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Fatty liver without a large“belly”:Magnified review of nonalcoholic fatty liver disease in non-obese patients 被引量:9
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作者 Mohamad H Yousef Alhareth Al Juboori +2 位作者 Abdulmajeed A Albarrak Jamal A Ibdah Veysel Tahan 《World Journal of Gastrointestinal Pathophysiology》 CAS 2017年第3期100-107,共8页
Nonalcoholic fatty liver disease(NAFLD) is well described as a common cause of chronic liver disease, mostly in the obese population. It refers to a spectrum of chronic liver disease that starts with simple steatosis ... Nonalcoholic fatty liver disease(NAFLD) is well described as a common cause of chronic liver disease, mostly in the obese population. It refers to a spectrum of chronic liver disease that starts with simple steatosis than progresses to nonalcoholic steatohepatitis and cirrhosis in patients without significant alcohol consumption. NAFLD in the non-obese population has been increasingly reported and studied recently. The pathogenesis of nonobese NAFLD is poorly understood and is related to genetic predisposition, most notably patatin-like phospholipase domain-containing 33 G allele polymorphism that leads to intrahepatic triglyceride accumulation and insulin resistance. Nonobese NAFLD is associated with components of metabolic syndrome and, especially, visceral obesity which seems to be an important etiological factor in this group. Dietary factors and, specifically, a high fructose diet seem to play a role. Cardiovascular events remain the main cause of mortality and morbidity in NAFLD, including in the nonobese population. There is not enough data regarding treatment in non-obese NAFLD patients, but similar to NAFLD in obese subjects, lifestyle changes that include dietary modification, physical activity, and weight loss remain the mainstay of treatment. 展开更多
关键词 nonobese Nonalcoholic fatty liver disease Hepatic steatosis Nonalcoholic steatohepatitis GENETIC
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Untargeted metabolomics characteristics of nonobese nonalcoholic fatty liver disease induced by high-temperature-processed feed in Sprague-Dawley rats 被引量:9
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作者 Li-Jun Xue Ju-Qiang Han +4 位作者 Yuan-Chen Zhou Hong-Ye Peng Teng-Fei Yin Kai-Min Li Shu-Kun Yao 《World Journal of Gastroenterology》 SCIE CAS 2020年第46期7299-7311,共13页
BACKGROUND Nonalcoholic fatty liver disease(NAFLD)has become one of the most common chronic liver diseases in the world.In our early clinical data and questionnaire analysis of NAFLD,it was found that the body mass in... BACKGROUND Nonalcoholic fatty liver disease(NAFLD)has become one of the most common chronic liver diseases in the world.In our early clinical data and questionnaire analysis of NAFLD,it was found that the body mass index of some patients did not meet the diagnostic criteria for overweight or obesity.The consumption of high-temperature-processed foods such as fried food,hot pot and barbecue is closely related to the occurrence of nonobese NAFLD.Reducing the intake of this kind of food can reduce disease severity and improve prognosis.AIM To explore the untargeted metabolomics characteristics of nonobese nonalcoholic fatty liver disease in Sprague-Dawley rats induced by high-temperatureprocessed feed.METHODS Fifty-four male Sprague-Dawley rats were divided into three groups:The control group received a standard diet;the nonfried soybeans(NDFS)group received 60%NDFS and 40%basic feed and the dry-fried