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TMR Non-Drug Therapy: the modernization of non-drug therapy
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作者 Xiong-Zhi Wu 《TMR Non-Drug Therapy》 2018年第1期1-1,共1页
After several months of preparation, we are excited that Traditional Medicine Research (TMR) Non-Drug Therapy, an English electronic international academic journal in the field of non-drug treatment of traditiona... After several months of preparation, we are excited that Traditional Medicine Research (TMR) Non-Drug Therapy, an English electronic international academic journal in the field of non-drug treatment of traditional Chinese medicine, has been finally launched. Here, on behalf of TMR Non-Drug Therapy team, I would like to acknowledge all the members of the TMR editorial board for their great support and help. 展开更多
关键词 TMR non-drug THERAPY non-drug THERAPY
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Effectiveness and safety of adjunctive non-drug measures in improving respiratory symptoms among patients with severe COVID-19:A multicenter randomized controlled trial 被引量:1
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作者 Xuan Yin Zhu Jin +9 位作者 Feng Li Li Huang Yan-mei Hu Bo-chang Zhu Zu-qing Wang Xi-ying Li Jian-ping Li Lixing Lao Yi-qun Mi Shi-fen Xu 《Journal of Integrative Medicine》 SCIE CAS CSCD 2024年第6期637-644,共8页
Background:The outbreak of coronavirus disease 2019(COVID-19)infection posed a huge threat and burden to public healthcare in late 2022.Non-drug measures of traditional Chinese medicine(TCM),such as acupuncture,cuppin... Background:The outbreak of coronavirus disease 2019(COVID-19)infection posed a huge threat and burden to public healthcare in late 2022.Non-drug measures of traditional Chinese medicine(TCM),such as acupuncture,cupping and moxibustion,are commonly used as adjuncts in China to help in severe cases,but their effects remain unclear.Objectives:To observe the clinical effect of TCM non-drug measures in improving respiratory function and symptoms among patients with severe COVID-19.Design,setting,participants and interventions:This study was designed as a multicenter,assessor-blind,randomized controlled trial.Hospitalized patients with COVID-19 were randomly assigned to the treatment or control group.The treatment group received individualized TCM non-drug measures in combination with prone position ventilation,while the control group received prone position ventilation only for 5 consecutive days.Main outcome measures:The primary outcome measures were the percentage of patients with improved oxygen saturation(SpO_(2))at the end of the 5-day intervention,as well as changes of patients'respiratory rates.The secondary outcome measures included changes in SpO_(2)and total score on the self-made respiratory symptom scale.The improvement rate,defined as a 3-day consecutive increase in SpO_(2),the duration of prone positioning,and adverse events were recorded as well.Results:Among the 198 patients included in the intention-to-treat analysis,159(80.3%)completed all assessments on day 5,and 39(19.7%)patients withdrew from the study.At the end of the intervention,71(91%)patients in the treatment group had SpO_(2)above 93%,while 61(75.3%)in the control group reached this level.The proportion of participant with improved SpO_(2)was significantly greater in the intervention group(mean difference[MD]=15.7;95%confidence interval[CI]:4.4,27.1;P=0.008).Compared to the baseline,with daily treatment there were significant daily decreases in respiratory rates in both groups,but no statistical differences between groups were found(all P≥0.05).Compared to the control group,the respiratory-related symptoms score was lower among patients in the treatment group(MD=-1.7;95%CI:-2.8,-0.5;P=0.008)after day 3 of treatment.A gradual decrease in the total scores of both groups was also observed.Thirty-one adverse events occurred during the intervention,and 2patients were transferred to the intensive care unit due to deterioration of their illness.Conclusion:TCM non-drug measures combined with prone positioning can effectively treat patients with severe COVID-19.The combined therapy significantly increased SpO_(2)and improved symptom scores compared to prone positioning alone,thus improving the patients'respiratory function to help them recover.However,the improvement rate did not differ between the two groups. 展开更多
