AIM： To assess the role of lactase non-persistence/per- sistence in school-aged children and their milk-related symptoms. METHODS： The genotypes for the C/T-13910 variant associated with lactase non-persistence/ per...AIM： To assess the role of lactase non-persistence/per- sistence in school-aged children and their milk-related symptoms. METHODS： The genotypes for the C/T-13910 variant associated with lactase non-persistence/ persistence were determined using PCR-minisequencing in a group of 172 children with a mean age of 8.6 years （SE = 0.02, 93 boys） participating in a follow-up study for cow＇s milk allergy. The parents were asked to assess their children＇s milk consumption and abdominal symptoms. RESULTS： The presence of allergy to cow＇s milk was not associated with the C/C-13910 genotype related with a decline of lactase enzyme activity during childhood （lactase non-persistence）. The frequency of the C/C-13910 genotype （16%） was similar to published figures for the prevalence of adult-type hypolactasia in Finland. The majority of the children （90%） in this series consumed milk but 26% of their families suspected that their children had milk-related symptoms. Forty-eight percent of the children with the C/C-13910 genotype did not drink milk at all or consumed a low lactose containing diet prior to the genotyping （P〈 0.004 when compared to the other genotypes）. CONCLUSION： Analysis of the C/T-13910 polymorphism is an easy and reliable method for excluding adult-type hypolactasia in children with milk-related symptoms. Genotyping for this variant can be used to advise diets for children with a previous history of cow＇s milk allergy.展开更多
报告以脑积水起病的晚发型戊二酸血症1型(glutaric acidemia type 1,GA1)1例。患者女性,21岁,以急性脑积水为主要临床表现,头颅MRI示脑内大范围脑白质、双侧基底节区及小脑半球蚓部异常信号,双侧脑室扩张,双侧颞极蛛网膜囊肿。血尿有机...报告以脑积水起病的晚发型戊二酸血症1型(glutaric acidemia type 1,GA1)1例。患者女性,21岁,以急性脑积水为主要临床表现,头颅MRI示脑内大范围脑白质、双侧基底节区及小脑半球蚓部异常信号,双侧脑室扩张,双侧颞极蛛网膜囊肿。血尿有机酸分析检出大量戊二酸和3-羟基戊二酸,GCDH基因检测发现为复合杂合性突变(S119L和R355H),确诊为戊二酸血症1型,给予相关治疗后,症状缓解。可见临床上如遇上难以解释的脑积水,头部MRI示典型对称性病灶,包括小脑损害,应进行血尿有机酸筛查以除外代谢性疾病。展开更多
近年来,随着我国人民生活水平的不断提高和生活方式的改变,肥胖发生率和糖尿病患病率逐年增加,且越来越年轻化。成人早发2型糖尿病(early-onset type 2 diabetes mellitus,EOT2DM)已逐渐被关注。相比晚发性患者,EOT2DM患者的发病机制错...近年来,随着我国人民生活水平的不断提高和生活方式的改变,肥胖发生率和糖尿病患病率逐年增加,且越来越年轻化。成人早发2型糖尿病(early-onset type 2 diabetes mellitus,EOT2DM)已逐渐被关注。相比晚发性患者,EOT2DM患者的发病机制错综复杂,胰岛β细胞功能障碍及胰岛素抵抗更重,更易合并高血糖、高血脂、家族遗传史等危险因素。因此,本文对成人EOT2DM的发病机制进行综述。展开更多
目的探究成人1型糖尿病(diabetes mellitus type 1,T1DM)患者应用胰岛素治疗中加入西格列汀的效果。方法目的选取2021年1月—2023年12月新沂市人民医院收治的76例成人T1DM患者作为研究对象。根据药物治疗方案不同分为对照组(胰岛素治疗...目的探究成人1型糖尿病(diabetes mellitus type 1,T1DM)患者应用胰岛素治疗中加入西格列汀的效果。方法目的选取2021年1月—2023年12月新沂市人民医院收治的76例成人T1DM患者作为研究对象。根据药物治疗方案不同分为对照组(胰岛素治疗)、观察组(胰岛素治疗基础上加入西格列汀),各38例。比较两组患者血糖水平、胰岛素用量及体重指数、不良反应发生率和低血糖发生率。结果治疗90 d后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平分别为(5.71±1.04)mmol/L、(8.61±1.86)mmol/L、(6.02±1.01)%,低于对照组的(6.22±1.06)mmol/L、(10.07±1.85)mmol/L、(6.55±1.22)%,差异均有统计学意义(t=2.117,3.431,2.063;P均<0.05)。治疗90 d后,观察组胰岛素用量更少,差异均有统计学意义(P均<0.05)。观察组和对照组体重指数、不良反应总发生率相比,差异均无统计学意义(P均>0.05),但观察组低血糖发生率低于对照组,差异有统计学意义(P<0.05)。结论胰岛素治疗成人T1DM基础上联用西格列汀,血糖水平控制效果显著,可减少胰岛素用量并降低低血糖发生风险且安全性良好。展开更多
