In order to study the effect of element Nb on the microstructure and properties of the biomedical β-type Ti-Mo based alloys,Ti-15Mo-xNb（x=5,10,15 and 20 in %） alloys were investigated.The dry wear resistance of β-...In order to study the effect of element Nb on the microstructure and properties of the biomedical β-type Ti-Mo based alloys,Ti-15Mo-xNb（x=5,10,15 and 20 in %） alloys were investigated.The dry wear resistance of β-type Ti-15Mo-xNb alloys against Gr15 ball was investigated on CJS111A ball-disk wear instrument.Experimental results indicate that crystal structure and morphology of the Ti-15Mo-xNb alloys are sensitive to their Nb contents.Ti-15Mo-xNb alloys match those for β phase peaks and no any phases are found.The Vickers hardness values of all the Ti-15Mo-xNb alloys are higher than HV200.The compression yield strength of the Ti-15Mo-5Nb alloy is the lowest and that of the Ti-15Mo-10Nb alloy is the highest.For all the Ti-15Mo-xNb alloys,the friction coefficient is not constant but takes a higher value.In dry condition,SEM study reveals deep parallel scars on the wear surfaces of all the Ti-15Mo-xNb alloys under different loads.The friction coefficient of the Ti-15Mo-5Nb alloy under 1 N is the lowest.The wear principal mechanism for Ti-15Mo-xNb alloys is adhesive wear.展开更多
The kinetic behavior of forming the iso-nuclear β-type chelates of rare earth ions (RE~3+) with p-sulphoaminobromophosphonazo (BPA-pSN) in ClCH2COOH-CH3COONa buffer solutions were studied by a spectrophotometric method.
The reaction behavior of forming the hetero-nuclear β-type chelates of rare earth ions (RE 3+) with p-sulphoaminobromophosphonazo(BPA-pSN) in ClCH_2COOH-CH_3COONa buffer solutions were studied by a spectrophotometri...The reaction behavior of forming the hetero-nuclear β-type chelates of rare earth ions (RE 3+) with p-sulphoaminobromophosphonazo(BPA-pSN) in ClCH_2COOH-CH_3COONa buffer solutions were studied by a spectrophotometric method. The interaction of RE 3+ with BPA-pSN, which can forms hetero-nuclear β-type chelates having composition ratio of RE_1 (light rare earth):BPA-pSN:RE_2(heavy rare earth ion)=1∶3∶1, is a first-order reaction. Meanwhile, BPA-pSN can only forms homo-nuclear β-type chelates with heavy rare earth ions, having a composition ratio of RE∶BPA-pSN=1∶2 and being a second-order reaction. The rate constants of forming homo-and hetero-nuclear β-type chelates were obtained and the mechanism of forming hetero-nuclear β-type chelates was proposed.展开更多
The morphology and distribution of silicides inα/αþβtype titanium alloys impress on their properties.Nevertheless,the types of silicide precipitates and their formation mechanisms remain unclear inβ-type Ti...The morphology and distribution of silicides inα/αþβtype titanium alloys impress on their properties.Nevertheless,the types of silicide precipitates and their formation mechanisms remain unclear inβ-type Ti–Nb–Zr–Ta alloys.In this study,we report the precipitation behavior of silicides formed upon aging treatment of a laser powder bed fusion(LPBF)-fabricatedβ-type Ti–34.5Nb–6.9Zr–4.9Ta–1.4Si(wt%,TNZTS)alloy.We further discuss their underlying formation mechanism and silicide selection-oriented mechanical properties tailoring for LPBF-fabricated TNZTS alloy.Two novel silicide precipitates were formed:a supersaturated Si–richβ–Ti matrix in the form of a network that can further transform into