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SEM Investigation of the Microstructure of Oxygen-Deficient Ca2FeGaO6-δ
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作者 Ariella Fogel Mandy Guinn Ram Krishna Hona 《Journal of Materials Science and Chemical Engineering》 2025年第1期1-6,共6页
This study presents a detailed investigation of the microstructure of the oxygen-deficient perovskite material Ca2FeGaO6-δ using Scanning Electron Microscopy (SEM). The material exhibits significant porosity and irre... This study presents a detailed investigation of the microstructure of the oxygen-deficient perovskite material Ca2FeGaO6-δ using Scanning Electron Microscopy (SEM). The material exhibits significant porosity and irregular grain morphology, with variations in grain size and growth. Unlike conventional perovskite structures, Ca2FeGaO6-δ shows non-uniform grain development, which can be attributed to the presence of oxygen vacancies (δ). SEM analysis reveals that the irregularities in grain size and shape, coupled with the porous nature of the material, are likely to influence its functional properties. These findings provide valuable insights into the structural features of Ca2FeGaO6-δ, offering a foundation for understanding its potential applications in catalysis, sensors, and other technologies. The study highlights the critical role of microstructural characteristics in determining the material’s performance. 展开更多
关键词 XRD Solid-State Reaction Perovskite Oxides Oxygen Deficiency SEM
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Red tinted contact lenses on Ishihara test error scores in color deficient subjects:a pilot study
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作者 Haliza Abdul Mutalib Sharanjeet Sharanjeet-Kaur +3 位作者 Ong Yi Lin Bashirah Ishak MohdNorhafizun Bin Mohd Saman Mohd Izzuddin Hairol 《International Journal of Ophthalmology(English edition)》 2025年第3期462-468,共7页
AIM:To compare the Ishihara test errors scores of colour vision deficiency(CVD)subjects when wearing four different types of red-tinted contact lenses(RCL)that differ in their transmittance as determined using a spect... AIM:To compare the Ishihara test errors scores of colour vision deficiency(CVD)subjects when wearing four different types of red-tinted contact lenses(RCL)that differ in their transmittance as determined using a spectrophotometer.METHODS:Six congenital CVD subjects volunteered to participate in this study.Ishihara plates were used to determine the colour vision errors made,whereas Farnsworth-Munsell 100 Hue test was conducted to determine the total error scores(TES)and type of CVD.Four types of RCL(Types A,B,C and D)were inserted in the non-dominant eye and tested in a randomised manner by a masked operator.Errors scores in Ishihara test were determined at baseline without any contact lens and after wearing the four different RCL.The subjects were then divided into two groups based on the mean TES.RESULTS:Repeated measures ANOVA with Greenhouse-Geisser corrections showed that there was a highly significant effect of RCL type on Ishihara error score[F(2.056,10.282)=30.214,P<0.001].Error scores with RCL Type B were significantly lower than errors made when no lens was worn,and with RCL Type C and Type D(all P<0.001).Error scores with RCL Type B were also lower than those made with RCL Type A,however,they were not significantly different.For subjects with TES values less than 180,RCL type B showed the largest improvement in Ishihara