BACKGROUND Chronic esophagitis can progress to esophageal cancer via"inflammationdysplasia-cancer"transformation,with nitric oxide(NO)serving as a critical mediator in this process.Traditional diagnostic met...BACKGROUND Chronic esophagitis can progress to esophageal cancer via"inflammationdysplasia-cancer"transformation,with nitric oxide(NO)serving as a critical mediator in this process.Traditional diagnostic methods(e.g.,endoscopic biopsy)for esophageal cancer transformation have low sensitivity and require long detection time,while existing fluorescent probes lack specificity and stability for real-time NO monitoring.High-performance fluorescent probes like DAF-FM,with NO-targeting ability,show potential for visual screening and efficacy evaluation but need systematic validation in esophageal cancer models.AIM To validate the applicability of the fluorescent probe DAF-FM for visual screening of esophageal cancer transformation,explore the underlying mechanism of NOregulated transformation,and evaluate the probe’s efficacy in monitoring therapeutic responses.METHODS Laser confocal imaging and flow cytometry were used to analyze DAF-FM’s NO concentration/time-dependent fluorescence response,lysosomal targeting(via Pearson coefficient),and cytotoxicity(with cholecystokinin-8 assay)in esophageal cells.Sprague-Dawley rat esophageal cancer models(normal,esophagitis,esophageal cancer,and drug/radiotherapy intervention)were established to monitor NO dynamics and tumor volume correlation.Clinical diagnostic comparison(50 suspected patients)with endoscopic biopsy/histopathology was conducted using Kolmogorov-Smirnov test and Student’s t-test(P<0.05).Western blot and quantitative realtime polymerase chain reaction were used to explore NO’s role in the nuclear factor-kappa B(NF-κB)pathway.RESULTS DAF-FM exhibited concentration/time-dependent fluorescence with NO(300μM NO:60-minute fluorescence intensity 458±15 arbitrary units,P<0.05)and specific lysosomal targeting(Pearson’s coefficient=0.82±0.03).It had low cytotoxicity(82.3%±4.1%cell viability at 50μM).In rat models,DAF-FM showed that NO was correlated with tumor volume(R²=0.87).Clinically,its sensitivity(92.5%)outperformed endoscopic biopsy(78.3%),with shorter detection time(30 minutes vs 48 hours,P<0.05).Mechanistically,NO regulated transformation via the NF-κB pathway(Pearson’s coefficient=0.78±0.05 between DAF-FM and NF-κB).CONCLUSION DAF-FM is a feasible tool for visual screening of esophageal cancer transformation,enabling real-time NO monitoring,high-sensitivity diagnosis,and therapeutic efficacy evaluation.It provides a new approach for esophageal cancer diagnosis and mechanism research.展开更多
An acute skin injury model using continuous tape tearing was established,and studies the application of this model in the evaluation of soothing effects through instrument evaluation.30 healthy adult subjects were sel...An acute skin injury model using continuous tape tearing was established,and studies the application of this model in the evaluation of soothing effects through instrument evaluation.30 healthy adult subjects were selected as the research subjects,and an acute skin model was established on the forearm flexion side of the subjects.The skin color a^(*)value and transdermal water loss rate(TEWL)value of the blank and experimental groups were tested using instruments.The results showed that at 15 and 30 minutes after using the sample,the growth values of a^(*)value and TEWL value in the experimental group were significantly lower than those in the blank group(P<0.05),the acute skin lesion model can effectively evaluate the soothing effect of cosmetics.展开更多
In 2013,peste des petits ruminants(PPR)re-emerged in China and spread to the majority of provinces across the country.The disease was effectively controlled through a vaccination campaign employing live attenuated vac...In 2013,peste des petits ruminants(PPR)re-emerged in China and spread to the majority of provinces across the country.The disease was effectively controlled through a vaccination campaign employing live attenuated vaccines,although sporadic cases still occurred.However,limited information is currently available regarding the peste des petits ruminants virus(PPRV)endemic in China.Here,a PPRV strain(HLJ/13)was isolated from a field sample in China using Vero cells expressing goat signalling lymphocyte activation molecule.Phylogenetic analysis indicated that HLJ/13 belonged to lineage IV.Subsequent intranasal and subcutaneous inoculation of goats with a dose of 2×10~6 TCID50of HLJ/13 resulted in the development of typical clinical symptoms of PPR,including pyrexia,ocular and nasal discharges,stomatitis,and diarrhea.All infected goats succumbed to the disease by day 8.To gain further insight,viral loading,pathological examination and immunohistochemical analyses were conducted,elucidating the main targets of HLJ/13 as the respiratory system,digestive tract and lymphoid organs.Employing the goat infection model established above,the goat poxvirus-vectored PPR vaccine,which was previously developed and could be used as DIVA(differentiating infected from vaccinated animals)vaccine,provided complete protection against the challenge of HLJ/13.It is important to note that this study represents the first comprehensive report delineating the biology and pathogenicity characterization,and infection model of PPRV isolated in China.展开更多
AIM: To assess the value of gemstone spectral imaging (GSI) in efficacy evaluation in hepatocellular cancer (HCC) after transcatheter arterial chemoembolization (TACE) treatment.METHODS: Thirty patients with HCC under...AIM: To assess the value of gemstone spectral imaging (GSI) in efficacy evaluation in hepatocellular cancer (HCC) after transcatheter arterial chemoembolization (TACE) treatment.METHODS: Thirty patients with HCC underwent GSI, including nonenhanced, arterial, portalvenous and delayed phase scans, after TACE treatment. Arterial phase images were acquired with GSI for reconstruction of virtual nonenhanced images and color overlay images. Digital subtraction angiography (DSA) was performed in all these patients. Two blinded and independent readers evaluated the data in two reading sessions; standard nonenhanced, arterial, portalvenous, and delayed phase images were read in session A, and the optimal monochromatic images, iodine/water based images and spectrum features were read in session B. Sensitivity and specificity were calculated with the DSA data as the reference standard. The sensitivity and specificity were compared using the χ<sup>2</sup> test.RESULTS: DSA revealed 154 lesions in 30 patients, and 100 of them had blood supply. Overall sensitivity and specificity were 72% (72/100) and 77.8% (42/54) for session A, and 97% (97/100) and 94.4% (51/54) for session B, respectively. The sensitivity and specificity of the two reading sessions were significantly different (χ<sup>2</sup> = 23.04, χ<sup>2</sup> = 7.11, P < 0.05).CONCLUSION: Compared with conventional CT, GSI could significantly improve the detection of small and multiple lesions without increasing the radiation dose. Based on spectrum features, GSI could assess tumor homogeneity and more accurately identify residual tumors and recurrent or metastatic lesions during efficacy evaluation and follow-up in HCC after TACE treatment.展开更多
