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Robust adaptive fault-tolerant control of a tandem coaxial ducted fan aircraft with actuator saturation 被引量:14
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作者 Xiaoliang WANG changle xiang +1 位作者 Homayoun NAJJARAN Bin XU 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2018年第6期1298-1310,共13页
This paper is concerned with the robust adaptive fault-tolerant control of a tandem coaxial ducted fan aircraft under system uncertainty, mismatched disturbance, and actuator saturation.For the proposed aircraft, comp... This paper is concerned with the robust adaptive fault-tolerant control of a tandem coaxial ducted fan aircraft under system uncertainty, mismatched disturbance, and actuator saturation.For the proposed aircraft, comprehensive controllability analysis is performed to evaluate the controllability of each state as well as the margin to reject mismatched disturbance without any knowledge of the controller. Mismatched disturbance attenuation is ensured through a structured Hinfinity controller tuned by a non-smooth optimization algorithm. Embedded with the H-infinity controller, an adaptive control law is proposed in order to mitigate matched system uncertainty and actuator fault. Input saturation is also considered by the modified reference model. Numerical simulation of the novel ducted fan aircraft is provided to illustrate the effectiveness of the proposed method. The simulation results reveal that the proposed adaptive controller achieves better transient response and more robust performance than classic Model Reference Adaptive Control(MRAC) method, even with serious actuator saturation. 展开更多
关键词 Comprehensive controllability Ducted fan aircraft Fault-tolerant Input saturation Robust adaptive control
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A novel approach to the attitude stabilization structure for ducted-fan operative aerial robots:Finding improvements for modeling error and strong external transient disturbance 被引量:2
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作者 Wei FAN Bin XU +2 位作者 changle xiang Yibo ZHANG Haiyang YANG 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2022年第2期250-264,共15页
This research concerns a novel attitude stabilization structure for a ducted-fan aerial robot to work against modeling error and strong external transient disturbance,and it focuses on two main control targets:modelin... This research concerns a novel attitude stabilization structure for a ducted-fan aerial robot to work against modeling error and strong external transient disturbance,and it focuses on two main control targets:modeling error compensation,and the improvement of disturbance resistance along the rolling channel.For the first research objective,we proposed an adaptive nominal controller with the reconfigurable control law design based on the estimation of the modeling error found in the closed-loop.Results of simulations and corresponding flight tests verified that the proposed adaptive control