error score(50%)compared to the other three RCLs.RCL type A showed the best performance in TES value of more than 180,with an improvement of 80%in Ishihara score.RCL Type A has the lowest transmittance at the confusion wavelength(450-568 nm),followed by RCL Types B,D and C.CONCLUSION:This study shows that RCL can improve Ishihara error scores.RCL with lower transmission at 450-568 nm and 90%transmittance beyond 637 nm are the most effective.Lenses which could block more light between 550-580 nm are more effective for colour defectives with more severe colour defects. 展开更多
关键词 anomalous trichromats colour vision deficiency contact lenses deutan protan
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补中益气汤在甲状腺癌术后脾气虚弱证疲劳综合征患者中的应用效果
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作者 肖武 陈薇 +1 位作者 罗亮华 杨勇 《中国当代医药》 2026年第1期100-103,110,共5页
目的探讨补中益气汤在甲状腺癌术后脾气虚弱证疲劳综合征(POSF)中的应用效果。方法选取2024年6月至12月江西省人民医院收治的74例甲状腺癌术后脾气虚弱证POSF患者作为研究对象,按照随机数字表法分为观察组和对照组,每组37例。对照组采... 目的探讨补中益气汤在甲状腺癌术后脾气虚弱证疲劳综合征(POSF)中的应用效果。方法选取2024年6月至12月江西省人民医院收治的74例甲状腺癌术后脾气虚弱证POSF患者作为研究对象,按照随机数字表法分为观察组和对照组,每组37例。对照组采用常规方法治疗,观察组在此基础上加用补中益气汤进行辅助治疗,比较两组患者治疗效果,观察两组患者治疗前后的中医证候积分、疲劳程度[采用围手术期疲劳评测量表(ICFS)评估]、生活质量[采用生活质量评分表(KPS)评估]、免疫功能(CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+))和外周血象[白细胞计数(WBC)、血红蛋白(Hb)]水平。结果治疗后,观察组治疗总有效率、KPS评分、CD3^(+)、CD4^(+)和CD4^(+)/CD8^(+)以及WBC、Hb高于对照组,中医证候积分、ICFS评分低于对照组,差异有统计学意义(P<0.05)。结论补中益气汤联合常规治疗方法在治疗甲状腺癌术后脾气虚弱证POSF中显示出良好的效果,能够有效改善中医证候和外周血象,减轻疲劳程度,并增强免疫力,提高患者生活质量。 展开更多
关键词 补中益气汤 甲状腺癌 脾气虚弱证 术后疲劳综合征
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从阴虚论治射血分数保留的心力衰竭
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作者 李晴 周霞 +3 位作者 闫玉婷 王贤良 赵志强 毛静远 《中西医结合心脑血管病杂志》 2026年第2期304-307,共4页
射血分数保留的心力衰竭(HFpEF)是一种进展性临床综合征,从无症状到出现临床症状常需经历长达数年的不同临床阶段,其病因不同,机制有异,但有发展的共性规律。基于相关研究,从病因病机、证候特征及治疗策略3方面对HFpEF进行讨论,认识到... 射血分数保留的心力衰竭(HFpEF)是一种进展性临床综合征,从无症状到出现临床症状常需经历长达数年的不同临床阶段,其病因不同,机制有异,但有发展的共性规律。基于相关研究,从病因病机、证候特征及治疗策略3方面对HFpEF进行讨论,认识到阴虚是HFpEF发生、发展的本虚基础,痰、瘀、热是HFpEF进展的主要病理因素,阴虚痰热血瘀贯穿HFpEF全过程。临床诊疗时应在整体辨证的基础上,把握住阴虚这一核心病机,分期论治。 展开更多
关键词 射血分数保留的心力衰竭 阴虚 痰热 血瘀 心血管事件链
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滋肾疏肝方治疗肾虚肝郁证围绝经期综合征的效果分析
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作者 王达 梅妍 《中国现代医学杂志》 2026年第1期70-76,共7页
目的 探讨滋肾疏肝方对肾虚肝郁证围绝经期综合征的疗效。方法 选取2022年7月-2024年5月天津市中医药研究院附属医院收治的78例围绝经期综合征患者,随机分为对照组和观察组,各39例。对照组采取雌孕激素序贯治疗,观察组采取滋肾疏肝方治... 目的 探讨滋肾疏肝方对肾虚肝郁证围绝经期综合征的疗效。方法 选取2022年7月-2024年5月天津市中医药研究院附属医院收治的78例围绝经期综合征患者,随机分为对照组和观察组,各39例。对照组采取雌孕激素序贯治疗,观察组采取滋肾疏肝方治疗。治疗4周后,比较两组的中医症候评分、围绝经期症状综合评分[改良围绝经期Kupperman指数(KI)、绝经评定量表(MRS)]、性激素(雌激素、促卵泡激素、睾酮)、神经递质[5-羟色胺(5-HT)、去甲肾上腺素(NE)、多巴胺(DA)]、疗效及不良反应。结果 观察组治疗前后经期紊乱、潮热汗出、烦躁易怒、腰膝酸软、心悸不安、烦躁失眠、健忘抑郁、性欲减退评分、KI评分、MRS评分、雌激素、促卵泡激素、睾酮、5-HT、NE、DA水平的差值均大于对照组(P<0.05)。观察组治疗总有效率高于对照组(P<0.05)。结论 滋肾疏肝方治疗肾虚肝郁型围绝经期综合征,有助于调节患者的性激素及神经递质,减轻临床症状,疗效及安全性良好。 展开更多
关键词 围绝经期综合征 滋肾疏肝方 肾虚肝郁证 性激素 神经递质
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益肺健脾方治疗老年肺脾气虚型慢性阻塞性肺疾病的临床研究
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作者 黄芳 李玺 +4 位作者 蔡燕云 卢肖霞 彭洁贞 罗允内 陈海雄 《湖南中医药大学学报》 2026年第1期168-173,共6页
目的探讨益肺健脾方在老年肺脾气虚型慢性阻塞性肺疾病(COPD)患者治疗中的应用效果。方法选取2024年7月至2025年7月在南方医科大学第八附属医院(佛山市顺德区第一人民医院)诊疗的120例老年肺脾气虚型COPD患者为研究对象,随机分为对照A... 目的探讨益肺健脾方在老年肺脾气虚型慢性阻塞性肺疾病(COPD)患者治疗中的应用效果。方法选取2024年7月至2025年7月在南方医科大学第八附属医院(佛山市顺德区第一人民医院)诊疗的120例老年肺脾气虚型COPD患者为研究对象,随机分为对照A组、对照B组和观察组,每组40例。3组均行常规西医对症治疗(沙丁胺醇气雾剂,100~200μg/次,4次/d);对照A组另加肺康复训练治疗;对照B组另加益肺健脾方治疗;观察组联合肺康复训练、益肺健脾方进行治疗。以上治疗均以14 d为一个疗程,连续治疗2个疗程。比较3组患者治疗前后中医证候积分;评估治疗后3组患者临床疗效;ELISA检测3组患者血清中趋化因子配体18(CCL18)、几丁质酶3样蛋白1(CHI3L1)含量;流式细胞术检测3组患者血清中Th17/Treg比值、CD4^(+)/CD8^(+)比值;肺功能检测仪测定第一秒用力呼气容积(FEV_(1))、呼气峰值流量(PEF)值、FEV_(1)与用力呼气量(FVC)(FEV_(1)/FVC)比值。结果与治疗前比较,治疗后3组患者中医证候积分、血清CCL18、CHI3L1含量均降低(P<0.05),观察组患者Th17/Treg比值降低(P<0.05);治疗后3组患者CD4^(+)/CD8^(+)比值、FEV_(1)值、PEF值、FEV_(1)/FVC比值均升高(P<0.05)。与对照A组、对照B组比较,观察组患者中医证候积分、血清CCL18、CHI3L1含量均降低(P<0.05);CD4^(+)/CD8^(+)比值、FEV_(1)值、PEF值、FEV_(1)/FVC比值均升高(P<0.05)。观察组患者治疗总有效率高于对照A组、对照B组(P<0.05)。结论益肺健脾方在老年肺脾气虚型COPD患者治疗中应用效果显著,可提高临床疗效,降低炎症因子水平,调节免疫功能,提高患者肺功能,且安全性良好。 展开更多