the(Ti,Zr)2Si(S2)phase with the increase of aging temperature;and a short,rod-like S2 precipitate adjacent to pre-existing dot-shaped S2.The former results from the aggregation of Si solute atoms towards to the dislocation walls/microbands and the subsequent precipitation reaction,while the latter arises from the considerable micro-strain around the phase boundary between the dotshaped S2 andβ-Ti owing to the large difference in their thermal expansion coefficients.The aging-treated TNZTS alloy exhibits a good combination of tensile strength(10835 MPa)and fracture strain(5.6%1.0%),which is attributed to precipitation strengthening,grain-boundary strengthening,and discontinuous intergranular silicide derived from phase selection.The obtained results provide a basis for the design and fabrication of biomedical Sicontainingβ-type Ti alloys with excellent mechanical properties.展开更多
Precipitation response of a recently developed β-type Ti-25Nb-2Mo-4Sn alloy （wt%） during aging was investigated in detail. Experimental results indicate that the metastable co or equilibrium α phase can form alter...Precipitation response of a recently developed β-type Ti-25Nb-2Mo-4Sn alloy （wt%） during aging was investigated in detail. Experimental results indicate that the metastable co or equilibrium α phase can form alternatively even under the same aging condition, depending on the condition prior to the aging, i.e., solution treatment or severe cold rolling. This provides, for the first time, the direct evidence for the competition between ω and α in aged β-type Ti alloys. This peculiar aging response is found to be closely related to high-density dislocations and grain boundaries which suppress the formation of ω but favor the precipitation of fine α phase.展开更多
This paper reported an effectiveness of pre-cold rolling-induced{332}／113[twins combined with subsequent isothermal x-phase formation for enhancement of uniform elongation in a b-type Ti–15Mo alloy with high yield s...This paper reported an effectiveness of pre-cold rolling-induced{332}／113[twins combined with subsequent isothermal x-phase formation for enhancement of uniform elongation in a b-type Ti–15Mo alloy with high yield strength level.Mechanical{332}／113[twins were induced by cold rolling with an thickness reduction of 5%,which had little effect on x-phase precipitation after aging at 573 K for 3.6 ks.Twinning after the cold rolling was further activated during tensile deformation,even with the presence of isothermal x-phase.This combination of twins and x-phase enhanced uniform elongation from 0 to 9%at yield strength level of 890 MPa.The high yield strength was mainly dominated by dislocation slip due to the isothermal x-phase formation,and early onset of plastic instability after yielding was hindered due to the pre-cold rolling-induced twins.Dynamic microstructural refinement was induced by further twinning activation during deformation,which resulted in high work hardening rate corresponding enhancement of uniform elongation.展开更多