structure is robust against both constant and time-varying modeling error.For the other research objective,a SAC(Stability Augmentation Control)structure was devised based on the CMG(Control Moment Gyroscope)theory in order to provide extra moment which effectively withstands the transient disturbance beyond the CDG(Critical Disturbance Gain).Furthermore,we studied the corresponding controller for the SAC via the SMC(sliding mode control)theory,while the working mechanism and performance of the SAC were verified through a specially devised prototype. 展开更多
关键词 Adaptive control Disturbance rejection Ducted-fan aircraft Modeling error Stability augmentation systems
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Model-Based Double Closed-Loop Coordinated Control Strategy for the Electro-Mechanical Transmission System of Heavy Power-Split HEVs 被引量:3
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作者 Weida Wang Yuhang Zhang +2 位作者 Xiaoxia Sun changle xiang Chao Yang 《Automotive Innovation》 CSCD 2021年第1期44-55,共12页
The dual-mode electro-mechanical transmission(EMT)system is a crucial part of power-split hybrid electric vehicles(HEVs),especially for the heavy HEVs.To improve the precision of the system power distribution and the ... The dual-mode electro-mechanical transmission(EMT)system is a crucial part of power-split hybrid electric vehicles(HEVs),especially for the heavy HEVs.To improve the precision of the system power distribution and the response speed of the electric power supply,a model-based double closed-loop coordinated control strategy is proposed.As the basis of the proposed control strategy,an EMT system model,particularly of an electrical system,is established first.The proposed control strategy includes the power distribution strategy,battery power closed-loop feedback control strategy,and motor coordinated control strategy.To verify the feasibility of the proposed control strategy,simulation and experiment are performed.The results indicate that the proposed control strategy can realize the expected power distribution by coordinating generators and motors and achieve rapid and stable electric power supply. 展开更多
关键词 Hybrid electric vehicles Electro-mechanical transmission system Hybrid power-split Power coordinated control Multi-power distribution
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A path planning algorithm for autonomous flying vehicles in cross-countryenvironments with a novel TF-RRT^(*) method 被引量:1
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作者 Tianqi Qie Weida Wang +3 位作者 Chao Yang Ying Li Wenjie Liu changle xiang 《Green Energy and Intelligent Transportation》 2022年第3期81-93,共13页
