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Optimization of Polysaccharides Extraction from Physalis alkekengi L. Peel and Its Effect on the Expression of Inflammation-Related Proteins in SW620 Cells 多糖提取的优化及其对 SW620 细胞中炎症相关蛋白表达的影响
Pub Date : 2024-08-09 DOI: 10.26689/par.v8i4.7906
Dan Shao, Chengxin Hao, Yubi Mei, Jiaxin Xu, Tianjiao Wang, Wei Yang, Jiamei Wu
Objective: To establish an optimized aqueous extraction process for polysaccharides from Physalis alkekengi L. peel and to preliminarily explore its in vitro anti-inflammatory activity against colorectal cancer SW620 cells. Methods: A single-factor test combined with orthogonal test analysis was used to evaluate the effects of the material-to-liquid ratio, extraction temperature, and extraction time on the yield of polysaccharides from Physalis alkekengi L. peel. The antioxidant activity of the polysaccharides was assessed by analyzing their free radical scavenging ability in vitro, and the anti-inflammatory effect was evaluated using SW620 cells. Results: The optimal extraction conditions were a material-to-liquid ratio of m(g):V(mL) = 1:30, an extraction temperature of 100°C, and an extraction time of 40 minutes, with a predicted polysaccharide yield of 25.7%. The polysaccharides from Physalis peruviana peel effectively scavenged DPPH, superoxide anion, and hydroxyl radicals. After treatment with Physalis peruviana polysaccharides, the levels of IL-1β, IL-18, and TNF-α in the cell culture medium were significantly reduced, and the phosphorylation level of P65 protein in SW620 cells was decreased. Conclusion: This extraction method is stable and reliable, and the prepared Physalis alkekengi L. polysaccharides exhibit significant in vitro antioxidant and anti-inflammatory activities. This study provides a theoretical basis for developing drugs for the prevention and treatment of colorectal cancer.
目的建立从黄皮中提取多糖的优化水提取工艺,并初步探索其对大肠癌 SW620 细胞的体外抗炎活性。方法:采用单因素试验结合正交试验分析法评价料液比、萃取温度和萃取时间对黄柏多糖产量的影响。通过分析多糖在体外清除自由基的能力来评估其抗氧化活性,并利用 SW620 细胞评估其抗炎效果。结果表明最佳萃取条件为料液比 m(g):V(mL) = 1:30、萃取温度 100°C、萃取时间 40 分钟,预测多糖得率为 25.7%。秘鲁苦蘵果皮多糖能有效清除 DPPH、超氧阴离子和羟基自由基。经酸浆多糖处理后,细胞培养基中的 IL-1β、IL-18 和 TNF-α 水平明显降低,SW620 细胞中 P65 蛋白的磷酸化水平也有所下降。结论该提取方法稳定可靠,制备的黄柏多糖具有明显的体外抗氧化和抗炎活性。本研究为开发预防和治疗结直肠癌的药物提供了理论依据。
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引用次数: 0
Clinical Effect of Tislelizumab Combined with Chemotherapy in the Treatment of Stage IIIb–IV Non-Small Cell Lung Cancer Tislelizumab 联合化疗治疗 IIIb-IV 期非小细胞肺癌的临床效果
Pub Date : 2024-08-09 DOI: 10.26689/par.v8i4.7901
Jie Jiang
Objective: To analyze the therapeutic effect of tislelizumab combined with chemotherapy in patients with stage IIIb–IV non-small cell lung cancer (NSCLC). Methods: A total of 50 patients with stage IIIb–IV NSCLC admitted between January 2022 and January 2024 were randomly divided into two groups using a random number table. The observation group included 25 cases treated with tislelizumab combined with chemotherapy, while the reference group included 25 cases treated with conventional chemotherapy. The clinical control rate, adverse reaction rate, tumor markers, immune function indicators, and quality of life scores were compared between the two groups. Results: The observation group had a higher clinical control rate and a lower adverse reaction rate compared to the reference group (P < 0.05). Before treatment, there were no significant differences in tumor markers, immune function indicators, and quality of life scores between the two groups (P > 0.05). Three months after treatment, the tumor marker levels in the observation group were lower than those in the reference group. Except for CD8+, all immune function indicators in the observation group were higher than those in the reference group, and the quality-of-life scores in the observation group were higher than those in the reference group (P < 0.05). Conclusion: Implementing tislelizumab combined with chemotherapy in patients with stage IIIb–IV NSCLC can improve the clinical control rate, reduce the adverse reaction rate, lower tumor marker levels, protect immune function, and improve quality of life.
