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基于态靶辨治理论探讨糖尿病及其并发症的诊疗策略
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作者 谢鹏飞 张莉莉 +3 位作者 赵林华 雷烨 陈锐 仝小林 《吉林中医药》 2025年第9期1021-1025,共5页
态靶辨治是一种将中医学与现代医学相融合的新型诊疗范式。本文以态靶辨治理论为指导,结合糖尿病及其并发症的中医诊治理论与方法,将糖尿病依据患者体质量,分为肥胖型(脾瘅)和消瘦型(消瘅)。糖尿病其自然演变过程可分为郁、热、虚、损四... 态靶辨治是一种将中医学与现代医学相融合的新型诊疗范式。本文以态靶辨治理论为指导,结合糖尿病及其并发症的中医诊治理论与方法,将糖尿病依据患者体质量,分为肥胖型(脾瘅)和消瘦型(消瘅)。糖尿病其自然演变过程可分为郁、热、虚、损四期(态)。治疗上态靶结合,针对不同阶段(态)提取凝练核心方,此阶段的其他证侯、症状根据态下分证加减,临床效果显著。基于态靶辨治理论探讨糖尿病及其并发症的诊疗策略,以期为临床治疗糖尿病及其并发症提供新的诊疗模式和参考。 展开更多
关键词 糖尿病 脾瘅 消瘅 态靶辨治
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益气活血方药对脑缺血后血管稳态的调节作用研究进展
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作者 史婉丽 雷烨 +1 位作者 朱慧渊 张雯雯 《世界中医药》 北大核心 2025年第5期843-847,855,共6页
脑缺血是一类由于脑血流突然中断导致脑细胞死亡和神经功能受损的脑血管疾病,严重威胁患者的生命健康和安全。研究发现,血管稳态调节在防治脑缺血损伤的过程中发挥重要作用,通过调节血管内皮细胞与平滑肌细胞、细胞外基质成分与神经元... 脑缺血是一类由于脑血流突然中断导致脑细胞死亡和神经功能受损的脑血管疾病,严重威胁患者的生命健康和安全。研究发现,血管稳态调节在防治脑缺血损伤的过程中发挥重要作用,通过调节血管内皮细胞与平滑肌细胞、细胞外基质成分与神经元、胶质细胞之间的动态平衡,恢复缺血部位脑组织的功能,减轻脑缺血损伤的程度。因此,维持血管稳态是机体生命活动的重要基础,也是防治脑缺血发生发展的关键。益气活血类方药可以从保护血管内皮,抑制平滑肌细胞增殖、抗炎、抗氧化、促进血管新生,改善脂质代谢等不同途径调节血管稳态,从而发挥抗脑缺血损伤的作用。此外,中药及其复方制剂具有多途径、多组分、多靶点等优势,对脑缺血后血管稳态的调节具有较好的效果。 展开更多
关键词 血管稳态 血管内皮 平滑肌细胞 血管新生 脂质代谢 益气活血 脑缺血 作用机制
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VFA和Hcy水平与桥本甲状腺炎患者合并SCH的关系
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作者 黎贝贝 雷烨 张颖 《国际医药卫生导报》 2025年第12期2022-2027,共6页
目的探究内脏脂肪面积(visceral fat area,VFA)和血清同型半胱氨酸(homocysteine,Hcy)水平与桥本甲状腺炎(Hashimoto’s thyroiditis,HT)患者合并亚临床甲状腺功能减退症(subclinical hypothyroidism,SCH)的相关性。方法选取陕西中医药... 目的探究内脏脂肪面积(visceral fat area,VFA)和血清同型半胱氨酸(homocysteine,Hcy)水平与桥本甲状腺炎(Hashimoto’s thyroiditis,HT)患者合并亚临床甲状腺功能减退症(subclinical hypothyroidism,SCH)的相关性。方法选取陕西中医药大学第二附属医院2023年3月至2024年11月收治的194例HT患者进行病例对照研究。根据患者是否合并SCH将其分为合并组(38例)和未合并组(156例)。检测患者VFA与血清Hcy水平,收集临床相关资料。临床资料比较采用χ^(2)检验和t检验。logistic回归分析独立影响因素,受试者操作特征曲线(receiver operating characteristic,ROC)分析诊断价值,Pearson法分析相关性。结果合并组年龄[(61.31±4.72)岁比(57.36±4.78)岁]、女性占比[92.11%(35/38)比72.44%(113/156)]、甲状腺过氧化物酶抗体(anti-thyroid peroxidase antibody,TPOAb)水平[(55.48±6.16)IU/ml比(52.43±5.83)IU/ml]、促甲状腺激素(thyroid stimulating hormone,TSH)水平[(5.81±1.20)uIU/ml比(3.24±1.05)uIU/ml]、VFA[(87.36±24.96)cm^(2)比(60.44±17.28)cm^(2)]、Hcy水平[(17.21±4.30)mmol/L比(11.54±2.87)mmol/L]、甲状腺球蛋白抗体(thyroglobulin antibodies,TgAb)水平[(46.32±5.15)IU/ml比(43.87±4.87)IU/ml]均高于未合并组(t=4.579,P<0.001;χ^(2)=6.535,P=0.011;t=2.860,P=0.005;t=13.148,P<0.001;t=7.831,P<0.001;t=9.808,P<0.001;t=2.750,P=0.007)。logistic回归分析结果显示,年龄(OR=2.031,95%CI 1.178~3.502)、性别(OR=3.218,95%CI 1.229~8.424)、TSH水平(OR=2.375,95%CI 1.555~3.626)、VFA(OR=6.089,95%CI 2.197~16.872)、Hcy水平(OR=4.642,95%CI 2.296~9.381)是HT患者合并SCH的独立影响因素(均P<0.05)。ROC显示,VFA、Hcy及二者联合诊断HT患者合并SCH的灵敏度分别为71.10%、73.70%、86.80%、,特异度分别为73.10%、75.00%、91.70%,曲线下面积分别为0.781、0.807、0.918(均P<0.001)。HT合并SCH患者VFA、Hcy水平与TSH水平呈正相关(r=0.632、0.577,P=0.001、0.003)。结论VFA、Hcy是HT患者合并SCH的独立危险因素,且其水平与HT合并SCH患者血清TSH水平呈正相关,对HT患者发生SCH有一定的诊断价值。 展开更多
关键词 桥本甲状腺炎 内脏脂肪面积 同型半胱氨酸 亚临床甲状腺功能减退症 影响因素
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Inhibiting SHP2 reduces glycolysis, promotes microglial M1 polarization, and alleviates secondary inflammation following spinal cord injury in a mouse model
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作者 Xintian Ding Chun Chen +6 位作者 Heng Zhao Bin Dai lei ye Tao Song Shuai Huang Jia Wang Tao You 《Neural Regeneration Research》 SCIE CAS 2025年第3期858-872,共15页
