Objective: To compare the antihypertensive effects of tuina at Taichong (LR 3), Neiguan (PC 6) and Qiaogong (Extra) to screen the best tuina protocol for primary hypertension due to liver-fire flaming-up. Methods: A t...Objective: To compare the antihypertensive effects of tuina at Taichong (LR 3), Neiguan (PC 6) and Qiaogong (Extra) to screen the best tuina protocol for primary hypertension due to liver-fire flaming-up. Methods: A total of 102 patients with primary hypertension due to liver-fire flaming-up were randomly divided into a Taichong (LR 3) group, a Neiguan (PC 6) group and a Qiaogong (Extra) group according to the random number table, with 34 cases in each group. Patients in the three groups received 4-week tuina treatment with the corresponding acupoint respectively. The blood pressure was recorded by ben chtop mercury sphygmoma no meter before tuina, immediately after tuina treatment, 30 min and 60 min after tuina treatment with the patient in a supine position in a quiet treatment room. The total effective rate was observed. Results: The systolic and diastolic blood pressures of the three groups all decreased after treatment (all P<0.05). The decrease of systolic and diastolic blood pressure at different time points after treatment in the Qiaogong (Extra) group and the Taichong (LR 3) group were better than those in the Neiguan (PC 6) group (all P<0.05). Qiaogong (Extra) group had the highest total effective rate though there was no statistical differenee in the total effective rate among the three groups (P>0.05). Con elusion: Treati ng primary hypertensi on due to liver-fire flami ng-up with tuina at Taich ong (LR 3), Neigua n (PC 6) and Qiaogong (Extra) can reduce systolic and diastolic blood pressure respectively, among which Qiaogong (Extra) has the highest total effective rate.展开更多
目的探讨空腹血糖水平对合并2型糖尿病的中老年高血压患者血压昼夜节律的影响。方法选取2017年1月—2019年10月首都医科大学宣武医院综合科原发性高血压住院患者311例,根据有无2型糖尿病分为对照组(n=151)及观察组(n=160),比较2组血糖...目的探讨空腹血糖水平对合并2型糖尿病的中老年高血压患者血压昼夜节律的影响。方法选取2017年1月—2019年10月首都医科大学宣武医院综合科原发性高血压住院患者311例,根据有无2型糖尿病分为对照组(n=151)及观察组(n=160),比较2组血糖、血脂水平,进行24 h动态血压监测,分析空腹血糖对血压昼夜节律的影响。结果观察组空腹血糖(FPG)、糖化血红蛋白(HbA1c)高于对照组,24小时收缩压(24 h SBP)、日间收缩压(DSBP)、夜间收缩压(NSBP)高于对照组,NSBP下降率低于对照组(t/P=82.908/0.000、4.921/0.027、9.633/0.002、7.392/0.007、12.583/0.000、6.682/0.010),2组的昼夜节律构成比例不同,差异有统计学意义(χ2/P=6.765/0.034)。在杓型组、非杓型组及反杓型组中,空腹血糖水平及糖尿病比例逐渐升高(t/P=6.904/0.001,χ2/P=6.765/0.034)。Logistic回归分析发现,空腹血糖水平升高是昼夜节律异常的危险因素[OR(95%CI)=1.157(1.016~1.318),P=0.028]。结论合并2型糖尿病中老年高血压患者发生血压昼夜节律异常的风险高于未合并2型糖尿病患者,空腹血糖水平升高是其发生血压昼夜节律异常的危险因素。展开更多
AIM: To investigate how the saturated and unsaturated fatty acid composition influences the susceptibility of developing acute pancreatitis. METHODS: Primary pancreatic acinar cells were treated with low and high conc...AIM: To investigate how the saturated and unsaturated fatty acid composition influences the susceptibility of developing acute pancreatitis. METHODS: Primary pancreatic acinar cells were treated with low and high concentrations of different saturated and unsaturated fatty acids, and changes in the cytosolic Ca2+ signal and the expression of protein kinase C(PKC) were measured after treatment. RESULTS: Unsaturated fatty acids at high concentrations, including oleic acid, linoleic acid, palmitoleic acid, docosahexaenoic acid, and arachidonic acid, induced a persistent rise in cytosolic Ca2+ concentrations in acinar cells. Unsaturated fatty acids at low concentrations and saturated fatty acids, including palmitic acid, stearic acid, and triglycerides, at low and high concentrations were unable to induce a rise in Ca2+ concentrations in acinar cells. Unsaturated fatty acids at high concentrations but not saturated fatty acids induced intra-acinar cell trypsin activation and cell damage and increased PKC expression.CONCLUSION: At sufficiently high concentrations, unsaturated fatty acids were able to induce acinar cells injury and promote the development of pancreatitis. Unsaturated fatty acids may play a distinctive role in the pathogenesis of pancreatitis through the activation of PKC family members.展开更多
