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ApoE基因多态性与冠状动脉粥样硬化性心脏病中医证型的相关性研究 被引量:15
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作者 韩旭 李七一 +3 位作者 赖仁胜 陈小虎 郭宏敏 赵惠 《中华中医药学刊》 CAS 2009年第11期2323-2330,共8页
目的:首次应用国内最先进的基因测序技术为基础,研究冠心病(CHD)的载脂蛋白E(ApoE)基因多态性分布,探究ApoE基因多态性与CHD中医证型的相关性,为CHD中医辨证施治理论提供分子生物学依据。方法:将118例CHD患者设立为试验组,另设立123例... 目的:首次应用国内最先进的基因测序技术为基础,研究冠心病(CHD)的载脂蛋白E(ApoE)基因多态性分布,探究ApoE基因多态性与CHD中医证型的相关性,为CHD中医辨证施治理论提供分子生物学依据。方法:将118例CHD患者设立为试验组,另设立123例正常人群为对照组,通过基因测序法得出:CHD组和对照组ApoE基因表型分布和等位基因频率,并进行统计学分析。结果:118例CHD患者,根据辨证分型标准,共分为以下6型:阴寒凝滞证13例(占总例数的11.02%,以下同),痰浊壅塞证29例(24.58%),心血瘀阻证33例(27.96%),心肾阴虚证11例(9.32%),气阴两虚证27例(22.88%),阳气虚衰证5例(4.24%)。CHD组E2/4、E3/4、E4/43种基因型频率较对照组有增加的趋势,差异有统计学意义﹙χ2=5.004,P<0.05);而E3/3基因型其频率较对照组则有减少的趋势,差异有高度统计学意义﹙χ2=6.8743,P<0.01)。CHD组ε3等位基因分布频率明显低于对照组(χ2=9.2898,P<0.05),而ε4等位基因分布频率则明显高于对照组(χ2=13.927,P<0.01),差异有高度统计学意义。CHD组不同中医证型ApoE等位基因频率比较,则发现:心血瘀阻证、气阴两虚证二种证型ε4等位基因频率明显高于阴寒凝滞证、痰浊壅塞证、心肾阴虚证、阳气虚衰证四种证型(P<0.05);ε3等位基因频率不同中医证型间则大致相等;ε2等位基因频率不同中医证型间心血瘀阻证较低,而阴寒凝滞证、心肾阴虚证、阳气虚衰证较高。ApoE基因E4/2+E3/4+E4/4型中:痰浊壅塞证、心血瘀阻证、气阴两虚证相互比较P>0.05,痰浊壅塞证、心血瘀阻证、气阴两虚证3种证型与阴寒凝滞证、心肾阴虚组证、阳气虚衰证3种证型比较P<0.05。结论:CHD的主要基本证型为心血瘀阻证、痰浊壅塞证、气阴两虚证,并与ApoEE3/4、E4/4基因表型及ε4等位基因密切相关;ε4基因是CHD的易感等位基因,是CHD发生的重要遗传易患因素,ε3等位基因可视为CHD发生的保护因素;ApoE基因多态性、血脂水平与CHD不同中医证型之间存在因果关系,ApoE基因可通过血脂代谢作用而影响CHD的发病。 展开更多
关键词 APOE基因多态性 冠心病 中医证型 辨证施治
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不同治疗阶段美沙酮维持治疗者剂量模式比较分析 被引量:1
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作者 黄鹏 邹霞 《临床医学工程》 2016年第6期826-828,共3页
目的探索不同治疗阶段的社区美沙酮维持治疗受治者服药剂量模式,以提高受治者的治疗依从性和治疗效果。方法选择广州市荔湾区药物维持治疗门诊自2006年9月30日至2015年6月1日所有的受治者。根据入组时间将受治者分为新入组(入组小于1年... 目的探索不同治疗阶段的社区美沙酮维持治疗受治者服药剂量模式,以提高受治者的治疗依从性和治疗效果。方法选择广州市荔湾区药物维持治疗门诊自2006年9月30日至2015年6月1日所有的受治者。根据入组时间将受治者分为新入组(入组小于1年)、稳定治疗组(入组1年至5年)和长期维持组(入组5年以上)。对所有受治者于入组时进行问卷调查,记录其人口学资料、过去药物滥用情况、HIV和HCV感染情况、入组后服药日期及每天服药剂量。结果本研究纳入855名受治者。三组受治者的剂量在1个月内迅速上升达到稳定剂量后,新入组和稳定治疗组的受治者治疗剂量均呈现下降趋势。三组受治者在各个测量的时间点,剂量差异均具有统计学意义(P<0.001)。新入组治疗者在一个月内每周平均剂量上升3.39 m L(P=0.004),剂量达(46.62±21.27)m L,一个月后约每月下降0.09 m L(P=0.003);稳定治疗组受治者在一个月内平均每周上升4.46 m L(P<0.001),至一个月时达(50.39±19.07)m L,之后平均每月下降0.03 m L(P<0.001);长期维持治疗组的受治者在1个月内以每周4.73 m L速度迅速上升(P<0.001),达到(46.57±18.12)m L,一个月后每月继续上升0.07 m L(P<0.001),于1年后剂量达到(49.77±19.05)m L后每年下降0.007 m L(P=0.008)。结论不同治疗阶段的社区美沙酮维持治疗受治者呈现不同的服药模式。本研究中不同治疗阶段受治者的治疗模式,可为指导门诊医生制定合理的服药计划提供参考。 展开更多
关键词 美沙酮维持治疗 不同治疗阶段 服药模式
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含反药配伍的海藻玉壶汤临床应用分析 被引量:11
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作者 李怡文 钟赣生 +1 位作者 王茜 柳海艳 《南京中医药大学学报》 CAS CSCD 北大核心 2011年第4期317-321,共5页
目的分析临床研究报道的海藻玉壶汤中海藻与甘草的配伍规律与特点,以便为反药配伍的深入研究提供参考依据。方法以"海藻玉壶汤"为关键词,在中国期刊全文数据库(1979-2010年)、中文科技期刊数据库中(1989-2010年),对文献全文进行检... 目的分析临床研究报道的海藻玉壶汤中海藻与甘草的配伍规律与特点,以便为反药配伍的深入研究提供参考依据。方法以"海藻玉壶汤"为关键词,在中国期刊全文数据库(1979-2010年)、中文科技期刊数据库中(1989-2010年),对文献全文进行检索,选择应用海藻玉壶汤的各种临床研究报道,且处方中含有"海藻-甘草"反药药对的文献,针对其主治病证、证候类型、随证配伍使用的中药及成方、海藻与甘草用法用量等进行数据分析。结果检索得到海藻玉壶汤文献共计1 137篇,其中含有"海藻-甘草"反药配伍的文献共计60篇,占总数的5.28%;以海藻玉壶汤为主方,随症加减用于妇科、男科、皮肤科等多种疾病,而并非单纯局限于对瘿病的治疗;其主治病证中证候类型以气滞痰凝型为主;海藻玉壶汤应用于临床,多与化痰药、活血化瘀药、理气药、清热药、补益药等配伍使用;海藻与甘草比例以2∶1~5∶1之间的较为常见,占文献总数的74.60%,均未见不良反应报道。结论含有反药配伍的海藻玉壶汤在临床应用中范围较广;其主治病证中证候类型仍以气滞痰凝型为主,与原方应用相吻合;海藻与甘草配伍比例与原方有明显差异。 展开更多
关键词 海藻玉壶汤 海藻-甘草 十八反 临床应用
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麻黄连翘赤小豆汤证病机及临床应用研究进展 被引量:8
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作者 刘伊莎 李耀辉 李哲 《西部中医药》 2022年第9期146-150,共5页
梳理历代医家对麻黄连翘赤小豆汤证的认识和现代临床应用规律,指出麻黄连翘赤小豆汤原本用于表证兼湿热内蕴的黄疸病,随着历代医家不断精研病因病机和临床实践,其治疗范围不断扩大,广泛应用于呼吸、皮肤、肾脏、风湿免疫系统等无论表证... 梳理历代医家对麻黄连翘赤小豆汤证的认识和现代临床应用规律,指出麻黄连翘赤小豆汤原本用于表证兼湿热内蕴的黄疸病,随着历代医家不断精研病因病机和临床实践,其治疗范围不断扩大,广泛应用于呼吸、皮肤、肾脏、风湿免疫系统等无论表证有否,只要符合湿热内蕴证均可选用本方随证配伍。 展开更多
关键词 湿热证 异病同治 病机 麻黄连翘赤小豆汤
