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Nucleobase-tackified Thioctic Acid-based Degradable and Recyclable Supramolecular Polymer Adhesives 被引量:1
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作者 Jiang Wu Zan Hua Guang-Ming Liu 《Chinese Journal of Polymer Science》 2025年第7期1089-1095,共7页
Polymeric materials which can undergo controlled degradation and recycling are of great significance for a sustainable society.Although tremendous progress has been made in the degradation and recycling of both thermo... Polymeric materials which can undergo controlled degradation and recycling are of great significance for a sustainable society.Although tremendous progress has been made in the degradation and recycling of both thermoplastic and thermoset plastics,the development of high-performance degradable polymer adhesives is rare.Here,we have prepared high-performance nucleobase-containing thioctic acid-based supramolecular polymer adhesives through free radical polymerization.The specific hydrogen-bonding interactions between complementary nucleobases greatly improve the weak cohesion of the thioctic acid-based polymers and enhance the environmental stability of the thioctic acidbased polymers simultaneously.Degradation of the nucleobase-containing thioctic acid-based supramolecular polymers is achieved by the reduction of the disulfide backbone,and the cycle of degradation and repolymerization is further achieved via oxidative polymerization.The adhesion strength of the nucleobase-containing thioctic acid-based supramolecular polymers after two cycles of degradation and repolymerization still reaches as high as 4.7±0.3 MPa.This work provides an approach for the development of environmentally stable and high-performance degradable thioctic acid-based adhesives. 展开更多
关键词 thioctic acid Degradable adhesive Repolymerization NUCLEOBASES Interface
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Beneficial effects of vincamine with thioctic acid and lutein on retinal and optic nerve functions in an opaque media 被引量:1
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作者 Mona Abdelkader Sameh Saleh +2 位作者 Tharwat Mokbel Hossam Abouelkheir Ayman Abd El Ghafar 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2019年第9期1450-1455,共6页
AIM: To detect whether the combination of vincamine, thioctic acid and lutein will improve the retina and optic nerve functions in cases of an opaque media with an optic nerve and/or a retinal defect or not.METHODS: T... AIM: To detect whether the combination of vincamine, thioctic acid and lutein will improve the retina and optic nerve functions in cases of an opaque media with an optic nerve and/or a retinal defect or not.METHODS: Totally 2000 patients(2000 eyes) of corneal opacities with defects in the optic nerve or/and the retinal functions were studied. Every patient received three types of drugs: thioctic acid with cyanocobalamine, vincamine, and lutein. The drugs were given daily for 3-12 mo according to patient’s responses. Full field flash electroretinogram(ERG) and flash visual evoked potential(VEP) were done before treatment and at 1, 3, 6, and 12 mo sequentially. Patients were followed up for 12 mo.RESULTS: In the 2000 eyes, 