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Genes & Diseases 2024年第3期11卷 102-105页

作者： Jie Ding Shanshan Mei Kaili Wang Wen Cheng Shuai Sun Zhexin Ni Xiaoqiu Wang chaoqin yu Department of Gynecology of Traditional Chinese Medicine Changhai Hospital Affiliated to Naval Medical UniversityShanghai 200433China Obstetrics and Gynecology Department The First Affiliated Hospital of Zhejiang Chinese Medical UniversityHangzhouZhejiang 310006China Department of Pharmaceutical Sciences Beijing Institute of Radiation MedicineBeijing 100850China Obstetrics and Gynecology Hospital of Fudan University Shanghai 200433China

Endometriosis(EM)is a common disease that affects approximately 10%-15%of women of childbearing *** pathogenesis of EM is unclear,but studies have shown a strong association between EM and inflammation,as well as oxidative stress.^(1) Pyroptosis is also called inflammatory cell *** pyroptosis occurs,it activates a strong inflammatory *** is associated with oxidative stress,and Ros act as intermediate triggers to activate pyroptosi.

关键词： inflammatory death oxidative

Can Tibetan medicine Honghua Ruyi pills relieve endometriosisassociated dysmenorrhea?Protocol for a randomized placebocontrolled trial

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Journal of Traditional Chinese Medical Sciences 2024年第1期11卷 78-85页

作者： Mei Han Jiahui Cao Jiali Wei Hui Luo chaoqin yu Xuefang Liang Nyangmotse Guoyan Yang Huilan Du Jianping Liu Centre for Evidence-Based Chinese Medicine Beijing University of Chinese MedicineBeijing 102488China College of Management Beijing University of Chinese MedicineBeijing 102488China College of Acupuncture and Moxibustion Beijing University of Chinese MedicineBeijing 102488China Institute for Tibetan Medicine China Tibetology Research CenterBeijing 100101China Changhai Hospital Naval Medical UniversityShanghai 200433China Department of Gynaecology Guangdong Provincial Hospital of Chinese MedicineGuangdong 510120China Department of Gynaecology Tibetan Medicine Hospital of Qinghai ProvinceXining 810007China NICM Health Research Institute Western Sydney UniversityPenrithNSW 2751Australia College of Integrated Chinese and Western Medicine Hebei University of Chinese MedicineShijiazhuang 050200China

Objective:To provide high-quality clinical evidence of the efficacy of Tibetan medicine Honghua Ruyi(HHRY)pills for endometriosis-associated ***:This study constitutes a multicenter,randomized,double-blind,placebo-controlled trial encompassing a three-menstrual cycle intervention followed by a three-menstrual cycle follow-up period.A total of 164 eligible females with endometriosis-associated dysmenorrhea were randomly divided into HHRY pills and placebo groups in a 1:1 *** primary outcome included dysmenorrhea symptoms assessed using Visual Analog Scale(VAS)scores and quality of life,whereas the secondary outcome measures included the maximum VAS for non-menstrual pelvic pain,duration of pain episodes(in days),frequency and quantity of the consumption of ibuprofen sustained-release capsules(or other non-steroidal anti-inflammatory drugs),and days off work/study for staff/student due to dysmenorrhea,ovarian cyst,and/or pelvic nodule *** safety was monitored throughout the treatment *** the analyses were based on the intention-to-treat *** continuous outcomes,simple or multiple linear regressions were used to estimate the differences between the HHRY pills and placebo groups,with categorical data expressed as the number and percentage of *** were compared using the chi-square test or Fisher's exact *** predefined analysis was adjusted for concomitant treatment,a variable considered to be associated with outcomes but unaffected by treatment *** of treatment effects were reported with 95%confidence ***-tailed P values≤.05 were considered statistically ***:Positive results from this trial,upon completion would provide robust evidence for the efficacy and safety of HHRY pills in treating dysmenorrhea in patients with endometriosis.

