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Chiral metabolism of propafenone in rat hepatic microsomes treated with two inducers 被引量:3
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作者 Quan Zhou~(1,2) Tong-Wei Yao~1 Su Zeng~1 1 College of Pharmaceutical Sciences2 Second Hospital of Medical School,Zhejiang University,Hangzhou 310031,Zhejiang Province,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2001年第6期830-835,共6页
AIM: To study the influence of inducers of drug metabolism enzyme, beta-naphthoflavone (BNF) and dexamethasone (DEX), on the stereoselective metabolism of propafenone in the rat hepatic microsomes. METHODS: Phase I me... AIM: To study the influence of inducers of drug metabolism enzyme, beta-naphthoflavone (BNF) and dexamethasone (DEX), on the stereoselective metabolism of propafenone in the rat hepatic microsomes. METHODS: Phase I metabolism of propafenone was studied using the microsomes induced by BNF and DEX and the non-induced microsome was used as the control. The enzymatic kinetics parameters of propafenone enantiomers were calculated by regress analysis of Eadie-Hofstee Plots. Propafenone enantiomer concentrations were assayed by a chiral HPLC. RESULTS: The metabolite of propafenone, N-desalkylpropafenone, was found after incubation of propafenone with the rat hepatic microsomes induced by BNF and DEX. In these two groups, the stereoselectivity favoring R(-) isomer was observed in metabolism at low substrate concentrations of racemic propafenone, but lost the stereoselectivity at high substrate concentrations. However, in control group, no stereoselectivity was observed. The enzyme kinetic parameters were: (1) K(m). Control group: R(-) 83+/-6, S(+) 94+/-7; BNF group: R(-) 105+/-6, S(+)128+/-14; DEX group: R(-) 86+/-11, S(+) 118+/-16; (2)V(max). Control group: R(-) 0.75+/-0.16, S(+) 0.72+/-0.07; BNF group: R(-) 1.04+/-0.15, S(+)1.07+/-14; DEX group: R(-) 0.93+/-0.06, S(+) 1.04+/-0.09; (3)Cl(int). Control group: R(-) 8.9+/-1.1, S(+) 7.6+/-0.7; BNF group: R(-) 9.9+/-0.9, S(+)8.3+/-0.7; DEX group: R(-) 10.9+/-0.8, S(+) 8.9+/-0.9. The enantiomeric differences in K(m) and Cl(int) were both significant, but not in V(max), in BNF and DEX group. Whereas enantiomeric differences in three parameters were all insignificant in control group. Furthermore, K(m) and V(max) were both significantly less than those in BNF or DEX group. In the rat liver microsome induced by DEX, nimodipine (NDP) decreased the stereoselectivity in propafenone metabolism at low substrate concentration. The inhibition of NDP on the metabolism of propafenone was stereoselective with R(-)-isomer being impaired more than S(+)-isomer. The inhibition constant (Ki) of S(+)- and R(-)-propafenone, calculated from Dixon plots, was 15.4 and 8.6 mg x L(-1), respectively. CONCLUSION: CYP1A subfamily(induced by BNF) and CYP3A4 (induced by DEX) have pronounced contribution to propafenone N-desalkylation which exhibited stereoselectivity depending on substrate concentration. The molecular base for this phenomenon is the stereoselectivity in affinity of substrate to the enzyme activity centers instead of at the catalyzing sites. 展开更多