Background:The efficacy of combining immune checkpoint inhibitors(ICIs)with chemotherapy in neoadjuvant therapy for locally advanced gastric cancer has been explored.However,limited research exists on its effectivenes...Background:The efficacy of combining immune checkpoint inhibitors(ICIs)with chemotherapy in neoadjuvant therapy for locally advanced gastric cancer has been explored.However,limited research exists on its effectiveness in conversion therapy,and its superiority over standalone chemotherapy remains to be elucidated.This study aims to investigate the efficacy and survival outcomes of patients treated with ICIs in combination with conversion therapy for locally advanced gastric cancer.Methods:Retrospective data from patients with locally advanced gastric cancer treated with either oxaliplatin+S-1(SOX)alone or in combination with ICIs in conversion therapywere collected.Clinical andpathological characteristics,disease-free survival,andefficacy assessments in nonoperable patients were compared between the 2 treatment groups.Efficacy was further evaluated through dynamic changes in serum markers,and patients’quality of life was assessed using the QLQ-STO22(Gastric Cancer–Specific Quality of Life Questionnaire)quality-of-life measurement scale.Results:A total of 140 patients underwent conversion therapy:80 in the SOX alone group and 60 in the SOX combined with the ICIs group.There were no significant differences in baseline characteristics between the 2 groups.Compared with the SOX alone group,the SOX combined with ICIs group exhibited a higher conversion rate(83.3%vs 75%,P=0.23),R0 resection rate(90.0%vs 83.3%,P=0.31),pathological complete response(pCR)rate(18%vs 5%,P=0.02),median disease-free survival(21.4 vs 16.9 months,P=0.007),the objective response rate in nonoperable patients(60%vs 40%,P=0.301),and median progression-free survival time(7.9 vs 5.7 months,P=0.009).The QLQ-STO22 quality-of-life assessment revealed statistically significant improvements in pain,swallowing difficulties,and dietary restrictions in the combination therapy group compared with those in the monotherapy group.The enhanced efficacy of immune combination with SOX is evident,as demonstrated by the significantly prolonged surgical duration in operated patients(206.6±26.6 min vs 197.8±19.8 min,P=0.35)and intraoperative blood loss(158.9±21.2 mL vs 148.9±25.1 mL,P=0.59).No significant differences were observed in postoperative complications.Conclusions:Compared with the SOX conversion therapy regimen,SOX combined with ICIs demonstrated higher conversion rates,R0 resection rates,pathological response rates,and disease-free survival without increasing surgical difficulty or complications.Nonoperable patients also experienced longer progression-free survival and objective response rates.展开更多
[Objectives]To evaluate the intervention effect and safety of self-created Lung Health Breathing Exercise on TCM syndromes,6-min walk test(6MWT)and quality of life in patients with stable chronic obstructive pulmonary...[Objectives]To evaluate the intervention effect and safety of self-created Lung Health Breathing Exercise on TCM syndromes,6-min walk test(6MWT)and quality of life in patients with stable chronic obstructive pulmonary disease(COPD).[Methods]76 cases of outpatient or inpatient patients who were diagnosed with stable COPD in Nanchong Traditional Chinese Medicine Hospital from January 2020 to March 2021 were selected,randomly divided into experimental group and control group,38 cases in each group.Both groups were given conventional western medicine treatment and nursing measures.The experimental group was added with the self-created Lung Health Breathing Exercise.After 12 weeks of treatment,the TCM syndrome score,6MWT distance,quality of life score and the incidence of adverse events were observed in the both groups.[Results]After treatment,the 6MWT distance and quality of life scores in both groups were significantly improved(P<0.01),and the TCM syndrome scores were significantly lower than those before treatment(P<0.01).[Conclusions]Lung Health Breathing Exercise can benefit patients in terms of symptom improvement,quality of life and exercise ability,and is a safe and effective rehabilitation measure for patients with stable COPD.展开更多
Tumor immunotherapy has been a research hotspot in the field of tumor therapy in recent years,especially the successful development and application of immune checkpoint inhibitors,which has brought tumor immunotherapy...Tumor immunotherapy has been a research hotspot in the field of tumor therapy in recent years,especially the successful development and application of immune checkpoint inhibitors,which has brought tumor immunotherapy into a new era.Unlike conventional treatment methods,such as chemotherapy,radiotherapy,and targeted therapy which directly affect tumor cells,immune checkpoint inhibitors block tumor immune environment checkpoint pathways and stimulate tumor-specific T cell functions to achieve anti-tumor effects.However,the clinical efficacy evaluation of immune checkpoint blockers still faces many challenges,and the solid tumor evaluation criteria(response evaluation criteria in solid tumors,RECIST)applicable to traditional chemotherapy drugs cannot accurately assess the efficacy of immunotherapy.Immune-related response criteria need further research.展开更多
Ultraviolet(UV),ozone(O_(3)),and particulate matter(PM)in air pollutants in the external environment can induce skin aging through oxidative mechanisms such as free radicals,lipid peroxidation,and protein oxidation.An...Ultraviolet(UV),ozone(O_(3)),and particulate matter(PM)in air pollutants in the external environment can induce skin aging through oxidative mechanisms such as free radicals,lipid peroxidation,and protein oxidation.Antioxidant cosmetics can be used to defend against oxidative damage caused by the external environment to the skin.In China,the claimed cosmetics need to be managed according to new efficacy cosmetics,but there are currently few reports on the evaluation methods for such new efficacy cosmetics.The efficacy evaluation methods of cosmetics with antioxidant mechanisms under UV,O_(3),and PM models were reviewed,and the skin damage caused by UV,O_(3),and PM were introduced.Suggestions for the application of each model in the efficacy evaluation of antioxidant cosmetics and raw materials were given to provide ideas for new efficacy claims and technical references for establishing a new efficacy evaluation system.展开更多
Traditional Chinese medicine(TCM)clinical efficacy evaluation runs through the development of TCM and has been progressing so far.With the introduction of evidence-based medicine(EBM)in recent 20 years,TCM clinical ef...Traditional Chinese medicine(TCM)clinical efficacy evaluation runs through the development of TCM and has been progressing so far.With the introduction of evidence-based medicine(EBM)in recent 20 years,TCM clinical efficacy evaluation has developed rapidly,accumulated research and experience,improved the quality and standardization of research,but also gradually found deep-seated deficiencies.In 2019,the China Center for Evidence-based Traditional Chinese Medicine(CCEBTCM)was established,and TCM was included in the 11th revision of the International Statistical Classification of Diseases(ICD-11).In above opportunities for TCM clinical efficacy evaluation,it is necessary to face up to the previous deficiencies,so that the TCM clinical efficacy evaluation can truly reflect the actual clinical practice characteristics,including TCM clinical problems,TCM thinking and TCM diagnosis&treatment mode.Based on the summary and analysis of past research,development concepts are proposed in this article.On the one hand,original concepts of TCM should be confidently paid more attention to the design and implementation of TCM clinical efficacy evaluation to be close to TCM clinical practice.On the other hand,it is necessary to consolidate the foundation of TCM clinical practice before evaluating efficacy.Evaluated object built on TCM ontology knowledge should be demonstrated based on clinical practice,and unknown evaluated object combined with new methods,technologies and concepts should be maturely integrated in clinical practice firstly.展开更多