文摘Objective: To compare the antihypertensive effects of tuina at Taichong (LR 3), Neiguan (PC 6) and Qiaogong (Extra) to screen the best tuina protocol for primary hypertension due to liver-fire flaming-up. Methods: A total of 102 patients with primary hypertension due to liver-fire flaming-up were randomly divided into a Taichong (LR 3) group, a Neiguan (PC 6) group and a Qiaogong (Extra) group according to the random number table, with 34 cases in each group. Patients in the three groups received 4-week tuina treatment with the corresponding acupoint respectively. The blood pressure was recorded by ben chtop mercury sphygmoma no meter before tuina, immediately after tuina treatment, 30 min and 60 min after tuina treatment with the patient in a supine position in a quiet treatment room. The total effective rate was observed. Results: The systolic and diastolic blood pressures of the three groups all decreased after treatment (all P<0.05). The decrease of systolic and diastolic blood pressure at different time points after treatment in the Qiaogong (Extra) group and the Taichong (LR 3) group were better than those in the Neiguan (PC 6) group (all P<0.05). Qiaogong (Extra) group had the highest total effective rate though there was no statistical differenee in the total effective rate among the three groups (P>0.05). Con elusion: Treati ng primary hypertensi on due to liver-fire flami ng-up with tuina at Taich ong (LR 3), Neigua n (PC 6) and Qiaogong (Extra) can reduce systolic and diastolic blood pressure respectively, among which Qiaogong (Extra) has the highest total effective rate.
文摘目的探讨空腹血糖水平对合并2型糖尿病的中老年高血压患者血压昼夜节律的影响。方法选取2017年1月—2019年10月首都医科大学宣武医院综合科原发性高血压住院患者311例,根据有无2型糖尿病分为对照组(n=151)及观察组(n=160),比较2组血糖、血脂水平,进行24 h动态血压监测,分析空腹血糖对血压昼夜节律的影响。结果观察组空腹血糖(FPG)、糖化血红蛋白(HbA1c)高于对照组,24小时收缩压(24 h SBP)、日间收缩压(DSBP)、夜间收缩压(NSBP)高于对照组,NSBP下降率低于对照组(t/P=82.908/0.000、4.921/0.027、9.633/0.002、7.392/0.007、12.583/0.000、6.682/0.010),2组的昼夜节律构成比例不同,差异有统计学意义(χ2/P=6.765/0.034)。在杓型组、非杓型组及反杓型组中,空腹血糖水平及糖尿病比例逐渐升高(t/P=6.904/0.001,χ2/P=6.765/0.034)。Logistic回归分析发现,空腹血糖水平升高是昼夜节律异常的危险因素[OR(95%CI)=1.157(1.016~1.318),P=0.028]。结论合并2型糖尿病中老年高血压患者发生血压昼夜节律异常的风险高于未合并2型糖尿病患者,空腹血糖水平升高是其发生血压昼夜节律异常的危险因素。
文摘AIM: To investigate how the saturated and unsaturated fatty acid composition influences the susceptibility of developing acute pancreatitis. METHODS: Primary pancreatic acinar cells were treated with low and high concentrations of different saturated and unsaturated fatty acids, and changes in the cytosolic Ca2+ signal and the expression of protein kinase C(PKC) were measured after treatment. RESULTS: Unsaturated fatty acids at high concentrations, including oleic acid, linoleic acid, palmitoleic acid, docosahexaenoic acid, and arachidonic acid, induced a persistent rise in cytosolic Ca2+ concentrations in acinar cells. Unsaturated fatty acids at low concentrations and saturated fatty acids, including palmitic acid, stearic acid, and triglycerides, at low and high concentrations were unable to induce a rise in Ca2+ concentrations in acinar cells. Unsaturated fatty acids at high concentrations but not saturated fatty acids induced intra-acinar cell trypsin activation and cell damage and increased PKC expression.CONCLUSION: At sufficiently high concentrations, unsaturated fatty acids were able to induce acinar cells injury and promote the development of pancreatitis. Unsaturated fatty acids may play a distinctive role in the pathogenesis of pancreatitis through the activation of PKC family members.