关键词 Animals Anti-Arrhythmia Agents Dexamethasone Male Microsomes Liver propafenone RATS Rats Sprague-Dawley Research Support Non-U.S. Gov't STEREOISOMERISM beta-Naphthoflavone
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Enantioselective assay of S(+)- and R(-)-propafenone in human urine by using RP-HPLC with pre-column chiral derivatization 被引量:3
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作者 吴永江 马明铭 曾苏 《Journal of Zhejiang University Science》 CSCD 2004年第2期226-229,共4页
The enantioselective assay for S(+)- and R(-)-propafenone (PPF) in human urine that developed in this work involves extraction of propafenone from human urine and using S(+)-propafenone as internal standard, chiral de... The enantioselective assay for S(+)- and R(-)-propafenone (PPF) in human urine that developed in this work involves extraction of propafenone from human urine and using S(+)-propafenone as internal standard, chiral derivatization with 2,3,4,6-tetra-O-b-D-glucopranosyl isothiocyanate, and quantitation by an RP-HPLC system with UV detection (l=220 nm). A baseline separation of propafenone enantiomers was achieved on a 5-mm reverse phase ODS column, with a mixture of methanol:water:glacial acetic acid (25:12:0.02,v/v) as mobile phase. There was good linear relationship from 24.9 ng/ml to 1875.0 ng/ml for both of enantiomers. The regression equations of the standard curves based on CS-PPF (or CR-PPF ) versus ratio of AS-PPF/AS (or AR-PPF/AS ) were y=0.0032x-0.081, (r=0.999) for S-PPF and y=0.0033x+0.0039, (r=0.998) for R-PPF, respectively. The method抯 limit of detection was 12.5 ng/ml for both enantiomers, and the method抯 limit of quantitation was 28.20.52 ng/ml for S-PPF, 30.40.53 ng/ml for R-PPF (RSD<8%, n=5). The analytical method yielded average recovery of 98.9% and 100.4% for S-PPF and R-PPF, respectively. The relative standard deviation was no more than 6.11% and 6.22% for S-PPF and R-PPF, respectively. The method enabled study of metabolism of S(+)- and R(-)-propafenone in human urine. The results from 7 volunteers administered 150 mg racemic propafenone indicated that propafenone enantiomers undergo stereoselective metabolism and that in the human body, S(+)-propafenone is metabolized more extensively than R(-)- propafenone. 展开更多
关键词 Enantioselective assay propafenone Human urine Chiral derivatization High-performance liquid chroma-tography
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Selective killing effect of oxytetracycline,propafenone and metamizole on A549 or Hela cells
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作者 Jinhui Shao Guihua Feng 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2013年第6期662-670,共9页
Objective: To determine the selective killing effect of oxytetracycline, propafenone and metamizole on A549 or Hela cells. Methods: Proliferation assay, lactate dehydrogenase (LDH) assay, apoptosis detecting, flow... Objective: To determine the selective killing effect of oxytetracycline, propafenone and metamizole on A549 or Hela cells. Methods: Proliferation assay, lactate dehydrogenase (LDH) assay, apoptosis detecting, flow cytometry and western blot were performed. Results: It was found that treatment with propafenone at the concentration of 0.014 g/L or higher for 48 h