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参苓白术散方联合西医疗法治疗稳定期慢性阻塞性肺疾病的系统评价及Meta分析 被引量:16
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作者 吴科锐 罗景山 +1 位作者 陈腾宇 许卫华 《中药新药与临床药理》 CAS CSCD 北大核心 2018年第2期217-224,共8页
目的系统评价参苓白术散方联合西医疗法治疗稳定期慢性阻塞性肺疾病(COPD)的临床疗效及安全性。方法计算机检索PubMed、the Cochrane library、中国知网、中国生物医学文献数据库、维普、万方数据库关于参苓白术散方联合西医疗法治疗COP... 目的系统评价参苓白术散方联合西医疗法治疗稳定期慢性阻塞性肺疾病(COPD)的临床疗效及安全性。方法计算机检索PubMed、the Cochrane library、中国知网、中国生物医学文献数据库、维普、万方数据库关于参苓白术散方联合西医疗法治疗COPD的临床随机对照试验(RCTs),检索时间为建库到2017年4月1日。由2名评价员根据纳入及排除标准独立对文献进行筛选,资料提取,偏倚风险评估。应用Revman5.3软件进行Meta分析。结果最终纳入19项研究,Meta分析结果显示,应用参苓白术散方联合西医疗法治疗稳定期COPD,临床总有效率高于单独西医疗法,在肺功能、6分钟步行距离(6MWT)、中医症状总评分、慢性阻塞性肺疾病自我评估(CAT评分)、圣乔治呼吸问卷调查表(SGRQ评分)、营养学等指标的改善上优于单独西医疗法,且能减少COPD急性加重发作,安全性好。结论应用参苓白术散方联合西医疗法治疗稳定期COPD临床疗效优于单独西医疗法,但本研究存在一定局限性,仍需高质量临床研究加以佐证。 展开更多
关键词 参苓白术散方 稳定期慢性阻塞性肺疾病 随机对照试验 系统评价 META分析
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灯盏生脉胶囊治疗缺血性中风疗效的系统评价 被引量:5
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作者 黑赏艳 梁伟雄 +2 位作者 陈倢 秦劭晨 许玉珉 《辽宁中医杂志》 CAS 北大核心 2017年第10期2032-2037,共6页
目的:系统评价灯盏生脉胶囊治疗缺血性中风的疗效。方法:检索Pubmed、中国知网、维普数据库、万方数据库等,全面检索灯盏生脉胶囊治疗缺血性中风的随机对照试验,进行文献筛选、数据提取及方法学质量评价,采用Review Manager 5.2软件进行... 目的:系统评价灯盏生脉胶囊治疗缺血性中风的疗效。方法:检索Pubmed、中国知网、维普数据库、万方数据库等,全面检索灯盏生脉胶囊治疗缺血性中风的随机对照试验,进行文献筛选、数据提取及方法学质量评价,采用Review Manager 5.2软件进行Meta分析。结果:本研究纳入20个RCT,共3133名患者,Meta分析结果显示:(1)疗效方面,灯盏生脉胶囊在总有效率,中风量表评分方面优于对照组药物[RR=1.22,95%CI(1.10,1.35),P<0.05;MD=-3.85,95%CI(-5.73,-1.98),P<0.05],而在改良Rankin量表评分及Barthel指数等方面疗效相当[MD=-0.40,95%CI(-1.13,0.33),P=0.28;MD=2.57,95%CI(-11.13,16.28),P=0.71];(2)生化指标方面,灯盏生脉胶囊同传统药物相比,可改善纤维蛋白原及低密度脂蛋白等血清水平,差异具有统计学意义[MD=-1.15,95%CI(-2.05,-0.24),P<0.05;MD=-0.64,95%CI(-0.89,-0.39),P<0.05]。结论:目前临床证据表明,灯盏生脉胶囊治疗缺血性中风疗效确切。上述结果仍需高质量的随机对照试验进行客观评价。 展开更多
关键词 灯盏生脉胶囊 缺血性中风 系统评价 随机对照试验
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无Meta分析数据合成(SWiM)的系统评价报告规范 被引量:2
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作者 李庚 欧阳文伟 +2 位作者 周莉 郭新峰 温泽淮(译) 《中国循证医学杂志》 CSCD 北大核心 2020年第11期1359-1364,共6页
在缺乏数据进行Meta分析的系统评价中,通常使用替代合成方法,但这些方法却很少被报道,而模糊的方法阐述可能会导致人们质疑系统评价结果的真实性。无Meta分析数据合成(SWiM)报告规范是用于指导采用了替代合成方法评估干预措施效应的系... 在缺乏数据进行Meta分析的系统评价中,通常使用替代合成方法,但这些方法却很少被报道,而模糊的方法阐述可能会导致人们质疑系统评价结果的真实性。无Meta分析数据合成(SWiM)报告规范是用于指导采用了替代合成方法评估干预措施效应的系统评价进行清晰报告的规范。本文介绍了SWiM规范的研制过程及9个SWiM报告条目及其相应的解释与示例。 展开更多
关键词 系统评价 数据合成 报告指南
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中国登记研究的现状分析 被引量:7
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作者 周莉 欧阳文伟 +2 位作者 李庚 刘澳林 温泽淮 《中国循证医学杂志》 CSCD 北大核心 2019年第6期702-707,共6页
目的调查分析目前国内登记研究的现状,为下一步研究开展提供依据。方法检索世界卫生组织一级注册平台、美国临床试验注册平台和其他注册平台,搜集已注册的中国大陆境内实施的登记研究,检索时限为注册平台建立到2018年7月31日。由2名研... 目的调查分析目前国内登记研究的现状,为下一步研究开展提供依据。方法检索世界卫生组织一级注册平台、美国临床试验注册平台和其他注册平台,搜集已注册的中国大陆境内实施的登记研究,检索时限为注册平台建立到2018年7月31日。由2名研究者收集、整理数据后,采用描述性统计方法进行分析,使用Python 3.5中的python-igraph程序包绘制网络关系图。结果共检索到247个登记研究,主要以疾病登记和医药产品登记研究为主。研究设计形式以队列研究和病例系列为主;研究方向集中于心脑血管等慢性疾病;研究地点主要集中于经济发达的北上广区域。研究设计和研究疾病系统网络关系图表明队列研究设计在神经系统和循环系统应用较多。研究发起地和研究疾病系统网络关系图显示北京以研究循环和神经系统疾病为主、上海以研究循环系统疾病为主、广东研究神经系统和泌尿系统疾病相对较多。结论我国登记研究日益增多,反映出我国对于疾病长期终点评价日益重视。 展开更多
