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经皮切割球囊血管成形术治疗血透通路狭窄的Meta分析 被引量:2
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作者 何金森 卢林琪 姚颖 《临床荟萃》 CAS 2019年第11期1004-1009,共6页
目的评估经皮切割球囊血管成形术(percutaneous cutting balloon angioplasty,PCB)治疗血透通路狭窄的疗效和安全性,为临床治疗和开展相关研究提供参考和帮助。方法截至2018年8月,检索Pubmed、Embase、Cochrane、中国知网、万方和维普... 目的评估经皮切割球囊血管成形术(percutaneous cutting balloon angioplasty,PCB)治疗血透通路狭窄的疗效和安全性,为临床治疗和开展相关研究提供参考和帮助。方法截至2018年8月,检索Pubmed、Embase、Cochrane、中国知网、万方和维普等数据库,全面收集有关血透通路狭窄和经皮球囊血管成形术(percutaneous balloon angioplasty,PTA)的相关文献。制定文献纳入及排除标准,并制定效应指标的评价标准。由2名研究者分别独立筛选文献,用Cochrane风险偏倚评估工具评价纳入文献的质量。应用Review Manager5.3软件进行Meta分析。结果共检索到相关中文、外文文献58篇,从中筛选出随机临床试验(randomized clinical trials,RCT)的文献4篇,对PCB和PTA结果进行了头对头比较:共有1073名参与者,其中PCB 544人,PTA 529人。PCB比PTA的6个月狭窄血管通畅率明显更高(65.93%vs 55.11%;RD=0.11;95%CI:0.05-0.16;P=0.0002)。PCB与PTA的手术成功率相比,差异没有统计学意义(87.68%vs 84.31%;RD=0.03;95%CI:-0.01-0.08;P=0.10)。PCB与PTA的并发症发生率相比,差异没有统计学意义(0.026%vs0.004%;RD=0.03;95%CI:-0.01-0.07;P=0.19)。结论PCB治疗血透通路狭窄具有良好的疗效和安全性;在血透通路狭窄的治疗中是一种较为理想的选择。 展开更多
关键词 血透通路 血管成形术 META分析
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Herb-partitioned moxibustion regulated the miRNA expression profile in the thyroid tissues of rats with experimental autoimmune thyroiditis 被引量:1
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作者 WANG Zhaoqin CUI Yunhua +8 位作者 HUANG Yan WU Huangan ZHAO Jimeng he jinsen LIU Huirong ZheNG Handan WU Luyi HU Zhihai LIU Yanan 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2021年第5期789-798,共10页
OBJECTIVE:To observe the effect of herb-partitioned moxibustion(HPM)on the miRNA expression profile of thyroid tissue in experimental autoimmune thyroiditis(EAT)rats.METHODS:Rats were randomly divided into normal cont... OBJECTIVE:To observe the effect of herb-partitioned moxibustion(HPM)on the miRNA expression profile of thyroid tissue in experimental autoimmune thyroiditis(EAT)rats.METHODS:Rats were randomly divided into normal control(NC)group,EAT model(EAT)group,HPM group and western medicine(Med)group.EAT model rats were prepared by a combined immunization with complete and incomplete Freund’s adjuvant emulsified with porcine thyroglobulin and iodine.Rats in the HPM group were treated with HPM,while rats in the Med group were treated with levothyrocine(1μg/2 m L)by gavage.HE staining was used to observe the pathological morphological changes of thyroid tissue,ELISAs was uaed to detect the serum concentrations of TGAb,TPOAb,FT3,FT4,TSH.We then performed high-throughput mi RNA sequencing to analyse the mi RNA expression profiles in the thyroid tissues,followed by a bioinformatics analysis.RT-q PCR was used to verify the identified differentially expressed mi RNAs.RESULTS:HPM improved the thyroid tissue morphology and reduced serum TPOAb,TGAb,TSH concentration in EAT rats(P<0.05),but with no obvious effect on FT3 and FT4 concentration.While the TSH,FT3 and FT4 concentration was significantly changed in the Med group(P<0.01 or P<0.05)compared with that of EAT group.Sequencing results showed that a total of 17 mi RNAs were upregulated,and 4 were downregulated in the EAT rats,in which the expression levels of mi R-346 and mi R-331-5 p were reversed by HPM.The target genes of the mi RNAs that regulated by HPM wereassociated with a variety of immune factors and immune signals.RT-q PCR verification showed that the expression of mi RNA-346 and mi RNA-331-5 p was consistent with the sequencing results.CONCLUSIONS:HPM could regulate the the expression of mi RNA-346 and mi RNA-331-5 p,then act on their target genes to immune and inflammation-related pathways,which may be one of the mechanisms of HPM on EAT rats. 展开更多
关键词 Experimental autoimmune thyroiditis Herb-partitioned moxibustion miRNA expression profile Immuneregulation
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