1000 eyes had both moderate optic nerve and retinal function defects;and 840 eyes out of the 1000 improved with the medical treatment. Another 500 eyes out of the 2000 eyes had extinguished retinal function with normal optic nerve function and only 125 eyes of them improved. The 290 out of the 2000 eyes had severe defects in optic nerve with normal retinal function and 130 of them improved. Another 210 eyes have mild optic nerve and retinal function defects and 194 improved.CONCLUSION: The combination of vincamine, thioctic acid with cyanocobalamine, and lutein improved both retina and optic nerve functions mainly in mild and moderate defect than in severe cases. 展开更多
关键词 RETINA optic NERVE opaque MEDIA thioctic acid with cyanocobalamine VINCAMINE LUTEIN
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Influence of Thioctic Acid on the Hyperinsulinemia and Ovarian Volume in Female Patients with Polycystic Ovary Syndrome 被引量:1
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作者 L. A. Ivanova 《Open Journal of Endocrine and Metabolic Diseases》 2015年第4期37-40,共4页
45 female patients with polycystic ovary syndrome took thioctic acid (Thioctacid-HR), 600 mg (n = 25) or high protein diet (n = 20). Fast insulin and glucose stimulus insulin were investigated before and after 3 month... 45 female patients with polycystic ovary syndrome took thioctic acid (Thioctacid-HR), 600 mg (n = 25) or high protein diet (n = 20). Fast insulin and glucose stimulus insulin were investigated before and after 3 months taken treatment. The use of thioctic acid, 600 mg is a new effective pathogenetics therapy of polycystic ovary syndrome on influence of hyperinsulinemia, HOMA-IR index and ovary volume in female patients with polycystic ovary syndrome. 展开更多
关键词 thioctic ACID HYPERINSULINEMIA POLYCYSTIC OVARY SYNDROME
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A Strong,Tough,and Self-Healing Strengthening Thioctic Acid-based Elastomer for Highly Reliable Flexible Strain Sensor
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作者 Xin-Yu Chen Yu-Bing Fu +1 位作者 Xue-Ling Yan Lan Liu 《Chinese Journal of Polymer Science》 SCIE EI CAS CSCD 2024年第10期1610-1618,I0016,共10页
Elastomers with high strength and toughness,excellent self-healing properties,and biocompatibility have broad application prospects in wearable electronics and other fields,but preparing it remains a challenge.In this... Elastomers with high strength and toughness,excellent self-healing properties,and biocompatibility have broad application prospects in wearable electronics and other fields,but preparing it remains a challenge.In this work,we propose a highly adaptable strategy by introducing the small molecule crosslinking agent of triethanolamine(TEA)to the poly(thioctic acid)(PTA)chains and preparing the PAx Ey elastomers using a simple synthesis step.This strategy stabilizes the PTA chains by constructing multiple non-covalent cross-linked dynamic networks,endowing materials with excellent strength and toughness(tensile strength of 288 kPa,toughness of 278.2 kJ/m3),admirable self-healing properties(self-healing efficiency of 121.6%within 7 h at 70℃),and good biocompatibility.The PAx Ey elastomers can also be combined with MWNTs to become flexible strain sensors,which can be used to monitor human joint movements with high sensitivity,repeatable responses,and stability. 展开更多
