This research documents and visualizes the intricate relationships among sunlight,built form,and public life specifically within Toronto’s core.Utilizing photographs and stop-motion videos,the study captured the dyna...This research documents and visualizes the intricate relationships among sunlight,built form,and public life specifically within Toronto’s core.Utilizing photographs and stop-motion videos,the study captured the dynamic movement of sunlight and observed corresponding differences in human behavior under varying light conditions.Maps and diagrams,generated using Rhino3D/Ladybug software,were employed to visualize the annual sunlight conditions throughout the defined study area.Building upon existing scholarship,this research affirms a strong relationship between sunlight and public life,noting that this relationship shifts with the changing seasons.The study concludes with a series of recommendations focused on the protection,expansion,and intensification of public space exposed to winter sunlight,particularly along pedestrian-oriented shopping streets,and advocates for the strategic use of large deciduous trees to manage sunlight across different seasons.The rapid transformation of downtown Toronto’s built form necessitates swift action to address these issues.While the research and its recommendations are centered on Toronto,they are potentially applicable to other cities that share similar climates,sunlight conditions,and built environments.展开更多
On June 23,hosted by the Consulate General of the People's Republic of China in Toronto and co-organized by the Culture and Arts Center of Guofeng Art Museum,the Tea for Harmony Yaji Cultural.Salon was successfull...On June 23,hosted by the Consulate General of the People's Republic of China in Toronto and co-organized by the Culture and Arts Center of Guofeng Art Museum,the Tea for Harmony Yaji Cultural.Salon was successfully held in Toronto.Through this event,the Chinese and Canadian people have enhanced friendship and deepened mutual understanding in the exchange of tea culture,injecting new vitality into the stability and development of bilateral relations.展开更多
On April 27,with the initiative and support of the Consulate-General of the People's Republic of China in Toronto and the Chinesea Cultural Centere of Greater Toronto as a cultural partner,the Ontario Martial Arts...On April 27,with the initiative and support of the Consulate-General of the People's Republic of China in Toronto and the Chinesea Cultural Centere of Greater Toronto as a cultural partner,the Ontario Martial Arts Federation successfully hosted the event of the World Tai Chi Day for the first time in Toronto,opening a new chapter for Tai Chi in Toronto.展开更多
腹膜透析(简称腹透)已成为治疗慢性肾功能衰竭的主要方法之一,慢性腹透的成功主要取决于腹透管的通畅。在与腹透管有关的机械并发症中,最常见的是导管阻塞和移位,后者随着腹透管及手术方式的不断改进,发生率已明显降低,前者已成为换管...腹膜透析(简称腹透)已成为治疗慢性肾功能衰竭的主要方法之一,慢性腹透的成功主要取决于腹透管的通畅。在与腹透管有关的机械并发症中,最常见的是导管阻塞和移位,后者随着腹透管及手术方式的不断改进,发生率已明显降低,前者已成为换管的最主要原因。倘使换管无需手术而又极其简便,自较理想。双套管即能适应这一要求。1985～1988年我们使用双套管治疗12例,与同期使用的仿 Toronto 管22例进行比较,效果尚满意,报告如下。展开更多
Time-series of weekly total carbon （TC） concentrations of fine aerosol particles （PM2.5） in Beijing and Toronto were compared to investigate their respective levels and temporal patterns over two years from August...Time-series of weekly total carbon （TC） concentrations of fine aerosol particles （PM2.5） in Beijing and Toronto were compared to investigate their respective levels and temporal patterns over two years from August 2001 through July 2003. In addition to this comparison, differences in the factors contributing to the observed concentrations and their temporal variations are discussed. Based upon past knowledge about the two megacities with highly contrasting air pollutant levels, it is not surprising that the average TC concentration in Belling （31.5 μg C m^-3） was greater than that in Toronto by a factor of 8.3. Despite their large concentration differences, in both cities TC comprised