soybeans(DFS)group received 60%DFS and 40%basic feed.Six rats were sacrificed at week 4,8,and 12 in each group.The food intake,body weight,Lee’s index,liver index,serological index and hepatic histopathology were assessed.Untargeted metabolomics characteristics were used to analyze the changes in liver metabolites of rats at week 12.Correlations between metabolites and pathology scores between the DFS and control groups and between the DFS and NDFS groups were analyzed.We selected some of the metabolites,both within the pathway and outside of the pathway,to explain preliminarily the difference in liver pathology in the three groups of rats.RESULTS There were no statistically significant differences in the food intake,body weight,Lee's index or serological index between the DFS group and the control group(P>0.05).At week 8 and week 12,the steatosis scores in the DFS group were significantly higher than those in the other two groups(P<0.05).At week 12,the liver index of the DFS group was the lowest(NDFS group vs DFS group,P<0.05).The fibrosis score in the DFS group was significantly higher than those in the other two g 展开更多
关键词 nonobese nonalcoholic fatty liver disease High-temperature-processed feed Mild steatosis and early fibrosis Untargeted metabolomics characteristics Animal models Novel pathogenesis for nonalcoholic fatty liver disease
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Nonalcoholic Fatty Liver Disease in Lean/Nonobese and Obese Individuals:A Comprehensive Review on Prevalence,Pathogenesis,Clinical Outcomes,and Treatment 被引量:6
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作者 Ankoor H.Patel Dhiraj Peddu +5 位作者 Sahil Amin Mohamed I.Elsaid Carlos D.Minacapelli Toni-Marie Chandler Carolyn Catalano Vinod K.Rustgi 《Journal of Clinical and Translational Hepatology》 SCIE 2023年第2期502-515,共14页
Nonalcoholic fatty liver disease(NAFLD)is the most common liver disease worldwide,with an estimated prevalence of 25% globally.NAFLD is closely associated with metabolic syndrome,which are both becoming increasingly m... Nonalcoholic fatty liver disease(NAFLD)is the most common liver disease worldwide,with an estimated prevalence of 25% globally.NAFLD is closely associated with metabolic syndrome,which are both becoming increasingly more common with increasing rates of insulin resistance,dyslipidemia,and hypertension.Although NAFLD is strongly associated with obesity,lean or nonobese NAFLD is a relatively new phenotype and occurs in patients without increased waist circumference and with or without visceral fat.Currently,there is limited literature comparing and illustrating the differences between lean/nonobese and obese NAFLD patients with regard to risk factors,pathophysiology,and clinical outcomes.In this review,we aim to define and further delineate different phenotypes of NAFLD and present a comprehensive review on the prevalence,incidence,risk factors,genetic predisposition,and pathophysiology.Furthermore,we discuss and compare the clinical outcomes,such as insulin resistance,dyslipidemia,hypertension,coronary artery disease,mortality,and progression to nonalcoholic steatohepatitis,among lean/nonobese and obese NAFLD patients.Finally,we summarize the most up to date current management of NAFLD,including lifestyle interventions,pharmacologic therapies,and surgical options. 展开更多
关键词 NAFLD Lean or nonobese nonalcoholic fatty liver disease Obese nonalcoholic fatty liver disease Clinical outcomes Treatment INCIDENCE PREVALENCE Risk factors
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成人非肥胖型非酒精性脂肪性肝病研究进展 被引量:7