关键词 non-drug measures Prone positioning COVID-19 Oxygen saturation Traditional Chinese medicine
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Type 2 Diabetes Mellitus in Children and Adolescents: Early Prevention and Non-Drug Therapy 被引量:1
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作者 Lunan Zhao Ting Long +3 位作者 Amy Leung Hui Ruozhi Zhao Shaohua Long Wen Peng 《Journal of Diabetes Mellitus》 2017年第3期121-141,共21页
The global rate of type 2 diabetes mellitus (T2DM) in youth has increased dramatically in the last 30 years. This increase mirrors the global epidemic of childhood obesity. Studies show that, compared to adults who de... The global rate of type 2 diabetes mellitus (T2DM) in youth has increased dramatically in the last 30 years. This increase mirrors the global epidemic of childhood obesity. Studies show that, compared to adults who develop T2DM, youth with T2DM ultimately suffer from more harmful symptoms. The prevalence of T2DM and obesity in youth signals a significant public health issue that financially burdens governments, families, and individuals. Since evidence suggests that T2DM in youth is different from both type 1 and type 2 diabetes in adults, researchers and clinicians face many difficulties in developing new treatments. Most treatment efforts have relied on drugs;however, recent studies suggest that non-drug therapy also effectively reduces obesity and diabetic symptoms. Healthier eating, increased physical exercise, and positive mental health, are often underappreciated factors towards managing obesity. Yet these lifestyle changes empower both young and older patients to independently fight diseases and attain better health. To manage the global health risk of obesity, further research addressing the prevention and nondrug early intervention of T2DM and obesity in youth is urgently needed. The present review focuses on the latest updates in the field. 展开更多
关键词 DIABETES YOUTH PREVENTION non-drug THERAPY
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Research Progress of Non-drug Therapy of Traditional Chinese Medicine in the Treatment of Obese Polycystic Ovary Syndrome 被引量:1
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作者 Chanchan Li Nan Li 《Journal of Clinical and Nursing Research》 2021年第4期106-109,共4页
Polycystic ovarian syndrome(PCOS)as a relatively common clinical reproductive endocrine disease,the incidence is increasing year by year and the treatment is difficult,among which obese PCOS accounts for nearly 50%of ... Polycystic ovarian syndrome(PCOS)as a relatively common clinical reproductive endocrine disease,the incidence is increasing year by year and the treatment is difficult,among which obese PCOS accounts for nearly 50%of the total.In recent years,non-drug therapy of traditional Chinese medicine(TCM)has been effective in the treatment of PCOS.This article summarizes the relevant literature in the past ten years from acupuncture,acupoint embedding,moxibustion,and auricular points,and observes the effects of TCM non-drug therapy on endocrine and glucose and lipid metabolism in obese PCOS patients.The impact of various indicators such as body mass index,body mass index,etc.,and discuss the problems in such treatments,as well as put forward suggestions to achieve the purpose of better guiding the clinical treatment of obese PCOS. 展开更多
关键词 non-drug therapy of TCM OBESITY Polycystic ovary syndrome REVIEW
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The mechanism and research progress of non-drug analgesic labor
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作者 Li-Ying Tang Li-Ping Meng +1 位作者 Min Chen Hong-Yu Zhang 《Journal of Hainan Medical University》 2020年第24期71-76,共6页