Autonomous flying vehicles(AFVs)are promising future vehicles,which have high obstacle avoidance ability.To plan a feasible path in a wide range of cross-country environments for the AFV,a triggered forward optimal ra... Autonomous flying vehicles(AFVs)are promising future vehicles,which have high obstacle avoidance ability.To plan a feasible path in a wide range of cross-country environments for the AFV,a triggered forward optimal rapidly-exploring random tree(TF-RRT^(*))method is proposed.Firstly,an improved sampling and tree growth mechanism is built.Sampling and tree growth are allowed only in the forward region close to the target point,which significantly improves the planning speed;Secondly,the driving modes(ground-driving mode or air-driving mode)of the AFV are added to the sampling process as a planned state for uniform planning the driving path and driving mode;Thirdly,according to the dynamics and energy consumption models of the AFV,comprehensive indicators with energy consumption and efficiency are established for path optimal procedures,so as to select driving mode and plan driving path reasonably according to the demand.The proposed method is verified by simulations with an actual cross-country environment.Results show that the computation time is decreased by 71.08%compared with Informed-RRT^(*)algorithm,and the path length of the proposed method decreased by 13.01%compared with RRT^(*)-Connect algorithm. 展开更多
关键词 Autonomous flying vehicles(AFVs) Path planning Rapidly-exploring random tree(RRT) Mode switch
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Theoretical and Experimental Investigations of Gyroplane Jump Takeoff Dynamics
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作者 Xingbang Yang changle xiang +1 位作者 Bin Xu Wei Fan 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2017年第3期57-66,共10页
A nonlinear and time-varying gyroplane jump takeoff dynamics model considering the unsteady ground effect and the rapid blade-pitch increase(RBPI) is developed and validated against the experiment data.The precisions ... A nonlinear and time-varying gyroplane jump takeoff dynamics model considering the unsteady ground effect and the rapid blade-pitch increase(RBPI) is developed and validated against the experiment data.The precisions of the proposed model,an experienced Hollmann model and three other simplified models are compared by displaying the height and rpm time histories of those models and the experimental data.The mean square errors(MSE) of the height histories and maximum height errors(MHE) between those models are calculated and given out.The statistics provide a kind of evaluation method of importance of the unsteady ground effect,RBPI,and the induced velocity on jump takeoff performance in vertical phase.The impact of the unsteady ground effect and RBPI on the thrust and induced velocity of the experimental rotor of a small scale platform is analyzed.The study indicates that the proposed model agrees better with the experimental data than other models.It is useful for predicting the gyroplane jump takeoff performance for design. 展开更多
关键词 JUMP TAKEOFF rapid blade-pitch increase ground effect induced velocity MSE and MHE
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Influence of Wall Effect on Comprehensive Controllability for Ducted Fan Aircraft
