Harness High-Temperature Thermal Energy via Elastic Thermoelectric Aerogels

Despite notable progress in thermoelectric(TE)materials and devices,developing TE aerogels with high-temperature resistance,superior TE performance and excellent elasticity to enable self-powered high-temperature monitoring/warning in industrial and wearable applications remains a great challenge.Herein,a highly elastic,flame-retardant and high-temperature-resistant TE aerogel,made of poly(3,4-ethylene dioxythiophene):poly(styrenesulfonate)/single-walled carbon nanotube(PEDOT:PSS/SWCNT)composites,has been fabricated,displaying attractive compression-induced power factor enhancement.The as-fabricated sensors with the aerogel can achieve accurately pressure stimuli detection and wide temperature range monitoring.Subsequently,a flexible TE generator is assembled,consisting of 25 aerogels connected in series,capable of delivering a maximum output power of 400μW when subjected to a temperature difference of 300 K.This demonstrates its outstanding high-temperature heat harvesting capability and promising application prospects for real-time temperature monitoring on industrial high-temperature pipelines.Moreover,the designed self-powered wearable sensing glove can realize precise wide-range temperature detection,high-temperature warning and accurate recognition of human hand gestures.The aerogel-based intelligent wearable sensing system developed for firefighters demonstrates the desired self-powered and highly sensitive high-temperature fire warning capability.Benefitting from these desirable properties,the elastic and high-temperature-resistant aerogels present various promising applications including self-powered high-temperature monitoring,industrial overheat warning,waste heat energy recycling and even wearable healthcare.

Enhanced High-Temperature Energy Storage Performance of All-Organic Composite Dielectric via Constructing Fiber-Re in forced Structure

Optimizing the high-temperature energy storage characteristics of energy storage dielectrics is of great significance for the development of pulsed power devices and power control systems.Selecting a polymer with a higher glass transition temperature(T_(g))as the matrix is one of the effective ways to increase the upper limit of the polymer operating temperature.However,current high-T_(g)polymers have limitations,and it is difficult to meet the demand for high-temperature energy storage dielectrics with only one polymer.For example,polyetherimide has high-energy storage efficiency,but low breakdown strength at high temperatures.Polyimide has high corona resistance,but low high-temperature energy storage efficiency.In this work,combining the advantages of two polymer,a novel high-T_(g)polymer fiber-reinforced microstructure is designed.Polyimide is designed as extremely fine fibers distributed in the composite dielectric,which will facilitate the reduction of high-temperature conductivity loss for polyimide.At the same time,due to the high-temperature resistance and corona resistance of polyimide,the high-temperature breakdown strength of the composite dielectric is enhanced.After the polyimide content with the best high-temperature energy storage characteristics is determined,molecular semiconductors(ITIC)are blended into the polyimide fibers to further improve the high-temperature efficiency.Ultimately,excellent high-temperature energy storage properties are obtained.The 0.25 vol%ITIC-polyimide/polyetherimide composite exhibits high-energy density and high discharge efficiency at 150℃(2.9 J cm^(-3),90%)and 180℃(2.16 J cm^(-3),90%).This work provides a scalable design idea for high-performance all-organic high-temperature energy storage dielectrics.

Integrated multi-scale approach combining global homogenization and local refinement for multi-field analysis of high-temperature superconducting composite magnets