To explore the efficacy evaluation method of depilatory cream.60 subjects were selected as subjects,and statistical analysis was carried out on the depilation effect of large samples.The hair was removed with a razor ...To explore the efficacy evaluation method of depilatory cream.60 subjects were selected as subjects,and statistical analysis was carried out on the depilation effect of large samples.The hair was removed with a razor in the control area and with depilation cream in the sample area,Antera 3D skin imaging analyzer was used to image the experimental area before and after the experiment,and the hair growth was dynamically monitored at 7,14,21 and 28 days,measure the length of hair with instrument and measure the number of people.The hair length change rate and hair inhibition rate were dynamically monitored in 28 days.The hair length change rate was-10.5%and hair inhibition rate was 93.3%after 28 days,more intuitive display of the product depilation effect,so as to determine the efficacy of depilation products evaluation method.展开更多
This paper briefly introduces the human body evaluation test method of cosmetics whitening efficacy test,the measurement method of skin melanin content,skin chromaticity and the instruments used,so as to provide ideas...This paper briefly introduces the human body evaluation test method of cosmetics whitening efficacy test,the measurement method of skin melanin content,skin chromaticity and the instruments used,so as to provide ideas for scientific and rigorous test scheme design and scientific basis for whitening efficacy claim.展开更多
This paper briefly introduce the test method for human evaluation of cosmetics to delay skin aging,and provide reference for the test of relevant indexes.By formulating a reasonable test plan and choosing appropriate ...This paper briefly introduce the test method for human evaluation of cosmetics to delay skin aging,and provide reference for the test of relevant indexes.By formulating a reasonable test plan and choosing appropriate equipment to test the improvement of the skin aging characteristics before and after the product is used,it can provide a scientific basis for claiming the effect of delaying skin aging.展开更多
This paper briefly introduces the human body evaluation test method of cosmetics moisturizing efficacy test,according to stratum corneum moisture content test,skin moisturizing capacity test and other test methods and...This paper briefly introduces the human body evaluation test method of cosmetics moisturizing efficacy test,according to stratum corneum moisture content test,skin moisturizing capacity test and other test methods and the instruments used are briefly introduced,so as to provide ideas for scientific and rigorous experimental scheme design and scientific basis for the claim of moisturizing effect.展开更多
In order to cooperate with the implementation of the relevant cosmetic safety and efficacy evaluation as regulated according to the Regulations on the Supervision and Administration of Cosmetics, the National Medical ...In order to cooperate with the implementation of the relevant cosmetic safety and efficacy evaluation as regulated according to the Regulations on the Supervision and Administration of Cosmetics, the National Medical Products Administration has successively promulgated The Technical Guide of Safety Assessment for Cosmetics and the Standard for Evaluation of Cosmetic Efficacy Claims. This paper comprehensively summarizes the requirements and methods for the evaluation of cosmetic safety and efficacy claims under the new regulations, and puts forward suggestions for relevant enterprises and practitioners, which provides useful guidance and reference for the cosmetic safety and efficacy claim evaluation.展开更多
Objective:To investigate the clinical efficacy of electrophysiological therapy under different parameter modes in chronic pelvic pain syndrome(CPPS).Methods:A total of 95patients with CPPS from the Department of Urolo...Objective:To investigate the clinical efficacy of electrophysiological therapy under different parameter modes in chronic pelvic pain syndrome(CPPS).Methods:A total of 95patients with CPPS from the Department of Urology,First Affiliated Hospital of Jinan University,were selected and treated with electrophysiological therapy.They were randomly divided into three groups:the fixed-parameter AA7 treatment group,the P2+P4 treatment group,and the precision treatment group(individualized parameter treatment).Pain scores of patients in each group were compared before and after treatment,with a pain score of 0 indicating cure.The cure rate of each group was observed.Results:The average ages of the AA7 group,P2+P4 group,and precision treatment group were 34±14.17 years,35.58±12.57 years,and 35.5±11.27 years,respectively.There was no significant difference in age among the three groups(p>0.05).Before treatment,the pain scores of the AA7 group,P2+P4 group,and precision treatment group were 4.14±1.74,4.64±1.72,and 3.50±1.89,respectively,with no significant differences among the groups(p>0.05).After treatment,the pain scores were 0.71±0.99 for the AA7 group(cure rate:57%),0.49±0.79 for the P2+P4 group(cure rate:67%),and 0.50±0.77 for the precision treatment group(cure rate:64%),with no significant differences among the groups(p>0.05).The cure rates for different pain locations were as follows:83%for lower abdominal pain,74%for perineal pain,62%for dysuria,49%for testicular pain,and 75%for inguinal pain.Conclusion:The pathogenesis of CPPS is complex and diverse,with numerous treatment options and uncertain efficacy,posing significant challenges to clinical practice.This study showed that electrophysiological therapy under different parameter modes significantly reduced pain scores before and after treatment,indicating significant therapeutic effects on CPPS.All three modes demonstrated good cure rates.Individualized precision treatment and fixed-mode P2+P4 or AA7 treatment were safe and effective in CPPS treatment and are worth promoting.Fixed-mode P2+P4 and AA7,due to their easier standardization of parameters and patch modes,reduced the learning curve and had better potential for widespread application.展开更多
In China, CM has been applied to treat almost every cancer patient, especially during the observation period after surgery, routine radiotherapy and chemotherapy. Several decades of CM treatment results have shown tha...In China, CM has been applied to treat almost every cancer patient, especially during the observation period after surgery, routine radiotherapy and chemotherapy. Several decades of CM treatment results have shown that CM treatment could be helpful in improving patients＇ physical rehabilitation, relieving symptoms and strengthening immunity. CM also could aid in the decline of rates of recurrence and metastasis, prolong the survival time, and especially, have significant effects on relieving symptoms such as relieving fatigue, improving syndromes caused by conventional therapies （surgery, radiotherapy, chemotherapy and biological treatment）, and indescribable discomforts caused by the unknown reason. It has been found in several studies that conventional medical treatment combined with CM could significantly improve QOL, and reduce treatment-related and disease-related symptoms. Patients treated with CM and Western medicine have higher scores in the fields of psychology, society,展开更多
