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Bailing capsule(百令胶囊)alleviates autoimmune thyroiditis via regulating peroxisome proliferator-activated receptor signaling pathway:a multi-omics analysis
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作者 WANG Qixin XU Liting +7 位作者 WU Jiangpeng HE Xueling TANG Huan CHENG Guangqing LU Tianming DAI Chuanhao GUO Qiuyan WANG Jigang 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2024年第6期1217-1226,共10页
OBJECTIVE: To investigate the efficacy and potential mechanism of Bailing capsule( 百令胶囊, BL) antiautoimmune thyroiditis(AIT). METHODS: Based on the AIT rat model, the effect of BL in alleviating AIT was evaluated ... OBJECTIVE: To investigate the efficacy and potential mechanism of Bailing capsule( 百令胶囊, BL) antiautoimmune thyroiditis(AIT). METHODS: Based on the AIT rat model, the effect of BL in alleviating AIT was evaluated by detecting serum thyroid index free triiodothyronine(FT3), free thyroxine(FT4), thyroid-stimulating hormone(TSH), thyroglobulin antibody(TGAb), thyroid peroxidase antibody(TPOAb), and inflammatory factors Interferon-gamma(IFN-γ), Interleukin-4,-10, and-12(IL-4, IL-10, and IL-12) as well as thyroid tissue Hematoxylin-eosin(HE) staining and ultrastructure observation. The mechanism of BL was explored by combining transcriptome and proteome analysis, and further verified by Western blot(WB). RESULTS: BL effectively reduced serum FT3, FT4, TGAb, and TPOAb levels in AIT rats, restored TSH balance, inhibited the release of pro-inflammatory cytokines IFN-γ and IL-12, promoted the production of anti-inflammatory cytokines IL-4 and IL-10, and significantly reduced IFN-γ/IL-4 and IL-12/IL-10, improved thyroid follicular structure, and protected thyroid tissue from injury. Kyoto Encyclopedia of Genes and Genomes and protein interaction network analysis showed that BL affected the expression of fatty acidbinding protein 4, acyl-Co A synthetase long-chain family member 1, and acyl-Co A dehydrogenase long chain to regulate the peroxisome proliferator-activated receptor signaling pathway, thereby inhibiting the fatty acid metabolism and the inflammatory state of AIT rats.CONCLUSIONS: BL could effectively reduce thyroid inflammation in AIT model rats. The possible BL mechanism was to regulate the peroxisome proliferatoractivated receptor signaling pathway and inhibit fatty acid metabolism. This study suggested that BL has the potential to be used in clinical treatment of AIT. 展开更多
关键词 THYROIDITIS AUTOIMMUNE CORDYCEPS fatty acid peroxisome proliferator-activated receptors bailing capsule
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Effects of alprostadil combined with Bailing Capsule on residual renal function, renal hemodynamics, immune indexes and nutritional status in patients with chronic renal failure
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作者 Sheng Wan Hong-Dan Tian +3 位作者 Yan-Qiong Ding Li Cheng Fei Xiong Rui-Xia Ma 《Journal of Hainan Medical University》 2020年第7期23-26,共4页
Objective:To investigate the clinical efficacy and safety of alprostadil combined with Bailing Capsule in the treatment of chronic renal failure,and the influence of alprostadil combined with Bailing Capsule on residu... Objective:To investigate the clinical efficacy and safety of alprostadil combined with Bailing Capsule in the treatment of chronic renal failure,and the influence of alprostadil combined with Bailing Capsule on residual renal function,renal hemodynamics,immune indexes and nutritional status.Methods 86 patients with chronic renal failure(CRF)hospitalized in Wuhan integrated traditional Chinese and Western Medicine Hospital Affiliated to Tongji Medical College of Huazhong University of science and technology from January 2018 to June 2019 were selected as the study objects.They were randomly divided into control group and case group with 43 cases in each group.Two groups were given peritoneal dialysis treatment,the control group was given bailing capsule,the case group was given alprostadil injection on the basis of the control group.To observe the clinical effect of the two groups before and after treatment,and the changes of residual renal function,renal hemodynamics,immune index and nutritional status.Results The total effective rate of the case group was 97.68%,higher than 83.73%of the control group,the difference was statistically significant(P<0.05).After treatment,the levels of bun,SCR,GFR,24h urinary protein quantity,resistance index,CRP,IL-6,TNF,CD8+and SGA in the two groups were lower than those before treatment;the levels of renal blood flow,RRF,CD3+,CD4+,ALB,PA,TRF and Hb were higher than those before treatment;moreover,the improvement of serum inflammatory cytokines,residual renal function and renal hemodynamic indexes,immune indexes and nutritional status in the case group were significant The difference was statistically significant(P<0.05).The incidence of adverse reactions in the control group was 16.28%,higher than 6.98%in the case group,with no significant difference(P>0.05).Conclusion Alprostadil combined with Bailing capsule can significantly improve the residual renal function,hemodynamics,immune index,reduce the degree of inflammatory response in patients with chronic renal failure. 展开更多
关键词 ALPROSTADIL bailing capsule Peritoneal dialysis Chronic renal failure HEMODYNAMICS
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Effects of Bailing capsule combined with irbesartan on oxidative stress, inflammatory response and immune function in patients with diabetic nephropathy
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作者 Zhong Li Guang-Ming Zhang +3 位作者 Sha Zheng Jia-JiaZheng Yan Zhang Ping Yuan 《Journal of Hainan Medical University》 2019年第9期33-36,共4页