Reducing the secondary inflammatory response, which is partly mediated by microglia, is a key focus in the treatment of spinal cord injury. Src homology 2-containing protein tyrosine phosphatase 2(SHP2), encoded by PT... Reducing the secondary inflammatory response, which is partly mediated by microglia, is a key focus in the treatment of spinal cord injury. Src homology 2-containing protein tyrosine phosphatase 2(SHP2), encoded by PTPN11, is widely expressed in the human body and plays a role in inflammation through various mechanisms. Therefore, SHP2 is considered a potential target for the treatment of inflammation-related diseases. However, its role in secondary inflammation after spinal cord injury remains unclear. In this study, SHP2 was found to be abundantly expressed in microglia at the site of spinal cord injury. Inhibition of SHP2 expression using siRNA and SHP2 inhibitors attenuated the microglial inflammatory response in an in vitro lipopolysaccharide-induced model of inflammation. Notably, after treatment with SHP2 inhibitors, mice with spinal cord injury exhibited significantly improved hind limb locomotor function and reduced residual urine volume in the bladder. Subsequent in vitro experiments showed that, in microglia stimulated with lipopolysaccharide, inhibiting SHP2 expression promoted M2 polarization and inhibited M1 polarization. Finally, a co-culture experiment was conducted to assess the effect of microglia treated with SHP2 inhibitors on neuronal cells. The results demonstrated that inflammatory factors produced by microglia promoted neuronal apoptosis, while inhibiting SHP2 expression mitigated these effects. Collectively, our findings suggest that SHP2 enhances secondary inflammation and neuronal damage subsequent to spinal cord injury by modulating microglial phenotype. Therefore, inhibiting SHP2 alleviates the inflammatory response in mice with spinal cord injury and promotes functional recovery postinjury. 展开更多
关键词 apoptosis GLYCOLYSIS inflammatory response MICROGLIA neurons POLARIZATION spinal cord injury Src homology 2-containing protein tyrosine phosphatase 2
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神经酰胺脂质体对光损伤的修护及机械损伤的修复功效研究
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作者 刘敏 叶磊 +1 位作者 蒋玲玲 郑久炎 《日用化学工业(中英文)》 北大核心 2025年第7期902-908,共7页
通过高压均质微射流技术制备了水溶性神经酰胺NP脂质体(CNPL),首先研究了CNPL理化性质和驻留性;再用UVB损伤的3D表皮皮肤模型研究CNPL的修护机理及功效;最后采用斑马鱼胚胎尾鳍切除模型研究了CNPL对机械损伤的修复效果。实验表明:制备... 通过高压均质微射流技术制备了水溶性神经酰胺NP脂质体(CNPL),首先研究了CNPL理化性质和驻留性;再用UVB损伤的3D表皮皮肤模型研究CNPL的修护机理及功效;最后采用斑马鱼胚胎尾鳍切除模型研究了CNPL对机械损伤的修复效果。实验表明:制备得到的CNPL透明度好,10.00%质量分数以内的CNPL水溶液透光率与水接近;平均粒径22.25 nm(PDI=0.241),pH范围6.70~6.90;经皮驻留实验发现,CNPL中的神经酰胺NP的驻留量是未包裹的神经酰胺NP的3.8倍;3.00%体积分数的CNPL对UVB光损伤后的3D表皮皮肤模型中丝聚蛋白(FLG)和紧密连接蛋白1(Claudin-1)的提升率分别为128.21%和73.68%,5.00%体积分数的CNPL对损伤模型中FLG和Claudin-1的提升率分别为194.87%和100.00%;质量浓度0.01和0.03 g/L的CNPL对斑马鱼胚胎尾鳍修复促进率分别为3.05%和8.60%。结果表明:CNPL具有很好的水溶性、稳定性、透光性、更高的透皮驻留性和生物利用度,对3D表皮皮肤模型中的光损伤具有一定的修护效果,也对斑马鱼尾鳍的机械损伤具有一定的修复效果,CNPL在配方应用中更加的便捷,高效,这有助于神经酰胺NP更广泛的应用。 展开更多
关键词 神经酰胺脂质体 修护 光损伤 3D表皮皮肤模型 斑马鱼胚胎尾鳍修复
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DRG-DCC:A Driving Risk Gaming Based Distributed Congestion Control Method for C-V2X Technology
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作者 Lingqiu Zeng Peibing Sa +4 位作者 Qingwen Han lei ye Letian Yang Cheng Zhang Jiqiang Cheng 《Computers, Materials & Continua》 2025年第5期2059-2086,共28页