关键词 thioctic acid Ion clusters Multiple dynamic networks Self-healing strengthening Flexible strain sensor
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Electrochemical Impedance Spectroscopy for Investigation on Ion Permeation in Thioctic Acid Self-Assembled Monolayer
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作者 Fupeng Zhi Qian Ma +1 位作者 Yanli Bai Shiqing Qi 《Journal of Surface Engineered Materials and Advanced Technology》 2019年第3期38-43,共6页
Electrochemical impedance spectroscopy was employed to investigate the permeation of electrolyte ions in thioctic acid self-assembled monolayer when its structure was changed by the interaction of copper ions. The ion... Electrochemical impedance spectroscopy was employed to investigate the permeation of electrolyte ions in thioctic acid self-assembled monolayer when its structure was changed by the interaction of copper ions. The ion permeation was evaluated by using relatively low excitation frequencies, 0.2 Hz to 1000 Hz, and quantified by an extra resistive component in the equivalent circuit (RSAM). The extent of ion permeation affected by the electrode potentials and the electrolyte concentration were investigated. The experimental results verified that RSAM decreased ~70% by interaction with copper ions and that RSAM increased ~2 - 3 times when the electrolyte concentration was decreased by 10 times. This analysis can be performed without addition of redox species. 展开更多
关键词 Ion PERMEATION thioctic ACID SELF-ASSEMBLED MONOLAYER ELECTROCHEMICAL IMPEDANCE Spectroscopy
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Clinical Efficacy of Pentoxifylline Combined with Thioctic Acid in the Treatment of Painful Diabetic Peripheral Neuropathy
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作者 Dengjuan Ma Shilong Zhang Peng Yao 《Journal of Clinical and Nursing Research》 2024年第7期123-127,共5页
Objective:To observe the efficacy of pentoxifylline+thioctic acid in the treatment of patients with painful diabetic peripheral neuropathy(PDPN).Methods:70 patients with PDPN admitted from October 2019 to October 2022... Objective:To observe the efficacy of pentoxifylline+thioctic acid in the treatment of patients with painful diabetic peripheral neuropathy(PDPN).Methods:70 patients with PDPN admitted from October 2019 to October 2022 were selected and randomly grouped,with pentoxifylline+thioctic acid treatment in Group A and thioctic acid treatment in Group B,and the treatment efficacy was compared.Results:The treatment efficacy in Group A was higher than that of Group B,P<0.05;the points of each symptom of PDPN in Group A were lower than that of Group B,P<0.05;the C-reactive protein and electromyography indexes of PDPN patients in Group A were better than that of Group B,P<0.05.Conclusion:PDPN patients treated with pentoxifylline+thioctic acid can optimize nerve function,inhibit inflammation progression,and reduce PDPN symptoms,which is an efficient and feasible treatment option. 展开更多
关键词 thioctic acid PENTOXIFYLLINE Painful diabetic peripheral neuropathy EFFICACY
