最新刊期
期 1 ， 2018
- 摘要：2017年进入12月以来,北京地区流行性感冒（以下简称流感）呈高发态势。在前期工作基础上,结合相关资料对流感的中医证治提出几点思考:流感可归属于四时外感范畴,部分可从冬温、伏暑、春温、风温论治,当遵循中医辨治论治原则。本次流感证候多表现为外寒内热病机,源自北京地区冬季的气候特点,多在内热基础上感受外邪,初起多表证症状,如恶寒、头身痛、无汗等,同时伴见咽干、咽痛内热表现,治疗当重在辛凉解表,外散寒邪内清郁热,去其爪牙,促邪外透。中医药治疗流感关键在于注重初期和重症的治疗,把住气分关,截断扭转,避免轻症转为重症。关键词：流行性感冒;四时外感;表寒里热;卫气同病;辛凉解表
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发布时间：2023-04-10 - 摘要：回顾秦汉时期的经典医学文献,从病名、发病状况、病因、临床表现、治则治法、预防等方面论述这一时期医家对流行性感冒（以下简称"流感"）的认识。秦汉时期未提出"流感"这一病名,但有诸多病名属于该范畴。在当时的背景下,大规模传染病发生次数多、死亡率高,医家充分认识到气候对流感发病的影响,同时提出了邪气从口鼻入的观点,认为治则治法应包含扶正与祛邪两方面,在预防方面则更加重视固护正气,此外,当时政府的防护措施也值得借鉴。关键词：流行性感冒;秦汉医学;中医古籍
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发布时间：2023-04-10 - 摘要：明清医学是中医发展史上的一个重要时期,中医基础理论和临床研究在这一阶段得到全面发展。这一时期出现了很多著作对伤寒进行了新的阐述补充,如《通俗伤寒论》《伤寒大白》《伤寒辨类》等,且温病学迅速发展,涌现了一批以吴又可、叶天士、薛生白、吴鞠通、王孟英等为代表的温病学家,在治疗疫病包括流行性感冒（以下简称"流感"）方面均有深入的临床研究。回顾明清时期中医文献探讨"辨伤寒,析温病""辨寒热,析表里""辨外感,析内伤"在流感辨治中的重要性,为中医药诊治流感提供参考。关键词：流行性感冒;明清医学;辨证治疗
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发布时间：2023-04-10 - 摘要：流行性感冒（以下简称"流感"）中医病机复杂,对其辨证历代医家认识不同。伤寒六经辨证最早揭示了外感热病包括流感病的传变规律,认为外感热病是"伤于寒"所致。明清时期医家通过临床发现了伤寒学的一些不足,补充了伤寒对某些疾病包括流感病的认识,如叶天士和吴鞠通基于《内经》分别创立卫气营血辨证和三焦辨证,为温病包括流感病提供了辨治方法。从伤寒六经、卫气营血、三焦三方面探讨,为中医药防治流感提供思路。关键词：流行性感冒;中医病机;辨证体系
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发布时间：2023-04-10 - 摘要：2017—2018年冬春季流行性感冒（以下简称"流感"）活动强度强于往年,甲、乙型流感病毒同时流行,但临床表现仍符合季节性流感的基本特征。流感病机为机体正气不足,疫毒外袭,加之七情内伤、饮食不节或气候骤变而致邪袭卫表,郁里化热,壅塞肺卫而致病。治疗当先辨表邪之轻重,表邪重者解表为主,兼清里热;表邪轻而里热重者,清凉之中亦当加入疏风透散之品,使邪有出路。本病预防当注意空气流通,寒温适宜,规律饮食,适当锻炼,并可适量口服中药代茶饮预防。关键词：流行性感冒;病因病机;防治;中医药
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发布时间：2023-04-10 - 摘要：Objective To observe and analyze the characteristics of TCM syndromes of influenza-like cases in Beijing from the end of2016 to early 2017. Methods A cross-sectional survey method was used to study 1 224 influenza-like cases received by Chaoyang Hospital affiliated to the Capital Medical University and another 4 hospitals from Nov. 2016 to Feb. 2017,and through analysis based on epidemiology,the clinical manifestations and laboratory test results,TCM syndrome characteristics of influenza-like cases in the Beijing area in winter and spring 2016/2017 were summarized. Results Of 1 224 influenza-like cases,there were fever（ 97. 5%）,Tmax（ 38. 5 ± 0. 7） ℃ at the beginning with cough and sore throat as the main symptoms. On the visit to the clinic,there were fever,cough accompanied by body ache,running nose and sore throat. TCM syndromes were mainly characterized by wind and heat syndrome in 440 cases（ 35. 9%）,then wind cold syndrome and cold covering fire respectively in 335 cases（ 27. 4%） and 300 cases（ 24. 5%）.There were 740 confirmed flu cases（ 60. 5%） including 732 cases of swine flu（ 59. 8%）,seasonal H3 N2 swine flu（ 54. 1%） was the major part among influenza pathogen A,but subtypes were extremely low. The percentage of neutrophils was slightly higher,and there was not much change compared with that in the past. Conclusion The winter and spring flu-like cases in Beijing from 2016 to 2017 were in line with the category of "wind febrile disease"in Chinese medicine accompanied with the clinical symptoms of simultaneous disorder of Defensive qi and qi.关键词：influenza-like cases;TCM syndrome;wind febrile;Beijing