关键词： Endometriosis Dysmenorrhea Honghua Ruyi pills Randomized controlled trial Traditional Chinese medicine

补肾活血方调控腹腔巨噬细胞治疗小鼠子宫内膜异位症

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海军军医大学学报 2024年第9期45卷 1059-1068页

作者：毕艳丽俞超芹海军军医大学(第二军医大学)第一附属医院中医妇科上海200433

目的探讨补肾活血方治疗子宫内膜异位症(EM)的免疫学机制。方法通过将供体小鼠子宫内膜碎片注射入受体小鼠腹腔的方法构建EM小鼠模型,造模后将EM小鼠随机分为模型组、孕三烯酮组、补肾活血方组,每组8只。孕三烯酮组小鼠以孕三烯酮混悬液... 详细信息

目的探讨补肾活血方治疗子宫内膜异位症(EM)的免疫学机制。方法通过将供体小鼠子宫内膜碎片注射入受体小鼠腹腔的方法构建EM小鼠模型,造模后将EM小鼠随机分为模型组、孕三烯酮组、补肾活血方组,每组8只。孕三烯酮组小鼠以孕三烯酮混悬液(0.325 mg/kg)灌胃、每周2次,补肾活血方组小鼠每日以补肾活血方中药液(43.68 g/kg)灌胃,疗程均为28 d。疗程结束后处死小鼠,通过大体标本和H-E染色观察小鼠异位病灶生长情况,采用Blauer粘连评分系统对小鼠腹腔粘连程度进行评分,采用免疫组织化学染色观察小鼠病灶纤维化标志物的表达,通过ELISA检测小鼠腹腔液中炎症因子水平,利用流式细胞术检测巨噬细胞极化变迁及巨噬细胞吞噬功能变化。结果与模型组相比,补肾活血方组和孕三烯酮组EM小鼠异位病灶体积和腹腔粘连评分降低(均P<0.05),病灶纤维化程度改善,腹腔液中TNF-α、TGF-β1、IL-12水平下调(均P<0.05),腹腔巨噬细胞M2/M1比值降低(均P<0.01),腹腔巨噬细胞的吞噬功能没有明显改变。补肾活血方组EM小鼠上述指标与孕三烯酮组相比无明显差异。结论补肾活血方可能通过调控腹腔巨噬细胞改善小鼠腹腔免疫微环境治疗EM。

关键词：子宫内膜异位症巨噬细胞免疫微环境中医药

俞氏化瘀止血方联合左炔诺孕酮宫内缓释系统治疗子宫腺肌病的前瞻性、随机、双盲、安慰剂对照研究

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海军军医大学学报 2024年第9期45卷 1069-1076页

作者：李彧程雯李森蒋继兰杨思勤孙峰齐英俞超芹许泓上海交通大学医学院附属国际和平妇幼保健院妇科上海200030 上海市胚胎源性疾病重点实验室上海200030 海军军医大学(第二军医大学)第一附属医院中医妇科上海200433

目的探究俞氏化瘀止血方联合左炔诺孕酮宫内缓释系统(LNG-IUS)治疗子宫腺肌病(AM)的疗效及安全性。方法采用前瞻性、随机、双盲、安慰剂对照研究设计,选取2019年12月至2022年12月就诊于上海交通大学医学院附属国际和平妇幼保健院及海军... 详细信息