Second-generation high-temperature superconducting(HTS)conductors,specifically rare earth-barium-copper-oxide(REBCO)coated conductor(CC)tapes,are promising candidates for high-energy and high-field superconducting applications.With respect to epoxy-impregnated REBCO composite magnets that comprise multilayer components,the thermomechanical characteristics of each component differ considerably under extremely low temperatures and strong electromagnetic fields.Traditional numerical models include homogenized orthotropic models,which simplify overall field calculation but miss detailed multi-physics aspects,and full refinement(FR)ones that are thorough but computationally demanding.Herein,we propose an extended multi-scale approach for analyzing the multi-field characteristics of an epoxy-impregnated composite magnet assembled by HTS pancake coils.This approach combines a global homogenization(GH)scheme based on the homogenized electromagnetic T-A model,a method for solving Maxwell's equations for superconducting materials based on the current vector potential T and the magnetic field vector potential A,and a homogenized orthotropic thermoelastic model to assess the electromagnetic and thermoelastic properties at the macroscopic scale.We then identify“dangerous regions”at the macroscopic scale and obtain finer details using a local refinement(LR)scheme to capture the responses of each component material in the HTS composite tapes at the mesoscopic scale.The results of the present GH-LR multi-scale approach agree well with those of the FR scheme and the experimental data in the literature,indicating that the present approach is accurate and efficient.The proposed GH-LR multi-scale approach can serve as a valuable tool for evaluating the risk of failure in large-scale HTS composite magnets.

TiN/Fe_(2)N/C composite with stable and broadband high-temperature microwave absorption

Facing the complex variable high-temperature environment,electromagnetic wave(EMW)absorbing materials maintaining high stability and satisfying absorbing properties is essential.This study focused on the synthesis and EMW absorbing performance evaluation of TiN/Fe_(2)N/C composite materials,which were prepared using electrostatic spinning followed by a high-temperature nitridation process.The TiN/Fe_(2)N/C fibers constructed a well-developed conductive network that generates considerable conduction loss.The heterogeneous interfaces between different components generated a significant level of interfacial polarization.Thanks to the synergistic effect of stable dielectric loss and optimized impedance matching,the TiN/Fe_(2)N/C composite materials demonstrated excellent and stable absorption performance across a wide temperature range(293-453 K).Moreover,TiN/Fe_(2)N/C-15 achieved a minimum reflection loss(RL)of−48.01 dB and an effective absorption bandwidth(EAB)of 3.64 GHz at 2.1 mm and 373 K.This work provides new insights into the development of high-efficiency and stabile EMW absorbing materials under complex variable high-temperature conditions.

Synergistic effect of Zr and Mo on precipitation and high-temperature properties of Al-Si-Cu-Mg alloys

This study focuses on finding a solution to the sharp decline in mechanical properties of Al-Si-Cu-Mg alloys due to rapid coarsening of traditional intermediate phases at high temperature.A new type of modified al oy,to be used in automobile engines at high temperatures,was prepared by adding Zr and Mo into Al-Si-Cu-Mg alloy.The synergistic effects of Zr and Mo on the microstructure evolution and high-temperature mechanical properties were studied.Results show that the addition of Zr and Mo generates a series of intermetallic phases dispersed in the alloy.They can improve the strength of the alloy by hindering dislocation movement and crack propagation.In addition,some nano-strengthened phases show coherent interfaces with the matrix and improve grain refinement.The addition of Mo greatly improves the heat resistance of the alloy.The extremely low diffusivity of Mo enables it to improve the thermal stability of the intermetallic phases,inhibit precipitation during aging,reduce the size of the precipitates,and improve the heat resistance of the alloy.

HZSM-5 zeolites undergoing the high-temperature process for boosting the bimolecular reaction in n-heptane catalytic cracking

High-temperature treatment is key to the preparation of zeolite catalysts.Herein,the effects of hightemperature treatment on the property and performance of HZSM-5 zeolites were studied in this work.X-Ray diffraction,N2physisorption,27Al magic angle spinning nuclear magnetic resonance(MAS NMR),and temperature-programmed desorption of ammonia results indicated that the hightemperature treatment at 650℃ hardly affected the inherent crystal and texture of HZSM-5zeolites but facilitated the conversion of framework Al to extra-framework Al,reducing the acid site and enhancing the acid strength.Moreover,the high-temperature treatment improved the performance of HZSM-5 zeolites in n-heptane catalytic cracking,promoting the conversion and light olefins yield while inhibiting coke formation.Based on the kinetic and mechanism analysis,the improvement of HZSM-5 performance caused by high-temperature treatment has been attributed to the formation of extra-framework Al,which enhanced the acid strength,facilitated the bimolecular reaction,and promoted the entropy change to overcome a higher energy barrier in n-heptane catalytic cracking.