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作者 薛丽君 彭红叶 +2 位作者 周元琛 尹腾飞 姚树坤 《解放军医学杂志》 CAS CSCD 北大核心 2020年第10期1086-1091,共6页
非肥胖型非酒精性脂肪性肝病是非酒精性脂肪性肝病(NAFLD)的一种特殊临床表型,该病患者无肥胖特征,易被忽视,国内外对这类患者的研究结果不完全一致。该文就非肥胖型NAFLD的病因、危险因素、病理特点、诊断、饮食生活方式治疗等进行综述... 非肥胖型非酒精性脂肪性肝病是非酒精性脂肪性肝病(NAFLD)的一种特殊临床表型,该病患者无肥胖特征,易被忽视,国内外对这类患者的研究结果不完全一致。该文就非肥胖型NAFLD的病因、危险因素、病理特点、诊断、饮食生活方式治疗等进行综述,以期为成人非肥胖型NAFLD的临床诊断及治疗提供借鉴。 展开更多
关键词 非酒精性脂肪性肝病 非肥胖成人 危险因素 病理特点 诊断 饮食生活方式治疗
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腹腔镜胃旁路术治疗非肥胖2型糖尿病的疗效与安全性分析 被引量:6
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作者 王芳 王润华 +2 位作者 徐开盛 张忠民 王少勇 《中华普通外科学文献(电子版)》 2019年第5期359-362,共4页
目的探讨腹腔镜Roux-en-Y胃旁路术(LRYGB)治疗非肥胖2型糖尿病(T2DM的疗效及安全性。方法收集2016年1月至2017年6月在贵州省人民医院普外科行LRYGB的28例T2DM患者的临床资料。根据术前体质量指数(BMI)将患者分为非肥胖组(BMI≤27.5 kg/m... 目的探讨腹腔镜Roux-en-Y胃旁路术(LRYGB)治疗非肥胖2型糖尿病(T2DM的疗效及安全性。方法收集2016年1月至2017年6月在贵州省人民医院普外科行LRYGB的28例T2DM患者的临床资料。根据术前体质量指数(BMI)将患者分为非肥胖组(BMI≤27.5 kg/m^2)11例和肥胖组(BMI>27.5 kg/m^2)17例。分析两组患者术前和术后3、6、9、12个月空腹血糖(FPG)、糖化血红蛋白(Hb A1c)、空腹C肽(FCp)、空腹胰岛素(FIns)的变化及并发症情况。结果两组患者均顺利完成手术,手术时间及出血量比较差异无统计学意义(t=0.642、0.871,P=0.526、0.392),术后均无严重并发症发生,术后BMI、FPG、Hb A1c、FCp、FIns随着时间的推移均呈持续下降的趋势,且明显低于术前水平(P<0.05)。非肥胖组患者BMI在各时间点均低于肥胖组患者(P<0.05),术后12个月时非肥胖组的FCp水平显著低于肥胖组(t=0.711,P<0.05)。非肥胖组和肥胖组术后1年T2DM完全缓解率分别为72.7%(8/11)和82.4%(14/17),差异无统计学意义(χ^2=0.368,P=0.544)。结论 LRYGB能明显降低非肥胖型T2DM患者的体质量,并改善糖代谢情况,且手术安全。 展开更多
关键词 胃旁路术 糖尿病 2型 非肥胖 吻合术 Roux-en-Y
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Effects of Ganoderma lucidum spores on sialoadenitis of nonobese tiabetic mice 被引量:1
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作者 QI Ge HUA Hong +2 位作者 GAO Yan LIN Qin YU Guang-yan 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第5期556-560,共5页
Background Sjǒgren syndrome (SS) is a systematic autoimmune disease, on which traditional therapeutic agents show limited effect. More effective agents with longer-lasting and fewer side effects are needed in the c... Background Sjǒgren syndrome (SS) is a systematic autoimmune disease, on which traditional therapeutic agents show limited effect. More effective agents with longer-lasting and fewer side effects are needed in the clinic. The aim of this study was to investigate the effects of Ganoderma lucindum spores (GLS) on sialoadenitis of nonobese diabetic (NOD) mice. Methods Thirty-two female NOD mice were assigned randomly into 4 groups: low-dose GLS-treated (L-GLS) group and high-dose GLS-treated (H-GLS) group, a dexamethasone group, and a normal saline (NS) control group. Stimulated total saliva flow rate (STFR), area of lymphocytic infiltration in submandibular glands and ratios of CD4^+ and CD8^+ T lymphocytes and B lymphocytes in peripheral blood as well as apoptosis of these subsets and serum IgG level were tested after 10 weeks of treatments. Differences among the groups were analyzed by one-way analysis of variance (ANOVA), Student-Newman-Keuls Test (SNK) was used between each two groups and a P 〈0.05 was considered statistically significant. Results STFR of the high-dose GLS group increased significantly after a 10-week treatment compared with those of the NS control group (P 〈0.05). The incidence of sialoadenitis in GLS-treated NOD mice groups showed no significant difference compared with the control group (P 〉0.05), but the area of lymphocytic foci in both the H-GLS and L-GLS groups decreased significantly to 50% of the NS control group (P 〈0.05); the ratio of CD4^+/CD8^+ T lymphocytes and apoptosis of B lymphocytes of NOD mice with sialoadenitis were less and apoptosis of CD4^+ and CD8^+ T lymphocytes were significantly increased compared with the control group (P 〈0.05). After pretreatment with H-GLS before sialoadenitis onset, the ratio of CD4^+/CD8^+ T lymphocyte and the serum IgG levels of NOD mice decreased significantly (P 〈0.05). Conclusions Pretreatment with H-GLS can relieve symptoms of sialoadenitis in NOD mice. GL 展开更多