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作者 Tianfu Ai changle xiang +2 位作者 Bin Xu Wei Fan Yibo Zhang 《Journal of Beijing Institute of Technology》 EI CAS 2020年第4期581-591,共11页
A novel coaxial ducted fan structure aircraft is proposed to enable the aircraft near vertical walls at high altitudes.The state space equation of the system can be obtained by correlation deduction and identification... A novel coaxial ducted fan structure aircraft is proposed to enable the aircraft near vertical walls at high altitudes.The state space equation of the system can be obtained by correlation deduction and identification of the whole prototype model.Based on the duct test bench experiment and computational fluid dynamics(CFD)simulation analysis,the expressions between the different distances dWE from the rotor center of the prototype to the wall and the thrust,reaction torque,and tilting moment of the system under hovering conditions are obtained.The influence of the wall effect of the prototype is incorporated into the system model to analyze the relationship between distance dWE and the comprehensive controllability of the system.The results show that the system comprehensive controllability vector of other channels changes little with the decrease of the distance dWE,and only the controllability vector of the rolling channel increases significantly.At the same time,the tilting moment also increases significantly,which strengthens the tendency of the prototype to tilt towards the wall. 展开更多
关键词 coaxial ducted fan aircraft hovering condition wall effect tilting moment comprehensive controllability analysis
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刮板输送机动张力特性分析与仿真 被引量:6
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作者 高昌乐 闵令江 林翔 《煤矿机械》 北大核心 2019年第1期64-66,共3页
刮板输送机是综采工作面三机联动的关键设备之一,恶劣的工作条件下难以实现其动张力测量。在圆环链合理简化的基础上,推导了圆环链刚度系数的简化计算方法;针对刮板输送机的受力状态和链轮驱动的多边形效应,构造了刮板输送机链传动系统... 刮板输送机是综采工作面三机联动的关键设备之一,恶劣的工作条件下难以实现其动张力测量。在圆环链合理简化的基础上,推导了圆环链刚度系数的简化计算方法;针对刮板输送机的受力状态和链轮驱动的多边形效应,构造了刮板输送机链传动系统纵向振动方程,并进行了数字仿真,得到刮板输送机的动张力特性,对刮板输送机圆环链疲劳寿命预测意义重大。 展开更多
关键词 刮板输送机 MATLAB仿真 圆环链刚度系数 动张力
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Roux-en-Y胃旁路手术对2型糖尿病伴肥胖患者生理指标与胰岛素抵抗影响的研究 被引量:3
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作者 上官昌盛 闵长乐 向英 《中华普外科手术学杂志(电子版)》 2019年第6期582-584,共3页
目的探讨Roux-en-Y胃旁路手术(RYGB)对2型糖尿病(T2DM)伴肥胖患者生理指标与胰岛素抵抗影响。方法回顾性分析2012年10月至2017年12月86例T2DM伴肥胖患者资料,均采用腹腔镜Roux-en-Y胃旁路手术。应用SPSS18.0统计软件进行分析,术前、术后... 目的探讨Roux-en-Y胃旁路手术(RYGB)对2型糖尿病(T2DM)伴肥胖患者生理指标与胰岛素抵抗影响。方法回顾性分析2012年10月至2017年12月86例T2DM伴肥胖患者资料,均采用腹腔镜Roux-en-Y胃旁路手术。应用SPSS18.0统计软件进行分析,术前、术后6个月、12个月患者糖代谢、脂代谢指标及胰岛β细胞功能指数(HOMA-β)和胰岛素抵抗指数等以(x^-±s)表示,采用t检验,以P<0.05为差异有统计学意义。结果术后6个月、12个月患者体重质量(BMI)由术前(33.9±2.6)kg/m^2降为(27.7±2.7)kg/m^2、(26.9±3.1)kg/m^2;糖代谢指标FPG、2hPG、空腹胰岛素、HbA1C均较术前明显降低(P<0.05)。术后6个月、12个月患者脂代谢指标TC、TG、LDL-C明显低于术前,HDL-C明显高于术前(P<0.05);HOMA-β明显高于术前,术后12个月HOMA-β明显高于术后6个月;HOMA-IR明显低于术前,差异均有统计学意义(P<0.05)。结论RYGB可改善T2DM伴肥胖患者糖代谢与脂代谢指标,增加HOMA-β细胞功能,降低胰岛素抵抗。 展开更多
关键词 糖尿病 肥胖症 吻合术 Roux-en-Y 胃旁路术 胰岛素抗药性
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基于引文关键词的跨学科相关知识发现方法探讨 被引量:22