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Long-Range Electronic Effect-Promoted Ring-Opening Polymerization of Thioctic Acid to Produce Biomimetic Ionic Elastomers for Bioelectronics 被引量:2
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作者 Hongfei Huang Huijing Wang +9 位作者 Lijie Sun Ruohan Zhang Luzhi Zhang ZekaiWu Yaxuan Zheng Yang Wang Wei Fu Youwei Zhang Rasoul Esmaeely Neisiany Zhengwei You 《CCS Chemistry》 CSCD 2024年第3期761-773,共13页
Poly(disulfide)s have been widely used in flexible wearable electronics,smart materials,and drug delivery.The synthesis of poly(disulfide)s usually utilizes external stimuli or toxic initiators to promote the polymeri... Poly(disulfide)s have been widely used in flexible wearable electronics,smart materials,and drug delivery.The synthesis of poly(disulfide)s usually utilizes external stimuli or toxic initiators to promote the polymerization.Here,we indicated that the long-range electronic effect can significantly alter the reactivity of the disulfide group.Accordingly,we established deprotonation-promoted ring-opening polymerization of thioctic acid(TA)as a highly effective and simple method to synthesize poly(disulfide)s due to the long-range electronic effect and nucleophilic carboxylate.Without external stimuli and initiators,simple mixing of TA and deprotonation reagent,choline bicarbonate,in different ratios at room temperature rapidly produced a series of high molecular weight(up to 772 kDa)ionic liquid crystal poly(disulfide)s elastomers with room temperature self-healing ability,adjustable conductivity(2.39×10^(−2)∼0.28×10^(−2)S m^(−1)),degradability,biocompatibility,antibacterial property,and tissue-like softness(Young’s moduli ranging from 18.2±6.0 to 111.1±36.7 kPa).The experiments and density functional theory calculations also revealed the principle of long-range electronic effect to establish a new synthetic strategy of poly(disulfide)s with superior properties favorable for bioelectronics. 展开更多
关键词 SELF-HEALING elastomers thioctic acid ionic liquid BIOELECTRONICS
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A MOF/poly(thioctic acid)composite for enhanced gold extraction from water matrices
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作者 Ruiqing Li Sen Yan +11 位作者 Tianwei Xue Rongxing Qiu Yin Li Wenli Hao Guangkuo Xu Yanliang Wang Yanzhen Hong Yuzhong Su Hongtao Wang Shuliang Yang Li Peng Jun Li 《Nano Research》 SCIE EI CSCD 2024年第1期382-389,共8页
With the fast generation of electronic waste(e-waste)and the increasing depletion of metal resources,“urban mining”that can selectively recover gold from secondary resources has attracted great interest.Construction... With the fast generation of electronic waste(e-waste)and the increasing depletion of metal resources,“urban mining”that can selectively recover gold from secondary resources has attracted great interest.Construction of materials with high extraction capacity and satisfying selectivity in complex aqueous-based matrices still remains challenging.Here,a novel metal-organic framework/polymer composite(Fe-BTC/poly(thioctic acid),denoted as Fe-BTC/pTA)has been newly synthesized and applied for selective gold recovery in different matrices(river water,seawater,and