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发布时间：2023-04-10 - 摘要：Objective To explore the relationship between the number of influenza-like cases with the daily average temperature,daily maximum temperature,daily minimum temperature and daily temperature difference,as well as the relationship between the daily average temperature and TCM symptoms in Beijing in winter and spring of 2016/2017. Methods A cross-sectional survey method was used to collect the influenza-like illness numbers and TCM symptoms in outpatient clinics of 4 hospitals of Beijing from November 14,2016 to February 28,2017,the correlation between the number of their daily incidence and four temperature factors was analyzed respectively,and according to the daily average temperature changes,the cases were divided into rising daily average temperature group and declining daily average temperature group,Chi-square test was used to compare the difference of TCM symptoms between the two groups. Results A total of 1226 influenza-like cases were collected,of them,the male accounted for 45. 4%,the female for 54. 6%,and the age was 40. 0 ± 16. 3 years old including 740 positive cases（ 60. 4%）; there was negative relationship between the daily incidence and the daily average temperature,the daily maximum temperature,and daily minimum temperature,but positive relationship with the daily temperature difference,and there was no difference in TCM symptoms between TCM syndromes of influenza-like cases in rising daily average temperature group and declining daily average temperature group. Conclusion The number of influenza-like cases can be changed differently under the influence of temperature,it may be related to the changes of human activities caused by temperature changes; there is no obvious difference between the symptoms of influenzalike cases caused by rinsing and declining of daily average temperature as all of them have the syndromes of fever,cough and sore throat. The differentiation of it is wind-heat syndrome and falls into the category of "wind febrile".关键词：influenza-like cases;Beijing;syndrome;temperature
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发布时间：2023-04-10 - 摘要：<正>1993年Ramsay提出ICU获得性衰弱（intensive care unit acquired weekness,ICUAW）的概念,ICUAW是ICU患者常见的一种获得性神经肌肉功能障碍的疾病,又称ICU获得性肌无力、ICU获得性神经肌肉疾病、危重病性多发性神经肌病等。临床上根据累及部位的不同分为三类:危重病性关键词：ICU获得性虚弱;痿证;中医辨治策略;中药系列方;述评
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发布时间：2023-04-10 - 摘要：Objective To observe the clinical effects of Zhike Qingfei Decoction on acute cough of pathogenic dryness invading lung syndrome caused by acute tracheal bronchitis. Methods Randomized,paralleled and controlled methods were used to divide patients into experimental group and control group. The control group was given basic treatment and took orally Keyu Syrup,the treatment group was treated with the basic treatment and Zhike Qingfei Decoction taken orally,and the course was five days. The VAS scores of the two groups and the scores of cough and the total clinical effectiveness in and before and after treatment were observed. Results There were no statistical significance in difference among the VAS scores,daytime cough scores,night cough scores comparison between the two groups（ P > 0. 05）,they were all decreased compared with those before the treatment,the differences were statistically significant（ P <0. 01,P < 0. 05）,more obviously decreased in the experiment group than in the control group（ P < 0. 01,P < 0. 05）. To compare the total clinical effectiveness of two groups,the effective rate was 91. 7% in the experimental group and 79. 2% in the control group,and the difference was statistically significant（ P < 0. 05）. Conclusion Zhike Qingfei Decoction can effectively improve cough caused by acute tracheal bronchitis with good clinical effect.关键词：Zhike Qingfei Decoction;acute tracheal bronchitis;acute cough;pathogenic dryness invading lung