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作者 杜德慧 李长玲 +1 位作者 相富钟 牌艳欣 《情报杂志》 CSSCI 北大核心 2020年第9期189-194,共6页
[目的/意义]随着跨学科研究的不断深入与发展,从数量庞大的科学文献中挖掘对于目标学科来说具有较大合作可能性的跨学科相关知识,有助于促进学科间知识的融合,从而进一步推动学科的创新性发展。[方法/过程]提取目标学科节点文献-其跨学... [目的/意义]随着跨学科研究的不断深入与发展,从数量庞大的科学文献中挖掘对于目标学科来说具有较大合作可能性的跨学科相关知识,有助于促进学科间知识的融合,从而进一步推动学科的创新性发展。[方法/过程]提取目标学科节点文献-其跨学科参考文献-跨学科参考文献关键词关系数据。以跨学科参考文献关键词被目标学科引用的强度,测定其与目标学科的相关性;以该关键词在目标学科中作为作者标引关键词出现的频次,测定其知识输入新颖程度。两者结合,构建学科相关新颖性指数(IDN指数),计算跨学科引文关键词在目标学科中的新颖且相关程度,识别在目标学科具有较大合作潜力的跨学科相关知识。[结果/结论]以《中国图书馆学报》《情报学报》和《图书情报工作》2018年的载文及其参考文献为实证样本,发现IDN指数能从引文关键词中有效识别与图书情报学科具有较高合作潜能的跨学科知识。 展开更多
关键词 跨学科相关知识 引文关键词 知识输入新颖性 IDN指数
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多西他赛治疗转移性去势抵抗性前列腺癌的耐受剂量及其与预后的关系 被引量:19
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作者 胡林军 李长岭 +12 位作者 寿建忠 田军 王栋 肖振东 肖泽均 毕新刚 管考鹏 白红松 谢成明 单兴利 卢德虎 敖翔 陈永海 《中华泌尿外科杂志》 CAS CSCD 北大核心 2019年第1期31-36,共6页
目的 探讨多西他赛治疗转移性去势抵抗性前列腺癌(mCRPC)患者的耐受剂量,以及其对患者预后的影响。 方法 回顾性分析2010年3月至2016年7月收治的75例mCRPC患者的临床资料。中位年龄65岁(47~80)岁。东部肿瘤协作组(ECOG)评分≤1分50例,2... 目的 探讨多西他赛治疗转移性去势抵抗性前列腺癌(mCRPC)患者的耐受剂量,以及其对患者预后的影响。 方法 回顾性分析2010年3月至2016年7月收治的75例mCRPC患者的临床资料。中位年龄65岁(47~80)岁。东部肿瘤协作组(ECOG)评分≤1分50例,2分22例,3分3例。血红蛋白114 g/L(81~161)g/L。碱性磷酸酶(ALP)133 U/L(37~2 154)U/L。PSA值92.3 ng/ml(0.3~4 543.1)ng/ml。Gleason评分≤7分22例,≥8分40例,未评分8例。一线内分泌治疗有效时间平均14个月(2~96个月)。患者均接受多西他赛+泼尼松化疗。根据实际接受的多西他赛剂量将患者分为低剂量组(<65 mg/m^2)43例,中剂量组(65~70 mg/m^2)21例和高剂量组(>70 mg/m^2)11例。低剂量组、中剂量组、高剂量组中位年龄分别为67岁(53~80岁)、66岁(56~78岁)、61岁(47~76岁);淋巴结转移例数分别为26、13、6例;内脏及其他部位转移例数分别为11、4、2例。低剂量组2例无骨转移,余73例合并骨转移。3组的Gleason评分分别为,低剂量组≤7分15例,≥8分22例,未评分6例;中剂量组≤7分4例,≥8分13例,未评分4例;高剂量组≤7分3例,≥8分5例,未评分3例。低剂量组、中剂量组、高剂量组合并疼痛患者例数分别为36、12、9例。3组间比较,低剂量组高龄患者相对多见,差异有统计学意义(P=0.045);其他指标比较差异均无统计学意义(P>0.05)。采用Kaplan-Meier法比较3组患者的总生存期(OS)、无疾病进展生存期(PFS),以及常见毒性判断标准(CTCAE-4)≥3级不良反应发生情况。采用Cox回归模型分析影响患者OS的因素。 结果 本组75例中位化疗6个周期(2~14个周期),平均6.1个周期。低剂量组、中剂量组、高剂量组的中位OS分别为24.1、18.5、23.5个月;中位PFS均为5.3个月,3组比较差异均无统计学(P>0.05)。低剂量组、中剂量组、高剂量组的≥3级不良反应发生率分别为34.9%(15/43)、38.1%(8/21)、45.5%(5/11),差异无统计学意义(P>0.05)。患者 展开更多
关键词 转移性去势抵抗性前列腺癌 多西他赛剂量 化疗 预后
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单管式子宫颈癌后装施源器前瞻性随机对照Ⅱ期临床研究近期疗效 被引量:3
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作者 李丹 文恩 +10 位作者 林盛 张颖杰 何丽佳 任培蓉 尚昌玲 向莉 杨红茹 张建文 范娟 文庆莲 吴敬波 《中华放射肿瘤学杂志》 CSCD 北大核心 2018年第8期753-758,共6页
目的观察自主研发的单管式子宫颈癌后装施源器与标准Fletcher三管施源器的临床疗效以及安全性。方法选取2011-2017年就诊的子宫颈癌初诊患者,随机分为外照射+单管式后装组(专利单管组)和外照射+Fletcher三管式后装组。外照射采用6... 目的观察自主研发的单管式子宫颈癌后装施源器与标准Fletcher三管施源器的临床疗效以及安全性。方法选取2011-2017年就诊的子宫颈癌初诊患者,随机分为外照射+单管式后装组(专利单管组)和外照射+Fletcher三管式后装组。外照射采用6MYX线四野盒式或前后对穿野照射,30Gy后改野挡铅行后装治疗,1次/周,剂量为A点7Gy,共5~6次(A点生物等效剂量:80~90Gv)。外照射时同步使用顺铂(40mg/m2)化疗,1次/周,治疗结束随访其疗效及不良反应并对比。结果符合入组条件并完成治疗,Fletcher三管组150例,专利单管组149例。两组近期疗效以及急性期不良反应相近(P〉0.05)。Fletcher三管组有效率为94.0%,专利单管组为94.7%。≥3级急性期血液学不良反应,Fletcher三管组为76例(50.7%),专利单管组为61例(40.9%)(P=0.195)。结论专利单管式子宫颈癌后装施源器与标准Fletcher三管施源器近期疗效相当,且急性期不良反应相似。临床试验注册中国临床试验注册中心(ChiCTR—TRC-12002321)。 展开更多
关键词 宫颈肿瘤/近距离疗法 临床研究
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P-T stability conditions of methane hydrate in sediment from South China Sea 被引量:2