Congestion control is an inherent challenge of V2X(Vehicle to Everything)technologies.Due to the use of a broadcasting mechanism,channel congestion becomes severe with the increase in vehicle density.The researchers s... Congestion control is an inherent challenge of V2X(Vehicle to Everything)technologies.Due to the use of a broadcasting mechanism,channel congestion becomes severe with the increase in vehicle density.The researchers suggested reducing the frequency of packet dissemination to relieve congestion,which caused a rise in road driving risk.Obviously,high-risk vehicles should be able to send messages timely to alarm surrounding vehicles.Therefore,packet dissemination frequency should be set according to the corresponding vehicle’s risk level,which is hard to evaluate.In this paper,a two-stage fuzzy inference model is constructed to evaluate a vehicle’s risk level,while a congestion control algorithm DRG-DCC(Driving Risk Game-Distributed Congestion Control)is proposed.Moreover,HPSO is employed to find optimal solutions.The simulation results show that the proposed method adjusts the transmission frequency based on driving risk,effectively striking a balance between transmission delay and channel busy rate. 展开更多
关键词 Distributed congestion control fuzzy inference driving risk evaluation game theory Nash equilibrium
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Nonlinear saturation of reversed shear Alfvén eigenmode via high-frequency quasi-mode generation
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作者 Zhiwen CHENG Guangyu WEI +1 位作者 lei ye Zhiyong QIU 《Plasma Science and Technology》 2025年第1期17-22,共6页
A nonlinear saturation mechanism for reversed shear Alfvén eigenmode(RSAE)is proposed and analyzed,and is shown to be of relevance to typical reactor parameter region.The saturation is achieved through the genera... A nonlinear saturation mechanism for reversed shear Alfvén eigenmode(RSAE)is proposed and analyzed,and is shown to be of relevance to typical reactor parameter region.The saturation is achieved through the generation of high-frequency quasi-mode due to nonlinear coupling of two RSAEs,which is then damped due to coupling with the shear Alfvén continuum,and leads to the nonlinear saturation of the primary RSAEs.An estimation of the nonlinear damping rate is also provided. 展开更多
关键词 reversed shear Alfvén eigenmode nonlinear mode coupling continuum damping gyrokinetic theory
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海藻玉壶汤治疗桥本甲状腺炎临床研究 被引量:5
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作者 田林涛 王新梅 +2 位作者 郭笑丹 雷烨 魏文静 《山东中医杂志》 2024年第1期41-46,92,共7页
目的:探讨海藻玉壶汤对桥本甲状腺炎疗效及对甲状腺自身免疫性抗体、Th1/Th2相关细胞因子的影响。方法:将94例桥本甲状腺炎患者按随机数字表法分为观察组和对照组各47例。对照组患者服用硒酵母片和左旋甲状腺素钠片进行治疗,观察组在此... 目的:探讨海藻玉壶汤对桥本甲状腺炎疗效及对甲状腺自身免疫性抗体、Th1/Th2相关细胞因子的影响。方法:将94例桥本甲状腺炎患者按随机数字表法分为观察组和对照组各47例。对照组患者服用硒酵母片和左旋甲状腺素钠片进行治疗,观察组在此基础上服用海藻玉壶汤,两组疗程均为3个月。比较两组中医症状积分、治疗总有效率,以及甲状腺球蛋白抗体(TGAb)、甲状腺过氧化物酶抗体(TPO-Ab)、游离三碘甲状腺原氨酸(FT3)、游离四碘甲状腺原氨酸(FT4)、促甲状腺激素(TSH)、白细胞介素-10(IL-10)、白细胞介素-12(IL-12)、γ干扰素(IFN-γ)水平,并观察不良反应情况。结果:治疗后两组甲状腺肿大、咽部异物感、胸闷胁痛、乏力评分,以及血清TGAb、TPO-Ab、TSH、IL-12、IFN-γ水平均较治疗前降低,且观察组低于对照组(均P<0.05);两组血清FT3、FT4、IL-10水平均较治疗前升高,且观察组高于对照组(均P<0.05);观察组治疗总有效率95.74%,对照组82.98%,观察组疗效优于对照组(P<0.05);两组均未出现不良反应事件。结论:海藻玉壶汤联合常规西药治疗桥本甲状腺炎疗效较好,可降低甲状腺自身抗体水平并恢复甲状腺功能,其机制可能是通过下调Th1型细胞因子、上调Th2型细胞因子以改善甲状腺功能。 展开更多
关键词 桥本甲状腺炎 海藻玉壶汤 甲状腺自身免疫性抗体 甲状腺激素 TH1/TH2细胞因子
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Abnormalities of interhemispheric functional connectivity in individuals with acute eye pain: a resting-state fMRI study 被引量:3
