两种拔尿管方法对膀胱功能损伤的临床观察

为观察两种不同的拔尿管方法对膀胱功能损伤的差异,将80例患者随机分成两组,分别采用改良法(40例)和常规法(40例)拔除留置尿管,分析比较了两组患者排尿顺利率、逼尿肌功能恢复率及尿道刺激症、尿失禁、尿潴留。结果表明,两组患者拔管后上述指标与情况有显著性差异,P<0.05。提示改良组膀胱功能损伤明显低于对照组。改良的拔管方法是一种值得护理推广应用的好方法。     

颈内静脉原位导丝法换置中心静脉长期血液透析导管的临床应用

目的探讨经颈内静脉原位导丝法换置中心静脉长期血液透析导管在维持性血液透析（MHD）患者中的应用价值。方法选取近3年在颈内静脉留置的中心静脉长期血液透析导管因功能障碍后，并经颈内静脉原位导丝法换置长期导管，术后及每次透析后均改用尿激酶封管患者16例（原位换置组）；选取同期首次经颈内静脉留置中心静脉长期血液透析导管,普通肝素封管患者20例作为对照组；分析两组患者围术期泵控血流量及随访期的反应及开存期率、次开存期率。结果围术期泵控血流量原位换置组高于对照组，有统计学差异（P＜0.05）；两组比较感染例次/1000导管日0.9%与1.0%，无统计学差异（P＞0.05）。原位换置组围术期未发生中重度并发症，12个月开存期率81.2%、次开存期率93.8%；对照组开存期率为65%、次开存期率85%；两组比较无统计学差异（P＞0.05）。结论颈内静脉原位导丝法换置中心静脉长期血液透析导管，在MHD患者中的使用是安全的、可行的。     

Surface modification of polyamide 12 angioplasty balloons by photochemical reaction with an aromatic azide

Polyamide 12 (PA12) is used in a variety of applications when low moisture absorption, good dimensional stability, and toughness are required. Polyamide 12 is one of the polymers most frequently employed to fabricate angioplasty balloon catheters; however, its high hydrophobicity and chemical inertness require the application of coatings to make its surface more hydrophilic and biocompatible. In this work, an alternative method, based on the photochemical reaction of PA12 with a hydrophilic aromatic azide, was developed. Static and dynamic contact angle measurements evidenced that the surface modification process was able to improve PA12 wettability and that the effects were retained even after 12 months from surface treatment. Polyamide 12 modification resulted in an increase of its surface free energy, as evaluated by the van Oss, Good, and Chaudhury method. X‐ray photoelectron spectroscopy confirmed the presence of the aromatic azide on PA12 surface. Finally, compliance tests showed that the modification process did not reduce the mechanical performance of balloons.     

Radiation exposure to operator and patients during cardiac electrophysiology study,radiofrequency catheter ablation and cardiac device implantation procedures

The purpose of this study was to measure the radiation exposure to operator and patient during cardiac electrophysiology study, radiofrequency catheter ablation and cardiac device implantation procedures and to calculate the allowable number of cases per year. We carried out 9 electrophysiology studies, 40 radiofrequency catheter ablation and 11 cardiac device implantation procedures. To measure occupational radiation dose and dose–area product (DAP), 13 photoluminescence glass dosimeters were placed at eyes (inside and outside lead glass), thyroids (inside and outside thyroid collar), chest (inside and outside lead apron), wrists, genital of the operator (inside lead apron), and 6 of photoluminescence glass dosimeters were placed at eyes, thyroids, chest and genital of the patient. Exposure time and DAP values were 11.7?±?11.8?min and 23.2?±?26.2?Gy?cm² for electrophysiology study; 36.5?±?42.1?min and 822.4?±?125.5?Gy?cm² for radiofrequency catheter ablation; 16.2?±?9.3?min and 27.8?±?16.5?Gy?cm² for cardiac device implantation procedure, prospectively. 4591 electrophysiology studies can be conducted within the occupational exposure limit for the eyes (150?mSv), and 658-electrophysiology studies with radiofrequency catheter ablation can be carried out within the occupational exposure limit for the hands (500?mSv). 1654 cardiac device implantation procedure can be conducted within the occupational exposure limit for the eyes (150?mSv). The amounts of the operator and patient's radiation exposure were comparatively small. So, electrophysiology study, radio frequency catheter ablation and cardiac device implantation procedures are safe when performed with modern equipment and optimized protective radiation protect equipment.     

