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清热解毒药物治疗流行性感冒疗效的Meta分析 被引量:14
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作者 于斌 陈佳 +9 位作者 厉启芳 吴先林 李恩庆 张玉佩 陈静蕊 黄春荣 赵昌林 张天奉 陈孝银 《中国医院药学杂志》 CAS CSCD 北大核心 2013年第17期1451-1454,共4页
目的:探讨清热解毒药物用于流行性感冒治疗的循证医学分析研究。方法:对中国知网学术期刊数据库、中国生物医学文献数据库和维普期刊数据库1990年1月-2012年11月的全部期刊进行高级检索,从符合研究标准的文献中进行疗效分析,同时对于不... 目的:探讨清热解毒药物用于流行性感冒治疗的循证医学分析研究。方法:对中国知网学术期刊数据库、中国生物医学文献数据库和维普期刊数据库1990年1月-2012年11月的全部期刊进行高级检索,从符合研究标准的文献中进行疗效分析,同时对于不良反应的发生进行分析。结果:共计纳入24项随机对照研究文献,涉及4 522例流行性感冒患者。研究结果显示,在临床疗效总体改善方面,中药与西药治疗疗效对比OR:5.73,95%CI[4.75,6.92],中药治疗疗效与西药对照组相比,差异有统计学意义。中药组的不良反应主要表现为胃肠不适,皮疹等症状,西药对照组的不良反应表现在恶心呕吐及腹泻皮疹方面,不良反应的OR值为0.40,95%可信区间CI为[0.15,1.09],不良反应发生率差异不具有统计学意义,不能说明中药的不良反应率低于西药对照组。结论:循证医学分析表明清热解毒药物治疗流行性感冒具有较好的临床疗效。 展开更多
关键词 清热解毒药物 流行性感冒 META分析 系统评价
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Carboxymethylpachymaran Enhances Immunologic Function of Dendritic Cells Cultured in Two Kinds of Hepatoma Carcinoma Cell Line's Supernatant via Nuclear Factor κ B/Rel Pathway 被引量:11
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作者 陈卓 于斌 +7 位作者 吴先林 钱国强 于建中 何海滨 王志新 侯军 陈孝银 《Chinese Journal of Integrative Medicine》 SCIE CAS 2012年第3期203-208,共6页
Objective:To study the immunologic function of dendritic cells(DCs) cultured in two kinds of hepatoma cell line's supernatant and the enhancing effects of carboxymethylpachymaran(CMP) on DCs.Methods:DCs were ha... Objective:To study the immunologic function of dendritic cells(DCs) cultured in two kinds of hepatoma cell line's supernatant and the enhancing effects of carboxymethylpachymaran(CMP) on DCs.Methods:DCs were harvested after stimulation by granulocyte-macrophage colony-stimulating factor (GM-CSF) and interleukin(IL)-4 from umbilical cord blood using density-gradient centrifugation method. Cultured supernatant of two hepatoma cell lines(HepG2 and HepG2.2.15) were collected for condition medium(CM) according to a volume ratio of supernatant to incomplete RPMI-1640 medium,which was 3:1.CMP was dissolved in incomplete RPMI-1640 medium.Experimental groups were divided according to the culture medium,either CM or with CMP in it.DCs subsets CD83,CD86,CD1a,and d-related human leukocyte antigens(HLA-DR) were analyzed by flow cytometry.The proliferation ability of allogeneic T cells in mixed lymphocyte reaction(MLR) stimulated by DCs was examined by 3-(4,5-dimethylthiazol-2-yl)-2,5- diphenyltetrazolium bromide(MTT) analysis.IL-12p70,interferon-γ(IFN-γ),and nuclear factor k B(NF- k B) were detected by enzyme-linked immunosorbent assay analysis.Results:The proliferation of lymphocytes and secreting level of IL-12 and expression of phenotype of DCs cultured in two kinds of CM were lower than those of normal group(P0.01).Compared with the normal group,groups treated with CMP showed a higher expression level of DCs subsets,lymphocyte reproductive activity,as well as IL-12 and IFN-γsecretion levels.Groups treated with CMP also demonstrated higher levels of DCs phenotype expression and IL-12 and IFN-γsecretion in supernatant of MLR and higher lymphocyte reproductive activity compared with CM group(P0.05).Compared with the normal group,the expression level of NF-k B in DCs nuclear was higher in CMP groups but lower in two CM groups(P0.05).After CMP was added,the NF-κB expression levels of two CM groups were increased compared with levels before CMP was added 展开更多
关键词 dendritic cells carboxymethylpachymaran HEPATOCARCINOMA lymphocyte subsets mixed leukocyte reaction
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金元四大家论治脾胃湿热证异同初探 被引量:1