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发布时间：2023-04-10 - 摘要：Objective To observe and compare the characteristics of TCM syndromes and APACHE II scores with two mechanical ventilation modes,that is,non-invasive ventilation and invasive ventilation,in acute exacerbation of chronic obstructive pulmonary disease（ COPD） in order to optimize the therapeutic regime and provide evidences for determining the severity and prognosis of the disease. Methods 59 cases of AECOPD in ICU of Wangjing Hospital,China Academy of Chinese Medical Sciences who received mechanical ventilation from June 2014 to June 2016 were divided into non-invasive ventilation group of 32 cases and invasive ventilation group of 27 cases,and TCM syndrome types and APACHE II scores were compared. Results There were 10 cases（ 31. 3%） belonging to excess syndrome,14 cases（ 43. 8%） belonging to deficiency syndrome,8 cases（ 25. 0%） belonging to syndrome of intermingled deficiency and excess in the non-invasive ventilation group; and there were 5 cases（ 18. 5%） of excess syndrome,6 cases（ 22. 2%） of deficiency syndrome,16 cases（ 59. 3%） of syndrome of intermingled deficiency and excess in the invasive ventilation group. APACHE II scores of invasive ventilation group were larger than that of the non-invasive ventilation group,and the difference was statistically significant（ P < 0. 05）. Conclusion Excess syndrome and deficiency syndrome are the majority in the non-invasive ventilation group,and especially lung qi deficiency is the most; while,intermingled deficiency and excess syndrome is the majority in the invasive ventilation group,and lung and spleen qi deficiency and phlegm covering the orifices are the most. Those with the scores above 22 may consider using invasive ventilation,while those with the scores under 15 choosing non-invasive ventilation.关键词：chronic obstructive pulmonary disease（COPD）;acute exacerbation（AE）;mechanical ventilation;TCM syndromes;APACHE Ⅱ scores
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发布时间：2023-04-10 - 摘要：Objective To explore Chinese herbal medicines for oral nursing on detection of sputum culture during ventilator treatment. Methods 141 cases of pneumonia patients using ventilator were divided into control group of 65 cases and experimental group of 76 cases. According to the differentiation of syndromes,the experiment group was given oral nursing with Chinese herbal medicines,for heat syndrome,Yinhua 30 g,Kushen 30 g,and Huangqin 30 g were prescribed and decocted deeply into 200 m L taken two times a day; for cold syndrome,Kushen 30 g,Shechuangzi 30 g,Ganjiang 30 g,and Gancao 30 g were used and deeply decocted into 200 m L. The control group received routine saline f or oral nursing. The positive condition of sputum culture of two groups before and after oral care with invasive ventilator and non-invasive ventilator were observed and compared. Results The rate of positive results of sputum culture before and after the treatment of oral nursing during invasive ventilation and non-invasive ventilation were 38. 