关键词 慢性阻塞性肺疾病 肺脾气虚 肺康复训练 益肺健脾方 肺功能
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健脾祛湿化浊方治疗脾虚痰湿型多囊卵巢综合征合并胰岛素抵抗患者的效果分析
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作者 宋伟伟 郭志莉 +2 位作者 于泽 周慧慧 刘海燕 《中医药学报》 2026年第1期62-66,共5页
目的:探讨健脾祛湿化浊方对脾虚痰湿型多囊卵巢综合征(PCOS)合并胰岛素抵抗(IR)患者的治疗效果。方法:选取沧州中西医结合医院2021年4月—2024年4月接收的104例脾虚痰湿型PCOS合并IR患者作为研究对象,通过随机数字表法分为参照组(52例,... 目的:探讨健脾祛湿化浊方对脾虚痰湿型多囊卵巢综合征(PCOS)合并胰岛素抵抗(IR)患者的治疗效果。方法:选取沧州中西医结合医院2021年4月—2024年4月接收的104例脾虚痰湿型PCOS合并IR患者作为研究对象,通过随机数字表法分为参照组(52例,常规治疗)和中医组(52例,参照组基础上加用健脾祛湿化浊方治疗)。比较两组患者治疗前后的激素指标、糖脂代谢指标、中医症状积分、影像学指标以及不良反应发生率。结果:治疗后中医组患者的FSH水平高于参照组(P<0.05),LH、AMH、LH/FSH、FPG、FINS、HOMA-IR水平低于参照组(P<0.05)。治疗后中医组患者的便溏、腹泻、食欲不振及疲乏中医症状积分均低于参照组(P<0.05)。治疗后中医组患者的卵巢体积、卵泡数目均低于参照组(P<0.05),子宫内膜厚度高于参照组(P<0.05)。中医组的不良事件发生率与参照组比较差异无统计学意义(P>0.05)。结论:健脾祛湿化浊方显著改善脾虚痰湿型PCOS合并IR患者的代谢状态,提升胰岛素敏感性。 展开更多
关键词 多囊卵巢综合征 脾虚痰湿 健脾祛湿化浊方 胰岛素抵抗
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能谱CT影像参数结合PIVKA-Ⅱ预测三阴性乳腺癌患者发生放疗抵抗的应用研究
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作者 孙莉薇 蔡小萍 +2 位作者 郭鹭鑫 王金岸 叶锋 《西部医学》 2026年第1期131-137,共7页
目的基于能谱CT影像参数并结合维生素K缺乏或拮抗剂Ⅱ诱导蛋白(PIVKA-Ⅱ)预测三阴性乳腺癌患者发生放疗抵抗。方法选取2022年12-2024年5月于本院就诊并进行放射治疗的80例三阴性乳腺癌患者,根据治疗效果分为抵抗组56例,有效组24例。并... 目的基于能谱CT影像参数并结合维生素K缺乏或拮抗剂Ⅱ诱导蛋白(PIVKA-Ⅱ)预测三阴性乳腺癌患者发生放疗抵抗。方法选取2022年12-2024年5月于本院就诊并进行放射治疗的80例三阴性乳腺癌患者,根据治疗效果分为抵抗组56例,有效组24例。并对其一般资料和能谱CT影像学特征分析。Logistic回归分析影响患者发生放疗抵抗的临床因素以及探讨能谱CT影像学参数和PIVKA-Ⅱ的关系。采用逻辑回归算法建立能谱CT影像学参数结合PIVKA-Ⅱ预测放疗抵抗模型,ROC曲线及AUC评价预测效能。结果两组在癌变位置、BMI、月经状态、吸烟史、饮酒史、高血压、糖尿病、初产年龄、家族病史、乳腺癌易感基因(BRCA)突变、淋巴结转移情况、手术类型、CEA、CA153等方面差异均无统计学意义(P>0.05),在年龄、病理分级、病程、长期服用避孕药或雌激素、PIVKA-Ⅱ方面有统计学差异(P<0.05)。能谱CT影像学特征参数中,两组患者的动脉期及静脉期k值、IC值、病灶长径、肿瘤边缘方面有统计学差异(P<0.05)。患者的年龄、病理分级、病程、长期服用避孕药或雌激素、PIVKA-Ⅱ浓度是发生放疗抵抗的危险影响因素(OR>1,P<0.05),变量之间相互独立,不存在多重共线性。调整年龄、病理分级、病程、长期服用避孕药或雌激素因素后,动脉期k 40~70keV、动脉期IC、静脉期k 40~70keV、静脉期IC和病灶长径与PIVKA-Ⅱ浓度存在相关性(P<0.05)。能谱CT影像学各参数结合PIVKA-Ⅱ均具有较好的预测价值,其中PIVKA-Ⅱ+动脉期k 40~70keV+静脉期k 40~70keV+动脉期IC+静脉期IC+病灶长径模型预测效能最高,AUC为0.855。结论能谱CT影像参数结合PIVKA-Ⅱ对三阴性乳腺癌患者发生放疗抵抗具有较好的预测价值,PIVKA-Ⅱ+动脉期k 40~70keV+静脉期k 40~70keV+动脉期IC+静脉期IC+病灶长径模型预测效能最高。 展开更多
关键词 能谱CT 影像参数 维生素K缺乏或拮抗剂Ⅱ诱导蛋白 三阴性乳腺癌 放疗抵抗
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逍遥汤加味治疗肝郁血虚脾弱型月经不调型不孕的临床研究
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作者 李友云 张丽 +1 位作者 王珊 赵慧玲 《辽宁中医杂志》 北大核心 2026年第1期79-82,共4页
目的观察逍遥汤加味治疗月经不调型不孕(肝郁血虚脾弱型)临床效果及安全性。方法研究纳入96例月经不调型不孕(肝郁血虚脾弱型)患者(2023年1月-2024年1月收治)以随机数字表法分为西药组与联合中药组,各组48例,西药组患者单纯采取西药治疗... 目的观察逍遥汤加味治疗月经不调型不孕(肝郁血虚脾弱型)临床效果及安全性。方法研究纳入96例月经不调型不孕(肝郁血虚脾弱型)患者(2023年1月-2024年1月收治)以随机数字表法分为西药组与联合中药组,各组48例,西药组患者单纯采取西药治疗,联合中药组在西药组患者治疗基础上联合逍遥汤加味治疗,比较各组数据:治疗后6个月患者成功妊娠率、临床疗效、治疗前后月经异常、两胁胀满不舒、头晕目眩、烦躁易怒等中医证候积分变化及雌二醇(E_(2))、促黄体生成素(LH)及卵泡刺激素(FSH)水平变化、子宫内膜厚度、卵泡直径等指标变化、不良反应。结果联合中药组患者治疗后6个月成功妊娠率[27.08%(13/48)]高于西药组[8.33%(4/48)],P<0.05;联合中药组的总有效率[97.92%(47/48)]比西药组[83.33%(40/48)]更高,P<0.05;各组患者治疗前月经异常、两胁胀满不舒、头晕目眩、烦躁易怒等中医证候积分、E_(2)、LH及FSH等激素水平、子宫内膜厚度、卵泡直径等指标比较,P>0.05,治疗后各组患者月经异常、两胁胀满不舒、头晕目眩、烦躁易怒等中医证候积分、E_(2)、LH及FSH等激素水平、子宫内膜厚度以及卵泡直径改善,治疗后,联合中药组患者月经异常、两胁胀满不舒、头晕目眩、烦躁易怒等中医证候积分、E_(2)、LH及FSH、子宫内膜厚度、卵泡直径等指标均优于西药组,P<0.05;西药组与联合中药组患者不良反应率均较低,P>0.05。结论逍遥汤加味治疗月经不调型不孕(肝郁血虚脾弱型)临床效果良好,可较好改善患者激素水平及临床证状,促进患者成功妊娠,治疗不良反应少,安全可靠。 展开更多