A review of in-situ high-temperature characterizations for understanding the processes in metallurgical engineering

For the rational manipulation of the production quality of high-temperature metallurgical engineering,there are many challenges in understanding the processes involved because of the black box chemical/electrochemical reactors.To overcome this issue,various in-situ characterization methods have been recently developed to analyze the interactions between the composition,microstructure,and solid-liquid interface of high-temperature electrochemical electrodes and molten salts.In this review,recent progress of in-situ hightemperature characterization techniques is discussed to summarize the advances in understanding the processes in metallurgical engineering.In-situ high-temperature technologies and analytical methods mainly include synchrotron X-ray diffraction(s-XRD),laser scanning confocal microscopy,and X-ray computed microtomography(X-rayμ-CT),which are important platforms for analyzing the structure and morphology of the electrodes to reveal the complexity and variability of their interfaces.In addition,laser-induced breakdown spectroscopy,high-temperature Raman spectroscopy,and ultraviolet-visible absorption spectroscopy provide microscale characterizations of the composition and structure of molten salts.More importantly,the combination of X-rayμ-CT and s-XRD techniques enables the investigation of the chemical reaction mechanisms at the two-phase interface.Therefore,these in-situ methods are essential for analyzing the chemical/electrochemical kinetics of high-temperature reaction processes and establishing the theoretical principles for the efficient and stable operation of chemical/electrochemical metallurgical processes.

Natural Lignin:A Sustainable and Cost-Effective Electrode Material for High-Temperature Na-Ion Battery

Rechargeable sodium-ion batteries usually suffer from accelerated electrode destruction at high temperatures and high synthesis costs of electrode materials.Therefore,it is highly desirable to explore novel organic electrodes considering their cost-effectiveness and large adaptability to volume changes.Herein,natural biomass,pristine lignin,is employed as the sodium-ion battery anodes,and their sodium storage performance is investigated at room temperature and 60℃.The lignin anodes exhibit excellent high-temperature sodium-ion battery performance.This mainly results from the generation of abundant reactive sites(C=O)due to the high temperature-induced homogeneous cleavage of the C_(β)-O bond in the lignin macromolecule.This work can inspire researchers to explore other natural organic materials for large-scale applications and high-value utilization in advanced energy storage devices.

Hybrid 2D/3D Graphitic Carbon Nitride-Based High-Temperature Position-Sensitive Detector

Ultraviolet position-sensitive detectors(PSDs)are expected to undergo harsh environments,such as high temperatures,for a wide variety of applications in military,civilian,and aerospace.However,no report on relevant PSDs operating at high temperatures can be found up to now.Herein,we design a new 2D/3D graphitic carbon nitride(g-C_(3)N_(4))/gallium nitride(GaN)hybrid heterojunction to construct the ultraviolet high-temperature-resistant PSD.The g-C_(3)N_(4)/GaN PSD exhibits a high position sensitivity of 355 mV mm^(-1),a rise/fall response time of 1.7/2.3 ms,and a nonlinearity of 0.5%at room temperature.The ultralow formation energy of-0.917 eV atom^(-1)has been obtained via the thermodynamic phase stability calculations,which endows g-C_(3)N_(4)with robust stability against heat.By merits of the strong built-in electric field of the 2D/3D hybrid heterojunction and robust thermo-stability of g-C_(3)N_(4),the g-C_(3)N_(4)/GaN PSD delivers an excellent position sensitivity and angle detection nonlinearity of 315 mV mm^(-1)and 1.4%,respectively,with high repeatability at a high temperature up to 700 K,outperforming most of the other counterparts and even commercial silicon-based devices.This work unveils the high-temperature PSD,and pioneers a new path to constructing g-C_(3)N_(4)-based harsh-environment-tolerant optoelectronic devices.

