雪峰虫草高效液相色谱指纹图谱研究

目的 建立雪峰虫草药材的高效液相色谱指纹图谱,为评价其质量提供依据.方法 采用高效液相色谱法,色谱柱为月旭 AQ-C18(4.6 mm×250 mm,5 μm);检测波长 260 nm;以甲醇-0.1%甲酸水溶液为流动相进行梯度洗脱;体积流量0.5 mL/min;柱温30 ℃;进样量20 μL. 结果 建立了11批雪峰虫草药材高效液相色谱指纹图谱,确定共有峰15个,采用对照品结合HPLC-Q-TOF-MS/MS技术对7个特征峰进行了指认,并采用相似度分析、主成分分析、聚类分析的方法对指纹图谱进行了分析. 结论 建立的雪峰虫草高效液相指纹图谱方法简便、可靠且重复性好,为雪峰虫草的质量控制提供了有效的手段.     

钩藤药材中钩藤碱含量测定方法的建立

目的：建立钩藤药材钩藤碱含量HPLC测定方法。方法：分别对HPLC的色谱柱、流动相、检测波长等色谱条件进行摸索,对样品索式、回流和超声提取方法进行摸索,并采用正交设计的方法考察超声提取的药材破碎度、溶剂浓度、溶剂量和时间。结果：HPLC色谱条件为色谱柱：Gemini C18柱（4.6 mm×250 mm,5μm）,流动相∶甲醇—水（含0.002 mol/L三乙胺,冰乙酸调pH至7.5）（64∶36）,流速：1.0 mL/min,检测波长：254 nm。样品供试液制备方法为：药材破碎度为过60目筛的粉末,提取溶剂为75%甲醇,溶剂加入量为15 mL,超声处理40 min。该方法钩藤碱在0.020 9-1.672 0μg范围内有良好线性关系,平均回收率为98.96%,RSD=0.69%（n=6）。结论：建立的含量测定方法简易、准确,可作为钩藤药材钩藤碱含量测定方法。     

玉叶金花高效液相色谱指纹图谱研究

【目的】建立玉叶金花药材高效液相色谱(HPLC)指纹图谱的分析方法。【方法】采用HPLC法,色谱柱为Diamonsil C18(2)(150 mm×4.6 mm,5μm),流动相条件为甲醇—体积分数0.5%冰醋酸溶液,梯度洗脱,流速:1.0 mL/min;检测波长265 nm;柱温25℃;记录时间65 min;使用中药色谱指纹图谱相似度评价系统(2004年A版)进行数据处理,对不同产地的玉叶金花药材指纹图谱的相似度进行比较分析。【结果】通过分析10批药材的HPLC图谱,确定了11个峰为指纹图谱的共有峰,构成了玉叶金花药材的色谱指纹图谱特征。【结论】所建立的方法精密度、稳定性和重复性良好,为该药材的鉴别及质量评价提供了新的依据。     

RP-HPLC法测定蛹虫草人工固体培养物中虫草素的含量

目的 建立RP-HPLC法测定蛹虫草人工固体培养菌皮中虫草素的含量.方法 采用pH6.5磷酸盐缓冲液-甲醇(85:15)为流动相,流速为1.0mVmin,检测波长为260nm.结果 蛹虫草人工固体培养物-菌皮中主要成分虫草素在4.03～100.8μg/ml范围内线性关系良好,回归方程为A=39.58C-0.0342.结论 人工固体培养菌皮中虫草素的含量随培养时间发生一定的变化,RP-HPLC法可用于蛹虫草的人工培养物中虫草素的定量测定,为控制人工培养蛹虫草质量提供了简便易行的方法.     

蓬子菜药材HPLC指纹图谱研究

目的建立蓬子菜药材的HPLC指纹图谱。方法以香叶木苷为内标物,采用高效液相色谱法分析不同产地10个蓬子菜样品,并进行相似度计算。色谱条件Hypersil ODS2柱(200mm×4.6mm,5μm);流动相为甲醇-0.4%醋酸溶液梯度洗脱;体积流量为1.0mL/min;检测波长340nm;柱温26℃。结果本研究建立了具有19个共有峰的蓬子菜药材指纹图谱,各色谱峰分离较好,达到指纹图谱要求。结论本方法重现性好,可用于不同产地蓬子菜药材的指纹图谱的测定和质量评价。     

复方蛹虫草颗粒虫草素含量测定研究

目的 建立复方蛹虫草颗粒中虫草素含量测定方法 .方法 采用高效液相色谱法测定复方蛹虫草颗粒中虫草素的含量,流动相为水-甲醇(88:12),流速为1mL/min,检测波长为260nm.结果 进样量在0.02～1.00μg范围内虫草素量与峰面积响应值呈良好的线性关系,r=0.999 9;平均回收率为101.05%,RSD为1.588%(n=6).结论 本方法 简便、准确,可作为该制刺的质控方法 .     

高效液相色谱法测定广藿香中广藿香酮的含量

[目的]建立广藿香中广藿香酮的高效液相色谱测定法.[方法]采用高效液相色谱法对11批广霍香药材进行广藿香酮含量测定分析.色谱柱为Alltech C18色谱柱(250 mm×4.6 mm,5μm);流动相:乙腈—体积分数0.4％磷酸溶液(体积比为75:25);检测波长:310 nm;流速:0.8 mL/min;柱温:30...     

杜仲药材HPLC指纹图谱及其共有模式的建立

目的用高效液相色谱法建立杜仲药材的指纹图谱分析方法。方法采用Lichrospher C18(250mm×4.6mm,5μm)分析柱,甲醇-0.1%磷酸水为流动相,梯度洗脱,体积流量为1.0mL/min,检测波长为230nm,柱温30℃。结果共有11个共有峰,采用《中药色谱指纹图谱相似度评价系统(2004A版)》,计算各被测样品的HPLC指纹图谱的整体相似度,10批被测样品的色谱指纹图谱的整体相似度在0.574~0.958,并得出了杜仲药材的对照指纹图谱。结论该指纹图谱方法简便、重现性好,可专属性地研究杜仲药材的指纹图谱,为有效地控制杜仲药材的内在质量提供了科学依据。     

甘草药材HPLC指纹图谱研究

目的建立甘草药材的HPLC指纹图谱。方法采用高效液相色谱法,选用ZORBAX Eclipse XDB-C18（4.6mm×250mm,5μm）色谱柱,流动相为乙腈-0.05%磷酸水溶液,分析时间为70min,各时间段检测波长为：0～16min,215nm;16～22min,360nm;22～70min,250nm。结果建立了甘草药材的高效液相色谱指纹图谱,确定7个共有色谱峰,方法学验证结果符合指纹图谱相关要求。结论该方法稳定、可靠、重复性好,可作为不同批次甘草药材质量控制的评价方法。     

不同产地丹参药材指纹图谱比较研究

【目的】通过建立丹参药材的HPLC指纹图谱对不同产地丹参药材质量进行比较。【方法】采用C18柱,色谱柱为HypersilODS2(250 mm×4.6 mm,5μm);流动相为乙腈-0.5%冰乙酸溶液梯度洗脱;柱温为30℃;流速为1.0 ml/min;检测波长为270 nm;洗脱时间75 min;进样量20μl。【结果】用相似度软件对来自5个不同产地的10批药材指纹图谱进行分析,标定了8个共有峰,相似度评价均在0.9以上。【结论】通过丹参药材指纹图谱的比较,可为不同产地丹参药材遴选提供依据。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.