leaching solution of e-waste).Benefiting from the high specific surface area and suitable pore sizes as well as the rational design of active sites,the composite exhibits high adsorption capacity(920 mg/g),high removal efficiency(>99%),fast kinetics(below 0.1 ppb within 10 min),and good applicability in complex matrices,which are better than those of most reported sulfur-containing adsorbents.Solid-state metallic gold with high purity can be effectively enriched due to the high recyclability and long-term stability of the composite.The material after adsorption can be further applied as a heterogeneous catalyst for water remediation due to the in situ generated gold nanoparticles by the redox reaction between Au(III)ions and the S-containing groups in the composites. 展开更多
关键词 metal-organic frameworks(MOFs) poly(thioctic acid)(pTA) polymer composites gold recovery urban mining
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Single-molecule dynamic dissociation and polymerization-governed in situ repair and encapsulation for high-performance perovskite solar cells
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作者 Xianfei Cao Yong Qi +6 位作者 Wenshuai Zhao Zengyao Guo Tong Hu Zhengyang Gao Wenchao Han Lei Li Shufen Zhang 《Journal of Energy Chemistry》 2025年第10期923-930,共8页
Despite the ongoing increase in the efficiency of perovskite solar cells(PSCs),residual lead iodide(PbI2and moisture sensitivity issues continue to constrain their further commercialization.Herein,we propose a thermal... Despite the ongoing increase in the efficiency of perovskite solar cells(PSCs),residual lead iodide(PbI2and moisture sensitivity issues continue to constrain their further commercialization.Herein,we propose a thermally mediated in situ repair and encapsulation strategy to construct high-performance PSCs by incorporating piperazine thioctic acid salt(TAPPZ)as a dopant into the perovskite precursor Thermally dissociated piperazine(PPZ)from TAPPZ integrates microcrystals to form larger grain(>2000 nm),while the carboxylic acid in thioctic acid(TA)and the amine salt in TAPPZ synergistically passivate and transform PbI_(2),significantly reducing its residual amount.Additionally,TAPPZ undergoe thermal self-crosslinking during perovskite annealing,enabling melt-polymerization to form in situ encapsulation for enhanced water resistance.The TAPPZ-incorporated device achieves a remarkable efficiency of 25.65% and exhibits excellent operational stability,retaining over 90% of its initial efficiency after 2000 h under ambient conditions(20-30℃,20%-30% relative humidity).This study provide new insights into the construction of high-performance perovskite solar cells by designing and synthe sizing multifunctional single molecules for in situ repair and encapsulation of perovskites. 展开更多
关键词 Perovskite solar cells Multifunctional single-molecule Piperazine thioctic acid salt In situ repair In situ encapsulation
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巴曲酶辅助硫辛酸治疗糖尿病足溃疡合并感染对患者SAA、IL-6及降钙素原水平的影响
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作者 潘学飞 高爱滨 +1 位作者 李蒙 魏兆丽 《糖尿病新世界》 2025年第20期5-8,共4页