Hypertension, often called the “silent killer”, is a major risk factor for heart attacks and strokes in the elderly. Its effective management is crucial to prevent damage to the heart, brain, and kidneys. Isolated s...Hypertension, often called the “silent killer”, is a major risk factor for heart attacks and strokes in the elderly. Its effective management is crucial to prevent damage to the heart, brain, and kidneys. Isolated systolic hypertension (ISH) is particularly critical in the elderly population. Cardiovascular risk factors, including pulse pressure and wave velocity, are closely associated with systolic blood pressure and influenced by arterial stiffness and wave reflections. Managing ISH is complex due to the potential negative effects of certain medications and individual variability in treatment response. This paper will address these issues, evaluating antihypertensive drugs, combination therapy, personalized treatment plans, and updated guidelines for managing ISH.展开更多
目的探讨连续血糖监测对血糖控制不佳的成人1型糖尿病(T1DM)患者的影响。方法选取郑州大学第一附属医院2021年6月至2023年8月收治的成人T1DM患者156例,按随机数表法分为对照组(常规干预,78例)和研究组(连续血糖监测干预,78例),比较两组...目的探讨连续血糖监测对血糖控制不佳的成人1型糖尿病(T1DM)患者的影响。方法选取郑州大学第一附属医院2021年6月至2023年8月收治的成人T1DM患者156例,按随机数表法分为对照组(常规干预,78例)和研究组(连续血糖监测干预,78例),比较两组血糖控制、血糖波动、生活质量。结果与干预前比较,两组干预后空腹血糖(FBG)、餐后2 h血糖(2 h BG)、糖化血红蛋白(HbA1c)降低(P<0.05),两组干预后空腹胰岛素(FINS)升高(P<0.05),且与对照组比较,研究组干预后FBG、2 h BG、HbA1c更低(P<0.05),研究组干预后FINS更高(P<0.05)。与干预前比较,两组干预后日内平均血糖波动幅度(MAGE)、血糖标准差(SDBG)、平均血糖(MBG)降低(P<0.05),且与对照组比较,研究组干预后MAGE、SDBG、MBG更低(P<0.05)。与干预前比较,两组干预后糖尿病特异性生活质量量表修订版(A-DQOL)各维度评分升高(P<0.05),且与对照组比较,研究组干预后A-DQOL各维度评分更高(P<0.05)。结论对血糖控制不佳的成人T1DM患者采用连续血糖监测,可控制血糖,减少高血糖程度,提高生活质量。展开更多
[目的]观察复元填髓方治疗小脑共济失调综合征患者的疗效。[方法]纳入2024年2月至10月温州市中西医结合医院门诊就诊的小脑共济失调综合征患者29例,予以复元填髓方汤剂治疗12周,对比治疗前后患者国际合作共济失调量表(International Coo...[目的]观察复元填髓方治疗小脑共济失调综合征患者的疗效。[方法]纳入2024年2月至10月温州市中西医结合医院门诊就诊的小脑共济失调综合征患者29例,予以复元填髓方汤剂治疗12周,对比治疗前后患者国际合作共济失调量表(International Cooperative Ataxia Scale,ICARS)、共济失调等级量表(Scale for the Assessment and Rating of Ataxia,SARA)、日常生活活动能力(Activities of Daily Living,ADL)评分及中医证候量表的变化。[结果]共29例患者入组,其中27例完成12周疗程(脱落2例),治疗后患者ICARS评分缓解率为55.6%,维持率为25.9%;治疗前ICARS评分为(35.85±12.90)分,治疗后为(34.33±13.10)分,差异有统计学意义(P<0.05);SARA评分及中医症候量表评分均显著降低(P<0.05)。治疗期间,患者不良反应率为11.1%,其中腹泻3例。[结论]复元填髓方能够改善小脑共济失调综合征患者的共济失调症状以及肾虚髓亏证候。展开更多
基金Supported by The Sigrid Juselius Foundation, Helsinki, Finland The Helsinki University Hospital Research Funding, Helsinki, Finland The Helsinki University Science Foundation, Helsinki, Finland and The Foundation of Nutrition Research, Helsinki, Finland
文摘AIM： To assess the role of lactase non-persistence/per- sistence in school-aged children and their milk-related symptoms. METHODS： The genotypes for the C/T-13910 variant associated with lactase non-persistence/ persistence were determined using PCR-minisequencing in a group of 172 children with a mean age of 8.6 years （SE = 0.02, 93 boys） participating in a follow-up study for cow＇s milk allergy. The parents were asked to assess their children＇s milk consumption and abdominal symptoms. RESULTS： The presence of allergy to cow＇s milk was not associated with the C/C-13910 genotype related with a decline of lactase enzyme activity during childhood （lactase non-persistence）. The frequency of the C/C-13910 genotype （16%） was similar to published figures for the prevalence of adult-type hypolactasia in Finland. The majority of the children （90%） in this series consumed milk but 26% of their families suspected that their children had milk-related symptoms. Forty-eight percent of the children with the C/C-13910 genotype did not drink milk at all or consumed a low lactose containing diet prior to the genotyping （P〈 0.004 when compared to the other genotypes）. CONCLUSION： Analysis of the C/T-13910 polymorphism is an easy and reliable method for excluding adult-type hypolactasia in children with milk-related symptoms. Genotyping for this variant can be used to advise diets for children with a previous history of cow＇s milk allergy.