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作者 Shicai Sun Yuguang Ye +2 位作者 changling Liu Fengkui xiang Yan Ma 《Journal of Natural Gas Chemistry》 EI CAS CSCD 2011年第5期531-536,共6页
For reasonable assessment and safe exploitation of marine gas hydrate resource, it is important to determine the stability conditions of gas hydrates in marine sediment. In this paper, the seafloor water sample and se... For reasonable assessment and safe exploitation of marine gas hydrate resource, it is important to determine the stability conditions of gas hydrates in marine sediment. In this paper, the seafloor water sample and sediment sample (saturated with pore water) from Shenhu Area of South China Sea were used to synthesize methane hydrates, and the stability conditions of methane hydrates were investigated by multi-step heating dissociation method. Preliminary experimental results show that the dissociation temperature of methane hydrate both in seafloor water and marine sediment, under any given pressure, is depressed by approximately -1.4 K relative to the pure water system. This phenomenon indicates that hydrate stability in marine sediment is mainly affected by pore water ions. 展开更多
关键词 sediment from South China Sea seafloor water methane hydrate stability condition
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优化算法FFR-CT与有创FFR的对照研究 被引量:1
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作者 李长岭 冷晓畅 +9 位作者 冯立 胡涛 张宇晨 胡新央 蒋峻 孙勇 姜文兵 潘轶斌 向建平 王建安 《中华急诊医学杂志》 CAS CSCD 北大核心 2020年第12期1618-1621,共4页
目的基于冠状动脉CTA影像的无创血流储备分数(FFR-CT)与有创冠状动脉血流储备分数(FFR)的有效性对照研究。方法本研究共回顾性纳入47例(61支病变血管)患者,采用杭州脉流科技有限公司的AccuFFR®ct原型软件系统(AccuFFR®ct,vers... 目的基于冠状动脉CTA影像的无创血流储备分数(FFR-CT)与有创冠状动脉血流储备分数(FFR)的有效性对照研究。方法本研究共回顾性纳入47例(61支病变血管)患者,采用杭州脉流科技有限公司的AccuFFR®ct原型软件系统(AccuFFR®ct,version 1.0)计算每个狭窄处的FFR-CT值,并与有创FFR值进行比较,以FFR≤0.8为具有血流动力学意义的狭窄为参照,通过准确性、敏感性、特异性、阳性预测值(PPV)和阴性预测值(NPV)以及计算在受试者操作特征(ROC)曲线下的面积(AUC)来评价FFR-CT的有效性。结果对每个患者的FFR-CT与有创FFR相比的准确率为91.5%,敏感性为88.2%,特异性为93.3%,PPV为88.2%,NPV为93.3%;对于每条血管相应的值分别为88.5%、88.2%、88.6%、75%和95.1%。FFR-CT和有创FFR之间存在显著的相关性(患者水平:r=0.71,P<0.0001,和血管水平:r=0.62,P<0.0001),并且AUC值分别为0.89和0.90。结论基于冠状动脉CTA影像计算的AccuFFR®ct系统可以作为评估冠状动脉狭窄引起功能性缺血的一种快速、准确的计算工具。 展开更多
关键词 FFR FFR-CT 计算流体力学 冠状动脉CTA 狭窄
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单管式子宫颈癌后装施源器前瞻性随机对照Ⅱ期临床研究3年远期疗效总结 被引量:1
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作者 李丹 黄容 +8 位作者 文恩 吴周雪 林盛 何丽佳 任培蓉 尚昌玲 向莉 杨红茹 吴敬波 《中华放射肿瘤学杂志》 CSCD 北大核心 2021年第11期1154-1158,共5页
目的探讨自主研发的单管式子宫颈癌后装施源器,相比于标准Fletcher三管施源器的3年远期生存结果以及晚期损伤情况。方法选取2011—2017年间西南医科大学附属医院就诊的子宫颈癌初诊患者,随机分为外照射+单管式后装组(专利单管组)和外照... 目的探讨自主研发的单管式子宫颈癌后装施源器,相比于标准Fletcher三管施源器的3年远期生存结果以及晚期损伤情况。方法选取2011—2017年间西南医科大学附属医院就诊的子宫颈癌初诊患者,随机分为外照射+单管式后装组(专利单管组)和外照射+Fletcher三管式后装组。外照射采用6MV X线四野盒式或前后对穿野照射,30Gy后改野挡铅行后装治疗,1次/周,剂量为A点7Gy,共5~6次(A点2Gy等效生物剂量80~90Gy)。外照射时同步使用顺铂(40mg/m^(2))化疗,1次/周,治疗结束随访其疗效及不良反应并对比。结果符合入组条件并完成治疗,Fletcher三管组150例,专利单管组149例。截至2020年12月全部患者随访时间满3年,中位随访时间61个月。Fletcher三管组的3年总生存率、无进展生存率和局部无失败生存率分别为76.3%、78.1%和75.4%,而专利单管组分别为83.8%、80.3%和85.5%。3-4级晚期放射性直肠炎三管组3.3%,单管组6.7%(P=0.122)。3-4级晚期放射性膀胱炎三管组1.3%,单管组0.7%(P=1.000)。结论专利单管式子宫颈癌后装施源器与标准Fletcher三管施源器3年生存数据疗效相当且晚期不良反应相似。 展开更多