目的分析巴曲酶辅助硫辛酸治疗糖尿病足溃疡合并感染对患者血清淀粉样蛋白A(serum amyloid A,SAA)、白细胞介素-6(interleukin-6,IL-6)及降钙素原水平的影响。方法按照不同治疗方法将2024年5月—2025年1月滨州市中心医院收治的60例糖尿... 目的分析巴曲酶辅助硫辛酸治疗糖尿病足溃疡合并感染对患者血清淀粉样蛋白A(serum amyloid A,SAA)、白细胞介素-6(interleukin-6,IL-6)及降钙素原水平的影响。方法按照不同治疗方法将2024年5月—2025年1月滨州市中心医院收治的60例糖尿病足溃疡合并感染患者分为两组,各30例。对照组采用硫辛酸治疗,观察组联合巴曲酶辅助治疗,对比两组下肢疼痛评分、SAA、IL-6、降钙素原水平、足背动脉血流速度和足背动脉内径,同时对比两组不良反应。结果观察组治疗后下肢疼痛评分低于对照组,差异有统计学意义(P<0.05)。与对照组治疗后比较,观察组SAA、IL-6及降钙素原水平更低,足背动脉血流速度更快,足背动脉内径更大,差异均有统计学意义(P均<0.05)。两组不良反应发生率对比,差异均无统计学意义(P均>0.05)。结论巴曲酶辅助硫辛酸治疗糖尿病足溃疡合并感染的效果显著,明显改善患者下肢疼痛与足背部位血液循环情况,炎症反应较轻,安全性较高。 展开更多
关键词 巴曲酶 硫辛酸 糖尿病足溃疡 血清淀粉样蛋白A 白细胞介素-6 降钙素原
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黄芪桂枝五物汤加减联合硫辛酸治疗2型糖尿病周围神经病变患者的效果
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作者 邬春晓 刘雪峰 李佳佳 《中国民康医学》 2025年第24期98-101,共4页
目的:观察黄芪桂枝五物汤加减联合硫辛酸治疗2型糖尿病周围神经病变患者的效果。方法:选取2022年3月至2024年3月鲁山县人民医院收治的168例2型糖尿病周围神经病变患者进行前瞻性研究,按照信封法将其分为对照组和研究组各84例。对照组采... 目的:观察黄芪桂枝五物汤加减联合硫辛酸治疗2型糖尿病周围神经病变患者的效果。方法:选取2022年3月至2024年3月鲁山县人民医院收治的168例2型糖尿病周围神经病变患者进行前瞻性研究,按照信封法将其分为对照组和研究组各84例。对照组采用硫辛酸治疗,研究组在对照组基础上联合黄芪桂枝五物汤加减治疗,比较两组临床疗效,治疗前后症状严重程度[多伦多临床神经病变(TCSS)]评分、神经传导速度、中医证候积分,以及不良反应发生率。结果:研究组治疗总有效率为94.05%(79/84),高于对照组的80.95%(68/84),差异有统计学意义(P<0.05);治疗后,两组神经症状、神经反射、感觉功能等TCSS评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组感觉神经、运动神经传导速度均大于治疗前,且研究组大于对照组,差异有统计学意义(P<0.05);治疗后,两组肢体麻木、肢末冷痛、神疲懒言等中医证候积分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:黄芪桂枝五物汤加减联合硫辛酸治疗2型糖尿病周围神经病变患者可提高治疗总有效率和神经传导速度,降低症状严重程度评分和中医证候积分,效果优于单纯硫辛酸治疗。 展开更多
关键词 黄芪桂枝五物汤 硫辛酸 2型糖尿病 周围神经病变 神经传导速度 中医证候积分 不良反应
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甲钴胺联合硫辛酸治疗糖尿病周围神经病变的效果分析
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作者 李双鹏 《中国社区医师》 2025年第8期39-41,共3页
目的:探讨甲钴胺联合硫辛酸治疗糖尿病周围神经病变(DPN)的效果。方法:选取2022年1月—2023年12月曲靖市罗平县中医医院收治的60例DPN患者作为研究对象,随机分为对照组和观察组,各30例。对照组采用硫辛酸治疗,观察组在对照组基础上给予... 目的:探讨甲钴胺联合硫辛酸治疗糖尿病周围神经病变(DPN)的效果。方法:选取2022年1月—2023年12月曲靖市罗平县中医医院收治的60例DPN患者作为研究对象,随机分为对照组和观察组,各30例。对照组采用硫辛酸治疗,观察组在对照组基础上给予甲钴胺治疗。对比两组治疗效果。结果:治疗后,两组密西根糖尿病周围神经病变评分量表、神经系统症状评分量表评分降低,且观察组低于对照组(P<0.05)。治疗后,两组腓总神经运动传导速度、腓总神经感觉传导速度、正中神经运动传导速度、正中神经感觉传导速度升高,且观察组高于对照组(P<0.05)。治疗后,两组超氧化物歧化酶、谷胱甘肽过氧化物酶水平升高,且观察组高于对照组(P<0.05)。治疗后,两组超敏C反应蛋白、肿瘤坏死因子-α水平降低,且观察组低于对照组(P<0.05)。两组不良反应总发生率比较,无统计学差异(P>0.05)。结论:甲钴胺联合硫辛酸治疗糖尿病周围神经病变的效果显著,可缓解患者神经系统症状,改善神经电生理指标和氧化应激指标,减轻炎性反应,且安全性较高。 展开更多
关键词 甲钴胺 硫辛酸 糖尿病周围神经病变
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木丹颗粒联合硫辛酸治疗2型糖尿病周围神经病变效果观察
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作者 李文龙 王如爱 《实用中医药杂志》 2025年第6期1162-1165,共4页
目的:观察木丹颗粒联合硫辛酸治疗2型糖尿病周围神经病变(DPN)的疗效。方法:124例随机分为常规治疗组60例和木丹颗粒联合组64例。两组均用硫辛酸治疗,木丹颗粒联合组加用木丹颗粒治疗。结果:木丹颗粒联合组总有效率高于常规治疗组(P<... 目的:观察木丹颗粒联合硫辛酸治疗2型糖尿病周围神经病变(DPN)的疗效。方法:124例随机分为常规治疗组60例和木丹颗粒联合组64例。两组均用硫辛酸治疗,木丹颗粒联合组加用木丹颗粒治疗。结果:木丹颗粒联合组总有效率高于常规治疗组(P<0.05)。治疗后木丹颗粒联合组中医证候积分低于常规治疗组,神经传导速度优于常规治疗组(P<0.05),T-AOC、MDA低于常规治疗组,klotho蛋白、SOD水平高于常规治疗组(P<0.05)。两组并发症比较差异无统计学意义(P>0.05)。结论:木丹颗粒联合硫辛酸治疗2型DPN效果较好。 展开更多
关键词 2型糖尿病周围神经病变 硫辛酸 木丹颗粒
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复方血栓通胶囊对糖尿病大鼠肾脏的保护作用 被引量:16
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作者 邢玉微 唐文佳 +2 位作者 邹俊杰 石勇铨 刘志民 《第二军医大学学报》 CAS CSCD 北大核心 2010年第10期1091-1094,共4页