46%and 36. 00% respectively in the experimental group,lower than that of the control group which were 100% and 100% respectively.And the differences were statistically significant（ χ2= 31. 179,29. 568; P < 0. 01）. Conclusion The Chinese herbal medicines for oral nursing can reduce the detection rate of sputum culture so as to prevent the occurrence of ventilator-associated pneumonia.关键词：Chinese herbal medicines for oral nursing;ventilator-associated pneumonia;sputum culture;prevention with Chinese herbal medicine
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发布时间：2023-04-10 - 摘要：Objective To investigate the expression of Caveolin-1（ Cav-1） in the tongue tissues of rats with severe acute pancreatitis and the regulating action of Emodin on it. Methods Severe acute pancreatitis model was induced by retrograde injection of 5% sodium taurocholate into the biliopancreatic duct. Male SD rats were randomly divided into model group of sham-operated group（ SO）,severe acute pancreatitis group（ SAP）,and Emodin-treated group（ Emodin）. After model establishment,Emodin was administrated orally in the Emodin group（ 10 mg/kg/each time,twice a day）,while an equal amount of normal saline was administrated in the SAP and SO group. 5 days after model establishment,analysis of histomorphology and expression of Cav-1 protein and mRNA were studied by Transmission Electron Microscope,Western-blot and Q-PCR using tongue tissues,which were collected from 8 sacrificed rats randomly chosen from each group. Results It was shown by Transmission Electron Microscope that pinocytosis bullules of vascular endothelial cell were more increased in the SAP group compared with the SO group,and fewer in the Emodin group. The expressions of Cav-1 and mRNA in the SAP group were increased compared with that of the SO group and the difference of expression was statistically significant（ P < 0. 05）. The expressions of Cav-1 and mRNA were significantly decreased in the Emodin group compared with the SAP group,and the difference of expression was statistically significant（ P < 0. 05）. Conclusion The expression of Cav-1 increases in SAP rats’ tongue tissues; and the intervention of Emodin can down-regulate the expression of Cav-1 and mRNA.关键词：pancreatitis;Emodin;Caveolin-1;rat
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发布时间：2023-04-10 - 摘要：Objective To investigate the effects of Astragalus,Panax notoginseng and their compatibility on the expression of Gli1/2/3,SUFU and Cyclin D1 in precancerous lesions of gastric cancer（ PLGC） rats. Methods Male Wistar rats were randomly divided into control group,model group,Astragalus group,Panax notoginseng group,Astragalus plus Panax notoginseng group,cyclopamine group,Purmorphamine group and folic acid group of 10 each. PLGC model was established by MNNG and treated with the corresponding drugs for 8 weeks. Then,RT-PCR and Western blot were used to observe the expression of Gli1/2/3 mRNA and gene level. Immunofluorescence was used to detect the protein expression of SUFU and Cyclin D1. Results Compared with the control group,Gli-1 mRNA was reduced in the model group（ P < 0. 