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Regional Differences and Characteristics of Soil Organic Carbon Density Between Dry Land and Paddy Field in China 被引量:5
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作者 XU Quan RUI Wen-yi BIAN Xin-min ZHANG Wei-jian 《Agricultural Sciences in China》 CAS CSCD 2007年第8期981-987,共7页
Study on the regional characteristics of soil organic carbon (SOC) density in farmland will not only contribute greatly to the technique of soil productivity enhancement, but also give evidences of technique selecti... Study on the regional characteristics of soil organic carbon (SOC) density in farmland will not only contribute greatly to the technique of soil productivity enhancement, but also give evidences of technique selection and policy making for carbon sequestration in soils. Based on the second national soil survey of China, the situation of SOC density in the plow layer of farmland was analyzed under different land use patterns. Results showed that SOC density in the plow layer was about 3.15 kg m^-2 in average ranging from 0.81 to 12.68 kg m^-2. The highest density was found in the southeastern region with an average of 3.63 kg ma, while the lowest occurring in the northwestern region with an average of 3.00 kg m^-2. The variation coefficient of SOC density in the plow layer of farmland was 57%, which was 35% lower than that of non-farmland soils. Compared to SOC density in the dry land, SOC density in paddy soils was 13% higher with a lower variation coefficient between different regions. In addition, the relationships between the climatic factors (annual average temperature and precipitation) and SOC density were lower in farmland than those in non-farmland soils, as well as lower in paddy soils than those in dry land of farmland. These results suggest that anthropogenic disturbances have great impacts on SOC density in farmland soils, especially in paddy soils, indicating that Chinese rice cropping may contribute greatly to the SOC stability and sequestration in paddy field. 展开更多
关键词 land use pattern organic carbon density carbon sequestration regional difference global change
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Mechanisms of Dihuang(Rehmanniae Radix)in treating diabetic nephropathy complicated with depression based on network pharmacology 被引量:2
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作者 LEI Xing CHEN Qingyao +7 位作者 WANG Xiaoping XU Jie GAO Yazhen LIN Qiaohong YE Zuwen ZHANG Jieyan SI Qin WANG Fang 《Digital Chinese Medicine》 2022年第2期178-188,共11页
Objective To predict the molecular mechanism of Dihuang(Rehmanniae Radix)in the treatment of diabetic nephropathy(DN)complicated with depression based on network pharmacology.Methods The components of Dihuang(Rehmanni... Objective To predict the molecular mechanism of Dihuang(Rehmanniae Radix)in the treatment of diabetic nephropathy(DN)complicated with depression based on network pharmacology.Methods The components of Dihuang(Rehmanniae Radix)were identified from the Integrated Pharmacology-based Research Platform of Traditional Chinese Medicine(TCMIP),Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCMSP),and relevant literature.The component targets were detected by combining the SwissTargetPrediction and Pub Chem databases.Disease targets were collected from the Therapeutic Target Database(TTD),Dis Ge NET,and Ensembl databases with“diabetic nephropathy”and“depression”as keywords.The disease-component targets were mapped using Venny 2.1.0 to obtain potential targets.A protein-protein interaction(PPI)network was constructed using the Search Tool for the Retrieval of Interacting Genes/Proteins(STRING)database and Cytoscape 3.7.2.The co-expression genes of the key targets were collected based on the COXPRESdb 7.3.Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analysis were performed for potential targets using R language.Target-component docking was verified and evaluated using Discovery Studio 4.5.Results According to the databases and literature reports,Dihuang(Rehmanniae Radix)contained 65 active components,and had 155 related targets for the treatment of DN complicated with depression.PPI screening showed that the key targets included serine/threonine protein kinase 1(AKT1),signal transducer and activator transcription 3(STAT3),interleukin 6(IL-6),mitogen-activated protein kinase 1(MAPK1),and vascular endothelial growth factor A(VEGFA),etc.GO enrichment analysis mainly involved biological processes,such as lipid metabolism,protein secretion regulation,cell homeostasis,and phosphatidylinositol 3 kinase activity.KEGG pathway enrichment analysis included the role of the AGE-RAGE signaling pathway in diabetic complements,insulin resistance(IR),neurotrophin signal path,Toll-like receptor signaling pathway,relaxin signaling pathway,epidermal growth factor receptor tyrosine kinase inhibitors(EGFR-TKIs),etc.Molecular docking showed that the target had high affinity for stachyose,manninotriose,verbascose,nigerose,etc.Conclusion Based on network parmacology,this study preliminarily predict the effects of Dihuang(Rehmanniae Radix)in treating DN complicated with depression by regulating inflammation,glucose metabolism,nution nerve,etc. 展开更多
关键词 Dihuang(Rehmanniae Radix) Diabetic nephropathy DEPRESSION Network pharmacology Molecular docking Simultaneous treatment of different diseases True deficiency with false excess patterns Inflammation
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刘以敏主任过敏性紫癜论治经验 被引量:2
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作者 杨旭东 何萍 《实用中医内科杂志》 2012年第8S期13-14,共2页
过敏性紫癜是一种以小血管炎为主要病变的系统性血管炎,临床可有多脏器受累,西医疗效并不满意,国家级名中医刘以敏主任以热毒、瘀血为论,分型论治,取得满意效果。
关键词 过敏性紫癜 热毒 瘀血 分型论治
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Cropping pattern optimization considering uncertainty of water availability and water saving potential 被引量:2
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作者 Lina Hao Xiaoling Su Vijay P.Singh 《International Journal of Agricultural and Biological Engineering》 SCIE EI CAS 2018年第1期178-186,共9页
In arid and semi-arid areas,the profitability of irrigated agriculture mainly depends on the availability of water resources and optimal cropping patterns of irrigation districts.In this study,an integrated agricultur... In arid and semi-arid areas,the profitability of irrigated agriculture mainly depends on the availability of water resources and optimal cropping patterns of irrigation districts.In this study,an integrated agricultural cropping pattern optimization model was developed with considering the uncertainty of water availability and water saving potential in the future,aiming to maximize agricultural net benefit per unit of irrigation water.The available water which was based on the uncertainty of runoff was divided into five scenarios.The irrigation water-saving potential in the future was quantified by assuming an increase in the rate irrigation water-saving of 10% and 20%.The model was applied to the middle reaches of Heihe River basin,in Gansu Province,China.Results showed that if the irrigation water-saving rate was assumed to increase by 10%,then the net water-saving quantity would increase by 21.5-22.5 million m3 and the gross