P/SiO2 catalyst was probably attributed to its high sulfur tolerance, antisintering, anti-coking and carbon-resistance ability. These properties might be further ascribed to the special Ni-P-S surface phase, high thermal stability of Ni2P nanoparticles and weak surface acidity for the Ni2P/SiO2 catalyst.
基金supported the Natural Science Foundation of Higher Education Institutions in Anhui Province(2022AH030133,2022AH051340)National Natural Science Foundation of China(22231003,22271008)+6 种基金Shenzhen Science and Technology Program(Grant No.KQTD20190929174023858)Shenzhen Science and Technology Innovation Committee(GXWD20201231165807007-20200812100115001)Shenzhen-Hong Kong Institute of Brain Science-Shenzhen Fundamental Research Institutions(2023SHIBS0004)Horizontal Cooperation Project of Fuyang Municipal Government(SXHZ202201)Key Projects of the Support Program for Outstanding Young Talents in Anhui Province Colleges and Universities(gxyqZD2020030)Yifan Pharmaceutical Co.,Ltd.(HX2019033)Innovative Drug Design&Development Collaborative Team(TDYY2021009).
文摘A metal-free,green,and sustainable functionalization of unactivated alkyl sp^(3) C—H bonds is reported using iodine(III)as a feasible dehydrogenation agent under visible light or KBr,and alkyl chlorides,bromides,alcohols,and ketones could be constructed by addition of different coupling reagents.Cheap and safe iodobenzene diacetate was used to form a radical to activate the alkyl sp^(3) C—H bond in a highly efficient manner,which can construct different alkylation products by adding corresponding coupling reagents.
基金the National Key R&D Program of China(grant no.2022YFA1504300)the National Natural Science Foundation of China(grant nos.22188101 and 22325103)+1 种基金the Haihe Laboratory of Sustainable Chemical Transformations and“Frontiers Science Center for New Organic Matter,”Nankai University(grant no.63181206)the Fundamental Research Funds for the Central Universities for financial support.
文摘3d-Metal-catalyzed tertiary C(sp^(3))–H bond activation has been a formidable challenge.Herein,a tertiary C(sp^(3))–H bond is smoothly activated by Ni–Al bimetallic catalysts for dual C–H annulation of formamides with alkynes,delivering a series of δ-lactams with a quaternary carbon up to 98%yield.Various tertiary C(sp^(3))–H bonds such as noncyclic,monocyclic and bridged-ring tertiary C(sp^(3))–H bonds are all compatible with the reaction.
文摘A polystyrene-bonded stannic chloride catalyst was synthesized by the method of lithium polystyryl combined with stannic chloride. This catalyst is a polymeric organometallic compound containing 0.25 mmol Sn (Ⅳ)/g catalyst. The catalyst showed sufficient stability and catalytic activity in organic reaction such as esterification, acetalation and ketal formation, and it could be reused many times without losing its catalytic activity.
文摘The structure, chemical bonds and hydra-tion activity of C12A were studied by SCC-DV-Xa method of computational quantum chemistry. The calculated results show that Ca-O bond will be first broken off when C12A hydrates, the reactivity of Al(2)O4 tetrahedron is superior to that of Al(1)O4 tet, thedron and the rupture of the Al-O-Al chain composed of two types of AlO4 tetrahedra under the action of water lies in the very weak Al(2)-O(2) bonds. the Al-O bond strength of C12A7 is between C3A and C11A7·CaF2.