关键词 月经不调型不孕 肝郁血虚脾弱型 逍遥汤加味 妊娠 疗效 激素水平 不良反应
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STRUCTURAL REQUIREMENT FOR CLUSTERS TO BE RECONSTITUTED WITH THE FeMoCo DEFICIENT MOLYBDENUM IRON PROTEIN
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作者 黄巨富 骆爱玲 +3 位作者 李佳格 徐吉庆 南玉明 陈亚东 《Acta Botanica Sinica》 CSCD 1995年第12期934-941,共8页
By incubating the reduced MoFe protein from Azotobacter vinelandii with O phenanthroline under air and chromatographying the incubated solution on Sephadex G 25 column, inactive MoFe protein could be obtained. Its a... By incubating the reduced MoFe protein from Azotobacter vinelandii with O phenanthroline under air and chromatographying the incubated solution on Sephadex G 25 column, inactive MoFe protein could be obtained. Its acetylene reduction activity was remarkably recovered not only by incubation with the reconstituent solution composed of KMnO 4,ferric homocitrate, Na 2S and dithiothreitol,Azotobacter vinelandii with O phenanthroline under air and chromatographying the incubated solution on Sephadex G 25 column, inactive MoFe protein could be obtained. Its acetylene reduction activity was remarkably recovered not only by incubation with the reconstituent solution composed of KMnO 4,ferric homocitrate, Na 2S and dithiothreitol, with O phenanthroline under air and chromatographying the incubated solution on Sephadex G 25 column, inactive MoFe protein could be obtained. Its acetylene reduction activity was remarkably recovered not only by incubation with the reconstituent solution composed of KMnO 4,ferric homocitrate, Na 2S and dithiothreitol, but also with a mixture of 4Fe∶4S clusters and another cluster which had two structure units of 1Mo∶3Fe∶4S bridged by three -OCH 3- at the Mo atoms. Neither the reconstituent solution nor the mixture could reactivate apo MoFe proteins from the mutants deleting nifE and nifH genes and from the mutant UW 45 , which could be reactivated by the FeMoco extracted from the MoFe protein. The results indicated that the FeMoco deficient MoFe proteins from these mutants seemed to be reconstituted only by the clusters which were probably structures only similar to FeMoco. The partially metallocluster deficient MoFe protein could be reconstituted by the clusters with a certain kind of structure and composition; and was changed into different nitrogenase proteins with the ability to fix nitrogen. 展开更多
关键词 Azotobacter mutant FeMoco deficient MoFe protein Metalloclusters Assembly in vitro
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浮针疗法联合隔药脐灸治疗肝郁脾虚型腹泻型肠易激综合征临床研究
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作者 张文 朱昌华 庄克川 《新中医》 2026年第2期75-80,共6页
目的:观察浮针疗法结合隔药脐灸治疗肝郁脾虚型腹泻型肠易激综合征(IBS-D)的临床疗效。方法:选取2023年8月—2024年8月滕州市中心人民医院收治的98例肝郁脾虚型IBS-D患者,按照随机数字表法分为对照组和试验组,每组49例。对照组给予基础... 目的:观察浮针疗法结合隔药脐灸治疗肝郁脾虚型腹泻型肠易激综合征(IBS-D)的临床疗效。方法:选取2023年8月—2024年8月滕州市中心人民医院收治的98例肝郁脾虚型IBS-D患者,按照随机数字表法分为对照组和试验组,每组49例。对照组给予基础治疗联合匹维溴铵治疗,试验组在对照组的基础上加用浮针疗法及隔药脐灸治疗。比较2组治疗后IBS症状评分、肠道微生态水平、血清炎症指标[白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)]水平,以及治疗期间并发症发生率。结果:治疗后,试验组总有效率为91.84%(45/49),对照组为71.43%(35/49),2组比较,差异有统计学意义(P<0.05)。治疗后,2组IBS症状评分均较治疗前降低(P<0.05),且试验组IBS症状评分低于对照组(P<0.05)。治疗后,2组血清IL-6、IL-8、CRP、TNF-α水平均较治疗前降低(P<0.05),且试验组4项指标水平均低于对照组(P<0.05)。治疗后,2组双歧杆菌、乳杆菌水平均较治疗前升高(P<0.05),肠球菌、肠杆菌水平均较治疗前降低(P<0.05);且试验组双歧杆菌、乳杆菌水平高于对照组(P<0.05),肠球菌、肠杆菌水平低于对照组(P<0.05)。治疗期间,试验组并发症发生率为8.16%(4/49),对照组为24.49%(12/49),2组比较,差异有统计学意义(P<0.05)。结论:浮针疗法结合隔药脐灸能够有效缓解肝郁脾虚型IBS-D患者的症状,改善肠道微生态环境,降低血清炎症因子水平,且安全性较好。 展开更多
