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以肺部感染为首发症状的急性肺动脉分支栓塞1例报告
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作者 唐园园 徐陆周 陆为民 《国际医药卫生导报》 2020年第14期2134-2135,共2页
肺动脉栓塞(pulmonary embolism,PE)是指体静脉或右心系统栓子脱落阻塞肺动脉或其分支的临床综合征。以肺部感染为首发症状的急性肺动脉分支栓塞较为少见,现报道如下。1临床资料患者,男,63岁,因“反复发热咳嗽伴右侧胸痛3 d”入院,患者1... 肺动脉栓塞(pulmonary embolism,PE)是指体静脉或右心系统栓子脱落阻塞肺动脉或其分支的临床综合征。以肺部感染为首发症状的急性肺动脉分支栓塞较为少见,现报道如下。1临床资料患者,男,63岁,因“反复发热咳嗽伴右侧胸痛3 d”入院,患者10 d前有左足跖骨骨折史。既往有高血压病史10余年,否认糖尿病以及冠心病病史。体格检查:体温37.9℃,脉搏110次/min,呼吸频率20次/min,血压165/106 mmHg(1 mmHg=0.133 kPa)。 展开更多
关键词 肺动脉栓塞 肺部感染
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快胃片治疗慢性浅表性胃炎上腹痛的有效性和安全性:一项多中心、随机、双盲、双模拟对照研究 被引量:3
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作者 张北华 付万发 +3 位作者 杨祖福 徐陆周 张志杰 唐旭东 《中国中西医结合消化杂志》 CAS 2023年第10期775-780,共6页
目的:评价快胃片治疗慢性浅表性胃炎上腹痛的有效性和安全性。方法:采用多中心、随机、双盲、双模拟、阳性药对照研究,纳入来自中国中医科学院西苑医院、北京老年医院、北京博爱医院、江苏省中医院、柳州市中医医院的60例慢性浅表性胃... 目的:评价快胃片治疗慢性浅表性胃炎上腹痛的有效性和安全性。方法:采用多中心、随机、双盲、双模拟、阳性药对照研究,纳入来自中国中医科学院西苑医院、北京老年医院、北京博爱医院、江苏省中医院、柳州市中医医院的60例慢性浅表性胃炎上腹痛患者,随机分为试验组和对照组,每组30例。试验组口服快胃片和替普瑞酮胶囊模拟剂,对照组口服快胃片模拟剂和替普瑞酮胶囊,疗程均为4周。比较2组上腹痛视觉模拟评分(VAS)、应答率、有效率、上腹痛快速缓解情况、次要症状(食欲不振、腹胀、嗳气、反酸、烧心、便秘、腹泻)评分、慢性胃肠疾病患者报告临床结局评价量表(PRO量表)评分、应急药物使用情况、用药依从性、幽门螺杆菌感染情况及用药安全性。结果:服药4周后,试验组主要症状上腹痛VAS评分、次要症状(食欲不振、腹胀、嗳气、反酸、烧心)评分及PRO量表评分较基线显著下降,差异均有统计学意义(P<0.05)。组间比较差异无统计学意义。试验组服药2周的腹胀评分、服药4周和停药2周PRO量表评分低于对照组(P<0.05)。试验组服药2周的VAS评分、腹胀评分、PRO量表评分较基线的差值与对照比较差异均有统计学意义(P<0.05),试验组下降幅度较大。其余指标组间差异均无统计学意义(P>0.05)。2组均未出现与药物有关的不良事件。结论:快胃片治疗慢性浅表性胃炎上腹痛安全且有效、快速,对患者上腹痛改善效果与替普瑞酮胶囊相比改善程度更大;对腹胀、反酸、烧心及PRO量表评分的改善作用优于替普瑞酮胶囊。 展开更多
关键词 慢性浅表性胃炎 上腹痛 快胃片 安全性 有效性
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Effect of Gubi prescription on caveolin-1 expression and phosphoinositide 3 kinase/protein kinase B and Fas signal pathways in rats with knee osteoarthritis 被引量:5
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作者 He Xiaojin Wang Lei +5 位作者 Zhou xueping xu luzhou Cao Jing Wang Ruirui Wang Min Xie Guoqian 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2020年第2期224-235,共12页
OBJECTIVE: To investigate the effects of Gubi prescription on the expression of caveolin-1, and the phosphoinositide 3 kinase/protein kinase B(PI3 K/Akt) and Fas signal pathways in rats with knee osteoarthritis(KOA).M... OBJECTIVE: To investigate the effects of Gubi prescription on the expression of caveolin-1, and the phosphoinositide 3 kinase/protein kinase B(PI3 K/Akt) and Fas signal pathways in rats with knee osteoarthritis(KOA).METHODS: Forty KOA model rats were established using a modification of Hulth's method. Rats were divided into five groups by the random number method: model, positive drug(Vicolli group), and high-, medium-, and low-dose Gubi prescription groups(n = 8/group). In the sham surgery group(n = 8), only anterior and posterior cruciate ligaments of rats were exposed during surgery. A normal group(n = 8) consisted of rats