目的分析替斯利珠单抗联合化疗对 IIIb-IV 期非小细胞肺癌(NSCLC)患者的治疗效果。研究方法采用随机数字表法将2022年1月至2024年1月期间收治的50例IIIb-IV期NSCLC患者随机分为两组。观察组包括25例接受替斯利珠单抗联合化疗的患者,参照组包括25例接受常规化疗的患者。比较两组的临床控制率、不良反应率、肿瘤标志物、免疫功能指标和生活质量评分。结果显示与参照组相比,观察组的临床控制率更高,不良反应率更低(P < 0.05)。治疗前,两组的肿瘤标志物、免疫功能指标和生活质量评分无明显差异(P > 0.05)。治疗三个月后,观察组的肿瘤标志物水平低于参照组。除 CD8+ 外,观察组的所有免疫功能指标均高于参照组,观察组的生活质量评分高于参照组(P < 0.05)。结论对IIIb-IV期NSCLC患者实施替斯利珠单抗联合化疗可提高临床控制率,降低不良反应率,降低肿瘤标志物水平,保护免疫功能,改善生活质量。
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引用次数: 0
The Role of ZNF207 in Liver Hepatocellular Carcinoma: Expression Analysis and Prognostic Implications ZNF207 在肝脏肝细胞癌中的作用:表达分析和预后意义
Pub Date : 2024-08-09 DOI: 10.26689/par.v8i4.7894
Chengrui Peng, Linfei Wu, Xiaofang Yang, Hanyun Yao, Yan Xie
Objective: To analyze the expression and clinical significance of the zinc finger protein ZNF207 gene in liver hepatocellular carcinoma (LIHC) based on The Cancer Genome Atlas (TCGA) database. Methods: The mRNA sequencing data of 371 cases of primary liver cancer, 50 cases of normal tissues, and 3 cases of recurrent liver cancer were downloaded from the TCGA database. The corresponding clinical information of the 371 cases of hepatocellular carcinoma was subsequently analyzed. The difference in ZNF207 expression between normal and tumor tissues was analyzed using the UALCAN online database. The impact of ZNF207 expression on survival prognosis was assessed using the Kaplan-Meier method in R software. The GO and KEGG pathways of ZNF207 were analyzed. The Cox proportional hazards model was used to evaluate the prognostic factors of patients with LIHC. RT-qPCR was employed to verify the expression of ZNF207 in LIHC cells. Results: ZNF207 was highly expressed in LIHC tissues and HepG2 cells, with a significant difference (P <  0.05). Multivariate Cox regression analysis revealed that patients with high ZNF207 expression had a significantly shorter overall survival time compared to those with low ZNF207 expression (HR = 1.466, 95% CI: 1.011–2.126, P < 0.05). GO enrichment analysis suggested that ZNF207 may influence the onset and progression of hepatocellular carcinoma by regulating mRNA splicing and mRNA transcription processing through the spliceosome. KEGG pathway enrichment analysis indicated that ZNF207 might affect the onset and progression of hepatocellular carcinoma through mitophagy, mRNA surveillance, homologous recombination, spliceosome, and nuclear-cytoplasmic transport. Conclusion: The expression of ZNF207 may be an independent predictor of the prognosis of patients with LIHC and could influence the development of hepatocellular carcinoma through various gene functions and pathways. It has the potential to serve as a novel molecular marker for predicting the prognosis of hepatocellular carcinoma.