could induce apoptosis in Hela cells greatly, while it was not observed in oxytetracycline and metamizole at the concentration of 0.20 g/L for 48 h. Oxytetracycline, propafenone and metamizole all displayed evident inhibitory effects on the proliferation of A549 cells. The results of LDH assay demonstrated that the drugs at the test range of concentration did not cause necrosis in the cells. Propafenone could elevate the protein level of P53 effectively (P〈0.01). Conclusions: Oxytetracycline, propafenone and metamizol (dipyrone) all displayed evident inhibitory effects on the proliferation of A549 cells. Propafenone also displayed evident inhibitory effects on the proliferation of Hela cells. 展开更多
关键词 CANCER DRUG OXYTETRACYCLINE propafenone metamizol
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Electrophysiologic Effects of Propafenone on Action Potential of Neonatal and Adult Purkinje Fibers
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作者 徐惠 郝丽英 +2 位作者 张克仪 Arthur S.Pickoff Adrienne Stolfi 《中国医科大学学报》 CAS CSCD 1991年第S2期37-42,共6页
The electrophysiological effects of 5.8×10<sup>-6</sup> mol/L propafenonewere studied in neonatal canine Purkinje fiber compared with changes in theadult canine. The method used was microelectrode tec... The electrophysiological effects of 5.8×10<sup>-6</sup> mol/L propafenonewere studied in neonatal canine Purkinje fiber compared with changes in theadult canine. The method used was microelectrode technique. This study sug-gests that Purkinje fibers are less sensitive to propafenone in the neonate than inthe adult, but at shorter ample lengths, the difference between them is not sig-nificant. 展开更多
关键词 propafenone action POTENTIAL PURKINJE fibers
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Effects of Isoproterenol and Metoprolol on the Suppression of Propafenone on with Supraventricular Tachycardia
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作者 He Guoping,et al.ACTA ACADEMIAE MEDICINAE NANJING, 1994, 14(1):58-61 《The Journal of Biomedical Research》 CAS 1994年第1期37-37,共1页
This study was to determine whether isoproterenol (Iso) reverses the effects of propafenone(Pro) on the induction of supraventricular tarhycardia and whether the revergal during electrophysiologicstudy (EPS) is predic... This study was to determine whether isoproterenol (Iso) reverses the effects of propafenone(Pro) on the induction of supraventricular tarhycardia and whether the revergal during electrophysiologicstudy (EPS) is predictive of clinical recurrences of SVT during long-term treatment with Pro.Thirtypatients with inducible sustained SVT at baseline state were studied. Iso infusion at a rate necessary toachieve a 20%-40% increase in heart rate completely (16/28 cases,57%) or partially (5/28 case, 18%)revereed Pro's suppressant effects on the induction of SVT.There were clinical recurrcnces of SVT in fiveof 16 patients (31%) treated on a long-term basis (mean 4.5±3.6 months) with Pro,Iso completelyreveroed Pro's supprosant effect on the induction of SVT in four of these five patients (80%).These fivepatients then were treated with Pro and metoprolol and no further clincal recnrrences of SVT.These resultssuggested that reveroal by Iso ofpro's suppresaant effects on the induction of SVT may identify patients whoare likely to experience clinical recurrence of SVT and these patients may benefit from treatment with aB-blocker during longterm therapy with Pro. 展开更多