a similarly large component of PM2.5. TC concentrations exhibited very different seasonal patterns between the two cities. In Beijing, TC experienced higher levels and greater weekly fluctuations in winter whereas in Toronto this behavior was seen in summer. As a result, the greatest gap in TC concentrations between Beijing and Toronto （by a factor of 12.7） occurred in winter, while the smallest gap （a factor of 4.6） was in summer. In Beijing, seasonal variations in the emissions probably played a greater role than meteorology in influencing the TC seasonality, while in Toronto during the warm months more than 80% of the hourly winds were recorded from the south, along with many potential anthropogenic sources for the days with high TC concentrations. This comparison of the differences provides insight into the major factors affecting carbonaceous aerosol in each city.展开更多
BACKGROUND Endoscopic evaluation in diagnosing and managing ulcerative colitis(UC)is becoming increasingly important.Several endoscopic scoring systems have been established,including the Ulcerative Colitis Endoscopic...BACKGROUND Endoscopic evaluation in diagnosing and managing ulcerative colitis(UC)is becoming increasingly important.Several endoscopic scoring systems have been established,including the Ulcerative Colitis Endoscopic Index of Severity(UCEIS)score and Mayo Endoscopic Subscore(MES).Furthermore,the Toronto Inflammatory Bowel Disease Global Endoscopic Reporting(TIGER)score for UC has recently been proposed;however,its clinical value remains unclear.AIM To investigate the clinical value of the TIGER score in UC by comparing it with the UCEIS score and MES.METHODS This retrospective study included 166 patients with UC who underwent total colonoscopy between January 2017 and March 2023 at the Affiliated Hospital of Qingdao University(Qingdao,China).We retrospectively analysed endoscopic scores,laboratory and clinical data,treatment,and readmissions within 1 year.Spearman’s rank correlation coefficient,receiver operating characteristic curve,and univariate and multivariable logistic regression analyses were performed using IBM SPSS Statistics for Windows,version 26.0(IBM Corp.,Armonk,NY,United States)and GraphPad Prism version 9.0.0 for Windows(GraphPad Software,Boston,Massachusetts,United States).RESULTS The TIGER score significantly correlated with the UCEIS score and MES(r=0.721,0.626,both P<0.001),showed good differentiating values for clinical severity among mild,moderate,and severe UC[8(4-112.75)vs 210(109–219)vs 328(219–426),all P<0.001],and exhibited predictive value in diagnosing patients with severe UC[area under the curve(AUC)=0.897,P<0.001].Additionally,the TIGER(r=0.639,0,551,0.488,0.376,all P<0.001)and UCEIS scores(r=0.622,0,540,0.494,and 0.375,all P<0.001)showed stronger correlations with laboratory and clinical parameters,including C-reactive protein,erythrocyte sedimentation rate,length of hospitalisation,and hospitalisation costs,than MES(r=0.509,0,351,0.339,and 0.270,all P<0.001).The TIGER score showed the best predictability for patients'recent advanced treatment,including systemic corticosteroids,biologics,or immunomodulators(AUC=0.848,P<0.001)and 1-year readmission(AUC=0.700,P<0.001)compared with the UCEIS score(AUC=0.762,P<0.001;0.627,P<0.05)and MES(AUC=0.684,P<0.001;0.578,P=0.132).Furthermore,a TIGER score of≥317 was identified as an independent risk factor for advanced UC treatment(P=0.011).CONCLUSION The TIGER score may be superior to the UCIES score and MES in improving the accuracy of clinical disease severity assessment,guiding therapeutic decision-making,and predicting short-term prognosis.展开更多
The 37th Language Testing Research Colloquium(LTRC 2015①)was held at Eaton Chelsea Hotel in Toronto Canada during March 16-20,2015.The first two days of March 16-17 were preconference workshop days with March 18-20 a...The 37th Language Testing Research Colloquium(LTRC 2015①)was held at Eaton Chelsea Hotel in Toronto Canada during March 16-20,2015.The first two days of March 16-17 were preconference workshop days with March 18-20 as the three main conference days.More than 300 participants from 27 countries and regions joined the conference.The top numbers of the展开更多