目的探究俞氏化瘀止血方联合左炔诺孕酮宫内缓释系统(LNG-IUS)治疗子宫腺肌病(AM)的疗效及安全性。方法采用前瞻性、随机、双盲、安慰剂对照研究设计,选取2019年12月至2022年12月就诊于上海交通大学医学院附属国际和平妇幼保健院及海军军医大学(第二军医大学)第一附属医院门诊的AM患者102例,随机分为化瘀方组和安慰剂组进行双盲临床试验,化瘀方组放置LNG-IUS后1个月加用俞氏化瘀止血方治疗,安慰剂组放置LNG-IUS后1个月加用安慰剂治疗,俞氏化瘀止血方和安慰剂均服用3个月。共95例完成随访,其中化瘀方组47例、安慰剂组48例;脱落7例,脱落率为6.86%。比较两组患者的月经失血图(PBAC)评分、子宫点滴出血天数、痛经视觉模拟量表(VAS)评分、子宫体积、血清糖类抗原125(CA125)水平和中医证候量化评分,并进行安全性评价。结果服药3个月后,与安慰剂组相比,化瘀方组患者PBAC评分、点滴出血天数、子宫体积、血清CA125水平、中医证候量化评分均降低(均P0.05)。随访过程中,化瘀方组患者均未接受手术治疗,安慰剂组有2例行手术治疗(其中1例行腹腔镜子宫全切术,1例行腹腔镜子宫腺肌瘤切除术),两组手术率差异无统计学意义(P>0.05)。安慰剂组与化瘀方组均未见明显不良反应。结论俞氏化瘀止血方可明显改善AM患者的点滴出血情况,促进子宫体积缩小,降低血清CA125水平,改善AM中医证候。建议AM患者在放置LNG-IUS后常规服用俞氏化瘀止血方制剂,以减少LNG-IUS的不良反应。

关键词：子宫腺肌病左炔诺孕酮宫内缓释系统俞氏化瘀止血方随机对照试验

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中医妇科学临床教学Mini-CEX的应用

中国中医药现代远程教育 2024年第15期22卷 21-23页

作者：俞瑾俞超芹姚睿嫔张丹英白玲玲海军军医大学中医系中医妇科学教研室上海200433

中医妇科学是一门极具中医特色的临床医学学科,其现有的临床教学模式存在一些不足之处,尚未达到预期的效果。迷你临床演练测评(Mini-CEX)是一种能够切实评价学生临床能力的方法和工具。在中医妇科学的临床教学中应用Mini-CEX可以增强学... 详细信息

中医妇科学是一门极具中医特色的临床医学学科,其现有的临床教学模式存在一些不足之处,尚未达到预期的效果。迷你临床演练测评(Mini-CEX)是一种能够切实评价学生临床能力的方法和工具。在中医妇科学的临床教学中应用Mini-CEX可以增强学生的临床思维整合能力和解决临床实际问题的综合能力,促进学生对基础知识的理解和掌握,实现教学评价方式的多元化,加强课程的管理和改革,全面提升中医妇科学的教学质量。

关键词： Mini-CEX 中医妇科临床教学教学改革

Treadmill exercise improves hippocampal neural plasticity and relieves cognitive deficits in a mouse model of epilepsy

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Neural Regeneration Research 2024年第3期19卷 657-662页

作者： Hang yu Mingting Shao Xi Luo chaoqin Pang Kwok-Fai So Jiandong yu Li Zhang Key Laboratory of CNS Regeneration(Ministry of Education) Guangdong-Hong Kong-Macao Institute of CNS RegenerationJinan UniversityGuangzhouGuangdong ProvinceChina State Key Laboratory of Brain and Cognitive Science Li Ka Shing Faculty of MedicineThe University of Hong KongHong Kong Special Administrative RegionChina Neuroscience and Neurorehabilitation Institute University of Health and Rehabilitation SciencesQingdaoShandong ProvinceChina Department of Neurosurgery The First Affiliated Hospital of Bengbu Medical CollegeBengbuShandong ProvinceChina School of Psychology Shanghai University of SportShanghaiChina

Epilepsy frequently leads to cognitive dysfunction and approaches to treatment remain *** regular exercise effectively improves learning and memory functions across multiple neurological diseases,its application in patients with epilepsy remains ***,we adopted a 14-day treadmill-exercise paradigm in a pilocarpine injection-induced mouse model of *** assays confirmed the improvement of object and spatial memory after endurance training,and electrophysiological studies revealed the maintenance of hippocampal plasticity as a result of physical *** of the mechanisms underlying this effect revealed that exercise protected parvalbumin interneurons,probably via the suppression of neuroinflammation and improved integrity of blood-brain *** summary,this work identified a previously unknown mechanism through which exercise improves cognitive rehabilitation in epilepsy.