Non-drug analgesic labor is of great significance to protect,promote and support natural labor.The purpose of this paper is to review the mechanism of non-drug analgesia,the significance of non-drug analgesia delivery... Non-drug analgesic labor is of great significance to protect,promote and support natural labor.The purpose of this paper is to review the mechanism of non-drug analgesia,the significance of non-drug analgesia delivery,and the methods of non-drug analgesia delivery,so as to provide reference for the research of clinical non-drug analgesia delivery and promote the development of non-drug analgesia delivery. 展开更多
关键词 non-drug Delivery PAIN Labor analgesia
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Discussion on prevention and control of COVID-19 by non-drug methods in traditional Chinese medicine
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作者 Bin-Hong Yan Fan Yang +5 位作者 Qian Niu Kai Li Zhi-Chao Jin Mi Li Kun Niu Yi-Qiang Xie 《Journal of Hainan Medical University》 2020年第18期9-13,共5页
COVID-19 has been discovered since December 2019 and has become a global pandemic recently,killing hundreds of thousands of people in 216 countries and regions around the world.COVID-19 has caused more than 4000 death... COVID-19 has been discovered since December 2019 and has become a global pandemic recently,killing hundreds of thousands of people in 216 countries and regions around the world.COVID-19 has caused more than 4000 deaths in China,seriously affecting national health and national economy.Since the outbreak of COVID-19,National Health Commission of the People's Republic of China has used the method of sino-western medicine to prevent and control COVID-19,effectively curbed the spread of the epidemic.But the TCM methods in the scheme are all oral prescriptions,less involving non-drug methods.Therefore,I searched the COVID-19 control methods published in various parts of the country,this paper plans to discuss how to improve immunity from the perspective of non-drug methods such as moxibustion,diet therapy,self massage,physical exercise skills and traditional music,hoping can helps the susceptible populations,infected,discharged and medical staff in COVID-19 epidemic. 展开更多
关键词 Corona Virus Disease 2019 non-drug methods MOXIBUSTION Diet therapy MASSAGE
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Traditional Chinese non-drug therapies for cancer pain treatment
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作者 Xun Liu Zhu Yang +2 位作者 Feng-Xi Long Jin-Lin Wu Dong-Xin Tang 《TMR Integrative Medicine》 2019年第17期1-6,共6页
Cancer pain is the most common and serious symptom of cancer, which seriously affects the quality of life of cancer patients. the most widely used three-step analgesia has received good effects, but the toxic side eff... Cancer pain is the most common and serious symptom of cancer, which seriously affects the quality of life of cancer patients. the most widely used three-step analgesia has received good effects, but the toxic side effects at the same time can be ignored. As a complementary therapy increasingly accepted around the world, traditional Chinese medicine (TCM) also plays an important role in cancer pain treatment. Traditional Chinese non-drug therapy has a good effect for cancer pain. In this mini-review, the commonly used traditional Chinese non-drug therapies such as acupuncture, moxibustion, acupoint catgut embedding and injection, massage, ear point pressing with coxherb seeds therapy, traditional music therapy were introduced. 展开更多
关键词 Cancer PAIN Three step PAIN relief CHINESE medicine non-drug therapy Advantage Acupuncture and massage CATGUT embedding
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Non-drug interventions for cancer-related fatigue: an updated review
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作者 Yan-Qiu Huang Guo-Zhi Yang +1 位作者 Chang-De Jin Sheng Gao 《TMR Non-Drug Therapy》 2019年第2期42-47,共6页