The purpose of carrying out present work is to design, build and test a rhombic drive Stirling engine with a β-type configuration consisting of two dynamic pistons (displacer and power) reciprocates in the in-line co...The purpose of carrying out present work is to design, build and test a rhombic drive Stirling engine with a β-type configuration consisting of two dynamic pistons (displacer and power) reciprocates in the in-line concentric cylinder arrangement. The displacement rod is assembled concentrically inside the power piston rod. The rhombic drive mechanism is proposed in such a way that, by using a pair of gear wheels the sliding motion of both piston rods is controlled and thus, an engine is balanced. The developed prototype has a swept volume of 75 cm<sup>3</sup> with the displacer piston and power piston cylinder hot ends heated by liquefied petroleum gas (LPG) burner and cooled water, respectively. It uses air as the working gas at atmospheric pressure for initial charging of the engine. Several designs were studied before settling on a β-type configuration. The LPG gas burner was considered as a potential heat source. The various elements of an engine (heater, cooler, re-generator, flywheel and piping systems) were designed, constructed and analyzed. The testing results revealed that the engine at initial atmospheric air filling started working in only about 120 seconds at an LPG heater temperature of 400℃ (824<sup>°</sup>F) with 280 rpm. At a heater temperature of 550℃ (1022<sup>°</sup>F), the engine speed was 630 rpm. At the engine speed of 245 rpm, the maximum torque was 0.215 Nm, while the maximum power was 8 Watts at 355 rpm. Engine speed increased with the increase of flame temperature. Several tests were performed on the engine to improve its running efficiency and critical problem areas were isolated and addressed. Moreover, results revealed that Stirling engines working with relatively low-temperature air are potentially attractive engines of the future, especially LPG powered low temperature differential Stirling engines. The Stirling engine was capable of generating between 50 to 100 Watts of electricity.展开更多
In this work,in order to obtain deep clean gas oil,a novel organic–inorganic hybrid(n-C4H9)4N)7H5Si2W18Cd4O68@β-cyclodextrin(abbreviated as TBA-Si WCd@β-CD)composite was synthesized by supporting quaternary ammoniu...In this work,in order to obtain deep clean gas oil,a novel organic–inorganic hybrid(n-C4H9)4N)7H5Si2W18Cd4O68@β-cyclodextrin(abbreviated as TBA-Si WCd@β-CD)composite was synthesized by supporting quaternary ammonium salt of sandwich-type polysilicotungstate onβ-cyclodextrin(TBA-SiWCd@β-CD)as an efficient catalyst for oxidative desulfurization(ODS)of gas oil.The successful composition of the materials explained by the formation of host–vip inclusion complex,which confirmed through FTIR,UV–vis,XRD,SEM,and EDX characterization analyses.Experimental results revealed that the levels of sulfur content and mercaptan compounds of gas oil lowered with 97%removal efficiency.Compared with the ODS treatment of gas oil,the TBA-Si WCd@β-CD composite showed an outstanding catalytic performance for the oxidation of dibenzothiophene(DBT)in the prepared model fuel.The main factors that influence the desulfurization efficiency and the kinetic study of the ODS process were investigated.The prepared heterogeneous catalyst was found to give remarkable reusability for five runs without a discernible decrease in its activity.This study suggested the potential application of the TBA-Si WCd@β-CD catalyst for removal of hazardous sulfur compounds from gas oil fuel.展开更多