目的基于癌症基因组图谱(TCGA)数据库,分析锌指蛋白ZNF207基因在肝肝细胞癌(LIHC)中的表达及临床意义。研究方法从TCGA数据库下载371例原发性肝癌、50例正常组织和3例复发性肝癌的mRNA测序数据。随后分析了 371 例肝癌的相应临床信息。利用 UALCAN 在线数据库分析了正常组织和肿瘤组织中 ZNF207 表达的差异。用R软件中的Kaplan-Meier法评估了ZNF207表达对生存预后的影响。分析了ZNF207的GO和KEGG通路。采用Cox比例危险模型评估LIHC患者的预后因素。采用 RT-qPCR 验证 ZNF207 在 LIHC 细胞中的表达。结果显示ZNF207在LIHC组织和HepG2细胞中高表达,差异显著(P < 0.05)。多变量 Cox 回归分析显示,ZNF207 高表达患者的总生存时间明显短于 ZNF207 低表达患者(HR = 1.466,95% CI:1.011-2.126,P <0.05)。GO富集分析表明,ZNF207可能通过剪接体调控mRNA剪接和mRNA转录处理,从而影响肝细胞癌的发生和发展。KEGG通路富集分析表明,ZNF207可能通过有丝分裂、mRNA监控、同源重组、剪接体和核-胞质转运影响肝细胞癌的发生和发展。结论ZNF207的表达可能是预测LIHC患者预后的独立指标,并可通过各种基因功能和途径影响肝细胞癌的发展。它有望成为预测肝细胞癌预后的新型分子标记物。
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引用次数: 0
Targeted Therapy of CEA-CAR-NK Cells Against Colorectal Cancer Cells 针对结直肠癌细胞的 CEA-CAR-NK 细胞靶向疗法
Pub Date : 2024-07-17 DOI: 10.26689/par.v8i4.7607
Xinyu Zheng, Xiaomeng Chen, Xingzhou Xia, Wenzhen Wang, Qian Liu
Objective: Investigate the cytotoxic effect of CAR-NK cells targeting CEA on colorectal cancer cells with positive CEA expression. Methods: The mRNA and protein levels of CEA in different CRC cell lines were detected by qRT-PCR and Western blot analysis. Lentiviral transduction was used to construct CAR-NK cells and empty vector CON-NK cells targeting CEA. Fluorescence microscopy and WB were used to determine whether the cells successfully constructed and expressed CAR structures. The effector NK cells were co-cultured with target cells, and the levels of LDH, IFN-γ, and GM-CSF were detected. The killing rate of effector cells was calculated, and the release of cytokines during the killing of target cells by different effector cells was compared. Results: The expression level of CEA in colorectal cancer patients was significantly higher than that in normal samples and other tumor samples, and the prognosis survival time of patients with high CEA expression was lower than that of CRC patients with low or no CEA expression (P < 0.05). The CEA expression of the HT29 cell line was significantly higher than that of the SW1116 cell line at both the mRNA and protein levels. CEA-CAR-NK92 cells and CON-NK92 cells expressed green fluorescence under a microscope, and WB results showed that CEA-CAR-NK92 cells successfully expressed the CAR structure. Compared with CON-NK92 cells and NK92 cells, CEA-CAR-NK92 cells effectively killed HT29 cells (P < 0.05). CEA-CAR-NK92 cells secreted a large amount of IFN-γ and GM-CSF during the killing of HT29 cells, while the cytokine secretion of CON-NK92 cells and NK92 cells was not significant (P < 0.05). Conclusion: CAR-NK92 cells targeting CEA can effectively kill CEA-positive colorectal cancer cells.
目的研究靶向 CEA 的 CAR-NK 细胞对 CEA 阳性表达的结直肠癌细胞的细胞毒作用。方法通过 qRT-PCR 和 Western 印迹分析检测不同 CRC 细胞系中 CEA 的 mRNA 和蛋白水平。慢病毒转导用于构建靶向 CEA 的 CAR-NK 细胞和空载体 CON-NK 细胞。荧光显微镜和WB检测细胞是否成功构建并表达CAR结构。将效应 NK 细胞与靶细胞共培养,检测 LDH、IFN-γ 和 GM-CSF 的水平。计算效应细胞的杀伤率,并比较不同效应细胞杀伤靶细胞过程中细胞因子的释放情况。结果结直肠癌患者 CEA 的表达水平明显高于正常样本和其他肿瘤样本,且 CEA 高表达患者的预后生存时间低于 CEA 低表达或无表达的 CRC 患者(P < 0.05)。HT29 细胞株的 CEA 表达在 mRNA 和蛋白水平上都明显高于 SW1116 细胞株。CEA-CAR-NK92细胞和CON-NK92细胞在显微镜下均表达绿色荧光,WB结果显示CEA-CAR-NK92细胞成功表达了CAR结构。与 CON-NK92 细胞和 NK92 细胞相比,CEA-CAR-NK92 细胞能有效杀死 HT29 细胞(P < 0.05)。在杀死 HT29 细胞的过程中,CEA-CAR-NK92 细胞分泌了大量的 IFN-γ 和 GM-CSF,而 CON-NK92 细胞和 NK92 细胞的细胞因子分泌量并不显著(P < 0.05)。结论靶向CEA的CAR-NK92细胞能有效杀死CEA阳性结直肠癌细胞。
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引用次数: 0
The Value of MRI and CT in the Diagnosis of Retroperitoneal Tumours 核磁共振成像和 CT 在诊断腹膜后肿瘤中的价值
Pub Date : 2024-07-11 DOI: 10.26689/par.v8i4.7518
Xinlian Jin, Ying Zhou
Objective: This study aimed to investigate the effectiveness and value of MRI and CT in the diagnosis of retroperitoneal tumours. Methods: 60 patients with retroperitoneal tumours admitted to our hospital between July 2022 and March 2023 were selected as the study subjects. All of them received MRI and CT examinations. The detection of the two examination methods was compared and analyzed using the pathological findings as the standard. Results: The detection rate of MRI (58/60, 96.67%) was significantly higher than that of CT (50/60, 83.33%), and the difference was significant (P = 0.015 < 0.05). Conclusion: Both MRI and CT have important application values in the diagnosis of retroperitoneal tumours. MRI has advantages in observing soft tissue structures, nerve tissues, etc., and can provide more detailed anatomical structure information, which can help differentiate the retroperitoneal tumours and locate them accurately. CT, on the other hand, has unique advantages in observing the skeletal structure and the density of certain tumours, etc. It can quickly obtain comprehensive imaging information, which helps to determine the extent and invasion of the tumour.