Evidence-based conservation seeks to incorporate sound scientific information into environmental decision making. The application of this concept in urban forest management has tremendous potential, but to date has be...Evidence-based conservation seeks to incorporate sound scientific information into environmental decision making. The application of this concept in urban forest management has tremendous potential, but to date has been little applied, largely because existing scientific studies emphasize the importance of urban forests in large-scale ecological and anthropogenic processes, but in practice, scientific evidence is ostensibly incorporated into North American urban forest management only when deciding the fate of individual trees. Even under these disjunctive conditions, the degree to which evidence influences tree-level decisions remains debatable. In analyzing preliminary data from a case study from Toronto, Canada, we sought to test if and how scientific evidence factored into the decision to remove or preserve 53 trees, located in close proximity to a provincially significant area of natural and scientific interest (ANSI). We found that by far the strongest tree-level correlate of the recommendation to remove or preserve trees was whether or not an individual tree was in conflict with proposed development. In comparison, species identity, tree condition, and suitability for conservation were statistically unrelated to the final recommendation. Our findings provide the basis to expand our analysis to multiple case studies across Canada, and internationally. Furthermore, when interpreted with available research and policy, our preliminary (and future) analysis highlights clear opportunities where scientific evidence can and should be readily incorporated into urban forestry management and policy.展开更多
The application of artificial intelligence algorithms in public services brings with it issues such as algorithmic discrimination and inequality.The discussion of the ethics and regulation of algorithms,from the legal...The application of artificial intelligence algorithms in public services brings with it issues such as algorithmic discrimination and inequality.The discussion of the ethics and regulation of algorithms,from the legal perspective,is actually the relationship between intelligent algorithms and the protection of human rights.In response to the discrimination and prejudice of algorithmic violations of human rights,a coalition of nonprofit organizations released the Toronto Declaration on Machine Learning regulates the development and use of algorithms with the principle of"due process."The Ethics Guidelines for Trustworthy AI issued by the European Union in 2019 focus on the participants in algorithm development.While US courts that the algorithms enjoy the right to"freedom of speech".China should learn from the foreign algorithm regulation experience,and seek to establish an overall framework of government regulation that balances the need for technological innovation and commercial competition with human rights protection.展开更多
加拿大的共享电动滑板还没启动,多伦多市政厅已经开始讨论不允许这些滑板车停在人行道上了。Barring e-scooters from city sidewalks,recom mendedb yacitycom mitteeon M onday, wouldmake it impossib le to introduce the concept t...加拿大的共享电动滑板还没启动,多伦多市政厅已经开始讨论不允许这些滑板车停在人行道上了。Barring e-scooters from city sidewalks,recom mendedb yacitycom mitteeon M onday, wouldmake it impossib le to introduce the concept to Toronto,according to the CEO of Bird Canada, an e-scooter company hoping to launch here in the spring of2 0 2 0.展开更多
