At present, in the workover operations of old gas wells in the Changqing Gas Field, due to years of exploitation in the production layer, pressure deficits, and general leakage during the well killing, the well must b...At present, in the workover operations of old gas wells in the Changqing Gas Field, due to years of exploitation in the production layer, pressure deficits, and general leakage during the well killing, the well must be plugged before the well can be killed. In particular, the fracture-cavity type fractures of the lower paleocarbonate reservoirs have serious leakage. Traditional plugging materials and traditional plugging materials and methods have some limitations in dealing with leakage problems. Therefore, a composite plugging system using polymer solution as the base carrier fluid, multi-particle size rigid particles, expandable particles and modified fibers is developed. Its formula is: water + 2% polyacrylamide + 0.1% N, N-methylene bisacrylamide polymer gel is the base carrier fluid;the formulation of the particle plugging agent was continuously optimized through the CDL-II high temperature and high pressure dynamic and static plugging ability to plug the core. The final formulation of the plugging agent is: 1) 20% rigid particles (5 mm, 1 mm, 0.5 mm CCP-3 ratio 4:2:1) + 1% 3 mm expanded particles SMK-1 + 1% 1 ~ 2 mm fiber SRXW-10;2) 20% rigid particles (3 mm, 0.1 mm, 0.05 mm CCP-3 ratio 3:2:1) + 1% 3 mm expanded particles SMK-1 + 1% 1 ~ 2 mm fiber SRXW-10. The water swelling multiples of the granular plugging agent in salt water are all above 7 times, which meets the requirements of leak-proof plugging operations under high salinity;3% HCl is selected as the gel breaker, and the plugging system has a gel breaking rate of 95%;through the water plugging and profile control experimental system, the sand-filled pipe is used to simulate the plugging effect under high temperature and high pressure, and the plugging system can be sealed for 5 days at a high temperature of 110°C and a high pressure of 20 MPa to achieve a good plugging of the formation. It is expected that the developed plugging system has a good application prospect in future workover operations.展开更多
Background: Water weight-loss walking training is an emerging physical therapy technique, which provides new ideas for improving the motor function of stroke patients and improving the quality of life of patients. How...Background: Water weight-loss walking training is an emerging physical therapy technique, which provides new ideas for improving the motor function of stroke patients and improving the quality of life of patients. However, the rehabilitation effect of water weight-loss training in stroke patients is currently unclear. Objective: To analyze the effect of water weight loss walking training in stroke patients. Methods: A total of 180 stroke patients admitted to our hospital from January 2019 to December 2021 were selected and randomly divided into two groups. The control group received routine walking training, and the research group performed weight loss walking training in water on this basis. The lower limb motor function, muscle tone grade, daily living ability, gait and balance ability were compared between the two groups before and after treatment. Results: Compared with the control group, the FMA-LE score (Fugl-Meyer motor assessment of Lower Extremity), MBI score (Modified Barthel Index) and BBS score (berg balance scale) of the study group were higher after treatment, and the muscle tone was lower (P Conclusion: Water weight loss walking training can enhance patients’ muscle tension, correct patients’ abnormal gait, improve patients’ balance and walking ability, and contribute to patients’ motor function recovery and self-care ability improvement.展开更多
AIM To investigate the total blood loss(TBL) and the safety with respect to the re-amputation rate after transtibial amputation(TTA) conducted with and without a tourniquet. METHODS The study was a single-centre retro...AIM To investigate the total blood loss(TBL) and the safety with respect to the re-amputation rate after transtibial amputation(TTA) conducted with and without a tourniquet. METHODS The study was a single-centre retrospective cohort study of patients with a primary TTA admitted between January 2013 and April 2015. All patients with a primary TTA were assessed for inclusion if the amputation was performed because of arteriosclerosis or diabetic complications. All patients underwent a standardized TTA procedure that was performed approximately 10 cm below the knee joint and performed with sagittalflaps. The pneumatic tourniquet, when used, was inflated around the femur to a pressure of 100 mmH g above the systolic blood