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血清白细胞介素-6和γ-谷氨酰转移酶联合检测对TACE治疗AFP阴性肝癌患者的疗效与预后评价 被引量:25
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作者 王京艳 王华明 +5 位作者 刘妍 杨锐创 周霖 杨慧银 刘春梓 徐东平 《解放军医学杂志》 CAS CSCD 北大核心 2019年第5期394-399,共6页
目的分析多个血清标志物联合检测对甲胎蛋白(AFP)阴性原发性肝癌患者经导管肝动脉化疗栓塞术(TACE)治疗后疗效及预后的临床价值。方法纳入解放军总医院第五医学中心2016年9月至2018年3月接受TACE治疗的120例肝细胞癌(HCC)患者,其中44例... 目的分析多个血清标志物联合检测对甲胎蛋白(AFP)阴性原发性肝癌患者经导管肝动脉化疗栓塞术(TACE)治疗后疗效及预后的临床价值。方法纳入解放军总医院第五医学中心2016年9月至2018年3月接受TACE治疗的120例肝细胞癌(HCC)患者,其中44例AFP水平正常(AFP阴性),76例AFP水平增高(AFP阳性),分别检测患者TACE术前、术后1个月和3个月的血清AFP、癌胚抗原(CEA)、糖类抗原-199(CA199)、CA125、γ-谷氨酰转移酶(GGT)、白细胞介素-2(IL-2)、IL-4、IL-6、IL-10、IFN-γ、TNF-α等指标水平。随访至2018年7月,观察患者肿瘤活性情况,分析不同标志物组合对AFP阴性HCC患者TACE术后疗效及预后的临床价值。结果 AFP阴性和阳性患者术前各项指标水平比较,差异均无统计学意义(P>0.05)。IL-6联合GGT检测AFP阴性和阳性HCC患者TACE术后疗效及预后的灵敏度、特异度、阴性预测值、阳性预测值分别为95.2%、87.0%、87.0%、95.2%和85.7%、59.6%、70.1%、79.1%;IL-6对AFP阴性及阳性HCC患者预后的ROC曲线下面积分别为0.839和0.666。结论血清IL-6联合GGT检测可作为一种预测AFP阴性HCC患者TACE术后疗效及肿瘤活性的有效指标。 展开更多
关键词 甲胎蛋白 白细胞介素-6 Γ-谷氨酰转移酶 肝细胞癌
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180例乙肝相关性肝癌患者的中医体质分布、证侯类型及临床特点分析 被引量:20
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作者 桑秀秀 杨慧银 +8 位作者 王仲霞 王立福 余思邈 刘姝邑 何婷婷 景婧 许文涛 王丽苹 王睿林 《中国中西医结合杂志》 CAS CSCD 北大核心 2018年第12期1425-1429,共5页
目的分析乙肝相关性肝癌患者中医体质分布、证侯类型及临床特点。方法通过计算180例乙肝相关性肝癌患者《中医体质量表》得分情况,分析患者中医体质类型,根据患者临床症状判断中医证型,比较主要体质类型及不同中医证型患者白细胞、中性... 目的分析乙肝相关性肝癌患者中医体质分布、证侯类型及临床特点。方法通过计算180例乙肝相关性肝癌患者《中医体质量表》得分情况,分析患者中医体质类型,根据患者临床症状判断中医证型,比较主要体质类型及不同中医证型患者白细胞、中性粒细胞百分比(neutrophil-lymphocyte ratio, NLR)、红细胞、血红蛋白、凝血酶原时间(prothrombin time, PT)、凝血酶原活动度(prothrombin time activity, PTA)、国际标准化比值(international normalized ratio, INR)的差异,并记录患者有无食管胃底静脉曲张破裂出血。结果乙肝相关性肝癌患者体质类型以偏颇体质为主,整体偏颇体质类型分布以阳虚质[47例(26.1%)]、阴虚质[18例(10.0%)]、湿热质[17例(9.4%)]为主。男性偏颇体质以阳虚质[28例(19.7%)]、湿热质[16例(11.3%)]为主,女性以阳虚质[19例(50.0%)]为主。阳虚质患者红细胞及血红蛋白水平低于平和体质患者(P<0.05)。中医证型以湿瘀互结[51例(28.3%)]、肝郁脾虚[44例(24.4%)]、湿热蕴结[36例(20.0%)]为主。肝郁脾虚组PTA低于气滞血瘀组(P<0.05)。乙肝相关性肝癌并食管胃底静脉曲张破裂出血患者(17例)体质以阳虚质[6例(35.3%)]为主,证型以肝郁脾虚[6例(35.3%)]及肝肾阴虚证[5例(29.4%)]为主。结论乙肝相关性肝癌患者的偏颇体质以阳虚质、阴虚质、湿热质为主;湿瘀互结、肝郁脾虚、湿热蕴结为常见中医证型。阳虚质为上消化道出血的主要体质类型,肝郁脾虚及肝肾阴虚为上消化道出血的常见中医证型。 展开更多
关键词 乙肝相关性肝癌 中医体质 中医证型
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San-Cao Granule (三草颗粒) Ameliorates Hepatic Fibrosis through High Mobility Group Box-1 Protein/Smad Signaling Pathway 被引量:2
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作者 WEI Shi-zhang LUO Sheng-qiang +15 位作者 WANG Jian WANG Jia-bo LI Rui-sheng ZHANG Xiao-mei GUO Yan-lei CHEN Chang MA Xiao CHEN Zhe LIU Hong-hong yang Zhi-rui LI Jian-yu WANG Rui-lin ZHANG Ya-ming yang hui-yin XIAO Xiao-he ZHAO Yan-ling 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2018年第7期502-511,共10页