A Novel Fracturing Fluid with High-Temperature Resistance for Ultra-Deep Reservoirs

Ultra-deep reservoirs play an important role at present in fossil energy exploitation.Due to the related high temperature,high pressure,and high formation fracture pressure,however,methods for oil well stimulation do not produce satisfactory results when conventional fracturing fluids with a low pumping rate are used.In response to the above problem,a fracturing fluid with a density of 1.2~1.4 g/cm^(3)was developed by using Potassium formatted,hydroxypropyl guanidine gum and zirconium crosslinking agents.The fracturing fluid was tested and its ability to maintain a viscosity of 100 mPa.s over more than 60 min was verified under a shear rate of 1701/s and at a temperature of 175℃.This fluid has good sand-carrying performances,a low viscosity after breaking the rubber,and the residue content is less than 200 mg/L.Compared with ordinary reconstruction fluid,it can increase the density by 30%~40%and reduce the wellhead pressure of 8000 m level reconstruction wells.Moreover,the new fracturing fluid can significantly mitigate safety risks.

Novel Method for Evaluating the Aging of Aviation Turbine Engine Oils via High-Temperature Bearing Deposit Tests

Aviation turbine engine oils require excellent thermal-oxidative stability because of their high-temperature environments.High-temperature bearing deposit testing is a mandatory method for measuring the thermal-oxidative performance of aviation lubricant oils,and the relevant apparatus was improved in the present study.Two different commercial aviation turbine engine oils were tested,one with standard performance(known as the SL oil)and the other with high thermal stability,and their thermal-oxidative stability characteristics were evaluated.After 100 h of high-temperature bearing testing,the SL oil was analyzed by using various analytical techniques to investigate its thermal-oxidative process in the bearing test,with its thermal-oxidative degradation mechanism also being discussed.The results indicate that the developed high-temperature bearing apparatus easily meets the test requirements of method 3410.1 in standard FED-STD-791D.The viscosity and total acid number(TAN)of the SL oil increased with the bearing test time,and various deposits were produced in the bearing test,with the micro-particles of the carbon deposits being sphere-like,rod-like,and sheet-like in appearance.The antioxidant additives in the oil were consumed very rapidly in the first 30 h of the bearing test,with N-phenyl-1-naphthylamine being consumed faster than dioctyldiphenylamine.Overall,the oil thermal-oxidative process involves very complex physical and chemical mechanisms.

Mapping and resource evaluation of deep high-temperature geothermal resources in the Jiyang Depression,China

In China,geothermal resource utilization has mainly focused on resources at shallow and medium depths.Yet,the exploration of deep,high-temperature geothermal resources holds significant importance for achieving the“dual carbon”goals and the transition of energy structure.The Jiyang Depression in the Bohai Bay Basin has vast potential for deep,high-temperature geothermal resources.By analyzing data from 2187 wells with temperature logs and 270 locations for temperature measurement in deep strata,we mapped the geothermal field of shallow to medium-deep layers in the Jiyang Depression using ArcGIS and predicted the temperatures of deep layers with a burial depth of 4000 m.Through stochastic modeling and numerical simulation,a reservoir attribute parameter database for favorable deep,high-temperature geothermal areas was developed,systematically characterizing the spatial distribution of geothermal resources within a play fairway of 139.5 km2 and estimating the exploitable deep geothermal resource potential by using the heat storage method and Monte Carlo data analysis.The study reveals that the Fan 54 well block in the Boxing-Jijia region is of prime significance to develop deep,high-temperature geothermal resources in the Jiyang Depression.Strata from the Cenozoic to the Upper Paleozoic are identified as effective cap layers for these deep geothermal resources.The Lower Paleozoic capable of effectively storing thermal energy and possessing an exploitable resource volume up to 127 million tons of standard coal,is identified as a target system for the development of deep high-temperature geothermal resources,providing significant insights for the efficient development of geothermal resources in the Jiyang Depression.