Mechanics of stretchable electronics on balloon catheter under extreme deformation

Stretchable electronics has been applied to balloon catheters for high-efficacy ablation, with tactile sensing integrated on the surface, to establish full and conformal contact with the endocardial surface for elimination of the heart sink caused by blood flow around their surfaces. The balloon of the catheter folds into uniform ‘clover’ patterns driven by the pressure mismatch inside (∼vacuum) and outside of the balloon (pressure ∼1 atm). The balloon catheter, on which microelectrodes and interconnects are printed, undergoes extreme mechanical deformation during its inflation and deflation. An analytic solution is obtained for balloon catheter inflation and deflation, which gives analytically the distribution of curvatures and the maximum strain in the microelectrodes and interconnects. The analytic solution is validated by the finite element analysis. It also accounts for the effect of inflated radius, and is very useful to the optimal design of balloon catheter.     

输尿管导管在非复杂性输尿管中下段结石输尿管镜碎石术后的应用

目的探讨输尿管导管在非复杂性输尿管结石行输尿管镜下碎石术后的临床应用价值.方法选取行输尿管镜钬激光碎石术的非复杂性输尿管结石患者98例,其中术后放置输尿管导管49例(导管组),放置双J管49例(双J管组).比较两组患者碎石术时间,以及术后留管期间(取管前)尿路刺激症、血尿、尿路感染、腰痛或侧腹痛等并发症的发生情况.结果导管组手术时间显著短于双J管组(P<0.01).两组患者仅术后第4天尿路刺激症发生率的差异有统计学意义(P<0.05),其他并发症发生率的差异均无统计学意义(均P>0.05).术后1个月检查结果显示两组患者无石率均为100%,术后3个月检查结果显示均无输尿管狭窄发生.结论输尿管导管是输尿管镜治疗非复杂性输尿管结石术后引流的一种好方法.     

Development of Submillimeter Wave Catheter Transmitting a Gyrotron Output for Irradiation on Living Bodies

The development of a millimeter and submillimeter wave catheter for irradiation on living bodies using a gyrotron as the radiation power source is described. The GYROTRON FU-IV, optimized for such applications was used in the development. It was operated in both CW and pulsed regime at TE₀₃ and TE₃₂ modes with frequencies 302 GHz and 238 GHz respectively. Irradiation tests were made on thermal papers, beefs and liver of living rats.     

Nonlinear blood oxygen level-dependent responses for transient activations and deactivations in V1 - insights into the hemodynamic response function with the balloon model

We report studies of the nonlinear nature of blood oxygen level-dependent (BOLD) responses to short transient deactivations in human visual cortex. Both functional magnetic resonance imaging (fMRI) and near-infrared spectroscopy (NIRS) have been used to compare and contrast the hemodynamic response functions (HRFs) associated with transient activation and deactivation in primary visual cortex. We show that signal decreases for short duration deactivations are smaller than corresponding signal increases in activation studies. Moreover, the standard balloon model of BOLD effects may be modified to account for the observed nonlinear nature of deactivations by appropriate changes to simple hemodynamic parameters without recourse to new assumptions about the nature of the coupling between activity and oxygen use.     

脑动静脉畸形供血动脉内压力测量准确性的分析

对脑动静脉畸形供血动脉内压力测量的准确性进行了定量的分析,分析结果认为,以介入导管方法测量脑动脉畸形患者供血动脉内压力时,导管的影响可以导致测量结果偏低,这一结论支持了脑动静脉畸形患者低压灌注的程度一般不易于导致部分脑组织缺血的观点。     

A novel method to introduce durable hydrophilicity onto hydrophobic polymer surface by plasma treatment

We have examined a novel method to fabricate a durable hydrophilic surface of hydrophobic polymeric materials modified by plasma treatment. The method involves a trapping of maleic anhydride-containing polymer onto poly(ethylene naphthalate) (PEN) by a plasma-induced crosslinking reaction of PEN followed by hydrolysis of maleic anhydride moiety to generate hydrophilic carboxyl groups on the PEN surface. In fact, the PEN film surface thus treated has shown an effective stability of wettability based on the water contact angle measurement.