研究目的本研究旨在探讨 MRI 和 CT 在腹膜后肿瘤诊断中的有效性和价值。方法:选取我院 2022 年 7 月至 2023 年 3 月期间收治的 60 例腹膜后肿瘤患者作为研究对象。所有患者均接受了核磁共振和 CT 检查。以病理结果为标准,比较分析两种检查方法的检出率。结果显示MRI 的检出率(58/60,96.67%)明显高于 CT 的检出率(50/60,83.33%),且差异显著(P = 0.015 < 0.05)。结论MRI 和 CT 在腹膜后肿瘤的诊断中都有重要的应用价值。MRI在观察软组织结构、神经组织等方面具有优势,能提供更详细的解剖结构信息,有助于腹膜后肿瘤的鉴别和准确定位。而 CT 在观察骨骼结构、某些肿瘤的密度等方面具有独特的优势。它能快速获得全面的成像信息,有助于确定肿瘤的范围和侵犯情况。
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引用次数: 0
Analysis of the Clinical Value of Immunohistochemical Testing in the Pathological Diagnosis of Breast Cancer 免疫组化检验在乳腺癌病理诊断中的临床价值分析
Pub Date : 2024-07-10 DOI: 10.26689/par.v8i4.7494
Qiushuang Ma, Jirui Sun, Haizhi Qiao, Xueli Wang, Jinku Zhang
Objective: To investigate the clinical value of immunohistochemistry (IHC) detection in the pathological diagnosis of breast cancer. Methods: Eighty breast cancer patients admitted to Baoding No. 1 Central Hospital from June 2022 to June 2023 were selected as study subjects. The samples were divided into a positive group (40 cases) and a negative group (40 cases) according to ER and PR test results. Immunohistochemistry was performed on all patients to compare the differences between the two groups in C-erbB-2 positive expression and axillary lymph node metastasis. Results: The positive expression rate of C-erbB-2 in the positive group (35.00%) was significantly lower than that in the negative group (80.00%), with a highly significant difference (P < 0.001). The axillary lymph node metastasis rate in the positive group (40.00%) was significantly lower than that in the negative group (75.00%), with a significant difference (P < 0.05). Conclusion: Immunohistochemical detection in breast cancer pathology enhances diagnostic accuracy, predicts prognosis, and supports personalized treatment by identifying ER, PR, and C-erbB-2. It is worth being widely adopted in clinical practice.