pressure. The number of blood transfusions within the first four postoperative days was recorded. The intraoperative blood loss(OBL), which is defined as the volume of blood lost during surgery, was determined from the suction volume and by the weight difference of the surgical dressings. The trigger for a blood transfusion was set at a decrease in the Hgb level < 9.67 g/dL(6 mmol/L). Transfusions were performed with pooled red blood cells containing 245 m L per portion, which equals 55 g/L of haemoglobin. The TBL during the first four postoperative days was calculated based on the haemoglobin level and the estimated blood volume. The re-amputation rate was evaluated within 30 d. RESULTS Seventy-four out of 86 consecutive patients who underwent TTA within the two-year study period were included in the analysis. Of these, 38 were operated on using a tourniquet and 36 were operated on without using a tourniquet. There were no significant preoperative differences between the groups. The patients in both groups had a postoperative decrease in their Hgb level compared with preoperative baseline values. The patients operated on using a tourniquet received approximately three millilitres less blood transfusion per kilogram body weight compared with patients operated on without a tourniquet. The duration of surgery was shorter and the OBL was less for the tourniquet group than the non-tourniquet group, whereas no significant difference was observed for the TBL. The TBL median was 859 mL(IQR: 383-1315) in the non-tourniquet group vs 737 mL(IQR: 331-1218) in the tourniquet group(P = 0.754). Within the 30-d follow-up period, 9 patients in the tourniquet group and 11 in the non-tourniquet group underwent a reamputation at the trans-femoral level. The use of a tourniquet showed no statistically significant association with the 30-d re-amputation at the femur level in the multiple logistic regression model(P = 0.78). The only variable with a significant association with re-amputation was age(OR = 1.07; P = 0.02).CONCLUSION The results indicate that tourniquets do not cause severe vascular damage with an increased postoperative bleeding or failure rate as the result.展开更多
目的探讨全髋关节置换(Total hip arthroplasty,THA)术后下肢深静脉血栓形成(Lower extremity deep vein thrombosis,DVT)的影响因素及其预防措施。方法选择2020年1月至2022年7月在本院行THA治疗的88例作为研究对象,分析术后DVT发生的...目的探讨全髋关节置换(Total hip arthroplasty,THA)术后下肢深静脉血栓形成(Lower extremity deep vein thrombosis,DVT)的影响因素及其预防措施。方法选择2020年1月至2022年7月在本院行THA治疗的88例作为研究对象,分析术后DVT发生的影响因素。结果88例THA患者术后发生DVT 33例(37.50%),其余55例(62.50%)患者未发生DVT;单因素分析显示,年龄、假体类型、术中出血量、手术用时、术后卧床时间与THA患者术后DVT发生有关,差异有统计学意义(P<0.05);多因素分析显示,年龄≥60岁、骨水泥型假体、术中出血量>400mL、手术用时>4h、术后卧床时间>4d是THA患者术后DVT发生的高危因素(P<0.05)。结论THA患者术后DVT发生与年龄、假体类型、术中出血量、手术用时、术后卧床时间有关,针对各因素制定相应的预防对策干预,可能减少DVT发生。展开更多
文摘At present, in the workover operations of old gas wells in the Changqing Gas Field, due to years of exploitation in the production layer, pressure deficits, and general leakage during the well killing, the well must be plugged before the well can be killed. In particular, the fracture-cavity type fractures of the lower paleocarbonate reservoirs have serious leakage. Traditional plugging materials and traditional plugging materials and methods have some limitations in dealing with leakage problems. Therefore, a composite plugging system using polymer solution as the base carrier fluid, multi-particle size rigid particles, expandable particles and modified fibers is developed. Its formula is: water + 2% polyacrylamide + 0.1% N, N-methylene bisacrylamide polymer gel is the base carrier fluid;the formulation of the particle plugging agent was continuously optimized through the CDL-II high temperature and high pressure dynamic and static plugging ability to plug the core. The final formulation of the plugging agent is: 1) 20% rigid particles (5 mm, 1 mm, 0.5 mm CCP-3 ratio 4:2:1) + 1% 3 mm expanded particles SMK-1 + 1% 1 ~ 2 mm fiber SRXW-10;2) 20% rigid particles (3 mm, 0.1 mm, 0.05 mm CCP-3 ratio 3:2:1) + 1% 3 mm expanded particles SMK-1 + 1% 1 ~ 2 mm fiber SRXW-10. The water swelling multiples of the granular plugging agent in salt water are all above 7 times, which meets the requirements of leak-proof plugging operations under high salinity;3% HCl is selected as the gel breaker, and the plugging system has a gel breaking rate of 95%;through the water plugging and profile control experimental system, the sand-filled pipe is used to simulate the plugging effect under high temperature and high pressure, and the plugging system can be sealed for 5 days at a high temperature of 110°C and a high pressure of 20 MPa to achieve a good plugging of the formation. It is expected that the developed plugging system has a good application prospect in future workover operations.
