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盐酸羟考酮缓释片12小时滴定方案用于中重度癌痛患者的有效性和安全性-前瞻性随机开放多中心平行对照研究 被引量:12
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作者 石志永 何钎铖 +22 位作者 郭银红 王燕 邵银仙 薛宏怡 林晓骥 陈传军 诸静文 郭俊华 应申鹏 肖建军 赵春花 邢旻琰 陈韵 蔡国英 寿佳威 宋斌斌 余国林 史敏 王永辉 王剑 邵婷婷 黄芳芳 张沂平 《中国肿瘤临床》 CAS CSCD 北大核心 2021年第20期1040-1046,共7页
目的:阿片类药物是中、重度癌痛治疗的首选药物。目前以缓释阿片类药物为背景的滴定方法的剂量调整时机和方式还需进一步探索。本研究旨在评估盐酸羟考酮缓释片12 h滴定方案用于中重度癌痛患者的有效性和安全性。方法:选择2018年2月至2... 目的:阿片类药物是中、重度癌痛治疗的首选药物。目前以缓释阿片类药物为背景的滴定方法的剂量调整时机和方式还需进一步探索。本研究旨在评估盐酸羟考酮缓释片12 h滴定方案用于中重度癌痛患者的有效性和安全性。方法:选择2018年2月至2019年12月浙江省24家医院收治的中重度阿片类药物未耐受癌痛患者114例[数字分级法(numerical rating scale,NRS)≥4分]作为研究对象。筛选出合并1次以上爆发痛且存在中重度以上疼痛(NRS≥4分)患者87例,按盐酸羟考酮缓释片调整的时间不同分为试验组(12 h滴定组,n=45)和对照组(24 h滴定组,n=42)。试验组起始给予盐酸羟考酮缓释片10 mg并根据疼痛情况给予即释吗啡补救镇痛,12 h后根据即释吗啡量调整剂量,剂量调整为背景剂量+12 h内即释吗啡剂量。对照组起始剂量给予盐酸羟考酮缓释片10 mg q12h,并根据疼痛情况给予即释吗啡补救镇痛,24 h后剂量调整为背景剂量+24 h内即释吗啡剂量/2。比较两组24、48、72 h的疼痛缓解率、不良反应发生率、即释吗啡补救镇痛情况及使用量、生活质量评分,以及镇痛满意度。结果:给药后24、48、72 h,试验组和对照组均显示出较高的疼痛缓解率,组间比较差异无统计学意义(P>0.05)。相对于对照组,试验组在24、48及72 h补救镇痛次数及剂量均显著减少(P<0.05)。两组患者不良反应大多数为轻中度,发生率比较差异无统计学意义(P>0.05)。镇痛满意度水平均较高,组间比较差异无统计学意义(P>0.05)。结论:在中重度癌痛患者应用盐酸羟考酮缓释片为背景的滴定方案中,12 h调整剂量能有效减少补救镇痛次数及剂量,维持较高的镇痛缓解率和镇痛满意度,安全性良好。 展开更多
关键词 缓释阿片类药物 滴定 癌痛 爆发痛
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基因编辑技术及其在疾病治疗中的研究进展 被引量:15
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作者 牛煦然 尹树明 +2 位作者 陈曦 邵婷婷 李大力 《遗传》 CAS CSCD 北大核心 2019年第7期582-598,共17页
基因编辑是一种基于人工核酸酶的遗传操作技术,能精确地对DNA或RNA进行高效改造。基因编辑除了在基础研究、生物育种和药物筛选等方面展现了巨大前景之外,在疾病治疗(特别是基因遗传病)领域的前景与进展尤为引人注目。本文在介绍基因编... 基因编辑是一种基于人工核酸酶的遗传操作技术,能精确地对DNA或RNA进行高效改造。基因编辑除了在基础研究、生物育种和药物筛选等方面展现了巨大前景之外,在疾病治疗(特别是基因遗传病)领域的前景与进展尤为引人注目。本文在介绍基因编辑技术的发展及其在疾病治疗中不同策略的基础上,重点围绕遗传疾病的基因治疗研究,综述了基因编辑技术(包括单碱基编辑和表观调控等技术)在血液系统、肝脏、肌肉和神经系统等疾病治疗的研究进展,并对基因编辑治疗疾病的未来发展进行了展望。 展开更多
关键词 基因编辑 基因治疗 遗传病
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Spatial transcriptome analysis of long non-coding RNAs reveals tissue specificity and functional roles in cancer 被引量:1
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作者 Kang XU Xiyun JIN +8 位作者 Ya LUO Haozhe ZOU Dezhong LV Liping WANG Limei FU Yangyang CAI tingting shao Yongsheng LI Juan XU 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2023年第1期15-31,共17页
Long non-coding RNAs(lncRNAs)play a significant role in maintaining tissue morphology and functions,and their precise regulatory effectiveness is closely related to expression patterns.However,the spatial expression p... Long non-coding RNAs(lncRNAs)play a significant role in maintaining tissue morphology and functions,and their precise regulatory effectiveness is closely related to expression patterns.However,the spatial expression patterns of lncRNAs in humans are poorly characterized.Here,we constructed five comprehensive transcriptomic atlases of human lncRNAs covering thousands of major tissue samples in normal and disease states.The lncRNA transcriptomes exhibited high consistency within the same tissues across resources,and even higher complexity in specialized tissues.Tissue-elevated(TE)lncRNAs were identified in each resource and robust TE lncRNAs were refined by integrative analysis.We detected 1 to 4684 robust TE lncRNAs across tissues;the highest number was in testis tissue,followed by brain tissue.Functional analyses of TE lncRNAs indicated important roles in corresponding tissue-related pathways.Moreover,we found that the expression features of robust TE lncRNAs made them be effective biomarkers to distinguish tissues;TE lncRNAs also tended to be associated with cancer,and exhibited differential expression or were correlated with patient survival.In summary,spatial classification of lncRNAs is the starting point for elucidating the function of lncRNAs in both maintenance of tissue morphology and progress of tissue-constricted diseases. 展开更多
