Robot-Assisted Correction of a Supra-Long Tracheal Stenosis Using C-Type Nickel-Titanium Alloy Exterior Stenting and Suspension Fixation Technique: A Case Report.

T-tubes and airway stents are commonly used but have limited effectiveness and frequent complications. A 50-year-old male patient presented with severe tracheal stenosis, affecting an 8.7 cm length of the airway. We employed an innovative approach known as external suspension fixation of tracheal stent using robotic assistance. This method involves surgically attaching the stent to the exterior of the trachea to provide support and stabilize the softened or collapsed tracheal segments. We designed a C-shaped nickel-titanium alloy exterior stent and successfully fixed it using robotic assistance. This intervention effectively restored tracheal function and led to a favorable postoperative recovery. The technique does not affect tracheal membrane function or airway mucociliary clearance. It could potentially be considered as a new option for treating long-segment benign tracheal softening or collapse.

Nanocellulose-mediated bilayer hydrogel actuators with thermo-responsive, shape memory and self-sensing performances.

Inspired by creatures, abundant stimulus-responsive hydrogel actuators with diverse functionalities have been manufactured for applications in soft robotics. However, constructing a shape memory and self-sensing bilayer hydrogel actuator with high mechanical strength and strong interfacial bonding still remains a challenge. Herein, a novel bilayer hydrogel with a stimulus-responsive TEMPO-oxidized cellulose nanofibers/poly(N-isopropylacrylamide) (TOCN/PNIPAM) layer and a non-responsive TOCN/polyacrylamide (TOCN/PAM) layer is proposed as a thermosensitive actuator. TOCNs as a nano-reinforced phase provide a high mechanical strength and endow the hydrogel actuator with a strong interfacial bonding. Due to the incorporation of TOCNs, the TOCN/PNIPAM hydrogel exhibits a high compressive strength (~89.2 kPa), elongation at break (~170.7 %) and tensile strength (~24.0 kPa). The prepared PNIPAM/TOCN/PAM hydrogel actuator performs the roles of an encapsulation, jack, temperature-controlled fluid valve and temperature-control manipulator. The incorporation of Fe3+ further endows the bilayer hydrogel actuator with a synergistic performance of shape memory and temperature-driven, which can be used as a temperature-responsive switch to detect ambient temperature. The PNIPAM/TOCN/PAM-Fe3+ conductive hydrogel can be assembled into a flexible sensor and generate sensing signals when driven by temperature changes to achieve real-time feedback. This research may lead to new insights into the design and manufacturing of intelligent flexible soft robots.

Nanocellulose-mediated conductive hydrogels with NIR photoresponse and fatigue resistance for multifunctional wearable sensors.

The rapid development of hydrogels has garnered significant attention in health monitoring and human motion sensing. However, the synthesis of multifunctional conductive hydrogels with excellent strain/pressure sensing and photoresponsiveness remains a challenge. Herein, the conductive hydrogels (BPTP) with excellent mechanical properties, fatigue resistance and photoresponsive behavior composed of polyacrylamide (PAM) matrix, 2,2,6,6-tetramethylpiperidin-1-yloxy-oxidized cellulose nanofibers (TOCNs) reinforcement and polydopamine-modified black phosphorus (BP@PDA) photosensitizer are prepared through a facile free-radical polymerization approach. The PDA adhered to the BP surface by π-π stacking promotes the optical properties of BP while also preventing BP oxidation from water. Through hydrogen bonding interactions, TOCNs improve the homogeneous dispersion of BP@PDA nanosheets and the mechanical toughness of BPTP. Benefiting from the synergistic effect of PDA and TOCNs, the conductive BPTP integrates superior mechanical performances, excellent photoelectric response and photothermal conversion capability. The BPTP-based sensor with high cycling stability demonstrates superior strain sensitivity (GF = 6.0) and pressure sensing capability (S = 0.13 kPa-1) to monitor various human activities. Therefore, this work delivers an alternative construction strategy for generating high-performance conductive hydrogels as multifunctional wearable sensors.

Organic-inorganic hybrid ZIF-8/MXene/cellulose-based textiles with improved antibacterial and electromagnetic interference shielding performance.