Objective To report the development,validation,and findings of the Multi-dimensional Attention Rating Scale(MARS),a self-report tool crafted to evaluate six-dimension attention levels.Methods The MARS was developed ba...Objective To report the development,validation,and findings of the Multi-dimensional Attention Rating Scale(MARS),a self-report tool crafted to evaluate six-dimension attention levels.Methods The MARS was developed based on Classical Test Theory(CTT).Totally 202 highly educated healthy adult participants were recruited for reliability and validity tests.Reliability was measured using Cronbach's alpha and test-retest reliability.Structural validity was explored using principal component analysis.Criterion validity was analyzed by correlating MARS scores with the Toronto Hospital Alertness Test(THAT),the Attentional Control Scale(ACS),and the Attention Network Test(ANT).Results The MARS comprises 12 items spanning six distinct dimensions of attention:focused attention,sustained attention,shifting attention,selective attention,divided attention,and response inhibition.As assessed by six experts,the content validation index(CVI)was 0.95,the Cronbach's alpha for the MARS was 0.78,and the test-retest reliability was 0.81.Four factors were identified(cumulative variance contribution rate 68.79%).The total score of MARS was correlated positively with THAT(r=0.60,P<0.01)and ACS(r=0.78,P<0.01)and negatively with ANT's reaction time for alerting(r=−0.31,P=0.049).Conclusion The MARS can reliably and validly assess six-dimension attention levels in real-world settings and is expected to be a new tool for assessing multi-dimensional attention impairments in different mental disorders.展开更多
目的观察木丹颗粒和复方丹参滴丸治疗2型糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)的临床疗效。方法选取2023年5月—2024年4月在郑州颐和医院、河南省人民医院就诊的DPN患者180例,随机分为木丹颗粒组(木丹颗粒联合硫辛...目的观察木丹颗粒和复方丹参滴丸治疗2型糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)的临床疗效。方法选取2023年5月—2024年4月在郑州颐和医院、河南省人民医院就诊的DPN患者180例,随机分为木丹颗粒组(木丹颗粒联合硫辛酸治疗,85例),复方丹参滴丸组(复方丹参滴丸联合硫辛酸治疗,26例),硫辛酸组(单纯硫辛酸治疗,69例),疗程8周。主要观察指标为三组治疗前后密西根糖尿病周围神经病变评分(michigan diabetic neuropathy score,MDNS);次要观察指标为多伦多临床评分(Toronto clinical scoring system scores,TCSS)、中医临床证候评分(traditional chinese medicine syndrome scores,TCM)及血清超氧化物歧化酶(superoxide dismutase,SOD)水平变化。收集三组患者的年龄、性别比例、病程、血压、体重指数(body mass index,BMI)、合并症(冠心病、高血压、高脂血症)、吸烟饮酒史等临床资料及相关生化指标。结果三组患者MDNS、TCSS、TCM评分总分治疗后均较治疗前降低,木丹颗粒组和复方丹参滴丸组治疗后评分低于硫辛酸组,差异有统计学意义(P<0.05),木丹颗粒组和复方丹参滴丸组比较差异无统计学意义(P>0.05)。木丹颗粒组和复方丹参滴丸组治疗后MDNS、TCSS、TCM评分总有效率(90.58%和88.46%、94.11%和96.15%、92.94%和92.30%)均高于硫辛酸组(66.67%、76.81%、73.91%),差异有统计学意义(P<0.05),但木丹颗粒组和复方丹参滴丸组总有效率比较差异无统计学意义(P>0.05)。三组治疗后血清SOD水平均较治疗前升高,且研究组血清SOD水平高于硫辛酸组,差异有统计学意义(P<0.05)。三组患者病程、血压、BMI、FBG、HbA1c、CHO、TG、HDL-C、LDL-C、ALT和AST等水平无明显差异(P>0.05)。结论木丹颗粒和复方丹参滴丸均可有效改善2型糖尿病周围神经病变,两者和硫辛酸联用疗效相近。展开更多
文摘This research documents and visualizes the intricate relationships among sunlight,built form,and public life specifically within Toronto’s core.Utilizing photographs and stop-motion videos,the study captured the dynamic movement of sunlight and observed corresponding differences in human behavior under varying light conditions.Maps and diagrams,generated using Rhino3D/Ladybug software,were employed to visualize the annual sunlight conditions throughout the defined study area.Building upon existing scholarship,this research affirms a strong relationship between sunlight and public life,noting that this relationship shifts with the changing seasons.The study concludes with a series of recommendations focused on the protection,expansion,and intensification of public space exposed to winter sunlight,particularly along pedestrian-oriented shopping streets,and advocates for the strategic use of large deciduous trees to manage sunlight across different seasons.The rapid transformation of downtown Toronto’s built form necessitates swift action to address these issues.While the research and its recommendations are centered on Toronto,they are potentially applicable to other cities that share similar climates,sunlight conditions,and built environments.
