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Association between circulating sex hormone levels and diabetic kidney disease in men and postmenopausal women with type 2 diabetes mellitus
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作者 Yi Shi Yao Zhang +4 位作者 An-Dong Zhou Hui-Yu Zou Man-Man Wang Fen Xu Meng-Yin Cai 《World Journal of Diabetes》 2025年第11期124-136,共13页
BACKGROUND Diabetic kidney disease(DKD)has become the leading cause of end-stage renal disease.The disease characteristics,morbidity,and renal function progression rate of patients with DKD are all related to sex.This... BACKGROUND Diabetic kidney disease(DKD)has become the leading cause of end-stage renal disease.The disease characteristics,morbidity,and renal function progression rate of patients with DKD are all related to sex.This suggests that sex hormones may play an important role in changing renal function in patients with diabetes.There have been only a few studies on the correlation between sex hormones and DKD,which have contradictory conclusions.AIM To investigate the relationship between circulating sex hormone levels and DKD in men and postmenopausal women with type 2 diabetes mellitus(T2DM).METHODS This retrospective cross-sectional study included 356 patients with T2DM.Pearson or Spearman rank correlation analyses assessed the relationships between sex hormone levels and renal function indices.By adjusting for age,body mass index,systolic blood pressure,diastolic blood pressure,duration of diabetes,use of sodium-glucose cotrasporter-2 inhibitor,use of glucagon-like peptide-1 receptor agonist,hypertension,use of angiotensin-converting enzyme inhibitor/angiotensin receptor blocker/angiotensin receptor-neprilysin inhibitor,diabetic retinopathy,diabetic peripheral vascular disease,triglyceride,uric acid,and hemoglobin A1c,multiple linear regression and logistic regression analyses were conducted to identify factors influencing the urinary albumin/creatinine ratio(UACR)and DKD.RESULTS In men,dehydroepiandrosterone sulfate levels were inversely associated with log-transformed UACR after adjustment for covariate factors[regression coefficient(β)=-0.691,95%confidence interval(CI):-1.241 to-0.141 for quartile 4 vs quartile 1;P=0.006 for trend].Elevated levels of estradiol were positively associated with DKD[odds ratio(OR)=3.097,95%CI:1.083-8.856 for quartile 4 vs quartile 1;P=0.041 for trend],and higher luteinizing hormone(LH)levels were similarly associated with DKD(OR=4.164,95%CI:1.30-13.330 for quartile 4 vs quartile 1;P=0.048 for trend).In postmenopausal women,LH levels were positively correlated with log-transformed UACR and DKD(β=1.039,95%CI:0.284-1.794 for quartile 4 vs quartile 1;P=0.006 for trend and OR=15.117,95%CI:2.191-104.326 for quartile 4 vs quartile 1;P=0.004 for trend).Follicle-stimulating hormone(FSH)levels were also positively associated with DKD(OR=9.588,95%CI:1.680-54.709 for quartile 4 vs quartile 1;P=0.014 for trend).CONCLUSION In men with T2DM,elevated levels of estradiol and LH levels were positively associated with increased risk of DKD.In postmenopausal women with T2DM,high FSH and LH levels were positively associated with increased risk of DKD. 展开更多
关键词 Circulating sex hormone levels Renal function Urinary albumin/creatinine ratio Diabetic kidney disease Type 2 diabetes mellitus
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Characterization of Gh SERK2 and its expression associated with somatic embryogenesis and hormones level in Upland cotton 被引量:4
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作者 LIU Zheng-jie ZHAO Yan-peng +3 位作者 ZENG Ling-he ZHANG Yuan WANG Yu-mei HUA Jin-ping 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2018年第3期517-529,共13页
Somatic embryogenesis (SE) is one of the most important steps during regeneration of cotton, but the molecular mechanism of SE remains unclear. SOMATIC EMBRYOGENSIS RECEPTOR KINASE (SERK) gene is known to function... Somatic embryogenesis (SE) is one of the most important steps during regeneration of cotton, but the molecular mechanism of SE remains unclear. SOMATIC EMBRYOGENSIS RECEPTOR KINASE (SERK) gene is known to function in SE. A homolog GhSERK2 (accession number: JF430801) was cloned from Upland cotton and characterized for its functions in SE. GhSERK2 expressed in different tissues and showed higher expression level in floral organs than vegetative ones with the highest levels in ovule and anther. GhSERK2 expressed during SE with a high level at globular embryos stage. Upon treatment with indole-3-butytic acid (IBA), the transcription level of GhSERK2 was induced and promoted SE subsequently. A 2-day treatment of 2,4-dichlorophenoxyacetic acid (2,4-D) induced the expression of GhSERK2, but treatments of 2,4-D for longer periods sharply inhibited the GhSERK2 transcription level of embryogenic callus (EC). The levels of hormones, including 3-indoleacetic acid (IAA), abscisic acid (ABA), and brassinosteroid (BR), were increased in the initial calli induced from the over-expression of GhSERK2 cotton. Our results indicated that GhSERK2 expression was associated with induction of SE and closely related to hormone levels during tissue culture in Upland cotton, and the gene might play an important role in regeneration of cotton. 展开更多
关键词 GhSERK2 somatic embryogenesis hormone level expression pattern Upland cotton (Gossypium hirsutum L.)
