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中国儿童吸入用布地奈德混悬液使用情况的系统评价和Meta分析 被引量:5
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作者 潘相丞 倪晓凤 +1 位作者 彭容 黄亮 《药物流行病学杂志》 CAS 2023年第10期1144-1157,共14页
目的评估我国儿童吸入用布地奈德混悬液(BSI)的使用现状。方法计算机检索PubMed、Embase(Ovid)、CNKI、WanFang Data、VIP和SinoMed数据库,搜集关于中国儿童使用BSI的观察性研究,检索时限均为从建库至2022年12月31日。由2位研究者独立... 目的评估我国儿童吸入用布地奈德混悬液(BSI)的使用现状。方法计算机检索PubMed、Embase(Ovid)、CNKI、WanFang Data、VIP和SinoMed数据库,搜集关于中国儿童使用BSI的观察性研究,检索时限均为从建库至2022年12月31日。由2位研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,统计分析开具BSI处方的疾病种类、联用雾化液和BSI在各类处方中的构成比,包括BSI在治疗药物总处方数中的比例(P1)、BSI在雾化液处方数中的比例(P2)和BSI在糖皮质激素处方数中的比例(P3),并分为未限定疾病(亚组A)和限定呼吸系统疾病(亚组B)两个亚组进行累积Meta分析。结果最终纳入46项研究。共有患26种疾病的中国儿童使用了BSI,前3位的疾病为哮喘(26.74%)、毛细支气管炎(23.01%)、肺炎(16.52%);共有11种雾化液与BSI联用,前3位的药物为特布他林(34.05%)、复方异丙托溴铵(18.40%)、干扰素(14.08%)。亚组A中累积P1由2011年的3.4%[95%CI(2.4%,4.8%)]升至2019年的5.8%[95%CI(4.3%,7.8%)];亚组B中累积P1由2011年的54.3%[95%CI(53.1%,55.5%)]升至2018年的86.2%[95%CI(71.5%,93.9%)]。亚组A中2019年累积P2为99.9%[95%CI(99.7%,100.0%)];亚组B中累积P2由2011年的99.0%[95%CI(98.6%,99.3%)]降至2019年的84.6%[95%CI(75.0%,90.9%)]。亚组A中累积P3由2012年的12.9%[95%CI(0.7%,76.1%)]升至2019年的43.7%[95%CI(31.8%,56.3%)];亚组B中2012年累积P3为56.5%[95%CI(44.7%,67.6%)]。Meta回归结果显示,处方年份和医疗机构等级可能是异质性来源。结论BSI在我国儿童处方中的构成比较高且呈逐年上升的趋势,超说明书用药问题严重。 展开更多
关键词 布地奈德 儿童 处方 系统评价 META分析
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Activation and Deactivation of Chain-transfer Agent in Controlled Radical Polymerization by Oxygen Initiation and Regulation 被引量:4
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作者 Chun-Na Lv Ning Li +2 位作者 Yu-Xuan Du Jia-Hua Li xiang-cheng pan 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2020年第11期1178-1184,I0006,共8页
The activation and deactivation of the chain-transfer agent were achieved by oxygen initiation and regulation with triethylborane under ambient temperature and atmosphere.The autoxidation of triethylborane overcame th... The activation and deactivation of the chain-transfer agent were achieved by oxygen initiation and regulation with triethylborane under ambient temperature and atmosphere.The autoxidation of triethylborane overcame the oxygen inhilbition and produced initiating radicals that selectively activate the chain-transfer agent for the chain growth or deactivate the active chain-end of polymer in controlled radical polymerization.Both activation and deactivation were highly efficient with broad scope for various polymers with different chain-transfer agents in both organic and aqueous systems.Oxygen molecule was particularly used as an external regulator to initiate and achieve the temporal control of both activation and deactivation by simply feeding the air. 展开更多
关键词 RAFT OXYGEN BORANE
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Controlled Radical Polymerization:from Oxygen Inhibition and Tolerance to Oxygen Initiation 被引量:1
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作者 Ning Li xiang-cheng pan 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2021年第9期1084-1092,共9页
Molecular oxygen is a radical scavenger in both conventional and controlled radical polymerization(CRP),resulting in many time-consuming methods for physically removing oxygen before the polymerization.Different appro... Molecular oxygen is a radical scavenger in both conventional and controlled radical polymerization(CRP),resulting in many time-consuming methods for physically removing oxygen before the polymerization.Different approaches have been developed to have oxygen toleranee by chemically consuming or converting molecular oxygen into non-initiating species to address this issue.Recently,we propose another approach called oxygen initiation that directly transforms molecular oxygen into the initiating carbon radical in CRP.This feature article summarizes our rece nt developments in this direction.Oxyge n-initiated reversible additi on-fragmentation transfer(RAFT)polymerization has been successfully conducted using oxygen and trialkylborane as co-initiators under the ambient conditions and atmosphere without any prior degassed procedures.This gas-triggered initiation provides the opportunity for spatiotemporal control of the polymerization by molecular oxygen or air.Rationally synthesized alkylborane compounds could derive the predesigned structure of the initiating alkyl radical to minimize the side reacti ons and free polymer chai ns,achievi ng the synthesis of ultra-high molecular weight polymers.The challe nges and perspectives are also discussed in the end. 展开更多
关键词 OXYGEN Radical polymerization CONTROLLED Alkylborane RAFT
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