关键词 nonobese diabetes SIALOADENITIS ganoderma lucidum spores
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Sialoadenitis progression in nonobese diabetic mice and its correlation with expression of apoptosis-associated proteins in salivary glands and serum IgG levels 被引量:1
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作者 QI Ge HUA Hong +2 位作者 GAO Yan LIN Qin YU Guang-yan 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第16期1426-1431,共6页
Background Sjogren syndrome (SS) is an autoimmune disorder characterized by chronic lymphocytic infiltration and decreased secretion in salivary glands. Apoptosis is one of the possible mechanisms involved in acinar... Background Sjogren syndrome (SS) is an autoimmune disorder characterized by chronic lymphocytic infiltration and decreased secretion in salivary glands. Apoptosis is one of the possible mechanisms involved in acinar epithelial destruction in SS. The role of apoptosis in the initiation and effect phase of sialoadenitis is still controversial. The aim of this study was to observe the roles of apoptosis-associated proteins and serum IgG levels in sialoadenitis progression in nonobese diabetic (NOD) mice. Methods 2-, 5-, 10-, 15-, 20-week female NOD and matched BALB/c control mice were selected. Saliva and tear flow rate were measured. Serum IgG level was tested by enzyme-linked immunosorbent assay (ELISA). Number of lymphocyte foci (NLF) in submandibular glands (SMGs) was counted under routine hematoxylin/eosin-stained sections. Expression of Fas, Bcl-2 and procaspase3 proteins as well as apoptotic cells in the SMGs were detected by immunohistochemical staining and by terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) assay respectively. Results Decreased stimulated total flow rate (STFR) and lymphocyte foci in SMGs were first observed in the 10-week NOD group. STFR was negatively correlated with NLF (P〈0.05). Serum IgG in NOD mice was significantly higher than that of the control group (P〈0.05) and showed a positive correlation with NLF (P〈0.05). Fas expression in SMGs acinar cells in NOD mice increased with age and was significantly higher compared with that in the control group. Bcl-2 expression and procaspase3 expression in SMG acinar cells in each NOD group were lower compared with those of the age-matched control mice. Conclusion Abnormal expression of Fas and Bcl-2 in the SMGs and higher level of serum IgG may contribute to the initiation of sialoadenitis and cause the glandular destruction in NOD mice. 展开更多
关键词 nonobese diabetic (NOD) mice sialoadenitis APOPTOSIS immunoglobulin G
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罗格列酮对非肥胖2型糖尿病合并脂肪肝的疗效观察 被引量:3
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作者 孙广平 陈奕名 孟君 《中医临床研究》 2014年第15期63-64,67,共3页
目的:观察罗格列酮治疗非肥胖2型糖尿病(T2DM)合并非酒精性脂肪肝(NAFLD)的疗效。方法:对102例合并NAFL的非肥胖2型糖尿病患者进行随机分组,即A组(基础治疗组+罗格列酮药物组)和B组(基础治疗组),随访24周,观察两组患者治疗前后体重指数... 目的:观察罗格列酮治疗非肥胖2型糖尿病(T2DM)合并非酒精性脂肪肝(NAFLD)的疗效。方法:对102例合并NAFL的非肥胖2型糖尿病患者进行随机分组,即A组(基础治疗组+罗格列酮药物组)和B组(基础治疗组),随访24周,观察两组患者治疗前后体重指数、血糖、餐后2小时血糖、肝功、血脂、胰岛素、HOMA-IR、肝脏影像学等变化并进行对比研究。结果:加用罗格列酮组治疗后,其Fins、AST、ALT、Ho MA-IR较治疗前明显改善,TG较前好转;基础治疗组Fins、AST、ALT、TG、Ho MA-IR指标有好转趋势,但无统计学差异;加用罗格列酮组治疗优于基础治疗组。结论:加用胰岛素增敏剂能明显改善胰岛素抵抗、肝脏酶学及影像学指标,也证明了胰岛素抵抗在非酒精性脂肪肝的发生和发展中起着重要的作用,罗格列酮可有效逆转NAFLD,可能为非肥胖T2DM并NAFL组提供临床治疗参考。 展开更多