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作者 周畅 +1 位作者 陈佳 陈孝银 《新中医》 CAS 2012年第5期158-160,共3页
脾胃湿热证指湿热蕴结脾胃,脾失健运,胃失纳降而形成的证候,临床常见。流行病学调查研究表明,脾胃湿热证涉及的病种广泛,临床表现多样。现代医学慢性胃炎、慢性肠炎、肠易激综合征、习惯性便秘、脂肪肝、胆结石、胆囊炎、慢性胰腺炎、... 脾胃湿热证指湿热蕴结脾胃,脾失健运,胃失纳降而形成的证候,临床常见。流行病学调查研究表明,脾胃湿热证涉及的病种广泛,临床表现多样。现代医学慢性胃炎、慢性肠炎、肠易激综合征、习惯性便秘、脂肪肝、胆结石、胆囊炎、慢性胰腺炎、慢性咽炎、口腔溃疡、冠心病、高血压病、糖尿病、 展开更多
关键词 金元四大家 脾胃湿热证 宣通气机 宣上导下 益气降火 苦寒清热燥湿
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Andrographolide as An Anti-H1N1 Drug and the Mechanism Related to Retinoic Acid-Inducible Gene-I-Like Receptors Signaling Pathway 被引量:11
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作者 于斌 +9 位作者 江振友 李恩庆 陈琛 吴先林 陈佳 刘倩 赵昌林 何锦雄 鞠大宏 陈孝银 《Chinese Journal of Integrative Medicine》 SCIE CAS 2014年第7期540-545,共6页
Objective: To observe the anti-virus effects of andrographolide (AD) on the retinoic acid-inducible gene-I (RIG-I)-Iike receptors (RLRs) signaling pathway when immunological cells were infected with HIN1. Meth... Objective: To observe the anti-virus effects of andrographolide (AD) on the retinoic acid-inducible gene-I (RIG-I)-Iike receptors (RLRs) signaling pathway when immunological cells were infected with HIN1. Methods: Leukomonocyte was obtained from umbilical cord blood by Ficoll density gradient centrifugation, and immunological cells were harvested after cytokines stimulation. Virus infected cell model was established by H1N1 co-cultured with normal human bronchial epithelial cell line (16HBE). The optimal concentration of AD was defined by methyl-thiazolyl-tetrazolium (MTT) assay. After the virus infected cell model was established, AD was added into the medium as a treatment intervention. After 24-h co-culture, cell supernatant was collected for interferon gamma (IFN- ~, ) and interleukin-4 (IL-4) enzyme-linked immunosorbent assay (ELISA) detection while immunological cells for real-time polymerase chain reaction (RT-PCR). Results: The optimal concentration of AD for anti-virus effect was 250 μg/mL. IL-4 and IFN-γ in the supernatant and mRNA levels in RLRs pathway increased when cells was infected by virus, RIG-I, IFN-13 promoter stimulator-1 (IPS-1), interferon regulatory factor (IRF)-7, IRF-3 and nuclear transcription factor K B (NF- K B) mRNA levels increased significantly (P〈0.05). When AD was added into co-culture medium, the levels of IL-4 and IFN-γ were lower than those in the non-interference groups and the mRNA expression levels decreased, RIG-I, IPS-1, IRF-7, IRF-3 and NF- K B decreased significantly in each group with significant statistic differences (P〈0.05). Conclusions: The RLRs mediated viral recognition provided a potential molecular target for acute viral infections and andrographolide could ameliorate H1N1 virus-induced cell mortality. And the antiviral effects might be related to its inhibition of viral-induced activation of the RLRs signaling pathway. 展开更多
关键词 ANDROGRAPHOLIDE H1N1 dendritic cells retinoic acid-inducible gene-I interferon-β promoterstimulator-I interferon regulatory factor nuclear transcription factor kB
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健康检查不能代替防癌体检
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作者 《家庭用药》 2020年第2期12-12,共1页
20世纪中期至今,医疗人员发现越来越多的证据支持癌症的早期筛查,肿瘤的早发现与早治疗能大幅度提高肿瘤患者的生存率,甚至大多数肿瘤在早期发现时能够达到治愈效果。所以,“肿瘤的早发现”逐渐成为各国政府以及医疗研究人员为提高全民... 20世纪中期至今,医疗人员发现越来越多的证据支持癌症的早期筛查,肿瘤的早发现与早治疗能大幅度提高肿瘤患者的生存率,甚至大多数肿瘤在早期发现时能够达到治愈效果。所以,“肿瘤的早发现”逐渐成为各国政府以及医疗研究人员为提高全民健康的重要推崇项目。然而,肿瘤的发生往往十分隐匿,如消化道肿瘤常见的早饱、腹胀等上腹部不适,便秘、腹泻等大便规律及形状的改变,常被当作“吃坏东西”。很多早期肿瘤并没有症状,易被忽视,导致患者确诊时多为中晚期,“一刀切净”的手术机会没了,失去了成功治愈的良好条件与时机。 展开更多
关键词 早期肿瘤 早期筛查 全民健康 消化道肿瘤 健康检查 治愈效果 20世纪中期 肿瘤患者
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