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Biofeedback therapy combined with Baduanjin on quality of life and gastrointestinal hormone level in patients with colorectal cancer 被引量:1
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作者 Xiao-Ding Zhou Hong-Gang Wei Fu-Lu Ai 《World Journal of Gastrointestinal Oncology》 SCIE 2022年第6期1187-1198,共12页
BACKGROUND With the change in people’s lifestyles,the incidence of colorectal cancer(CRC)is increasing.It is essential to study the efficacy of various treatment methods for CRC patients to prevent and treat CRC.AIM ... BACKGROUND With the change in people’s lifestyles,the incidence of colorectal cancer(CRC)is increasing.It is essential to study the efficacy of various treatment methods for CRC patients to prevent and treat CRC.AIM To investigate the efficacy of biofeedback therapy combined with Baduanjin in improving the quality of life and gastrointestinal hormone levels of patients with CRC.METHODS A total of 120 patients with CRC who were admitted to our hospital from June 2020 to June 2021 were included in the study.They were randomly divided into four groups(n=30):the control group(group A),the biofeedback therapy intervention group(group B),the Baduanjin exercise intervention group(group C),and the combination group(group D).Patients in group A adopted the standard nursing mode and necessary health education.Patients in group B were treated with biofeedback therapy based on routine nursing care.Patients in group C were given Baduanjin intervention for 12 wk based on conventional drug treatment and care.Patients in group D were treated with biofeedback therapy and Baduanjin exercise.In this study,patients’quality of life,gastrointestinal hormone levels,and clinical efficacy in the four groups were observed at baseline and 12 wk after intervention.Meanwhile,the correlation between gastrointestinal hormone levels and various functional areas of quality of life was analyzed.By comparing the observed indicators of patients in the four groups,the efficacy of biofeedback therapy combined with Baduanjin in improving the quality of life and gastrointestinal hormone levels of patients with CRC was explored.RESULTS At baseline,there were no significant differences in quality of life,gastrointestinal hormone levels,or clinical efficacy among the four groups(P>0.05).Twelve weeks after the intervention,the combination group’s quality of life,gastrointestinal hormone levels,and clinical effectiveness were better than those of the three other groups.CONCLUSION On the basis of routine nursing care,patients with CRC combined with biofeedback therapy and Baduanjin exercise can improve the quality of life of patients with CRC and the efficacy of gastrointestinal hormone levels. 展开更多
关键词 Biofeedback therapy BADUANJIN Colorectal cancer Quality of life Gastrointestinal hormone level Clinical efficacy
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Association of severity and sex with vasoactive substance and sexual hormone level in patients with vascular dementia in the type of kidney asthenia and blood stasis syndrome 被引量:1
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作者 Jian Du Jing Cai Shuanghong Shen 《Neural Regeneration Research》 SCIE CAS CSCD 2006年第9期813-816,共4页
BACKGROUND: Kidney asthenia is the basic cause of the development of vascular dementia (VD). Kidney asthenia lasting for a long time will result in blood stasis. Also, the cause of VD may have relationships with endot... BACKGROUND: Kidney asthenia is the basic cause of the development of vascular dementia (VD). Kidney asthenia lasting for a long time will result in blood stasis. Also, the cause of VD may have relationships with endothelin (ET), nitric oxide (NO), homocysteine (HCY), estrogen (E2), and testosterone (T). OBJECTIVE: To observed clinical curative effect of the kidney tonic, pancreas tonic, and blood tonic with promoting blood circulation