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基于机器学习的腮腺肿瘤患者术后面瘫的危险因素分析
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作者 李水梅 徐素娟 +3 位作者 殷海 钟燕梅 刘莹莹 梁景艳 《中国癌症防治杂志》 CAS 2024年第4期481-486,共6页
目的 利用机器学习技术分析腮腺肿瘤患者术后面瘫的影响因素。方法 回顾性收集贵港市人民医院病案系统中2013年1月至2023年12月腮腺肿瘤患者的资料。采用LASSO回归对术后面瘫的潜在危险因素进行筛选,随后通过无序多分类Logistic回归分... 目的 利用机器学习技术分析腮腺肿瘤患者术后面瘫的影响因素。方法 回顾性收集贵港市人民医院病案系统中2013年1月至2023年12月腮腺肿瘤患者的资料。采用LASSO回归对术后面瘫的潜在危险因素进行筛选,随后通过无序多分类Logistic回归分析术后面瘫的危险因素。结果 395例腮腺肿瘤患者中54例发生面瘫,其中40例为短暂性面瘫,14例为永久性面瘫。无序多分类LASSO回归在最佳λ值下筛选出26个腮腺肿瘤患者术后面瘫的危险因素,将其纳入无序多分类Logistic回归分析,结果显示肿瘤位置、肿瘤性质、术前肿物压痛、吸烟史、谷氨酰转移酶水平、氯离子浓度、镁离子浓度、部分凝血活酶时间等是短暂性面瘫发生的影响因素(均P<0.05);肿瘤性质、肿瘤体积、年龄、身体质量指数是永久性面瘫发生的影响因素(均P<0.05)。结论 本研究利用机器学习技术识别出腮腺肿瘤患者术后面瘫的关键影响因素,有助于早期识别术后面瘫发生的高危人群,为预防和预测面瘫的发生提供科学依据。 展开更多
关键词 腮腺肿瘤 术后面瘫 危险因素 机器学习
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中药材内在品质和外在性状结合的研究现状及对策
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作者 樊霞霞 孙涛 +4 位作者 何蓓蓓 钟燕梅 吴纯洁 温川飙 赵姝婷 《世界科学技术-中医药现代化》 CSCD 北大核心 2023年第9期2914-2923,共10页
系统研究中药材质量评价方法,是完善中药材质量评价体系的内在需求,有利于中医临床用药及中药产业的健康发展。中药材内在品质评价方法从化学指纹图谱发展到中药质量标质物,从以化学成分为主要研究指标,发展为以化学成分与生物活性效价... 系统研究中药材质量评价方法,是完善中药材质量评价体系的内在需求,有利于中医临床用药及中药产业的健康发展。中药材内在品质评价方法从化学指纹图谱发展到中药质量标质物,从以化学成分为主要研究指标,发展为以化学成分与生物活性效价、化学成分与药效成分相结合的评价模式,历经了一元到多元的评价演变;中药材外在性状评价方法从“辨状论质”到智能感官的应用,历经从主观到客观的演变,弥补了客观数据缺失的评价不足。中药材“内外结合”评价的发展趋势符合中药整合质量观的创新发展思路。本文梳理了中药材内在品质与外在性状研究的发展沿革,系统阐述了“内外结合”评价的研究现状与发展趋势,从信息化角度提出了一些问题及初步对策,以期推进建立一套符合中医理论的,具有标准化、信息化特色的中药材质量评价体系。 展开更多
关键词 中药材质量评价 “辨状论质” 指纹图谱 生物活性 药效物质 数据归一化
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主动脉夹层覆膜支架腔内隔绝并原位开窗分支支架植入术的围手术期护理 被引量:5
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作者 刘倩 廖黎黎 +2 位作者 钟妍梅 韦丽敏 韦荣鲜 《中国社区医师》 2018年第24期141-142,共2页
目的:探讨主动脉夹层(AD)破口累及左锁骨下动脉或同时累及左颈总动脉的患者行覆膜支架腔内隔绝并原位开窗植入分支支架植入术围手术期的护理与并发症预防要点。方法:收治主动脉夹层患者13例,行覆膜支架腔内隔绝并原位开窗分支支架植入... 目的:探讨主动脉夹层(AD)破口累及左锁骨下动脉或同时累及左颈总动脉的患者行覆膜支架腔内隔绝并原位开窗植入分支支架植入术围手术期的护理与并发症预防要点。方法:收治主动脉夹层患者13例,行覆膜支架腔内隔绝并原位开窗分支支架植入术治疗,回顾性分析其临床资料。结果:13例患者均成功手术。术后,1例出现颈部切口皮下血肿,1例出现右下肢体皮温降低,均妥善处理。住院期间13例患者均未出现脑血管意外、截瘫等并发症,顺利出院。平均住院(15.5±3.4)d。结论:主动脉夹层覆膜支架腔内隔绝并原位开窗植入分支支架植入术围手术期的术前系统化护理是提高手术成功率的重要保证;强化护理观察、早期发现并给予及时处置是预防术后并发症、做好术后护理的关键。 展开更多
关键词 主动脉夹层 覆膜支架腔内隔绝术 原位开窗分支支架植入术 护理
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盐酸班布特罗改善慢性阻塞性肺疾病模型大鼠的作用机制研究 被引量:6
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作者 杜孟姣 钟艳梅 +3 位作者 邓善滨 余楚钦 陈莉诗 蔡延渠 《中国药房》 CAS 北大核心 2020年第5期564-570,共7页
目的:研究盐酸班布特罗对慢性阻塞性肺疾病(COPD)模型大鼠的改善作用机制,并寻找潜在的生物标志物。方法:将30只大鼠随机分为正常组、模型组和盐酸班布特罗组(3.3 mg/kg),每组10只。模型组、盐酸班布特罗组大鼠采用烟熏联合脂多糖滴注... 目的:研究盐酸班布特罗对慢性阻塞性肺疾病(COPD)模型大鼠的改善作用机制,并寻找潜在的生物标志物。方法:将30只大鼠随机分为正常组、模型组和盐酸班布特罗组(3.3 mg/kg),每组10只。模型组、盐酸班布特罗组大鼠采用烟熏联合脂多糖滴注法建立COPD模型。造模成功后,盐酸班布特罗组大鼠灌胃相应药物,正常组和模型组大鼠灌胃等体积生理盐水,每天给药1次,连续给药45 d。末次给药后,采集各组大鼠血清样品及肺泡灌洗液,采用酶联免疫吸附法检测肺泡灌洗液中白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)水平;采用液质联用(LC-MS)技术检测血清代谢物并进行代谢组学分析。采用正交偏最小二乘判别分析(OPLS-DA)法筛选并鉴定差异代谢物,再结合相关文献找出潜在生物标志物,并利用MetPA分析平台对其进行代谢通路富集分析。结果:与正常组比较,模型组大鼠肺泡灌洗液中IL-6、TNF-α水平显著升高(P<0.05);与模型组比较,盐酸班布特罗组大鼠肺泡灌洗液中IL-6、TNF-α水平显著降低(P<0.05)。代谢组学、OPLS-DA结果显示,共发现21个差异代谢物,其中12个为潜在生物标志物(包括马来酰丙酮酸、羟基丙酮酸、羟基丙二酸半醛等),且盐酸班布特罗可显著降低马来酰丙酮酸、甲基硒代半胱氨酸、5-脱氧-D-葡萄糖醛酸等标志物的水平(P<0.05),升高羟基丙酮酸、羟基丙二酸半醛、丙二酸等标志物水平(P<0.05);生物标志物主要富集于戊糖磷酸途径、乙醛酸和三羧酸代谢通路,其次富集于肌醇磷酸代谢通路、精氨酸与酪氨酸代谢通路和甘氨酸、丝氨酸、苏氨酸代谢通路。结论:盐酸班布特罗改善COPD的机制可能与降低细胞调节因子IL-6、TNF-α水平有关,还可能与氨基酸代谢、能量代谢、脂质代谢等通路有关。 展开更多