Objective: To explore the effects of Bailing capsule combined with irbesartan on oxidative stress, inflammatory response and immune function in patients with diabetic nephropathy. Methods: 142 patients with diabetic n... Objective: To explore the effects of Bailing capsule combined with irbesartan on oxidative stress, inflammatory response and immune function in patients with diabetic nephropathy. Methods: 142 patients with diabetic nephropathy admitted to our hospital from April 2017 to July 2018 were selected as the study subjects. 71 cases in the control group and 71 cases in the observation group were randomly assigned. The renal function, oxidative stress, inflammation and immune indexes of two groups of patients with diabetic nephropathy were compared and analyzed. Results: After treatment, the levels of BUN, SCr, UARE, ROS, AOPPS, TNF-α, CRP and CD8+ of DN patients in both groups decreased significantly compared with those before the treatment, while the levels of SOD, CD4+, CD4+/CD8+ increased significantly compared with those before the treatment;and the levels of BUN, SCr, UARE, ROS, AOPPS, TNF-α, CRP and CD8+ in the observation group were significantly lower than those in the control group, while the levels of SOD, CD4+, CD4+/CD8+ in the observation group were significantly higher than those in the control group. Conclusions: Bailing capsule combined with irbesartan in the treatment of diabetic nephropathy can effectively improve the renal function, oxidize inflammatory reaction and enhance the immune function of patients, which has clinical significance. 展开更多
关键词 bailING CAPSULE IRBESARTAN DIABETIC NEPHROPATHY Oxidative stress Inflammatory response Immune function
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Effect of Bailing capsule combined with ethinylestradiol and cyproterone acetate and metformin on lipid metabolism and insulin resistance in patients with polycystic ovary syndrome
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作者 Ni Liu Dan Pi Chun-Mei Liu 《Journal of Hainan Medical University》 2018年第2期87-90,共4页
Objective:To investigate the effect of Bailing capsule combined with ethinylestradiol and cyproterone acetate and metformin on lipid metabolism and insulin resistance in patients with polycystic ovary syndrome (PCOS).... Objective:To investigate the effect of Bailing capsule combined with ethinylestradiol and cyproterone acetate and metformin on lipid metabolism and insulin resistance in patients with polycystic ovary syndrome (PCOS).Methods: A total of 108 patients with PCOS who were treated in our hospital between November 2014 and April 2017 were reviewed and divided into routine group (n=67) who received routine therapy and Bailing capsule group (n=41) who received Bailing capsule combined with routine therapy. Routine group received ethinylestradiol and cyproterone acetate and metformin therapy, and Bailing capsule group were treated with Bailing capsule combined with ethinylestradiol and cyproterone acetate and metformin therapy. The differences in the levels of lipid metabolism, insulin resistance indexes as well as inflammatory factors were compared between the two groups before and after treatment.Results: There was no statistically significant difference in serum levels of lipid metabolism, insulin resistance-related indexes and inflammatory factors between the two groups before treatment. After treatment, serum HDL-C content of Bailing capsule group was higher than that of routine group whereas LDL-C and TC contents were lower than those of routine group;serum insulin resistance-related indexes FINS and HOMA-IR levels were lower than those of routine group;serum inflammatory cytokines IL-6, TNF-α, APN and LEP contents were lower than those of routine group.Conclusion: Bailing capsule combined with ethinylestradiol and cyproterone acetate and metformin therapy can effectively improve the lipid metabolism level and inhibit the insulin resistance in patients with PCOS. 展开更多
关键词 POLYCYSTIC OVARY syndrome bailING CAPSULE Lipid metabolism Insulin resistance
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Effect of Bailing capsule combined with Edaravone on immune function, antioxidant function and related factors in patients with chronic obstructive pulmonary disease
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作者 Dong-Ming Lu Yu-Ping Qiu +2 位作者 Wen-Juan Zhang Jian-Hua Chen Ling-Ying Bu 《Journal of Hainan Medical University》 2018年第24期20-23,共4页
Objective:To investigate the effects of Bailing capsule combined with edaravone on immune function, antioxidant function and related factors in patients with chronic obstructive pulmonary disease (COPD).Methods:160 pa... Objective:To investigate the effects of Bailing capsule combined with edaravone on immune function, antioxidant function and related factors in patients with chronic obstructive pulmonary disease (COPD).Methods:160 patients with COPD who received treatment in the department of respiratory medicine of our hospital from March 2016 to March 2018 were randomly divided into control group and observation group, 80 cases in each group. Patients in the control group received edaravone treatment, while patients in the observation group received bailing capsule combined with edaravone treatment. The levels of T lymphocyte, superoxide dismutase (SOD), malondialdehyde (MDA), nitric oxide (NO), transforming growth factor-β1 (TGF-β1), tumor necrosis factor-α (TNF-α) and matrix metalloproteinase-9 (MMP-9) were measured and compared before and after treatment.Result: After treatment, the levels of CD3+, CD4+, CD4+ / CD8+, SOD and NO of patients in the control group and the observation group were significantly higher than those before treatment, while the levels of CD8+ and MDA were significantly lower than those before treatment. The change trend of the levels of T lymphocyte and antioxidant enzyme of patients in the observation group were significantly more obvious than that in the control group (P<0.05). After treatment, the serum levels of TGF-β1, TNF-α and MMP-9 of patients in the control group and the observation group decreased significantly, and the change trend of the above factors of patients in the observation group was more obvious than that in the control group (P<0.05).Conclusion: Bailing capsule combined with edaravone in the treatment of chronic obstructive pulmonary disease can significantly enhance the immune function and antioxidant function of patients and alleviate inflammation of the body. It has good clinical curative effect. 展开更多
关键词 bailING capsule EDARAVONE Chronic OBSTRUCTIVE pulmonary disease Immune FUNCTION Antioxidant FUNCTION
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Bee-like Oil Production Technology──Development of Low Permeability Oilfield by Oil Bailing Method in Jilin Oilfield
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《China Oil & Gas》 CAS 1999年第3期168-169,共2页
关键词 Development of Low Permeability Oilfield by Oil bailing Method in Jilin Oilfield Bee-like Oil Production Technology
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珙桐Davidia involucrata Bail.