This study introduces a Landscape Information Modeling±Stable Diffusion(LIM±SD)-based digital workflow for ecological engineered landscaping(EEL)design,focusing on urban river wetlands.It explores how studen...This study introduces a Landscape Information Modeling±Stable Diffusion(LIM±SD)-based digital workflow for ecological engineered landscaping(EEL)design,focusing on urban river wetlands.It explores how students from diverse academic backgrounds perform EEL tasks using the LIM±SD approach.A total of 30 participants,including industrial design postgraduates and landscape architecture undergraduates and postgraduates,completed the design tasks.The efficacy of their designs was assessed through expert evaluations on site appropriateness,aesthetics,spatial layout,and eco-engineering techniques of the design proposals,as well as the parametric simulation which calculated the vegetation coverage rate and proportion of riparian areas for each design.Moreover,evaluation of participants’subjective design experiences was conducted via questionnaires.Results indicated that landscape architecture postgraduates outperformed others applying ecological engineering principles.The study also elucidated discrepancies between LIM models and SD-generated renderings,as well as the uncertainty of SDgenerated renderings,suggesting improvements are needed to align digital outputs with ecological design criteria.展开更多
In order to objectively evaluate the efficacy of intravenous gammaglobulin (IVIG) in the prevention and treatment of coronary artery lesion (CAL) in Kawasaki disease (KD) and the related factors influencing the IVIG e...In order to objectively evaluate the efficacy of intravenous gammaglobulin (IVIG) in the prevention and treatment of coronary artery lesion (CAL) in Kawasaki disease (KD) and the related factors influencing the IVIG efficacy, 314 children with KD were reviewed retrospectively and comparatively and were divided into IVIG plus aspirin group and ASA group. The occurrence and restoration of CAL in these two groups as well as many laboratory and clinical indexes including average hospital stay (days), total fever duration, defervescence time, platelet count, erythrocyte sedimentation rate, C reactive protein etc. were observed. The incidence of CAL was 39.5 % in the children with KD. In the IVIG+ASA group, the incidence of CAL was 34.3 % and 56.0 % in ASA group respectively (P<0.001). The incidence of CAL was reduced in the group in which 2.0 g/kg or 1.0 g/kg IVIG was administered as compared with the group in which IVIG was administered at a dose ≤0.6 g/kg or ≥3.0 g/kg (P<0.05). CAL occurred less frequently when IVIG was administered at 3-10 days of the course than that when IVIG was administered ≤3 days or >10 days (P<0.05). About 13.4 % of the CAL treated with IVIG was not recovered at the 12 th month of the course, mostly in the groups in which only ASA was administered and IVIG treatment was started 10 days later. The hospital stay (days), defervescence time, total fever duration, platelet count, erythrocyte sedimentation rate and C reactive protein were significantly reduced in IVIG+ASA group as compared with those in the ASA group (P<0.05). IVIG treatment can remarkably shorten the course of patients with KD and decrease the incidence of CAL, but the efficacy of IVIG in the prevention and treatment of KD disease is not as expected by people, therefore, reevaluation of the practical efficacy of IVIG is required.展开更多
In the last several years, traditional Chinese medicine （TCM） has made much progress in the treatment of neurological diseases. The living space of TCM in neurological diseases lies in refractory diseases, aging and...In the last several years, traditional Chinese medicine （TCM） has made much progress in the treatment of neurological diseases. The living space of TCM in neurological diseases lies in refractory diseases, aging and chronic diseases caused by multiple factors as well as sub-health state and chronic fatigue state. The effect model of TCM mainly consists of whole effect, self-organization, self-stable model, holographic effect and butterfly effect. The effective point of TCM in neurological diseases lies mainly in end-points and health-related events. Moreover, TCM has advantages in the evaluation of symptoms, syndrome and quality of life （QOL）. Some key indexes should be included when evaluating the efficacy of TCM in neurological diseases. Meanwhile, the advantages of TCM such as end-points, health-related events and QOL should be highlighted. Multi-subject researching methods could be adopted to make a comprehensive evaluation of subjective and objective indexes. The clinical evidence on the TCM efficacy evaluation may come from RCTs, and other types of designs can also be considered.展开更多
OBJECTIVE:To evaluate the 10-year therapeutic efficacy of Traditional Chinese Medicine(TCM)using the Strengthening Spleen and Draining Dampness therapy in the management of idiopathic membranous nephropathy(IMN).METHO...OBJECTIVE:To evaluate the 10-year therapeutic efficacy of Traditional Chinese Medicine(TCM)using the Strengthening Spleen and Draining Dampness therapy in the management of idiopathic membranous nephropathy(IMN).METHODS:A single-center,retrospective analysis was conducted on patients diagnosed with IMN who met predefined inclusion and exclusion criteria.Data were collected from the Department of Nephrology at Longhua Hospital,affiliated with Shanghai University of Traditional Chinese Medicine,between January 2007 and December 2011.Clinical parameters including 24-h urinary protein,serum albumin,serum creatinine,and estimated glomerular filtration rate(e GFR,EPI)were assessed at baseline and at 1,3,5,and 10 years of follow-up.The efficacy of the Strengthening Spleen and Draining Dampness therapy was analyzed using repeated measures analysis of variance(ANOVA).Kaplan-Meier survival curves and multivariate proportional hazards model(Cox regression models)were employed to identify factors associated with treatment outcomes.RESULTS:A total of 265 patients were included,with a median follow-up duration of 96 months(36,122).TCM treatment significantly reduced 24-h urinary protein levels(P<0.001),and increased serum albumin levels(P<0.001),while serum creatinine remained stable(P=0.187).Remission rates at 1,3,5,and 10 years were 52.81%,69.71%,68.39%,and 72.36%,respectively,and the rates of avoiding composite outcome events at the same intervals were 98.27%,94.29%,94.19%,and 93.50%.In the subgroup receiving TCM only,remission rates were 56.67%,84.44%,76.32%,and 82.86%.For patients treated initially with Western Medicine followed by TCM,the rates were 52.83%,65.85%,67.47%and 67.75%.In the cohort of patients who received TCM as their first-line therapy,remission rates were 49.23%,62.50%,61.76%,and 69.23%.Multivariate Cox regression analysis revealed that the duration of TCM treatment[hazard ratio(HR)=0.826,95%confidence interval(CI)(0.779,0.876),P<0.001],presence of hypertension[HR=1.912,95%CI(1.181,3.094),P=0.008],baseline serum albumin level[HR=0.930,95%CI(0.894,0.969),P<0.001],and the rate of serum albumin increase within the first year of treatment[HR=0.930,95%CI(0.909,0.957),P<0.001]were significantly associated with clinical outcomes.CONCLUSION:The Strengthening Spleen and Draining Dampness therapy demonstrated robust short-and longterm efficacy in treating IMN,with high rates of remission and renal survival over 10 years.Key factors influencing clinical remission included the duration of TCM treatment,baseline serum albumin levels,the presence of hypertension,and the rate of increase in serum albumin within the first year.These findings suggest that this TCM approach provides a viable long-term treatment option for IMN.展开更多
基金Supported by Natural Science Foundation of Fujian Province,No.2023J011787Quanzhou Science and Technology Program Project,No.2025QZC02DW.
