目的系统评价补肾中药联合双膦酸盐类药物治疗恶性肿瘤骨转移的有效性及安全性,以期为临床治疗提供参考。方法通过检索CNKI、CBM、VIP、Wanfang Data等数据库,检索时间为所有数据库建库至2023年5月5日,筛选补肾中药联合双膦酸盐类药物...目的系统评价补肾中药联合双膦酸盐类药物治疗恶性肿瘤骨转移的有效性及安全性,以期为临床治疗提供参考。方法通过检索CNKI、CBM、VIP、Wanfang Data等数据库,检索时间为所有数据库建库至2023年5月5日,筛选补肾中药联合双膦酸盐类药物治疗恶性肿瘤骨转移的随机对照临床试验,使用Cochrane偏倚风险评估工具对纳入的文献质量进行评估,并采用Rev Man 5.3软件对纳入研究进行Meta分析。结果共纳入18项临床研究,总样本量为1213例,其中对照组594例,治疗组619例。治疗组患者骨转移无进展生存时间、骨转移病灶疗效、止痛效果、数字化评估量表(NRS)疼痛评分、Karnofsky功能状态评估表(KPS)评分、活动能力、血钙水平及不良反应发生情况均优于对照组,差异均有统计学意义(P<0.05)。2组患者治疗前后碱性磷酸酶水平差异无统计学意义(P>0.05)。结论补肾中药联合双膦酸盐类药物可以抑制骨转移病灶进展,减轻骨转移引起的疼痛,改善患者生活质量及活动能力,并且可以降低血钙水平及不良反应发生率,证明从肾论治恶性肿瘤骨转移有一定的临床意义。展开更多
The rapid identification of planting patterns for major crops in a large irrigated district has vital importance for irrigation management,water fee collection,and crop yield estimation.In this study,the OTSU algorith...The rapid identification of planting patterns for major crops in a large irrigated district has vital importance for irrigation management,water fee collection,and crop yield estimation.In this study,the OTSU algorithm and Mean-Shift algorithm were employed to automatically determine threshold values for mapping two main rotated crop patterns at the pixel scale.A time series analysis was conducted to extract the spatial distribution of rice-wheat and wheat-maize rotations in the Chuanhang irrigation district from 2016 to 2020.The results demonstrate that both threshold segmentation algorithms are reliable in extracting the spatial distribution of the crops,with an overall accuracy exceeding 80%.Additionally,both Kappa coefficients surpass 0.7,indicating better performance by OTSU method.Over the period from 2016 to 2020,the area occupied by rice-wheat rotation cropping ranged from 12500 to 14400 hm 2;whereas wheat-maize rotation cropping exhibited smaller and more variable areas ranging from 19730 to 34070 hm 2.These findings highlight how remote sensing-based approaches can provide reliable support for rapidly and accurately identifying the spatial distribution of main crop rotation patterns within a large irrigation district.展开更多
文摘目的系统评价补肾中药联合双膦酸盐类药物治疗恶性肿瘤骨转移的有效性及安全性,以期为临床治疗提供参考。方法通过检索CNKI、CBM、VIP、Wanfang Data等数据库,检索时间为所有数据库建库至2023年5月5日,筛选补肾中药联合双膦酸盐类药物治疗恶性肿瘤骨转移的随机对照临床试验,使用Cochrane偏倚风险评估工具对纳入的文献质量进行评估,并采用Rev Man 5.3软件对纳入研究进行Meta分析。结果共纳入18项临床研究,总样本量为1213例,其中对照组594例,治疗组619例。治疗组患者骨转移无进展生存时间、骨转移病灶疗效、止痛效果、数字化评估量表(NRS)疼痛评分、Karnofsky功能状态评估表(KPS)评分、活动能力、血钙水平及不良反应发生情况均优于对照组,差异均有统计学意义(P<0.05)。2组患者治疗前后碱性磷酸酶水平差异无统计学意义(P>0.05)。结论补肾中药联合双膦酸盐类药物可以抑制骨转移病灶进展,减轻骨转移引起的疼痛,改善患者生活质量及活动能力,并且可以降低血钙水平及不良反应发生率,证明从肾论治恶性肿瘤骨转移有一定的临床意义。
基金Jiangsu Water Science and Technology Project(2021081)。
文摘The rapid identification of planting patterns for major crops in a large irrigated district has vital importance for irrigation management,water fee collection,and crop yield estimation.In this study,the OTSU algorithm and Mean-Shift algorithm were employed to automatically determine threshold values for mapping two main rotated crop patterns at the pixel scale.A time series analysis was conducted to extract the spatial distribution of rice-wheat and wheat-maize rotations in the Chuanhang irrigation district from 2016 to 2020.The results demonstrate that both threshold segmentation algorithms are reliable in extracting the spatial distribution of the crops,with an overall accuracy exceeding 80%.Additionally,both Kappa coefficients surpass 0.7,indicating better performance by OTSU method.Over the period from 2016 to 2020,the area occupied by rice-wheat rotation cropping ranged from 12500 to 14400 hm 2;whereas wheat-maize rotation cropping exhibited smaller and more variable areas ranging from 19730 to 34070 hm 2.These findings highlight how remote sensing-based approaches can provide reliable support for rapidly and accurately identifying the spatial distribution of main crop rotation patterns within a large irrigation district.