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作者 Zhi-Zhang Dong Fei-Yin Zhu +9 位作者 Wen-Qing Shi Yong-Qiang Shu Lin-Long Chen Qing Yuan Qi Lin Pei-Wen Zhu Kang-Cheng Liu You-Lan Min lei ye Yi Shao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2019年第4期634-639,共6页
AIM: To study the changes of the resting state functional connectivity(rsFC) between acute eye pain(EP) subjects and healthy controls(HCs) in the two hemispheres by using voxel-mirrored homotopic connectivity(VMHC) me... AIM: To study the changes of the resting state functional connectivity(rsFC) between acute eye pain(EP) subjects and healthy controls(HCs) in the two hemispheres by using voxel-mirrored homotopic connectivity(VMHC) method.METHODS: Totally 20 patients with EP and 20 HCs were enrolled, sex, age, and education were matched, and all subjects were examined by functional magnetic resonance imaging(fMRI) scans at resting-state. The changes of rs FC between the hemispheres were evaluated by the VMHC method according to Gaussian random field(GRF) theory. In order to identify the VMHC, as biomarkers for distinguishing EP and from HC, the receiver operating characteristic curves(ROC) had been analyzed. The relationships were evaluated with Pearson correlation analysis between the mean VMHC signal values and clinical features in these patients.RESULTS: By comparing with health subjects, the significant decreased VMHC values was observed in lingual/calcarine(Brodmann area, BA 30), precentral/postcentral gyrus(PreCG/PosCG; BA 4) and medial frontal gyrus(MFG; BA 8)(false discovery rate corrected <0.01) in the acute EP individuals. The accuracy of area under curve was excellent indicated by the ROC curve analysis of each brain regions.CONCLUSION: Our study demonstrates preliminary evidence of disrupted interhemispheric rsFC in acute EP in sensorimotor and limbic system and somatosensory cortex, which might give some useful information for understanding the neurological mechanisms in acute EP individuals. 展开更多
关键词 ACUTE eye PAIN voxel-mirrored homotopic connectivity functional magnetic resonance imaging RESTING state
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陕西省延安市成年人群血清n-HDL-C水平参考区间的建立及影响因素分析
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作者 刘亚东 成欣 +3 位作者 李先先 雷烨 唐姣姣 杨延星 《现代检验医学杂志》 CAS 2024年第4期76-82,共7页
目的建立陕西省延安市成年人血清非高密度脂蛋白-胆固醇(non-high-density lipoprotein cholesterol,n-HDL-C)的参考区间并分析影响因素。方法采用随机整体抽样的方法,抽取2023年1~9月陕西省延安市10个乡镇16921例成人为研究对象。调查... 目的建立陕西省延安市成年人血清非高密度脂蛋白-胆固醇(non-high-density lipoprotein cholesterol,n-HDL-C)的参考区间并分析影响因素。方法采用随机整体抽样的方法,抽取2023年1~9月陕西省延安市10个乡镇16921例成人为研究对象。调查年龄、性别、吸烟、饮酒、锻炼、高血压、糖尿病、血脂异常、慢性病、居住、饮食习惯、婚姻状况、文化程度、月收入等。测量身高、体重、腰围和血压。检测血清三酰甘油(TG)、总胆固醇(TCHO)、高密度脂蛋白-胆固醇(HDL-C)、低密度脂蛋白-胆固醇(LDL-C)、载脂蛋白A1(ApoA1)、载脂蛋白B(ApoB)及脂蛋白a[Lp(a)]水平,计算n-HDL-C水平,n-HDL-C(mmol/L)=TCHO(mmol/L)-HDL-C(mmol/L)。按照WS/T402-2012《中华人民共和国卫生行业标准》建议的百分位数法计算95%参考区间(P_(2.5)~P_(97.5))。采用多因素Logistic回归分析影响血清n-HDL-C水平的影响因素。结果男性和女性血清n-HDL-C水平均呈非正态分布(S=2.119,2.091,均P<0.001)。男性>60岁血清n-HDL-C水平[2.98(2.50,3.37)mmol/L]与18~30岁[2.84(2.49,3.26)mmol/L],31~40岁[2.98(2.62,3.42)mmol/L],41~50岁[3.10(2.62,3.47)mmol/L]和51~60岁[3.05(2.64,3.46)mmol/L]比较,差异具有统计学意义(H=3.618~5.680,均P<0.05);女性51~60岁血清n-HDL-C水平[3.08(2.71,3.44)mmol/L]与18~30岁[2.64(2.29,3.07)mmol/L],31~40岁[2.67(2.31,3.08)mmol/L],41~50岁[2.94(2.58,3.29)mmol/L]比较(H=8.161~13.445,均P<0.001),>60岁血清n-HDL-C水平[2.98(2.57,3.34)mmol/L]与18~30岁、31~40岁、41~50岁比较,差异具有统计学意义(H=7.985~14.018,均P<0.001)。将无统计学意义的年龄组合并,得到成年人群血清n-HDL-C水平参考区间:男性18~60岁(1.97~3.97mmol/L),>60岁(1.86~3.91mmol/L);女性18~50岁(1.82~3.74mmol/L),>50岁(1.94~3.88mmol/L)。将纳入的16921例成人分为n-HDL-C水平正常组和异常组,两组血清TG(1.02±0.31 mmol/L vs 1.24±0.37mmol/L),TCHO(3.97±1.02 mmol/L vs 4.66±1.25 mmol/L),LDL-C(2.37±0.58mmol/L vs 2.59±0.67 mmol/L)水平及年龄(43.55±11.52岁vs 46.27±8.13岁)比较,差异具有统计学意义(t=2.041~3.151,均P<0.05),血清n-HDL-C水平异常率42.50%。经多因素Logistic回归分析,男性、锻炼缺乏、超重和肥胖、血脂异常、城市居民、高中及以上学历是该地区成年人血清n-HDL-C水平的影响因素(均P<0.05)。结论初步建立了该地区成年人血清n-HDL-C水平参考区间,男性、锻炼缺乏、超重和肥胖、血脂异常、城市居民、高中及以上学历是该地区成年人血清n-HDL-C水平异常的影响因素。 展开更多