01）,the protein expression of Gli-2 and Gli-3 were obviously up-regulated（ P <0. 01）; the expression of SUFU protein was strengthened and Cyclin D1 was weakened（ P < 0. 01）. Compared with the model group,Panax notoginseng could increase the expression of Gli-1 mRNA（ P < 0. 05） and reduce the expression of Gli-2/3 and SUFU protein（ P < 0. 05,P < 0. 01）. The compatibility group could improve the expression of Gli-3 and SUFU（ P < 0. 05,P < 0. 01）,while Astragalus group could only reduce SUFU protein expression（ P < 0. 01） and showed no obvious effects on other indexes. Conclusion Panax notoginseng for activating blood circulation can play a role in preventing PLGC by regulating the expression of key factors in hedgehog signaling pathway of stomach mucous of rats with precancerous lesions of gastric cancer（ PLGC） so as to prevent precancerous lesions of gastric cancer.关键词：atrophic gastritis;precancerous lesions;Astragalus;Panax notoginseng;Gli1/2/3;SUFU;CyclinD1
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发布时间：2023-04-10 - 摘要：Objective To study the effects of Shuangxin Biqiu San（ SXBQS） on allergic rhinitis. Methods BN rats were immunized with a mixture of ovalbumin（ OVA） and alum into their peritoneal cavity and OVA into their nasal cavity to establish an allergic reaction（ AR）,and the rats were divided into 6 groups: control,model,CTRZ,SXBQS-high,SXBQS-mid,and SXBQS-low group.Based on behaioral evaluation,the relations of time-effect and dosage-effect in SXBQS treated AR rats were preliminarily discussed and the effects of SXBQS were studied by observing the pathological changes of nasal mucous of rats under microscope and the contents of serum Ig E and histamine were detected. Results Nasal allergic signs could be remarkable alleviated 1 hour after SXBQS were administrated orally,and this effect could last at least for 12 hours. In SXBQS-high and SXBQS-mid groups,the infiltration of inflammatory cells into nasal mucous was inhibited and the mucosal edema was alleviated. In CTRZ group and SXBQS（ high,mid and low） groups,the levels of serum Ig E were decreased compared with that of control group,the difference between the SXBQS high and mid groups with the model group had the statistical significance（ P < 0. 05）; the contents of histamine of SXBQS（ high,mid and low）groups and CTRZ group were lower than that of the model group,and the difference was statistically significant between SXBQS high group and CTRZ with model group（ P < 0. 05）. Conclusion SXBQS can exerts anti-inflammatory edema by suppressing serum Ig E and histamine levels to treat AR.关键词：Allergic rhinitis;Shuangxin Biqiu San;Chinese medicine;anti-allergy;time-effect and dose-effect relationship
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发布时间：2023-04-10 - 摘要：晁恩祥教授在治疗慢性阻塞性肺疾病方面有着丰富的理论和临床经验。其临床辨治思路为四诊合参,八纲辨证,衷中参西;抓主证,标本缓急,分阶段治疗。常用治法有:宣肺止咳,降气化痰平喘法;疏风宣肺,止咳利咽法;益气养阴,降气化痰平喘法;清肺化痰,止咳平喘法;调理肺肾,纳气平喘法;健脾化痰,降气平喘,理气和胃法;降气化痰利水法;温阳散寒,止咳化痰平喘法。其治法灵活,效果显著。关键词：晁恩祥;慢性阻塞性肺疾病;辨治特色;老中医经验
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发布时间：2023-04-10 - 摘要：王霞芳教授认为小儿癫痫病机为脑脉失健、神机失司,常见证型为痰证、瘀证、虚证、热证,治疗宜分期论治。痰证者早期化痰祛痰、中期顺气调气、后期健脾祛痰;瘀证者早期活血化瘀、中期行气散瘀、后期补血行血;虚证者早期益气助运、中期扶正祛邪、后期滋肾补肝;热证者早期清热熄风、中期平肝定痫、后期滋水涵木。关键词：王霞芳;小儿癫痫;中医药疗法;分期论治;名中医经验
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发布时间：2023-04-10 - 摘要：龙骨、牡蛎配伍为中医临床经典药对之一,总结李浩教授运用龙骨牡蛎药对的临床经验。即以中医药基础理论为指导,借鉴现代中药药理学研究成果,取其安魂镇惊、镇静止痒、潜镇肝阳、敛阳入阴、收敛固涩、强筋健骨之效,治疗多种相关疾病,并列举两则医案加以佐证,对临床用药具有指导意义。关键词：李浩;龙骨;牡蛎;药对(对药);名中医经验