文摘BACKGROUND Chronic esophagitis can progress to esophageal cancer via"inflammationdysplasia-cancer"transformation,with nitric oxide(NO)serving as a critical mediator in this process.Traditional diagnostic methods(e.g.,endoscopic biopsy)for esophageal cancer transformation have low sensitivity and require long detection time,while existing fluorescent probes lack specificity and stability for real-time NO monitoring.High-performance fluorescent probes like DAF-FM,with NO-targeting ability,show potential for visual screening and efficacy evaluation but need systematic validation in esophageal cancer models.AIM To validate the applicability of the fluorescent probe DAF-FM for visual screening of esophageal cancer transformation,explore the underlying mechanism of NOregulated transformation,and evaluate the probe’s efficacy in monitoring therapeutic responses.METHODS Laser confocal imaging and flow cytometry were used to analyze DAF-FM’s NO concentration/time-dependent fluorescence response,lysosomal targeting(via Pearson coefficient),and cytotoxicity(with cholecystokinin-8 assay)in esophageal cells.Sprague-Dawley rat esophageal cancer models(normal,esophagitis,esophageal cancer,and drug/radiotherapy intervention)were established to monitor NO dynamics and tumor volume correlation.Clinical diagnostic comparison(50 suspected patients)with endoscopic biopsy/histopathology was conducted using Kolmogorov-Smirnov test and Student’s t-test(P<0.05).Western blot and quantitative realtime polymerase chain reaction were used to explore NO’s role in the nuclear factor-kappa B(NF-κB)pathway.RESULTS DAF-FM exhibited concentration/time-dependent fluorescence with NO(300μM NO:60-minute fluorescence intensity 458±15 arbitrary units,P<0.05)and specific lysosomal targeting(Pearson’s coefficient=0.82±0.03).It had low cytotoxicity(82.3%±4.1%cell viability at 50μM).In rat models,DAF-FM showed that NO was correlated with tumor volume(R²=0.87).Clinically,its sensitivity(92.5%)outperformed endoscopic biopsy(78.3%),with shorter detection time(30 minutes vs 48 hours,P<0.05).Mechanistically,NO regulated transformation via the NF-κB pathway(Pearson’s coefficient=0.78±0.05 between DAF-FM and NF-κB).CONCLUSION DAF-FM is a feasible tool for visual screening of esophageal cancer transformation,enabling real-time NO monitoring,high-sensitivity diagnosis,and therapeutic efficacy evaluation.It provides a new approach for esophageal cancer diagnosis and mechanism research.
文摘An acute skin injury model using continuous tape tearing was established,and studies the application of this model in the evaluation of soothing effects through instrument evaluation.30 healthy adult subjects were selected as the research subjects,and an acute skin model was established on the forearm flexion side of the subjects.The skin color a^(*)value and transdermal water loss rate(TEWL)value of the blank and experimental groups were tested using instruments.The results showed that at 15 and 30 minutes after using the sample,the growth values of a^(*)value and TEWL value in the experimental group were significantly lower than those in the blank group(P<0.05),the acute skin lesion model can effectively evaluate the soothing effect of cosmetics.
基金supported by the National Key Research and Development Program of China(2016YFD0500108)the International S&T Cooperation Program of China(ISTCP)(2015DFA31300)。
文摘In 2013,peste des petits ruminants(PPR)re-emerged in China and spread to the majority of provinces across the country.The disease was effectively controlled through a vaccination campaign employing live attenuated vaccines,although sporadic cases still occurred.However,limited information is currently available regarding the peste des petits ruminants virus(PPRV)endemic in China.Here,a PPRV strain(HLJ/13)was isolated from a field sample in China using Vero cells expressing goat signalling lymphocyte activation molecule.Phylogenetic analysis indicated that HLJ/13 belonged to lineage IV.Subsequent intranasal and subcutaneous inoculation of goats with a dose of 2×10~6 TCID50of HLJ/13 resulted in the development of typical clinical symptoms of PPR,including pyrexia,ocular and nasal discharges,stomatitis,and diarrhea.All infected goats succumbed to the disease by day 8.To gain further insight,viral loading,pathological examination and immunohistochemical analyses were conducted,elucidating the main targets of HLJ/13 as the respiratory system,digestive tract and lymphoid organs.Employing the goat infection model established above,the goat poxvirus-vectored PPR vaccine,which was previously developed and could be used as DIVA(differentiating infected from vaccinated animals)vaccine,provided complete protection against the challenge of HLJ/13.It is important to note that this study represents the first comprehensive report delineating the biology and pathogenicity characterization,and infection model of PPRV isolated in China.
