【目的】系统评价益气养阴法联合西药治疗肾病综合征的有效性及安全性。【方法】检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方(Wangfang)、维普(VIP)、PubMed、Web of Science、Cochrane Library、Embase等国内外主要文献数...【目的】系统评价益气养阴法联合西药治疗肾病综合征的有效性及安全性。【方法】检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方(Wangfang)、维普(VIP)、PubMed、Web of Science、Cochrane Library、Embase等国内外主要文献数据库,筛选其中有关益气养阴法联合西药(试验组)对比单纯西药(对照组)治疗肾病综合征的临床随机对照试验(RCTs),采用Cochrane手册中的偏倚风险工具进行文献的质量评价,运用RevMan 5.3软件进行Meta分析。【结果】共纳入18个RCTs,包含1334例患者。Meta分析结果显示,益气养阴法联合西药在提高临床有效率(RR=1.24,95%CI[1.16,1.32],P<0.00001),改善24 h尿蛋白定量(24hUPRO)(MD=-0.92,95%CI[-1.09,-0.75],P<0.00001)、血清白蛋白(ALB)(MD=7.06,95%CI[4.73,9.39],P<0.00001)、尿素氮(BUN)(MD=-1.57,95%CI[-2.01,-1.13],P<0.00001)、血肌酐(SCr)(MD=-12.23,95%CI[-16.58,-7.88],P<0.00001)、总胆固醇(TC)(MD=-1.06,95%CI[-1.69,-0.43],P=0.0009)、甘油三酯(TG)(MD=-0.58,95%CI[-0.94,-0.21],P=0.002)水平,以及降低不良反应发生率(RR=0.50,95%CI[0.40,0.64],P<0.00001)方面优于单纯西药治疗。【结论】益气养阴法联合西药治疗肾病综合征在提高临床疗效及改善24hUPRO、ALB、BUN、SCr、TC、TG方面优于单纯西药治疗,且能降低激素产生的不良反应。因纳入文献较少,文献质量较低,潜在疗效需更多的高质量研究进行验证。展开更多
Quantitative knowledge of the film thickness and mass fraction of the urea-water solution is very crucial in many practical applications. Film thickness or mass fraction can only be determined individually by conventi...Quantitative knowledge of the film thickness and mass fraction of the urea-water solution is very crucial in many practical applications. Film thickness or mass fraction can only be determined individually by conventional measurement techniques. We develop a novel measurement method to measure the film thickness and mass fraction of ure^water solution simultaneously. The absorption coefficients of urea-water solution （5 50 wt%） are measured, a pair of optimized wavelengths is then chosen to achieve high measurement sensitivity. Cross validation is also performed and uncertainties of the technique are smaller than 0.68% for thickness measurements and 1.86% for mass fractions.展开更多
基金supported by the National Natural Science Foundation of China(No.51306123)the Joint Specialized Research Fund for the Doctoral Program of Higher Education(No.20133120120008)
文摘Quantitative knowledge of the film thickness and mass fraction of the urea-water solution is very crucial in many practical applications. Film thickness or mass fraction can only be determined individually by conventional measurement techniques. We develop a novel measurement method to measure the film thickness and mass fraction of ure^water solution simultaneously. The absorption coefficients of urea-water solution （5 50 wt%） are measured, a pair of optimized wavelengths is then chosen to achieve high measurement sensitivity. Cross validation is also performed and uncertainties of the technique are smaller than 0.68% for thickness measurements and 1.86% for mass fractions.