关键词 登记研究 临床研究注册平台 研究设计 现状
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Effects of Ginsenoside Rg1 on nuclear factor-kappa B activity in beta amyloid protein-treated neural cells 被引量:2
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作者 Yunbo Chen Dapeng Zhang Mei Feng Qi Wang Shuyi Cheng Weixiong Liang Zehuai Wen 《Neural Regeneration Research》 SCIE CAS CSCD 2009年第8期590-596,共7页
BACKGROUND: Modern pharmacological studies have shown that Ginsenoside Rgl is one of the active components of ginseng that promote intelligence in the nervous system. Ginsenoside Rgl can improve memory and learning i... BACKGROUND: Modern pharmacological studies have shown that Ginsenoside Rgl is one of the active components of ginseng that promote intelligence in the nervous system. Ginsenoside Rgl can improve memory and learning in mouse models of β-amyloid protein (Aβ)-induced dementia. OBJECTIVE: To investigate whether effects of Ginsenoside Rgl against Aβ are associated with activity of nuclear factor-kappa B (NF-κB). DESIGN, TIME AND SETTING: The randomized performed at the DME Center, Institute of Clinica controlled, cell biological experiment was Pharmacology, Guangzhou University of Chinese Medicine, China from July 2005 to May 2006. MATERIALS: Beta-amyloid fragment 25-35 (Aβ25-35) was supplied by the Neural Biochemical Laboratory, Xuanwu Hospital, Capital Medical University, China. Ginsenoside Rgl was obtained from National Institute for the Control of Pharmaceutical and Biological Products, China. Rabbit anti-rat NF-κB p65 antibody was purchased from Santa Cruz Biotechnology, USA. METHODS: Hippocampal neurons and cortical astrocytes of neonatal Sprague Dawley rats were harvested and treated with various concentrations (0, 5, 10, 20, and 40 μmol/L) of Aβ for 6, 12, and 24 hours to establish cellular models of Alzheimer's disease. Cellular models were pretreated with various concentrations of Ginsenoside Rgl (1,2, 4, 8, and 16 μmol/L). According to cell morphology and activity, the following conditions were selected: 40 μmol/L Aβ for 24 hours, as well as 2, 4, and 8 μmol/L Ginsenoside Rg1. NF-κB activity was observed using immunofluorescence and cytochemical staining. MAIN OUTCOME MEASURES: Morphology and viability of hippocampal neurons and cortical astrocytes, and activities of NF-κB were measured. RESULTS: Hippocampal neuron activity was significantly greater in the normal and 2 and 4 μmol/L Ginsenoside Rgl groups compared with the model group (P 〈 0.05). Astrocyte activity was significantly greater in the normal, 1,2, 4, 8, and 16 μmol/L Ginsenoside Rgl groups compared with the model group (P 〈 0.05). NF-κB activity of hippocampal neurons was significantly greater in the normal, 2, 4, and 8 μmol/L Ginsenoside Rgl groups compared with the model group (P 〈 0.01). NF-κB activity of astrocytes was significantly less in the