关键词 罗格列酮 非肥胖 2型糖尿病 脂肪肝 疗效观察
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Role and function of granin proteins in diabetes mellitus 被引量:2
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作者 Zoltan Herold Marton Doleschall Aniko Somogyi 《World Journal of Diabetes》 SCIE 2021年第7期1081-1092,共12页
The granin glycoprotein family consists of nine acidic proteins;chromogranin A(CgA),chromogranin B(CgB),and secretogranin II–VIII.They are produced by a wide range of neuronal,neuroendocrine,and endocrine cells throu... The granin glycoprotein family consists of nine acidic proteins;chromogranin A(CgA),chromogranin B(CgB),and secretogranin II–VIII.They are produced by a wide range of neuronal,neuroendocrine,and endocrine cells throughout the human body.Their major intracellular function is to sort peptides and proteins into secretory granules,but their cleavage products also take part in the extracellular regulation of diverse biological processes.The contribution of granins to carbohydrate metabolism and diabetes mellitus is a recent research area.CgA is associated with glucose homeostasis and the progression of type 1 diabetes.WE-14,CgA10-19,and CgA43-52 are peptide derivates of CgA,and act as CD4+or CD8+autoantigens in type 1 diabetes,whereas pancreastatin(PST)and catestatin have regulatory effects in carbohydrate metabolism.Furthermore,PST is related to gestational and type 2 diabetes.CgB has a crucial role in physiological insulin secretion.Secretogranins II and III have angiogenic activity in diabetic retinopathy(DR),and are novel targets in recent DR studies.Ongoing studies are beginning to investigate the potential use of granin derivatives as drugs to treat diabetes based on the divergent relationships between granins and different types of diabetes. 展开更多
关键词 Granin Chromogranin A Chromogranin B Diabetes Mellitus MICE Inbred nonobese diabetic Secretogranin III
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非肥胖非酒精性脂肪性肝病患者的临床与肝组织学特征分析 被引量:2
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作者 蒋艳明 娄国强 +6 位作者 荀运浩 刘红 卞冬雪 刘静 钱建成 陆璐 施军平 《中华肝脏病杂志》 CAS CSCD 北大核心 2014年第5期380-382,共3页
肥胖和糖脂代谢紊乱是诊断非酒精性脂肪性肝病(NAFLD)的重要临床线索,但有约16.40%~29.0%的NAFLD患者体质量、血脂和血糖正常;目前对这类患者关注不够。为此,我们以同期收治的成人NAFLD肥胖患者为研究对象,对其中73例经肝脏... 肥胖和糖脂代谢紊乱是诊断非酒精性脂肪性肝病(NAFLD)的重要临床线索,但有约16.40%~29.0%的NAFLD患者体质量、血脂和血糖正常;目前对这类患者关注不够。为此,我们以同期收治的成人NAFLD肥胖患者为研究对象,对其中73例经肝脏组织学诊断的非肥胖NAFLD患者进行了分析,以明确这一特殊人群的临床和病理学特征。 展开更多
关键词 脂肪肝 病理学 血糖 非肥胖
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瘦型非酒精性脂肪性肝病的临床特征及血清脂质组学研究
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作者 张思敏 杜晟楠 +3 位作者 袁乙富 何诗嘉 曹勤 蒋元烨 《肝脏》 2023年第7期799-805,共7页
目的比较瘦型非酒精性脂肪性肝病(NAFLD)患者与瘦型健康人群的临床数据和血清脂质差异。方法收集瘦型NAFLD患者57例以及瘦型健康对照50例。记录所有受试者的临床信息以及血液生化指标数据,应用超高效液相色谱-高分辨静电场轨道阱质谱(UP... 目的比较瘦型非酒精性脂肪性肝病(NAFLD)患者与瘦型健康人群的临床数据和血清脂质差异。方法收集瘦型NAFLD患者57例以及瘦型健康对照50例。记录所有受试者的临床信息以及血液生化指标数据,应用超高效液相色谱-高分辨静电场轨道阱质谱(UPLC-Orbitrap MS)进行血清脂质组学分析;使用主成分分析法(PCA)和正交偏最小二乘法判别分析(OPLS-DA)对脂质组学数据进行多元统计分析。结果两组之间性别差异有统计学意义(P<0.05);瘦型NAFLD组BMI显著高于瘦型对照组(P<0.01)。瘦型NAFLD组WBC、RBC、HGB、HCT、肌酐、尿酸、γ-GT、ALT、TG分别为(6.10±1.57)×10^(9)/L、4.51(4.34,4.81)×10^(12)/L、137(127,148)g/L、41.1(38.15,43.7)%、67(57.5,81)μmol/L、339.5(298.75,380)μmol/L、27(19,37)U/L、14.5(9,21.25)U/L、1.42(0.95,1.95)μmol/L显著高于对照组(P<0.05),而瘦型NAFLD组的HDL、APOA1分别为1.27(1.10,1.52)μmol/L、1.39(1.26,1.57)g/L显著低于对照组(P<0.05)。脂质组学结果显示两组之间脂质代谢具有明显差异,共鉴定到差异性脂质(VIP值>1、P<0.05且两组间含量差异倍数FC>1.5)570种,主要为磷脂酰胆碱(PC)、三酰甘油(TG)、鞘磷脂(SM)、溶血磷脂酰胆碱(LPC)、磷脂酰乙醇胺(PE)、双甘脂(DG)、溶血磷脂酰乙醇胺(LPE)、神经酰胺(Cer)。与对照组相比,瘦型NAFLD组血清脂质大多数呈上调趋势;在呈下调趋势的脂质中,主要为SM(22种)和PC(22种)。结论与瘦型健康人群相比,瘦型NAFLD患者可能存在代谢异常、肝功能受损、胰岛素抵抗。 展开更多