Non-drug interventions are easy operation, no damage and with significant effects treatment for cancer-related fatigue, which also can reduce the economic burden of cancer patients and improve the quality of life. Thi... Non-drug interventions are easy operation, no damage and with significant effects treatment for cancer-related fatigue, which also can reduce the economic burden of cancer patients and improve the quality of life. This article reviews the effects of non-drug interventions on cancer-induced fatigue including exercise intervention, long distance healthy education, cognitive behavior intervention, traditional Chinese medicine intervention and emotional intervention to provide reference for clinical medical staff and relevant scholars. 展开更多
关键词 Cancer-related FATIGUE non-drug interventions Research PROGRESS REVIEW
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Non-Drug Therapy to Combat Coronavirus
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作者 Shouguo Wang Wei Liu +9 位作者 Yahui Song Tao Xia Xianqin Lu Li Song Qingwei Li Jian Sun Xuemiao Yin Xianqi Feng Yunjun Yang Tao Sun 《Open Journal of Regenerative Medicine》 2020年第2期65-70,共6页
Novel coronavirus is threatening the health of people all over the world and all possible treatment strategies are in urgent. The sensitive of virus to heat proposed temperature treatment as an effective method agains... Novel coronavirus is threatening the health of people all over the world and all possible treatment strategies are in urgent. The sensitive of virus to heat proposed temperature treatment as an effective method against coronavirus. Here, we proposed several non-drug therapies including far-infrared, thermal air, thermal oxygen, ozone, hydrogen therapy and plasma physical therapy for immediate clinical trial and implementation. Compared with the drug therapy, these methods are safe without side effects, the highest benefit-to-risk ratio, user-friendly, and low implementation costs. It is urgent and significant to start these non-drug therapeutic design and implementation as early as possible, to determine the safety and effectiveness of these therapeutic methods. 展开更多
关键词 non-drug Therapy Plasma Physical Therapy CORONAVIRUS
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Progress research on non-drug therapy in cancer-related fatigue
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作者 Kai Zhou Jia-Yu Zhang +5 位作者 Xi-Wei Yang Da Shen Jun-Jin Li Yan-Fang Cheng Xiao-ling Qian Pei-Xian Zhang 《TMR Non-Drug Therapy》 2020年第4期192-198,共7页
Cancer-related fatigue is the most prevalent and persistently symptom in cancer survivors than any other symptom,which is caused by both the disease and its treatment.Patients with cancer show a severe symptom of fati... Cancer-related fatigue is the most prevalent and persistently symptom in cancer survivors than any other symptom,which is caused by both the disease and its treatment.Patients with cancer show a severe symptom of fatigue,which cannot be relieved by general rest or sleep.Cancer-related fatigue negatively impacts a patient's physical and emotional function,social ability and even patients’prognosis.At present,the mechanism of cancer-related fatigue remain unclear despite much research,and a variety of mechanisms may contribute to its occurrence and development,including inflammatory reaction,metabolism dysregulation,immune activation,hormonal changes,central nervous system dysfunction,etc.Now a broad variety of drugs and non-drugs interventions are used against cancer-related fatigue.The intervention of conventional western medicine mainly contains hematopoietic stimulants,hormones,mental stimulants,and antidepressants,but their widely clinical application is limited by their effectiveness and possible side effects to a certain degree.There are also many forms of non-drug interventions for managing cancer-related fatigue,such as exercise intervention,psychological intervention,sleep intervention,nutrition intervention,bright white light therapy,etc.The aim of this review is to provide recommendations of non-drug interventions for patients with CRF during and after cancer treatment,in order to provide an evidence-based guideline for clinicians. 展开更多
关键词 Cancer-related fatigue MECHANISM non-drug therapy Exercise intervention Psychological intervention Sleep intervention