关键词 非高密度脂蛋白胆固醇 成年人群 参考区间 延安地区
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Spinal canal decompression for hypertrophic neuropathy of the cauda equina with chronic inflammatory demyelinating polyradiculoneuropathy:A case report
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作者 lei ye Wei Yu +2 位作者 Nai-Zheng Liang Ying Sun Li-Fen Duan 《World Journal of Clinical Cases》 SCIE 2022年第13期4294-4300,共7页
BACKGROUND Hypertrophic neuropathy of the cauda equina(HNCE)is a rare disease,especially in children.It can be caused by different etiological agents such as inflammation,tumor or hereditary factors.Currently,there is... BACKGROUND Hypertrophic neuropathy of the cauda equina(HNCE)is a rare disease,especially in children.It can be caused by different etiological agents such as inflammation,tumor or hereditary factors.Currently,there is no uniform standard for clinical treatment of HNCE.Furthermore,it is unclear whether spinal canal decompression is beneficial for patients with HNCE.CASE SUMMARY We report the case of a 13-year-old boy with enlargement of the cauda equina.The onset of the disease began at the age of 6 years and was initially marked by radiating pain in the buttocks and thighs after leaning over and weakness in the lower limbs when climbing a ladder.The child did not receive any medical treatment.As the disease slowly progressed,the child needed the help of others to walk,and he had a trendelenburg gait.He underwent spinal canal decompression and a nerve biopsy during his hospital stay.A diagnosis of chronic inflammatory demyelinating polyradiculoneuropathy was made based on electrophysiological findings and pathological examination results.Immunoglobulin or hormone therapy was recommended during hospitalization,but his mother refused.After discharge,the boy’s mother helped him carry out postoperative rehabilitation training at home.His lower-limb muscle strength gradually increased,and he could stand upright and take steps.Six mo after surgery,the child was readmitted and began immunoglobulin therapy.Long-term oral steroid treatment was initiated after discharge.The movement and sensation of the lower limbs were further improved,and the boy could walk normally 1 year after surgery.CONCLUSION Spinal canal decompression can improve the clinical symptoms of HNCE caused by inflammation,even in children.When combined with specific etiological interventions,spinal cord decompression can lead to optimal outcomes. 展开更多
关键词 CHILD Cauda equina POLYRADICULONEUROPATHY Chronic inflammatory demyelinating polyradiculoneuropathy LAMINECTOMY Case report
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仝小林院士“态靶理论”辨治桥本甲状腺炎思路探析 被引量:4
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作者 张培 于晓彤 +9 位作者 刘珂 雷烨 宋斌 王强 魏燕 李智滨 何莉莎 李青伟 苟筱雯 赵林华 《江苏中医药》 CAS 2024年第6期5-8,共4页
桥本甲状腺炎是常见的自身免疫性甲状腺疾病,患病率居高不下,易导致甲状腺功能减退、妇人流产等不良结局。仝小林院士认为本病重要的病理基础为痰瘀互结,根据“态靶理论”,可将本病不同阶段的临床表现分为郁、热、虚三“态”,宏观“调... 桥本甲状腺炎是常见的自身免疫性甲状腺疾病,患病率居高不下,易导致甲状腺功能减退、妇人流产等不良结局。仝小林院士认为本病重要的病理基础为痰瘀互结,根据“态靶理论”,可将本病不同阶段的临床表现分为郁、热、虚三“态”,宏观“调态”以散结为主,兼顾开郁、清热、补虚,改善症状和体征;结合现代医学免疫失衡的发病机制以及现代本草的药理作用,微观“打靶”以调节免疫为要,降低甲状腺自身抗体水平,改善甲状腺功能指标。态靶辨治模式有助于进一步认识桥本甲状腺炎,以期在现代医学背景下为本病的诊疗提供新思路。附验案1则以佐证。 展开更多