components in treating kidney asthenia with blood stasis syndrome of VD. DESIGN: Case controlled study. SETTING: Geriatric Institute of Integrated Medicine, Fujian College of Traditional Chinese Medicine. PARTICIPANTS: A total of 70 patients, including 39 males and 31 females aged 60-80 years, were selected from Department of Neurology, Pingshan Hospital from May 2000 to September 2002. Diagnostic criteria were used for probable VD of the American Psychiatric Association. Diagnostic and Statistical of Manual of Mental Disorder, 4th ed (DSM-Ⅳ), 1994 revised, mini-mental state examination (MMSE), and criteria of kidney asthenia with blood stasis with mixed weak and sthenia syndrome of Guidelines of Clinical Research of New Chinese Medicine in Treating Dementia. According to score of kidney asthenia with blood stasis syndrome, they were classified to three groups: mild (n =22), moderate (n =33) and severe (n =15). All of them with complete chest X-Ray, ECG, blood chemistry and other related examinations, exclusive of cardiovascular, liver, kidney diseases, homeopathy and psychiatry diseases. And hereby we also select 30 normal people as the comparing group, having no substantial diseases in heart, brain, kidney, liver, lung and other main organic systems after medical examination. Of this group, 11 were males and 19 were females, ranging from 62 years old to 78 years old. There were no obvious differences between the above two groups in sex, age, and education level after statistical analysis. All patients observed in Pingxi Hospital, Fuzhou, from May 2000 to September 2002. METHODS: ① According to the diagnoses standard of blood stasis syndrome: 0-89: The increase in score indicated that blood stasis syndrome was getting serious. ② According to MMSE: All the test samples were evaluated, those with scores of 0-30, in which the non-educated ≤ 17, primary school ≤ 20, above middle school ≤ 24 were categorized. ③ Testing all sample's ET, E2 and T by using radioimmunoassay, the RIA kits were provided by Scientific and Technological Development Center of General Hospital of PLA. ④ Testing the level of NO by using colorimetic method. ⑤ Testing the level of HCY by using Enzyme-linked Immunoassay. ⑥ Meanwhile, analyzing the blood stasis score by comparing with every standard. The differences of data were compared by using t test and F test. MAIN OUTCOME MEASURES: ① Blood plasma ET, blood serum NO, HCY, E2 and T. ② The analyzing results obtained from comparing score of blood stasis with every indicators. RESULTS: The result analysis was including of both the 70 patients of VD with kidney asthenia and blood stasis and compared group consist of 30 healthy people. ① ET, NO, HCY and ET/NO: The levels of ET, HCY and ET/NO were increasing with pathography, while the levels of ET, NO, HCY and ET/NO were decreasing with the pathography, and the difference in statistics was significant (P < 0.01). ② The level of E2 and T: The levels of both E2, T and E2/T for male VD patients were (67.72±12.18) pg/L and (351.58±155.02) ng/L, 0.24±0.12 respectively, which were higher than the compared group [(53.96±16.13) pg/L, (471.83±143.99) ng/L, 0.12±0.00, P < 0.05]. The level of E2 in the female VD patients was lower than the compared group [(34.23±10.99), (44.81±14.65) pg/L, P < 0.05]. ③ The relationship between the score of blood stasis and each indicators: The levels of ET, ET/NO and HCY had significant positive relationship with blood stasis mark (r = 0.352, 0.754, 0.347, P < 0.05-0.01), obvious negative relationship with NO (r =-0.528, P < 0.01) and no clear relationship with female E2/T and male E2/T (r = -0.210, 0.04, P > 0.05). CONCLUSION: ① The levels of ET, HCY and ET/NO are increasing with pathography, while the level of NO is decreasing, which may be the evidence that the possibility of VD pathography may have relationship with the indicators above. ② The level of E2 increase in male's VD patients, and decrease in male's. And the decrease of the female may have relationship with the VD. 展开更多