Despite the tremendous efforts on developing antibacterial wearable textile materials containing Ti3C2Tx MXene, the singular antimicrobial mechanism, poor antibacterial durability, and oxidation susceptibility of MXene limits their applications. In this context, flexible multifunctional cellulosic textiles were prepared via layer-by-layer assembly of MXene and the in-situ synthesis of zeolitic imidazolate framework-8 (ZIF-8). Specifically, the introduction of highly conductive MXene enhanced the interface interactions between the ZIF-8 layer and cellulose fibers, endowing the green-based materials with outstanding synergistic photothermal/photodynamic therapy (PTT/PDT) activity and adjustable electromagnetic interference (EMI) shielding performance. In-situ polymerization formed a MXene/ZIF-8 bilayer structure, promoting the generation of reactive oxygen species (ROS) while protecting MXene from oxidation. The as-prepared smart textile exhibited excellent bactericidal efficacy of >99.99 % against both Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus) after 5 min of NIR (300 mW cm-2) irradiation which is below the maximum permissible exposure (MPE) limit. The sustained released Zn2+ from the ZIF-8 layer achieved a bactericidal efficiency of over 99.99 % within 48 h without NIR light. Furthermore, this smart textile also demonstrated remarkable EMI shielding efficiency (47.7 dB). Clearly, this study provides an elaborate strategy for designing and constructing multifunctional cellulose-based materials for a variety of applications.

High-substituted hydroxypropyl cellulose prepared by homogeneous method and its clouding and self-assembly behaviors.

Hydroxypropyl cellulose (HPC) is a sustainable cellulose derivative valued for its excellent biocompatibility and solubility and is widely used in various fields. Recent scientific research on high-substituted HPC mainly focused on its efficient preparation and phase transition behavior. Herein, a novel strategy of high-substituted HPC synthesis was demonstrated by employing DMSO/TBAF·3H2O as a cellulose solvent, exhibiting more efficiency than traditional approaches. High-substituted HPC prepared has remarkable thermal stability, exceptional hydrophilicity, and satisfactory solubility. Phase transition behavior of HPC with varying molar degrees of substitution (MS) was delved and a notable negative correlation between MS and cloud point temperature (TCP), was revealed, particularly evident at an MS of 12.3, where the TCP drops to 33 °C. Moreover, a unique self-assembly behavior featuring structural color and responsiveness to force in a solvent-free environment emerged when the MS exceeded 10.4. These insights comprehensively strengthen the understanding and knowledge of high-substituted HPC, simultaneously paving the way for further HPC investigation and exploitation.

Hierarchically core-shell structured nanocellulose/carbon nanotube hybrid aerogels for patternable, self-healing and flexible supercapacitors.

The flexible and self-healing supercapacitors (SCs) are considered to be promising smart energy storage devices. Nevertheless, the SCs integrated with flexibility, lightweight, pattern editability, self-healing capabilities and desirable electrochemical properties remain a challenge. Herein, an all-in-one self-healing SC fabricated with the free-standing hybrid film (TCMP) composed of the 2,2,6,6-tetramethylpiperidin-1-yloxy-oxidized cellulose nanofibers (TOCNs) carried carbon nanotubes (CNTs), manganese dioxide (MnO2) and polyaniline (PANI) as the electrode, polyvinyl alcohol/sulfuric acid (PVA/H2SO4) gel as the electrolyte and dynamically cross-linked cellulose nanofibers/PVA/sodium tetraborate decahydrate (CNF/PB) hydrogel as the self-healing electrode matrix is developed. The TCMP film electrodes are fabricated through a facile in-situ polymerization of MnO2 and PANI in TOCNs-dispersed CNTs composite networks, exhibiting lightweight, high electrical conductivity, flexibility, pattern editability and excellent electrochemical properties. Benefited from the hierarchically porous structure and high mechanical properties of TOCNs, excellent electrical conductivity of CNTs and the desirable synergistic effect of pseudocapacitance induced by MnO2 and PANI, the assembled SC with an interdigital structure demonstrated a high areal capacitance of 1108 mF cm-2 at 2 mA cm-2, large areal energy density of 153.7 µWh cm-2 at 1101.7 µW cm-2. A satisfactory bending cycle performance (capacitance retention up to 95 % after 200 bending deformations) and self-healing characteristics (∼90 % capacitance retention after 10 cut/repair cycles) are demonstrated for the TCMP-based symmetric SC, delivering a feasible strategy for electrochemical energy storage devices with excellent performance, designable patterns and desirable safe lifespan.

Nanocellulose-based nanogenerators for sensor applications: A review.

