Despite the availability of a variety of insulins,rates of insulinisation and the acceptance of insulin therapy is suboptimal in real-world clinical settings.Patient and physician concerns with hypoglycaemia and weigh...Despite the availability of a variety of insulins,rates of insulinisation and the acceptance of insulin therapy is suboptimal in real-world clinical settings.Patient and physician concerns with hypoglycaemia and weight gain are the two key issues that serve to impede appropriate insulinisation in patients with diabetes.Recently introduced second-generation basal insulin analogues [for e.g.,insulin glargine 300 U/m L(Gla-300) and insulin degludec] are designed to have improved pharmacokinetic profiles with an intention to deliver steady insulin levels over a longer period.Several randomised controlled and real-world studies have proven the resultant advantages of second-generations insulin analogues in lowering intra-individual variability in plasma insulin levels,flexibility in dosing,a sustained glucose-lowering effect,and decreasing the risk of hypoglycaemia.Gla-300 is one of the newer second-generation basal insulin analogues to have been approved for both type 1 and 2 diabetes.In this article,we review the currently available clinical and real-world data of Gla-300.展开更多
目的探讨甘精胰岛素U300联合口服降糖药治疗2型糖尿病的临床效果。方法选择2021年10月—2023年1月广东省吴川市人民医院收治的79例2型糖尿病患者,随机分为非甘精组(39例)和U300组(40例)。非甘精组口服降糖药物治疗,在此之上,U300组增加...目的探讨甘精胰岛素U300联合口服降糖药治疗2型糖尿病的临床效果。方法选择2021年10月—2023年1月广东省吴川市人民医院收治的79例2型糖尿病患者,随机分为非甘精组(39例)和U300组(40例)。非甘精组口服降糖药物治疗,在此之上,U300组增加甘精胰岛素U300治疗,持续治疗3个月,对比2组血糖及相关指标变化,并监测患者胰岛素功能相关指标改善情况,评估低血糖反应等不良反应情况。结果治疗后,U300组血糖指标、血糖波动指标均显著低于非甘精组,差异有统计学意义(P<0.05)。U300组治疗后胰岛素功能指标均显著优于非甘精组,空腹及餐后2 h C肽均显著高于非甘精组,差异有统计学意义(P<0.05)。U300组低血糖反应发生率(2.50%,1/40)和不良反应总发生率(20.00%,8/40)与非甘精组(2.56,1/39;17.95%,7/39)比较,差异无统计学意义(P>0.05)。结论增加甘精胰岛素U300治疗,可更好地提升患者血糖管理效果,并可改善胰岛功能,有利于稳定控制血糖,有助于提高患者病情控制效果,应用效果安全可靠。展开更多
目的:利用事件相关电位(event-related potential,ERP)P300探讨为期12周太极拳联合经颅直流电刺激(transcranial direct current stimulation,tDCS)对轻度认知障碍(mild cognitive impairment,MCI)患者认知功能的影响。方法:将79例MCI...目的:利用事件相关电位(event-related potential,ERP)P300探讨为期12周太极拳联合经颅直流电刺激(transcranial direct current stimulation,tDCS)对轻度认知障碍(mild cognitive impairment,MCI)患者认知功能的影响。方法:将79例MCI患者随机分为4组:太极拳+tDCS组20例,接受太极拳训练联合阳极tDCS刺激;太极拳+伪tDCS组20例,接受太极拳训练联合伪tDCS刺激;健步走+tDCS组19例,接受健步走训练联合tDCS刺激;健步走+伪tDCS组20例,接受健步走训练联合伪tDCS刺激。干预周期为每周3次,每次1h,持续12周。干预前后采用蒙特利尔认知功能评估量表(Montreal cognitive assessment,Mo CA)评估整体认知功能,中文版韦氏成人记忆量表评估记忆功能,同时记录ERP-P300波幅和潜伏期的变化。结果:(1)12周干预后太极拳+tDCS组Mo CA评分显著高于健步走+伪tDCS组(P=0.009);太极拳+tDCS组记忆商评分显著高于太极拳+伪tDCS组(P=0.010)、健步走+tDCS组(P=0.004)及健步走+伪tDCS组(P=0.008)。(2)12周干预后太极拳+tDCS组Pz、Cz电极处波幅显著高于健步走+伪tDCS组(P分别为<0.001、0.001),太极拳+tDCS组Fz波幅显著高于健步走+tDCS组(P=0.011)及健步走+伪tDCS组(P=0.002)。(3)偏相关分析结果显示,Mo CA总分变化与Fz电极处波幅变化存在相关性(r=0.261,P=0.034)。结论:为期12周太极拳联合tDCS的干预可以改善MCI患者认知功能,增加ERP-P300在Pz波幅、Fz波幅、Cz电极处波幅,且整体认知功能的改变可能与Fz电极处波幅的变化有关。展开更多
攻击行为正逐渐上升为一个突出的公共卫生问题,是否能够寻找到攻击性行为的神经标志物,成为了心理学家和神经科学家的共同关注目标。P300被认为可作为独立指标有效预测攻击性行为。本文分别介绍了P300在临床群体、犯罪群体和非临床暴力...攻击行为正逐渐上升为一个突出的公共卫生问题,是否能够寻找到攻击性行为的神经标志物,成为了心理学家和神经科学家的共同关注目标。P300被认为可作为独立指标有效预测攻击性行为。本文分别介绍了P300在临床群体、犯罪群体和非临床暴力风险群体的攻击性行为测量中的应用,评估了研究结果的一致性,并从P300指标的多角度分析及与其他ERP成分的结合、对犯罪群体进行进一步的类型细分、P300的应用场景拓展(如监内暴力预测、暴力行为干预效果评估和正常人攻击风险测量)等三个方面对未来的研究方向进行了展望。