with no treatment. Rats were intragastrically administered corresponding drugs once every day for eight consecutive weeks. Then, rat synovial membranes were extracted and histomorphological changes were recorded. m RNA expression was measured by q-PCR.Serum superoxide dismutase(SOD), malondialdehyde(MDA), nitric oxide(NO), and interleukin 1β(IL-1β) levels were measured. Western blotting determined the effects of Gubi prescription on protein expressions of caveolin-1, Bax, Bcl-2, Fas, and caspase-3 in chondrocytes from KOA rats. The knee cartilage of rats was excised and cultured under aseptic conditions. After coincubation of chondrocytes with Gubi prescription-containing serum, IL-1β, and si RNA, Western blotting was used to determine the protein expressions of caveolin-1, Bax, Bcl-2, Fas, and caspase-3.RESULTS: The morphological score of the articular synovium in the model group was significantly higher than in the normal group(P < 0.01). The morphological score in the high-and mediumdose Gubi prescription groups was lower than in the model group(P < 0.05). Chondrocytes from the decoction-containing serum group had a lower expression of Bax(P < 0.05), and higher expressions of Bcl-2(P < 0.05) and caspase-3(P < 0.05) compared with the model group. Chondrocytes in the decoction-containing serum group had higher expressions of Bax and Bcl-2(P < 0.01) and lower expressions of caveolin-1 and Fas(P < 0.05) compared with the model group. Compared with the model group, Bax and caspase-3 expressions were reduced in the chondrocytes of all three Gubi prescription groups(P < 0.05) whereas Bcl-2 expression was increased(P < 0.05). Compared with the model group, the expressions of caveolin-1 and Fas(P < 0.05) were reduced in groups that received high-and medium-doses of Gubi prescription. Gubi prescription increased the serum level of SOD and significantly reduced those of MDA, NO and IL-1β(P < 0.05).CONCLUSION: Gubi prescription suppressed the chondrocyte-related PI3 K/Akt and Fas signal pathways and inhibited the overexpression of caveolin-1 in rat chondrocytes. 展开更多
关键词 Osteoarthritis knee Caveolin 1 Phosphatidylinositol 3-kinase Superoxide dismutase MALONDIALDEHYDE Nitric oxide Interleukin-1beta Gubi prescription
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中药基于“肠-肝轴”防治非酒精性脂肪性肝病的研究进展
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作者 陈欢 徐陆周 黄芳 《药学进展》 CAS 2024年第11期849-859,共11页
非酒精性脂肪性肝病是全球性的公共健康问题,其发病机制复杂,临床治疗手段有限。中药作为我国特色用药,以中医传统理论为指导,在此类复杂肝病的治疗中表现出显著优势。肝脏与肠道之间存在广泛而密切的交流,现有研究表明,肠道微生物紊乱... 非酒精性脂肪性肝病是全球性的公共健康问题,其发病机制复杂,临床治疗手段有限。中药作为我国特色用药,以中医传统理论为指导,在此类复杂肝病的治疗中表现出显著优势。肝脏与肠道之间存在广泛而密切的交流,现有研究表明,肠道微生物紊乱在非酒精性脂肪性肝病等肝脏疾病的进展中发挥重要作用,与中医“脾胃学说”不谋而合。从“肠-肝轴”角度出发研究中药作用机制,对于阐明中药多成分、多靶点特征有重要意义,也可为非酒精性脂肪性肝病的临床药物开发提供重要理论参考。综述中药基于“肠-肝轴”防治非酒精性脂肪性肝病的研究进展。 展开更多
关键词 中药 肠-肝轴 非酒精性脂肪性肝病 肠道菌群
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