With the rapid development of the Internet of Things, nanogenerator as a green energy collection technology has attracted great attention in various fields. Specifically, the natural renewable nanocellulose as a raw material can significantly improve the environmental friendliness of the nanocellulose-based nanogenerators, which also makes the nanocellulose based nanogenerators expected to further develop in areas such as wearable devices and sensor networks. This paper mainly reports the application of nanocellulose in nanogenerator, focusing on the sensor. The types, sources and preparation methods of nanocellulose are briefly introduced. At the same time, the special structure of nanocellulose highlights the advantages of nanocellulose in nanogenerators. Then, the application of nanocellulose-based nanogenerators in sensors is introduced. Finally, the future development prospects and shortcomings of this nanogenerator are discussed.

Inspired by Wood: Thick Electrodes for Supercapacitors.

The emergence and development of thick electrodes provide an efficient way for the high-energy-density supercapacitor design. Wood is a kind of biomass material with porous hierarchical structure, which has the characteristics of a straight channel, uniform pore structure, good mechanical strength, and easy processing. The wood-inspired low-tortuosity and vertically aligned channel architecture are highly suitable for the construction of thick electrochemical supcapacitor electrodes with high energy densities. This review summarizes the design concepts and processing parameters of thick electrode supercapacitors inspired by natural woods, including wood-based pore structural design regulation, electric double layer capacitances (EDLCs)/pseudocapacitance construction, and electrical conductivity optimization. In addition, the optimization strategies for preparing thick electrodes with wood-like structures (e.g., 3D printing, freeze-drying, and aligned-low tortuosity channels) are also discussed in detail. Further, this review presents current challenges and future trends in the design of thick electrodes for supercapacitors with wood-inspired pore structures. As a guideline, the brilliant blueprint optimization will promote sustainable development of wood-inspired structure design for thick electrodes and broaden the application scopes.

High Value Utilization of Waste Wood toward Porous and Lightweight Carbon Monolith with EMI Shielding, Heat Insulation and Mechanical Properties.

With the increasing pollution of electromagnetic (EM) radiation, it is necessary to develop low-cost, renewable electromagnetic interference (EMI) shielding materials. Herein, wood-derived carbon (WC) materials for EMI shielding are prepared by one-step carbonization of renewable wood. With the increase in carbonization temperature, the conductivity and EMI performance of WC increase gradually. At the same carbonization temperature, the denser WC has better conductivity and higher EMI performance. In addition, due to the layered superimposed conductive channel structure, the WC in the vertical-section shows better EMI shielding performance than that in the cross-section. After excluding the influence of thickness and density, the specific EMI shielding effectiveness (SSE/t) value can be calculated to further optimize tree species. We further discuss the mechanism of the influence of the microstructure of WC on its EMI shielding properties. In addition, the lightweight WC EMI material also has good hydrophobicity and heat insulation properties, as well as good mechanical properties.

Al Foil-Supported Carbon Nanosheets as Self-Supporting Electrodes for High Areal Capacitance Supercapacitors.

Self-supporting electrode materials with the advantages of a simple operation process and the avoidance of the use any binders are promising candidates for supercapacitors. In this work, carbon-based self-supporting electrode materials with nanosheets grown on Al foil were prepared by combining hydrothermal reaction and the one-step chemical vapor deposition method. The effect of the concentration of the reaction solution on the structures as well as the electrochemical performance of the prepared samples were studied. With the increase in concentration, the nanosheets of the samples became dense and compact. The CNS-120 obtained from a 120 mmol zinc nitrate aqueous solution exhibited excellent electrochemical performance. The CNS-120 displayed the highest areal capacitance of 6.82 mF cm-2 at the current density of 0.01 mA cm-2. Moreover, the CNS-120 exhibited outstanding rate performance with an areal capacitance of 3.07 mF cm-2 at 2 mA cm-2 and good cyclic stability with a capacitance retention of 96.35% after 5000 cycles. Besides, the CNS-120 possessed an energy density of 5.9 µWh cm-2 at a power density of 25 µW cm-2 and still achieved 0.3 µWh cm-2 at 4204 µW cm-2. This work provides simple methods to prepared carbon-based self-supporting materials with low-cost Al foil and demonstrates their potential for realistic application of supercapacitors.

Robot-assisted resection of multiple lung nodules through combination of intercostal incisions and a subxiphoid incision as a utility port.