关键词 盐酸班布特罗 慢性阻塞性肺疾病 机制 生物标志物 代谢组学 液质联用 大鼠
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基于中医五音理论的失眠临床研究进展及存在问题与策略分析 被引量:10
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作者 樊霞霞 赵姝婷 +4 位作者 永灵灵 翟振威 李宇 钟燕梅 温川飙 《世界科学技术-中医药现代化》 CSCD 北大核心 2022年第11期4299-4311,共13页
目的 本文通过论述五音疗法的研究现状及其联合中西医临床治疗失眠的研究进展,探索存在的问题并提出对应策略。方法 查阅国内外文献,论述失眠的中西医发病机制,梳理五音疗法研究现状及其联合中西医疗法治疗失眠的研究进展,对比中医五音... 目的 本文通过论述五音疗法的研究现状及其联合中西医临床治疗失眠的研究进展,探索存在的问题并提出对应策略。方法 查阅国内外文献,论述失眠的中西医发病机制,梳理五音疗法研究现状及其联合中西医疗法治疗失眠的研究进展,对比中医五音疗法与西方音乐疗法的异同,分析五音疗法应用发展中存在的问题,根据中医理论尝试提出可行的解决策略及未来展望。结果 目前中医五音疗法联合中西医疗法改善失眠是当前临床研究热点,能弥补现代医学治疗失眠的不足,具有广泛的适用性,与西方音乐疗法相比,中医五音疗法具有独特的中医理论与文化优势,但目前尚未形成五音的“理、法、方、药”体系,阻碍了临床的规范应用与推广,可通过简化五音选曲及扩充曲库、灵活应用中医辨证论治的方式,来弥补不够完善的五音“方”、“药”理论,规范五音疗法改善失眠的临床应用。结论 中医五音疗法改善失眠具有独特优势,值得进一步完善相关理论及应用研究,可根据中医理论逐步优化中医五音疗法的理论体系及改善失眠的临床应用模式,鼓励多学科交叉的发展与应用,始终以患者为中心,继承与发扬五音对失眠等疾病的治疗作用。 展开更多
关键词 失眠 五行音乐 中医五音疗法 西方音乐疗法 理法方药
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盐焗鸡食品生产加工与品质控制研究进展 被引量:2
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作者 钟鸣 李威娜 +3 位作者 钟艳梅 范丽萍 况伟 付文娟 《肉类工业》 2022年第1期1-6,共6页
盐焗鸡属广东特色客家食品,具有色泽金黄、皮爽脆、肉滑嫩、骨咸香的特点,因此深受广大消费者喜爱。从盐焗鸡加工方法、品质特点、品质影响因素等三方面入手,综述了盐焗鸡产业中生产加工与品质控制的研究现状,并提出亟待解决的问题,旨... 盐焗鸡属广东特色客家食品,具有色泽金黄、皮爽脆、肉滑嫩、骨咸香的特点,因此深受广大消费者喜爱。从盐焗鸡加工方法、品质特点、品质影响因素等三方面入手,综述了盐焗鸡产业中生产加工与品质控制的研究现状,并提出亟待解决的问题,旨在为盐焗鸡的产业发展提供技术性参考。 展开更多
关键词 盐焗鸡 加工方法 品质 核心工艺 产业问题
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基于PDCA循环健康评估课程思政路径的构建及应用研究 被引量:2
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作者 李慧 钟延美 +1 位作者 郝晓燕 战同霞 《卫生职业教育》 2022年第10期71-73,共3页
构建健康评估课程思政路径并探讨应用效果。结果显示,基于PDCA循环构建的健康评估课程思政路径有益于提升专业认同感,降低学习倦怠,提升教学效果,提高学生整体素质。
关键词 课程思政 PDCA循环 健康评估
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黄花败酱总皂苷的HPLC-Q-TOF MS成分分析 被引量:2
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作者 陈淑玲 王晓玉 +2 位作者 钟艳梅 李卫东 韩亮 《广东药科大学学报》 CAS 2019年第2期199-203,共5页
目的采用高效液相色谱-高分辨飞行时间质谱(HPLC-Q-TOF MS)对黄花败酱总皂苷部位中的化学成分进行快速鉴别。方法采用ACQUITY UPLCTM BEH C_(18)(2.1 mm×50 mm,1.7μm)色谱柱,以乙腈-(0.1%甲酸,10 mmol甲酸铵)水溶液为流动相梯度洗... 目的采用高效液相色谱-高分辨飞行时间质谱(HPLC-Q-TOF MS)对黄花败酱总皂苷部位中的化学成分进行快速鉴别。方法采用ACQUITY UPLCTM BEH C_(18)(2.1 mm×50 mm,1.7μm)色谱柱,以乙腈-(0.1%甲酸,10 mmol甲酸铵)水溶液为流动相梯度洗脱,柱温:35℃,进样量:3μL,流速:0.3 mL/min,采用ESI源在正离子模式下采集数据。根据化合物准确的相对分子质量及二级碎片离子信息,参考文献数据及与对照品对照,鉴定出黄花败酱总皂苷部位的主要化学成分。结果共鉴定出27个化学成分,其中三萜皂苷类成分10种,甾体皂苷2种,甾醇类3种,单萜类4种,有机酸类2种,糖苷类2种,黄酮类1种,其他类3种。结论 HPLC-Q-TOF MS技术为鉴定黄花败酱有效部位化学成分提供了一种快速、高效的方法。 展开更多
关键词 黄花败酱 总皂苷 液相色谱-四极杆飞行时间质谱 成分分析
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浅析深圳智能公交的精准服务 被引量:1
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作者 钟燕妹 《城市公共交通》 2019年第11期38-38,41,共2页
近年来,深圳公交瞄准人工智能、物联网、云计算等科技前沿,持续推进先进技术在公交供给、公交管理、公交服务上的应用,全面构建政策、模式、管理、服务创新的特区公交新生态体系。1前瞻性公交创新生态体系(1)打造电子平台和移动终端。... 近年来,深圳公交瞄准人工智能、物联网、云计算等科技前沿,持续推进先进技术在公交供给、公交管理、公交服务上的应用,全面构建政策、模式、管理、服务创新的特区公交新生态体系。1前瞻性公交创新生态体系(1)打造电子平台和移动终端。深圳公交以创新经营模式为基础,打造电子平台和手机客户端,依托互联网技术面向市场推出新型公交服务模式——定制公交,走出城市公共交通细分市场的第一步,通过提供多层次公交服务,满足市民多元化的出行需求,提高公共交通出行分担率。 展开更多
关键词 公交服务 电子平台 手机客户端 公交管理 精准服务 人工智能 智能公交 公共交通
