[Objectives]To observe the clinical efficacy of Shenling Baizhu Powder in the treatment of primary nephrotic syndrome(PNS)featuring damp abundance due to splenic asthenia.[Methods]40 patients with PNS were randomly di...[Objectives]To observe the clinical efficacy of Shenling Baizhu Powder in the treatment of primary nephrotic syndrome(PNS)featuring damp abundance due to splenic asthenia.[Methods]40 patients with PNS were randomly divided into treatment group(n=19)and control group(n=21).In the treatment group and the control group,methylprednisolone tablets were taken orally and cytoxan(CTX)was given intravenously for treatment;in the treatment group,based on oral administration of methylprednisolone tablets and intravenous drip of cytoxan(CTX),oral administration of traditional Chinese medicine(addition and subtraction of Shenling Baizhu Powder)was added.Urine routine,24-hour urinary protein,renal function and serum albumin were re-examined after 4 weeks of treatment.[Results]The total effective rate of the treatment group was significantly higher than that of the control group(89.47%vs 61.90%,P<0.05).After treatment,both groups could effectively reduce the levels of 24-hour urinary protein(P<0.05),serum creatinine(P<0.05)and urea nitrogen(P<0.05),and increase the level of serum albumin(P<0.05),but the degree of improvement in the treatment group was significantly higher than that in the control group(P<0.05),and the difference was statistically significant(P<0.05).[Conclusions]Methylprednisolone combined with addition and subtraction of Shenling Baizhu Powder could effectively reduce urinary protein,improve edema symptoms,shorten the course of hormone use and reduce adverse reactions in the treatment of PNS featuring damp abundance due to splenic asthenia.展开更多
目的:比较非小细胞肺癌脾虚痰湿证和其他证型血清蛋白质组学的差异,筛选能用于非小细胞肺癌脾虚痰湿证客观化辨证的血清生物学标志物。方法:利用双向荧光差异凝胶电泳技术(two-dimensional fluorescence difference gel electrophoresis...目的:比较非小细胞肺癌脾虚痰湿证和其他证型血清蛋白质组学的差异,筛选能用于非小细胞肺癌脾虚痰湿证客观化辨证的血清生物学标志物。方法:利用双向荧光差异凝胶电泳技术(two-dimensional fluorescence difference gel electrophoresis,2D-DIGE)比较非小细胞肺癌脾虚痰湿证血清(3例)和其他证型血清(3例)蛋白图谱的差异,使用基质辅助激光解吸电离—飞行时间质谱(matrix-assisted laser desorptionionization time-of-flight mass spectrometry,MALDI-TOF-MS)及生物信息学相关技术对获得的差异蛋白进行鉴定和初步分析。结果:成功建立了非小细胞肺癌脾虚痰湿证血清差异蛋白质组学的研究方法;通过质谱分析初步鉴定出6个差异蛋白。结论:非小细胞肺癌脾虚痰湿证血清和其他证型血清蛋白表达存在明显差异,可能为非小细胞肺癌脾虚痰湿证辨证客观化提供新的线索和实验基础。展开更多
基金Natural Science Research Project of Guangxi University of Chinese Medicine(2015LX037).
文摘[Objectives]To observe the clinical efficacy of Shenling Baizhu Powder in the treatment of primary nephrotic syndrome(PNS)featuring damp abundance due to splenic asthenia.[Methods]40 patients with PNS were randomly divided into treatment group(n=19)and control group(n=21).In the treatment group and the control group,methylprednisolone tablets were taken orally and cytoxan(CTX)was given intravenously for treatment;in the treatment group,based on oral administration of methylprednisolone tablets and intravenous drip of cytoxan(CTX),oral administration of traditional Chinese medicine(addition and subtraction of Shenling Baizhu Powder)was added.Urine routine,24-hour urinary protein,renal function and serum albumin were re-examined after 4 weeks of treatment.[Results]The total effective rate of the treatment group was significantly higher than that of the control group(89.47%vs 61.90%,P<0.05).After treatment,both groups could effectively reduce the levels of 24-hour urinary protein(P<0.05),serum creatinine(P<0.05)and urea nitrogen(P<0.05),and increase the level of serum albumin(P<0.05),but the degree of improvement in the treatment group was significantly higher than that in the control group(P<0.05),and the difference was statistically significant(P<0.05).[Conclusions]Methylprednisolone combined with addition and subtraction of Shenling Baizhu Powder could effectively reduce urinary protein,improve edema symptoms,shorten the course of hormone use and reduce adverse reactions in the treatment of PNS featuring damp abundance due to splenic asthenia.
文摘目的:比较非小细胞肺癌脾虚痰湿证和其他证型血清蛋白质组学的差异,筛选能用于非小细胞肺癌脾虚痰湿证客观化辨证的血清生物学标志物。方法:利用双向荧光差异凝胶电泳技术(two-dimensional fluorescence difference gel electrophoresis,2D-DIGE)比较非小细胞肺癌脾虚痰湿证血清(3例)和其他证型血清(3例)蛋白图谱的差异,使用基质辅助激光解吸电离—飞行时间质谱(matrix-assisted laser desorptionionization time-of-flight mass spectrometry,MALDI-TOF-MS)及生物信息学相关技术对获得的差异蛋白进行鉴定和初步分析。结果:成功建立了非小细胞肺癌脾虚痰湿证血清差异蛋白质组学的研究方法;通过质谱分析初步鉴定出6个差异蛋白。结论:非小细胞肺癌脾虚痰湿证血清和其他证型血清蛋白表达存在明显差异,可能为非小细胞肺癌脾虚痰湿证辨证客观化提供新的线索和实验基础。