1."Professor Shao Changrong's Experience in Treating COPD by Using ""Invigorating Spleen and Draining Dampness"" Method"
Journal of Zhejiang Chinese Medical University 2013;(7):854-855
[Objective] We summarizes the professor Shao Changrong's experience in treating COPD by using invigorating spleen and draining dampnessmethod. [Method] This paper analyzes the etiology, pathology, therapeutic principle and relevant case revealing about the COPD patients with insufficien-cy of the spleen and phlegmatic hygrosis. And we explain the Pro. Shao's empirical prescription cal ed Ping-Ke-Hua-Tan decoction. [Results] In his view, COPD attack and aggravation are related with phlegmatic hygrosis. The fundamental reason is the insufficiency of the spleen and the external reason is phlegmatic hygrosis. Its mechanism is mostly the blending of excessiveness and deficiency. [Conclusion] Theinvigorating spleen and draining dampnessmethod is effective in treating COPD. Pro. Shao Changrong's diagnosing and treating of COPD is worthy widely clinical reference and promotion.
2.Risk factors analysis of diabetic ketoacidosis combined with elevated serum amylase
Chinese Journal of Diabetes 2017;25(9):812-816
Objective To investigate the clinical risk factors of diabetic ketoacidosis (DKA ) combined with elevated serum amylase(AMS). Methods Totally 263 patients with DKA were enrolled in our study. They were divided into 2 groups according to the level of AMS:DKA with normal AMS (DKA,n=188);DKA with elevated AMS(HAMS,n = 75 ). HAMS patients then were divided into two subgroups according to the diagnosis with acute pancreatitis(AP)(HAMS+ AP,n = 25 )and without AP (HAMS,n = 50 ). TG,FPG and AMS were measured and analyzed with univariate analysis and multivariate analysis. Results HAMS group patients had a ratio of 28.5% with elevated AMS and 9.5% with AP.HAMS group had higher FPG,TG,HbA1 c,Na+ ,osmolality,BUN and Scr than DKA group(P <0.05).The levels of FPG,TG,osmolality,BUN and the time of CO2 CP recovery in HAMS+AP subgroup were all significantly higher than those in HAMS patients without AP (P < 0.05 ). Correlation analysis showed that HAMS was positively correlated with TG,FPG,Na+ ,Osmolality and BUN(P <0.05).Logistic regression analysis showed that hypertriglyceridemia was the independent risk factor of DKA combined with HAMS(OR 1.244,P <0.01),and was the independent risk factor of DKA combined with AP(OR 1.211,P <0.05). Conclusion Hypertriglyceridemia is the related risk factor of DKA combined with HAMS and AP. This study provides a theoretical basis to early screen patients with hyperamylasemia in DKA.
3.Multidiscinplinary Rehabilitation for Batches of the Wounded Suffering from Earthquake in Hospital
Xueli CHEN ; Zheng CHEN ; Xi ZHENG
Chinese Journal of Rehabilitation Theory and Practice 2009;15(11):1080-1081
Objective To study the rehabilitation for batches of the wounded suffering from the earthquake in hospital. Methods 91 cases of trauma occurring in the earthquake were reported. Results There was no dead and any complication happened. 90 cases could self-care as they discharged. Conclusion Multiple specialty rehabilitation would be effective on the wounded suffering from earthquake.
4.Research progress of transforming growth factor beta 1 in the treatment of chronic viral hepatitis B
Chinese Journal of Postgraduates of Medicine 2016;39(7):659-662
Transforming growth factor beta1 (TGF-β1) is the product and adjusting factor of the hepatocyte immune process when Hepatitis B virus (HBV) invades. There was a correlation among the level of TGF-β1, immune cell cytokines and HBV replication during antiviral therapy. It has an important clinical significance for the researchers to investigate dynamic change of TGF-β1 in chronicviral hepatitis type B (CHB) immunological response and antiviral treatment.
5.Observation of the effect of bisoprolol combined with simvastatin in the treatment of elderly patients with unstable angina
Chinese Journal of Primary Medicine and Pharmacy 2015;(24):3767-3769
Objective To observe the clinical effect of bisoprolol combined with simvastatin in the treatment of elderly patients with unstable angina pectoris.Methods 60 elderly patients with unstable angina pectoris were randomly divided into control group and study group according to the digital table method.The patients in the control group were treated with simvastatin,and the patients in the study group were treated with bisoprolol and simvastatin.The clinical therapeutic effect and adverse reactions of the two groups were compared.Results The total effective rate and the rate of ECG (86.67% and 80%)in the study group were significantly higher than those of the control group (76.67% and 46.67%)(χ2 =4.02,7.1 8,all P <0.05 ).The total incidence rate of adverse reactions (26.67%)in the study group had no significant difference compared with the control group (χ2 =0.08,P >0.05). Conclusion Bisoprolol combined with simvastatin had better clinical effect and small adverse reactions in the treat-ment of elderly patients with unstable angina.It was worthy of clinical use.
6.Health self-management skill in periodontitis patients with different disease severity
Chinese Journal of Behavioral Medicine and Brain Science 2015;24(3):237-239
Objective To explore the relationship between health self-management skill and the severity of periodontitis disease.Methods 200 periodontitis patients (periodontitis group) and 200 health controls (control group) were assessed using the rating scale of health self-management skill for adults (AHSMSRS).Results (1) The total score of AHSMSRS in periodontitis group(139.08± 13.42),was lower than that in control group (177.51±16.16),and the difference was statistically significant (t=5.29,P<0.01).(2) The number of different severity of periodontitis patients were mild 42 cases (21.0%),moderate 90 cases (45.0%),severe 68 cases (34.0%),respectively.Significant statistical differences were found in health self-management ability and each dimension (F=6.16-9.24,P<0.01).Conclusion Compared with control group,health self-management skill of periodontitis patients is lower,and it may affect the condition of periodontitis.
