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中药汤剂联合关节镜治疗痛风性关节炎临床疗效的Meta分析
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作者 许卢春 王建军 +2 位作者 叶超 王悦 李华南 《海南医学院学报》 CAS 2022年第23期1817-1828,共12页
目的:系统评价中药汤剂联合关节镜治疗痛风性关节炎的疗效。方法:系统检索CNKI、CBM、WanFang、VIP、PubMed、Cochrane Library和EMBASE数据库,收据建库至2021年2月中药汤剂联合关节镜治疗痛风性关节炎的随机对照试验(RCTs),由2位研究... 目的:系统评价中药汤剂联合关节镜治疗痛风性关节炎的疗效。方法:系统检索CNKI、CBM、WanFang、VIP、PubMed、Cochrane Library和EMBASE数据库,收据建库至2021年2月中药汤剂联合关节镜治疗痛风性关节炎的随机对照试验(RCTs),由2位研究者独立阅读题目与摘要进行筛选后阅读全文以明确是否纳入。采用Cochrane系统评价的方法对文献质量进行评估,采用RevMan 5.3软件对数据进行Meta分析。结果:最终纳入19篇RCTs,共计1383例患者,治疗组697例采用中药汤剂联合关节镜治疗,对照组686例采用单纯关节镜或联合西药进行治疗。Meta分析结果显示,治疗组的临床总有效率(P<0.00001)优于对照组。治疗组各个亚组的视觉模拟评分法(VAS)评分(P=0.0005、P<0.00001、P=0.03)以及红细胞沉降率(ESR)水平(P<0.00001、P<0.00001、P<0.00001)的降低均优于对照组。治疗组的Lysholm评分提高(P<0.00001、P<0.00001、P=0.19),血尿酸(UA)水平(P<0.00001、P=0.18、P<0.0001)及C反应蛋白(CRP)水平(P<0.0001、P<0.00001、P=0.23)的降低各有两个亚组优于对照组但均有一亚组比较并无明显差异。结论:中药汤剂联合关节镜治疗痛风性关节炎疗效确切,能更迅速缓解疼痛,改善关节功能,降低机体炎症及尿酸水平。但未来仍需要有样本量更大、设计更合理、质量更高的临床研究来论证本结论。 展开更多
关键词 痛风性关节炎 中药 关节镜 疼痛 炎症 临床疗效 随机对照试验 META分析
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The effect of amylose on kernel phenotypic characteristics,starch-related gene expression and amylose inheritance in naturally mutated high-amylose maize 被引量:1
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作者 ZHANG xu-dong GAO xue-chun +5 位作者 LI Zhi-wei xu lu-chun LI Yi-bo ZHANG Ren-he xuE Jiquan GUO Dong-wei 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2020年第6期1554-1564,共11页
High-amylose maize starch has great pote ntial for widespread in dustrial use due to its ability to form strong gels and film and in the food processi ng field,thus servi ng as a resista nt starch source.However,there... High-amylose maize starch has great pote ntial for widespread in dustrial use due to its ability to form strong gels and film and in the food processi ng field,thus servi ng as a resista nt starch source.However,there is still a substa ntial shortage of high-amylose maize due to the limitation of natural germplasm resources,although the well-known amylose extender(ae)gene mutants have bee n found to produce high-amylose maize lines since 1948.In this con text,high-amylose maize lines(13 inbreds and 18 hybrids)originating from a natural amylose mutant in our testing field were utilized to study the correlation between amylose content(AC)and phenotypic traits(kernel morphology and endosperm glossiness),grain filling characteristics,gene expression,and amylose inheritanee.Our results showed that AC was negatively correlated with total starch con tent but was not correlated with grain phe no types,such as kernel full ness,kernel morphology and endosperm glossiness.Maize lines with higher amylose had a greater grain filling rate than that of the controI(B73)during the first 20 days after pollination(DAP).Both starch debranching enzyme(DBE)groups and starch branching enzyme lib(SBEIIb)groups showed a greater abundance in the control(B73)than in the high-amylose maize lines.Male parents directly predicted AC of Fv which was moderately positively correlated with the F2 generation. 展开更多
关键词 STARCH BIOSYNTHESIS AMYLOSE INHERITANCE high-amylose MAIZE grain filling rate
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Meta-analysis of the clinical efficacy of Chinese herbal decoction combined with arthroscopy in the treatment of gouty arthritis
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作者 xu lu-chun WANG Jian-jun +2 位作者 YE Chao WANG Yue LI Hua-nan 《Journal of Hainan Medical University》 2022年第23期58-68,共11页
Objective:To systematically evaluate the efficacy of traditional Chinese medicine decoction combined with arthroscopy in the treatment of gouty arthritis.Methods:A systematic search of CNKI,CBM,WanFang,VIP,PubMed,Coch... Objective:To systematically evaluate the efficacy of traditional Chinese medicine decoction combined with arthroscopy in the treatment of gouty arthritis.Methods:A systematic search of CNKI,CBM,WanFang,VIP,PubMed,Cochrane Library,and EMBASE databases,and the receipt of the database until February 2021.Randomized controlled trials(RCTs)of traditional Chinese medicine(TCM)decoction combined with arthroscopy in the treatment of gouty arthritis.Two researchers independently read the title and abstract to screen and them read the full text to clarify whether it should be included.The method of Cochrane systematic review was used to evaluate the quality of the literature,and the RevMan 5.3 software was used to conduct meta-analysis of the data.Results:Nineteen RCTs were finally included.A total of 1383 patients,697 cases in the treatment group were treated with traditional Chinese medicine decoction combined with arthroscopy,and 686 cases in the control group were treated with arthroscopy alone or combined with western medicine.Meta-analysis results showed that the total clinical effective rate(P<0.00001)of the treatment group was better than that of the control group.Visual analogue scoring(VAS)score(P=0.0005,P<0.00001,P=0.03)and erythrocyte sedimentation rate(ESR)level(P<0.00001,P<0.00001,P<0.00001)reduction in each subgroup was better than that of the control group.The Lysholm score of the treatment group increased(P<0.00001,P<0.00001,P=0.19),while for blood uric acid(UA)level(P<0.00001,P=0.18,P<0.0001)and C-reactive protein(CRP)levels(P<0.0001,P<0.00001,P=0.23)two subgroups were better than the control group,but there was no significant difference in one subgroup.Conclusion:Traditional Chinese medicine decoction combined with arthroscopy is effective in treating gouty arthritis,which can relieve pain,improve joint function,and reduce body inflammation and uric acid levels.However,in the future,clinical studies with larger sample sizes,more reasonable designs,and higher quality are still needed to demonstrate this conclusion. 展开更多
关键词 Gouty arthritis Traditional Chinese medicine ARTHROSCOPY PAIN INFLAMMATION Clinical efficacy Randomized controlled trial Meta analysis
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