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Visualization analysis of the international standard ISO/TC 249 for traditional Chinese medicine
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作者 ZHAO Shuting zhong yanmei +3 位作者 HU Yuanzhang SUN Tao WU Chunjie WEN Chuanbiao 《Digital Chinese Medicine》 2022年第2期103-111,共9页
Objective This study proposes to visually review the current situation and progress of standards sets by the International Organization for Standardization/Technical Committee on Traditional Chinese Medicine(ISO/TC 24... Objective This study proposes to visually review the current situation and progress of standards sets by the International Organization for Standardization/Technical Committee on Traditional Chinese Medicine(ISO/TC 249). The review aims to explore the development strategies of the standards, which will exhibit the considerable impact on the economy, trade and exchanges, and cooperation in the area of traditional Chinese medicine(TCM).Methods ISO/TC 249 standards were searched on the ISO website, and their title, proposed time, current stage, scope, and classification were obtained for further summarization. Gephi was utilized to portray the co-occurrence network graph of the ISO/TC 249 standards subject.Results In ISO/TC 249, there were 116 standards, including 81 published standards and 35 developing standards by April 30, 2022. Two withdrawal standards were published after revision, which were not counted in the total standards. The number of published standards has been increasing since the first standard was published in 2014, whose title was “Sterile acupuncture needles for single use”. Among these standards, 17.24%(20/116) standards were in review, 56.03%(65/116) in publication, 3.45%(4/116) in approval, 5.17%(6/116) in enquiry,3.45%(4/116) in committee, and 14.66%(17/116) in preparation, respectively. With 116 standards, most of the research focused on the medicament, as its classification of the International Classification for Standards(ICS) showed the proportion reaching 49.54%. The network analysis data revealed that the top five most frequent words were “materials” “root” “requirements” “products” and “system”, after removing the noise data, such as prepositions,conjunctions, and pronouns. Additionally, the word “system” co-exists with the terms “computerized” “coding” “image” “tongue” and “analysis”;the word “requirement” co-exists with“manufacturing” “decoction” “process” and “materials”;whereas the word “devices” coexists with “pulse” “electric” “skin” and “measurement”.Conclusion With the increased diversification and complexity of problems, the development of standards is also oriented to multidisciplinary fields to cultivate the interdisciplinary talents, and especially the international standardization talents of compound TCM. Multi-angle analysis, formulation, and demonstration of standards, in line with industry needs in different disciplines, enhance the availability of standards and the ability to serve the industry. 展开更多
关键词 International Organization for Standardization/Technical Committee on Traditional Chinese Medicine(ISO/TC249) Visualization analysis Standard subject distribution International Classification for Standards(ICS) Interdisciplinary talents