关键词 Spatial expression TRANSCRIPTOME Long non-coding RNA CANCER BIOMARKER
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Enhanced genome editing to ameliorate a genetic metabolic liver disease through co-delivery of adeno-associated virus receptor 被引量:2
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作者 Shuming Yin Lie Ma +14 位作者 tingting shao Mei Zhang Yuting Guan Liren Wang Yaqiang Hu Xi Chen Honghui Han Nan Shen Wenjuan Qiu Hongquan Geng Yongguo Yu Shichang Li Weishi Yu Mingyao Liu Dali Li 《Science China(Life Sciences)》 SCIE CAS CSCD 2022年第4期718-730,共13页
Genome editing through adeno-associated viral(AAV) vectors is a promising gene therapy strategy for various diseases,especially genetic disorders. However, homologous recombination(HR) efficiency is extremely low in a... Genome editing through adeno-associated viral(AAV) vectors is a promising gene therapy strategy for various diseases,especially genetic disorders. However, homologous recombination(HR) efficiency is extremely low in adult animal models. We assumed that increasing AAV transduction efficiency could increase genome editing activity, especially HR efficiency, for in vivo gene therapy. Firstly, a mouse phenylketonuria(PKU) model carrying a pathogenic R408W mutation in phenylalanine hydroxylase(Pah) was generated. Through co-delivery of the general AAV receptor(AAVR), we found that AAVR could dramatically increase AAV transduction efficiency in vitro and in vivo. Furthermore, co-delivery of SaCas9/sgRNA/donor templates with AAVR via AAV8 vectors increased indel rate over 2-fold and HR rate over 15-fold for the correction of the single mutation in Pah;mice. Moreover, AAVR co-injection successfully increased the site-specific insertion rate of a 1.4 kb Pah cDNA by 11-fold, bringing the HR rate up to 7.3% without detectable global off-target effects. Insertion of Pah cDNA significantly decreased the Phe level and ameliorated PKU symptoms. This study demonstrates a novel strategy to dramatically increase AAV transduction which substantially enhanced in vivo genome editing efficiency in adult animal models, showing clinical potential for both conventional and genome editing-based gene therapy. 展开更多
关键词 CRISPR/Cas9 gene therapy adeno-associated virus(AAV) AAVR PAH PKU
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Long noncoding RNA PVT1 promotes tumor growth and predicts poor prognosis in patients with diffuse large B-cell lymphoma 被引量:2
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作者 Ruifeng Yang tingting shao +4 位作者 Manmei Long Yongheng Shi Qiang Liu Linhua Yang Ming Zhan 《Cancer Communications》 SCIE 2020年第10期551-555,共5页
Dear Editor,Diffuse large B-cell lymphoma(DLBCL)is the most common and aggressive subtype of non-Hodgkin lymphoma(NHL),accounting for about 40%of all NHL cases[1].Lacking symptoms at early time and efficient therapeut... Dear Editor,Diffuse large B-cell lymphoma(DLBCL)is the most common and aggressive subtype of non-Hodgkin lymphoma(NHL),accounting for about 40%of all NHL cases[1].Lacking symptoms at early time and efficient therapeutic methods made DLBCL one of the most life-threatening types of hematopoietic malignancy[2,3].Therefore,identifying novel therapeutic biomarker for early detection and prognosis prediction is urgently needed. 展开更多
关键词 LYMPHOMA PROGNOSIS NHL
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