关键词 腹泻型肠易激综合征 肝郁脾虚型 浮针疗法 隔药脐灸 肠道菌群 炎症因子
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老年急性髓系白血病中医个体化分层辨治策略的构建
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作者 闫理想 姜静 +3 位作者 张莹 杨曦 陈海静 史哲新 《南京中医药大学学报》 北大核心 2026年第1期98-104,共7页
老年急性髓系白血病(Acute myeloid leukemia,AML)为本虚标实之证,其病机涵盖虚、热、毒、瘀四要素,髓虚是邪毒侵袭骨髓的病理基础,髓毒是AML发生发展的根源,瘀毒是AML动态演变的中间环节,热毒之盛衰是AML证候转变的关键。本文提出了老... 老年急性髓系白血病(Acute myeloid leukemia,AML)为本虚标实之证,其病机涵盖虚、热、毒、瘀四要素,髓虚是邪毒侵袭骨髓的病理基础,髓毒是AML发生发展的根源,瘀毒是AML动态演变的中间环节,热毒之盛衰是AML证候转变的关键。本文提出了老年AML中医个体化分层、分期辨治策略。化疗用药期:正虚邪实,顾护脾胃;骨髓抑制期:气血亏虚,填精生髓;骨髓恢复期:髓虚邪伏,扶正清余。老年AML临床辨治要点包括:辨阴阳,明虚实,正髓清髓;辨分期,明分层,中西并重;辨五脏,明病位,多脏兼顾;辨兼症,明主次,多法并举,以期丰富完善老年AML中医个体化分层辨治策略,为中医辨治老年AML提供指导。 展开更多
关键词 老年急性髓系白血病 个体化分层 分期辨治 本虚标实
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基于“血不荣心”探讨缺铁性贫血促进多种心血管疾病的发展
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作者 李呈佳 周亚滨 +7 位作者 袁琦 孟天伟 刘长兴 姜楠 王博宇 李佳睿 刘志平 陈会君 《中华中医药学刊》 北大核心 2026年第1期140-145,I0015,I0016,共8页
目的通过验证缺铁性贫血(iron deficiency anemia,IDA)与多种心血管疾病之间的关联,深化扩充对中医学血不荣心、不荣则痛的认识。方法从Open gwas网站检索关于不稳定型心绞痛(unstable angina,UA)、稳定型心绞痛(stable angina,SA)、心... 目的通过验证缺铁性贫血(iron deficiency anemia,IDA)与多种心血管疾病之间的关联,深化扩充对中医学血不荣心、不荣则痛的认识。方法从Open gwas网站检索关于不稳定型心绞痛(unstable angina,UA)、稳定型心绞痛(stable angina,SA)、心力衰竭(heart failure,HF)、缺血性心脏病(ischemic heart disease,IHD)、房颤(atrial fibrillation,AF)和心肌梗死(myocardial infarction,MI)的大样本量全基因组关联研究(genome-wide association study,GWAS)数据,选择强相关的单核苷酸多态性(single nucleotide polymorphisms,SNP)作为工具变量(P<5e-06),设置F统计量的阈值为10。共使用5种统计方法对结果进行分析,其中逆方差加权法(inverse variance weighted,IVW)作为主要分析方法。并对结果的可靠性进行异质性、多效性和敏感性评估。结果IDA对UA、SA、HF、IHD的发病具有促进作用(UA:OR,1.25,95%CI[1.10,1.40],P=0.0003;SA:OR,1.14,95%CI[1.04,1.26],P=0.006;HF:OR,1.13,95%CI[1.02,1.25],P=0.0187;IHD:OR,1.13,95%CI[1.02,1.25],P=0.0238);未发现IDA对AF、MI具有明显的促进作用(P>0.05);没有发现结果具有异质性、多效性和敏感性。结论IDA能够增加患UA、SA、HF、IHD的风险。 展开更多
关键词 缺铁性贫血 心血管疾病 基因 孟德尔随机化
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Relationship of Non-Essential and Essential Metals with Vitamin D in a Chinese Early Adolescent Cohort
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作者 Gengfu Wang Weibo Liu +9 位作者 Min Li Ting Tang Qi Zhong Guangbo Qu Yi Zhou Mengyuan Yuan Yonghan Li Fangbiao Tao Puyu Su Chaoxue Zhang 《Biomedical and Environmental Sciences》 2026年第1期116-122,共7页
Vitamin D deficiency(VDD)represents a significant nutritional concern among children and adolescents.The estimated prevalence of VDD in China is 46.8%in this population^([1]).VDD during childhood and adolescence has b... Vitamin D deficiency(VDD)represents a significant nutritional concern among children and adolescents.The estimated prevalence of VDD in China is 46.8%in this population^([1]).VDD during childhood and adolescence has been associated with the onset of various conditions,including acute respiratory infections,asthma,atopic dermatitis,and food allergies^([2]).Multiple factors,including age,sun exposure,adiposity,and genetics,influence vitamin D levels^([2,3]).Increasing attention has been directed toward understanding the environmental determinants that may influence vitamin D status.Given the potential of metallic pollutants to disrupt endocrine function and their ubiquity in the environment,investigating the effects of metal exposure on human vitamin D status,particularly in vulnerable populations,is imperative. 展开更多
关键词 vitamin d deficiency vdd represents Chinese early adolescent cohort essential metals vitamin d non essential metals food allergies multiple acute respiratory infectionsasthmaatopic dermatitisand vitamin D deficiency