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Curative effect of assisted reproduction technology by Traditional Chinese Medicine multi-channel interventional therapy on 95 cases of in vitro fertilization and embryo transfer failure 被引量:4
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作者 Xia Wanting zhong yanmei +6 位作者 Zhang Ying Xue Huarong Huang Jinzhu Wang Zhen Zhou Hang Ma Qianhong Zeng Qian 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2017年第5期681-687,共7页
OBJECTIVE: To evaluate the curative effect of Traditional Chinese Medicine(TCM) multi-channel interventional therapy on women with Assisted Reproductive Technology(ART) failure, to compare the curative effect of the d... OBJECTIVE: To evaluate the curative effect of Traditional Chinese Medicine(TCM) multi-channel interventional therapy on women with Assisted Reproductive Technology(ART) failure, to compare the curative effect of the dual therapy and triple therapy on women with ART Failure, and to choose the best TCM interventional therapeutic plan.METHODS: The 95 cases with ART Failure from West China second University Hospital of Sichuan University meeting the inclusion criteria were randomly divided into three groups:dual therapy group(31 cases), triple therapy group(33 cases)and control group(31 cases). According to the intervene treatment of in vitro Fertilization and Embryo Transfer(IVF-ET) long cycle scheme, the control group wait naturally for 3 months before IVFET. The dual therapy group take TCM prescriptionⅡ of cultivating emotion and assisting reproduction and auricular acupoint therapy for 3 months before IVF-ET, then Western Medicine treatment progestin supporting as well as auricular application and Antai Recipe after IVF-ET transplantation.The triple therapy group take TCM prescription Ⅱof cultivated emotion and assisted reproduction,auricular acupoint therapy and retention enema of TCM, and combination treatment the same as dual therapy group after transplantation. The natural pregnancy number, the period condition of secondary IVF-ET and the improvement of the kidney deficiency, liver depression and blood stasis syndrome among those three groups were compared.RESULTS: It was showed from analysis in 95 cases with ART failure that the number of natural preg-nancy was as followings: 3 patients from the dual therapy group, 10 patients from the triple therapy group, and no patient from the control group. The comparison among three groups have statistical significance(P < 0.05). The treatment group is superior to the control group, while the triple therapy is superior to the dual therapy. The comparison of the condition of the fertility rate, clinical pregnancy rate, biochemical pregnancy rate and early abortion rate during the period of secondary IVF-ET between pre-therapy and post-treatment of both the dual therapy group and the triple therapy group have statistical significance(P < 0.05). The comparison of the improvement of the kidney deficiency,liver depression and blood stasis syndrome between pre-therapy and post-treatment