关键词 桥本甲状腺炎 态靶理论 仝小林 名医经验
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以“糖络病”为糖尿病中医病名的合理性与临床意义 被引量:8
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作者 胡诗宛 王思成 +4 位作者 赵林华 宋斌 王强 雷烨 张莉莉 《中医杂志》 CSCD 北大核心 2024年第19期1963-1966,1971,共5页
从传统中医对“消渴病”的认识,以及现代医学对糖尿病的病因病位、疾病演变规律等方面的认识进行分析,论述以“糖络病”作为中医病名的合理性及临床指导意义,为中医病名的现代化发展提供参考。认为传统中医病名“消渴病”所描述的临床... 从传统中医对“消渴病”的认识,以及现代医学对糖尿病的病因病位、疾病演变规律等方面的认识进行分析,论述以“糖络病”作为中医病名的合理性及临床指导意义,为中医病名的现代化发展提供参考。认为传统中医病名“消渴病”所描述的临床表现仅为糖尿病的某一阶段,难以全面涵盖糖尿病的临床特点。提出以“糖络病”作为糖尿病的中医病名,一方面可以反映糖尿病病性本质,另一方面可体现病位、病机及疾病演变规律,突出并发症危害,有助于临床加深对糖尿病病因、病位的认识,也可引起对该病早期诊断和治疗的重视,有助于提升中医药防治糖尿病的诊疗水平。 展开更多
关键词 糖络病 消渴病 糖尿病 中医病名
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Effect of mistletoe combined with carboxymethyl cellulose on dry eye in postmenopausal women
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作者 Nan Jiang Lin-Hong ye +5 位作者 lei ye Jing Yu Qi-Chen Yang Qing Yuan Pei-Wen Zhu Yi Shao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2017年第11期1669-1677,共9页
AIM: To investigate the protective effect of mistletoe combined with carboxymethyl cellulose eye drops on dry eye in postmenopausal women.METHODS: Sixty postmenopause female patients diagnosed of dry eye were assign... AIM: To investigate the protective effect of mistletoe combined with carboxymethyl cellulose eye drops on dry eye in postmenopausal women.METHODS: Sixty postmenopause female patients diagnosed of dry eye were assigned randomly to mistletoe combined with carboxymethyl cellulose eye drops treatment group(n=30) and control group treated with normal saline eye drops(n=30). The subjective symptoms of ocular surface, Ocular Surface Disease Index(OSDI), tear film function tests, tear protein and corneal morphology by confocal scanning microscopy were analyzed before treatment and at 1, 2, 4 and 8 wk after treatment respectively. To ensure the safety of the trial, all patients were examined with systolic pressure, diastolic pressure, glutamic-pyruvic transaminase, glutamic oxaloacetic transaminase, urine creatinine, and blood urea nitrogen at 8 wk after treatment.RESULTS: There were no obvious differences between two groups before the treatment(P〉0.05). In two months after the treatment, the symptoms of ocular surface, OSDI, tear protein, and tear film function were only slightly changed in normal saline eye drops group. However, all indices were improved after the treatment of mistletoe combined with carboxymethyl cellulose eye drops group(P〈0.05). In addition, the average amount of corneal epithelium basal cells and inflammatory cells of mistletoe treated group were 3174±379 and 38±25 cells/mm2, significantly decreased as compared to the control group with 4309±612 and 158± 61 cells/mm2, respectively. In the control group, althoughnerves still maintained straight under corneal epithelium, the number of nerves were significantly decreased, as compared with normal female. In the mistletoe treated group, the number of nerves was only slightly reduced, compared with normal female.CONCLUSION: Mistletoe combined with carboxymethyl cellulose eye drops can alleviate the symptoms and signs of dry eye symptoms. 展开更多
关键词 mistletoe carboxymethyl cellulose eye drops dry eye postmenopausal women treatment
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丹参-红花配伍抗脑缺血再灌注损伤的机制研究进展 被引量:1
