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三种方案治疗儿童ITP的药物经济学评价
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作者 敖格日乐图 肖志彬 +4 位作者 曹林娟 赛罕其其格 张晓娟 耿甄彦 宝山 《西部医学》 2023年第6期894-898,共5页
目的探讨蒙药红花止血八味、西药、蒙药西药联合这3种治疗方案对儿童原发免疫性血小板减少症(ITP)的有效性和经济性。方法纳入2012年5月—2020年12月在内蒙古自治区国际蒙医院及内蒙古人民医院门诊、住院确诊为ITP的患儿224例行回顾性分... 目的探讨蒙药红花止血八味、西药、蒙药西药联合这3种治疗方案对儿童原发免疫性血小板减少症(ITP)的有效性和经济性。方法纳入2012年5月—2020年12月在内蒙古自治区国际蒙医院及内蒙古人民医院门诊、住院确诊为ITP的患儿224例行回顾性分析,根据用药情况分为蒙药组(66例)、西药组(81例)、蒙药西药联合组(77例)。蒙药组予以蒙药红花止血八味(古日古木-8)治疗,西药组予以静注人免疫球蛋白(IVIG)+醋酸泼尼松片(PAT)治疗,蒙药西药联合组予以红花止血八味+静注人免疫球蛋白+醋酸泼尼松片治疗。采用最小成本法对3种治疗方案进行药物经济学评价。结果3组患儿基本资料比较,蒙药组初始血小板计数高于西药组和蒙药组(P=0.007),其余指标比较差异均无统计学意义(P>0.05)。3组患者出血部位差异均无统计学意义(P>0.05)。蒙药组、西药组、蒙药西药联合组治疗儿童ITP的有效率分别为86.36%、82.71%、89.61%,比较差异无统计学意义(P>0.05)。蒙药组不良反应发生率明显低于蒙药西药联合组与西药组(P<0.05)。蒙药组治疗成本低于西药组与蒙药西药联合组(P<0.001),蒙药西药联合组的成本低于西药组(P<0.05)。结论治疗儿童ITP蒙药疗效好,不良反应发生率低,且蒙药组最为经济,蒙药西药联合组次之。 展开更多
关键词 蒙药 西药 蒙药西药联合 原发免疫性血小板减少症 药物经济学
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Metabolic Characterization of the Badagan Constitution in Mongolian Medicine by Ultrahigh-Performance Liquid Chromatography/Quadrupole Time-of-Flight Mass Spectrometry/MS
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作者 Xiao-Hua Bao Li-Ming Bao +3 位作者 Chun Xiang Siqin Gerile saihan qiqige Yu-Lan Xie 《World Journal of Traditional Chinese Medicine》 CAS 2022年第4期539-547,共9页
This study aimed to identify the potential metabolic biomarkers of the Badagan constitution(BC) in Mongolian medicine. Serum samples from the participants with BCs(n = 32) and aggregative constitutions(n = 30) were an... This study aimed to identify the potential metabolic biomarkers of the Badagan constitution(BC) in Mongolian medicine. Serum samples from the participants with BCs(n = 32) and aggregative constitutions(n = 30) were analyzed by using ultrahigh-performance liquid chromatography/mass spectrometry. Meanwhile, principal component analysis and orthogonal partial least squares discriminant analysis were used to characterize the endogenous metabolites and potential biomarkers, respectively. Fifteen of the 18 biomarkers in six metabolic pathways were significantly upregulated,including phosphatidylserine, sphingolipids, tryptophan, riboflavin and glutathione, and three biomarkers were significantly downregulated,including lysophosphatidylcholine(LysoPC)(18:1), LysoPC(16:1), and lysophosphatidylethanolamine(LysoPE)(22:2). This study also implied that sphingolipid metabolism, glycerophospholipid metabolism, and tryptophan metabolism played important roles in the BC. Therefore, metabolomics may improve the diagnostic efficacy of the BC in terms of the accuracy and comprehensiveness of a diagnosis based on this constitution. This result further reveals the mechanism of the constitution type in Mongolian medicine and provides a reference for the treatment of related diseases. 展开更多
关键词 Mongolian Medicine Badagan Constitution Metabolic Characterization UPLC-ESI-QTOF-MS
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