文摘AIM: To assess the value of gemstone spectral imaging (GSI) in efficacy evaluation in hepatocellular cancer (HCC) after transcatheter arterial chemoembolization (TACE) treatment.METHODS: Thirty patients with HCC underwent GSI, including nonenhanced, arterial, portalvenous and delayed phase scans, after TACE treatment. Arterial phase images were acquired with GSI for reconstruction of virtual nonenhanced images and color overlay images. Digital subtraction angiography (DSA) was performed in all these patients. Two blinded and independent readers evaluated the data in two reading sessions; standard nonenhanced, arterial, portalvenous, and delayed phase images were read in session A, and the optimal monochromatic images, iodine/water based images and spectrum features were read in session B. Sensitivity and specificity were calculated with the DSA data as the reference standard. The sensitivity and specificity were compared using the χ<sup>2</sup> test.RESULTS: DSA revealed 154 lesions in 30 patients, and 100 of them had blood supply. Overall sensitivity and specificity were 72% (72/100) and 77.8% (42/54) for session A, and 97% (97/100) and 94.4% (51/54) for session B, respectively. The sensitivity and specificity of the two reading sessions were significantly different (χ<sup>2</sup> = 23.04, χ<sup>2</sup> = 7.11, P < 0.05).CONCLUSION: Compared with conventional CT, GSI could significantly improve the detection of small and multiple lesions without increasing the radiation dose. Based on spectrum features, GSI could assess tumor homogeneity and more accurately identify residual tumors and recurrent or metastatic lesions during efficacy evaluation and follow-up in HCC after TACE treatment.
基金funded by the Science and Technology Plan of Inner Mongolia Autonomous Region(no.2022YFSH0097)the Medical Research Advancement Fund Project(no.TB212014).
文摘Background:The efficacy of combining immune checkpoint inhibitors(ICIs)with chemotherapy in neoadjuvant therapy for locally advanced gastric cancer has been explored.However,limited research exists on its effectiveness in conversion therapy,and its superiority over standalone chemotherapy remains to be elucidated.This study aims to investigate the efficacy and survival outcomes of patients treated with ICIs in combination with conversion therapy for locally advanced gastric cancer.Methods:Retrospective data from patients with locally advanced gastric cancer treated with either oxaliplatin+S-1(SOX)alone or in combination with ICIs in conversion therapywere collected.Clinical andpathological characteristics,disease-free survival,andefficacy assessments in nonoperable patients were compared between the 2 treatment groups.Efficacy was further evaluated through dynamic changes in serum markers,and patients’quality of life was assessed using the QLQ-STO22(Gastric Cancer–Specific Quality of Life Questionnaire)quality-of-life measurement scale.Results:A total of 140 patients underwent conversion therapy:80 in the SOX alone group and 60 in the SOX combined with the ICIs group.There were no significant differences in baseline characteristics between the 2 groups.Compared with the SOX alone group,the SOX combined with ICIs group exhibited a higher conversion rate(83.3%vs 75%,P=0.23),R0 resection rate(90.0%vs 83.3%,P=0.31),pathological complete response(pCR)rate(18%vs 5%,P=0.02),median disease-free survival(21.4 vs 16.9 months,P=0.007),the objective response rate in nonoperable patients(60%vs 40%,P=0.301),and median progression-free survival time(7.9 vs 5.7 months,P=0.009).The QLQ-STO22 quality-of-life assessment revealed statistically significant improvements in pain,swallowing difficulties,and dietary restrictions in the combination therapy group compared with those in the monotherapy group.The enhanced efficacy of immune combination with SOX is evident,as demonstrated by the significantly prolonged surgical duration in operated patients(206.6±26.6 min vs 197.8±19.8 min,P=0.35)and intraoperative blood loss(158.9±21.2 mL vs 148.9±25.1 mL,P=0.59).No significant differences were observed in postoperative complications.Conclusions:Compared with the SOX conversion therapy regimen,SOX combined with ICIs demonstrated higher conversion rates,R0 resection rates,pathological response rates,and disease-free survival without increasing surgical difficulty or complications.Nonoperable patients also experienced longer progression-free survival and objective response rates.
基金Science and Technology Research Project of Sichuan Provincial Administration of Traditional Chinese Medicine(2020LC0151):"Clinical Study on the Effect of Lung Health Breathing Exercise on Pulmonary Function and Quality of Life in Patients with Stable Chronic Obstructive Pulmonary Disease"Project of Famous Old Chinese Physicians Case Research Center of Nanchong City Key Research Base of Philosophy and Social Sciences"Study on Chief Physician Xu Shihong s Clinical Experience and Academic Thoughts of Syndrome Differentiation in the Treatment of COPD"(YAZX19-Y-07).
文摘[Objectives]To evaluate the intervention effect and safety of self-created Lung Health Breathing Exercise on TCM syndromes,6-min walk test(6MWT)and quality of life in patients with stable chronic obstructive pulmonary disease(COPD).[Methods]76 cases of outpatient or inpatient patients who were diagnosed with stable COPD in Nanchong Traditional Chinese Medicine Hospital from January 2020 to March 2021 were selected,randomly divided into experimental group and control group,38 cases in each group.Both groups were given conventional western medicine treatment and nursing measures.The experimental group was added with the self-created Lung Health Breathing Exercise.After 12 weeks of treatment,the TCM syndrome score,6MWT distance,quality of life score and the incidence of adverse events were observed in the both groups.[Results]After treatment,the 6MWT distance and quality of life scores in both groups were significantly improved(P<0.01),and the TCM syndrome scores were significantly lower than those before treatment(P<0.01).[Conclusions]Lung Health Breathing Exercise can benefit patients in terms of symptom improvement,quality of life and exercise ability,and is a safe and effective rehabilitation measure for patients with stable COPD.
文摘Tumor immunotherapy has been a research hotspot in the field of tumor therapy in recent years,especially the successful development and application of immune checkpoint inhibitors,which has brought tumor immunotherapy into a new era.Unlike conventional treatment methods,such as chemotherapy,radiotherapy,and targeted therapy which directly affect tumor cells,immune checkpoint inhibitors block tumor immune environment checkpoint pathways and stimulate tumor-specific T cell functions to achieve anti-tumor effects.However,the clinical efficacy evaluation of immune checkpoint blockers still faces many challenges,and the solid tumor evaluation criteria(response evaluation criteria in solid tumors,RECIST)applicable to traditional chemotherapy drugs cannot accurately assess the efficacy of immunotherapy.Immune-related response criteria need further research.
文摘Ultraviolet(UV),ozone(O_(3)),and particulate matter(PM)in air pollutants in the external environment can induce skin aging through oxidative mechanisms such as free radicals,lipid peroxidation,and protein oxidation.Antioxidant cosmetics can be used to defend against oxidative damage caused by the external environment to the skin.In China,the claimed cosmetics need to be managed according to new efficacy cosmetics,but there are currently few reports on the evaluation methods for such new efficacy cosmetics.The efficacy evaluation methods of cosmetics with antioxidant mechanisms under UV,O_(3),and PM models were reviewed,and the skin damage caused by UV,O_(3),and PM were introduced.Suggestions for the application of each model in the efficacy evaluation of antioxidant cosmetics and raw materials were given to provide ideas for new efficacy claims and technical references for establishing a new efficacy evaluation system.