High-performance and robust high-temperature polymer electrolyte membranes with moderate microphase separation by implementation of terphenyl-based polymers

Acid loss and plasticization of phosphoric acid(PA)-doped high-temperature polymer electrolyte membranes(HT-PEMs)are critical limitations to their practical application in fuel cells.To overcome these barriers,poly(terphenyl piperidinium)s constructed from the m-and p-isomers of terphenyl were synthesized to regulate the microstructure of the membrane.Highly rigid p-terphenyl units prompt the formation of moderate PA aggregates,where the ion-pair interaction between piperidinium and biphosphate is reinforced,leading to a reduction in the plasticizing effect.As a result,there are trade-offs between the proton conductivity,mechanical strength,and PA retention of the membranes with varied m/p-isomer ratios.The designed PA-doped PTP-20m membrane exhibits superior ionic conductivity,good mechanical strength,and excellent PA retention over a wide range of temperature(80–160°C)as well as satisfactory resistance to harsh accelerated aging tests.As a result,the membrane presents a desirable combination of performance(1.462 W cm^(-2) under the H_(2)/O_(2)condition,which is 1.5 times higher than that of PBI-based membrane)and durability(300 h at 160°C and 0.2 A cm^(-2))in the fuel cell.The results of this study provide new insights that will guide molecular design from the perspective of microstructure to improve the performance and robustness of HT-PEMs.

Design and evaluation of UHPP steel bridge deck pavement for high-temperature and rainy regions

To enhance the serviceability of steel bridge deck pavement(SBDP)in high-temperature and rainy regions,a concept of rigid bottom and flexible top was summarized using engineering practices,which led to the proposal of a three-layer ultra-high-performance pavement(UHPP).The high-temperature rutting resistance and wet-weather skid resistance of UHPP were evaluated through composite structure tests.The internal temperature distribution within the pavement under typical high-temperature conditions was analyzed using a temperature field model.Additionally,a temperature-stress coupling model was employed to investigate the key load positions and stress response characteristics of the UHPP.The results indicate that compared with the traditional guss asphalt+stone mastic asphalt structure,the dynamic stability of the UHPP composite structure can be improved by up to 20.4%.Even under cyclic loading,UHPP still exhibits superior surface skid resistance compared to two traditional SBDPs.The thickness composition of UHPP significantly impacts its rutting resistance and skid resistance.UHPP exhibits relatively low tensile stress but higher shear stress levels,with the highest shear stress occurring between the UHPP and the steel plate.This suggests that the potential risk of damage for UHPP primarily lies within the interlayer of the pavement.Based on engineering examples,introducing interlayer gravel and optimizing the amount of bonding layer are advised to ensure that UHPP possesses sufficient interlayer shear resistance.

Performance Assessment on Corrosion Resistance of Refractory Materials Based on High-temperature Machine Vision Technology

Refractory materials,as the crucial foundational materials in high-temperature industrial processes such as metallurgy and construction,are inevitably subjected to corrosion and penetration from high-temperature media during their service.Traditionally,observing the in-situ degradation process of refractory materials in complex high-temperature environments has presented challenges.Post-corrosion analysis are commonly employed to assess the slag resistance of refractory materials and understand the corrosion mechanisms.However,these methods often lack information on the process under the conditions of thermal-chemical-mechanical coupling,leading to potential biases in the analysis results.In this work,we developed a non-contact high-temperature machine vision technology by the integrating Digital Image Correlation(DIC)with a high-temperature visualization system to explore the corrosion behavior of Al2O3-SiO2 refractories against molten glass and Al2O3-MgO dry ramming refractories against molten slag at different temperatures.This technology enables realtime monitoring of the 2D or 3D overall strain and average strain curves of the refractory materials and provides continuous feedback on the progressive corrosion of the materials under the coupling conditions of thermal,chemical,and mechanical factors.Therefore,it is an innovative approach for evaluating the service behavior and performance of refractory materials,and is expected to promote the digitization and intelligence of the refractory industry,contributing to the optimization and upgrading of product performance.