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作者 刘仁林 《江西林业科技》 2009年第1期17-17,共1页
落叶乔木,高15~20m;树皮灰褐色,不规则片状剥落。芽鳞覆瓦状排列。叶宽卵形,长9~15cm,宽2.5~4.5cm,基部心形,先端渐尖,叶边缘具明显锯齿;叶面近无毛。
关键词 珙桐 水梨子 Davidia involucrata bail 播种繁殖
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A BRIEF INTRODUCTION TO THE NEWLY APPOINTED VICE PRESIDENT OF THE CAS, PROF. YANG BAILING
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作者 Mr. Wang Zhongjun 《Bulletin of the Chinese Academy of Sciences》 1999年第3期201-202,共2页
Prof. Yang Bailing is a research professor specializing in chemical lasers and aero-dynamics. Born in Shanghai in October 1943, he graduated from the Harbin Institute of Military Engineering in 1966 and was then assig... Prof. Yang Bailing is a research professor specializing in chemical lasers and aero-dynamics. Born in Shanghai in October 1943, he graduated from the Harbin Institute of Military Engineering in 1966 and was then assigned to work at the CAS-affiliated Dalian Institute of Chemical Physics. In 1980, he 展开更多
关键词 PROF A BRIEF INTRODUCTION TO THE NEWLY APPOINTED VICE PRESIDENT OF THE CAS YANG bailING
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Non-formal Education Bails Out Impoverished Ethnic Youth
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作者 ZUO YUANFENG 《The Journal of Human Rights》 2008年第4期34-36,共3页
On a hot summer day in August 2006, Lamao Cering crouched in a windy field in west China's Qinghai Province murmuring to herself. "I want to go to school," she chanted quietly over and over in an almost mantra-like... On a hot summer day in August 2006, Lamao Cering crouched in a windy field in west China's Qinghai Province murmuring to herself. "I want to go to school," she chanted quietly over and over in an almost mantra-like trance, oblivious to her father's call to come back and tend the sheep. 展开更多
关键词 UNICEF Non-formal Education bails Out Impoverished Ethnic Youth
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百令胶囊联合ARB类降压药治疗糖尿病肾病对TGF-β/Smad、p38MAPK水平的影响 被引量:3
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作者 籍胤玺 徐娜 +6 位作者 金毅 林玉玲 刘琳 李曾一 窦润鹏 程省 曾俊风 《中华中医药学刊》 北大核心 2025年第3期235-238,共4页
