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基层医疗慢性病健康管理中存在的问题及对策--以高尿酸血症/痛风为例 被引量:5
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作者 李秋霞 郝治行 +2 位作者 康慧 李梦莎 郝雅梦 《基层医学论坛》 2021年第29期4172-4175,共4页
目的分析基层医疗慢性病如高尿酸血症/痛风健康管理中存在的问题,并采取相应的对策。方法通过建立微信群、门诊、义诊等渠道纳入高尿酸血症/痛风患者,建立微信群-医院微信公众号-当地生活服务相关APP的互联网平台,宣传高尿酸血症/痛风... 目的分析基层医疗慢性病如高尿酸血症/痛风健康管理中存在的问题,并采取相应的对策。方法通过建立微信群、门诊、义诊等渠道纳入高尿酸血症/痛风患者,建立微信群-医院微信公众号-当地生活服务相关APP的互联网平台,宣传高尿酸血症/痛风相关知识,对本地高尿酸血症/痛风患者进行高尿酸血症/痛风疾病的健康服务管理,分析存在的问题及获得的收益。结果大多数患者能很好地利用互联网平台进行疾病咨询、饮食指导及治疗,但仍有部分患者,尤其是老年人、低文化水平及低收入者因不能顺利使用手机等通讯工具,只能通过面对面的交流如义诊等获得帮助。另外慢性病健康管理的持续性应引起重视。结论微信群-医院微信公众号-当地生活服务相关APP的互联网平台是提高高尿酸血症/痛风患者认知和进行健康管理的有效方式,但传统的面对面交流如义诊等仍不可或缺,三级预防的健康管理模式可以参考。 展开更多
关键词 基层医疗 慢性病管理 问题 对策 痛风/高尿酸血症
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Effect of TongFengNing Decoction on Uric Acid Levels and Xanthine Oxidase Activity in Hyperuricemia Rats
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作者 Jian-hui Wang Jie-mei Guo +7 位作者 Bao-lin Li Fang-zhou Teng Ya-ju Zhu Jian-ping Lin Yan Xiao Xiao Mao Lu-lu Huang You-xin Su 《TMR Modern Herbal Medicine》 2018年第4期189-197,共9页
Objective To observe the effect of TongFengNing Decoction (TD) on uric acid levels, xanthine oxidase (XOD) activity, and XOD mRNA expression of hyperuricemia (HUA) model rats. Methods: 90 rats were randomly ... Objective To observe the effect of TongFengNing Decoction (TD) on uric acid levels, xanthine oxidase (XOD) activity, and XOD mRNA expression of hyperuricemia (HUA) model rats. Methods: 90 rats were randomly divided into 6 groups (n=15), and the HUA model in all groups except the blank group was established by administering hypoxanthine (HX) by gavage and injecting potassium oxonate (OAPS) intraperitoneally. Rats in all TD groups and allopurinol group were administered multiple doses of TD and a single dose of allopurinol by gavage twice daily for 21 days, while the blank group and the model group were administered normal saline. On the 7th, 14th, and 21st days of drug intervention, serum uric acid (SUA), urine uric acid (UUA), intestinal uric acid (IUA), as well as XOD activity and mRNA expression in the liver and small intestine were measured in randomly selected 5 rats of each group. Results: On the 14th and 21st days of intervention, all TD dose groups and the allopurinol group showed decreased SUA and IUA levels, increased UUA levels, as well as decreased XOD activity and mRNA expression in the liver and small intestine, compared with the model group (P 〈 0.05). The low- and high-dose TD group and the allopurinol group showed increased SUA and IUA levels, as well as XOD activity and mRNA expression in the liver and small intestine, and decreased UUA levels, compared with the moderate-dose TD group (P〈0.05). Upon extending the drug intervention time of each TD dose group, SUA and IUA levels, XOD activity, and XOD mRNA expression in the liver and small intestine decreased and UUA levels increased (P 〈 0.05). Conclusion: TD reduces SUA levels in HUA model rats, which promotes uric acid excretion and inhibits XOD activity and XOD mRNA expression to reduce uric acid production. The reduction in uric acid level by the intermediate dose of TD was better than that by allopurinol and the low and high doses of TD. 展开更多
关键词 TongFengNing HYPERURICEMIA Xanthine oxidase Uric acid Traditional Chinese medicine
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Clinical observation on electroacupuncture plus Jiawei Jinhuanggao(Supplemented Golden Yellow Paste) for gouty arthritis 被引量:8
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作者 程建明 韩丑萍(译) 《Journal of Acupuncture and Tuina Science》 CSCD 2016年第1期50-54,共5页
Objective: To observe the clinical effect of electroacupuncture(EA) plus self-made Jiawei Jinhuanggao(Supplemented Golden Yellow Paste) for gouty arthritis. Methods: A total of 80 cases with gouty arthritis were... Objective: To observe the clinical effect of electroacupuncture(EA) plus self-made Jiawei Jinhuanggao(Supplemented Golden Yellow Paste) for gouty arthritis. Methods: A total of 80 cases with gouty arthritis were randomly allocated into an observation group(n=40) and a Western medication group(n=40). Cases in the observation group received EA and external application of self-made Jiawei Jinhuanggao(Supplemented Golden Yellow Paste), whereas cases in the Western medication group took Colchicine and Allopurinol tablets orally. After 10 d of treatment, the pain, joint swelling and uric acid in blood were observed. In addition, the follow-up was conducted 6 months after end of the treatment to evaluate the long-term effect. Results: After treatment, there were no between-group statistical differences in pain and uric acid in blood(P〈0.05); and there were between-group statistical differences in joint swelling and relapse rate(P〈0.05). The total effective rate was 97.5% in the observation group, versus 95.0% in the Western medication group, showing no statistical difference(P〈0.05). Conclusion: EA plus Jiawei Jinhuanggao(Supplemented Golden Yellow Paste) has safe and long-term efficacy for gouty arthritis efficacy. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE Acupuncture Medication Combined Application Therapy ARTHRITIS GOUTY HYPERURICEMIA
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