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Qi deficiency syndrome in heart failure:integrative analysis reveals CISD2-linked lipid metabolic dysregulation and prognostic implications
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作者 Jia-Mei Huang Lu-Hua Xu +6 位作者 Yu-Wen Qi Jie-Ni Fang Teng-Yang Zhai Zhi-Cong Zeng Hong-Cai Shang Rong-Feng Yang Feng-Xia Lin 《Traditional Medicine Research》 2026年第4期39-49,共11页
Background:“Qi deficiency”(a pathological state where the body’s vital energy(Qi)is insufficient or weakened,impairing physiological functions and diminishing the body’s ability to perform daily activities,defend ... Background:“Qi deficiency”(a pathological state where the body’s vital energy(Qi)is insufficient or weakened,impairing physiological functions and diminishing the body’s ability to perform daily activities,defend against illness,and maintain homeostasis)syndrome is considered a critical syndrome in traditional Chinese medicine(TCM)and is associated with poor prognosis in heart failure(HF).This study investigates the clinical,metabolic,and transcriptomic differences between heart failure patients with and without Qi deficiency syndrome.Methods:56 heart failure patients were evaluated using a Qi deficiency syndrome scale and divided into Qi deficiency syndrome(QD)and non-Qi deficiency(non-QD)groups based on the median score.Clinical characteristics,including baseline N-terminal pro-B-type natriuretic peptide(NT-proBNP),left ventricular ejection fraction(LVEF),total diuretic use during hospitalization,and 90-day rehospitalization rates,were compared between the groups.Differentially expressed genes(DEGs)and differential metabolites were identified,followed by enrichment analyses and validation using qPCR and Western blot in AC16 cardiomyocytes.Results:QD patients exhibited significantly higher NT-proBNP levels,lower LVEF,and increased 90-day rehospitalization rates.Metabolomic profiling revealed lipid metabolism disruptions,notably in linoleic acid and phospholipid pathways.Transcriptomic analysis highlighted 17 DEGs,including CISD2,a critical mitochondrial regulator,which was downregulated in QD patients.Correlation analysis identified significant associations between DEGs(e.g.,CISD2,BPGM)and lipid metabolites such as PC(16:0/P-16:0).Functional knockdown of CISD2 in AC16 cells led to upregulation of lipid oxidation enzymes ALOX15 and CYP1A2,linking CISD2 dysfunction to lipid metabolic dysregulation.Conclusion:Qi deficiency is associated with more severe heart failure symptoms,worse prognosis,and distinct metabolic and transcriptomic profiles,particularly in lipid metabolism.CISD2 emerges as a potential therapeutic target,offering new avenues for integrating molecular insights with TCM approaches to optimize HF management. 展开更多
关键词 Qi deficiency syndrome heart failure lipid metabolism transcriptomic alterations CISD2
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Successful rescue activation of unfertilized oocytes with calcium ionophore(A23187)in a case of recurrent ICSI fertilization failure:A case report
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作者 Akash More Vilas Chimurkar +2 位作者 Namrata Choudhary Dipali More Sanket Mahajan 《Asian pacific Journal of Reproduction》 2026年第1期45-48,共4页