目的研究百令胶囊联合血管紧张素Ⅱ受体拮抗剂(angiotensinⅡreceptor blocking agent resistance,ARB)类降压药治疗糖尿病肾病(diabetic nephropathy,DN)对血清转化生长因子(transforming growth factor-β,TGF-β)/Smad、p38丝裂原蛋... 目的研究百令胶囊联合血管紧张素Ⅱ受体拮抗剂(angiotensinⅡreceptor blocking agent resistance,ARB)类降压药治疗糖尿病肾病(diabetic nephropathy,DN)对血清转化生长因子(transforming growth factor-β,TGF-β)/Smad、p38丝裂原蛋白激酶(p38 mitogen-activated protein kinase,p38MAPK)水平的影响。方法选取2020年1月—2022年1月医院收治的DN患者78例,通过随机数字方法将78例患者分成对照组与观察组各39例,对照组给予坎地沙坦酯片和胰岛素,观察组在对照组的基础上加用百令胶囊,均治疗16周。比较两组疗效,比较两组患者治疗前后空腹血糖(fasting plasma glucose,FPG)、糖化血红蛋白(glycosylated hemoglobin,HbA1c)、肌酐(serum creatinine,SCr)、尿素氮(urea nitrogen,BUN)及血清TGF-β、Smad1、Smad2、Smad3、p38MAPK、p-p38MAPK蛋白水平差异,另外比较两组用药后的不良反应发生率。结果观察组患者总有效率87.74%显著高于对照组的69.23%,差异有统计学意义(P<0.05)。观察组治疗后FPG、HbA1c、SCr、BUN水平显著低于治疗前及对照组治疗后,差异有统计学意义(P<0.05)。观察治疗后TGF-β、Smad1、Smad2、Smad3蛋白水平显著低于治疗前及对照组治疗后,差异有统计学意义(P<0.05)。观察组治疗后血清p38MAPK、p-p38MAPK、p-p38MAPK/p38MAPK蛋白水平显著低于治疗前及对照组治疗后,差异有统计学意义(P<0.05)。两组不良反应的总发生率比较,差异无统计学意义(41.03%VS 33.33%,P>0.05)。结论百令胶囊联合ARB类降压药治疗DN可以起到明显的降血糖、改善肾功能的作用,同时还能调节TGF-β/Smad、p38MAPK蛋白水平,且不明显增加药物治疗的不良反应,值得临床推广使用。 展开更多
关键词 糖尿病肾病 百令胶囊 ARB类降压药 TGF-Β/SMAD P38MAPK
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雷公藤多苷片联合百令胶囊对糖尿病肾病Ⅳ期患者中医证候积分、脂肪细胞因子及肾纤维化的影响 被引量:2
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作者 左建娇 魏萱 +4 位作者 李刚 王津 李玉婵 施云涛 张晓亚 《临床误诊误治》 2025年第4期83-87,共5页
目的探讨雷公藤多苷片联合百令胶囊对糖尿病肾病Ⅳ期患者中医证候积分、脂肪细胞因子及肾纤维化的影响。方法选择2017年1月至2021年6月收治的糖尿病肾病Ⅳ期患者80例,按治疗方法不同分为百令组40例和联合组40例。2组均给予常规治疗,百... 目的探讨雷公藤多苷片联合百令胶囊对糖尿病肾病Ⅳ期患者中医证候积分、脂肪细胞因子及肾纤维化的影响。方法选择2017年1月至2021年6月收治的糖尿病肾病Ⅳ期患者80例,按治疗方法不同分为百令组40例和联合组40例。2组均给予常规治疗,百令组给予百令胶囊治疗,联合组给予百令胶囊联合雷公藤多苷片治疗。比较2组治疗前和治疗6个月后中医证候积分、血清脂联素、Chemerin、胱抑素C以及血清、尿转化生长因子-β1(TGF-β1)水平,观察2组不良反应发生情况。结果治疗后,联合组气短乏力、腰膝酸软、肢体麻木、水肿中医证候积分均低于治疗前和百令组(P<0.05)。治疗后,联合组血清脂联素水平均高于治疗前和百令组(P<0.05);治疗后,联合组血清Chemerin、胱抑素C以及血清、尿TGF-β1水平均较治疗前和百令组降低(P<0.05)。联合组治疗期间发生肝损伤2例、骨髓抑制(表现为白细胞减少)1例,均较轻微,给予相应干预后好转。百令组无不良反应发生。结论雷公藤多苷片联合百令胶囊治疗糖尿病肾病Ⅳ期患者可以减轻中医证候、调节血清脂联素、Chemerin水平,且对肾纤维化有明显改善作用。 展开更多
关键词 糖尿病肾病 雷公藤多苷片 百令胶囊 中医证候 脂联素 CHEMERIN 胱抑素C 转化生长因子-β1
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百令胶囊辅助治疗对早期糖尿病肾病患者血清FGF23、Klotho水平及骨密度的影响
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作者 付彩雯 喻荷淋 +4 位作者 李钰艳 李元美 黄秀丽 周艳君 吴艳 《保健医学研究与实践》 2025年第5期109-114,共6页