INTRODUCTION: Robotic-assisted thoracic surgery (RATS) via subxiphoid incision may be superior in resection of multiple lung nodules. METHODS: Outcomes of robot-assisted one-stage bilateral lobectomy or segmentectomy via intercostal and subxiphoid incisions for multiple ground-glass opacities were analysed. RESULTS: Total 36 cases were analysed in this study. Thirteen cases had bilateral lobectomy + segmentectomy, 15 cases underwent bilateral segmentectomies, and 8 cases underwent lobectomy + segmentectomy + wedge resection. The average intraoperative blood loss was 110.2 ± 57.8 mL, operation time was 154 ± 64.2 min, thoracic draining time was 2.6 ± 3.2 days, and postoperative hospital stay was 4.8 ± 3.3 days. Three patients had atrial fibrillation and 3 patients had continuous air leakage for over 3 days, but there was no death or postoperative pain. CONCLUSION: Robot-assisted one-stage bilateral resection of multiple lung nodules through combination of intercostal and subxiphoid incision as a utility port is safe and reliable.

Bioinspired Carbon Superstructures for Efficient Electromagnetic Shielding.

Biologically inspired superstructural materials exhibit wide application prospects in many fields, in terms of mitigating increasingly serious electromagnetic (EM) pollution in the civil field. Here, we successfully obtain bamboo slices with uniform pore size distribution through the advanced bamboo transverse splitting technology developed by our group previously and prepare large-scale honeycomb-like carbon-based tubular array (CTA) structures with a controllable pore size, graphitization degree, and selectable conductivity property. Based on the simulation and experimental results, the EM shielding performance of CTAs is proven to be sensitive to the microchannel aperture size and the EM energy incident angle, which is attributed to the difference in the propagation rate of induced electrons in different directions. Among the candidates, CTA-middle-1500 exhibits the best shielding performance against incident EM energy with average SE/ρ values of 123.7 and 144.5 dB cm3 g-1 for perpendicular and parallel directions, respectively, showing its application potential as a lightweight and efficient EM shielding material. The predicted optimal incident angle for CTA-middle-1500 against EM energy radiation is 15°, with the largest RCS reduction value of 26.1 dB m2. The excellent EM shielding performance is attributed to the good reflection capacity involved with the high conductivities of the CTAs.

Potential new material for optical fiber: Preparation and characterization of transparent fiber based on natural cellulosic fiber and epoxy.

In order to reduce the dependence on fossil energy products, natural fiber/polymer hybrid composites have been increasingly researched. The high price of the quartz optical fibers and glass optical fibers has greatly inspired researchers to engage in the research on polymer optical fibers. Herein, transparent fibers based on plant fibers were innovatively prepared for the first time by delignification and impregnating epoxy diluted with acetone. The epoxy improved the thermal stability of the fiber without deteriorating its mechanical properties, and also endowed the fiber with the property of transparency. The tensile strength of transparent fibers of three diameters were 34.5, 58.6 and 100.3 MPa, respectively and the corresponding Young's modulus reached 1.1, 1.7 and 2.3 GPa, respectively. In addition, the light-conducting properties of transparent fibers were displayed with a green laser and the fibers displayed good light transmission along the fiber growth direction. Transparent fibers are expected to be used in optical fibers because of their high thermal stability, good mechanical properties and light-conducting properties.

Micro- and nano-fibrils of manau rattan and solvent-exchange-induced high-haze transparent holocellulose nanofibril film.

Holocellulose nanofibrils (HCNFs) are nanoscale objects extracted from biomass resources and have attracted attention as sustainable building blocks for nanomaterials. In this study, we report a top-down approach for extracting HCNFs from manau rattan that involves pulping, bleaching and TEMPO oxidation. The extracted HCNFs showed a uniform width of around 18.5 nm and a length of a few micrometers, high crystallinity (66.5 %), and good thermal stability (302 °C). The extracted HCNFs were used to fabricate HCNF film via vacuum filtration and drying (air drying and solvent exchange drying). Surprisingly, the HCNF film fabricated by solvent exchange drying (HCNF-filmSD) simultaneously presented a high total transmittance (93.7 %) and high haze (62.2 %), and its total transmittance was even higher than that of glass. The resulting HCNF-filmSD displayed a high tensile strength (84.8 MPa), Young's modulus (3.7 GPa), and toughness (1.4 MJ m-3), making it a high-performance and eco-friendly film for applications in precision optoelectronics and aerospace materials.