Rationale:This case report describes a couple with recurrent fertilization failure despite undergoing multiple cycles of intracytoplasmic sperm injection(ICSI).The principal clinical concern was suspected oocyte activ... Rationale:This case report describes a couple with recurrent fertilization failure despite undergoing multiple cycles of intracytoplasmic sperm injection(ICSI).The principal clinical concern was suspected oocyte activation deficiency(OAD),in which fertilization is impeded due to the oocyte’s inability to initiate embryogenesis,commonly attributed to inadequate intracellular calcium(Ca^(2+))release following sperm injection.Patient concerns:The couple repeatedly experienced complete or near-complete fertilization failure in previous ICSI cycles,raising suspicion of an underlying oocyte activation defect.Diagnosis:Based on the repeated absence of fertilization post-ICSI and clinical history,a diagnosis of suspected OAD leading to recurrent ICSI fertilization failure was considered.Interventions:Artificial oocyte activation(AOA)using the calcium ionophore A23187 was performed.After ICSI,unfertilized oocytes were exposed to the ionophore to induce Ca^(2+)influx,simulating physiological calcium oscillations essential for oocyte activation.The efficacy of intervention was evaluated through subsequent embryonic development,morphological grading,and chromosomal integrity.Outcomes:Following AOA treatment,successful oocyte activation occurred,resulting in the formation of high-grade embryos with normal developmental progression.Chromosomal analysis revealed no detectable abnormalities,indicating genomic stability.Lessons:Calcium ionophore–mediated AOA may serve as an effective adjunct in cases of recurrent ICSI failure attributed to OAD.This case highlights the importance of individualized therapeutic strategies in assisted reproduction;however,further research is needed to refine protocols,validate broader clinical efficacy,and assess long-term safety,including potential epigenetic risks. 展开更多
关键词 Oocyte activation deficiency Intracytoplasmic sperm injection Artificial oocyte activation Calcium ionophore A23187 Fertilization failure Assisted reproductive technology
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A comparative study on the changes of components dissolution ratio with different compatibility ratio of Panacis Quinquefolii Radix and Notoginseng Radix et Rhizoma and their prevention of Qi deficiency and blood stasis syndrome
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作者 Song Xue Xi Mao +3 位作者 Ding-Qiao Xu Rui-Jia Fu Ying Zhang Yu-Ping Tang 《Traditional Medicine Research》 2026年第1期1-18,共18页
Background:Panacis Quinquefolii Radix(PQR)is known for its ability to nourish“Qi”(it serves as the driving force for the functional activities of the body’s organs and meridians,promoting and regulating various phy... Background:Panacis Quinquefolii Radix(PQR)is known for its ability to nourish“Qi”(it serves as the driving force for the functional activities of the body’s organs and meridians,promoting and regulating various physiological functions)and“Yin”(it represents the material foundation of the human body.It plays a role in nourishing,moistening,and cooling the body).Notoginseng Radix et Rhizoma(NRR)is recognized for its properties of resolving blood stasis(it refers to a pathological condition characterized by impaired or stagnant blood circulation within the body).Changes in the compatibility ratio of these herbs often lead to variations in their chemical composition and efficacy.However,the specific alterations in chemical composition and efficacy resulting from