Study on Durability of Recycled Aggregate Concrete in High-Temperature and Complex Environments

Recycled aggregate concrete refers to a new type of concrete material made by processing waste concrete materials through grading,crushing,and cleaning,and then mixing them with cement,water,and other materials in a certain gradation or proportion.This type of concrete is highly suitable for modern construction waste disposal and reuse and has been widely used in various construction projects.It can also be used as an environmentally friendly permeable brick material to promote the development of modern green buildings.However,practical applications have found that compared to ordinary concrete,the durability of this type of concrete is more susceptible to high-temperature and complex environments.Based on this,this paper conducts theoretical research on its durability in high-temperature and complex environments,including the current research status,existing problems,and application prospects of recycled aggregate concrete’s durability in such environments.It is hoped that this analysis can provide some reference for studying the influence of high-temperature and complex environments on recycled aggregate concrete and its subsequent application strategies.

姜酮通过激活Nrf2/HO-1信号通路减轻OGD/R后氧化应激损伤对HT22细胞凋亡的抑制作用

目的:探讨姜酮对氧糖剥夺/复糖复氧(OGD/R)后小鼠海马神经元HT22细胞的保护作用,阐明其相关作用机制。方法:培养HT22细胞,设置不同OGD/R时间梯度,建立OGD/R细胞损伤模型。HT22细胞分为对照组、OGD/R组、OGD/R+1μmol·L^(-1)姜酮组、OGD/R+10μmol·L^(-1)姜酮、OGD/R+100μmol·L^(-1)姜酮组和OGD/R+0.2%二甲亚枫(DMSO)组,CCK-8法检测各组细胞活性并计算各组细胞存活率,确定姜酮最适药物浓度。细胞分为对照组、OGD/R组、OGD/R+姜酮组和OGD/R+姜酮+核因子E2相关因子2(Nrf2)抑制剂(ML385)组,OGD/R+姜酮组细胞经姜酮给药处理4 h后予以OGD 8 h和复糖复氧8 h处理,OGD/R+姜酮+ML385组细胞在姜酮给药前予以10μmol·L^(-1)ML385预处理6 h,CCK-8法检测各组细胞活性,Western blotting法检测各组细胞中Nrf2、血红素加氧酶1(HO-1)、B细胞淋巴瘤2(Bcl-2)和Bcl-2相关X蛋白(Bax)蛋白表达水平,酶联免疫吸附试验(ELISA)法检测各组细胞培养上清中超氧化物歧化酶(SOD)活性和丙二醛(MDA)水平。结果:与对照组比较,HT22细胞经OGD 8 h和复糖复糖8 h处理后细胞存活率低于50%,以OGD 8 h和复糖复糖8 h建立HT22细胞OGD/R模型。与OGD/R组比较,OGD/R+不同剂量姜酮组细胞存活率均不同程度升高,其中OGD/R+100μmol·L^(-1)姜酮组细胞存活率升高最明显(P<0.01),故选用100μmol·L^(-1)姜酮用于后续实验。与对照组比较,OGD/R组细胞活性明显降低(P<0.01),细胞中Nrf2、HO-1和Bax蛋白表达水平明显升高(P<0.01),Bcl-2蛋白表达水平明显降低(P<0.05),细胞培养上清中SOD活性明显降低(P<0.01),MDA水平明显升高(P<0.01);与OGD/R组比较,OGD/R+姜酮组细胞活性明显升高(P<0.01),细胞中Nrf2、HO-1和Bcl-2蛋白表达水平明显升高(P<0.05或P<0.01),Bax蛋白表达水平明显降低(P<0.05),细胞培养上清中SOD活性明显升高(P<0.01),MDA水平明显降低(P<0.01);与OGD/R+姜酮组比较,OGD/R+姜酮+ML385组细胞活性明显降低(P<0.01),细胞中Nrf2、HO-1和Bcl-2蛋白表达水平明显降低(P<0.01),Bax蛋白表达水平明显升高(P<0.01),细胞培养上清中SOD活性明显降低(P<0.01),MDA水平明显升高(P<0.05)。结论:姜酮可通过激活Nrf2/HO-1信号通路减轻OGD/R后氧化应激损伤对HT22细胞凋亡的抑制作用。