关键词 ET Association of severity and sex with vasoactive substance and sexual hormone level in patients with vascular dementia in the typ TYPE
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The effects of consumption of raw garlic on serum lipid level, blood sugar and a number of effective hormones on lipid and sugar metabolism in hyperglycemic and/or hyperlipidemic individuals ——Benefit of raw garlic consumption 被引量:1
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作者 M Mahmoodi S.M. Hosseini Zijoud +4 位作者 G.H. Hassanshahi M.A. Toghroli M Khaksari M.R. Hajizadeh E Mirzajani 《Advances in Biological Chemistry》 2011年第2期29-33,共5页
Diabetes mellitus is one of the worldwide largest growing metabolic diseases. In this study the effects of consumption of raw garlic on serum lipid level, blood sugar and a number of effective hormones on lipid and su... Diabetes mellitus is one of the worldwide largest growing metabolic diseases. In this study the effects of consumption of raw garlic on serum lipid level, blood sugar and a number of effective hormones on lipid and sugar metabolism (thyroid hormones and insulin) in individuals either with high level of blood sugar or lipid were investigated. Eighty five volunteers having following clinical history enrolled in the study: Group 1: having blood sugar more than 126 mg/dl (30 vo-lunteers);Group 2: having cholesterol higher than 245 mg/dl (30 volunteers);Group 3: having blood sugar over 126 mg/dl and cholesterol more than 245 mg/dl (25 volunteers). In group 1, there wasn’t a sig-nificant differences between biochemical factors be-fore and after garlic consumption, whereas, in the second group after 6 weeks of garlic consumption a decline in cholesterol (P < 0.001), FBS and TG (P < 0.01) was observed but HDL-C (P < 0.001) was in-creased. Six weeks after termination of garlic con-sumption, cholesterol (P < 0.001), FBS and TG (P < 0.05) were in- creased and HDL-C (P < 0.01) was de-creased. In the third group, total cholesterol (P < 0.001), FBS (P < 0.01) and HbA1c decreased while HDL-C was in- creased. Other factors, including thy-roid hormones (T3, T4), TSH and insulin showed no significant alte- ration. In conclusion our results shown that raw garlic consumption can reduce the FBS and Lipid in hyperglycemic and/or hyperlipidemic individuals. 展开更多
关键词 GARLIC SERUM Lipid level Blood SUGAR hormonES Hyperglycemic Hyperlipidemic
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Effect of TSH Suppression Therapy on Sex Hormone Levels after Thyroid Cancer Surgery
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作者 Shenglin He Ya Su +1 位作者 Bo Zhao Xudong Gao 《Proceedings of Anticancer Research》 2024年第1期82-85,共4页
Objective:To analyze the effect of thyroid-stimulating hormone(TSH)suppression therapy on sex hormone levels in patients undergoing postoperative treatment for thyroid cancer.Methods:A total of 40 patients undergoing ... Objective:To analyze the effect of thyroid-stimulating hormone(TSH)suppression therapy on sex hormone levels in patients undergoing postoperative treatment for thyroid cancer.Methods:A total of 40 patients undergoing postoperative thyroid cancer treatment were selected for data analysis.TSH suppression therapy was implemented during the postoperative period.Patients were grouped according to the TSH level:TSH<0.1,0.1≤TSH<0.5,and TSH≥0.5.Results:Among male patients,there were no significant differences in sex hormone levels at different dosing times and TSH levels(P>0.05).For female patients,testosterone levels at different dosing times showed no significant differences under the same circumstances(P>0.05).The comparison of testosterone levels at different TSH levels over 5 years of TSH suppression therapy did not yield significant differences(P>0.05).However,the comparison of testosterone levels within 5 years of TSH suppression therapy yielded significant differences(P<0.05),with the lowest levels observed at 0.1≤TSH<0.5.Conclusion:The use of TSH suppression therapy in postoperative thyroid cancer treatment minimally affects sex hormone levels in male patients.However,it has a significant impact on female patients.Therefore,preoperative sex hormone testing is recommended,and postoperative monitoring should include regular sex hormone testing. 展开更多