关键词 非酒精性脂肪性肝病 瘦型 非肥胖 脂质组学
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Body Roundness Index Is Significantly Associated with Prehypertension and Hypertension in Nonobese Chinese Subjects
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作者 LIU Xing Zhen QIAN Jian Dong +6 位作者 LI Hui Hua WANG Li Jun WU Min Kui WANG Qian PAN Ting Yu LIU Lian Yong ZOU Da Jin 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2019年第11期854-859,共6页
Prehypertension and hypertension have been considered significant public health issues worldwide[1].Disproportionate body fat distribution(excess fat stored in the liver and visceral compartment)is a well-established ... Prehypertension and hypertension have been considered significant public health issues worldwide[1].Disproportionate body fat distribution(excess fat stored in the liver and visceral compartment)is a well-established risk factor for prehypertension/hypertension[2].However,the most commonly used anthropometric indicators,such as body mass index(BMI)and waist circumference(WC)。 展开更多
关键词 BMI Body Roundness Index Is Significantly Associated with Prehypertension and Hypertension in nonobese Chinese Subjects
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Effect of Bushen Qingre Yuyin Decoction on Salivary Secretion, Spleen Index, Submandibular Gland Index, Submandibular Gland Histomorphology, and aqp5 Expression in the Nonobese Diabetic Mouse Model
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作者 Wan-Ru Wang Huan-Yu Liu +5 位作者 Zhi-Xiong Ren Lu Chen Sai Liu Lian-Cun Shi Xiao-Ping Yan Feng Mi 《World Journal of Traditional Chinese Medicine》 2020年第4期508-514,共7页
Objective:The objective of this study was to observe the effect of Bushen Qingre Yuyin Decoction on the spleen index,submandibular gland index,salivary secretion,submandibular gland morphology,and aquaporin 5(AQP5)exp... Objective:The objective of this study was to observe the effect of Bushen Qingre Yuyin Decoction on the spleen index,submandibular gland index,salivary secretion,submandibular gland morphology,and aquaporin 5(AQP5)expression levels in the submandibular gland.Materials and Methods:Fifty 8-week-old nonobese diabetic(NOD)female mice were randomly divided into the following five groups:model;hydroxychloroquine;and high-,medium-,and low-dose Bushen Qingre Yuyin Decoction prescription.The blank group consisted of ten 8-week-old Balb/C rats.Bushen Yuyin Qingre Decoction was administered by gavage at 20,40,and 80 g/kg in the low-,medium-,and high-dose groups,respectively.The hydroxychloroquine group was administered hydroxychloroquine at a dose of 80 mg/kg by gavage.The normal and model groups were administered the same amount of saline.After the different administrations,the amount of salivary secretion in the mice was regularly observed.After 12 weeks,the mice were sacrificed,and their submandibular gland tissues were excised,stained with hematoxylin-eosin,and pathologically scored.AQP5 expression levels in the tissues were detected using real-time polymerase chain reaction.Results:The spleen index of mice in the high-dose group was higher than that in the model group(P<0.05),and the submandibular gland index of the hydroxychloroquine group and all the Bushen Qingre Yuyin Decoction prescription groups was higher than that in the model group(P<0.05).After 6 weeks,the salivary volume of the hydroxychloroquine group and all the Bushen Qingre Yuyin Decoction prescription groups was significantly higher than that of the model group(P<0.05);the amount of lymphocyte infiltration in mice among each administration group was significantly reduced(P<0.05);and the AQP5 expression levels in the submandibular glands of mice had significantly increased in the hydroxychloroquine and high-dose groups(P<0.05),with the high-dose group showing the best effect.Conclusion:Bushen Qingre Yuyin Decoction can effectively increase the spleen and 展开更多