关键词 propafenone supraventricular tachycardia ISOPROTERENOL METOPROLOL
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Electrophysiologic Effects of Propafenone on Ischemic Ventricular Tachyarrhythmias
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作者 Liu Musheng Ma Yanfeng Guo Zhibin 《South China Journal of Cardiology》 CAS 2006年第2期93-96,共4页
Objectives To observe the electrophysiologic effects of propafenone (Prop) on ischemic ventricular tachyarrhythmias. Methods A canine ischemic ventricular tachyarrhythmia model was established in open-chest dogs sub... Objectives To observe the electrophysiologic effects of propafenone (Prop) on ischemic ventricular tachyarrhythmias. Methods A canine ischemic ventricular tachyarrhythmia model was established in open-chest dogs subjected to programmed electrical stimulation (PES) on 5-8 days after acute myocardial infarction. The electrophysiologic effects of propafenone were observed in the model. Results Propafenone distinctly lengthened the QTc interval (P 〉 0.01) and effective refractory period (ERP) of normal and ischemic ventricular myocardium (NERP and IERP) respectively (P 〉 0.01), decreased the dispersion of ERP in ischemic myocardium and in left ventricle (P 〉 0.01), and increased the diastolic excitability threshold of normal and ischemic ventricular myoeardium remarkably (P 〉 0.01). Propafenone effectively prevented PES-induced ventricular tachycardia (VT) or ventricular fibrillation (VF) (P 〉 0.01) and ischemia-induced VT/VF (P 〉 0.05). Conclusions The results indicated that the canine model produced by our methods is a worthy and reliable one, propafenone may be effective in preventing the onset of VT / VF after myocardial ischemic damage in dogs, and deserve further attention as an antifibrillatory agent. 展开更多
关键词 Arrhythmia Ischemic propafenone Electrophysiology
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普罗帕酮诱发Brugada样心电图改变一例
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作者 张羽 辛宪奕 周岩 《中国循环杂志》 CSCD 北大核心 2024年第2期194-198,共5页
Brugada综合征主要在成年时期出现症状,且主要在休息或睡眠中发生猝死,儿童时期并不常见,尤其以心房扑动为首发表现的相关报道鲜见。本文报道一例以心房扑动为首发表现的13岁患儿,无基础心脏疾病,在接受普罗帕酮治疗的过程中诱发出Brug... Brugada综合征主要在成年时期出现症状,且主要在休息或睡眠中发生猝死,儿童时期并不常见,尤其以心房扑动为首发表现的相关报道鲜见。本文报道一例以心房扑动为首发表现的13岁患儿,无基础心脏疾病,在接受普罗帕酮治疗的过程中诱发出Brugada样心电图改变,基因检测发现可疑变异基因SCN5A,变异位点为c.2834A>G(p.D945G)。希望通过本病例的诊断、治疗及相关文献回顾,提高临床医师对Brugada综合征的诱发因素以及其可合并多种心律失常的认识,加强在应用抗心律失常药物时的心电监测,并对此类高危人群进行指导和密切随访,从而避免不良事件的发生。 展开更多
关键词 BRUGADA综合征 普罗帕酮 心房扑动
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普罗帕酮致严重便秘1例报道
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作者 高宁 王琳 +1 位作者 曹雅雯 毛静远 《中国当代医药》 CAS 2024年第18期147-150,共4页
普罗帕酮的不良反应临床研究多忽视胃肠道反应,未见致严重便秘或混合痔嵌顿不良事件的报道。现报道1例心律失常病例,患者3次应用盐酸普罗帕酮片,反复出现便秘症状,降低用量后无效,停药后未再发生。根据患者的临床表现及用药时间的关联性... 普罗帕酮的不良反应临床研究多忽视胃肠道反应,未见致严重便秘或混合痔嵌顿不良事件的报道。现报道1例心律失常病例,患者3次应用盐酸普罗帕酮片,反复出现便秘症状,降低用量后无效,停药后未再发生。根据患者的临床表现及用药时间的关联性,考虑是盐酸普罗帕酮片导致的严重便秘、混合痔嵌顿。提示临床应用盐酸普罗帕酮片应当按照说明书要求从小剂量开始治疗,并告知患者可能存在的不良反应,如仍出现不良反应并无法耐受,及时停药或加用中医药治疗,以此提出该药的用药警戒。 展开更多