关键词 Thyroid cancer Postoperative TSH suppression therapy Sex hormone levels
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Mechanism of sex hormone level in biological clock disorder induced acne and analysis of TCM Pathogenesis
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作者 Zhang Miaoliang Yang Bilian +6 位作者 Wu Di Zhang Liyuan Chen Xueyan Wang Yu'nong Wu Meichao Jia Yuanning Cai Lingling 《World Journal of Integrated Traditional and Western Medicine》 2016年第2期11-13,共3页
Acne vulgaris is a common chronic inflammatory disease of pilosebaceous units. And sex hormone level disorder has became a hot research topic in the pathogenesis of acne. Studies show that the biological clock disorde... Acne vulgaris is a common chronic inflammatory disease of pilosebaceous units. And sex hormone level disorder has became a hot research topic in the pathogenesis of acne. Studies show that the biological clock disorder can result in the disorder of sex hormone levels which causes or aggravates acne. Biological clock disorder coincides naturally with "sleep rhythm disorder" in Traditional Chinese Medicine(TCM). In this paper, we will discuss the modern medical mechanism of the biological clock disorder resulting in acne from the angle of sex hormones, and analyze the TCM pathogenesis of the disease caused by the disorder of the biological clock. 展开更多
关键词 Acne Biological clock disorder Sex hormone level Etiology and pathogenesis of TCM
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Air Pollution and Sex Hormone Levels among Mechanics in Brazzaville (Republic of Congo)
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作者 Rancia Colombe Diakouka Diambalou Presley Jeanel Ibrahim M’sengui Dzamba +2 位作者 Moïse Doria Kaya-Ongoto Severin Wencesl Odzebe Anani Ange Antoine Abena 《Journal of Environmental Protection》 2023年第12期1025-1037,共13页
Air pollution is today a real concern across the world, responsible for around 7 million deaths per year around the world. It is currently involved in the appearance and worsening of several non-transmissible patholog... Air pollution is today a real concern across the world, responsible for around 7 million deaths per year around the world. It is currently involved in the appearance and worsening of several non-transmissible pathologies, making it an environmental, health, and societal problem. The objective of this work was to evaluate the effects of short-term exposure to air pollution on the level of sex hormones in mechanics. We conducted a cross-sectional, analytical, prospective case-control study in Brazzaville on 228 patients (76 cases and 152 controls) from June 2020 to December 2022, a period of 30 months. This study made it possible to evaluate, on the one hand, the level of sexual hormones in men exposed to automobile pollution according to the automated method (ELFA) on mini vidas and, on the other hand, the quality of the air by a colorimetric, punctual method on a Dräger tube coupled with a Dräger accuro pump. The results obtained made it possible to establish a statistically significant link between automobile pollutants (CO, CO<sub>2</sub>, NO<sub>2</sub>, SO<sub>2</sub>) and the increase in LH and FSH on the one hand and the decrease in testosterone on the other hand. We also noted that the concentrations of automotive pollutants during this study were all above the standards required by the WHO. Exposure to automobile pollutants affects the hypothalamic-pituitary axis and therefore disrupts the level of sex hormones. 展开更多