目的:探讨免疫组化(IHC)检测在乳腺癌病理诊断中的临床价值:探讨免疫组化(IHC)检测在乳腺癌病理诊断中的临床价值。方法选取 2022 年 6 月至 2023 年 6 月保定市第一中心医院收治的 80 例乳腺癌患者作为研究对象。根据ER和PR检测结果将样本分为阳性组(40例)和阴性组(40例)。对所有患者进行免疫组化,比较两组患者在C-erbB-2阳性表达和腋窝淋巴结转移方面的差异。结果阳性组 C-erbB-2 阳性表达率(35.00%)明显低于阴性组(80.00%),差异有显著性(P < 0.001)。阳性组的腋窝淋巴结转移率(40.00%)明显低于阴性组(75.00%),差异有显著性(P < 0.05)。结论乳腺癌病理中的免疫组化检测可通过鉴别ER、PR和C-erbB-2提高诊断准确性、预测预后并支持个性化治疗。值得在临床实践中广泛采用。
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引用次数: 0
Research on the Progress of Treating Gastroesophageal Reflux Disease with Modified Classic Traditional Chinese Medicine Prescription 改良经典中药方剂治疗胃食管反流病的进展研究
Pub Date : 2024-06-04 DOI: 10.26689/par.v8i3.7079
Haojie Fu, Yahui Huang, Xiaonan Shi
Gastroesophageal reflux disease (GERD) is a high-incidence digestive system disease. Western medicine mainly uses drugs such as proton pump inhibitors to inhibit gastric acid secretion, but some patients are accompanied by symptoms such as non-acid reflux and gas reflux, which cannot effectively treat the disease. It is necessary to actively explore other treatment schemes. Traditional Chinese medicine (TCM) has a long history of research on gastroesophageal reflux disease, which emphasizes the treatment based on syndrome differentiation as a whole. Through the treatment of various and multi-component TCM prescriptions, the patient’s body condition can be adjusted, and the treatment effect on gastroesophageal reflux disease is reliable, which has obvious therapeutic advantages. To further clarify the treatment of gastroesophageal reflux disease, this study reviewed and analyzed the research progress of the treatment of liver disease with modified prescriptions, and the report is as follows.
胃食管反流病(GERD)是一种高发的消化系统疾病。西医主要采用质子泵抑制剂等药物抑制胃酸分泌,但部分患者伴有非酸反流、气体反流等症状,不能有效治疗疾病。有必要积极探索其他治疗方案。中医药对胃食管反流病的研究历史悠久,强调以辨证论治为基础的整体治疗。通过多方面、多组分的中医方剂治疗,可以调整患者的身体状况,对胃食管反流病的治疗效果可靠,具有明显的治疗优势。为进一步明确胃食管反流病的治疗方法,本研究对改良方剂治疗肝病的研究进展进行了回顾与分析,现报告如下。
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引用次数: 0
Role of TSH Inhibition Therapy in the Postoperative Management of Patients with Differentiated Thyroid Cancer TSH 抑制疗法在分化型甲状腺癌患者术后管理中的作用
Pub Date : 2024-04-12 DOI: 10.26689/par.v8i2.6295
Xudong Gao, Bo Zhao, Ya Su, Shenglin He
Objective: To investigate the effect of TSH inhibition therapy in the postoperative management of patients with differentiated thyroid cancer. Methods: Seventy patients diagnosed with differentiated thyroid cancer were selected for the study. TSH inhibition therapy was administered to the research group, while thyroxine replacement therapy was provided to the control group during the postoperative management phase. This allowed for a comparative analysis between the two groups. Results: In comparison with the control group, the research group exhibited significant decreases in serum TSH, T3, and T4 levels after treatment, while FT4 and FT3 levels significantly increased (P < 0.05). Additionally, significant decreases in Tg, VEGF, TSGF, CD44V6, and sIL-2R levels were observed in the research group after treatment (P < 0.05). No significant differences were found in pre-treatment thyroid function between the two groups (P > 0.05). Conclusion: The application of TSH inhibition therapy in the postoperative management of patients with differentiated thyroid cancer demonstrates promising outcomes.
目的研究 TSH 抑制疗法在分化型甲状腺癌患者术后治疗中的效果。研究方法选取 70 名确诊为分化型甲状腺癌的患者作为研究对象。在术后治疗阶段,研究组采用 TSH 抑制疗法,对照组采用甲状腺素替代疗法。这样就可以对两组患者进行比较分析。结果与对照组相比,研究组治疗后血清 TSH、T3 和 T4 水平显著下降,而 FT4 和 FT3 水平显著上升(P < 0.05)。此外,研究组的 Tg、VEGF、TSGF、CD44V6 和 sIL-2R 水平在治疗后明显下降(P < 0.05)。两组患者治疗前的甲状腺功能无明显差异(P > 0.05)。结论在分化型甲状腺癌患者的术后治疗中应用 TSH 抑制疗法具有良好的效果。
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引用次数: 0
Effect of Sequential Early Enteral Nutrition on Postoperative Rehabilitation and Complications in Gastric Cancer Patients 序贯早期肠内营养对胃癌患者术后康复和并发症的影响
Pub Date : 2024-04-10 DOI: 10.26689/par.v8i2.6413
Dongchou Han, Qiya Feng, Yingmei Fu, Feijian Zhang, Dazhen Chen, Junmei Wu
Objective: To analyze the effect of sequential early enteral nutrition in patients with gastric cancer after surgery. Methods: A total of 139 gastric cancer patients, treated between October 2021 and October 2023, were randomly selected and divided into two groups: Group A (68 cases, receiving early enteral nutrition) and Group B (71 cases, receiving sequential early enteral nutrition), using computer randomization. The effects of the interventions on both groups were compared. Results: Seven days post-operation, the levels of nutritional indicators in Group B were significantly higher than those in Group A (P < 0.05). Group B showed significantly better levels of inflammatory factors and immune factors compared to Group A seven days post-operation (P < 0.05). The postoperative complication rate in Group B was 4.23%, significantly lower than that in Group A, which was 16.18% (χ2 = 5.477, P = 0.019). Conclusion: The utilization of sequential early enteral nutrition in gastric cancer patients after surgery demonstrated notable improvements in nutritional status and inflammation markers, along with enhanced immunity, effectively reducing postoperative complications.