of both the dual therapy group and the triple therapy group have statistical significance(P < 0.05). The comparison between three groups after treatment have statistical significance(P < 0.05).CONCLUSION: TCM multi-channel interventional therapy can increase the natural pregnancy rate of patients with ART Failure(the triple therapy is superior to the dual therapy); it can increase the fertility rate, clinical pregnancy rate, and decrease the early abortion rate during the period of secondary IVF-ET; it can improve syndromes of kidney deficiency, liver depression and blood stasis. 展开更多
关键词 Infertility Fertilization in vitro Embryo transfer Kidney deficiency and blood stagnation Stagnation of liver Qi Medicine Chinese Traditional
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Effect of traditional Chinese comprehensive therapy on gestation in patients with previously failed in vitro fertilization and embryo transfer 被引量:2
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作者 Xu Xiaojuan Jia Weining +3 位作者 Cheng Shuhua zhong yanmei Xia Wanting Zeng Qian 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2015年第4期428-433,共6页
OBJECTIVE: To explore the effect of traditional Chinese comprehensive therapy(TCCT) on promoting gestation in patients with previously failed in vitro fertilization and embryo transfer(IVF-ET) because of kidney defici... OBJECTIVE: To explore the effect of traditional Chinese comprehensive therapy(TCCT) on promoting gestation in patients with previously failed in vitro fertilization and embryo transfer(IVF-ET) because of kidney deficiency, liver stagnation, and blood stasis(KLB).METHODS: Sixty-seven patients were enrolled in this study and divided into two groups: a trial group with 35 patients and a control group with 32 patients. The trial group was given TCCT for 3months, then administered IVF-ET or awaited natural pregnancy. The control group was administered IVF-ET without TCCT 3 months after the previous IVF-ET or natural pregnancy attempt. The patterns of KLB were observed both before and after treatment. The natural pregnancy rate of the two groups was calculated after treatment. Differences between the two groups were compared after using IVF-ET treatment again in fertilized egg number and fertilization rate were evaluated.RESULTS: After treatment with TCM comprehensive therapy, seven patients in the treatment group became pregnant, while there were no successful conceptions in the control group. The difference in clinical pregnancy rate in the initial cycle and transfer cycle of IVF were significantly different(P <0.05). The trial group had a significantly higher conception rate than that of the control group(P <0.05).CONCLUSION: TCCT can promote the natural pregnancy rate in patients with previously failed IVF-ET.TCCT could increase patients' fertilized egg number, fertilization rate, pregnancy rate, and clinical pregnancy rate after another IVF-ET treatment.TCCT can also relieve the symptoms of KLB. 展开更多
关键词 TCCT Fertilization in vitro Embryo transfer Kidney deficiency Stagnation of liver Qi Blood stasis
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