Flexible environment-tolerant electroluminescent devices based on nanocellulose-mediated transparent electrodes.

Stretchable electroluminescent (EL) devices show great potential for wearable displays. However, the integration of stretchability, flexibility, temperature-tolerance, waterproofness and biocompatibility into a single EL device remains a challenge. Herein, we report a facile full solution-process method for a novel EL device consisting of a dielectric luminescent layer sandwiched between two silver nanowires-cellulose nanocrystals with II crystalline allomorphs/polydopamine-polydimethylsiloxane (CNC II-AgNWs/PDA-PDMS) electrodes. CNC II is used as a green dispersant, film-forming agent and antioxidant to improve the optical, electrical, mechanical and antioxidant properties of the electrodes. The electrodes exhibit a smooth surface, low sheet resistance (~11 Ω sq-1), high transparency (~79.2 %), ideal stretchability (~100 % strain) and excellent inoxidizability. The assembled EL devices with outstanding tensile stability and fatigue resistance demonstrate excellent luminance, flexibility and stretchability underwater and at extreme temperatures, as well as intrinsic biocompatibility. Our multifunctional EL devices with outstanding integrated properties provide new insights for the next-generation flexible electronics.

Patternable Nanocellulose/Ti3C2Tx Flexible Films with Tunable Photoresponsive and Electromagnetic Interference Shielding Performances.

Nanocellulose-mediated MXene composites have attracted widespread attention in the fields of sustainable energy, wearable sensors, and electromagnetic interference (EMI) shielding. However, the effects of different nanocelluloses on the multifunctional properties of nanocellulose/Ti3C2Tx composites still need further exploration. Herein, we use three types of nanocelluloses, including bacterial cellulose (BC), cellulose nanocrystals (CNCs), and 2,2,6,6-tetramethylpiperidin-1-yloxy (TEMPO)-oxidized cellulose nanofibers (TOCNs), as intercalation to link Ti3C2Tx nanosheets via a self-assembly process, improving the dispersibility, film-forming ability, mechanical properties, and multifunctional performances of nanocelluloses/Ti3C2Tx hybrids through electrostatic forces and hydrogen bonding. The optimized ultrathin (∼40 µm) TOCN/Ti3C2Tx film integrates excellent tensile strength (∼98.89 MPa), long-term stability (during deformation and water erosion), favorable photoelectric response (photosensitivity up to 2620%), and temperature response (reaching 163 °C in only 12 s). Laser-cutting patterned TOCN/Ti3C2Tx films are assembled into flexible multifunctional electronics, exhibiting splendid photoresponse performances and tunable electromagnetic energy shielding capability (>96.4%) related to the variation of water content at the film-gel electrolyte interface. Multifunctional patterned devices based on TOCN/Ti3C2Tx composite films provide a novel pathway to rationally design wearable EMI devices with photoelectric response and photothermal conversion.

Ag/AgBr/AgVO3 Photocatalyst-Embedded Polyacrylonitrile/Polyamide/Chitosan Nanofiltration Membrane for Integrated Filtration and Degradation of RhB.

A nanofiltration (NF) membrane containing a NaOH-treated electrospun polyacrylonitrile (HPAN) substrate, an interfacial polymerization (IP) polyamide (PA) layer, a chitosan (CS) coating layer, and an Ag/AgBr/AgVO3 photocatalyst loading layer was prepared. The structural evolution of the membranes was investigated, and their performance was estimated in accordance with the water flux and rejection rate. A probable mechanism for the photocatalytic activity of Ag/AgBr/AgVO3 was proposed. The loading of the Ag/AgBr/AgVO3 heterojunction on the HPAN/PA/CS NF membrane endowed the membrane with excellent self-cleaning properties owing to the photolytic degradation of the dye. The filtration and degradation processes of the Ag/AgBr/AgVO3-loaded membrane constantly promoted each other, and the treatment efficiency achieved with the integrated (filtration + degradation) process was superior to those obtained with the filtration and degradation processes alone. The Ag/AgBr/AgVO3-NF membrane exhibited excellent recyclability and stability when subjected to five integrated filtration-degradation processes. In addition, the Ag/AgBr/AgVO3-NF membrane exhibited an elastic modulus of 65.75 MPa and a toughness of 38.9 kJ/m3 along with a good disinfection effect on Escherichia coli in visible light. The as-prepared photocatalyst-loaded NF membrane with excellent antifouling performance, antimicrobial activity, high strength, and recyclability showed potential for continuous water purification operation.