关键词： blood-brain barrier cognition hippocampus interneurons long-term potentiation microglial cell neuroinflammation spatial memory temporal epilepsy treadmill exercise

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卵巢癌腹水中西医结合临床诊疗专家共识

Ruxolitinib improves the inflammatory microenvironment,restores glutamate homeostasis,and promotes functional recovery after spinal cord injury

上海中医药杂志 2024年第S01期58卷 17-21页

作者：李鹤张旭应亮茹丹丁忱欢俞超芹张婷婷徐莲薇董莉上海交通大学医学院附属仁济医院上海200127 上海长海医院上海200433 上海中医药大学附属岳阳中西医结合医院上海200437 上海中医药大学附属龙华医院上海200032

腹水是腹膜腔内的过量积液,主要由原发或转移性肿瘤表面裸露的毛细血管渗出导致。恶性肿瘤相关腹水占所有腹水类型的10%,其中又以卵巢癌最为常见。卵巢癌的发病率居女性生殖系统恶性肿瘤第三位,病死率居妇科恶性肿瘤之首[1]。绝大多数... 详细信息

腹水是腹膜腔内的过量积液,主要由原发或转移性肿瘤表面裸露的毛细血管渗出导致。恶性肿瘤相关腹水占所有腹水类型的10%,其中又以卵巢癌最为常见。卵巢癌的发病率居女性生殖系统恶性肿瘤第三位,病死率居妇科恶性肿瘤之首[1]。绝大多数卵巢癌患者初诊时已出现广泛腹腔转移,大量腹水增加腹腔压力,引起不同程度恶心、呕吐、纳差、腹部胀痛、呼吸困难等症状,若不及时控制可进一步诱发心肺功能不全,危及生命。

关键词：卵巢癌腹水海派中医妇科上海专家共识中西医结合

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Neural Regeneration Research 2024年第11期19卷 2499-2512页

作者： Jiang Cao Xiao yu Jingcheng Liu Jiaju Fu Binyu Wang chaoqin Wu Sheng Zhang Hongtao Chen Zi Wang Yinyang Xu Tao Sui Jie Chang Xiaojian Cao Department of Orthopedics The First Affiliated Hospital of Nanjing Medical UniversityNanjingJiangsu ProvinceChina Department of Trauma Surgery Subei People’s Hospital of JiangsuClinical Medical College of Yangzhou UniversityYangzhouJiangsu ProvinceChina Department of Orthopedics Zhongda HospitalSoutheast UniversityNanjingJiangsu ProvinceChina Department of Orthopedic Surgery Nanjing Drum Tower HospitalThe Affiliated Hospital of Medical School of Nanjing UniversityNanjingJiangsu ProvinceChina

The inflammatory microenvironment and neurotoxicity can hinder neuronal regeneration and functional recovery after spinal cord ***,a JAK-STAT inhibitor,exhibits effectiveness in autoimmune diseases,arthritis,and managing inflammatory cytokine *** studies have shown the neuroprotective potential of ruxolitinib in neurological trauma,the exact mechanism by which it enhances functional recovery after spinal cord injury,particularly its effect on astrocytes,remains *** address this gap,we established a mouse model of T10 spinal cord contusion and found that ruxolitinib effectively improved hindlimb motor function and reduced the area of spinal cord *** sequencing analysis showed that ruxolitinib alleviated inflammation and immune response after spinal cord injury,restored EAAT2 expression,reduced glutamate levels,and alleviated excitatory ***,ruxolitinib inhibited the phosphorylation of JAK2 and STAT3 in the injured spinal cord and decreased the phosphorylation level of nuclear factor kappa-B and the expression of inflammatory factors interleukin-1β,interleukin-6,and tumor necrosis factor-α.Additionally,in glutamate-induced excitotoxicity astrocytes,ruxolitinib restored EAAT2 expression and increased glutamate uptake by inhibiting the activation of STAT3,thereby reducing glutamate-induced neurotoxicity,calcium influx,oxidative stress,and cell apoptosis,and increasing the complexity of dendritic ***,these results indicate that ruxolitinib restores glutamate homeostasis by rescuing the expression of EAAT2 in astrocytes,reduces neurotoxicity,and effectively alleviates inflammatory and immune responses after spinal cord injury,thereby promoting functional recovery after spinal cord injury.