目的探讨百令胶囊辅助治疗早期糖尿病肾病(EDKD)的临床疗效及对血清成纤维细胞生长因子23(FGF23)、Klotho和骨密度的影响,以期为临床治疗提供参考。方法本研究选取2022年12月—2023年9月在遂宁市中心医院内分泌代谢病科门诊就诊及住院的... 目的探讨百令胶囊辅助治疗早期糖尿病肾病(EDKD)的临床疗效及对血清成纤维细胞生长因子23(FGF23)、Klotho和骨密度的影响,以期为临床治疗提供参考。方法本研究选取2022年12月—2023年9月在遂宁市中心医院内分泌代谢病科门诊就诊及住院的2型糖尿病(T2DM)患者80例为研究对象。采用随机数字表法将患者分为对照组和研究组,各40例。对照组患者入组后即给予常规治疗;研究组患者在对照组常规治疗基础上给予百令胶囊口服治疗。比较2组患者临床治疗效果及治疗期间不良反应发生情况;比较2组患者治疗前和治疗6个月后糖化血红蛋白(HbA1c)、甲状旁腺激素(PTH)、血钙(Ca)、血磷(Pi)、尿酸(UA)、血肌酐(SCr)、尿素氮(BUN)、尿白蛋白排泄率(UAER)、FGF23、Klotho水平及骨密度(avBMD)。结果研究组患者治疗总有效率高于对照组,差异有统计学意义(P<0.05)。2组患者治疗期间不良反应发生情况比较,差异无统计学意义(P>0.05)。治疗前,2组患者空腹血糖(FPG)、HbA1c、UA、SCr、BUN、UAER水平比较,差异无统计学意义(P>0.05)。治疗后,研究组患者HbA1c、UA、SCr、BUN、UAER水平低于对照组,差异均有统计学意义(P<0.05),但FPG水平在2组间的差异未显示有统计学意义(P>0.05)。对照组患者治疗后的FPG、HbA1c、BUN、UAER水平较治疗前降低,差异均有统计学意义(P<0.05),但UA、SCr的变化未显示有统计学意义(P>0.05);研究组患者治疗后的FPG、HbA1c、UA、SCr、BUN、UAER水平均较治疗前降低,差异均有统计学意义(P<0.05)。治疗前,2组患者PTH、Ca、Pi、avBMD、FGF23、Klotho水平比较,差异均无统计学意义(P>0.05)。治疗后,研究组患者avBMD、Klotho水平高于对照组,FGF23水平低于对照组,差异均有统计学意义(P<0.05),但PTH、Ca、Pi在2组间的差异未显示有统计学意义(P>0.05)。对照组患者治疗后的PTH水平较治疗前降低,差异有统计学意义(P<0.05),其余Ca、Pi、avBMD、FGF23、Klotho的变化未显示有统计学意义(P>0.05);研究组患者治疗后的PTH、FGF23水平均较治疗前降低,avBMD、Klotho水平均较治疗前上升,差异均有统计学意义(P<0.05)。结论百令胶囊辅助常规药物治疗EDKD,可改善患者肾功能,提升整体疗效,延缓疾病进程;同时,FGF23/Klotho内分泌轴可作为预测EDKD患者钙磷矿物质代谢紊乱及骨密度降低的早期生物学标志物研究方向之一。 展开更多
关键词 早期糖尿病肾病 2型糖尿病 百令胶囊 骨密度
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百令胶囊治疗慢性阻塞性肺疾病急性加重期患者的临床疗效及对其血降钙素原、嗜酸性粒细胞、肺功能的影响
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作者 冯平 林卫佳 +6 位作者 张长洪 刘戴维 张志华 杨雅婷 马丽 张秀珑 苏菁 《世界中西医结合杂志》 2025年第2期377-381,共5页
目的观察百令胶囊治疗慢性阻塞性肺疾病(Chronic obstructive pulmonary disease,COPD)急性加重期患者的临床疗效及对其血清降钙素原(Procalcitonin,PCT)、嗜酸性粒细胞(Eosinophil,EOS)、肺功能的影响。方法选取2019年9月—2020年9月... 目的观察百令胶囊治疗慢性阻塞性肺疾病(Chronic obstructive pulmonary disease,COPD)急性加重期患者的临床疗效及对其血清降钙素原(Procalcitonin,PCT)、嗜酸性粒细胞(Eosinophil,EOS)、肺功能的影响。方法选取2019年9月—2020年9月期间河北北方学院附属第一医院收治的COPD急性加重期患者120例,按随机数字表法分为对照组和观察组,每组各60例。对照组予常规西药治疗,观察组在对照组基础上联合百令胶囊,治疗6个月。观察比较两组患者临床疗效、不良反应及临床症状缓解时间,治疗前后中医证候积分、COPD患者自我评估测试问卷(COPD assessment test,CAT)积分、PCT和EOS指标、肺功能指标及治疗结束后1年内COPD急性发作次数。结果治疗后观察组临床症状体征缓解、消失时间明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者中医证候积分、CAT评分均较治疗前降低,差异有统计学意义(P<0.05);观察组中医证候积分、CAT评分均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者PCT和EOS指标均较治疗前明显降低,差异有统计学意义(P<0.05);且观察组PCT和EOS指标均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者FVC、PEF、FEV1指标均较治疗前升高,差异有统计学意义(P<0.05);观察组FVC、PEF、FEV1指标均明显高于对照组,差异有统计学意义(P<0.05)。治疗后观察组临床总有效率95.00%(57/60)高于对照组83.33%(50/60),差异有统计学意义(P<0.05)。观察组1年内急性发作次数明显少于对照组,差异有统计学意义(P<0.05)。治疗期间,观察组不良反应发生率8.33%(5/60)与对照组26.67%(16/60)比较,差异有统计学意义(P<0.05)。结论百令胶囊能够调节COPD急性加重期患者血降钙素原和嗜酸性粒细胞水平,改善患者机体炎症反应,提高患者肺功能,有助于减少COPD急性发作。 展开更多
