1.Effects of probucol on contrast-induced acute kidney injury:A meta-analysis
Guiying SHI ; Qiao CHEN ; Tianyang YE ; Weizhen LIANG
Chinese Journal of Interventional Cardiology 2014;(9):567-573
Objective Systematic review the effect and side effect of Probucol on contrast-induced acute kidney injury (CIAKI), and to evaluate the characteristics and strength of the protective effect. Methods Electronic search studies from databases published in English and Chinese before March 2014, and hand searches of relevant randomized controlled trials of references. Features, the quality of research and valid data of included studies were extracted, then using RevMan 5.0 software to conduct a Meta-analysis base on Cochrane systematic review methods. Results A total of 11 literatures described eight randomized controlled trials involving 1938 cases of patients evaluated the effect of Probucal on CIAKI. A total of seven studies involving 1,298 patients, compared the incidence of CIAKI, the total incidence rate was 10.9%(141/1298), CIAKI incidence was 5.7%(37/652) in the Probucal group and 16.1%(104/646) in the control group (RR 0.37, 95%CI 0.26~0.53). Lower postoperative creatinine values was observed in Probucol group, compared with the control group on the first day Weighted Mean Difference (WMD-6.76, 95%CI-9.33~-4.20)μmol/L, the second day (WMD-16.90, 95%CI-22.61~-11.19)μmol/L, the third day(WMD-11.05, 95%CI-17.65~-4.45)μmol/L, and lower peak postoperative creatinine than the control group[(WMD- 14.58, 95%CI- 19.00 ~ - 10.16)μmol/L]. Probucol group with lower postoperative urinary KIM-1[(WMD-3.64 , 95%CI-3.72~-3.57) ng/ml], and the serum CysC was also low. Conclusions Preoperative or postoperative oral Probucol has a protective effect on CIAKI, can reduce the rise of postoperative renal injury indicators of coronary angiography or coronary intervention, such as serum creatinine and CysC, and CIAKI can be reduced by about 60%, no significant side effects observed.
2.Establishment and Evaluation of TCM Deficiency Syndrome Animal Model
Tianyang QIAO ; Amei WANG ; Wenlan LIU
Journal of Zhejiang Chinese Medical University 2017;41(11):923-927,940
[Objective]To summarize the advances in research on animal model of deficiency syndrome of traditional Chinese medicine(TCM) of the present stage, to provide the ideas for the establishment of animal model of TCM. [Methods] The article discusses the animal model with Qi deficiency, blood deficiency, Yin deficiency, Yang deficiency syndrome from the TCM etiology, western medicine etiology and pathology, model of western disease combined with syndrome. [Results] After active exploration of scholars over the years, TCM deficiency syndrome animal model has made great progress, researchers have made many TCM syndrome animal models using different methods, which have the characteristics of TCM syndrome. The molding method of traditional etiology of TCM has the advantages of conforming to the TCM etiology, but has the disadvantages of instability. Animal model made by western medicine etiology and pathology has the advantages of stability, practicality and repeatability, but has the disadvantages of disjointing with TCM theory. Animal models combined with disease and syndrome are ideal animal models at the moment. [Conclusion] Under the guidance of Chinese medicine theory, creating a more unified, more scientific method and evaluation system by means of modern science and technology and providing a more solid foundation for the scientific research of traditional Chinese medicine are very important.