关键词 Exposure Automobile Pollutants level Sex hormone
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Effects of Dietary Energy Level and Source on Blood Metabolites,Hormone Secretion and Follicular Fluid Composition in Gilts
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作者 ZHOU Dong-sheng ZHUO Yong +3 位作者 WU De WANG Yan-zhong TAN Xian-yi ZHOU Ping 《畜牧兽医学报》 CAS CSCD 北大核心 2010年第S1期43-50,共8页
The objective of the study was to investigate the effects of dietary energy levels and sources on the blood metabolites,hormone secretion and the composition of follicular fluid in gilts.Fifty-four gilts with initial ... The objective of the study was to investigate the effects of dietary energy levels and sources on the blood metabolites,hormone secretion and the composition of follicular fluid in gilts.Fifty-four gilts with initial body weight of(59±4.2) kg were randomly allotted to six treatments.Treatments were low, normal,and high energy feeding levels,which were 87.5%,100%and 112.5%of recommendatory energy requirements by NRC(1998),respectively,and dietary energy sources(starch or fat).Blood samples and follicular fluids were collected on D18 and D19 of the second estrous cycle.The results showed that plasma concentrations of triglycerides and total cholesterol were higher in the fat group than that in the starch group(P【0.05),but those of glucose were similar between the two energy sources(P】0.05);dietary energy level exerted no effect on blood metabolites concentration(P】0.05).Gilts fed the high energy diet had a higher area under curve of plasma insulin(Insulin AUC),insulin-like growth factor-Ⅰ(IGF-Ⅰ) and leptin than did gilts fed the lower energy diet(P【0.05),but there was no significant difference between fat versus starch(P】0.05).Luteinizing hormone(LH) pulses were higher in gilts fed high energy rather than that in low energy diets(P】0.05),plasma concentration of estradiol(E<sub>2</sub>) was higher in the fat group than that in the starch group(P【0.05).The number of large follicles(diameter≥4 mm) and concentrations of IGF-Ⅰand E<sub>2</sub> in follicular fluid were increasing significant as the level of energy increased(P【0.05),but the numbers of large follicles and follicular fluid composition were not affected by the source of dietary energy(P】0.05).The results indicate that gilts fed high energy diets had elevated plasma concentrations of metabolic hormones,IGF-Ⅰand LH secretion,and increased follicular fluid concentrations of IGF-Ⅰ,E<sub>2</sub> and numbers of large follicles;gilts fed the dietary fat had a higher plasma concentration of cholesterol and E<sub>2</sub>. 展开更多
关键词 dietary energy levels and sources GILTS METABOLITES hormone secretion follicle fluid composition
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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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加味芍药甘草汤联合戊酸雌二醇片治疗轻度宫腔粘连对微炎症状态及性激素水平的影响观察
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作者 游志恒 于清茜 王慧霞 《中华中医药学刊》 北大核心 2026年第1期219-223,共5页
目的探究加味芍药甘草汤联合戊酸雌二醇片治疗轻度宫腔粘连(intrauterine adhesion,IUA)对患者微炎症状态及性激素水平的影响。方法选取轻度IUA患者92例为研究对象,按照随机数字法分为对照组和观察组,每组46例。对照组予以戊酸雌二醇片... 目的探究加味芍药甘草汤联合戊酸雌二醇片治疗轻度宫腔粘连(intrauterine adhesion,IUA)对患者微炎症状态及性激素水平的影响。方法选取轻度IUA患者92例为研究对象,按照随机数字法分为对照组和观察组,每组46例。对照组予以戊酸雌二醇片治疗,观察组在对照组基础上联合加味芍药甘草汤治疗。对比两组患者临床疗效、治疗前后中医证候积分、子宫检查指标(子宫内膜厚度、子宫内膜容积)、血流动力学指标[子宫内膜螺旋动脉阻力指数(resistance index,RI)、搏动指数(pulsatility index,PI)]以及基质金属蛋白酶(matrix metalloproteinase,MMP)-2、MMP-3、MMP-9、炎症因子[转化生长因子(transforming growth factor,TGF)-β1、肿瘤坏死因子(tumor necrosis factor,TNF)-α、白细胞介素(interleukin,IL)-6]、性激素[雌二醇(estradiol,E_(2))、促黄体生成素(luteinizing hormone,LH)]水平间差异。结果治疗后观察组总有效率高于对照组(P<0.05),两组各项中医证候积分及TGF-β1、TNF-α、IL-6、LH水平均降低,且观察组降幅均高于对照组(均P<0.05),两组子宫内膜厚度、子宫内膜容积、PI、RI及MMP-2、MMP-3、MMP-9、E_(2)、LH水平均升高,且观察组升幅均高于对照组(均P<0.05)。结论加味芍药甘草汤联合戊酸雌二醇片治疗轻度IUA,可有效改善患者临床症状、子宫形态及血流动力学指标,疗效确切,其作用机制与调控基质金属蛋白酶、炎症因子及性激素表达相关。 展开更多