基金the National Natural Science Foundation of China(No.81725024).
文摘Traditional Chinese medicine(TCM)clinical efficacy evaluation runs through the development of TCM and has been progressing so far.With the introduction of evidence-based medicine(EBM)in recent 20 years,TCM clinical efficacy evaluation has developed rapidly,accumulated research and experience,improved the quality and standardization of research,but also gradually found deep-seated deficiencies.In 2019,the China Center for Evidence-based Traditional Chinese Medicine(CCEBTCM)was established,and TCM was included in the 11th revision of the International Statistical Classification of Diseases(ICD-11).In above opportunities for TCM clinical efficacy evaluation,it is necessary to face up to the previous deficiencies,so that the TCM clinical efficacy evaluation can truly reflect the actual clinical practice characteristics,including TCM clinical problems,TCM thinking and TCM diagnosis&treatment mode.Based on the summary and analysis of past research,development concepts are proposed in this article.On the one hand,original concepts of TCM should be confidently paid more attention to the design and implementation of TCM clinical efficacy evaluation to be close to TCM clinical practice.On the other hand,it is necessary to consolidate the foundation of TCM clinical practice before evaluating efficacy.Evaluated object built on TCM ontology knowledge should be demonstrated based on clinical practice,and unknown evaluated object combined with new methods,technologies and concepts should be maturely integrated in clinical practice firstly.
文摘To explore the efficacy evaluation method of depilatory cream.60 subjects were selected as subjects,and statistical analysis was carried out on the depilation effect of large samples.The hair was removed with a razor in the control area and with depilation cream in the sample area,Antera 3D skin imaging analyzer was used to image the experimental area before and after the experiment,and the hair growth was dynamically monitored at 7,14,21 and 28 days,measure the length of hair with instrument and measure the number of people.The hair length change rate and hair inhibition rate were dynamically monitored in 28 days.The hair length change rate was-10.5%and hair inhibition rate was 93.3%after 28 days,more intuitive display of the product depilation effect,so as to determine the efficacy of depilation products evaluation method.
文摘This paper briefly introduces the human body evaluation test method of cosmetics whitening efficacy test,the measurement method of skin melanin content,skin chromaticity and the instruments used,so as to provide ideas for scientific and rigorous test scheme design and scientific basis for whitening efficacy claim.
文摘This paper briefly introduce the test method for human evaluation of cosmetics to delay skin aging,and provide reference for the test of relevant indexes.By formulating a reasonable test plan and choosing appropriate equipment to test the improvement of the skin aging characteristics before and after the product is used,it can provide a scientific basis for claiming the effect of delaying skin aging.
文摘This paper briefly introduces the human body evaluation test method of cosmetics moisturizing efficacy test,according to stratum corneum moisture content test,skin moisturizing capacity test and other test methods and the instruments used are briefly introduced,so as to provide ideas for scientific and rigorous experimental scheme design and scientific basis for the claim of moisturizing effect.
文摘In order to cooperate with the implementation of the relevant cosmetic safety and efficacy evaluation as regulated according to the Regulations on the Supervision and Administration of Cosmetics, the National Medical Products Administration has successively promulgated The Technical Guide of Safety Assessment for Cosmetics and the Standard for Evaluation of Cosmetic Efficacy Claims. This paper comprehensively summarizes the requirements and methods for the evaluation of cosmetic safety and efficacy claims under the new regulations, and puts forward suggestions for relevant enterprises and practitioners, which provides useful guidance and reference for the cosmetic safety and efficacy claim evaluation.
文摘Objective:To investigate the clinical efficacy of electrophysiological therapy under different parameter modes in chronic pelvic pain syndrome(CPPS).Methods:A total of 95patients with CPPS from the Department of Urology,First Affiliated Hospital of Jinan University,were selected and treated with electrophysiological therapy.They were randomly divided into three groups:the fixed-parameter AA7 treatment group,the P2+P4 treatment group,and the precision treatment group(individualized parameter treatment).Pain scores of patients in each group were compared before and after treatment,with a pain score of 0 indicating cure.The cure rate of each group was observed.Results:The average ages of the AA7 group,P2+P4 group,and precision treatment group were 34±14.17 years,35.58±12.57 years,and 35.5±11.27 years,respectively.There was no significant difference in age among the three groups(p>0.05).Before treatment,the pain scores of the AA7 group,P2+P4 group,and precision treatment group were 4.14±1.74,4.64±1.72,and 3.50±1.89,respectively,with no significant differences among the groups(p>0.05).After treatment,the pain scores were 0.71±0.99 for the AA7 group(cure rate:57%),0.49±0.79 for the P2+P4 group(cure rate:67%),and 0.50±0.77 for the precision treatment group(cure rate:64%),with no significant differences among the groups(p>0.05).The cure rates for different pain locations were as follows:83%for lower abdominal pain,74%for perineal pain,62%for dysuria,49%for testicular pain,and 75%for inguinal pain.Conclusion:The pathogenesis of CPPS is complex and diverse,with numerous treatment options and uncertain efficacy,posing significant challenges to clinical practice.This study showed that electrophysiological therapy under different parameter modes significantly reduced pain scores before and after treatment,indicating significant therapeutic effects on CPPS.All three modes demonstrated good cure rates.Individualized precision treatment and fixed-mode P2+P4 or AA7 treatment were safe and effective in CPPS treatment and are worth promoting.Fixed-mode P2+P4 and AA7,due to their easier standardization of parameters and patch modes,reduced the learning curve and had better potential for widespread application.
文摘In China, CM has been applied to treat almost every cancer patient, especially during the observation period after surgery, routine radiotherapy and chemotherapy. Several decades of CM treatment results have shown that CM treatment could be helpful in improving patients＇ physical rehabilitation, relieving symptoms and strengthening immunity. CM also could aid in the decline of rates of recurrence and metastasis, prolong the survival time, and especially, have significant effects on relieving symptoms such as relieving fatigue, improving syndromes caused by conventional therapies （surgery, radiotherapy, chemotherapy and biological treatment）, and indescribable discomforts caused by the unknown reason. It has been found in several studies that conventional medical treatment combined with CM could significantly improve QOL, and reduce treatment-related and disease-related symptoms. Patients treated with CM and Western medicine have higher scores in the fields of psychology, society,
文摘This study introduces a Landscape Information Modeling±Stable Diffusion(LIM±SD)-based digital workflow for ecological engineered landscaping(EEL)design,focusing on urban river wetlands.It explores how students from diverse academic backgrounds perform EEL tasks using the LIM±SD approach.A total of 30 participants,including industrial design postgraduates and landscape architecture undergraduates and postgraduates,completed the design tasks.The efficacy of their designs was assessed through expert evaluations on site appropriateness,aesthetics,spatial layout,and eco-engineering techniques of the design proposals,as well as the parametric simulation which calculated the vegetation coverage rate and proportion of riparian areas for each design.Moreover,evaluation of participants’subjective design experiences was conducted via questionnaires.Results indicated that landscape architecture postgraduates outperformed others applying ecological engineering principles.The study also elucidated discrepancies between LIM models and SD-generated renderings,as well as the uncertainty of SDgenerated renderings,suggesting improvements are needed to align digital outputs with ecological design criteria.