关键词 普罗帕酮 心律失常 便秘 药物不良反应
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胺碘酮与普罗帕酮对快速心律失常患者治疗效果比较
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作者 武玉景 《中国伤残医学》 2024年第14期34-36,41,共4页
目的:对比胺碘酮与普罗帕酮对快速心律失常患者的治疗效果。方法:选取2021年12月—2023年12月临沂市中心医院急诊科收治的102例快速心律失常患者为研究对象,按随机数字表法将其分为试验组和对照组,各51例。对照组采用普罗帕酮治疗,试验... 目的:对比胺碘酮与普罗帕酮对快速心律失常患者的治疗效果。方法:选取2021年12月—2023年12月临沂市中心医院急诊科收治的102例快速心律失常患者为研究对象,按随机数字表法将其分为试验组和对照组,各51例。对照组采用普罗帕酮治疗,试验组采用胺碘酮治疗。比较两组患者的治疗效果、心功能指标及不良反应发生情况。结果:试验组治疗总有效率为92.16%,高于对照组的76.47%,差异有统计学意义(P<0.05)。治疗后,试验组左心室射血分数高于对照组,心排血量、舒张晚期峰值(A峰)流速均快于对照组、舒张晚期峰值(E峰)流速慢于对照组,E/A水平低于对照组,差异均有统计学意义(P<0.05)。试验组不良反应发生率为3.92%,低于对照组的15.69%,差异有统计学意义(P<0.05)。结论:相比于普罗帕酮,胺碘酮对快速心律失常患者的治疗效果更显著,能够有效改善患者心功能指标,控制患者病情,且临床不良反应较少。 展开更多
关键词 快速心律失常 胺碘酮 普罗帕酮 心功能
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普罗帕酮联合前列地尔治疗心衰合并快速心律失常的效果
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作者 刘银梅 程保玲 张淑利 《临床医学工程》 2024年第7期803-804,共2页
目的探讨普罗帕酮联合前列地尔治疗心衰合并快速心律失常的疗效。方法选取2021年9月至2023年8月我院收治的100例心衰合并快速心律失常患者,按照抽签法分为两组。对照组采用前列地尔治疗,观察组采用普罗帕酮联合前列地尔治疗。比较两组... 目的探讨普罗帕酮联合前列地尔治疗心衰合并快速心律失常的疗效。方法选取2021年9月至2023年8月我院收治的100例心衰合并快速心律失常患者,按照抽签法分为两组。对照组采用前列地尔治疗,观察组采用普罗帕酮联合前列地尔治疗。比较两组的心律失常事件、血清指标、心功能指标。结果治疗后,观察组房性早搏、室性早搏、短阵室速数量及BNP、CRP水平均低于对照组,CI、LVEF高于对照组(P<0.05)。结论普罗帕酮联合前列地尔可控制心衰合并快速心律失常患者的症状,调节BNP及CRP水平,改善患者心功能。 展开更多
关键词 普罗帕酮 前列地尔 心衰 快速心律失常
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痰热清注射液治疗慢性阻塞性肺病急性加重期作用机制探讨
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作者 谭标标 任薇 《中医药临床杂志》 2024年第6期1081-1087,共7页
目的:研究痰热清注射液治疗慢性阻塞性肺病急性加重期作用机制。方法:在线查询TCMSP数据库、既往文献获取黄芩、熊胆粉、山羊角、金银花、连翘等中药的主要活性成分,利用swisstargetprediction数据库获取其活性成分对应靶点;利用GeneCa... 目的:研究痰热清注射液治疗慢性阻塞性肺病急性加重期作用机制。方法:在线查询TCMSP数据库、既往文献获取黄芩、熊胆粉、山羊角、金银花、连翘等中药的主要活性成分,利用swisstargetprediction数据库获取其活性成分对应靶点;利用GeneCards、OMMI、Drug Bank等数据库获取慢性阻塞性肺病急性加重期靶点。利用Venny平台在线获取药物与疾病靶点交集,通过DAVID数据库对相交靶点进行基因本体分析和通路富集分析,使用STRING数据库构建蛋白相互作用网络,借助Cytoscapr软件行可视化处理并筛选主要活性成分、关键靶点。最后通过AutoDock vina软件将核心靶点与核心成分进行分子对接验证,并利用pymol可视化处理。结果:痰热清注射液中含主要活性成分90个,对应靶点557个;连翘、黄芩、金银花为痰热清注射液的关键作用药物;baicalein、Norwogonin、5,7,4’-Trihydroxy-8-methoxyflavone、5,2’,6’-Trihydroxy-7,8-dimethoxyflavone、(2R)-7-hydroxy-5-methoxy-2-phenylchroman-4-one、Panicolin、Skullcapflavone II、Moslosooflavone、5,7,2,5-tetrahydroxy-8,6-dimethoxyflavone、quercetin等为核心活性成分;STAT3、HSP90AA1、ESR1、SRC、EP300、AKT1、JUN、PIK3R1、RELA等靶点为蛋白互作网络中的核心靶点。结论:痰热清注射液治疗主要通过黄酮类物质调节细胞炎症反应、细胞增殖、凋亡等对慢性阻塞性肺病急性加重期发挥潜在作用。 展开更多
关键词 痰热清注射液 慢性阻塞性肺病急性加重期 网络药理学 分子对接技术 作用机制
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盐酸胺碘酮注射液结合盐酸普罗帕酮注射液对急诊阵发性室上性心动过速患者血压、心功能指标的影响
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作者 张宇明 《系统医学》 2024年第18期47-50,共4页
目的探讨在急诊阵发性室上性心动过速(paroxysmal supraventricular tachycardia,PSVT)患者中应用盐酸胺碘酮注射液结合盐酸普罗帕酮注射液治疗的具体影响。方法回顾性选取淄博昌国医院于2020年4月—2023年8月收治的80例急诊PSVT患者的... 目的探讨在急诊阵发性室上性心动过速(paroxysmal supraventricular tachycardia,PSVT)患者中应用盐酸胺碘酮注射液结合盐酸普罗帕酮注射液治疗的具体影响。方法回顾性选取淄博昌国医院于2020年4月—2023年8月收治的80例急诊PSVT患者的临床资料,按照治疗方法将患者分为观察组、对照组。对照组(40例)皮下注射盐酸普罗帕酮注射液,观察组(40例)在对照组基础上皮下注射盐酸胺碘酮注射液。比较两组的临床疗效、血压水平、心功能指标、不良反应发生情况。结果观察组治疗总有效率为92.50%(37/40),高于对照组的75.00%(30/40),差异有统计学意义(χ^(2)=4.501,P<0.05);治疗后观察组收缩压、左室收缩末期容积、舒张压、左室舒张末期内径、左室舒张末期容积均较对照组低,左心室射血分数较对照组高,差异有统计学意义(P均<0.05);两组的不良反应发生情况比较,差异无统计学意义(P>0.05)。结论盐酸胺碘酮注射液结合盐酸普罗帕酮注射液用于PSVT患者,具有明显治疗效果,可对患者血压进行有效调节,改善心功能水平,且用药安全性高。 展开更多