文摘On June 23,hosted by the Consulate General of the People's Republic of China in Toronto and co-organized by the Culture and Arts Center of Guofeng Art Museum,the Tea for Harmony Yaji Cultural.Salon was successfully held in Toronto.Through this event,the Chinese and Canadian people have enhanced friendship and deepened mutual understanding in the exchange of tea culture,injecting new vitality into the stability and development of bilateral relations.
文摘On April 27,with the initiative and support of the Consulate-General of the People's Republic of China in Toronto and the Chinesea Cultural Centere of Greater Toronto as a cultural partner,the Ontario Martial Arts Federation successfully hosted the event of the World Tai Chi Day for the first time in Toronto,opening a new chapter for Tai Chi in Toronto.
文摘腹膜透析(简称腹透)已成为治疗慢性肾功能衰竭的主要方法之一,慢性腹透的成功主要取决于腹透管的通畅。在与腹透管有关的机械并发症中,最常见的是导管阻塞和移位,后者随着腹透管及手术方式的不断改进,发生率已明显降低,前者已成为换管的最主要原因。倘使换管无需手术而又极其简便,自较理想。双套管即能适应这一要求。1985～1988年我们使用双套管治疗12例,与同期使用的仿 Toronto 管22例进行比较,效果尚满意,报告如下。
基金funded by National Natural Science Foundation of China(NSFC)projects(Grant Nos.20322203 and 40675079)the National Science Fund for Distinguished Young Scholars of NSFC(Grant No.20625722)
文摘Time-series of weekly total carbon （TC） concentrations of fine aerosol particles （PM2.5） in Beijing and Toronto were compared to investigate their respective levels and temporal patterns over two years from August 2001 through July 2003. In addition to this comparison, differences in the factors contributing to the observed concentrations and their temporal variations are discussed. Based upon past knowledge about the two megacities with highly contrasting air pollutant levels, it is not surprising that the average TC concentration in Belling （31.5 μg C m^-3） was greater than that in Toronto by a factor of 8.3. Despite their large concentration differences, in both cities TC comprised a similarly large component of PM2.5. TC concentrations exhibited very different seasonal patterns between the two cities. In Beijing, TC experienced higher levels and greater weekly fluctuations in winter whereas in Toronto this behavior was seen in summer. As a result, the greatest gap in TC concentrations between Beijing and Toronto （by a factor of 12.7） occurred in winter, while the smallest gap （a factor of 4.6） was in summer. In Beijing, seasonal variations in the emissions probably played a greater role than meteorology in influencing the TC seasonality, while in Toronto during the warm months more than 80% of the hourly winds were recorded from the south, along with many potential anthropogenic sources for the days with high TC concentrations. This comparison of the differences provides insight into the major factors affecting carbonaceous aerosol in each city.
基金Clinical Medicine+X Research Project of the Affiliated Hospital of Qingdao University in 2021,No.QDFY+X202101036Qingdao Medical and Health Research Program in 2021,No.2021-WJZD166and Youth Project of Natural Science Foundation of Shandong Province,No.ZR2020QH031.