目的探讨复方血栓通胶囊对糖尿病大鼠肾脏的保护作用。方法雄性SD大鼠予链脲佐菌素(STZ)60mg/kg单次腹腔注射诱发糖尿病,3d后尾静脉血糖高于16.7mmol/L者视为造模成功。实验动物分为正常对照组(NG)、糖尿病组(DM)、糖尿病复方血栓通胶... 目的探讨复方血栓通胶囊对糖尿病大鼠肾脏的保护作用。方法雄性SD大鼠予链脲佐菌素(STZ)60mg/kg单次腹腔注射诱发糖尿病,3d后尾静脉血糖高于16.7mmol/L者视为造模成功。实验动物分为正常对照组(NG)、糖尿病组(DM)、糖尿病复方血栓通胶囊处理组(XST)、糖尿病α-硫辛酸处理组(ALA),每组均10只。12周后比较各组体质量、血糖、肾脏/体质量、血脂、24h尿蛋白含量、血肌酐、尿素氮。透射电镜及光镜观察肾脏超微结构改变。结果与正常对照组相比,DM组大鼠24h尿蛋白排泄量明显增加(P<0.05),经复方血栓通及α-硫辛酸处理后,24h尿白蛋白排泄量明显降低(P<0.05);与正常对照组相比,各模型组大鼠左肾质量/体质量比明显升高,差异有统计学意义(P<0.01),经复方血栓通胶囊、α-硫辛酸处理后大鼠左肾质量/体质量比降低,其中XST组与DM组相比差异有统计学意义(P<0.05)。电镜下可见DM组大鼠肾小球基底膜厚度不均匀增厚,足突融合、消失,系膜细胞增生;经复方血栓通胶囊、α-硫辛酸处理后,上述病变有所好转。结论复方血栓通胶囊可降低24h尿白蛋白排泄量,降低肾脏肥大系数(左肾质量/体质量),改善肾小球基底膜结构,对糖尿病大鼠肾脏具有保护作用。 展开更多
关键词 糖尿病肾病 氧化应激 中药复方 超微结构 硫辛酸
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α-硫辛酸联合氯沙坦治疗早期糖尿病肾病的临床观察 被引量:11
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作者 云鹏 肖虎 +2 位作者 龚婷 陈皓 柳丹 《中国医院药学杂志》 CAS CSCD 北大核心 2012年第13期1035-1038,共4页
目的:观察α-硫辛酸联合氯沙坦治疗早期糖尿病肾病(DN)的疗效并探讨其协同作用机制。方法:116例早期DN患者随机分为3组,在一般治疗基础上,A组39例予氯沙坦钾片治疗(50 mg,qd);B组39例予α-硫辛酸胶囊治疗(300 mg,bid);C组38例予氯沙坦钾... 目的:观察α-硫辛酸联合氯沙坦治疗早期糖尿病肾病(DN)的疗效并探讨其协同作用机制。方法:116例早期DN患者随机分为3组,在一般治疗基础上,A组39例予氯沙坦钾片治疗(50 mg,qd);B组39例予α-硫辛酸胶囊治疗(300 mg,bid);C组38例予氯沙坦钾片(50 mg,qd)+α-硫辛酸胶囊(300 mg,bid)治疗,时间均为3个月。比较3组治疗前后的24 h尿白蛋白排泄率(UAER)、血糖、糖化血红蛋白、血压、血脂、肾功能、尿转化生长因子-β1(TGF-β1)、血清超氧化物歧化酶(SOD)及谷胱甘肽过氧化物酶(GSH-Px)活性。结果:3组治疗后UAER、尿TGF-β1均较前明显下降,其中C组显著低于A组和B组(P<0.05或<0.01);治疗后B组、C组血清SOD、GSH-Px活性明显高于A组(P<0.01)。结论:α-硫辛酸联合氯沙坦可更有效治疗早期DN,其协同作用机制可能是通过更有效改善氧化应激进而下调肾脏TGF-β1的高表达。 展开更多
关键词 糖尿病肾病 Α-硫辛酸 氯沙坦 氧化应激
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α-硫辛酸联合前列腺素E_1治疗糖尿病性周围神经病变疗效观察 被引量:17
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作者 黄海 祝开思 +3 位作者 王平 曲建昌 季雪飞 宋梅 《中国临床保健杂志》 CAS 2008年第1期29-30,共2页
目的评价α-硫辛酸联合前列腺素E1对2型糖尿病合并周围神经病变的治疗效果。方法将60例糖尿病性周围神经病变患者随机分为2组,治疗组给予α-硫辛酸600 mg、前列腺素E110μg治疗2周,对照组每日给予前列腺素E110μg治疗2周。治疗前后分别... 目的评价α-硫辛酸联合前列腺素E1对2型糖尿病合并周围神经病变的治疗效果。方法将60例糖尿病性周围神经病变患者随机分为2组,治疗组给予α-硫辛酸600 mg、前列腺素E110μg治疗2周,对照组每日给予前列腺素E110μg治疗2周。治疗前后分别进行神经病变症状TSS评分及感觉定量比较。结果经过2周治疗后,两组患者的TSS评分及感觉定量明显改善(P<0.05),无严重药物不良反应。与对照组相比,治疗组改善更明显(P<0.05)。结论临床使用α-硫辛酸联合前列腺素E1治疗糖尿病合并周围神经病变安全有效。 展开更多
关键词 糖尿病神经病变 硫辛酸 前列地尔
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硫辛酸注射液联合西洛他唑治疗糖尿病足的疗效及对氧化应激和炎症因子的影响 被引量:27
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作者 陈海波 叶靖 +4 位作者 任雪丽 金鑫 邓丽丽 刘杰 吴飞妮 《广西医科大学学报》 CAS 2017年第8期1181-1184,共4页
目的:探讨硫辛酸注射液联合西洛他唑治疗糖尿病足(DF)的疗效及对氧化应激、炎症因子的影响。方法:选取2014年2月至2016年2月陕西省安康市人民医院收治的79例DF患者,随机分为研究组(n=40)和对照组(n=39)。两组均给予常规治疗,对照组在此... 目的:探讨硫辛酸注射液联合西洛他唑治疗糖尿病足(DF)的疗效及对氧化应激、炎症因子的影响。方法:选取2014年2月至2016年2月陕西省安康市人民医院收治的79例DF患者,随机分为研究组(n=40)和对照组(n=39)。两组均给予常规治疗,对照组在此基础上给予西洛他唑治疗,研究组给予硫辛酸注射液联合西洛他唑治疗。比较两组患者的临床疗效和不良反应发生率,观察两组治疗前、后血清中氧化应激指标[丙二醛(MDA)、过氧化物歧化酶(SOD)、晚期蛋白氧化产物(AOPP)]和炎症因子[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)及C反应蛋白(CRP)]的水平,同时采用western blotting法检测外周血中S100A12蛋白的表达。结果:研究组的治疗总有效率为92.5%,显著高于对照组的71.8%(P<0.05)。治疗前,两组患者上述各指标比较,差异均无统计学意义(均P>0.05);治疗4周后,与对照组比较,研究组患者血清MDA、AOPP、IL-6、TNF-α、CRP水平及外周血中S100A12蛋白表达水平显著降低(P<0.05),SOD含量显著升高(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:硫辛酸注射液联合西洛他唑治疗DF的效果显著,可明显改善氧化应激状态,抑制炎症反应,且安全性较好。 展开更多
关键词 糖尿病足 硫辛酸注射液 西洛他唑 氧化应激 炎症
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糖尿病及其并发症患者同型半胱氨酸和胱抑素C水平变化 被引量:16
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作者 张俐 吕肖锋 +2 位作者 武晋晓 刘霞 孙建敏 《中国全科医学》 CAS CSCD 北大核心 2013年第20期2334-2337,共4页