β-Amino esters were synthesized via ZnCl2-catalyzed Mannich-type reaction of imines and malonate esters under solvent-free conditions in 6 min. The β-amino ester was converted into the corresponding aspartic acid de...β-Amino esters were synthesized via ZnCl2-catalyzed Mannich-type reaction of imines and malonate esters under solvent-free conditions in 6 min. The β-amino ester was converted into the corresponding aspartic acid derivatives.展开更多
目的探讨2型糖尿病周围神经病变与胰岛β细胞功能的相关性。方法选取2020年1月至12月广西医科大学第二附属医院收治的298例2型糖尿病患者为研究对象,根据是否合并周围神经病变将其分为周围神经病变组(n=178)和无周围神经病变组(n=120)...目的探讨2型糖尿病周围神经病变与胰岛β细胞功能的相关性。方法选取2020年1月至12月广西医科大学第二附属医院收治的298例2型糖尿病患者为研究对象,根据是否合并周围神经病变将其分为周围神经病变组(n=178)和无周围神经病变组(n=120)。采用二两馒头餐后30min净增C肽与葡萄糖比值(ΔC肽30/ΔG30)和30min净增胰岛素与葡萄糖比值(Δ胰岛素30/ΔG30)评估早期阶段胰岛分泌功能;采用二两馒头餐后120min血糖曲线下面积(area under the curve,AUC)校正后的C肽和胰岛素AUC(C肽_(AUC)/G_(AUC)、胰岛素_(AUC)/G_(AUC))评估总的β细胞分泌功能。多因素Logistic回归分析探讨2型糖尿病并发周围神经病变的危险因素。结果周围神经病变组患者的餐后60min C肽、120min C肽、ΔC肽30/ΔG30、C肽_(AUC)/G_(AUC)均显著低于无周围神经病变组(P<0.05)。ΔC肽30/ΔG30和C肽_(AUC)/G_(AUC)与高密度脂蛋白胆固醇、空腹血糖、餐后2h血糖、糖化血红蛋白均呈负相关,与体质量指数、尿酸均呈正相关(P<0.05)。多因素Logistic回归分析结果显示,空腹血糖升高、C肽_(AUC)/G_(AUC)降低均是糖尿病患者发生周围神经病变的独立危险因素(P<0.05)。结论2型糖尿病患者胰岛β细胞功能下降是糖尿病周围神经病变发病的独立危险因素,应积极保护胰岛β细胞功能以延缓周围神经病变的发生。展开更多
目的分析基线胰岛β细胞功能与短期胰岛素治疗后2型糖尿病疾病缓解的关系。方法选取2021年1月至2023年12月于浙江省丽水市人民医院建档并行短期胰岛素治疗的2型糖尿病患者150例,收集基线临床指标、胰岛素抵抗稳态模型(homeostasis model...目的分析基线胰岛β细胞功能与短期胰岛素治疗后2型糖尿病疾病缓解的关系。方法选取2021年1月至2023年12月于浙江省丽水市人民医院建档并行短期胰岛素治疗的2型糖尿病患者150例,收集基线临床指标、胰岛素抵抗稳态模型(homeostasis model assessment of insulin resistance,HOMA-IR)、胰岛β细胞功能指数(homeostasis model assessment-β,HOMA-β)、胰岛素分泌敏感性指数-2(insulin secretion sensitivity index-2,ISSI-2)以及修正的胰岛β细胞功能指数(modifiedβ-cell function index,MBCI),按照停药后观察期内的糖尿病缓解情况分为缓解组(52例)与未缓解组(93例)。比较缓解组与未缓解组临床资料,采用多因素二元Logistic回归模型分析基线β细胞功能与短期胰岛素治疗后2型糖尿病疾病缓解的关系。结果将不符合要求的5例患者剔除后最终纳入研究患者145例。未缓解组年龄中位数50.09岁,缓解组40.83岁,基线空腹血糖水平(6.4±1.4)mmol/L、HbA1c水平(6.9±0.8)%比缓解组的(5.3±1.2)mmol/L、(6.1±0.5)%更高,HOMA-β中位数37.80、ISSI-2中位数149.24以及MBCI中位数22.94较缓解组(50.14、278.21、32.80)低,病程较缓解组长,差异有统计学意义(t/Z=-10.301、-4.974、-6.884、27.037、30.702、13.914、-4.803,P<0.05)。多因素分析结果发现,HOMA-β、ISSI-2以及MBCI均为疾病缓解的保护因素(OR=0.903、0.871、0.857,P<0.05)。结论基线胰岛β细胞功能是短期胰岛素治疗后2型糖尿病疾病缓解的主要病理生理学因素,基线胰岛β细胞功能越好疾病得到缓解的可能性也越大。展开更多
基金Project(20080440850) supported by China Postdoctoral Science FoundationProject(ZJY0605-02) supported by the Natural Science Foundation of Heilongjiang Province,ChinaProject(HIT.NSRIF.2012002) supported by the Fundamental Research Funds for the Central Universities,China
文摘In order to study the effect of element Nb on the microstructure and properties of the biomedical β-type Ti-Mo based alloys,Ti-15Mo-xNb（x=5,10,15 and 20 in %） alloys were investigated.The dry wear resistance of β-type Ti-15Mo-xNb alloys against Gr15 ball was investigated on CJS111A ball-disk wear instrument.Experimental results indicate that crystal structure and morphology of the Ti-15Mo-xNb alloys are sensitive to their Nb contents.Ti-15Mo-xNb alloys match those for β phase peaks and no any phases are found.The Vickers hardness values of all the Ti-15Mo-xNb alloys are higher than HV200.The compression yield strength of the Ti-15Mo-5Nb alloy is the lowest and that of the Ti-15Mo-10Nb alloy is the highest.For all the Ti-15Mo-xNb alloys,the friction coefficient is not constant but takes a higher value.In dry condition,SEM study reveals deep parallel scars on the wear surfaces of all the Ti-15Mo-xNb alloys under different loads.The friction coefficient of the Ti-15Mo-5Nb alloy under 1 N is the lowest.The wear principal mechanism for Ti-15Mo-xNb alloys is adhesive wear.