目的分析胃癌患者术后连续早期肠内营养的效果。方法随机选取 2021 年 10 月至 2023 年 10 月期间接受治疗的 139 例胃癌患者,将其分为两组:A组(68例,接受早期肠内营养)和B组(71例,接受连续早期肠内营养),采用计算机随机分配法。比较两组干预措施的效果。结果显示术后七天,B 组的营养指标水平明显高于 A 组(P < 0.05)。术后七天,B 组的炎症因子和免疫因子水平明显优于 A 组(P < 0.05)。B 组术后并发症发生率为 4.23%,明显低于 A 组的 16.18%(χ2 = 5.477,P = 0.019)。结论胃癌患者术后使用序贯早期肠内营养可明显改善营养状况和炎症指标,同时增强免疫力,有效减少术后并发症。
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引用次数: 0
Laparoscopic Surgery and Modified Xiaoyan Lidan Decoction: An Effective Combination for Treating Cholecystitis with Cholelithiasis 腹腔镜手术与改良小青囊煎剂:治疗胆囊炎合并胆石症的有效联合疗法
Pub Date : 2023-12-22 DOI: 10.26689/par.v7i6.5613
Sidian Xiao
Objective: To assess the clinical effects of combining laparoscopic surgery with Modified Xiaoyan Lidan Decoction in patients diagnosed with cholecystitis and cholelithiasis. Methods: Following the guidelines of the double-blind method, 86 cases of cholecystitis with cholelithiasis were randomly divided into two groups, each comprising 43 cases. Both groups underwent laparoscopic surgery, with the observation group additionally receiving Modified Xiaoyan Lidan Decoction. A comparative analysis was conducted on clinical treatment effectiveness, general observation indicators, Traditional Chinese Medicine (TCM) syndrome scores, and the occurrence of adverse reactions between the two groups. Results: The observation group demonstrated a significantly higher overall clinical treatment effectiveness compared to the control group (P < 0.05). The clinical symptom improvement time and hospitalization time were shorter in the observation group, and the pain score and TCM syndrome score after treatment were lower than those in the control group (P < 0.05). No statistically significant difference was observed in the total reaction values (P > 0.05). Conclusion: The combined application of laparoscopic surgery and Modified Xiaoyan Lidan Decoction can enhance clinical treatment efficiency for patients with cholecystitis and cholelithiasis. It facilitates a quicker improvement in clinical symptoms without causing serious adverse reactions, suggesting its potential for widespread adoption.
目的评估腹腔镜手术与改良小柴胡汤联合治疗胆囊炎和胆石症患者的临床效果。方法按照双盲法指南,将 86 例胆囊炎合并胆石症患者随机分为两组,每组 43 例。两组均接受腹腔镜手术治疗,观察组加用改良小柴胡汤。对两组的临床治疗效果、一般观察指标、中医证候评分、不良反应发生情况进行对比分析。结果显示观察组临床治疗总有效率明显高于对照组(P<0.05)。观察组临床症状改善时间和住院时间均短于对照组,治疗后疼痛评分和中医综合征评分均低于对照组(P<0.05)。总反应值差异无统计学意义(P>0.05)。结论腹腔镜手术与改良小柴胡汤联合应用可提高胆囊炎、胆石症患者的临床治疗效率。该方法能更快地改善临床症状,且不会引起严重的不良反应,具有广泛应用的潜力。
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引用次数: 0
期刊
Proceedings of Anticancer Research
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