文摘BACKGROUND Endoscopic evaluation in diagnosing and managing ulcerative colitis(UC)is becoming increasingly important.Several endoscopic scoring systems have been established,including the Ulcerative Colitis Endoscopic Index of Severity(UCEIS)score and Mayo Endoscopic Subscore(MES).Furthermore,the Toronto Inflammatory Bowel Disease Global Endoscopic Reporting(TIGER)score for UC has recently been proposed;however,its clinical value remains unclear.AIM To investigate the clinical value of the TIGER score in UC by comparing it with the UCEIS score and MES.METHODS This retrospective study included 166 patients with UC who underwent total colonoscopy between January 2017 and March 2023 at the Affiliated Hospital of Qingdao University(Qingdao,China).We retrospectively analysed endoscopic scores,laboratory and clinical data,treatment,and readmissions within 1 year.Spearman’s rank correlation coefficient,receiver operating characteristic curve,and univariate and multivariable logistic regression analyses were performed using IBM SPSS Statistics for Windows,version 26.0(IBM Corp.,Armonk,NY,United States)and GraphPad Prism version 9.0.0 for Windows(GraphPad Software,Boston,Massachusetts,United States).RESULTS The TIGER score significantly correlated with the UCEIS score and MES(r=0.721,0.626,both P<0.001),showed good differentiating values for clinical severity among mild,moderate,and severe UC[8(4-112.75)vs 210(109–219)vs 328(219–426),all P<0.001],and exhibited predictive value in diagnosing patients with severe UC[area under the curve(AUC)=0.897,P<0.001].Additionally,the TIGER(r=0.639,0,551,0.488,0.376,all P<0.001)and UCEIS scores(r=0.622,0,540,0.494,and 0.375,all P<0.001)showed stronger correlations with laboratory and clinical parameters,including C-reactive protein,erythrocyte sedimentation rate,length of hospitalisation,and hospitalisation costs,than MES(r=0.509,0,351,0.339,and 0.270,all P<0.001).The TIGER score showed the best predictability for patients'recent advanced treatment,including systemic corticosteroids,biologics,or immunomodulators(AUC=0.848,P<0.001)and 1-year readmission(AUC=0.700,P<0.001)compared with the UCEIS score(AUC=0.762,P<0.001;0.627,P<0.05)and MES(AUC=0.684,P<0.001;0.578,P=0.132).Furthermore,a TIGER score of≥317 was identified as an independent risk factor for advanced UC treatment(P=0.011).CONCLUSION The TIGER score may be superior to the UCIES score and MES in improving the accuracy of clinical disease severity assessment,guiding therapeutic decision-making,and predicting short-term prognosis.
文摘The 37th Language Testing Research Colloquium(LTRC 2015①)was held at Eaton Chelsea Hotel in Toronto Canada during March 16-20,2015.The first two days of March 16-17 were preconference workshop days with March 18-20 as the three main conference days.More than 300 participants from 27 countries and regions joined the conference.The top numbers of the
文摘Evidence-based conservation seeks to incorporate sound scientific information into environmental decision making. The application of this concept in urban forest management has tremendous potential, but to date has been little applied, largely because existing scientific studies emphasize the importance of urban forests in large-scale ecological and anthropogenic processes, but in practice, scientific evidence is ostensibly incorporated into North American urban forest management only when deciding the fate of individual trees. Even under these disjunctive conditions, the degree to which evidence influences tree-level decisions remains debatable. In analyzing preliminary data from a case study from Toronto, Canada, we sought to test if and how scientific evidence factored into the decision to remove or preserve 53 trees, located in close proximity to a provincially significant area of natural and scientific interest (ANSI). We found that by far the strongest tree-level correlate of the recommendation to remove or preserve trees was whether or not an individual tree was in conflict with proposed development. In comparison, species identity, tree condition, and suitability for conservation were statistically unrelated to the final recommendation. Our findings provide the basis to expand our analysis to multiple case studies across Canada, and internationally. Furthermore, when interpreted with available research and policy, our preliminary (and future) analysis highlights clear opportunities where scientific evidence can and should be readily incorporated into urban forestry management and policy.
文摘The China Tourism and Culture Week kicked off in Toronto on June 15 to showcase China's landscapes, culture and food, attracting hundreds of visitors.
文摘The application of artificial intelligence algorithms in public services brings with it issues such as algorithmic discrimination and inequality.The discussion of the ethics and regulation of algorithms,from the legal perspective,is actually the relationship between intelligent algorithms and the protection of human rights.In response to the discrimination and prejudice of algorithmic violations of human rights,a coalition of nonprofit organizations released the Toronto Declaration on Machine Learning regulates the development and use of algorithms with the principle of"due process."The Ethics Guidelines for Trustworthy AI issued by the European Union in 2019 focus on the participants in algorithm development.While US courts that the algorithms enjoy the right to"freedom of speech".China should learn from the foreign algorithm regulation experience,and seek to establish an overall framework of government regulation that balances the need for technological innovation and commercial competition with human rights protection.