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发布时间：2023-04-10 - 摘要：刘秀萍教授认为慢性肾脏病多与水、气、瘀密切相关,尤其表现为水液代谢障碍,水液代谢依赖于肺、脾、肾、肝等脏腑的生理功能。其中,肝为水液代谢的"总司令",与肺相合,肝升肺降,水道通畅;与脾相伍,相克相生,输布津液;与肾相使,疏藏有度,开合有律。肝能调节气机的升降出入、参与血液运行,如此气机条达、血运畅通,则水液代谢无碍。故刘教授多从肝着手论治慢性肾脏病,早期以疏肝活血为主,中期以清肝利水为主,后期根据患者阴阳的偏盛偏衰选择补肝滋阴或暖肝温阳法。整个治疗过程中尤为重视患者情志变化,不忘固护脾胃,用血肉有情之品活血通络,防止久病入络化瘀。关键词：刘秀萍;慢性肾脏病;从肝治肾;名中医经验
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发布时间：2023-04-10 - 摘要：多发性硬化临床特点为病情反复,复发与缓解交替,本病反复发作的临床特点可能与伏邪有关。伏邪分为阴伏邪和阳伏邪,阳伏邪伏于体内,日积月累,日久伤阴,久必及肾,真阴暗耗;阴伏邪伏于体内,经年累月,阳气受损,日久肾阳虚损。阳伏邪暗耗肾阴治以滋补肾阴;阴伏邪伤气治以补益脾气,伤阳治以温壮肾阳,阴阳两虚者滋肾阴温肾阳并举。伏邪在多发性硬化治疗中分为虚实两端,虚主要变现为肾精亏虚,肾虚邪留,治以调其本,去其邪;实主要表现为痰瘀,治以化痰活血。关键词：多发性硬化;伏邪;治疗
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发布时间：2023-04-10 - 摘要：肾病的中医病机复杂,过程多变,兼变证颇多,病变又常涉及多个脏腑,造成脏腑功能失调,三焦气机逆乱,正气虚衰而浊毒肆虐。和解法切中肾病寒热虚实错杂、气机逆乱的基本病机,疏解少阳三焦之枢机,恢复脏腑正常的升降出入,助正达邪,在中医治疗肾病中应用颇广。临床应用以和解少阳、通利三焦为正治,或兼用"分消上下",或兼用"通下"法,或兼用"凉血化瘀",治疗多种肾病常获显著疗效。从少阳三焦病机与肾病病机的关系、和解法治疗肾病的历史沿革、和解法治疗肾病的临床应用要点进行阐述和探讨。关键词：和解法;肾病;中医药疗法
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发布时间：2023-04-10 - 摘要：目的运用中医传承辅助平台,分析和总结中国期刊全文数据库（CKNI）、万方数据知识服务平台（WANFANG）及中文科技期刊数据库（VIP）中治疗类风湿关节炎（RA）的针刺取穴规律。方法筛选CKNI、WANFANG、VIP中针刺治疗RA的临床文献,利用中医传承辅助平台的数据挖掘功能,分析并总结针刺治疗RA的取穴规律。结果纳入符合标准的针刺治疗RA文献143篇,得到治疗RA穴位处方132个,涉及穴位118个,演化出34个穴位的核心组合22个,形成新处方11个。结论 RA针刺治疗重视局部选穴,强调辨证取穴,阳经腧穴及特定穴是选穴的主体。关键词：类风湿关节炎;中医传承辅助平台;关联规则;取穴规律
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发布时间：2023-04-10 - 摘要：目的用循证医学方法评价中西医结合治疗特发性肺间质纤维化（IPF）的临床疗效。方法检索各资料库的最早起始日期至2016年8月期间发表的中西医结合治疗IPF的随机对照试验文献,根据改良Jadad质量评分评估工具评价文献研究,采用Cochrane协作网提供的Revman 5.2软件进行异质性检验、Meta分析、偏倚性分析。对于无法进行Meta分析的文献或数据进行定性描述。结果纳入的20个随机对照试验Meta分析显示:中西医结合治疗IPF较单纯西医治疗可显著提高中医证候的总有效率、西医的总有效率,在改善用力肺活量（FVC）、肺总量（TLC）、一口气测定法一氧化碳弥散量（DLCO SB）、氧分压（Pa O2）方面较单纯西医治疗更有效。结合漏斗图提示没有明显的发表偏倚。结论文献分析显示中西医结合治疗IPF有一定的优势,但高质量的研究文献较少。关键词：特发性肺间质纤维化;中西医结合治疗;系统评价;Meta分析
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发布时间：2023-04-10 - 摘要：目的观察针刺"语泉穴"治疗中风后吞咽障碍的临床疗效。方法将60例中风后吞咽困难患者分为治疗组和观察组,每组30例。治疗组采用针刺"语泉穴"治疗,对照组采用低频电刺激治疗,比较2组临床疗效。结果治疗组总有效率为93.33%,对照组为83.33%,差异有统计学意义（P<0.05）。结论针刺"语泉穴"治疗中风后吞咽障碍疗效显著。关键词：中风;吞咽障碍;语泉穴;针刺;疗法
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发布时间：2023-04-10 - 摘要：目的探讨小针刀配合推拿治疗早中期膝关节骨性关节病的临床疗效。方法 108例早中期膝关节骨性关节病患者按随机数字表法分为观察组和对照组各54例。对照组予推拿治疗,观察组予小针刀配合推拿治疗,比较2组临床治疗效果。结果观察组痊愈24例,显效14例,有效13例,无效3例,总有效率为94.44%;对照组痊愈15例,显效17例,有效11例,无效11例,总有效率为79.63%,2组比较差异有统计学意义（P<0.05）。2组VAS及Lysholm评分比较,观察组明显优于对照组（P<0.05）。观察组未见不良反应。结论小针刀配合推拿治疗早中期膝关节骨性关节病疗效确切,且操作简单安全、患者痛苦小,具有较好的临床应用价值。关键词：小针刀;推拿;膝关节骨性关节病;早中期;临床疗效
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发布时间：2023-04-10 - 摘要：目的观察津力达颗粒对肥胖的2型糖尿病患者血压及体脂的影响。方法选取2012年1月—2014年12月门诊和住院的肥胖2型糖尿病患者74例,采用随机数字表法分为观察组34例和对照组40例。对照组采用常规治疗,观察组在对照组基础上加用津力达颗粒治疗。2组均连续治疗24周。比较治疗前后2组患者血糖、血压、体脂含量情况。结果治疗后2组血糖、血压及体脂含量均较治疗前降低,差异有统计学意义（P<0.01）;观察组血糖、血压降低更显著（P<0.05）,2组体脂下降差异无统计学意义（P>0.05）。结论津力达颗粒能有效降低血糖、血压并改善体脂状况,是一种较理想的治疗2型糖尿病的中成药物。关键词：2型糖尿病;血糖;血压;体脂;津力达颗粒
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发布时间：2023-04-10 - 摘要：<正>放射性口腔炎是放疗常见的不良反应之一,在头颈部恶性肿瘤常规放疗患者中,放射性口腔炎平均发生率为80%[1]。放射性口腔炎分为急性与慢性两种[2],急性放射性口腔炎即口腔黏膜受到电离辐射（X、γ、中子及电子束辐射等）超过该器官阈剂量6个月内引起的急性口腔黏膜反应;慢关键词：放射性口腔炎;恶性肿瘤;中医治疗;文献综述
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发布时间：2023-04-10
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