water-saving quantity would increase by 275.7-303.0 million m3.Similarly,if the irrigation water-saving rate increased by 20%,then the net water-saving quantity would increase by 43.0-45.1 million m3 and the gross water-saving quantity would increase by 331.7-383.2 million m3.If the agricultural cropping pattern was optimized,the optimal water and cultivated area allocation for maize would be greater than those for other crops.Under the premise that similar volume of irrigation water quantity was available in different scenarios,results showed differences in system benefit and net benefit per unit of irrigation water,for the distribution of available irrigation water was diverse in different irrigation districts. 展开更多
关键词 cropping pattern optimization irrigation water-saving potential different scenarios water availability water use efficiency particle swarm optimization(PSO)
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Energy consumption simulations of rural residential buildings considering differences in energy use behavior among family members
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作者 Xi Luo Lina Du 《Building Simulation》 SCIE EI CSCD 2024年第8期1335-1358,共24页
The“average occupant”methodology is widely used in energy consumption simulations of residential buildings;however,it fails to consider the differences in energy use behavior among family members.Based on a field su... The“average occupant”methodology is widely used in energy consumption simulations of residential buildings;however,it fails to consider the differences in energy use behavior among family members.Based on a field survey on the Central Shaanxi Plain,to identify the energy use behavior patterns of typical families,a stochastic energy use behavior model considering differences in energy use behavior among family members was proposed,to improve the accuracy of energy consumption simulations of residential buildings.The results indicated that the surveyed rural families could be classified into the following four types depending on specific energy use behavior patterns:families of one elderly couple,families of one middle-aged couple,families of one elderly couple and one child,and families of one couple and one child.Moreover,on typical summer days,the results of daily building energy consumption simulation obtained by the“average occupant”methodology were 25.39%and 28%lower than the simulation results obtained by the model proposed in this study for families of one elderly couple and families of one middle-aged couple,and 13.05%and 23.05%higher for families of one elderly couple and one child,and families of one couple and one child.On typical winter days,for the four types of families,the results of daily building energy consumption simulation obtained by the“average occupant”methodology were 21.69%,10.84%,1.21%,and 8.39%lower than the simulation results obtained by the model proposed in this study,respectively. 展开更多
关键词 typical energy use behavior pattern differences in occupant behavior building energy consumption simulation stochastic energy use behavior simulation
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大量环已亚硝脲与自身骨髓移植治疗小儿脑部恶性肿瘤 被引量:1
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作者 沈玉成 吴秀玲 +6 位作者 朱杰民 段子光 应大明 王耀平 叶裕春 林梓 赵惠君 《中华小儿外科杂志》 1987年第1期25-26,共2页
本文报道应用大剂量环已亚硝脲(CCNU)辅以自身骨髓移植治疗小儿脑肿瘤22例.分三组采用不同方案治疗,均能渡过药物所致骨髓抑制期,可以延长小儿脑部恶性肿瘤手术后的生存期,并有可能获得痊愈.
关键词 亚硝脲 骨髓抑制期 移植治疗 小儿 脑部恶性肿瘤 Brain Tumour treatment survival time treatment stage bone MARROW different 药物所致 不同方案 plus children addition used in 手术后 生存期
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