关键词 阵发性室上性心动过速 胺碘酮 普罗帕酮 血压 心功能指标
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尼非卡兰联合普罗帕酮对老年心律失常患者心率变异性及炎症反应的影响
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作者 屠静静 刘统 +1 位作者 路营辉 刘蓓 《实用心电学杂志》 2024年第4期374-378,共5页
目的 研究尼非卡兰联合普罗帕酮对老年心律失常患者心率变异性(heart rate variability,HRV)及炎症反应的影响。方法 选取80例老年心律失常患者为研究对象,根据治疗方案将其分为对照组和联合组,各40例。对照组采用普罗帕酮治疗,联合组... 目的 研究尼非卡兰联合普罗帕酮对老年心律失常患者心率变异性(heart rate variability,HRV)及炎症反应的影响。方法 选取80例老年心律失常患者为研究对象,根据治疗方案将其分为对照组和联合组,各40例。对照组采用普罗帕酮治疗,联合组采用尼非卡兰注射液联合普罗帕酮治疗。比较两组的临床疗效,以及治疗前后HRV指标(SDNN、SDANN、rMSSD、PNN50),血液流变学指标[纤维蛋白原(fibrinogen,Fib)、全血低切黏度(low shear rate blood viscosity,LBV)、血浆黏度(plasma viscosity,PV)、全血高切黏度(high shear rate blood viscosity,HBV)]、血清炎症相关因子[超敏C反应蛋白(hypersensitive C-reactive protein,hs-CRP)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、核因子κB(nuclear factorκB,NF-κB)、聚腺苷酸二磷酸核糖聚合酶1(polyadenylate diphosphoribose polymerase 1,PARP1)]水平和不良反应发生率。结果 联合组的临床总有效率高于对照组(95.00%vs.77.50%,P<0.05)。联合组治疗14 d后SDNN、SDANN、rMSSD、PNN50显著高于对照组(P<0.05),而Fib、LBV、PV、HBV水平显著低于对照组(P<0.05)。相较于对照组,联合组治疗14 d后血清PARP1、TNF-α、hs-CRP、NF-κB水平更低(P<0.05);两组间不良反应总发生率差异无统计学意义(P>0.05)。结论 采用尼非卡兰与普罗帕酮联合治疗可改善老年心律失常患者HRV及血液流变学,缓解炎症状态,改善疗效,且安全性良好。 展开更多
关键词 心律失常 尼非卡兰 普罗帕酮 疗效 心率变异性 炎症反应
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基于网络药理学及分子对接探讨二至丸治疗早发性卵巢功能不全的作用机制
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作者 简万妍 王艳群 +1 位作者 陈美玲 曾莉 《中国医药科学》 2024年第7期77-81,共5页
目的基于网络药理学方法探讨二至丸治疗早发性卵巢功能不全(POI)的可能分子作用机制。方法使用网络药理学平台(TCMSP)采集二至丸的有效成分和相关的基因;通过基因组注释数据平台(GeneCards)、人类孟德尔遗传数据库(OMIM)数据库获取POI... 目的基于网络药理学方法探讨二至丸治疗早发性卵巢功能不全(POI)的可能分子作用机制。方法使用网络药理学平台(TCMSP)采集二至丸的有效成分和相关的基因;通过基因组注释数据平台(GeneCards)、人类孟德尔遗传数据库(OMIM)数据库获取POI疾病靶点;用蛋白互作网络数据库(STRING)构建蛋白质相互作用网络(PPI),通过CytoHubba筛选核心靶点。使用生物学信息注释数据库(DAVID)平台进行富集分析,采用Cytoscape 3.10.0软件进行拓扑学分析,利用AutoDockTools进行分子对接。结果二至丸内最主要的有效成分为槲皮素、木犀草素、山柰酚、刺槐素等,其中的AKT1、TP53等是关键靶点,包含的通路主要为PI3K-Akt信号通路、流体剪切应力和动脉粥样硬化信号通路等。分子对接验证大部分靶点与成分能进行有效结合。结论揭示二至丸能够经多种成分、靶点及多条信号通路对POI发挥协同治疗作用。 展开更多
关键词 二至丸 早发性卵巢功能不全 网络药理学 分子对接
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胺碘酮与普罗帕酮治疗心律失常的临床效果及安全性对比分析
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作者 师盼盼 《智慧健康》 2024年第13期89-91,共3页
目的探讨胺碘酮与普罗帕酮治疗心律失常的临床效果及安全性对比分析。方法将2022年1—12月在本院治疗的94例心律失常患者随机分为两组,对照组(47例)使用普罗帕酮治疗,观察组(47例)使用胺碘酮治疗,对比两组的临床疗效、心肌损伤标志物、... 目的探讨胺碘酮与普罗帕酮治疗心律失常的临床效果及安全性对比分析。方法将2022年1—12月在本院治疗的94例心律失常患者随机分为两组,对照组(47例)使用普罗帕酮治疗,观察组(47例)使用胺碘酮治疗,对比两组的临床疗效、心肌损伤标志物、心功能及CRP水平、不良反应。结果治疗有效率组间统计学结果显示,观察组明显更高,组间差异有统计学意义(P<0.05);观察组治疗后CK-MB、cTnI、BNP水平均低于对照组,组间差异有统计学意义(P<0.05);观察组治疗后LVEF明显高于对照组,HR、SBP、CRP均低于对照组,组间差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,组间差异有统计学意义(P<0.05)。结论胺碘酮治疗心律失常的临床效果及安全性更好,能有效改善心功能,减少心肌损伤,降低炎症反应程度,具有积极的临床意义。 展开更多
关键词 心律失常 胺碘酮 普罗帕酮 临床效果 安全性
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Acknowledgments to reviewers of World Journal of Gastrointestinal Pharmacology and Therapeutics
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《World Journal of Gastrointestinal Pharmacology and Therapeutics》 CAS 2010年第5期123-123,共1页
Many reviewers have contributed their expertise and time to the peer review, a critical process to ensure the quality of World Journal of Gastrointestinal