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Research progress on risk factors and non-drug treatment of delirium patients in CICU
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作者 Wen-Man Lv Yin-Ji Jin 《Nursing Communications》 2024年第15期1-5,共5页
Delirium is a clinical syndrome of acute brain dysfunction,especially the incidence of delirium in patients in Cardiac Intensive Care Unit(CICU)is relatively high.This paper mainly describes the main risk factors for ... Delirium is a clinical syndrome of acute brain dysfunction,especially the incidence of delirium in patients in Cardiac Intensive Care Unit(CICU)is relatively high.This paper mainly describes the main risk factors for delirium in CICU patients are patient characteristic,disease,treatment and environment and the research progress of non-pharmacological treatment is reviewed,aiming at nursing staff should pay more attention to the patient characteristics and actively take non-pharmacological nursing measures and prevent the occurrence of delirium.This article focuses on the main risk factors of CICU patients with delirium and the research progress of non-pharmacological treatment.It aims to provide a reference basis for the management and research of CICU delirium patients in China in the future. 展开更多
关键词 CICU DELIRIUM risk factor non-drug TREATMENT NURSING
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Research progress on non-drug treatment of diabetic kidney disease
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作者 Bei-Liang Miao Li Yu +1 位作者 Jing Li Hong-Tao Yang 《TMR Non-Drug Therapy》 2021年第3期1-7,共7页
Diabetic kidney disease is one of the most serious and common chronic complications of diabetes and one of the leading causes of death in diabetic patients.In the case of diabetic kidney disease,sustained proteinuria ... Diabetic kidney disease is one of the most serious and common chronic complications of diabetes and one of the leading causes of death in diabetic patients.In the case of diabetic kidney disease,sustained proteinuria is irreversible until it develops into end-stage renal disease.Drug treatment of diabetic kidney disease is relatively limited.More and more evidences into the effectiveness and safety that related non-drug treatments not only have the characteristics of simple operation and high safety,but also can improve the clinical symptoms of patients with diabetic kidney disease,reduce laboratory indicators,and delay disease progression.This article summarizes the recent literature on non-drug treatment of diabetic kidney disease such as exercise therapy,acupuncture therapy,acupoint application,auricular acupoint pressing pill therapy,moxibustion therapy,in order to provide reference for clinical treatment. 展开更多
关键词 Diabetic kidney disease External therapy Modern rehabilitation treatment methods Traditional non-drug therapy ACUPUNCTURE
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Research Progress of Treating Chronic Atrophic Gastritis by Non-Drug Therapy
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作者 ZHANG Rui-qing LIU Li +3 位作者 ZHOU Cheng YANG Yong-feng ZHANG Cong-wei WANG Liang 《World Journal of Integrated Traditional and Western Medicine》 2020年第12期18-25,共8页
Modern medicine believes that the incidence and detection rate of chronic atrophic gastritis(CAG)are positively correlated with age.Early detection,monitoring and intervention are helpful to reduce the incidence and m... Modern medicine believes that the incidence and detection rate of chronic atrophic gastritis(CAG)are positively correlated with age.Early detection,monitoring and intervention are helpful to reduce the incidence and mortality of gastric cancer.Non-drug therapy has many unique methods,wide range of application,simple operation,easy to popularize characteristics.In the process of using non-drug therapy to treat CAG syndrome differentiation,the principle of"treating the same disease with different methods"and"treating different diseases with the same method"must be followed.In recent years,in order to improve the quality of life of CAG patients and optimize treatment methods,some research progress has been made in the treatment of chronic atrophic gastritis with non-drug therapy.This paper summarized mainly from the basic function principle and the characteristic of Chinese medicine non-drug therapy,the mechanism of various kinds of non-drug therapy treatment of chronic atrophic gastritis and its respective application. 展开更多