关键词 百令胶囊 慢性阻塞性肺疾病急性加重期 血降钙素原 嗜酸性粒细胞 肺功能 急性发作次数
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三种中成药联合优甲乐治疗桥本甲状腺炎的网状Meta分析
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作者 王鑫 杨景舒 +2 位作者 徐灏文 李璇 杨猛 《现代医学》 2025年第5期750-760,共11页
目的:基于贝叶斯网状Meta分析评估3种常见中成药联合优甲乐治疗桥本甲状腺炎的临床疗效。方法:通过中国知网、PubMed等数据库检索自建库以来至今涉及百令胶囊、夏枯草制剂、小金片联合优甲乐治疗桥本甲状腺炎的随机对照试验。筛选后利用... 目的:基于贝叶斯网状Meta分析评估3种常见中成药联合优甲乐治疗桥本甲状腺炎的临床疗效。方法:通过中国知网、PubMed等数据库检索自建库以来至今涉及百令胶囊、夏枯草制剂、小金片联合优甲乐治疗桥本甲状腺炎的随机对照试验。筛选后利用Stata 16.0软件进行网状Meta分析。结果:共纳入27篇RCT研究,涵盖2 828例患者,涉及4种干预方式。网状Meta结果显示:(1)提高临床有效率方面:夏枯草制剂+优甲乐>小金片+优甲乐>百令胶囊+优甲乐>单纯优甲乐治疗;(2)降低甲状腺球蛋白抗体(TGAb)、甲状腺过氧化物酶抗体(TPOAb)方面:小金片+优甲乐>百令胶囊+优甲乐>夏枯草制剂+优甲乐>单纯优甲乐治疗;(3)降低促甲状腺激素(TSH)方面:小金片+优甲乐>夏枯草制剂+优甲乐>百令胶囊+优甲乐>单纯优甲乐治疗;(4)升高游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)方面:小金片+优甲乐>百令胶囊+优甲乐>夏枯草制剂+优甲乐>单纯优甲乐治疗。结论:3种中成药联合优甲乐治疗桥本甲状腺炎的效果相较于单纯优甲乐更佳,安全性更好。其中小金片+优甲乐治疗在降低TGAb、TPOAb、TSH水平及升高FT3、FT4水平方面排名第一,夏枯草制剂+优甲乐治疗在提高临床治疗有效率方面排名第一。但不同中成药联合优甲乐治疗间缺乏直接比较,研究结果仍需进一步验证。 展开更多
关键词 网状Meta分析 桥本甲状腺炎 小金片 百令胶囊 夏枯草
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百令胶囊联合紫杉醇+顺铂化疗在非小细胞肺癌合并肺结核患者中的应用效果
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作者 孙冰 杨亚勤 +1 位作者 黄健 崔秀琴 《癌症进展》 2025年第8期936-939,共4页
目的探讨百令胶囊联合紫杉醇^(+)顺铂化疗在非小细胞肺癌(NSCLC)合并肺结核患者中的应用效果。方法依据治疗方式的不同将150例NSCLC合并肺结核患者分为对照组(n=72)和观察组(n=78),两组患者均接受标准方案肺结核治疗,在此基础上,对照组... 目的探讨百令胶囊联合紫杉醇^(+)顺铂化疗在非小细胞肺癌(NSCLC)合并肺结核患者中的应用效果。方法依据治疗方式的不同将150例NSCLC合并肺结核患者分为对照组(n=72)和观察组(n=78),两组患者均接受标准方案肺结核治疗,在此基础上,对照组患者接受紫杉醇^(+)顺铂治疗,观察组患者接受百令胶囊联合紫杉醇^(+)顺铂治疗。比较两组患者的临床疗效、免疫功能指标(CD4^(+)、CD8^(+)、CD4^(+)/CD8^(+))、凝血功能指标[D-二聚体(D-D)、纤维蛋白原(FIB)]、不良反应发生情况及生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]。结果观察组患者的治疗总有效率为58.97%,高于对照组患者的40.28%,差异有统计学意义(P﹤0.05)。治疗后,两组患者CD4^(+)水平及CD4^(+)/CD8^(+)均高于本组治疗前,CD8^(+)水平均低于本组治疗前,观察组患者CD4^(+)水平及CD4^(+)/CD8^(+)均高于对照组,CD8^(+)水平低于对照组,差异均有统计学意义(P﹤0.05)。治疗后,两组患者D-D、FIB水平均低于本组治疗前,观察组患者D-D、FIB水平均低于对照组,差异均有统计学意义(P﹤0.05)。治疗后,两组患者EORTC QLQ-C30各维度评分均高于本组治疗前,观察组患者EORTC QLQ-C30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的不良反应总发生率为39.74%,低于对照组患者的56.94%,差异有统计学意义(P﹤0.05)。结论百令胶囊联合紫杉醇^(+)顺铂化疗可有效提高NSCLC合并肺结核患者的免疫功能,改善凝血功能指标,降低不良反应发生率,提高患者的生活质量。 展开更多
关键词 百令胶囊 非小细胞肺癌 肺结核 免疫功能 凝血功能 不良反应 生活质量
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百令胶囊对病毒性肺炎大鼠的治疗作用研究
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作者 代岩 孙潺 金博 《新中医》 2025年第13期221-227,共7页