关键词： astrocytes EAAT2 excitotoxicity glutamate homeostasis JAK-STAT pathway locomotor function neurotoxicity ruxolitinib spinal cord injury transcriptome analysis

Adenovirus-mediated PTEN gene transfection suppresses growth and promotes chemosensitivity of endometrial carcinoma

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Journal of Medical Colleges of PLA(China) 2010年第4期25卷 193-203页

作者： Liu yuhuan Wang Jiaqi Yang Peili Hu Jingjing Chen Chao Ji Mei Hui Ning yu chaoqin Cai Zailong Department of Gynecology and Obstetrics Changhai Hospital Second Military Medical University Shanghai 200433 China Clinical Research Center Changhai Hospital Second Military Medical University Shanghai 200433 China Department of Gynecology and Obstetrics Hospital of Beijing Municipal Corps of Chinese People & Armed Police Force Beijing 100027 China Department of Chinese Traditional Medicine Changhai Hospital Second Military Medical University Shanghai 200433 China

Objective： To determine the potential of sustained transgene expression by intratumoral injection of Ad-PTEN in the nude mouse model of endometrial carcinoma. Methods and Results： We constructed recombinant adenovirus carrying the wild-type PTEN gene （Ad-PTEN）. RL95-2 cells, an endometrial carcinoma cell line lacking PTEN function, was infected with Ad-PTEN and showed increased expression of PTEN and chemosensitivity to doxorubicin, decreased proliferation rate, and elevated apoptosis and Go/G1 arrest. Furthermore, the tumorigenicity of these cells was also completely suppressed. These results indicated that gene therapy with Ad-PTEN could significantly inhibit the endometrial carcinoma xenografts growth in nude mice by intratumoral injection, induce apoptosis of tumor cells, and reduce expression of proliferating cell nuclear antigen （PCNA）. Immunohistochemistry analysis also showed that the expression of progesterone receptors （PR） in Ad-PTEN treated tumor cells were induced, while P-glycoproteins （P-gp） and estrogen receptors （ER） decreased significantly. Conclusion： PTEN may play an important role in the development of endometrial carcinoma. Our findings cast new lights for treatment ofendometrial carcinoma.

关键词： Endometrial carcinoma Gene therapy Chemosensitivity Apoptosis

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从肝郁肾虚论治多囊卵巢综合征性不孕症

中医杂志 2020年第21期61卷 1927-1929页

作者：宋琳奕俞超芹中国科学院大学宁波华美医院浙江省宁波市315000 上海中医药大学上海长海医院

总结从肝郁肾虚论治多囊卵巢综合征性不孕症体会,认为本病以肝郁为因,化火是关键,煎灼肾精阴液,扰动冲任,胞络内绝,发为不孕。治拟清肝育肾,调经助孕。结合女性特殊的生理特性,具体分为排卵前期、排卵后期两期诊治,排卵前期清肝、活血... 详细信息

总结从肝郁肾虚论治多囊卵巢综合征性不孕症体会,认为本病以肝郁为因,化火是关键,煎灼肾精阴液,扰动冲任,胞络内绝,发为不孕。治拟清肝育肾,调经助孕。结合女性特殊的生理特性,具体分为排卵前期、排卵后期两期诊治,排卵前期清肝、活血、育肾三法并重,排卵后期以补肾安胎为主,兼以清肝行气,辅以活血。同时注重疏导患者的情绪,身心同治。

关键词：多囊卵巢综合征不孕症肝郁肾虚清肝育肾