基于5-HT及其受体的中医药干预消化系统疾病研究进展

5羟色胺(5-hydroxytryptamine,5-HT)是一种重要的单胺类神经递质,具有广泛的生物学效应。血清和胃肠道中的5-HT含量可占人体5-HT总量的95%以上,血液循环中的5-HT也主要来源于肠道。5-HT在消化系统疾病发生发展中的作用历来受到关注。此文从5-HT特征、5-HT受体以及基于5-HT及其受体探讨中医药对消化系统疾病的干预作用进行了概述,以期进一步为消化系统疾病的防治、临床与基础研究提供新思路。

豪洛捷乳腺结节真空旋切术对乳腺结节患者5-HT MDA及TNF-α的影响

目的:探讨豪洛捷乳腺结节真空旋切术对乳腺结节患者神经递质5-羟色胺(5-hydroxytryptamine,5-HT)、丙二醛(Malondialdehyde,MDA)及肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)的影响。方法:回顾性分析择取2020年4月至2023年5月期间,本院收治的乳腺结节患者148例,经纳入、排除标准剔除46例病例,最终纳入102例病例,依据手术方式不同分为对照组(n=50,传统小切口术治疗)及实验组(n=52,豪洛捷乳腺结节真空旋切术治疗)。对比两组手术观察指标、治疗前后5-HT、MDA及TNF-α水平变化、术后恢复良好率、并发症发生率及结节复发率。结果:与对照组相比较,实验组切口长度更短,术后住院天数、失血量更少,手术总时长更短(P<0.05)。治疗前至治疗后3d的5-HT、MDA及TNF-α水平均上升,治疗后3d至治疗后7d的5-HT、MDA及TNF-α水平均下降(P<0.05),且在治疗后1d、3d、7d时,实验组5-HT、MDA及TNF-α水平比对照组低(P<0.05)。对照组、实验组恢复良好率分别为78.00%、92.31%,实验组恢复良好率更高(P<0.05)。两组结节复发率比较,差异无统计学意义(P>0.05),实验组并发症发生率(5.76%)比对照组(20.00%)低(P<0.05)。结论:豪洛捷乳腺结节真空旋切术对乳腺结节患者5-HT、MDA及TNF-α水平影响相对较小,且并发症发生率低,在促进患者术后早期康复中有积极作用。

血清5-HT、NGF水平与原发性早泄患者阴茎背神经选择性切除术后复发的关系

目的探究血清5-羟色胺(5-HT)、神经生长因子(NGF)水平变化与原发性早泄患者阴茎背神经选择性切除术后复发的关系。方法选择原发性早泄患者200例,均行阴茎背神经选择性切除术治疗,术后6个月根据患者是否复发分为复发组(n=23)与未复发组(n=177),比较两组患者的临床资料、血清5-HT、NGF水平,分析5-HT、NGF与中国早泄问卷调查表(CIPE-5)、国际勃起功能(IIEF-5)评分、射精潜伏期(IELT)的相关性及术后复发影响因素,并构建列线图模型评价含血清指标模型预测术后复发与实际观察的一致性,用决策曲线评价该模型的临床获益。结果复发组术后3个月血清5-HT水平、IELT、CIPE-5评分均低于未复发组,NGF水平高于未复发组(P均<0.05);原发性早泄患者术前、术后1个月、术后3个月,血清5-HT水平与CIPE-5评分、IELT呈正相关(P均<0.05),与IIEF-5评分无相关性(P均>0.05);血清NGF水平与CIPE-5评分、IELT呈负相关(P均<0.05),与IIEF-5评分无相关性(P均>0.05);术后3个月IELT、CIPE-5评分及血清5-HT、NGF水平均为原发性早泄患者术后复发的独立影响因素(P均<0.05);列线图模型预测原发性早泄患者术后复发相关因素的一致性指数为0.775(95%CI=0.674~0.802);决策曲线显示,当含血清指标的模型预测原发性早泄患者术后复发的值为0.20~0.85时,可提供附加临床获益。结论原发性早泄患者阴茎背神经选择性切除术后3个月血清5-HT水平下降、NGF水平升高,二者水平变化对预测患者术后复发有一定参考价值。