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苗药开喉剑治疗成人急性喉炎的疗效对比研究 被引量:4
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作者 卢烨 陈慧 +5 位作者 辛忠海 信莉 李漫 刘瑞 杨翼 冯炜 《中国中医基础医学杂志》 CAS CSCD 北大核心 2022年第2期250-253,共4页
目的:采用中西医疗法比较1周经口雾化吸入开喉剑和经口雾化布地奈德治疗急性喉炎的疗效以及安全性。方法:入选成人急性喉炎患者84例按随机数字表法随机分为实验组、对照组各42例,其中实验组经口雾化吸入开喉剑喷雾剂2.5 ml每日2次,对照... 目的:采用中西医疗法比较1周经口雾化吸入开喉剑和经口雾化布地奈德治疗急性喉炎的疗效以及安全性。方法:入选成人急性喉炎患者84例按随机数字表法随机分为实验组、对照组各42例,其中实验组经口雾化吸入开喉剑喷雾剂2.5 ml每日2次,对照组经口雾化布地奈德1 mg每日2次,疗程均为1周,在治疗前、治疗3 d及1周后进行声音嘶哑、咽喉痛、咽喉部不适、咳嗽症状评分,在治疗前、治疗1周后进行喉镜下体征评分。结果:实验组纳入患者42例,脱落4例,对照组纳入患者42例,脱落3例,实验组38例治疗3 d即可明显改善急性喉炎症状且治愈率高于对照组39例(P=0.018),治疗3 d后及1周后实验组咽痛症状改善明显优于对照组(P_(d3)=0.015,P_(d7)=0.014),2种治疗方案在改善声音嘶哑、咽喉部不适及咳嗽症状时比较差异无统计学意义。治疗前及治疗后2组电子喉镜下体征评分均明显降低,差异有统计学意义。然而进行2组治疗方法组间比较,声带充血、水肿、杓区充血、水肿、黏液附着及会厌充血比较差异均无统计学意义。结论:开喉剑经口雾化吸入治疗成人急性喉炎有效,且起效速度优于布地奈德混悬液,经口雾化治疗3 d实验组有效率39.5%,对照组19.4%(P=0.018),可作为成人急性喉炎临床治疗的选择之一。 展开更多
关键词 成人急性喉炎 布地奈德混悬液 开喉剑
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Panax Notoginseng Saponin Attenuates Gastric Mucosal Epithelial Cell Injury Induced by Dual Antiplatelet Drugs through COX and PI3K/Akt/ VEGF-GSK-3β-RhoA Network Pathway 被引量:5
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作者 WANG Ming-ming XUE Mei +4 位作者 xin zhong-hai WANG Yan-hui LI Rui-jie JIANG Hong-yan SHI Da-zhuo 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2021年第11期819-824,共6页
Objective To elucidate the underlying mechanism of Panax notoginseng saponin(PNS)on gastric epithelial cell injury and barrier dysfunction induced by dual antiplatelet(DA).Methods Human gastric mucosal epithelial cell... Objective To elucidate the underlying mechanism of Panax notoginseng saponin(PNS)on gastric epithelial cell injury and barrier dysfunction induced by dual antiplatelet(DA).Methods Human gastric mucosal epithelial cell(GES-1)was cultured and divided into 4 groups:a control,a DA,a PNS+DA and a LY294002+PNS+DA group.GES-1 apoptosis was detected by flow cytometry,cell permeability were detected using Transwell,level of prostaglandins E2(PGE2),6-keto-prostaglandin F1α(6-keto-PGF1α)and vascular endothelial growth factor(VEGF)in supernatant were measured by enzyme linked immunosorbent assay(ELISA),expression of phosphatidylinositide 3-kinase(PI3K),phosphorylated-PI3K(p-PI3K),Akt,phosphorylated-Akt(p-Akt),cyclooxygenase-1(COX-1),cyclooxygenase-2(COX-2),glycogen synthase kinase-3β(GSK-3β)and Ras homolog gene family member A(RhoA)were measured by Western-blot.Results DA induced apoptosis and hyper-permeability in GES-1,reduced supernatant level of PGE2,6-keto-PGF1αand VEGF(P<0.05).Addition of PNS reduced the apoptosis of GES-1 caused by DA,restored the concentration of PGE2,6-keto-PGF1αand VEGF(P<0.05).In addition,PNS attenuated the alteration of COX-1 and COX-2 expression induced by DA,up-regulated p-PI3K/p-Akt,down-regulated RhoA and GSK-3β.LY294002 mitigated the effects of PNS on cell apoptosis,cell permeability,VEGF concentration,and expression of RhoA and GSK-3βsignificantly.Conclusions PNS attenuates the suppression on COX/PG pathway from DA,alleviates DA-induced GES-1 apoptosis and barrier dysfunction through PI3K/Akt/VEGF-GSK-3β-RhoA network pathway. 展开更多
关键词 Panax notoginseng saponins dual antiplatelet permeability CYCLOOXYGENASE PI3K
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