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Zhongguo Zhong Yao Za Zhi ; 46(16): 4265-4273, 2021 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-34467741


To systematically evaluate the efficiency and safety of Tanreqing Injection in the treatment of stroke-associated pneumonia(SAP). Seven domestic and foreign databases(CNKI, Wanfang, VIP, CBM, PubMed, Cochrane Library, EMbase) were retrieved from the establishment to July 2020. According to the inclusion and exclusion criteria, randomized controlled trial of the effect of Tanreqing Injection in the treatment of SAP was selected. NoteExpress software was used to screen out literatures. RevMan 5.4 software was used for data analysis. GRADE system was used to evaluate the evidence quality of the outcome indicators. A total of 1 755 cases in 21 studies were retrieved, including 879 cases in experimental group and 876 cases in control group. In general, the quality of stu-dies received was not high. According to Meta-analysis,(1) in terms of shortening the length of hospital stay, Tanreqing Injection combined with conventional western medicine was better than conventional western medicine(MD=-4.04, 95%CI[-4.43,-3.65], P<0.000 01);(2) in terms of increasing effective rate, Tanreqing Injection combined with conventional western medicine was better than conventional western medicine(RR=1.22, 95%CI[1.17, 1.27], P<0.000 01);(3) in terms of reducing inflammation indicators, Tanreqing Injection combined with conventional western medicine was better than conventional western medicine(MD_(CRP)=-10.75, 95%CI[-15.61,-5.88], P<0.000 01; MD_(WBC count)=-1.62, 95%CI[-2.55,-0.69], P=0.000 6; MD_(PCT)=-0.58, 95%CI[-0.89,-0.26], P=0.000 3];(4) in terms of improving symptoms and signs, Tanreqing Injection combined with conventional wes-tern medicine was better than conventional western medicine(MD_(cough)=-2.73, 95%CI[-4.93,-0.53], P=0.02; MD_(antipyretic)=-1.07, 95%CI[-1.17,-0.98), P<0.000 01];(5) in terms of decreasing the NIHSS scores, Tanreqing Injection combined with conventional western medicine was better than conventional western medicine(MD=-3.02, 95%CI[-4.91,-1.13], P=0.002);(6) in terms of adverse reactions, there was no statistically significant difference between Tanreqing Injection combined with conventio-nal western medicine compared with conventional western medicine treatment(RR=1.19, 95%CI[0.61,2.29], P=0.61). GRADE system showed that the evidence levels of above outcome indicators were low and extremely low. The results proved that Tanreqing Injection combined with conventional western medicine had a good advantage in the treatment of SAP, with better observation indicators better than western medicine conventional treatment, and no increase in the incidence of adverse reactions. However, this study had certain limitations. The overall quality of the included studies was low, which affected the reliability of the results. Therefore, the conclusions of this study shall be used cautiously.

Medicamentos de Ervas Chinesas , Pneumonia , Acidente Vascular Cerebral , Humanos , Pneumonia/tratamento farmacológico , Reprodutibilidade dos Testes , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/tratamento farmacológico
Huan Jing Ke Xue ; 38(1): 382-388, 2017 Jan 08.
Artigo em Chinês | MEDLINE | ID: mdl-29965070


Bioaccumulation factor (BAF) plays a key role in identification of bioaccumulative substance and in assessment of chemical risks.In order to reveal the bioaccumulation behavior of fish in Dongjiang River,sediment,water and fish samples were collected from Dongjiang River and PBDEs,DBDPE,DP,TBBPA and HBCDs were measured.The ranges of lgBAF were 5.0-7.4,6.1-7.1,4.6-7.9,2.6-4.6 and 4.8-7.7,respectively.In the present study,most HFRs had a lgBAF of higher than 3.7,which suggested that they might be bioaccumulative.The BAF values of HFRs increased with increasing lgKow,when lgKow>7,the bioaccumulation extent decreased with the increase of lgKow.Biotransformation of γ-HBCD toward α-HBCD and the metabolism of BDE66 and BDE99 of these isomers might attribute to the deviation from the general trend predicted by Kow.More attention should be paid to DBDPE,since its BAF value was higher than that of BDE209.The BSAF values of most PBDEs,DBDPE,DP,TBBPA and HBCDs congeners in three fish species were less than 1,indicating that these compounds were unlikely to become a source of pollution to the aquatic organisms due to the poor bioavailability.

Monitoramento Ambiental , Peixes , Retardadores de Chama/análise , Poluentes Químicos da Água/análise , Animais , China , Éteres Difenil Halogenados/análise , Rios
Huan Jing Ke Xue ; 37(7): 2539-2546, 2016 Jul 08.
Artigo em Chinês | MEDLINE | ID: mdl-29964460


The concentrations and partitioning of Halogented Flame Retardants (HFRs) were measured in industrial water of Dongjiang River. Polybrominated biphenyl ether (PBDEs) was the predominant pollutant accounting for 41.0% of the HFRs, dominated by BDE209 in the particulate phase, with the concentration ranging from 1102.3-3666.9 pg·L-1. The concentrations of Tetrabromobisphenol A (TBBPA) ranged from 1120.9-2856.5 pg·L-1, accounting for 32.4% of total halogenated flame retardants. The concentrations of other flame retardants, such as Decabromodiphenyl ethane(DBDPE), dechlorane plus (DP) and Hexabromocyclododecanes (HBCDs), accounting for 16.3%, 7.3% and 3.0%, were in the ranges of 397.7-1736.8, 235.7-778.1 and 9.5-266.8 pg·L-1, respectively. PBDEs, DBDPE, DP and HBCDs mainly existed in the particle phase, while TBBPA mainly existed in the dissolved phase due to its higher water solubility. Significant correlation between lgKoc and lgKow of HFRs was observed in the partitioning between the particulate phase and dissolved phase, but the observed organic carbon partition coefficients (lgKoc) were different from the predicted organic carbon partition coefficient (lgKoc), which may be controlled by the suspended particulate matter (SPM) content and dissolved organic carbon (DOC). In addition, whether the equilibrium was attained between dissolved phase and particle phase is another influencing factor for the observation.