关键词 Aquaporin 5 Bushen Qingre Yuyin Decoction nonobese diabetic mouse Sjogren’s syndrome Submandibular gland histomorphology
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胃转流术治疗非肥胖型2型糖尿病的近期疗效 被引量:29
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作者 汤礼军 陈涛 +4 位作者 崔建峰 石力 闫洪涛 李运明 田伏洲 《中华消化外科杂志》 CAS CSCD 2011年第3期214-216,共3页
目的探讨胃转流术治疗非肥胖型2型糖尿病的近期疗效及可能的机制。方法回顾性分析2009年3月至8月成都军区总医院收治的58例行胃转流术治疗非肥胖型2型糖尿病患者的临床资料。检测患者术后1年内空腹血糖、餐后2h血糖、糖化血红蛋白,并... 目的探讨胃转流术治疗非肥胖型2型糖尿病的近期疗效及可能的机制。方法回顾性分析2009年3月至8月成都军区总医院收治的58例行胃转流术治疗非肥胖型2型糖尿病患者的临床资料。检测患者术后1年内空腹血糖、餐后2h血糖、糖化血红蛋白,并计算胰岛素抵抗指数及体质指数等指标。不同时相点各指标比较采用不等距重复测量的方差分析,两两比较采用LSD法。结果48例(83%)患者停用全部降糖药物达到完全缓解标准,7例(12%)患者降糖药物用量较手术前至少减少50%,3例(5%)患者无效。与术前比较,患者术后空腹血糖、餐后2h血糖、糖化血红蛋白及胰岛素抵抗指数呈显著下降趋势(F=67.867,50.885,78.278,572.757,P〈0.05),而体质指数变化不大(F=3.503,P〉0.05)。结论对于体质指数〈25kg/m^2的2型糖尿病患者,胃转流术具有较好的疗效。术后患者胰岛素抵抗显著改善可能是胃转流术发挥疗效的重要原因。 展开更多
关键词 糖尿病 2型 胃转流术 非肥胖型 临床效果
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胃旁路术对非肥胖型2型糖尿病疗效的前瞻性对照研究 被引量:15
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作者 魏炜明 胡旭光 +3 位作者 陈丹磊 印慨 柯重伟 郑成竹 《中华消化外科杂志》 CAS CSCD 2011年第3期206-209,共4页
目的探讨胃旁路术对非肥胖型2型糖尿病(T2DM)的疗效。方法前瞻性研究2008年11月至2009年8月第二军医大学附属长海医院收治的40例胃部疾病合并非肥胖型T2DM患者的临床资料,按实用性随机对照原则将患者分为4组,每组10例,分别接受毕... 目的探讨胃旁路术对非肥胖型2型糖尿病(T2DM)的疗效。方法前瞻性研究2008年11月至2009年8月第二军医大学附属长海医院收治的40例胃部疾病合并非肥胖型T2DM患者的临床资料,按实用性随机对照原则将患者分为4组,每组10例,分别接受毕Ⅰ式远端胃切除+胃十二指肠吻合术(BI组)、近端胃大部切除+食管残胃吻合术(PG组)、全胃切除+Y型吻合术(RY组)、毕Ⅱ式胃空肠吻合术(BⅡ组),后2种术式为胃旁路术。比较4组患者住院时间、胃部疾病治疗情况、手术前后体质指数、腰围、空腹血糖、糖化血红蛋白、空腹血清胰岛素和空腹c肽水平等指标。数据采用方差分析、LSD—t检验、配对t检验、X2检验进行分析。结果4种术式对胃部疾病的疗效基本相同。RY组患者术前、术后6个月空腹血糖分别为(8.0±2.9)、(5.9±0.7)mmol/L,两者比较,差异有统计学意义(t=2.342,P〈0.05)。RY组患者术前糖化血红蛋白、空腹C肽分别为7.7%±1.1%、(1.30±0.54)μg/L,术后2、6个月分别为6.9%±0.6%、(1.95±0.86)μg/L和6.1%±0.4%、(2.18±0.63)μg/L,与术前比较,差异有统计学意义(t=4.920、6.063,3.012、4.651,P〈0.05)。RY组患者术前空腹血清胰岛素为(11±4)mU/L,术后1、2、6个月分别为(18±5)、(19±3)、(21±3)mU/L,与术前比较,差异有统计学意义(t=3.158,4.502,7.517,P〈0.05)。BⅡ组患者术前空腹血糖、糖化血红蛋白、空腹血清胰岛素和空腹血清c肽分别为(8.3±1.3)mmol/L、7.7%±0.9%、(13±4)mU/L、(1.34±0.48)μg/L,术后1、2、6个月分别为(6.7±1.2)mmol/L、6.8%±0.8%、(18±4)mU/L、(1.68±0.46)μg/L和(6.4±1.3)mmol/L、6.3%±0.6%、(18±4)mU/L、(1.96±0.67)μg/L及(5.6� 展开更多
关键词 糖尿病 2型 胃旁路术 临床对照研究 非肥胖型
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体脂成分及代谢指标与非肥胖人群代谢相关脂肪性肝病的相关性研究 被引量:8
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作者 王颖捷 程昊然 周卫红 《中国全科医学》 CAS 北大核心 2023年第6期672-680,共9页
背景近年来,代谢相关脂肪性肝病(MAFLD)患病率增长迅速,非肥胖MAFLD患者体脂成分和代谢指标的特点及各指标对该病预测价值的研究结论尚不一致。目的分析非肥胖MAFLD患者的体脂成分及关键代谢指标的变化特点,明确非肥胖MAFLD的危险因素,... 背景近年来,代谢相关脂肪性肝病(MAFLD)患病率增长迅速,非肥胖MAFLD患者体脂成分和代谢指标的特点及各指标对该病预测价值的研究结论尚不一致。目的分析非肥胖MAFLD患者的体脂成分及关键代谢指标的变化特点,明确非肥胖MAFLD的危险因素,探讨以上指标与非肥胖MAFLD相关性及对该病的预测价值。方法选取2018年1月至2019年1月南京大学医学院附属鼓楼医院健康管理中心体检人员为研究对象,根据肝脏B超结果分为脂肪肝患者和非脂肪肝者,排除脂肪肝患者中的非MAFLD患者后,再根据体质指数(BMI)将两组体检者分为非肥胖非脂肪肝组(n=129)、肥胖MAFLD组(n=129)、肥胖非脂肪肝组(n=129)、非肥胖MAFLD组(n=129),比较非肥胖MAFLD组与其他3组间体脂成分及代谢指标,分析各指标与非肥胖MAFLD的相关性,采用Logistic回归分析明确非肥胖MAFLD的独立危险因素,采用受试者工作特征(ROC)曲线分析各指标对非肥胖MAFLD的预测价值。结果(1)体脂成分及代谢指标比较:非肥胖MAFLD组BMI、体脂肪(BF)、体脂率(BFR)、内脏脂肪面积(VFA)、腰围(WC)、腰臀比(WHR)、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、尿酸(UA)、丙氨酸氨基转移酶(ALT)及谷酰转肽酶(GGT)高于非肥胖非脂肪肝组,高密度脂蛋白胆固醇(HDL-C)低于非肥胖非脂肪肝组(P<0.05);非肥胖MAFLD组BMI、BF、VFA、WC、WHR、空腹血糖(FPG)、糖化血红蛋白(HbA1c)低于肥胖MAFLD组(P<0.05);非肥胖MAFLD组BMI、BF、WC低于肥胖非脂肪肝组,TG、UA、ALT、GGT高于肥胖非脂肪肝组(P<0.05);非肥胖MAFLD组中女性年龄、BF、BFR、VFA高于男性,WC、UA、GGT低于男性(P<0.05)。(2)Kendall's相关分析结果显示,BFR、VFA、WHR、TC、TG、LDL-C、UA、ALT、GGT与非肥胖MAFLD呈正相关(r=0.099、0.092、0.136、0.095、0.176、0.092、0.114、0.125、0.142,P<0.05),HDL-C与非肥胖MAFLD呈负相关(r=-0.112,P<0.05)。(3)多因素Logistic� 展开更多