Anisotropic cellulose nanofibril composite sponges for electromagnetic interference shielding with low reflection loss.

With the development of the electronic industry bringing convenience to people, a series of caused electromagnetic pollution problems (e.g., electromagnetic interference (EMI)) have recently also become urgent tasks. In this work, an anisotropic composite sponge consisting of cellulose nanofibrils (CNFs) and chemical co-precipitated silver nanowire (AgNW)@Fe3O4 composites was successfully prepared. Due to the introduction of anisotropic structures and the synergistic effect among CNFs, AgNWs, and Fe3O4, this composite sponge exhibited low density (16.76 mg/cm3), good saturation magnetization (4.21 emu/g) and electrical conductivity (0.02 S/cm), and anisotropic EMI shielding ability. By adjusting the proportion (1:0.3) between AgNWs and Fe3O4 and their loading (0.15 vol%) inside the sponge, the reflection loss of the sponge with the improved interface impedance mismatch was only 2.3 dB, accounting for 7.2% of the total loss. It is expected to become a promising EMI shielding material, especially for effectively alleviating the secondary reflection EM pollution.

Antiviral/antibacterial biodegradable cellulose nonwovens as environmentally friendly and bioprotective materials with potential to minimize microplastic pollution.

Personal protective equipment (PPE) such as face masks is vital in battling the COVID-19 crisis, but the dominant polypropylene-based PPE are lack of antiviral/antibacterial activities and environmental friendliness, and have hazardous impact on the soil and aquatic ecosystems. The work presented herein focused on developing biodegradable, antiviral, and antibacterial cellulose nonwovens (AVAB-CNWs) as a multi-functional bioprotective layer for better protection against coronavirus SARS-CoV-2 and addressing environmental concerns raised by the piling of COVID-19 related wastes. Both guanidine-based polymer and neomycin sulfate (NEO) were reactive-modified and covalently grafted onto the surface of cellulose nonwovens, thereby conferring outstanding antiviral and antibacterial activities to the nonwovens without deteriorating the microstructure and biodegradability. Through adjusting the grafting amount of active components and selecting appropriate reagents for pretreatment, the antimicrobial activity and hydrophobicity for self-cleaning of the nonwovens can be tuned. More importantly, we demonstrated for the first time that such multi-functional nonwovens are capable of inactivating SARS-CoV-2 instantly, leading to high virucidal activity (> 99.35%), which is unachievable by conventional masks used nowadays. Meanwhile, the robust breathability and biodegradability of AVAB-CNWs were well maintained. The applications of the as-prepared nonwovens as high-performance textile can be readily extended to other areas in the fight against COVID-19.

Inherently Conductive Poly(dimethylsiloxane) Elastomers Synergistically Mediated by Nanocellulose/Carbon Nanotube Nanohybrids toward Highly Sensitive, Stretchable, and Durable Strain Sensors.

With the rapid development of soft electronics, flexible and stretchable strain sensors are highly desirable. However, coupling of high sensitivity and stretchability in a single strain sensor remains a challenge. Herein, a kind of conductive elastomer is constructed with poly(dimethylsiloxane) (PDMS) and silylated cellulose nanocrystal (SCNC)/carbon nanotube (CNT) nanohybrids through a facile one-pot solution-casting method. The hydrophobic SCNCs can effectively facilitate the dispersion of CNTs in PDMS and synergistically improve the interfacial compatibility between CNTs and the PDMS matrix, resulting in favorable stress and electron transfer in the polymer network. Due to the outstanding electrical conductivity of CNTs and the excellent dispersity and high mechanical performance of SCNCs, combined with the good compatibility between SCNC-mediated carbon nanotubes (SCNC-CNTs) and PDMS, the resulting composite elastomer (SCNC-CNT/PDMS) shows high electrical conductivity (∼2.77 S m-1), tensile strength (∼5.72 MPa), and fatigue resistance properties. The strain sensor assembled by SCNC-CNT/PDMS demonstrates a high strain range above 100%, appealing strain sensitivity with a gauge factor of 37.11 at 50-100% strain, and long-term stability and durability, which is capable of monitoring both real-time human motions and acoustic vibrations. This work paves a new way for the design and controllable preparation of flexible and stretchable conductive elastomers, demonstrating promising applications in wearable devices and intelligent electronics.