基金a grant from the Educational Commission of Gansu Province.
文摘The kinetic behavior of forming the iso-nuclear β-type chelates of rare earth ions (RE~3+) with p-sulphoaminobromophosphonazo (BPA-pSN) in ClCH2COOH-CH3COONa buffer solutions were studied by a spectrophotometric method.
文摘The reaction behavior of forming the hetero-nuclear β-type chelates of rare earth ions (RE 3+) with p-sulphoaminobromophosphonazo(BPA-pSN) in ClCH_2COOH-CH_3COONa buffer solutions were studied by a spectrophotometric method. The interaction of RE 3+ with BPA-pSN, which can forms hetero-nuclear β-type chelates having composition ratio of RE_1 (light rare earth):BPA-pSN:RE_2(heavy rare earth ion)=1∶3∶1, is a first-order reaction. Meanwhile, BPA-pSN can only forms homo-nuclear β-type chelates with heavy rare earth ions, having a composition ratio of RE∶BPA-pSN=1∶2 and being a second-order reaction. The rate constants of forming homo-and hetero-nuclear β-type chelates were obtained and the mechanism of forming hetero-nuclear β-type chelates was proposed.
基金supportedfinancially by the National Natural Science Foundation of China(No.U19A2085)the Key Basic and Applied Research Program of Guangdong Province(No.2019B030302010)+5 种基金the Science and technology innovation project of Guangdong special support plan (No. 2021TX06C111)the Optical Valley Science Research Project,WEHDZ (No. 2019001)the University Scientific Research Project ofGuangzhou Education Bureau (No. 202032783)the Special Project inKey-Area of the Universities in Guangdong Province (No.2020ZDZX2072)the Guangzhou Basic and Applied Basic ResearchFoundation (No. 202102080463)Xuan Luo acknowledges funding fromChina Scholarship Council (No. 202006150137).
文摘The morphology and distribution of silicides inα/αþβtype titanium alloys impress on their properties.Nevertheless,the types of silicide precipitates and their formation mechanisms remain unclear inβ-type Ti–Nb–Zr–Ta alloys.In this study,we report the precipitation behavior of silicides formed upon aging treatment of a laser powder bed fusion(LPBF)-fabricatedβ-type Ti–34.5Nb–6.9Zr–4.9Ta–1.4Si(wt%,TNZTS)alloy.We further discuss their underlying formation mechanism and silicide selection-oriented mechanical properties tailoring for LPBF-fabricated TNZTS alloy.Two novel silicide precipitates were formed:a supersaturated Si–richβ–Ti matrix in the form of a network that can further transform into the(Ti,Zr)2Si(S2)phase with the increase of aging temperature;and a short,rod-like S2 precipitate adjacent to pre-existing dot-shaped S2.The former results from the aggregation of Si solute atoms towards to the dislocation walls/microbands and the subsequent precipitation reaction,while the latter arises from the considerable micro-strain around the phase boundary between the dotshaped S2 andβ-Ti owing to the large difference in their thermal expansion coefficients.The aging-treated TNZTS alloy exhibits a good combination of tensile strength(10835 MPa)and fracture strain(5.6%1.0%),which is attributed to precipitation strengthening,grain-boundary strengthening,and discontinuous intergranular silicide derived from phase selection.The obtained results provide a basis for the design and fabrication of biomedical Sicontainingβ-type Ti alloys with excellent mechanical properties.
基金financially supported by the National Natural Science Foundation of China(Nos.51271010 and 21301075)the Senior Intellectuals Fund of Jiangsu University(13JDG098)
文摘Precipitation response of a recently developed β-type Ti-25Nb-2Mo-4Sn alloy （wt%） during aging was investigated in detail. Experimental results indicate that the metastable co or equilibrium α phase can form alternatively even under the same aging condition, depending on the condition prior to the aging, i.e., solution treatment or severe cold rolling. This provides, for the first time, the direct evidence for the competition between ω and α in aged β-type Ti alloys. This peculiar aging response is found to be closely related to high-density dislocations and grain boundaries which suppress the formation of ω but favor the precipitation of fine α phase.