目的分析硫辛酸治疗前后糖尿病及合并周围神经病变和下肢血管病变患者血清同型半胱氨酸(Hcy)和胱抑素C(CysC)水平的变化。方法选取2011年8月—2012年8月我院内分泌科住院的84例糖尿病患者分为3组:单纯糖尿病组(SDM组,28例),合并周围神... 目的分析硫辛酸治疗前后糖尿病及合并周围神经病变和下肢血管病变患者血清同型半胱氨酸(Hcy)和胱抑素C(CysC)水平的变化。方法选取2011年8月—2012年8月我院内分泌科住院的84例糖尿病患者分为3组:单纯糖尿病组(SDM组,28例),合并周围神经病变组(DPN组,27例),合并下肢血管病变组(VDF组,29例);以同期在我院行健康体检者作为健康对照组(NC组,30例)。检测4组受试者Hcy、CysC、体质指数、血压、糖化血红蛋白(HbA1c)、空腹血糖(FBG)、血脂及脂蛋白a〔LP(a)〕水平。硫辛酸治疗2周后再次测定SDM、DPN、VDF组患者Hcy和CysC水平。结果治疗前,VDF组Hcy和CysC水平〔(20.86±3.07)μmol/L和(3.28±1.01)mg/L〕均高于DPN组〔(14.78±2.29)μmol/L和(2.00±0.37)mg/L〕,DPN组又高于SDM组〔(11.42±2.84)μmol/L和(1.49±0.44)mg/L,P<0.05〕。硫辛酸治疗后,SDM、DPN、VDF组受试者Hcy和CysC水平较治疗前明显下降〔Hcy:(8.73±1.91)、(10.81±1.88)、(16.43±3.11)μmol/L;CysC:(1.25±0.40)、(1.50±0.36)、(2.72±0.72)mg/L,P<0.05〕。Pearson相关分析显示糖尿病患者血清Hcy与病程、HbA1c、LP(a)、CysC呈正相关(r值分别为0.553、0.511、0.499、0.650,均P<0.05),与年龄、FBG、三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、收缩压(SBP)、舒张压(DBP)无线性相关性(P>0.05);血清CysC与病程、SBP、LP(a)、Hcy呈正相关(r值分别为0.354、0.409、0.493、0.650,均P<0.05);与年龄、BMI、HbA1c、FBG、TG、TC、LDL-C、HDL-C、DBP无线性相关性(P>0.05)。以DPN为因变量的多因素Logistic逐步回归分析显示Hcy、CysC进入回归模型,OR值分别为1.284和2.523,95%可信区间分别为(1.032,1.492)和(1.143,13.192);以VDF为因变量,多因素Logistic逐步回归分析显示Hcy、CysC同样能进入回归模型,OR值分别为1.773和1.228,95%可信区间分别为(1.025,1.868)和(1.183,2.352)。结论血清Hcy和CysC水平在糖尿病及其并发症患者中明显升高,两者呈正相关,其水平变化是DPN及VDF的独立危险因素;血清Hcy和CysC可以作为监测及诊断DPN及VDF有价值的参考指标。硫辛酸可降低DPN及VDF患者血清Hcy和CysC水平,可用于DPN及VDF的预防和治疗。 展开更多
关键词 半胱氨酸 胱抑素C 周围神经系统病变 下肢血管病变 硫辛酸 糖尿病
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厄贝沙坦、α-硫辛酸联合二甲双胍对2型糖尿病合并非酒精性脂肪肝患者胰岛素抵抗的影响 被引量:9
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作者 申忠琴 李海英 +3 位作者 梁愿 杨睿 许小红 王青 《中国新药与临床杂志》 CAS CSCD 北大核心 2014年第10期765-769,共5页
目的在使用二甲双胍的前提下,探讨厄贝沙坦联合α-硫辛酸对2型糖尿病合并非酒精性脂肪肝(NAFLD)患者胰岛素抵抗相关指标的影响。方法将112例2型糖尿病合并NAFLD患者随机分为对照组和观察组,均进行健康教育,对照组给予二甲双胍500 mg... 目的在使用二甲双胍的前提下,探讨厄贝沙坦联合α-硫辛酸对2型糖尿病合并非酒精性脂肪肝(NAFLD)患者胰岛素抵抗相关指标的影响。方法将112例2型糖尿病合并NAFLD患者随机分为对照组和观察组,均进行健康教育,对照组给予二甲双胍500 mg起始剂量进行药物干预,观察组在对照组治疗基础上给予厄贝沙坦+α-硫辛酸干预。其中厄贝沙坦150 mg口服,每日一次;α-硫辛酸600 mg,每日一次,静滴2~3周,出院后改为口服制剂序贯治疗,600 mg,每日一次。均治疗8周。治疗前后观察患者空腹血糖、餐后2 h血糖、糖化血红蛋白(HBA1c)、C肽、瘦素、内脏脂肪素、胰岛素、胰岛素抵抗指数(IRI)、血压和血脂等的变化。结果较治疗前相比,治疗后所有患者空腹血糖和餐后2 h血糖较治疗前明显下降(P〈0.05),观察组较对照组下降明显(P〈0.05);治疗后两组患者HBA1c有下降趋势,但却未见显著差异(P〉0.05);两组C肽逐渐下降,与治疗前相比差异显著(P〈0.05),且组间具有显著差异(P〈0.05);治疗后受试患者胰岛素、IRI以及瘦素、内脏脂肪素水平均明显降低(P〈0.05),且观察组较上述指标下降更为明显;治疗后两组三酰甘油和总胆固醇均下降(P〈0.05),但组间无明显差异(P〉0.05),血压下降均在正常范围内。结论在二甲双胍降糖治疗基础上,厄贝沙坦联合α-硫辛酸较单用二甲双胍方案能改善胰岛素抵抗效应,明显地抑制机体瘦素和内脏脂肪素的分泌,且安全及耐受性较佳。 展开更多
关键词 厄贝沙坦 硫辛酸 二甲双胍 糖尿病 2型 脂肪肝 瘦素
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α-硫辛酸对糖尿病周围神经病变的疗效及氧化应激的影响 被引量:9
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作者 陈若平 徐将 +4 位作者 林海燕 陈国平 鲍溪荷 荆春艳 叶山东 《中国临床保健杂志》 CAS 2014年第6期567-570,共4页
目的观察α-硫辛酸(ALA)对2型糖尿病患者糖尿病周围神经病变(DPN)的临床疗效,并观察其对氧化应激的影响。方法 48例DPN患者用随机数字表法分为两组,对照组24例予以甲钴胺口服治疗,观察组24例予以ALA口服治疗,疗程6个月,比较两组治疗前... 目的观察α-硫辛酸(ALA)对2型糖尿病患者糖尿病周围神经病变(DPN)的临床疗效,并观察其对氧化应激的影响。方法 48例DPN患者用随机数字表法分为两组,对照组24例予以甲钴胺口服治疗,观察组24例予以ALA口服治疗,疗程6个月,比较两组治疗前后神经病变自觉症状问卷(TSS)评分,运动神经传导速度(MNCV)和感觉神经传导速度(SNCV),血清丙二醛(MDA)、超氧化物歧化酶(SOD)和谷胱甘肽过氧化物酶(GSH-Px)水平。结果两组患者治疗后均较同组治疗前TSS评分降低(P<0.01)及神经传导速度加快(P<0.05);观察组治疗前后TSS评分降低及神经传导速度变化增加均较对照组显著(P<0.05)。观察组治疗后较治疗前血清MDA水平显著降低(P<0.05),SOD和GSH-Px活性显著增加(P<0.05),而对照组治疗前后差异无统计学意义(P>0.05),观察组血清MDA、SOD和GSH-Px前后变化较对照组显著(P<0.05)。结论 ALA可显著改善患者临床症状,提高神经传导速度,减轻机体氧化应激,其疗效优于甲钴胺。 展开更多
关键词 糖尿病神经病变 硫辛酸 氧化性应激 神经传导
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