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参松养心胶囊治疗心脏神经官能症疗效性及安全性的Meta分析 被引量:5
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作者 刘海峰 杜武勋 +2 位作者 毛文艳 邹金明 武姿彤 《中国循证心血管医学杂志》 2016年第8期911-915,共5页
目的系统评价参松养心胶囊治疗心脏神经官能症的临床疗效和安全性。方法计算机辅以手工检索,采用RevMan5.2软件进行Meta分析。结果纳入17篇随机对照试验,总计1663例患者。Meta分析结果提示,参松养心胶囊或联用常规西药临床疗效优于... 目的系统评价参松养心胶囊治疗心脏神经官能症的临床疗效和安全性。方法计算机辅以手工检索,采用RevMan5.2软件进行Meta分析。结果纳入17篇随机对照试验,总计1663例患者。Meta分析结果提示,参松养心胶囊或联用常规西药临床疗效优于常规西药治疗(RR=1.29,95%CI:1.23~1.35),单纯中药治疗的总有效性亦优于常规西药对照组(RR=1.34,95%CI:1.23~1.46)。6个研究报道了不良反应,胃肠道不适是中药组主要不良反应(3.93%),血压心律异常是常规治疗组主要不良反应(17.04%),其中两组发生的胃肠道不适(RR=1.81,95%CI:0.68~4.83)、头昏面红(RR=2.81,95%CI:0.30~26.38)、头痛(RR=0.17,95%CI:0.02~1.30)和疲乏(RR=0.08,95%CI:0.00~1.31)等不良反应均无统计学差异,但在诱发血压过低、心动过缓等不良反应方面中药组较常规西药对照组更加安全(RR=0.08,95%CI:0.02~0.32)。单纯中药治疗的安全性亦优于常规西药对照组(RR=0.26,95%CI:0.08~0.82)。结论参松养心胶囊能安全有效地改善心脏神经官能症患者临床症状。受纳入研究质量限制以上结论有待开展更多高质量随机对照试验予以验证。 展开更多
关键词 参松养心胶囊 心脏神经官能症 META分析 随机对照试验
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基于“土湿木郁”理论探讨水气满中治则 被引量:4
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作者 董红彦 杜武勋 +3 位作者 毛文艳 刘海峰 邹金明 张瑜 《中医药导报》 2018年第16期14-16,共3页
水气满中是临床常见的一种病理状态,因气水不化弥漫中焦,主要以胸闷咳逆,脘腹痞满,纳呆噫气,水肿小便不利为主,其病机复杂,变证繁多。通过对"一气周流"视野下气水周流模式的学习,得出土湿木郁是其病机关键,当以燥湿补脾,疏达... 水气满中是临床常见的一种病理状态,因气水不化弥漫中焦,主要以胸闷咳逆,脘腹痞满,纳呆噫气,水肿小便不利为主,其病机复杂,变证繁多。通过对"一气周流"视野下气水周流模式的学习,得出土湿木郁是其病机关键,当以燥湿补脾,疏达肝气,通达气水运行通道为治则。 展开更多
关键词 土湿木郁 一气周流 水气满中 治则
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Analysis on the Disastrous Weather of Serious Drought in Northwest Hunan in Summer and Autumn of 2009
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作者 CHEN Meng-qiong ZHU Jin-ju +1 位作者 HUANG Ping zou jin-ming 《Meteorological and Environmental Research》 CAS 2011年第6期14-18,共5页
[Objective] The research aimed to analyze the disastrous weather of serious drought in Northwest Hunan in summer and autumn of 2009.[Method] According to the meteorological data in Zhangjiajie of Northwest Hunan durin... [Objective] The research aimed to analyze the disastrous weather of serious drought in Northwest Hunan in summer and autumn of 2009.[Method] According to the meteorological data in Zhangjiajie of Northwest Hunan during the drought period from June to September,2009,the disaster characteristics of continuous drought in summer and autumn were analyzed.Based on NCEP/NCAR 2.5°×2.5° reanalysis data,by using the climatic diagnostic method,the formation reason of serious drought was initially analyzed from the circulation characteristics in the middle and high latitudes,Western Pacific subtropical high,the abnormal characteristics of sea surface temperature in the equatorial Middle Eastern Pacific Ocean and the tropical system activity.[Result] The characteristics of serious drought in Northwest Hunan in summer and autumn of 2009 were the quick developed speed,wide influence range,long duration,big disaster loss and long high temperature time.The influence range,duration and harm degree were rare to see in the history.During the arid period(June-September),the atmospheric circulation was abnormal.The polar vortex in the northern hemisphere was weak,and the center was by north.It was two-trough-one-ridge type in the middle and high latitudes of Eurasia.The long-wave trough existed respectively near Balkhash Lake and from Sea of Okhotsk to the east coast in China.The long-wave ridge maintained from Lake Baikal to Central Asia and stabilized in 90°-110° E of Central Asia.From the middle dekad of June to the middle dekad of September,the westerly index increased.The zonal circulation was the main one in the middle and high latitudes of Eurasia.The cold air in the high-latitude frontal zone spread eastward with the small-amplitude fluctuation form along the latitude circle direction,and was difficult to pass the westerly barrier near 45° N to reach the low latitude.Meanwhile,Western Pacific subtropical high jumped northward to control Jiangnan and South China for a long time.The down airflow was prevalent.It was hot and rainless.The drought developed quickly.The sea surface temperature in the equatorial Middle Eastern Pacific Ocean started to rise in June,and it entered into El Nino state.When El Nino event of obvious temperature increasing started to appear in spring and summer,the plum rain amount was less in the middle and low reaches of Yangtze River in the year or next year.The probability was 80%.In El Nino year,the typhoon was less.In addition,for the influence of strong Western Pacific subtropical high,the landing pathway of typhoon was by east or south.The kind of typhoon had the small role for easing the drought in Northwest Hunan.[Conclusion] The research provided the theory basis for improving the prediction level of short-term climate and the understanding of extreme climate event. 展开更多
关键词 Continuous drought in summer and autumn Disastrous weather Analysis of formation reason Northwest Hunan China
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