关键词 宫腔粘连 轻度 芍药甘草汤 戊酸雌二醇 炎症状态 性激素水平
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舍曲林联合米氮平治疗产后抑郁症的临床效果
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作者 杨希文 杨春雪 +1 位作者 王晓 孙波 《中国社区医师》 2026年第3期31-33,共3页
目的:探讨舍曲林联合米氮平治疗产后抑郁症的临床效果。方法:选取2021年6月—2023年6月于临沂市精神卫生中心(临沂市第四人民医院)就诊的70例产后抑郁症患者作为研究对象,按随机数字表法分为对照组和观察组,各35例。对照组给予米氮平治... 目的:探讨舍曲林联合米氮平治疗产后抑郁症的临床效果。方法:选取2021年6月—2023年6月于临沂市精神卫生中心(临沂市第四人民医院)就诊的70例产后抑郁症患者作为研究对象,按随机数字表法分为对照组和观察组,各35例。对照组给予米氮平治疗,观察组在对照组基础上给予舍曲林治疗。对比两组治疗效果。结果:观察组治疗总有效率高于对照组(P=0.031);治疗后,两组汉密尔顿抑郁量表、爱丁堡产后抑郁量表评分均降低(P<0.05),且观察组低于对照组(P<0.001);治疗后,两组孕酮、雌二醇水平均升高,黄体生成素、卵泡刺激素水平均降低,且观察组改善幅度大于对照组(P<0.05);两组不良反应总发生率对比,无统计学差异(P=0.690)。结论:舍曲林联合米氮平治疗产后抑郁症的临床效果良好,可调节患者性激素水平,促进抑郁症状缓解,且治疗安全性良好。 展开更多
关键词 产后抑郁症 舍曲林 米氮平 性激素水平 安全性
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耳部刮痧对慢性阻塞性肺疾病急性加重期伴胃肠功能紊乱患者胃肠激素水平的影响
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作者 陈晟茜 张盼盼 +1 位作者 陈新鑫 吴培焱 《中华全科医学》 2026年第1期31-34,共4页
目的探讨耳部刮痧对慢性阻塞性肺疾病急性加重期(AECOPD)伴胃肠功能紊乱患者胃肠激素水平的作用,为临床治疗提供依据。方法选取2023年3月—2025年3月浙江中医药大学附属第一医院收治的167例AECOPD伴胃肠功能紊乱患者,按照随机数字表法分... 目的探讨耳部刮痧对慢性阻塞性肺疾病急性加重期(AECOPD)伴胃肠功能紊乱患者胃肠激素水平的作用,为临床治疗提供依据。方法选取2023年3月—2025年3月浙江中医药大学附属第一医院收治的167例AECOPD伴胃肠功能紊乱患者,按照随机数字表法分成A组(83例)与B组(84例),A组予以药物治疗,B组予以药物治疗联合耳部刮痧刺激迷走神经。观察2组患者胃肠激素水平、胃肠道症状、中医症状积分、临床疗效及不良反应。结果胃泌素(GAS)、胃蛋白酶原Ⅰ(PGⅠ)、胃蛋白酶原Ⅱ(PGⅡ)在组间、各时点间、组间与时点间存在交互作用(P<0.05);2组治疗后第4天(T2)、治疗后第8天(T3)的GAS、PGⅠ、PGⅡ均升高(P<0.05),且B组T2、T3的GAS、PGⅠ、PGⅡ高于A组(P<0.05)。胃肠道症状分级评分量表(GSRS)评分在组间、各时点间、组间与时点间存在交互作用(P<0.05);2组T2、T3的GSRS评分均降低(P<0.05),且B组T2、T3的GSRS评分低于A组(P<0.05)。各项中医证候积分在组间、各时点间、组间与时点间存在交互作用(P<0.05);2组T2、T3的各项中医证候积分均降低(P<0.05),且B组T2、T3的各项中医证候积分低于A组(P<0.05)。B组总有效率高于A组[91.67%(77/84)vs.78.31%(65/83),χ2=5.848,P=0.016]。2组不良反应发生率比较差异无统计学意义(P>0.05)。结论药物治疗联合耳部刮痧刺激迷走神经可改善AECOPD伴胃肠功能紊乱患者的胃肠激素水平,减轻胃肠道症状及中医临床症状,提高疗效,且安全性较高。 展开更多
关键词 慢性阻塞性肺疾病急性加重期 耳部刮痧 胃肠功能紊乱 胃肠激素水平
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Cloning and Expression Level Analysis of Melanocyte-stimulating Hormone Receptor 1 Gene(MC1R) in Alpacas with Different Coat Color
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作者 REN Yu-hong REN Bin +4 位作者 FAN Rui-wen ZHU Zhi-wei YANG Yong LI Hui DONG Chang-sheng 《畜牧兽医学报》 CAS CSCD 北大核心 2010年第S1期21-25,共5页
Specific primers for the MC1R gene of alpacas(GenBank EU1358800) were designed to amplify the cDNA sequence using RT-PCR to seek variation in the sequence and explore the relationship between the expression level of M... Specific primers for the MC1R gene of alpacas(GenBank EU1358800) were designed to amplify the cDNA sequence using RT-PCR to seek variation in the sequence and explore the relationship between the expression level of MC1R gene and alpaca coat color.The MC1R gene from white alpaca was cloned successfully and sequence analysis verified that the MC1R gene,encoding 317 amino acids,was 1081 bp in length.Compared with the existing sequence in GenBank,sequence identity was 99.9%and 7 mutations were found.Primers,designed from the sequence obtained,were used to assess the relative expression of MC1R in alpacas of different coat color using QRT-PCR and SPSS 13.0 software.Relative expression of MC1R in the skin of brown alpacas was 4.32 times higher than that in white alpacas after normalization with GAPDH(P【0.01),indicating that MC1R expression may be related to coat color of alpacas. 展开更多
关键词 ALPACA melanocyte-stimulating hormone receptor 1 gene(MC1R) cloning QRT-PCR gene expression level
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多普勒超声定量参数与性激素预测羊水过少妊娠结局
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作者 林晓 张婧茹 朱俊 《广州医科大学学报》 2026年第1期34-38,共5页
目的:探讨多普勒超声定量参数联合性激素检测对羊水过少孕妇妊娠结局的预测价值。方法:选取2022年2月至2024年2月间本院收治的羊水过少妊娠产妇188例为研究对象。统计并根据妊娠结局,将观察组进一步分为妊娠不良组和妊娠良好组。检测对... 目的:探讨多普勒超声定量参数联合性激素检测对羊水过少孕妇妊娠结局的预测价值。方法:选取2022年2月至2024年2月间本院收治的羊水过少妊娠产妇188例为研究对象。统计并根据妊娠结局,将观察组进一步分为妊娠不良组和妊娠良好组。检测对比两组多普勒超声定量参数和性激素水平。采用ROC曲线分析多普勒超声定量参数和性激素水平对不良妊娠结局的预测价值。结果:188例羊水过少妊娠产妇中,发生妊娠不良产妇有71例,不良妊娠发生率为37.77%。未发生不良妊娠产妇有117例。妊娠不良组中肾动脉(RA)、脐动脉(UA)阻力指数高于妊娠良好组,大脑中动脉(MCA)阻力指数以及卵泡刺激素(FSH)、雌二醇、孕酮、垂体泌乳素水平低于妊娠良好组(P<0.05)。ROC曲线显示,所有参数联合预测产妇妊娠不良的AUC为0.922,高于多普勒超声参数联合预测及激素四项水平联合预测(AUC分别为0.834、0.865)。结论:羊水过少产妇RA MCA UA阻力指数联合激素六项中FSH、雌二醇、孕酮、垂体泌乳素水平对其妊娠结局具有较高预测价值。 展开更多