文摘<span style="line-height:1.5;">Natural plant products have been used by the population of the south-eastern part of C</span><span lang="EN-US" style="line-height:1.5;">ô</span><span style="line-height:1.5;">te d’Ivoire in the management of sickle cell anemia. </span><span style="line-height:1.5;">This study was aimed at investigating the antisickling activity of the hydro-ethanolic extract </span><span "="" style="line-height:1.5;"><span>of a combination of the leaves of </span><i><span>J</span></i><span>. </span><i><span>secunda</span></i><span>, </span><i><span>J</span></i><span>. </span><i><span>gossypiifolia</span></i></span><span style="line-height:1.5;"> a</span><span "="" style="line-height:1.5;"><span>nd </span><i><span>P</span></i><span>. </span><i><span>nigrescens</span></i><span>.</span></span><span style="line-height:1.5;"> These three plants species were used in the Ivorian traditional herbal medicine. Preliminary phytochemistry was carried out using standard methods. As for the sickling reversal test, the Hb SS blood sickling was induced with 2% sodium metabisulfite. After 120 minutes of incubation, the plant extract was added. Every 30 minutes for a period of 120 minutes, a drop of the prepared solution was observed at (40</span><span style="line-height:1.5;">×</span><span "="" style="line-height:1.5;"><span>) magnification and the percentage of reversion calculated. The phytochemical analysis revealed the presence of Alkaloids, Flavonoids, Polyphenols, Catechic Tannins, Sterols and Polyterpenes. The results of the reversal test showed that the percentage of sickling reversal effect of the combination of the plants (75.00 ± 4.33</span><sup><span>b,c</span></sup><span>) was highly superior than the negative control (10.17 ± 0.55</span><sup><span>d</span></sup><span>) but was significantly (p < 0.05) the same as the percentage of the individual plant (</span><i><span>J</span></i><span>. </span><i><span>secunda</span></i><span>: 83.50 ± 2.33</span><sup><span>a</span></sup><span>;</span><i><span>J</span></i><span>. </span><i><span>gossypiifolia</span></i><span>: 78.00 ± 3.67</span><sup><span>b,c</span></sup><span> and </span><i><span>P</span></i><span>. </span><i><span>nigrescens</span></i><span>: 77.83 ± 2.89</span><sup><span>b,c</span></sup><span>) and the positive control (80.66 ± 2.22</span><sup><span>a,b</span></sup><span>). From the results, the extracts </span><i><span>J. secunda</span></i><span>, </span><i><span>J</span></i><span>. </span><i><span>gossypiifolia</span></i><span> and </span><i><span>P</span></i><span>. </span><i><span>nigrescens</span></i><span> have shown to be therapeutically beneficial to the population. Their use is also justified in the management of sickle cell disease in the south-eastern part of C</span></span><span lang="EN-US" style="line-height:1.5;">ô</span><span style="line-height:1.5;">te d’Ivoire.
文摘目的:探讨P选择素、抗心磷脂抗体(anticardiolipin antibody,ACA)及活化蛋白C抵抗(activated protein c resistance,APCR)对下肢创伤骨折术后深静脉血栓形成(deep venous thrombosis,DVT)的预测价值。方法:选择接受手术治疗的下肢创伤骨折患者,术后第3天抽取患者静脉血,采用酶联免疫吸附法测定P选择素含量和ACA阳性率,采用Dahlback法测定APCR阳性率。按照《深静脉血栓形成的诊断和治疗指南(第三版)》中DVT的诊断标准判断患者术后2周内是否发生DVT,比较DVT组和无DVT组的血清P选择素含量、血清ACA阳性率及血清APCR阳性率。以是否发生DVT为因变量,以血清P选择素、ACA及APCR为自变量,进行多因素Logistic回归分析。结果:共纳入648例患者,其中31例患者术后2周内发生DVT(DVT组),其余617例均未检出DVT(无DVT组)。2组患者的血清P选择素含量、血清ACA阳性率及血清APCR阳性率比较,差异均有统计学意义(t=26.989,P=0.000;χ^2=0.010,P=0.000;χ^2=12.447,P=0.000)。多因素Logistic回归分析结果显示,血清P选择素、ACA及APCR是下肢创伤骨折术后DVT的危险因素(OR=1.219,P=0.019;OR=1.292,P=0.009;OR=2.430,P=0.012)。结论:P选择素、ACA及APCR是下肢创伤骨折术后DVT的危险因素,可作为预测下肢创伤骨折术后DVT的检测指标。