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理气化瘀汤治疗气滞血瘀型原发性痛经 被引量:13
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作者 孙莺 沈维增 +2 位作者 陈云霞 陈兆鑫 张海艇 《吉林中医药》 2018年第9期1038-1041,共4页
目的观察理气化瘀汤对气滞血瘀型原发性痛经患者疗效的影响。方法采用随机临床对照研究方法,将148例患者分为对照组74例,治疗组74例。对照组予常规隔下逐瘀汤,治疗组予理气化瘀汤,通过比较VAS疼痛评分、COX痛经症状积分及用药安全性来... 目的观察理气化瘀汤对气滞血瘀型原发性痛经患者疗效的影响。方法采用随机临床对照研究方法,将148例患者分为对照组74例,治疗组74例。对照组予常规隔下逐瘀汤,治疗组予理气化瘀汤,通过比较VAS疼痛评分、COX痛经症状积分及用药安全性来评价理气化瘀汤的临床疗效。结果经过3个月经周期的治疗,治疗组(理气化瘀汤)能明显降低患者VAS疼痛评分(3.83±1.52 vs 5.37±1.73),COX痛经症状积分(0.87±0.39 vs1.32±0.47;6.43±1.56 vs 8.87±1.73),与对照组比较差异具有统计学意义(P<0.05);同时治疗组对肝功能、肾功能无明显不良影响(P>0.05)。结论理气化瘀汤能有效安全缓解气滞血瘀型原发性痛经患者临床症状,改善患者生活质量。 展开更多
关键词 原发性痛经 理气化瘀汤 疼痛评分 痛经症状评分
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周末禁食联合加味苓桂术甘汤治疗非酒精性脂肪肝病的临床研究 被引量:7
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作者 沈维增 廖圣榕 +2 位作者 梁炳君 黄伟旋 秦鉴 《西部中医药》 2020年第3期12-16,共5页
目的:观察周末禁食联合加味苓桂术甘汤治疗非酒精性脂肪肝病(non-alcoholic fatty liver disease,NAFLD)的临床疗效。方法:将NAFLD患者60例随机分为治疗组和对照组各30例。两组患者均采用低脂饮食,少荤多素,适当增加运动量。对照组给予... 目的:观察周末禁食联合加味苓桂术甘汤治疗非酒精性脂肪肝病(non-alcoholic fatty liver disease,NAFLD)的临床疗效。方法:将NAFLD患者60例随机分为治疗组和对照组各30例。两组患者均采用低脂饮食,少荤多素,适当增加运动量。对照组给予熊去氧胆酸250 mg,每日3次,治疗组予加味苓桂术甘汤联合周末禁食,疗程均为12周。比较两组临床疗效、肝功能、血脂、空腹血糖(fasting blood glucose,FBG)、空腹胰岛素(fasting insulin,FINS)、胰岛素抵抗指数(homeostasis model of insulin resistance index,HOMA-IR)、体质指数(body mass index,BMI)和脂肪肝分级变化情况。结果:总有效率治疗组为80%(24/30),高于对照组的50%(15/30)(P<0.05);治疗后治疗组患者在降低丙氨酸氨基转移酶(alanine aminotransferase,ALT)、天门冬氨酸氨基转移酶(aspartate aminotransferase,AST)、γ-谷氨酰转肽酶(gamma-glutamyltransferase,GGT)、总胆固醇(total cholesterol,TC)、甘油三酯(triglyceride,TG)、FINS、HOMA-IR和BMI及改善脂肪肝分级方面均优于对照组(P<0.05)。结论:周末禁食联合加味苓桂术甘汤可能通过改善患者肝功能、降低血脂、减轻胰岛素抵抗和控制体质量来降低NAFLD患者脂肪肝分级。 展开更多
关键词 非酒精性脂肪肝病 周末禁食 加味苓桂术甘汤 临床研究
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Identification of Cald1 as a novel regulator of Linggui Zhugan decoction(苓桂术甘汤) for improving insulin resistance in vivo and in vitro 被引量:1
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作者 CHEN Xi HUANG Weixuan +3 位作者 LüHongmei QIN Jian KE Bin shen weizeng 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2021年第5期706-716,共11页
OBJECTIVE:To identify Cald1 as a novel regulator of Linggui Zhugan decoction(苓桂术甘汤)for improving insulin resistance in vivo and in vitro.METHODS:Sprague-Dawley rats were randomly assigned to 3 groups that were re... OBJECTIVE:To identify Cald1 as a novel regulator of Linggui Zhugan decoction(苓桂术甘汤)for improving insulin resistance in vivo and in vitro.METHODS:Sprague-Dawley rats were randomly assigned to 3 groups that were received a normal rat chow diet,high-fat diet(HFD),and an HFD plus LGZGD,respectively.The homeostatic model assessment(HOMA)-insulin resistance(IR)index was used to determine IR.Gene microarray methodology was used to identify differentially expressed genes(DEGs)in the three groups of rats.The DEGs associated with IR were confirmed by quantitative real-time polymerase chain reaction.Additionally,Mouse 3 T3-L1 pre-adipocytes were differentiated into mature 3 T3-L1 adipocytes,which were then treated with tumor necrosis factor(TNF)-αto induce cellular IR.Lipid accumulations were identified by Oil Red O staining.Glucose uptake was assessed using the3 H-2-DG test.RESULTS:In this study,we found Cald1 was further screened to validate its biological function in3 T3-L1 adipocytes induced to develop IR.In vitro experiments showed that insulin-stimulated 3 H-2-DG uptake by IR 3 T3-L1 adipocytes was increased after LGZGD intervention,which was associated with a down-regulation of Cald1 expression.CONCLUSION:LGZGD ameliorates HFD-induced IR in rats and TNF-αinduced IR in adipocytes by down-regulating Cald1 expression. 展开更多
关键词 insulin resistance diet high-fat GLUCOSE tumor necrosis factor-alpha Cald1 Linggui Zhugan decoction
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