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作者 李文武 徐青云 +3 位作者 雷烨 苗琦 张怡敏 朱慧渊 《宁夏医科大学学报》 2024年第3期304-310,315,共8页
脑缺血再灌注损伤(cerebral ischemia reperfusion injury,CIRI)是指当脑缺血一定时间再恢复血液供应后,其功能未恢复,反而导致更加严重的脑功能障碍。CIRI是缺血性脑卒中的共同特征和病理生理机制,其主要通过脑神经元兴奋性氨基酸毒性... 脑缺血再灌注损伤(cerebral ischemia reperfusion injury,CIRI)是指当脑缺血一定时间再恢复血液供应后,其功能未恢复,反而导致更加严重的脑功能障碍。CIRI是缺血性脑卒中的共同特征和病理生理机制,其主要通过脑神经元兴奋性氨基酸毒性增强、氧自由基损伤、钙超载、炎症反应以及细胞凋亡等途径造成神经细胞损伤。当前,现代医学防治CIRI的重要手段是静脉溶栓。然而,CIRI具有发病急、治疗时间窗短、预后差的特点,治疗手段具有局限性。中药丹参-红花配伍具有抗CIRI的作用,临床疗效较好;其作用机制可能是促进血管新生、抗细胞凋亡等效应。本综述以血管稳态为切入点,总结了中药丹参-红花配伍抗CIRI的生物学机制,为后续相关实验及临床研究提供一定的理论依据。 展开更多
关键词 丹参 红花 配伍 脑缺血再灌注损伤 作用机制 血管稳态
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基于“既病防变”脾肾同补法调控缺血性脑卒中PI3K/AKT通路相关蛋白表达的研究进展 被引量:3
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作者 王羽 李文武 +5 位作者 徐青云 朱潇 苗琦 雷烨 张怡敏 朱慧渊 《辽宁中医杂志》 CAS 北大核心 2024年第12期215-220,I0023,共7页
缺血性脑卒中(ischemic stroke,IS)是一种由于脑局部血液供应不足导致的急性脑血管疾病,具有高致残率及致死率的特点。IS的发病机制复杂,涉及细胞凋亡、兴奋性中毒、能量代谢紊乱、氧化应激和炎症反应等方面。在脑缺血半暗带区域,细胞... 缺血性脑卒中(ischemic stroke,IS)是一种由于脑局部血液供应不足导致的急性脑血管疾病,具有高致残率及致死率的特点。IS的发病机制复杂,涉及细胞凋亡、兴奋性中毒、能量代谢紊乱、氧化应激和炎症反应等方面。在脑缺血半暗带区域,细胞死亡的主要形式是凋亡。磷脂酰肌醇3-激酶(phosphoinositide-3 kinase,PI3K)/蛋白激酶B(perine-threonine kinase,Akt)信号通路是调控IS细胞凋亡的关键通路之一。既往研究显示中医理论“既病防变”指导下的脾肾同补法是IS的基本治则,该治法通过激活PI3K/Akt通路调控神经细胞凋亡,既能针对IS基本病机进行治疗,又能防止疾病传变,疗效确切。文章拟以“既病防变”为基础,以脾肾同补法为切入点,针对PI3K/Akt通路调控IS细胞凋亡的研究进行综述,以期为后续相关基础研究及临床选方用药提供一定的思路和方法。 展开更多
关键词 既病防变 脾肾同补 磷脂酰肌醇3-激酶(phosphoinositide-3 kinase PI3K)/蛋白激酶B(perine-threonine kinase Akt)通路 脑卒中 细胞凋亡
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以自我管理为导向的5A护理模式结合体验式饮食教育对老年糖尿病肾病患者自我护理行为及康复情况的影响 被引量:9
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作者 胡姣姣 方媛 +1 位作者 雷烨 卢媛 《临床医学研究与实践》 2024年第15期149-152,共4页
目的 探讨以自我管理为导向的5A护理模式结合体验式饮食教育在老年糖尿病肾病患者中的应用效果。方法 选取2021年4月至2022年4月收治的100例老年糖尿病肾病患者,随机将其分为对照组和观察组,每组50例。对照组实施常规护理,观察组实施以... 目的 探讨以自我管理为导向的5A护理模式结合体验式饮食教育在老年糖尿病肾病患者中的应用效果。方法 选取2021年4月至2022年4月收治的100例老年糖尿病肾病患者,随机将其分为对照组和观察组,每组50例。对照组实施常规护理,观察组实施以自我管理为导向的5A护理模式结合体验式饮食教育。比较两组的干预效果。结果 干预后,观察组的糖尿病自我管理行为量表(SDSCA)各维度评分高于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、糖化血红蛋白(HbA1c)、血尿素氮(BUN)、血尿酸(UA)水平低于对照组(P<0.05)。干预后,观察组的生活质量综合评定问卷(GQOLI-74)各维度评分高于对照组(P<0.05)。结论 以自我管理为导向的5A护理模式结合体验式饮食教育可改善老年糖尿病肾病患者自我护理行为,提高康复效果及生活质量,值得推广。 展开更多
关键词 自我管理 5A护理 体验式饮食教育 糖尿病肾病
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达格列净联合利拉鲁肽治疗2型糖尿病的效果及其作用机制 被引量:5
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作者 魏素滨 倪娜 +1 位作者 雷烨 赵云汉 《临床医学研究与实践》 2024年第10期61-64,共4页
目的探讨达格列净联合利拉鲁肽治疗2型糖尿病的效果及其作用机制。方法选取2019年5月至2022年5月收治的130例2型糖尿病患者为研究对象,以随机数字表法将其分为对照组和观察组,各65例。对照组采用利拉鲁肽治疗,观察组采用达格列净联合利... 目的探讨达格列净联合利拉鲁肽治疗2型糖尿病的效果及其作用机制。方法选取2019年5月至2022年5月收治的130例2型糖尿病患者为研究对象,以随机数字表法将其分为对照组和观察组,各65例。对照组采用利拉鲁肽治疗,观察组采用达格列净联合利拉鲁肽治疗。比较两组的治疗效果。结果治疗后,观察组的平均血糖(MBG)、血糖水平标准差(SDBG)、餐后血糖波动幅度(PPGE)低于对照组(P<0.05)。治疗后,观察组的胰岛素抵抗指数(HOMA-IR)低于对照组,胰岛β细胞功能指数(HOMA-β)高于对照组(P<0.05)。治疗后,观察组的肿瘤坏死因子-α(TNF-α)、纤溶酶原激活剂抑制物-1(PAI-1)、胱抑素C(CysC)水平低于对照组(P<0.05)。治疗后,观察组的Nesfatin-1、热休克蛋白60(HSP60)水平低于对照组(P<0.05)。结论达格列净联合利拉鲁肽有利于降低2型糖尿病患者的血糖波动、胰岛素抵抗,下调TNF-α、PAI-1、CysC、Nesfatin-1、HSP60水平,值得推广。 展开更多
关键词 达格列净 利拉鲁肽 2型糖尿病 动态血糖 胰岛素抵抗
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基于“虚气留滞”益气活血中药有效成分抗缺血性脑病炎性损伤的研究进展 被引量:1
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作者 朱潇 徐青云 +5 位作者 李文武 王羽 雷烨 张怡敏 朱慧渊 苗琦 《中国医药导报》 CAS 2024年第9期36-40,共5页
缺血性脑卒中(IS)是由于大脑血管阻塞,血液循环障碍,导致脑组织缺血性坏死的一种疾病。目前,炎性损伤已被证明是IS的关键病理机制之一。近年来,益气活血中药有效成分广泛运用于IS等疾病,具有抗感染、抗氧化应激等效应。核因子-κB(NF-... 缺血性脑卒中(IS)是由于大脑血管阻塞,血液循环障碍,导致脑组织缺血性坏死的一种疾病。目前,炎性损伤已被证明是IS的关键病理机制之一。近年来,益气活血中药有效成分广泛运用于IS等疾病,具有抗感染、抗氧化应激等效应。核因子-κB(NF-κB)信号通路作为关键的炎症通路之一,广泛参与IS的病理进程。本文拟以NF-κB信号通路为切入点,对益气活血中药有效成分防治IS的研究作一综述,旨在为后续使用中药有效成分干预IS炎症机制研究提供一定参考依据和思路。 展开更多