compatibility adjustments remain unclear.We aimed to compare the material basis and their effects of different compatibility ratios of PQR and NRR on“Qi”deficiency and blood stasis syndrome(QBS).Methods:This study employed UPLC-Q/TOF-MS to identify effective compounds in the compatibility of PQR and NRR and utilized UPLC-TQ-MS/MS to analyze the dissolution of 16 saponins in PQR and NRR at 9 different ratios.A rat model of QBS was established,and the efficacy of PQR and NRR in treating this syndrome was assessed using hemorheology and coagulation analyses.Results:The study results show that PQR and NRR exhibit significant efficacy,effectively reducing blood viscosity induced by platelet aggregation and lowering inflammatory markers such as IL-6,IL-10,TXB2 and ET associated with vascular injury.Moreover,this combination regulates ATP and ADP levels,enhances energy metabolism,and promotes overall health.A total of 104 compounds in the compatibility of PQR and NRR were identified.The ratios of 1:2 and 1:3 showed the highest total saponin content,but the ratio of 1:1 demonstrated a superior pharmacological effect for the treatment of QBS.Conclusion:In summary,the compatibility of PQR and NRR not only shows the complex interactions between traditional Chinese medicinal materials,but also provides a new idea and method for the treatment of QBS. 展开更多
关键词 Panacis Quinquefolii Radix Notoginseng Radix et Rhizoma compatibility ratio UPLC-Q/TOF-MS UPLC-TQ-MS/MS Qi deficiency and blood stasis syndrome
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李顺民基于“虚气留滞”理论治疗肾性水肿经验
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作者 何馨然 邝旭怡 +3 位作者 李磊 尚星妤 李顺民 傅博 《中国中医药图书情报杂志》 2026年第1期132-136,共5页
肾性水肿是肾脏病常见的临床症状之一,复发率高,且迁延不愈。本文总结李顺民教授基于“虚气留滞”理论治疗肾性水肿的临证经验,其认为“虚气”和“留滞”是肾性水肿的核心病机,“虚气”不荣为本,责之肺、脾、肾三脏亏虚,进而导致水湿、... 肾性水肿是肾脏病常见的临床症状之一,复发率高,且迁延不愈。本文总结李顺民教授基于“虚气留滞”理论治疗肾性水肿的临证经验,其认为“虚气”和“留滞”是肾性水肿的核心病机,“虚气”不荣为本,责之肺、脾、肾三脏亏虚,进而导致水湿、瘀血等病理产物“留滞”不通为标,因虚成滞、因滞更虚。治疗以补虚通滞为治则,主张益气固表、益气健脾、温肾暖脾以调补虚气,兼行气活血利水以通畅留滞,标本兼顾,水肿自消,临床疗效显著。 展开更多
关键词 肾性水肿 虚气留滞 补虚通滞 名医经验
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Cause of over Water Quality Standard and Control Measures of State-controlled Sections in Northern Water-deficient Area of Jiangsu 被引量:5
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作者 胡永定 韩宝平 +1 位作者 钱新 袁兴程 《Meteorological and Environmental Research》 CAS 2010年第2期91-94,99,共5页
Taking state-controlled section of Xuzhou Peiyan river as an example,the current water quality was monitored,and the cause of over water quality standard was analyzed.The results showed that the pollutants of Peiyan r... Taking state-controlled section of Xuzhou Peiyan river as an example,the current water quality was monitored,and the cause of over water quality standard was analyzed.The results showed that the pollutants of Peiyan river were mainly from the urban river segment,and the immediate cause of over standard was tributary pollutants in urban river segment with the runoff into rivers.So we should strengthen the maintenance of drainage control and gate-han,accelerate the construction of urban wastewater treatment facilities and supporting pipe network,promote rural decentralized sewage treatment,prevent and control livestock and poultry pollution,pesticides and fertilizers pollution,and intercept non-point source pollution by using eco-technology. 展开更多
关键词 State-controlled sections Cause analysis Control measures Water-deficient area China
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