7.Experimental animal models in attention deficit hyperactivity disorder
Chinese Journal of Behavioral Medicine and Brain Science 2015;24(3):276-279
Objective To review the advantages and disadvantages of common attention deficit hyperactivity disorder(ADHD) animal models,published in 2000-2014 at home and abroad,with an attempt to provide new ideas for the future study of the pathogenesis in ADHD.Methods Major online database including CNKI,Wan Fang databases,OVID,Pubmed databases were searched in January 2015,using the key wordsattention deficit hyperactivity disorder, animal modelsand so on,to analysis the advantages and disadvantages of each type of experimental animal models and research value in ADHD.Results Totally 29 studies were enrolled,and the analysis show that the current commonly used experimental animal models of ADHD are spontaneously hypertensive rats,dopamine transporter gene knockout mice,lack of mutant mice model,neonatal 6 hydroxy dopamine damage of juvenile rat model,neonatal hypoxic rats model,X-ray irradiation injury model of rat hippocampus and other brain tissue damage model and isolated feeding model,and each animal model has the advantages,disadvantages and special research value of the pathogenesis of ADHD.Conclusion The specific pathogenesis of ADHD is unclear,but the neuroendocrine changes especially HPA axis attracted much attention in recent years.this paper summarizes the research at home and abroad comparison of several common animal models of ADHD.neuroendocrine changes in SHR and ADHD children have a certain degree of consistency in HPA axis,looking for ADHD children and SHR in neuroendocrine aspects of consistency is likely to open a new path to search the pathogenesis in ADHD.
8.Progresses in circulating tumor cell testing and its clinical value
Chinese Journal of Laboratory Medicine 2016;39(8):565-567
Circulating tumor cell ( CTC ) testing is characterized by its invasiveness, sampling convenience and facility for real-time monitoring.The booming detection technologies based on physical or immunological features, as well as the subsequent molecular analysis of CTCs including subtype classification, single cell sequencing and in vitro culture, has greatly enriched our comprehension of CTCs and cancer heterogeneity.Meanwhile, a great of researches have demonstrated the significance of CTCs testing in the clinical practice of cancers involving aspects of early diagnosis, treatment monitoring and prognosis.
9.Incidence,mortality and survival analysis of breast cancer in China
Chinese Journal of Clinical Oncology 2015;(13):668-674
Objective:Based on cancer registry data, the present work aimed to analyze breast cancer survival and epidemiology in China. Methods:The cancer data was retrieved from the National Central Cancer Registry Database. The new diagnosis situation and the number of deaths due to breast cancers were estimated. The time trend and survival for breast cancer were also analyzed. Results:About 249,000 new cases, with a 37.86/100,000 crude incidence rate, of female breast cancer were diagnosed in China in 2011. The crude incidence rate increased over the past ten years, and the trend for age-standardized rate increased gradually. Approximately 60,000 deaths were caused by breast cancer in China in 2011, with a crude mortality rate of 9.21/100,000. The crude mortality for females with breast cancer in China increased over the past several decades;however, after regulation of age-standardized rate, this increasing trend declined. The combined 5 year age-standardized relative survival rate was 73.0%(95%CI:71.2%to 74.9%), and the 1, 3, and 5 year observed survival rates were 90.5%, 80.0%, and 72.7%, respectively. Conclusion:Breast cancer is a major cancer that threatens the people in China. Therefore, the burden of breast cancer is still heavy. The task of cancer treatment remains severe and serious.
10.Study on Medication Rules of Spleen-stomach Deficiency Syndromes inLin Zheng Zhi Nan Yi An Based on Data Mining
Yongqiang ZHENG ; Ruifang CHEN
Chinese Journal of Information on Traditional Chinese Medicine 2016;23(4):32-35
Objective To discuss the relation and differences among spleen-deficiency syndromes, stomach-deficiency syndromes and spleen-stomach deficiency syndromes.Methods Terms about spleen-stomach deficiency syndromes in the book ofLin Zheng Zhi Nan Yi Anwere screened. Syndrome names about “spleen deficiency”, “stomach deficiency”, “stomach-yang deficiency”, “tu deficiency”, “spleen-stomach deficiency”, “middle-jiao deficiency”, “yang-ming deficiency”, and “tai-yin deficiency” should be included in this study. And then medication and compatibility of medicines of spleen-deficiency syndromes, stomach-deficiency syndromes and spleen-stomach deficiency syndromes were determined according to the main efficacy of the medication and compatibility of medicines. Relevant data were standardized and then database was built. Apriori algorithm in SPSS Clementine12.0 was used to conduct data mining.Results Totally 421 relevant cases were collected in this study, involving 525 prescriptions (92 spleen-deficiency syndromes, 276 stomach-deficiency syndromes and 157 spleen-stomach deficiency syndromes). 11 medication association rules about spleen-deficiency syndromes, 38 about stomach-deficiency syndromes, and 28 about spleen-stomach deficiency syndromes were found based on data mining. ConclusionMost prescriptions for spleen-stomach deficiency syndromes are “warm dryness, cool and moister, sweet and warm to tonify the midde jiao”, which embody Ye’s medication features that emphasizes treating spleen and stomach separately, the differences of lifting spleen and dropping stomach, and in nourishing yin and tonifying yang.