文摘加拿大的共享电动滑板还没启动,多伦多市政厅已经开始讨论不允许这些滑板车停在人行道上了。Barring e-scooters from city sidewalks,recom mendedb yacitycom mitteeon M onday, wouldmake it impossib le to introduce the concept to Toronto,according to the CEO of Bird Canada, an e-scooter company hoping to launch here in the spring of2 0 2 0.
文摘Objective To report the development,validation,and findings of the Multi-dimensional Attention Rating Scale(MARS),a self-report tool crafted to evaluate six-dimension attention levels.Methods The MARS was developed based on Classical Test Theory(CTT).Totally 202 highly educated healthy adult participants were recruited for reliability and validity tests.Reliability was measured using Cronbach's alpha and test-retest reliability.Structural validity was explored using principal component analysis.Criterion validity was analyzed by correlating MARS scores with the Toronto Hospital Alertness Test(THAT),the Attentional Control Scale(ACS),and the Attention Network Test(ANT).Results The MARS comprises 12 items spanning six distinct dimensions of attention:focused attention,sustained attention,shifting attention,selective attention,divided attention,and response inhibition.As assessed by six experts,the content validation index(CVI)was 0.95,the Cronbach's alpha for the MARS was 0.78,and the test-retest reliability was 0.81.Four factors were identified(cumulative variance contribution rate 68.79%).The total score of MARS was correlated positively with THAT(r=0.60,P<0.01)and ACS(r=0.78,P<0.01)and negatively with ANT's reaction time for alerting(r=−0.31,P=0.049).Conclusion The MARS can reliably and validly assess six-dimension attention levels in real-world settings and is expected to be a new tool for assessing multi-dimensional attention impairments in different mental disorders.
文摘目的观察木丹颗粒和复方丹参滴丸治疗2型糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)的临床疗效。方法选取2023年5月—2024年4月在郑州颐和医院、河南省人民医院就诊的DPN患者180例,随机分为木丹颗粒组(木丹颗粒联合硫辛酸治疗,85例),复方丹参滴丸组(复方丹参滴丸联合硫辛酸治疗,26例),硫辛酸组(单纯硫辛酸治疗,69例),疗程8周。主要观察指标为三组治疗前后密西根糖尿病周围神经病变评分(michigan diabetic neuropathy score,MDNS);次要观察指标为多伦多临床评分(Toronto clinical scoring system scores,TCSS)、中医临床证候评分(traditional chinese medicine syndrome scores,TCM)及血清超氧化物歧化酶(superoxide dismutase,SOD)水平变化。收集三组患者的年龄、性别比例、病程、血压、体重指数(body mass index,BMI)、合并症(冠心病、高血压、高脂血症)、吸烟饮酒史等临床资料及相关生化指标。结果三组患者MDNS、TCSS、TCM评分总分治疗后均较治疗前降低,木丹颗粒组和复方丹参滴丸组治疗后评分低于硫辛酸组,差异有统计学意义(P<0.05),木丹颗粒组和复方丹参滴丸组比较差异无统计学意义(P>0.05)。木丹颗粒组和复方丹参滴丸组治疗后MDNS、TCSS、TCM评分总有效率(90.58%和88.46%、94.11%和96.15%、92.94%和92.30%)均高于硫辛酸组(66.67%、76.81%、73.91%),差异有统计学意义(P<0.05),但木丹颗粒组和复方丹参滴丸组总有效率比较差异无统计学意义(P>0.05)。三组治疗后血清SOD水平均较治疗前升高,且研究组血清SOD水平高于硫辛酸组,差异有统计学意义(P<0.05)。三组患者病程、血压、BMI、FBG、HbA1c、CHO、TG、HDL-C、LDL-C、ALT和AST等水平无明显差异(P>0.05)。结论木丹颗粒和复方丹参滴丸均可有效改善2型糖尿病周围神经病变,两者和硫辛酸联用疗效相近。