关键词 Chronic atrophic gastritis non-drug therapy REVIEWS
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Research Progress on Non-Drug Treatment for Blood Glucose Control of Type 2 Diabetes Mellitus 被引量:14
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作者 WEI Jun-ping WANG Qiu-hong +1 位作者 ZHENG Hui-juan WEI Fan 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2018年第10期723-727,共5页
Type 2 diabetes mellitus (T2DM) is one of the common endocrinology diseases that greatly affects the health care sector and economy. Application of hypoglycemic drugs has its own drawbacks and the use of non-drug th... Type 2 diabetes mellitus (T2DM) is one of the common endocrinology diseases that greatly affects the health care sector and economy. Application of hypoglycemic drugs has its own drawbacks and the use of non-drug therapy on treating T2DM has drawn much attention recently. This paper reviewed the research development of the non-pharmacological interventions on T2DM in recent years, including dietary therapy, exercise therapy, psychotherapy, acupuncture and moxibustion therapies and so on. The authors mentioned the problems in the research of non-drug treatment for blood glucose control of T2DM and put forward new ideas for the research in the future. Further well-designed trials with large sample size and long-term follow-up are needed to confirm current conclusions. 展开更多
关键词 non-drug treatment blood glucose control type 2 diabetes mellitus
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8种中医非药物干预方式对冠心病病人焦虑、抑郁疗效的网状Meta分析
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作者 宋愿愿 王李莉 +4 位作者 雷星雨 李娜 冯三女 王菊子 兰文霞 《循证护理》 2026年第1期1-12,共12页
目的:系统评价中医非药物干预方法对冠心病病人焦虑、抑郁的干预效果,并进行效果评估及比较。方法:检索国内外数据库中公开发表的冠心病病人中医非药物干预方法相关文献,检索时限为建库至2024年1月15日。采用Stata 15.0和Review Manager... 目的:系统评价中医非药物干预方法对冠心病病人焦虑、抑郁的干预效果,并进行效果评估及比较。方法:检索国内外数据库中公开发表的冠心病病人中医非药物干预方法相关文献,检索时限为建库至2024年1月15日。采用Stata 15.0和Review Manager 5.3软件进行网状Meta分析。结果:最终纳入27项研究,包括穴位按摩、情志护理、耳穴压豆、穴位养心操、八段锦、铜砭刮痧、太极拳以及穴位贴敷8种中医非药物干预方式,共涉及2224例冠心病病人。网状Meta分析结果显示,与常规护理比较,铜砭刮痧、情志护理对冠心病病人焦虑、抑郁有较好的改善效果(P<0.05)。累积排序概率图下面积显示,铜砭刮痧是改善冠心病病人焦虑、抑郁较好的中医非药物干预方式。结论:铜砭刮痧改善冠心病病人焦虑、抑郁情绪的效果较好,建议临床护理时优先考虑,但仍需大量高质量随机对照试验对结果进行验证。 展开更多
关键词 中医 非药物干预 冠心病 负性情绪 焦虑 抑郁 网状Meta分析 循证护理
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非胰岛素类降糖药物在1型糖尿病治疗中的研究进展
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作者 许泽洁 郑姣妮 +4 位作者 罗静 王良玉 严伟 贺强 单雪峰 《中国药房》 北大核心 2026年第2期263-267,共5页
1型糖尿病(T1DM)的传统治疗以胰岛素替代为主,但部分患者面临血糖波动大、低血糖风险高、体重增加等问题。近年来,非胰岛素类降糖药物在T1DM中的辅助治疗作用逐渐受到关注。本文围绕胰淀素类似物(普兰林肽)、双胍类药物(二甲双胍)、钠-... 1型糖尿病(T1DM)的传统治疗以胰岛素替代为主,但部分患者面临血糖波动大、低血糖风险高、体重增加等问题。近年来,非胰岛素类降糖药物在T1DM中的辅助治疗作用逐渐受到关注。本文围绕胰淀素类似物(普兰林肽)、双胍类药物(二甲双胍)、钠-葡萄糖共转运蛋白2抑制剂、二肽基肽酶-4抑制剂和胰高血糖素样肽-1受体激动剂5类非胰岛素类降糖药物在T1DM治疗中的作用机制及临床研究进展进行综述,发现上述药物可通过改善胰岛素敏感性、延缓胃排空、促进尿糖排泄和调节肠促胰素等不同途径,在降低糖化血红蛋白水平、减少胰岛素用量和管理体重方面增加T1DM患者的临床获益。同时,这些药物也存在给药方案复杂所致患者依从性低、糖尿病酮症酸中毒风险增加、血糖控制存在异质性等局限性。未来的研究可聚焦于个体化治疗策略的开发,结合药物基因组学与新型生物标志物精准识别获益患者亚群,并深入探究该类药物延缓糖尿病血管并发症及改善患者生活质量的潜在价值。 展开更多
关键词 非胰岛素类降糖药物 1型糖尿病 普兰林肽 二甲双胍 钠-葡萄糖共转运蛋白2抑制剂 二肽基肽酶-4抑制剂 胰高血糖素样肽-1受体激动剂
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非罕见病药物临床试验中去中心化临床试验技术的应用及实施
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作者 周文菁 吴敏江 +5 位作者 刘少璇 娄小焕 蔡林柏闻 余满 莫恩盼 张勋 《医药导报》 北大核心 2026年第1期161-166,共6页
目的分析非罕见病领域去中心化临床试验(DCT)技术应用的现状,探讨DCT技术实施过程的关注点及其对策。方法通过便利抽样方法,选取2021—2024年广东省4家大型公立三甲医院开展的药物临床试验项目为研究对象,采用SPSS29.0版软件进行描述性... 目的分析非罕见病领域去中心化临床试验(DCT)技术应用的现状,探讨DCT技术实施过程的关注点及其对策。方法通过便利抽样方法,选取2021—2024年广东省4家大型公立三甲医院开展的药物临床试验项目为研究对象,采用SPSS29.0版软件进行描述性统计分析,针对电子知情同意、临床试验用药品直达、远程访视、样本直寄、安全性数据远程监测、数字医疗技术6个方面统计DCT元素的技术应用情况。结果共纳入药物临床试验422项,其中涉及远程访视的临床试验165项,占39.1%,安全性数据远程监测占14.5%,样本直寄占10.4%,数字医疗技术占6.4%,临床试验用药品直达占3.6%,电子知情同意占0.9%。在远程访视、安全性数据远程监测、样本直寄、数字医疗技术和临床试验用药品直达5个方面,国际多中心临床试验使用上述DCT元素的比例高于国内多中心临床试验;在远程访视、临床试验用药品直达、样本直寄、数字医疗技术方面,心血管系统疾病及循环系统疾病使用上述DCT元素的比例相对较高,分别为65.2%、17.4%、17.4%、4.3%。结论不同的DCT元素在非罕见病临床试验中的应用存在较大差异,目前应用较多的领域为远程访视及安全性数据远程监测。总体而言,DCT元素的使用率不高,有待不断普及推广,应基于“以患者为中心”理念,以临床试验质量保证及效率提升为目标,促进DCT在中国临床试验中的推广应用。 展开更多