文摘报告以脑积水起病的晚发型戊二酸血症1型(glutaric acidemia type 1,GA1)1例。患者女性,21岁,以急性脑积水为主要临床表现,头颅MRI示脑内大范围脑白质、双侧基底节区及小脑半球蚓部异常信号,双侧脑室扩张,双侧颞极蛛网膜囊肿。血尿有机酸分析检出大量戊二酸和3-羟基戊二酸,GCDH基因检测发现为复合杂合性突变(S119L和R355H),确诊为戊二酸血症1型,给予相关治疗后,症状缓解。可见临床上如遇上难以解释的脑积水,头部MRI示典型对称性病灶,包括小脑损害,应进行血尿有机酸筛查以除外代谢性疾病。
文摘近年来,随着我国人民生活水平的不断提高和生活方式的改变,肥胖发生率和糖尿病患病率逐年增加,且越来越年轻化。成人早发2型糖尿病(early-onset type 2 diabetes mellitus,EOT2DM)已逐渐被关注。相比晚发性患者,EOT2DM患者的发病机制错综复杂,胰岛β细胞功能障碍及胰岛素抵抗更重,更易合并高血糖、高血脂、家族遗传史等危险因素。因此,本文对成人EOT2DM的发病机制进行综述。
文摘Hypertension, often called the “silent killer”, is a major risk factor for heart attacks and strokes in the elderly. Its effective management is crucial to prevent damage to the heart, brain, and kidneys. Isolated systolic hypertension (ISH) is particularly critical in the elderly population. Cardiovascular risk factors, including pulse pressure and wave velocity, are closely associated with systolic blood pressure and influenced by arterial stiffness and wave reflections. Managing ISH is complex due to the potential negative effects of certain medications and individual variability in treatment response. This paper will address these issues, evaluating antihypertensive drugs, combination therapy, personalized treatment plans, and updated guidelines for managing ISH.
文摘目的探讨连续血糖监测对血糖控制不佳的成人1型糖尿病(T1DM)患者的影响。方法选取郑州大学第一附属医院2021年6月至2023年8月收治的成人T1DM患者156例,按随机数表法分为对照组(常规干预,78例)和研究组(连续血糖监测干预,78例),比较两组血糖控制、血糖波动、生活质量。结果与干预前比较,两组干预后空腹血糖(FBG)、餐后2 h血糖(2 h BG)、糖化血红蛋白(HbA1c)降低(P<0.05),两组干预后空腹胰岛素(FINS)升高(P<0.05),且与对照组比较,研究组干预后FBG、2 h BG、HbA1c更低(P<0.05),研究组干预后FINS更高(P<0.05)。与干预前比较,两组干预后日内平均血糖波动幅度(MAGE)、血糖标准差(SDBG)、平均血糖(MBG)降低(P<0.05),且与对照组比较,研究组干预后MAGE、SDBG、MBG更低(P<0.05)。与干预前比较,两组干预后糖尿病特异性生活质量量表修订版(A-DQOL)各维度评分升高(P<0.05),且与对照组比较,研究组干预后A-DQOL各维度评分更高(P<0.05)。结论对血糖控制不佳的成人T1DM患者采用连续血糖监测,可控制血糖,减少高血糖程度,提高生活质量。
文摘[目的]观察复元填髓方治疗小脑共济失调综合征患者的疗效。[方法]纳入2024年2月至10月温州市中西医结合医院门诊就诊的小脑共济失调综合征患者29例,予以复元填髓方汤剂治疗12周,对比治疗前后患者国际合作共济失调量表(International Cooperative Ataxia Scale,ICARS)、共济失调等级量表(Scale for the Assessment and Rating of Ataxia,SARA)、日常生活活动能力(Activities of Daily Living,ADL)评分及中医证候量表的变化。[结果]共29例患者入组,其中27例完成12周疗程(脱落2例),治疗后患者ICARS评分缓解率为55.6%,维持率为25.9%;治疗前ICARS评分为(35.85±12.90)分,治疗后为(34.33±13.10)分,差异有统计学意义(P<0.05);SARA评分及中医症候量表评分均显著降低(P<0.05)。治疗期间,患者不良反应率为11.1%,其中腹泻3例。[结论]复元填髓方能够改善小脑共济失调综合征患者的共济失调症状以及肾虚髓亏证候。
