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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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Effects of astaxanthin on oxidative stress induced by Cu^(2+) in prostate cells
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作者 Hong-zhou MENG xiao-feng ni +2 位作者 Hai-ning YU Shan-shan WANG Sheng-rong SHEN 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2017年第2期161-171,共11页
Astaxanthin(AST), a carotenoid molecule extensively found in marine organisms and increasingly used as a dietary supplement, has been reported to have beneficial effects against oxidative stress. In the current pape... Astaxanthin(AST), a carotenoid molecule extensively found in marine organisms and increasingly used as a dietary supplement, has been reported to have beneficial effects against oxidative stress. In the current paper, the effects of AST on viability of prostate cells were investigated by 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide(MTT) assay; cell apoptosis and intracellular reactive oxygen species(ROS) levels were determined by flow cytometry; the mitochondrial membrane potential(MMP) was measured by fluorospectrophotometer; and activities of malondialdehyde(MDA), superoxide dismutase(SOD), catalase(CAT), and glutathione peroxidase(GSH-Px) were evaluated by a detection kit. The results show that copper ion(Cu^2+) induced apoptosis, along with the accumulation of intracellular ROS and MDA, in both prostate cell lines(RWPE-1 and PC-3). AST treatments could decrease the MDA levels, increase MMP, and keep ROS stable in RWPE-1 cell line. An addition of AST decreased the SOD, GSH-Px, and CAT activities in PC-3 cell line treated with Cu^2+, but had a contrary reaction in RWPE-1 cell lines. In conclusion, AST could contribute to protecting RWPE-1 cells against Cu^2+-induced injuries but could cause damage to the antioxidant enzyme system in PC-3 cells. 展开更多
关键词 Oxidative stress PC-3 RWPE-1 ASTAXANTHIN Copper ion
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