关键词 宫颈肿瘤/同期放化疗法 高剂量率近距离治疗 临床研究
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Research on identification of potential knowledge growth points in information science
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作者 changling Li Guoyang Rong +4 位作者 Yanxin Pai Dehui Du Lu Xu Qingqing Fan Fuzhong xiang 《Data Science and Informetrics》 2021年第2期79-99,共21页
The scientific system’s complexity makes it impossible to solve social problems by a single discipline independently,and interdisciplinary knowledge cooperation and innovation become an indispensable research mode of... The scientific system’s complexity makes it impossible to solve social problems by a single discipline independently,and interdisciplinary knowledge cooperation and innovation become an indispensable research mode of modern science.Identifying the potential interdisciplinary knowledge association is the key to promoting interdisciplinary cooperation.In this paper,based on analyzing the growth points of science,"knowledge growth point"is defined as the growth point of science that produces new knowledge,and its fundamental attributes and evaluation indexes have been analyzed.In contrast,the"interdisciplinary knowledge growth point"is defined as the introduction of related interdisciplinary concepts,theories,techniques,and methods,to conduct integrated research of key knowledge points of active disciplines,to generate growth point of innovative knowledge,and analyze its related research status.The identification of"potential interdisciplinary knowledge growth points"is helpful to promote knowledge innovation.Therefore,it is intended to analyze the identification methods of the generation of key knowledge nodes of the element of disciplines and interdisciplinary related knowledge,and explore quantitative and qualitative consultation to identify potential interdisciplinary knowledge growth points. 展开更多
关键词 Knowledge Growth Point Potential Interdisciplinary Knowledge Growth Points Identification Methods
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开放腹膜前修补术治疗成人小型脐疝的临床效果观察
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作者 杨迎新 单长岭 +3 位作者 张垒 王之国 王松松 张华 《中国临床新医学》 2024年第8期886-890,共5页
目的观察开放腹膜前修补术治疗成人小型脐疝的临床效果。方法回顾性分析2018年1月至2022年10月济宁医学院附属金乡医院收治的88例小型脐疝患者的临床资料,根据手术方式将其分为观察组(采用开放腹膜前修补术,n=42)和对照组(采用传统缝合... 目的观察开放腹膜前修补术治疗成人小型脐疝的临床效果。方法回顾性分析2018年1月至2022年10月济宁医学院附属金乡医院收治的88例小型脐疝患者的临床资料,根据手术方式将其分为观察组(采用开放腹膜前修补术,n=42)和对照组(采用传统缝合修补术,n=46)。比较两组手术时间、术中出血量、术后视觉模拟量表(VAS)评分、切口愈合等级、住院时间,以及术后血清肿、局部感觉异常、慢性疼痛和复发情况。结果88例患者均顺利完成手术。观察组手术时间显著长于对照组[(51.24±12.64)minvs(42.04±11.88)min;t=3.419,P=0.001]。两组术后VAS评分均呈下降趋势(P<0.05)。在术后第1天和第2天,观察组VAS评分显著低于对照组(P<0.05),两组VAS评分在术后第3天比较差异无统计学意义(P>0.05)。两组术中出血量、切口愈合等级,以及术后血清肿、慢性疼痛、局部感觉异常发生率比较差异无统计学意义(P>0.05)。观察组和对照组中位随访时间分别为19个月和17个月,随访期间观察组无复发,对照组有5例复发,两组复发情况比较差异有统计学意义(log-rank检验:χ_(2)=4.833,P=0.027)。结论开放腹膜前修补术治疗成人小型脐疝安全有效,值得临床推荐。 展开更多
关键词 小型脐疝 开放腹膜前修补术 成人
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