目的:探讨火龙罐辅助治疗心肺气虚、血瘀饮停慢性心力衰竭(chronic heart failure,CHF)患者的效果。方法:选择2022年2月—2023年8月厦门市中医院心血管科确诊的120例心肺气虚、血瘀饮停CHF患者作为研究对象,按照随机数表法将患者分为两...目的:探讨火龙罐辅助治疗心肺气虚、血瘀饮停慢性心力衰竭(chronic heart failure,CHF)患者的效果。方法:选择2022年2月—2023年8月厦门市中医院心血管科确诊的120例心肺气虚、血瘀饮停CHF患者作为研究对象,按照随机数表法将患者分为两组,每组60例。对照组接受常规西医治疗,观察组在此基础实施火龙罐辅助治疗,比较两组治疗前后心功能分级、中医症候积分、明尼苏达心力衰竭生活质量问卷(Minnesota living heart failure questionnaire,MLHFQ)评分、N末端B型脑钠尿肽前体(N terminal pro B type natriuretic peptide,NT-proBNP)水平、临床效果及随访6个月再住院情况。结果:观察组治疗后心功能分级低于对照组,差异有统计学意义(P<0.05);观察组治疗后中医症候积分、MLHFQ评分、NT-proBNP水平低于对照组,且观察组治疗前后中医症候积分、MLHFQ评分、NT-proBNP差值大于对照组,差异有统计学意义(P<0.05);观察组临床效果优于对照组,差异有统计学意义(P<0.05);两组随访6个月再住院率比较,差异无统计学意义(P>0.05)。结论:火龙罐辅助治疗有助于改善心肺气虚、血瘀饮停CHF患者心功能分级、中医症候积分,提升生活质量,降低NT-proBNP水平,提高临床效果。展开更多
Oxytetracycline(OTC) and tetracycline(TC) are the most common TC antibiotics used in human and veterinary medicine.Residual amounts of these antibiotics in manure pose a potential threat to public and ecological healt...Oxytetracycline(OTC) and tetracycline(TC) are the most common TC antibiotics used in human and veterinary medicine.Residual amounts of these antibiotics in manure pose a potential threat to public and ecological health as a result of the potential for them to be released to the environment following land application of manure from animals treated with antibiotics.We investigated the degradation of OTC and TC during anaerobic composting.We tested the effects of temperature and antibiotic concentration on degradation rates in a control and in manure spiked with TCs.We examined changes in p H,biological degradation material(BDM),and moisture corresponding with antibiotic degradation of TCs in the swine manure.Results showed that the OTC and TC concentrations decreased by between 68.54% and 95.50% in all nine treatments following 14 days of anaerobic composting,and the highest removal ef ficiencies were observed at an incubation temperature of 55°C and initial concentrations of 10.36 μg·g^(-1),and 5.96 μg·g^(-1) of OTC and TC,respectively,which were degraded by 95.50%,and 90.06%.During composting at 55 °C and at added concentrations of 5 μg·g^(-1),OTC decreased rapidly,and the time required for50% and 90% degradation was 4.1 and 9.8 days,respectively;for TC,these values were 4.4 and 14.0 days,respectively.Removal ef ficiencies for all TCs correlated well with moisture content of the manure.These results show that composting may be a practical and useful means to reduce concentrations of OTC and TC in swine manure prior to its land application.展开更多
文摘目的:探讨火龙罐辅助治疗心肺气虚、血瘀饮停慢性心力衰竭(chronic heart failure,CHF)患者的效果。方法:选择2022年2月—2023年8月厦门市中医院心血管科确诊的120例心肺气虚、血瘀饮停CHF患者作为研究对象,按照随机数表法将患者分为两组,每组60例。对照组接受常规西医治疗,观察组在此基础实施火龙罐辅助治疗,比较两组治疗前后心功能分级、中医症候积分、明尼苏达心力衰竭生活质量问卷(Minnesota living heart failure questionnaire,MLHFQ)评分、N末端B型脑钠尿肽前体(N terminal pro B type natriuretic peptide,NT-proBNP)水平、临床效果及随访6个月再住院情况。结果:观察组治疗后心功能分级低于对照组,差异有统计学意义(P<0.05);观察组治疗后中医症候积分、MLHFQ评分、NT-proBNP水平低于对照组,且观察组治疗前后中医症候积分、MLHFQ评分、NT-proBNP差值大于对照组,差异有统计学意义(P<0.05);观察组临床效果优于对照组,差异有统计学意义(P<0.05);两组随访6个月再住院率比较,差异无统计学意义(P>0.05)。结论:火龙罐辅助治疗有助于改善心肺气虚、血瘀饮停CHF患者心功能分级、中医症候积分,提升生活质量,降低NT-proBNP水平,提高临床效果。
基金Supported by the Innovative Team Foundation of Zhejiang Province(2013TD12)the International Science and Technology Cooperation Program of China(2014DFE90040)the Significant Science and Technology Project of Zhejiang Province(2015C33006)
文摘Oxytetracycline(OTC) and tetracycline(TC) are the most common TC antibiotics used in human and veterinary medicine.Residual amounts of these antibiotics in manure pose a potential threat to public and ecological health as a result of the potential for them to be released to the environment following land application of manure from animals treated with antibiotics.We investigated the degradation of OTC and TC during anaerobic composting.We tested the effects of temperature and antibiotic concentration on degradation rates in a control and in manure spiked with TCs.We examined changes in p H,biological degradation material(BDM),and moisture corresponding with antibiotic degradation of TCs in the swine manure.Results showed that the OTC and TC concentrations decreased by between 68.54% and 95.50% in all nine treatments following 14 days of anaerobic composting,and the highest removal ef ficiencies were observed at an incubation temperature of 55°C and initial concentrations of 10.36 μg·g^(-1),and 5.96 μg·g^(-1) of OTC and TC,respectively,which were degraded by 95.50%,and 90.06%.During composting at 55 °C and at added concentrations of 5 μg·g^(-1),OTC decreased rapidly,and the time required for50% and 90% degradation was 4.1 and 9.8 days,respectively;for TC,these values were 4.4 and 14.0 days,respectively.Removal ef ficiencies for all TCs correlated well with moisture content of the manure.These results show that composting may be a practical and useful means to reduce concentrations of OTC and TC in swine manure prior to its land application.