目的:观察百令胶囊对病毒性肺炎大鼠的治疗作用。方法:选取SPF级Wistar雄性大鼠40只,随机分为对照组、模型组、百令胶囊组、地塞米松组,每组10只。除对照组外,其余均建立病毒性肺炎模型。模型组与对照组灌胃0.9%氯化钠溶液1 mL;百令胶... 目的:观察百令胶囊对病毒性肺炎大鼠的治疗作用。方法:选取SPF级Wistar雄性大鼠40只,随机分为对照组、模型组、百令胶囊组、地塞米松组,每组10只。除对照组外,其余均建立病毒性肺炎模型。模型组与对照组灌胃0.9%氯化钠溶液1 mL;百令胶囊组灌胃0.54 g/(kg·d)百令胶囊溶液;地塞米松组灌胃地塞米松1 mg/(kg·d)。干预2、4、6天后,常规进行微量血凝试验并检测病毒的血凝滴度,采用酶联免疫吸附法测定各组大鼠血清γ干扰素(IFN-γ)、白细胞介素(IL)-2、IL-4、IL-10水平,苏木素-伊红(HE)染色观察各组大鼠肺组织病理改变评估纤维化,免疫印迹法及定量逆转录聚合酶链式反应(PCR)法分别检测NOD样受体热蛋白结构域相关蛋白(NLRP)3、NLRP6,半胱氨酸天冬氨酸特异性蛋白水解酶-1(caspase-1)蛋白及mRNA表达水平。结果:与模型组比较,百令胶囊组及地塞米松组大鼠病毒血凝滴度第2天降低(P<0.05),第4、6天升高(P<0.05);与百令胶囊组比较,地塞米松组大鼠病毒血凝滴度第2天升高(P<0.05),第4、6天降低(P<0.05)。与对照组比较,模型组大鼠血清IFN-γ、IL-2水平降低(P<0.05),IL-4、IL-10、肺纤维化评分、NLRP3、NLRP6、Caspase-1蛋白及mRNA表达均升高(P<0.05);与模型组比较,百令胶囊组及地塞米松组IFN-γ、IL-2水平升高(P<0.05),IL-4、IL-10、肺纤维化评分、NLRP3、NLRP6、Caspase-1蛋白及mRNA表达均降低(P<0.05);与百令胶囊组比较,地塞米松组IFN-γ、IL-2水平降低(P<0.05),IL-4、IL-10、肺纤维化评分、NLRP3、NLRP6、Caspase-1蛋白及mRNA表达均升高(P<0.05)。对照组肺组织无异常改变;模型组肺组织病变显著,肺泡结构严重破坏;百令胶囊组病理损伤改善明显且优于地塞米松组。结论:百令胶囊对病毒性肺炎具有一定改善作用,其机制可能与NLRP3信号通路、肺纤维化及辅助性T淋巴细胞(TH)1/TH2等因素的改变相关。 展开更多
关键词 病毒性肺炎 百令胶囊 NLRP3 肺纤维化 TH1/TH2细胞 大鼠
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308 nm准分子激光联合白灵片治疗进展期白癜风疗效的影响因素及预测模型的构建
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作者 刘静 刘宁 《海南医学》 2025年第11期1563-1568,共6页
目的 探究308 nm准分子激光联合白灵片治疗进展期白癜风疗效的影响因素,并建立可预测308 nm准分子激光联合白灵片治疗疗效的列线图预测模型。方法 回顾性选取2023年1月至2024年5月周口市中心医院收治的367例进展期白癜风患者作为研究对... 目的 探究308 nm准分子激光联合白灵片治疗进展期白癜风疗效的影响因素,并建立可预测308 nm准分子激光联合白灵片治疗疗效的列线图预测模型。方法 回顾性选取2023年1月至2024年5月周口市中心医院收治的367例进展期白癜风患者作为研究对象,所有患者均采取308 nm准分子激光联合白灵片治疗,治疗12周后根据疗效分为有效组和无效组,比较两组患者的临床资料,采用多因素Logistic回归分析308 nm准分子激光联合白灵片治疗进展期白癜风疗效的影响因素,应用R语言建立列线图预测模型,采用校正曲线、受试者工作特征(ROC)曲线及曲线下面积(AUC)、决策曲线评估模型的校准度、区分度和临床有效性。结果 367例进展期白癜风患者中痊愈123例,显效120例,好转56例,无效68例,总有效率为81.47%;两组患者的焦虑、睡眠状态、病情程度、病程、疾病分型、肠道菌群失调、白蛋白、游离三碘甲状腺原氨酸(FT3)、可溶性程序性死亡受体配体1 (sPD-L1)、长链非编码RNA肺癌转移相关转录本1 (LncRNA MALAT1)表达比较,差异均有统计学意义(P<0.05);多因素Logistic回归分析结果显示,焦虑、病情程度、病程、肠道菌群失调、s PD-L1、LncRNA MALAT1表达均是影响308 nm准分子激光联合白灵片治疗进展期白癜风疗效的危险因素(P<0.05),而白蛋白是影响其疗效的保护因素(P<0.05);列线图预测模型AUC为0.875 (95%CI:0.826~0.923),预测概率与实际疗效之间具有较高的一致性,在0~80%阈值概率下,本研究所构建的列线图预测模型净获益均高于ALL线和None线。结论 基于焦虑、病情程度、病程、肠道菌群失调、s PD-L1、LncRNA MALAT1表达、白蛋白等指标构建的308 nm准分子激光联合白灵片治疗进展期白癜风疗效的预测模型具有一定可行性,且预测价值较好,临床应用可靠。 展开更多
关键词 白癜风 白灵片 激光 疗效 列线图预测模型 进展期
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百令片联合达格列净片治疗早期糖尿病肾病的临床有效性分析