基金financially supported by the National Natural Science Foundation of China (Grant No. 51471040)
文摘This paper reported an effectiveness of pre-cold rolling-induced{332}／113[twins combined with subsequent isothermal x-phase formation for enhancement of uniform elongation in a b-type Ti–15Mo alloy with high yield strength level.Mechanical{332}／113[twins were induced by cold rolling with an thickness reduction of 5%,which had little effect on x-phase precipitation after aging at 573 K for 3.6 ks.Twinning after the cold rolling was further activated during tensile deformation,even with the presence of isothermal x-phase.This combination of twins and x-phase enhanced uniform elongation from 0 to 9%at yield strength level of 890 MPa.The high yield strength was mainly dominated by dislocation slip due to the isothermal x-phase formation,and early onset of plastic instability after yielding was hindered due to the pre-cold rolling-induced twins.Dynamic microstructural refinement was induced by further twinning activation during deformation,which resulted in high work hardening rate corresponding enhancement of uniform elongation.
文摘The purpose of carrying out present work is to design, build and test a rhombic drive Stirling engine with a β-type configuration consisting of two dynamic pistons (displacer and power) reciprocates in the in-line concentric cylinder arrangement. The displacement rod is assembled concentrically inside the power piston rod. The rhombic drive mechanism is proposed in such a way that, by using a pair of gear wheels the sliding motion of both piston rods is controlled and thus, an engine is balanced. The developed prototype has a swept volume of 75 cm<sup>3</sup> with the displacer piston and power piston cylinder hot ends heated by liquefied petroleum gas (LPG) burner and cooled water, respectively. It uses air as the working gas at atmospheric pressure for initial charging of the engine. Several designs were studied before settling on a β-type configuration. The LPG gas burner was considered as a potential heat source. The various elements of an engine (heater, cooler, re-generator, flywheel and piping systems) were designed, constructed and analyzed. The testing results revealed that the engine at initial atmospheric air filling started working in only about 120 seconds at an LPG heater temperature of 400℃ (824<sup>°</sup>F) with 280 rpm. At a heater temperature of 550℃ (1022<sup>°</sup>F), the engine speed was 630 rpm. At the engine speed of 245 rpm, the maximum torque was 0.215 Nm, while the maximum power was 8 Watts at 355 rpm. Engine speed increased with the increase of flame temperature. Several tests were performed on the engine to improve its running efficiency and critical problem areas were isolated and addressed. Moreover, results revealed that Stirling engines working with relatively low-temperature air are potentially attractive engines of the future, especially LPG powered low temperature differential Stirling engines. The Stirling engine was capable of generating between 50 to 100 Watts of electricity.
文摘In this work,in order to obtain deep clean gas oil,a novel organic–inorganic hybrid(n-C4H9)4N)7H5Si2W18Cd4O68@β-cyclodextrin(abbreviated as TBA-Si WCd@β-CD)composite was synthesized by supporting quaternary ammonium salt of sandwich-type polysilicotungstate onβ-cyclodextrin(TBA-SiWCd@β-CD)as an efficient catalyst for oxidative desulfurization(ODS)of gas oil.The successful composition of the materials explained by the formation of host–vip inclusion complex,which confirmed through FTIR,UV–vis,XRD,SEM,and EDX characterization analyses.Experimental results revealed that the levels of sulfur content and mercaptan compounds of gas oil lowered with 97%removal efficiency.Compared with the ODS treatment of gas oil,the TBA-Si WCd@β-CD composite showed an outstanding catalytic performance for the oxidation of dibenzothiophene(DBT)in the prepared model fuel.The main factors that influence the desulfurization efficiency and the kinetic study of the ODS process were investigated.The prepared heterogeneous catalyst was found to give remarkable reusability for five runs without a discernible decrease in its activity.This study suggested the potential application of the TBA-Si WCd@β-CD catalyst for removal of hazardous sulfur compounds from gas oil fuel.