关键词 药物临床试验 去中心化临床试验 非罕见病
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阴道分娩产妇会阴疼痛管理的最佳证据总结 被引量:6
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作者 杨凌艳 曾铁英 +2 位作者 王颖 代玲 熊姝婕 《护理学杂志》 北大核心 2025年第3期30-36,共7页
目的 整合阴道分娩产妇产后会阴疼痛管理的最佳证据,为临床开展有效会阴疼痛管理提供依据。方法 系统检索临床支持决策系统、国内外指南网站、专业学会或协会网站及相关数据库等,获取阴道分娩产妇产后会阴疼痛管理的相关文献,包括临床... 目的 整合阴道分娩产妇产后会阴疼痛管理的最佳证据,为临床开展有效会阴疼痛管理提供依据。方法 系统检索临床支持决策系统、国内外指南网站、专业学会或协会网站及相关数据库等,获取阴道分娩产妇产后会阴疼痛管理的相关文献,包括临床决策、证据总结、最佳实践、指南、专家共识、系统评价,检索时限为建库至2023年11月。由2名研究者对文献独立进行质量评价,4名研究者按照标准化提取表格进行证据提取并整合,小组讨论确定最终的最佳证据。结果 纳入20篇文献,其中临床决策3篇,证据总结4篇,指南4篇,专家共识4篇,系统评价5篇。最终从会阴创伤的预防、会阴伤口的缝合、疼痛评估、非药物干预、药物干预、产后健康教育及人员培训7个方面总结了26条证据。结论 总结的阴道分娩产妇产后会阴疼痛的最佳证据较为科学、全面,临床医护人员可结合实际临床情景和患者需求选择证据,制订相关疼痛管理措施,以降低产妇会阴疼痛程度。 展开更多
关键词 产妇 阴道分娩 会阴疼痛 疼痛管理 证据总结 非药物干预 循证护理 健康教育
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Pathogenesis, diagnosis, and treatment of epilepsy: electromagnetic stimulation-mediated neuromodulation therapy and new technologies 被引量:2
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作者 Dian Jiao Lai Xu +3 位作者 Zhen Gu Hua Yan Dingding Shen Xiaosong Gu 《Neural Regeneration Research》 SCIE CAS 2025年第4期917-935,共19页
Epilepsy is a severe,relapsing,and multifactorial neurological disorder.Studies regarding the accurate diagnosis,prognosis,and in-depth pathogenesis are crucial for the precise and effective treatment of epilepsy.The ... Epilepsy is a severe,relapsing,and multifactorial neurological disorder.Studies regarding the accurate diagnosis,prognosis,and in-depth pathogenesis are crucial for the precise and effective treatment of epilepsy.The pathogenesis of epilepsy is complex and involves alterations in variables such as gene expression,protein expression,ion channel activity,energy metabolites,and gut microbiota composition.Satisfactory results are lacking for conventional treatments for epilepsy.Surgical resection of lesions,drug therapy,and non-drug interventions are mainly used in clinical practice to treat pain associated with epilepsy.Non-pharmacological treatments,such as a ketogenic diet,gene therapy for nerve regeneration,and neural regulation,are currently areas of research focus.This review provides a comprehensive overview of the pathogenesis,diagnostic methods,and treatments of epilepsy.It also elaborates on the theoretical basis,treatment modes,and effects of invasive nerve stimulation in neurotherapy,including percutaneous vagus nerve stimulation,deep brain electrical stimulation,repetitive nerve electrical stimulation,in addition to non-invasive transcranial magnetic stimulation and transcranial direct current stimulation.Numerous studies have shown that electromagnetic stimulation-mediated neuromodulation therapy can markedly improve neurological function and reduce the frequency of epileptic seizures.Additionally,many new technologies for the diagnosis and treatment of epilepsy are being explored.However,current research is mainly focused on analyzing patients’clinical manifestations and exploring relevant diagnostic and treatment methods to study the pathogenesis at a molecular level,which has led to a lack of consensus regarding the mechanisms related to the disease. 展开更多
关键词 DIAGNOSIS drug treatment ELECTROENCEPHALOGRAPHY epilepsy monitoring EPILEPSY nerve regeneration NEUROSTIMULATION non-drug interventions PATHOGENESIS prediction
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口腔颌面外科术后肿胀非药物管理研究进展 被引量:1
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作者 院海燕 李海珍 焦建军 《全科护理》 2025年第1期67-71,共5页
对颌面术后发生肿胀的机制、临床特点、非药物管理方法进行综述,发现非药物管理方法有一定疗效,且经济方便,但缺乏相应高质量的临床操作指南或具体操作规程,期待未来构建相关实验模型,进一步规范口腔颌面外科术后肿胀非药物管理,帮助医... 对颌面术后发生肿胀的机制、临床特点、非药物管理方法进行综述,发现非药物管理方法有一定疗效,且经济方便,但缺乏相应高质量的临床操作指南或具体操作规程,期待未来构建相关实验模型,进一步规范口腔颌面外科术后肿胀非药物管理,帮助医务工作者对颌面术后肿胀做出更好、更科学的决策,以达到降低病人术后颌面肿胀发生率及减轻肿胀程度的目的。 展开更多
关键词 口腔颌面外科术后 肿胀 颌面 非药物管理 综述 机制
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