文摘In order to objectively evaluate the efficacy of intravenous gammaglobulin (IVIG) in the prevention and treatment of coronary artery lesion (CAL) in Kawasaki disease (KD) and the related factors influencing the IVIG efficacy, 314 children with KD were reviewed retrospectively and comparatively and were divided into IVIG plus aspirin group and ASA group. The occurrence and restoration of CAL in these two groups as well as many laboratory and clinical indexes including average hospital stay (days), total fever duration, defervescence time, platelet count, erythrocyte sedimentation rate, C reactive protein etc. were observed. The incidence of CAL was 39.5 % in the children with KD. In the IVIG+ASA group, the incidence of CAL was 34.3 % and 56.0 % in ASA group respectively (P<0.001). The incidence of CAL was reduced in the group in which 2.0 g/kg or 1.0 g/kg IVIG was administered as compared with the group in which IVIG was administered at a dose ≤0.6 g/kg or ≥3.0 g/kg (P<0.05). CAL occurred less frequently when IVIG was administered at 3-10 days of the course than that when IVIG was administered ≤3 days or >10 days (P<0.05). About 13.4 % of the CAL treated with IVIG was not recovered at the 12 th month of the course, mostly in the groups in which only ASA was administered and IVIG treatment was started 10 days later. The hospital stay (days), defervescence time, total fever duration, platelet count, erythrocyte sedimentation rate and C reactive protein were significantly reduced in IVIG+ASA group as compared with those in the ASA group (P<0.05). IVIG treatment can remarkably shorten the course of patients with KD and decrease the incidence of CAL, but the efficacy of IVIG in the prevention and treatment of KD disease is not as expected by people, therefore, reevaluation of the practical efficacy of IVIG is required.
文摘In the last several years, traditional Chinese medicine （TCM） has made much progress in the treatment of neurological diseases. The living space of TCM in neurological diseases lies in refractory diseases, aging and chronic diseases caused by multiple factors as well as sub-health state and chronic fatigue state. The effect model of TCM mainly consists of whole effect, self-organization, self-stable model, holographic effect and butterfly effect. The effective point of TCM in neurological diseases lies mainly in end-points and health-related events. Moreover, TCM has advantages in the evaluation of symptoms, syndrome and quality of life （QOL）. Some key indexes should be included when evaluating the efficacy of TCM in neurological diseases. Meanwhile, the advantages of TCM such as end-points, health-related events and QOL should be highlighted. Multi-subject researching methods could be adopted to make a comprehensive evaluation of subjective and objective indexes. The clinical evidence on the TCM efficacy evaluation may come from RCTs, and other types of designs can also be considered.
基金Supported by the National Key Research and Development Project,Clinical Study on the Treatment of Refractory Membranous Nephropathy with the Treatment of Strengthening Spleen and Draining Dampness in Method using Single Group Target Value Method(No.2019YFC1709403)Systematic Study on the Diagnosis and Treatment Rules of Membranous Nephropathy in Traditional Chinese Medicine(No.2023YFC35033501,No.2023YFC35033503)。
文摘OBJECTIVE:To evaluate the 10-year therapeutic efficacy of Traditional Chinese Medicine(TCM)using the Strengthening Spleen and Draining Dampness therapy in the management of idiopathic membranous nephropathy(IMN).METHODS:A single-center,retrospective analysis was conducted on patients diagnosed with IMN who met predefined inclusion and exclusion criteria.Data were collected from the Department of Nephrology at Longhua Hospital,affiliated with Shanghai University of Traditional Chinese Medicine,between January 2007 and December 2011.Clinical parameters including 24-h urinary protein,serum albumin,serum creatinine,and estimated glomerular filtration rate(e GFR,EPI)were assessed at baseline and at 1,3,5,and 10 years of follow-up.The efficacy of the Strengthening Spleen and Draining Dampness therapy was analyzed using repeated measures analysis of variance(ANOVA).Kaplan-Meier survival curves and multivariate proportional hazards model(Cox regression models)were employed to identify factors associated with treatment outcomes.RESULTS:A total of 265 patients were included,with a median follow-up duration of 96 months(36,122).TCM treatment significantly reduced 24-h urinary protein levels(P<0.001),and increased serum albumin levels(P<0.001),while serum creatinine remained stable(P=0.187).Remission rates at 1,3,5,and 10 years were 52.81%,69.71%,68.39%,and 72.36%,respectively,and the rates of avoiding composite outcome events at the same intervals were 98.27%,94.29%,94.19%,and 93.50%.In the subgroup receiving TCM only,remission rates were 56.67%,84.44%,76.32%,and 82.86%.For patients treated initially with Western Medicine followed by TCM,the rates were 52.83%,65.85%,67.47%and 67.75%.In the cohort of patients who received TCM as their first-line therapy,remission rates were 49.23%,62.50%,61.76%,and 69.23%.Multivariate Cox regression analysis revealed that the duration of TCM treatment[hazard ratio(HR)=0.826,95%confidence interval(CI)(0.779,0.876),P<0.001],presence of hypertension[HR=1.912,95%CI(1.181,3.094),P=0.008],baseline serum albumin level[HR=0.930,95%CI(0.894,0.969),P<0.001],and the rate of serum albumin increase within the first year of treatment[HR=0.930,95%CI(0.909,0.957),P<0.001]were significantly associated with clinical outcomes.CONCLUSION:The Strengthening Spleen and Draining Dampness therapy demonstrated robust short-and longterm efficacy in treating IMN,with high rates of remission and renal survival over 10 years.Key factors influencing clinical remission included the duration of TCM treatment,baseline serum albumin levels,the presence of hypertension,and the rate of increase in serum albumin within the first year.These findings suggest that this TCM approach provides a viable long-term treatment option for IMN.