基金the financial support form National Natural Science Foundation of China(No.20472116).
文摘β-Amino esters were synthesized via ZnCl2-catalyzed Mannich-type reaction of imines and malonate esters under solvent-free conditions in 6 min. The β-amino ester was converted into the corresponding aspartic acid derivatives.
文摘目的探讨2型糖尿病周围神经病变与胰岛β细胞功能的相关性。方法选取2020年1月至12月广西医科大学第二附属医院收治的298例2型糖尿病患者为研究对象,根据是否合并周围神经病变将其分为周围神经病变组(n=178)和无周围神经病变组(n=120)。采用二两馒头餐后30min净增C肽与葡萄糖比值(ΔC肽30/ΔG30)和30min净增胰岛素与葡萄糖比值(Δ胰岛素30/ΔG30)评估早期阶段胰岛分泌功能;采用二两馒头餐后120min血糖曲线下面积(area under the curve,AUC)校正后的C肽和胰岛素AUC(C肽_(AUC)/G_(AUC)、胰岛素_(AUC)/G_(AUC))评估总的β细胞分泌功能。多因素Logistic回归分析探讨2型糖尿病并发周围神经病变的危险因素。结果周围神经病变组患者的餐后60min C肽、120min C肽、ΔC肽30/ΔG30、C肽_(AUC)/G_(AUC)均显著低于无周围神经病变组(P<0.05)。ΔC肽30/ΔG30和C肽_(AUC)/G_(AUC)与高密度脂蛋白胆固醇、空腹血糖、餐后2h血糖、糖化血红蛋白均呈负相关,与体质量指数、尿酸均呈正相关(P<0.05)。多因素Logistic回归分析结果显示,空腹血糖升高、C肽_(AUC)/G_(AUC)降低均是糖尿病患者发生周围神经病变的独立危险因素(P<0.05)。结论2型糖尿病患者胰岛β细胞功能下降是糖尿病周围神经病变发病的独立危险因素,应积极保护胰岛β细胞功能以延缓周围神经病变的发生。
文摘目的分析基线胰岛β细胞功能与短期胰岛素治疗后2型糖尿病疾病缓解的关系。方法选取2021年1月至2023年12月于浙江省丽水市人民医院建档并行短期胰岛素治疗的2型糖尿病患者150例,收集基线临床指标、胰岛素抵抗稳态模型(homeostasis model assessment of insulin resistance,HOMA-IR)、胰岛β细胞功能指数(homeostasis model assessment-β,HOMA-β)、胰岛素分泌敏感性指数-2(insulin secretion sensitivity index-2,ISSI-2)以及修正的胰岛β细胞功能指数(modifiedβ-cell function index,MBCI),按照停药后观察期内的糖尿病缓解情况分为缓解组(52例)与未缓解组(93例)。比较缓解组与未缓解组临床资料,采用多因素二元Logistic回归模型分析基线β细胞功能与短期胰岛素治疗后2型糖尿病疾病缓解的关系。结果将不符合要求的5例患者剔除后最终纳入研究患者145例。未缓解组年龄中位数50.09岁,缓解组40.83岁,基线空腹血糖水平(6.4±1.4)mmol/L、HbA1c水平(6.9±0.8)%比缓解组的(5.3±1.2)mmol/L、(6.1±0.5)%更高,HOMA-β中位数37.80、ISSI-2中位数149.24以及MBCI中位数22.94较缓解组(50.14、278.21、32.80)低,病程较缓解组长,差异有统计学意义(t/Z=-10.301、-4.974、-6.884、27.037、30.702、13.914、-4.803,P<0.05)。多因素分析结果发现,HOMA-β、ISSI-2以及MBCI均为疾病缓解的保护因素(OR=0.903、0.871、0.857,P<0.05)。结论基线胰岛β细胞功能是短期胰岛素治疗后2型糖尿病疾病缓解的主要病理生理学因素,基线胰岛β细胞功能越好疾病得到缓解的可能性也越大。