关键词 虚气留滞 益气活血 中药有效成分 炎性损伤 缺血性脑病
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Gyrokinetic simulations of the kinetic electron effects on the electrostatic instabilities on the ITER baseline scenario
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作者 Debing ZHANG Pengfei ZHAO +2 位作者 Yingfeng XU lei ye Xianmei ZHANG 《Plasma Science and Technology》 SCIE EI CAS CSCD 2024年第9期109-124,共16页
The linear and nonlinear simulations are carried out using the gyrokinetic code NLT for the electrostatic instabilities in the core region of a deuterium plasma based on the International Thermonuclear Experimental Re... The linear and nonlinear simulations are carried out using the gyrokinetic code NLT for the electrostatic instabilities in the core region of a deuterium plasma based on the International Thermonuclear Experimental Reactor(ITER)baseline scenario.The kinetic electron effects on the linear frequency and nonlinear transport are studied by adopting the adiabatic electron model and the fully drift-kinetic electron model in the NLT code,respectively.The linear simulations focus on the dependence of linear frequency on the plasma parameters,such as the ion and electron temperature gradientsκ_(Ti,e)≡R=L_(Ti,e),the density gradientκ_(n)≡R/L_(n)and the ion-electron temperature ratioτ=T_(e)=T_(i).Here,is the major radius,and T_(e)and T_(i)denote the electron and ion temperatures,respectively.L_(A)=-(δ_(r)lnA)^(-1)is the gradient scale length,with denoting the density,the ion and electron temperatures,respectively.In the kinetic electron model,the ion temperature gradient(ITG)instability and the trapped electron mode(TEM)dominate in the small and large k_(θ)region,respectively,wherek_(θ)is the poloidal wavenumber.The TEMdominant region becomes wider by increasing(decreasing)κ_(T_(e))(κ_(T_(i)))or by decreasingκ_(n).For the nominal parameters of the ITER baseline scenario,the maximum growth rate of dominant ITG instability in the kinetic electron model is about three times larger than that in the adiabatic electron model.The normalized linear frequency depends on the value ofτ,rather than the value of T_(e)or T_(i),in both the adiabatic and kinetic electron models.The nonlinear simulation results show that the ion heat diffusivity in the kinetic electron model is quite a lot larger than that in the adiabatic electron model,the radial structure is finer and the time oscillation is more rapid.In addition,the magnitude of the fluctuated potential at the saturated stage peaks in the ITGdominated region,and contributions from the TEM(dominating in the higher k_(θ)region)to the nonlinear transport can be neglected.In the adiabatic electron model,the zonal radial electric field is found to be mainly driven by the turbulent energy flux,and the contribution of turbulent poloidal Reynolds stress is quite small due to the toroidal shielding effect.However,in the kinetic electron model,the turbulent energy flux is not strong enough to drive the zonal radial electric field in the nonlinear saturated stage.The kinetic electron effects on the mechanism of the turbulence-driven zonal radial electric field should be further investigated. 展开更多
关键词 ITER baseline scenario gyrokinetic simulation kinetic electron effects electrostatic instability
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