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《甲状腺结节和分化型甲状腺癌诊治指南(第二版)》解读 被引量:3
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作者 李玉姝 单忠艳 滕卫平 《中国实用内科杂志》 CSCD 北大核心 2023年第11期884-889,共6页
《甲状腺结节和分化型甲状腺癌诊治指南(第二版)》(以下简称指南)在第一版(2012年)基础上,结合中国经验和国内外研究进展,进行了首次重大调整和修订。参与修订的学会由原来的4个增加为7个,增加了指南的权威性。文章就主要亮点和更新点... 《甲状腺结节和分化型甲状腺癌诊治指南(第二版)》(以下简称指南)在第一版(2012年)基础上,结合中国经验和国内外研究进展,进行了首次重大调整和修订。参与修订的学会由原来的4个增加为7个,增加了指南的权威性。文章就主要亮点和更新点进行介绍和解读,包括:甲状腺结节的筛查、良恶性鉴别方法和良性结节治疗方法等方面的更新。并对新版指南中对于分化型甲状腺癌术式选择、新兴疗法等方面达成的共识,以及术后分期、最新病理分型、131I治疗方案、动态风险评估、促甲状腺素抑制治疗方案等方面的变化进行解读,以利于医生对指南的理解和临床应用。 展开更多
关键词 甲状腺结节 分化型甲状腺癌 诊治指南 解读
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肠道菌群及其代谢产物在2型糖尿病中的作用研究进展 被引量:1
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作者 张晨宇 单忠艳 《中国实用内科杂志》 CSCD 北大核心 2023年第8期682-687,共6页
2型糖尿病(type 2 diabetes mellitus,T2DM)是一种主要由外周组织胰岛素抵抗或胰岛β细胞胰岛素分泌功能缺陷导致、以慢性高血糖为特征的代谢性疾病。据2020年发表在BMJ上的中国糖尿病流行病学调查数据,我国成年人总糖尿病患病率12.8%,... 2型糖尿病(type 2 diabetes mellitus,T2DM)是一种主要由外周组织胰岛素抵抗或胰岛β细胞胰岛素分泌功能缺陷导致、以慢性高血糖为特征的代谢性疾病。据2020年发表在BMJ上的中国糖尿病流行病学调查数据,我国成年人总糖尿病患病率12.8%,糖尿病前期患病率35.2%。 展开更多
关键词 肠道菌群 2型糖尿病 短链脂肪酸
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甲状腺功能减退症左甲状腺素与三碘甲腺原氨酸联合治疗的研究进展 被引量:2
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作者 孙莹 单忠艳 滕卫平 《中国实用内科杂志》 CAS CSCD 北大核心 2022年第6期509-512,共4页
甲状腺功能减退症(简称甲减)是一种常见的影响人类健康的内分泌疾病。甲减的临床表现从无任何体征或症状到威胁生命,严重程度不一,治疗主要以左甲状腺素(L-T)激素替代为主。但是,达到生化治疗目标的患者中有一部分人仍存在持续的临床症... 甲状腺功能减退症(简称甲减)是一种常见的影响人类健康的内分泌疾病。甲减的临床表现从无任何体征或症状到威胁生命,严重程度不一,治疗主要以左甲状腺素(L-T)激素替代为主。但是,达到生化治疗目标的患者中有一部分人仍存在持续的临床症状,目前尚不清楚这种残留的甲减症状是否由治疗不足导致,由此也引发了关于甲减治疗的争议,是否需要三碘甲腺原氨酸(L-T)与L-T联合治疗有待探讨。本文将综述现有联合治疗的研究,以及残留甲减症状原因的可能解释。 展开更多
关键词 甲状腺功能减退症 左甲状腺素 三碘甲腺原氨酸
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Effect of different iodine intake on the prevalence of hypothyroidism in 3 counties in China 被引量:6
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作者 shan zhong-yan LI Yu-shu +11 位作者 WANG Zhan-yi JIN Ying GUAN Hai-xia HU Feng-nan TENG Xiao-chun YANG Fan GAO Tian-shu WANG Wei-bo SHI Xiao-guang TONG Ya-jie CHEN Wei TENG Wei-ping 《Chinese Medical Journal》 SCIE CAS CSCD 2005年第22期1918-1920,共3页
Iodine is an important constituent for the synthesis of thyroid hormone. Deficient or excessive iodine intake may affect thyroid size and function. 1 The strategy of Universal Salt lodination (USI) has been implemen... Iodine is an important constituent for the synthesis of thyroid hormone. Deficient or excessive iodine intake may affect thyroid size and function. 1 The strategy of Universal Salt lodination (USI) has been implemented in China since 1996. The median urinary iodine (MUI) was 330 μg/L in 1997, and 306 μg/L in 1999. We conducted a cross-sectional epidemiological study in three counties (rural communities) in 1999 to investigate the effect of iodine intake on the prevalence of hypothyroidism. 展开更多
关键词 IODINE HYPOTHYROIDISM subclinical hypothyroidism epidemiological study
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Expression of monocyte chemoattractant protein-1 in the pancreas of mice 被引量:1
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作者 LI Dong ZHU Su-wen +2 位作者 LIU Dong-juan LIU Guo-liang shan zhong-yan 《Chinese Medical Journal》 SCIE CAS CSCD 2005年第15期1269-1273,共5页
Background Type 1 diabetes has been recognized as an organ specific autoimmune disease owing to the immune destruction of pancreatic islet β cells in genetically susceptible individuals. In both human and rodent mode... Background Type 1 diabetes has been recognized as an organ specific autoimmune disease owing to the immune destruction of pancreatic islet β cells in genetically susceptible individuals. In both human and rodent models of type 1 diabetes, such as nonobese diabetic (NOD) mice, biobreeding rats, the disease has a distinct stage characterized by immune cells infiltrating in the pancreas (insulitis). The major populations of infiltrating cells are macrophages and T lymphocytes. Therefore, immune cell infiltration of pancreatic islets may be a crucial step in the pathogenesis of type 1 diabetes. Monocyte chemoattractant protein-1 can specifically attract monocytes in vivo. Interferon induced protein-10 has chemoattractant effects on the activated lymphocytes. In this study, we analysed the expression of monocyte chemoattractant protein-1 in the pancreas of mice and interferon inducible protein-10 mRNA in the pancreas of NOD mice, and discussed their possible role in the pathogenesis of type 1 diabetes. Methods The immunohistochemical method and immunoelectronmicroscopy were used to evaluate the expression of monocyte chemoattractant protein-1 in the pancreas of NOD mice and BALB/c mice. RT-PCR was used to evaluate the expression of monocyte chemoattractant protein-1 and interferon inducible protein mRNA in NOD mice. Results Monocyte chemoattractant protein-1 was positive in the pancreas of NOD mice, whereas negative in the pancreas of BALB/C mice. RT-PCR showed that monocyte chemoattractant protein-1 and interferon inducible protein-10 mRNA could be found in the pancreas of NOD mice. Immunoelectronmicroscopy demonstrated that monocyte chemoattractant protein-1 was produced by β cells and stored in the cytoplasm of the cells. Conclusions Pancreatic islet β cells produce monocyte chemoattractantprotein-1 in NOD mice. Monocyte chemoattractant protein-1 may play an important part in the pathogenesis of type 1 diabetes by attracting monocytes/macrophages to infiltrate pancreatic islets. 展开更多
关键词 monocyte chemoattractant protein-1· type 1 diabetes ·pathogenesis
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