Aggressive behavior is gradually emerging as a prominent public health problem. Finding neural markers for aggressive behavior has become a common focus for psychologists and neuroscientists. The P300 is considered to be an independent indicator that can effectively predict aggressive behavior. This article introduces the application of P300 in the measurement of aggressive behavior in clinical, criminal and non-clinical violence risk groups, evaluates the consistency of research results, and looks forward to future research directions from three perspectives: multi-dimensional analysis of P300 predictors and combination with other ERP components, further subdivision of criminal groups, and expansion of the application scenarios of P300 (such as the prediction of violence in prison, the evaluation of the effectiveness of violence intervention and the measurement of the risk of aggression in normal people).展开更多
文摘Despite the availability of a variety of insulins,rates of insulinisation and the acceptance of insulin therapy is suboptimal in real-world clinical settings.Patient and physician concerns with hypoglycaemia and weight gain are the two key issues that serve to impede appropriate insulinisation in patients with diabetes.Recently introduced second-generation basal insulin analogues [for e.g.,insulin glargine 300 U/m L(Gla-300) and insulin degludec] are designed to have improved pharmacokinetic profiles with an intention to deliver steady insulin levels over a longer period.Several randomised controlled and real-world studies have proven the resultant advantages of second-generations insulin analogues in lowering intra-individual variability in plasma insulin levels,flexibility in dosing,a sustained glucose-lowering effect,and decreasing the risk of hypoglycaemia.Gla-300 is one of the newer second-generation basal insulin analogues to have been approved for both type 1 and 2 diabetes.In this article,we review the currently available clinical and real-world data of Gla-300.
文摘目的探讨甘精胰岛素U300联合口服降糖药治疗2型糖尿病的临床效果。方法选择2021年10月—2023年1月广东省吴川市人民医院收治的79例2型糖尿病患者,随机分为非甘精组(39例)和U300组(40例)。非甘精组口服降糖药物治疗,在此之上,U300组增加甘精胰岛素U300治疗,持续治疗3个月,对比2组血糖及相关指标变化,并监测患者胰岛素功能相关指标改善情况,评估低血糖反应等不良反应情况。结果治疗后,U300组血糖指标、血糖波动指标均显著低于非甘精组,差异有统计学意义(P<0.05)。U300组治疗后胰岛素功能指标均显著优于非甘精组,空腹及餐后2 h C肽均显著高于非甘精组,差异有统计学意义(P<0.05)。U300组低血糖反应发生率(2.50%,1/40)和不良反应总发生率(20.00%,8/40)与非甘精组(2.56,1/39;17.95%,7/39)比较,差异无统计学意义(P>0.05)。结论增加甘精胰岛素U300治疗,可更好地提升患者血糖管理效果,并可改善胰岛功能,有利于稳定控制血糖,有助于提高患者病情控制效果,应用效果安全可靠。
文摘攻击行为正逐渐上升为一个突出的公共卫生问题,是否能够寻找到攻击性行为的神经标志物,成为了心理学家和神经科学家的共同关注目标。P300被认为可作为独立指标有效预测攻击性行为。本文分别介绍了P300在临床群体、犯罪群体和非临床暴力风险群体的攻击性行为测量中的应用,评估了研究结果的一致性,并从P300指标的多角度分析及与其他ERP成分的结合、对犯罪群体进行进一步的类型细分、P300的应用场景拓展(如监内暴力预测、暴力行为干预效果评估和正常人攻击风险测量)等三个方面对未来的研究方向进行了展望。Aggressive behavior is gradually emerging as a prominent public health problem. Finding neural markers for aggressive behavior has become a common focus for psychologists and neuroscientists. The P300 is considered to be an independent indicator that can effectively predict aggressive behavior. This article introduces the application of P300 in the measurement of aggressive behavior in clinical, criminal and non-clinical violence risk groups, evaluates the consistency of research results, and looks forward to future research directions from three perspectives: multi-dimensional analysis of P300 predictors and combination with other ERP components, further subdivision of criminal groups, and expansion of the application scenarios of P300 (such as the prediction of violence in prison, the evaluation of the effectiveness of violence intervention and the measurement of the risk of aggression in normal people).