关键词 多普勒超声 定量参数 性激素水平 羊水过少 妊娠结局
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不同LED光色对伊拉肉兔繁殖性能及血液激素水平的影响
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作者 麦吾兰·麦麦提 魏新 +10 位作者 韩松 阿地兰·阿不都热依木 刘诗杰 张欣欣 郭永辉 付雪晴 阿迪拉·图尔荪 伊丽姆努尔·艾力 再努热·依木热木孜 阿曼尼萨·如则麦麦提 库尔班·吐拉克 《中国养兔》 2026年第1期4-9,共6页
本研究探讨不同LED光色对全进全出集约化生产条件下的伊拉肉兔繁殖性能及血清激素水平的影响,旨在为新疆和田地区规模化养殖提供优化的光照管理方案。试验选取327只健康经产母兔,随机分为白光(对照)、红光、蓝光、绿光、黄光和暖光6组,... 本研究探讨不同LED光色对全进全出集约化生产条件下的伊拉肉兔繁殖性能及血清激素水平的影响,旨在为新疆和田地区规模化养殖提供优化的光照管理方案。试验选取327只健康经产母兔,随机分为白光(对照)、红光、蓝光、绿光、黄光和暖光6组,每组52~56只,光照强度统一为80 lx,光照(L)黑暗(D)周期统一为16L:8D,最终统计母兔繁殖生产指标并检测血清褪黑素、雌二醇、促卵泡素水平,探讨不同LED光色对母兔繁殖性能及血清激素水平的影响。结果表明,红光组在多项繁殖性能指标上更优于其他组,其受孕率平均达82.70%,平均产活仔数达(10.02±1.70)只,仔兔断奶成活率达78.55%,仔兔断奶窝重达(6431.14±741.64)g,但所有指标与白光组(对照组)相比无显著性差异(P>0.05);另外,各组母兔血液褪黑素水平,随着光照处理时间的推移逐渐下降,而雌二醇和促卵泡素水平呈逐渐上升趋势,但各组之间无显著性差异(P>0.05),其中,雌二醇水平在输精后第6天红光组和蓝光组均显著高于黄光组和暖光组(P<0.05)。结果提示,LED光色对母兔繁殖和体内激素水平产生一定影响,红光更有利于提高母兔繁殖性能。 展开更多
关键词 肉兔 LED光色 繁殖性能 血液激素水平
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地屈孕酮联合宫腔镜手术治疗对异常子宫出血患者子宫内膜厚度及性激素水平的影响
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作者 赖少艺 李佳宁 《中外医学研究》 2026年第5期67-70,共4页
目的:探究异常子宫出血患者采用地屈孕酮联合宫腔镜手术治疗的效果,为临床优化治疗方案提供依据。方法:根据随机数表法将2023年1月—2025年3月漳州招商局经济技术开发区第一医院收治的72例异常子宫出血患者分为两组,每组各36例。对照组... 目的:探究异常子宫出血患者采用地屈孕酮联合宫腔镜手术治疗的效果,为临床优化治疗方案提供依据。方法:根据随机数表法将2023年1月—2025年3月漳州招商局经济技术开发区第一医院收治的72例异常子宫出血患者分为两组,每组各36例。对照组采用宫腔镜手术治疗,基于此,观察组加用地屈孕酮治疗。比较两组总有效率、月经情况[月经失血量(PBAC)、月经时间]、子宫内膜厚度、性激素水平及并发症发生情况。结果:较对照组,观察组总有效率更高;治疗后月经天数更短,子宫内膜厚度、月经量评分均更低,激素指标水平、并发症发生率更低,差异有统计学意义(P<0.05)。结论:与单纯宫腔镜手术比较,异常子宫出血患者加用地屈孕酮治疗效果更佳,患者术后性激素水平得到明显改善,子宫内膜厚度降低,利于月经周期和经量恢复,同时能减少并发症发生。 展开更多
关键词 异常子宫出血 地屈孕酮 宫腔镜手术 子宫内膜厚度 性激素水平
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小剂量阿司匹林结合宫腔内夫精人工授精治疗对原因不明不孕症患者性激素及妊娠率的影响
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作者 李晓露 苏欢欢 李红 《临床合理用药》 2026年第2期26-29,共4页
目的观察小剂量阿司匹林结合宫腔内夫精人工授精(IUI)治疗对原因不明不孕症(UI)患者性激素及妊娠率的影响。方法选取2022年1月—2024年1月山东大学齐鲁医院德州医院收治的150例UI患者,按照随机数字表法分为观察组和对照组,每组75例。对... 目的观察小剂量阿司匹林结合宫腔内夫精人工授精(IUI)治疗对原因不明不孕症(UI)患者性激素及妊娠率的影响。方法选取2022年1月—2024年1月山东大学齐鲁医院德州医院收治的150例UI患者,按照随机数字表法分为观察组和对照组,每组75例。对照组予IUI治疗,在对照组基础上,观察组加予小剂量阿司匹林肠溶片治疗,2组均观察至术后4周。比较2组临床妊娠率、子宫内膜类型[A型(三线征)、B型(均一中等回声)、C型(均质强回声)],治疗前与术后4周性激素水平[黄体生成素(LH)、促卵泡生成素(FSH)、雌二醇(E2)]、子宫内膜容受性[子宫内膜血流阻力指数(RI)、搏动指数(PI)、内膜厚度(Em)]、卵泡质量(卵泡总数和优质卵泡数量)、生育生活质量量表(FertiQoL)评分变化。结果观察组患者临床妊娠率为30.67%,高于对照组的13.33%(χ^(2)=6.566,P=0.010);术后4周,观察组患者子宫内膜类型优于对照组(Z=3.262,P=0.001);术后4周,2组LH、FSH水平及RI、PI均显著降低,E2水平、Em、卵泡数量(总数与优质数)及各项FertiQoL评分均显著升高或增加,且观察组上述指标变化程度均大于对照组(P<0.01)。结论小剂量阿司匹林联合IUI治疗UI,可改善子宫内膜容受性,调节性激素水平,提高卵泡质量与临床妊娠率,并显著提升患者生活质量。 展开更多
关键词 原因不明不孕症 阿司匹林 小剂量 宫腔内夫精人工授精 性激素 子宫内膜受容性 临床妊娠率
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岭南调神助孕针法治疗早发性卵巢功能不全疗效观察及对血清性激素水平的影响
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作者 罗滢 王宜婷 陈兴华 《新中医》 2026年第6期157-161,共5页
目的:观察岭南调神助孕针法治疗早发性卵巢功能不全(POI)的临床疗效及对血清性激素水平的影响。方法:选取2024年3—11月广州中医药大学第一附属医院就诊62例POI患者,运用随机数字表法将患者按1∶1分为观察组和对照组各31例。排除脱落病... 目的:观察岭南调神助孕针法治疗早发性卵巢功能不全(POI)的临床疗效及对血清性激素水平的影响。方法:选取2024年3—11月广州中医药大学第一附属医院就诊62例POI患者,运用随机数字表法将患者按1∶1分为观察组和对照组各31例。排除脱落病例,最终每组纳入30例。对照组给予常规针刺治疗,观察组给予岭南调神助孕针法治疗。治疗3个月经周期后,评价2组临床疗效,以及2组治疗前后中医证候评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、血清促卵泡生成素(FSH)、促黄体生成素(LH)、FSH/LH比值、雌二醇(E_(2))水平的变化。结果:治疗后,观察组总有效率为96.67%(29/30),对照组为80.00%(24/30),2组比较,差异有统计学意义(P<0.05)。治疗后,2组中医证候评分均较治疗前下降(P<0.05),观察组治疗前后中医证候评分差值(改善幅度)大于对照组(P<0.05)。治疗后,2组FSH、LH水平较治疗前降低(P<0.05),E_(2)水平较治疗前升高(P<0.05);2组FSH/LH比值治疗前后比较差异无统计学意义(P>0.05);观察组FSH水平、FSH/LH比值均低于对照组(P<0.05),观察组FSH、E_(2)水平治疗前后差值(改善幅度)均大于对照组(P<0.05)。治疗后,2组SAS、SDS评分均较治疗前降低(P<0.05),且观察组SAS、SDS评分低于对照组(P<0.05)。结论:岭南调神助孕针法治疗POI可提高临床疗效,有效改善血清性激素水平,减轻临床症状,缓解患者焦虑和抑郁情绪。 展开更多
关键词 早发性卵巢功能不全 岭南调神助孕针法 焦虑自评量表评分 抑郁自评量表评分 性激素水平
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