文摘Background: Water weight-loss walking training is an emerging physical therapy technique, which provides new ideas for improving the motor function of stroke patients and improving the quality of life of patients. However, the rehabilitation effect of water weight-loss training in stroke patients is currently unclear. Objective: To analyze the effect of water weight loss walking training in stroke patients. Methods: A total of 180 stroke patients admitted to our hospital from January 2019 to December 2021 were selected and randomly divided into two groups. The control group received routine walking training, and the research group performed weight loss walking training in water on this basis. The lower limb motor function, muscle tone grade, daily living ability, gait and balance ability were compared between the two groups before and after treatment. Results: Compared with the control group, the FMA-LE score (Fugl-Meyer motor assessment of Lower Extremity), MBI score (Modified Barthel Index) and BBS score (berg balance scale) of the study group were higher after treatment, and the muscle tone was lower (P Conclusion: Water weight loss walking training can enhance patients’ muscle tension, correct patients’ abnormal gait, improve patients’ balance and walking ability, and contribute to patients’ motor function recovery and self-care ability improvement.
文摘AIM To investigate the total blood loss(TBL) and the safety with respect to the re-amputation rate after transtibial amputation(TTA) conducted with and without a tourniquet. METHODS The study was a single-centre retrospective cohort study of patients with a primary TTA admitted between January 2013 and April 2015. All patients with a primary TTA were assessed for inclusion if the amputation was performed because of arteriosclerosis or diabetic complications. All patients underwent a standardized TTA procedure that was performed approximately 10 cm below the knee joint and performed with sagittalflaps. The pneumatic tourniquet, when used, was inflated around the femur to a pressure of 100 mmH g above the systolic blood pressure. The number of blood transfusions within the first four postoperative days was recorded. The intraoperative blood loss(OBL), which is defined as the volume of blood lost during surgery, was determined from the suction volume and by the weight difference of the surgical dressings. The trigger for a blood transfusion was set at a decrease in the Hgb level < 9.67 g/dL(6 mmol/L). Transfusions were performed with pooled red blood cells containing 245 m L per portion, which equals 55 g/L of haemoglobin. The TBL during the first four postoperative days was calculated based on the haemoglobin level and the estimated blood volume. The re-amputation rate was evaluated within 30 d. RESULTS Seventy-four out of 86 consecutive patients who underwent TTA within the two-year study period were included in the analysis. Of these, 38 were operated on using a tourniquet and 36 were operated on without using a tourniquet. There were no significant preoperative differences between the groups. The patients in both groups had a postoperative decrease in their Hgb level compared with preoperative baseline values. The patients operated on using a tourniquet received approximately three millilitres less blood transfusion per kilogram body weight compared with patients operated on without a tourniquet. The duration of surgery was shorter and the OBL was less for the tourniquet group than the non-tourniquet group, whereas no significant difference was observed for the TBL. The TBL median was 859 mL(IQR: 383-1315) in the non-tourniquet group vs 737 mL(IQR: 331-1218) in the tourniquet group(P = 0.754). Within the 30-d follow-up period, 9 patients in the tourniquet group and 11 in the non-tourniquet group underwent a reamputation at the trans-femoral level. The use of a tourniquet showed no statistically significant association with the 30-d re-amputation at the femur level in the multiple logistic regression model(P = 0.78). The only variable with a significant association with re-amputation was age(OR = 1.07; P = 0.02).CONCLUSION The results indicate that tourniquets do not cause severe vascular damage with an increased postoperative bleeding or failure rate as the result.
文摘目的探讨全髋关节置换(Total hip arthroplasty,THA)术后下肢深静脉血栓形成(Lower extremity deep vein thrombosis,DVT)的影响因素及其预防措施。方法选择2020年1月至2022年7月在本院行THA治疗的88例作为研究对象,分析术后DVT发生的影响因素。结果88例THA患者术后发生DVT 33例(37.50%),其余55例(62.50%)患者未发生DVT;单因素分析显示,年龄、假体类型、术中出血量、手术用时、术后卧床时间与THA患者术后DVT发生有关,差异有统计学意义(P<0.05);多因素分析显示,年龄≥60岁、骨水泥型假体、术中出血量>400mL、手术用时>4h、术后卧床时间>4d是THA患者术后DVT发生的高危因素(P<0.05)。结论THA患者术后DVT发生与年龄、假体类型、术中出血量、手术用时、术后卧床时间有关,针对各因素制定相应的预防对策干预,可能减少DVT发生。