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作者 王滢丽 吴清 郝雁红 《中外医药研究》 2025年第27期118-120,共3页
目的:分析百令片联合达格列净片治疗早期糖尿病肾病的临床有效性。方法:选取2024年1月—2025年2月北京市健宫医院收治的60例早期糖尿病肾病患者,随机分为对照组及观察组,各30例。两组均接受基础干预,对照组在基础干预基础上应用达格列净... 目的:分析百令片联合达格列净片治疗早期糖尿病肾病的临床有效性。方法:选取2024年1月—2025年2月北京市健宫医院收治的60例早期糖尿病肾病患者,随机分为对照组及观察组,各30例。两组均接受基础干预,对照组在基础干预基础上应用达格列净片,观察组在对照组基础上应用百令片。对比两组临床疗效、血糖水平、肾功能及不良反应发生情况。结果:观察组治疗总有效率高于对照组(P=0.017);治疗后,观察组空腹血糖和餐后2 h血糖水平低于对照组(P<0.001);治疗后,观察组尿蛋白与肌酐比值、血尿素氮水平、血清肌酐水平低于对照组(P<0.001),肾小球滤过率高于对照组(P<0.001);两组不良反应总发生率对比,无统计学差异(P>0.05)。结论:早期糖尿病肾病患者接受百令片联合达格列净片治疗的效果显著,可改善其血糖水平及肾功能,且安全性良好。 展开更多
关键词 百令片 糖尿病肾病 达格列净片 血糖 肾功能
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个体化综合疗法治疗间质性肺疾病(肺痹-邪微痹缓期)临床观察
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作者 袁成波 王明媚 赵睿 《中西医结合慢性病杂志》 2025年第3期57-61,共5页
目的目的观察个体化综合疗法治疗间质性肺疾病(interstitial lung disease,ILD)(肺痹-邪微痹缓期)的临床疗效。方法方法选取长春中医药大学附属医院收治的200例ILD(肺痹-邪微痹缓期)患者,随机分为对照组和治疗组,每组100例。对照组口服... 目的目的观察个体化综合疗法治疗间质性肺疾病(interstitial lung disease,ILD)(肺痹-邪微痹缓期)的临床疗效。方法方法选取长春中医药大学附属医院收治的200例ILD(肺痹-邪微痹缓期)患者,随机分为对照组和治疗组,每组100例。对照组口服百令胶囊治疗;治疗组采用个体化综合疗法,包括口服中药汤剂、针灸、肺病脏腑推拿、有氧运动训练、体外反搏治疗及八段锦养气功训练。两组治疗周期均为1个月。比较两组治疗前后的症状评分、肺功能指标、6 min步行距离(6 minute walk distance,6MWD)、慢性阻塞性肺疾病评估测试(COPD assessment test,CAT)评分及血氧饱和度(saturation of peripheral oxygen,SpO2)的变化。结果结果治疗组总有效率为92%(92/100),高于对照组的78%(78/100)(P<0.05)。治疗组在症状评分、肺功能改善、6MWD、CAT评分及SpO2方面均明显优于对照组(P<0.05)。结论结论个体化综合疗法治疗ILD(肺痹-邪微痹缓期)效果显著,是一种行之有效的治疗手段,具有重要临床价值。 展开更多
关键词 个体化综合疗法 间质性肺疾病 百令胶囊 临床观察
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金荞麦胶囊联合百令胶囊治疗COPD急性加重期患者的临床效果
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作者 王进峰 《中外医学研究》 2025年第23期126-130,共5页
目的:探讨金荞麦胶囊联合百令胶囊治疗慢性阻塞性肺疾病(COPD)急性加重期的临床效果。方法:选取2021年1月—2023年12月阜宁县人民医院收治的86例COPD急性加重期患者作为研究对象,按信封抽签法将其分为对照组(百令胶囊治疗,43例)和观察组... 目的:探讨金荞麦胶囊联合百令胶囊治疗慢性阻塞性肺疾病(COPD)急性加重期的临床效果。方法:选取2021年1月—2023年12月阜宁县人民医院收治的86例COPD急性加重期患者作为研究对象,按信封抽签法将其分为对照组(百令胶囊治疗,43例)和观察组(百令胶囊加用金荞麦胶囊治疗,43例)。治疗3个月后,比较两组的临床疗效、肺功能[第一秒用力呼气量(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC]、免疫功能[免疫球蛋白(IgG、IgM、IgA)]、生活质量[圣乔治呼吸问卷(SGRQ)评分]及不良反应情况。结果:治疗后,观察组临床总有效率、FEV_(1)、FVC、FEV_(1)/FVC、IgG、IgM、IgA水平均高于对照组,SGRQ各维度评分均低于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:金荞麦胶囊与百令胶囊联合使用治疗COPD急性加重期患者,能够改善临床治疗效果,提升肺功能和免疫功能,提升生活质量,且安全性良好。 展开更多
关键词 金荞麦胶囊 百令胶囊 慢性阻塞性肺疾病 急性加重期 临床疗效
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