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中医药辨证论治对Ⅱ~Ⅲ期结直肠癌术后早期复发转移的影响研究 被引量:1
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作者 苑军正 李楷威 +2 位作者 韩璐 张兆宏 张楠 《中国肿瘤临床》 CAS CSCD 北大核心 2024年第10期514-521,共8页
目的:探讨Ⅱ~Ⅲ期结直肠癌(colorectal cancer,CRC)根治术后服用≥6个月的个体化辨证论治汤药在预防早期复发转移方面是否优于未服用中药(traditional Chinese medicine,TCM)者。方法:回顾性分析河南中医药大学第一附属医院及河南大学... 目的:探讨Ⅱ~Ⅲ期结直肠癌(colorectal cancer,CRC)根治术后服用≥6个月的个体化辨证论治汤药在预防早期复发转移方面是否优于未服用中药(traditional Chinese medicine,TCM)者。方法:回顾性分析河南中医药大学第一附属医院及河南大学第一附属487例Ⅱ~Ⅲ期接受CRC根治术的患者,以是否服用≥6个月的个体化辨证论治汤药(TCM vs.Non-TCM)后早期(2年)复发转移的发生率为主要结局,采用多因素修正泊松回归评估是否服用中药与主要结局之间的关联。利用倾向评分匹配(propensity score matching,PSM)方法进行敏感性分析。结果:纳入分析TCM组103例,Non-TCM组384例。多因素修正泊松回归分析显示,TCM组发生早期复发转移的风险较低10.7%(12/103)vs.21.4%(82/384),相对危险度(relative risk,RR)为0.448,95%CI:0.261~0.769。经过1∶2比例的PSM,敏感性分析结果与多因素修正泊松回归分析的结果一致,TCM组仍显示出较低的早期复发转移风险11.1%(11/99)vs.21.2%(42/198),RR为0.464,95%CI:0.227~0.948。亚组分析显示在男性、N2(有4枚或以上区域淋巴结转移)、中-高分化的患者中,Non-TCM组和TCM组之间主要结局的差异较大(P<0.05)。生存分析显示TCM组无早期复发转移生存期显著高于Non-TCM组(P<0.05)。结论:对于Ⅱ~Ⅲ期CRC根治术后的患者,接受≥6个月的个体化辨证论治汤药后早期(2年)复发转移的风险低于未服用中药者,表明中医药辨证论治可作为CRC患者有效的选择。 展开更多
关键词 中医药 结直肠癌 复发转移 倾向性匹配分析
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The migration and transformation of dissolved organic matter during the freezing processes of water 被引量:4
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作者 Shuang Xue Yang Wen +4 位作者 Xiujuan Hui Lina zhang zhaohong zhang Jie Wang Ying zhang 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2015年第1期168-178,共11页
This study investigated the partitioning behavior of dissolved organic matter(DOM) in liquid and ice phases, as well as the changes in the optical properties and chlorine reactivity of DOM during the freezing proces... This study investigated the partitioning behavior of dissolved organic matter(DOM) in liquid and ice phases, as well as the changes in the optical properties and chlorine reactivity of DOM during the freezing processes of water. DOM was rejected from the ice phase and accumulated in the remaining liquid phase during water freezing. Moreover, the decrease in freezing temperature, as well as the increase in dissolved organic carbon(DOC)concentration of feed water, caused an increase in DOM captured in the ice phase. The ultraviolet-absorbing compounds, trihalomethane precursors, as well as fulvic acid- and humic acid-like fluorescent materials, were more liable to be to be rejected from the ice phase and were more easily retained in the unfrozen liquid phase during water freezing, as compared with organics(on average) that comprise DOC. In addition, it was also found a higher accumulation of these organics in the unfrozen liquid phase during water freezing at higher temperature. The freeze/thaw processes altered the quantity, optical properties, and chlorine reactivity of DOM. The decrease in ultraviolet light at 254 nm as well as the production of aromatic protein- and soluble microbial byproduct-like fluorescent materials in DOM due to freeze/thaw were consistently observed. On the other hand, the changes in DOC, trihalomethane formation potential, and fulvic acid- and humic acid-like fluorescence caused by freeze/thaw varied significantly between samples. 展开更多
关键词 Dissolved organic matter Water freezing Partition Optical properties Chlorine reactivity
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