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精准医疗

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精准医疗是整合应用现代科技手段与传统医学方法、科学认识人体机能与疾病本质、系统优化人类疾病防治和保健的原理和实践、以有效、安全、经济的医疗服务获取个体和社会健康效益最大化的新型医学范式。在精准医学范式引领下的精准医疗实践,将针对每个病人正确选择和精确应用适宜的诊断方法,实现医源性损害最小化、医疗耗费最低化以及病患康复最大化。
2 Articles
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  • 1.
    Long-term effects of brain stereotactic radiofrequency therapy on patients with nerve diseases
    Lirong Yang, Tingwen Ren, Ruihui Li
    Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition) 2017, 07 (02): 55-58. DOI: 10.3877/cma.j.issn.2095-123X.2017.02.002
    Abstract (46) HTML (0) PDF (576 KB) (0)
    目的

    报告精神疾病术后1年以上随访到的401例远期疗效及术后出院死亡病例。

    方法

    根据门诊随访记录和电话随访术后12个月~50个月病例疗效、生活与劳动情况,共计401例;收集出院后死亡病例报告。

    结果

    实际随访到401例,占应随访人数58.0%,男302例(75.3%),女99例(24.7%),年龄9~60岁,平均(29.5±8.0)岁,病程3~43年,平均(9.8±6.4)个月;随访时间12个月~50个月,平均(27.7±9.4)个月;临床治愈191(47.6%),显著进步116例(28.9%),进步46例(11.5%),有效353例,有效率88.0%,无效45例(11.2%),加重3例(0.7%);共收到出院后死亡13例报告,占总数的1.6%(13/800)。

    结论

    现代脑立体定向热凝术治疗精神疾病,对少数疾病是替代治疗,对大部分精神疾病是辅助治疗,远期疗效显著,部分病例具有后续效应,总体疗效满意。

  • 2.
    A study on the relation of positive and negative symptoms to long non-coding RNAs with altered expressions in schizophrenia
    Mingjun He, Gaofeng Yao, Liyi Zhang, Lingming Kong, Wei Niu, Shendong Chen, Aifang Zhong
    Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition) 2017, 07 (02): 64-70. DOI: 10.3877/cma.j.issn.2095-123X.2017.02.004
    Abstract (62) HTML (4) PDF (612 KB) (1)
    Objective

    To explore the relation of positive and negative symptoms to long non coding RNAs (lncRNAs) with altered expressions in peripheral blood of schizophrenia.

    Methods

    Gene microarray was used to screen the lncRNAs which expressed differently in case group compared to that in control group, and the screened lncRNAs were validated by real-time fluorescence quantitative PCR(qRT-PCR) in 96 schizophrenic patients in the outpatient service and psychiatric wards of No.102 Hospital of the Chinese People′s Liberation Army and 44 healthy people from Auguest 2012 to June 2014. And Mann-Whitney U test, t test and correlation analysis were used to analyze the correlations of positive and negative symptoms with the expression levels of lncRNAs in schizophrenic patients.

    Results

    1. Compared to control group, 3 lncRNAs(NONHSAT021545、NONHSAT089447、NONHSAT098126) in case group were greatly high-regulated and the differences were statistically significant (t=-2.460~-2.038, P<0.05). 2. The correlation analysis on differentially-expressed lncRNAs with the scores of positive and negative symptom scale (PANSS) revealed that PR1~PR10 with altered expressions were positively associated with the scores of positive and negative symptom scale (r=0.231~0.276, all P<0.05). 3. PR1~PR10 with altered expressions were positively correlated to activation(r=0.243~0.352, all P<0.05); TCONS_l2_00025502、ENST00000563823、ENST00000521622、TCONS_l2_00021339 and NONHSAT104778 were positively correlated to stubborn(r=0.201~0.223, P<0.05); PR1~PR10 were positively correlated to aggressivity(r=0.207~0.259, P<0.05). 4. The scores of activation and aggressivity of NONHSAT021545 and NONHSAT041499 in high-expressed group were significantly lower than that in low-expressed group(P<0.05 or 0.01).

    Conclusion

    The abnormal expression of lncRNAs may have some relevance with schizophrenia, and to be specific, some lncRNAs may be associated with the positive and negative symptoms.

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