Objective: To investigate the possible mechanism of San-Cao Granule(SCG, 三草颗粒) mediating antiliver fibrosis. Methods: A total of 60 male Sprague-Dawley rats were randomly divided into the normal control group,... Objective: To investigate the possible mechanism of San-Cao Granule(SCG, 三草颗粒) mediating antiliver fibrosis. Methods: A total of 60 male Sprague-Dawley rats were randomly divided into the normal control group, porcine serum-treated group, ursodesoxycholic acid(UDCA, 60 mg/kg), SCG(3.6 g/kg) group, SCG(1.8 g/kg) group and SCG(0.9 g/kg) group, with 10 rats in each group. Liver fibrosis was induced with porcine serum by intraperitoneal injection for 8 weeks, except for the normal control group. Then, the rats in the three SCG-treated groups and UDCA group were administered SCG and UDCA respectively for 4 weeks. The serum levels of alanine transaminase(ALT), aspartate transaminase(AST), albumin(ALB), total bilirubin(TBIL), hyaluronic acid(HA), laminin(LN), and type Ⅳcollagen(ⅣC) were examined using commercial kits and hepatic histopathology was examined with hematoxylin and eosin and Masson staining. Moreover, the protein expression levels of high mobility group box-1 protein(HMGB1), transforming growth factor β1(TGF-β1), phosphorylated mothers against decapentaplegic homolog 3(p-Smad3), Smad7, toll-like receptor 4(TLR4), myeloid differentiation factor 88(My D88), nuclear factor-kappa B(NF-κB) and α-smooth muscle actin(α-SMA) were determined by western blot, immunohistochemistry and real time quantitativereverse transcription polymerase. Results: Both SCG(3.6 and 1.8 g/kg) and UDCA significantly ameliorated the liver fibrosis induced by porcine serum as indicated by retarding the serum levels increasing of ALT, AST, TBIL, HA, LN and ⅣC and preventing the serum level reducing of ALB compared with the model group(all P〈0.01). Meanwhile, the collagen deposition was attenuated by SCG and UDCA treatment. Furthermore, SCG markedly reduced the expressions of HMGB1, TGF-β1, p-Smad3, TLR4, My D88, NF-κB and α-SMA, and enhanced the expression of the Smad7 compared with the model group(all P〈0.01). Conclusion: SCG ameliorates hepatic fibrosis possibly through inhibiting HMGB1, TLR4/NF-κB and TGF-β1/Smad signaling pathway. 展开更多
关键词 San-Cao Granule liver fibrosis high mobility group box-1 protein toll-like receptor 4/nuclear factor-kappa B transforming growth factor β1/mothers against decapentaplegic homolog
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