关键词 脂肪肝 非肥胖代谢相关脂肪性肝病 血脂 血糖 尿酸 内脏脂肪 危险因素 灵敏度 特异度 影响因素分析 诊断
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肥胖与非肥胖青春期PCOS患者内分泌、代谢指标对照研究 被引量:7
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作者 张亚杰 张菱 王建业 《现代预防医学》 CAS 北大核心 2007年第18期3494-3495,共2页
[目的]比较肥胖与非肥胖青春期多囊卵巢综合征(PCOS)患者在内分泌、代谢等方面的差异,探讨PCOS早期临床特点和发病机制。[方法]分别对肥胖青春期PCOS患者14例和非肥胖青春期PCOS患者15例测定血清FSH、LH、E2、PRL、T、GH、总胆固醇、甘... [目的]比较肥胖与非肥胖青春期多囊卵巢综合征(PCOS)患者在内分泌、代谢等方面的差异,探讨PCOS早期临床特点和发病机制。[方法]分别对肥胖青春期PCOS患者14例和非肥胖青春期PCOS患者15例测定血清FSH、LH、E2、PRL、T、GH、总胆固醇、甘油三酯、HDL、LDL以及OGTT和胰岛素释放试验,并进行比较。[结果]肥胖PCOS患者血T、60min和120min血胰岛素及曲线下面积明显高于非肥胖组;非肥胖组血清LH、GH明显高于肥胖组,两组脂代谢指标无统计学差异。[结论]肥胖与非肥胖青春期PCOS患者在内分泌、代谢方面存在差异,可能与PCOS早期的发病机制有关。 展开更多
关键词 多囊卵巢综合征 青春期 肥胖/非肥胖
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麦冬地芍汤对NOD小鼠颌下腺的保护作用 被引量:7
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作者 张可可 凌园园 汪悦 《陕西中医药大学学报》 2016年第6期110-113,共4页
目的观察麦冬地芍汤对干燥综合征模型(nonobese diabetic mouse,NOD)小鼠颌下腺的保护作用。方法取雌性NOD小鼠33只,随机分为模型组、羟氯喹组、麦冬地芍汤组,另取ICR(Institute of Cancer Research)小鼠8只作为空白组。适应性喂养一周... 目的观察麦冬地芍汤对干燥综合征模型(nonobese diabetic mouse,NOD)小鼠颌下腺的保护作用。方法取雌性NOD小鼠33只,随机分为模型组、羟氯喹组、麦冬地芍汤组,另取ICR(Institute of Cancer Research)小鼠8只作为空白组。适应性喂养一周后,羟氯喹组、麦冬地芍汤组分别灌服羟氯喹溶液(0.1 g/kg,20 ml/kg)及麦冬地芍汤(10 g/kg,20 ml/kg),空白及模型组生理盐水灌胃。观察小鼠10、13、16周龄唾液流率的变化,18周龄时取颌下腺,对颌下腺进行HE染色,免疫组化法测AQP5的表达。结果与模型组相比,麦冬地芍汤组小鼠16周龄时唾液流率明显改善(P<0.01),18周龄时,麦冬地芍汤组组织学评分低于模型组(P<0.05),AQP5的表达较模型组明显上调(P<0.05)。结论麦冬地芍汤对NOD小鼠颌下腺有保护作用,其机制可能与其上调AQP5的表达相关。 展开更多
关键词 干燥综合征 麦冬地芍汤 水分子通道蛋白AQP5
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解毒通络生津法对干燥综合征自发性模型小鼠唾腺泪腺的影响 被引量:7
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作者 薛鸾 胡建东 李国陵 《上海中医药大学学报》 CAS 2010年第2期49-52,共4页
目的:探讨解毒通络生津法对干燥综合征自发性模型小鼠唾腺泪腺的影响。方法:将9周龄SPF级雌性非肥胖性糖尿病(NOD)小鼠随机分为解毒通络生津治疗组、养阴生津对照组和空白组。分别予灌胃解毒通络生津方、养阴生津方、生理盐水干预,共5... 目的:探讨解毒通络生津法对干燥综合征自发性模型小鼠唾腺泪腺的影响。方法:将9周龄SPF级雌性非肥胖性糖尿病(NOD)小鼠随机分为解毒通络生津治疗组、养阴生津对照组和空白组。分别予灌胃解毒通络生津方、养阴生津方、生理盐水干预,共5周。观察小鼠饮水量等一般情况;实验结束检测血清免疫球蛋白G(IgG)、血清免疫球蛋白A(IgA)、补体3(C3)浓度,HE染色法观察小鼠唾腺泪腺病理。结果:与空白组比较,治疗组和对照组NOD小鼠饮水量的增加得到明显控制;对照组小鼠血清IgG、IgA、C3浓度升高,而治疗组仅有C3浓度上升,IgG、IgA无显著变化;各组小鼠唾腺泪腺组织病理学积分均无显著差异。结论:解毒通络生津法与传统养阴生津法均能改善NOD小鼠口干症状,升高C3,但均未能对该模型鼠唾腺泪腺病理学改变造成显著影响;而解毒通络生津法对NOD小鼠的IgG、IgA无显著影响。 展开更多
关键词 干燥综合征 解毒通络生津法 中医药疗法 非肥胖性糖尿病小鼠
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南京市梅山地区非肥胖人群动脉硬化的发生率及相关因素 被引量:3
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作者 王阳春 仝瑞祥 +3 位作者 何忠华 方琴 陈婷婷 刘军军 《临床心血管病杂志》 CAS 北大核心 2023年第10期793-797,共5页
目的:探讨南京市梅山地区非肥胖人群动脉硬化(arteriosclerosis,AS)的发生率及相关危险因素。方法:收集2017年8月—2021年7月南京梅山医院体检中心招募的非肥胖人群861例,年龄24~84岁,平均(51.4±9.49)岁,其中男554例,女307例;BMI(2... 目的:探讨南京市梅山地区非肥胖人群动脉硬化(arteriosclerosis,AS)的发生率及相关危险因素。方法:收集2017年8月—2021年7月南京梅山医院体检中心招募的非肥胖人群861例,年龄24~84岁,平均(51.4±9.49)岁,其中男554例,女307例;BMI(22.69±2.50)kg/m^(2)。采用自编问卷收集人口学与临床特征资料;采用AS测定仪测量臂踝脉搏波传导速度(brachial ankle pulse wave velocity,baPWV),以baPWV>1400 m/s定义为AS,将患者分为AS组(382例)和非AS组(479例);采用彩色多普勒血流探测仪测量踝肱指数。比较两组之间临床资料的差异,并采用二元多因素logistic回归分析非肥胖人群发生AS的相关因素。结果:非肥胖人群AS的发生率为44.37%(382/861),二元多因素logistic回归分析结果显示,年龄(OR=1.11,95%CI 1.09~1.14)、收缩压(OR=1.09,95%CI 1.07~1.10)、脂肪肝(OR=1.82,95%CI 1.15~2.88)是AS的危险因素,BMI(OR=0.86,95%CI 0.80~0.92)是AS的保护因素。结论:非肥胖人群AS的发生率较高,需要重点关注高龄、高收缩压、脂肪肝和低体重人群。 展开更多
关键词 非肥胖人群 动脉硬化 臂踝脉搏波传导速度
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