关键词 reviewers EXPERTISE grateful evaluating editing submitted IMMUNOLOGY rejected pharmacol Australia
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Acknowledgments to reviewers of World Journal of Gastrointestinal Pharmacology and Therapeutics
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《World Journal of Gastrointestinal Pharmacology and Therapeutics》 CAS 2012年第3期36-36,共1页
We acknowledge our sincere thanks to our reviewers. Many reviewers have contributed their expertise and time to the peer review, a critical process to ensure the quality of our World Series Journals. Both the editors ... We acknowledge our sincere thanks to our reviewers. Many reviewers have contributed their expertise and time to the peer review, a critical process to ensure the quality of our World Series Journals. Both the editors of the journals and authors of the manuscripts submitted to the journals are grateful to the following reviewers 展开更多
关键词 reviewers EXPERTISE submitted grateful Australia REVIEWING Brazil NEUROSCIENCE Assistant pharmacol
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Acknowledgments to reviewers of World Journal of Gastrointestinal Pharmacology and Therapeutics
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《World Journal of Gastrointestinal Pharmacology and Therapeutics》 CAS 2011年第1期9-9,共1页
Many reviewers have contributed their expertise and time to the peer review,a critical process to ensure the quality of World Journal of Gastrointestinal
关键词 reviewers EXPERTISE grateful evaluating EDITING submitted Surgery rejected pharmacol Australia
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Acknowledgments to reviewers of World Journal of Gastrointestinal Pharmacology and Therapeutics
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《World Journal of Gastrointestinal Pharmacology and Therapeutics》 CAS 2012年第5期83-83,共1页
We acknowledge our sincere thanks to our reviewers.Many reviewers have contributed their expertise and time to the peer review,a critical process to ensure the quality of our World Series Journals.Both the editors of ... We acknowledge our sincere thanks to our reviewers.Many reviewers have contributed their expertise and time to the peer review,a critical process to ensure the quality of our World Series Journals.Both the editors of the journals and authors of the manuscripts submitted to the journals are grateful to the following reviewers for reviewing the articles(either published or rejected) over the past period of time. 展开更多
关键词 reviewers EXPERTISE submitted grateful REVIEWING rejected Australia ASSISTANT pharmacol Surgery
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Acknowledgments to reviewers of World Journal of Gastrointestinal Pharmacology and Therapeutics
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《World Journal of Gastrointestinal Pharmacology and Therapeutics》 CAS 2011年第6期52-52,共1页
Many reviewers have contributed their expertise and time to the peer review, a critical process to ensure the quality of World Journal of Gastrointestinal Pharmacology and Therapeutics. The editors
关键词 reviewers EXPERTISE grateful evaluating editing submitted NEUROSCIENCE VANCOUVER rejected pharmacol
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