normal, 2, 4, and 8 μmol/L Ginsenoside Rgl groups compared with the model group (P 〈 0.01 or P 〈 0.05). No significant difference in NF-κB activity was determined between the 2 μmol/L Ginsenoside Rgl and normal groups (P 〉 0.05). CONCLUSION: Ginsenoside Rgl protected neural cells by upregulating NF-κB activity in neurons and downregulating NF-κB activity in astrocytes. Ginsenoside Rgl (2 μmol/L) maintained cell activity and NF-κB activity at normal levels. 展开更多
关键词 Ginsenoside Rgl Alzheimer's disease β-amyloid protein nuclear factor-κB NEUROPROTECTION
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CKLF1 aggravates focal cerebral ischemia injury at early stage partly by modulating microglia/macrophage toward M1 polarization
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作者 CHEN Chen CHU Shi-feng +7 位作者 AI Qi-di ZHANG Zhao GUAN Fei-fei WANG Sha-sha DONG Yi-xiao ZHU Jie JIAN Wen-xuan CHEN Nai-hong 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第9期673-674,共2页
OBJECTIVE To investigate the CKLF1 mediated expression of microglia/macrophage phenotypes in vitro and in vivo,discussing the involved pathway.METHODS In vitro,primary microglia isolated from mice cortex were used to ... OBJECTIVE To investigate the CKLF1 mediated expression of microglia/macrophage phenotypes in vitro and in vivo,discussing the involved pathway.METHODS In vitro,primary microglia isolated from mice cortex were used to study the effects of CKLF1 by qPCR analysis and immunofluorescence staining.In vivo,WT C57 and CKLF1 deficient mice were used to explore the effects of CKLF1.TTC staining,MRI and Nissl staining were applied to examine the infarction or neuron loss.Zea longa test was used to evaluate the neurological deficit of mice.Western blotting was used to investigate the changes of specific protein and discuss the involved pathway.We also used qPCR analysis and immunofluorescence staining for polarization markers to determine the effects of CKLF1.RESULTS CKLF1 could drive primary microglia to M1 phenotype for 24 h stimulation in primary microglia.In mice transient ischemic stroke model,CKLF1 attenuated ischemic injury,and accompanied by promoting microglia/macrophage toward M1 polarization.Increased expression of pro-inflammatory cytokines and decreased expression of neurotropic factors and anti-inflammatory cytokines were observed in mice subjected to cerebral ischemia with C27.Moreover,NF-κB activation enhancement was detected in C27 modulated M1 polarization effects.CONCLUSION CKLF1 is an important mediator of driving M1 phenotype of microglia/macrophage at early stage of cerebral ischemic injury,contributing to aggravation of cerebral ischemia injury,which closely related to microglia/macrophage M1 polarization guided inflammatory response.Targeting CKLF1 has the potential to treat ischemic stroke. 展开更多
关键词 CHEMOKINE cerebral ISCHEMIA ISCHEMIC stroke
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