南瓜多糖对四氧嘧啶致糖尿病小鼠降糖作用的研究

目的:观察南瓜多糖对Alloxan糖尿病小鼠的降糖作用。方法:实验选用雄性小鼠17g~22g,在日照时间10小时以上的阳光充足的条件下饲养。小鼠采用两次给药法腹腔注射四氧嘧啶,给药剂量分别为第1天为120mg/kg;第2天为100mg/kg,建立四氧嘧啶性糖尿病模型,用葡萄糖氧化本科法检测血糖值,用放射免疫分析法测定胰岛素、胰高血糖素,以观察各组的降糖效果。结果:南瓜多糖两种剂量组均可降低四氧嘧啶糖尿病小鼠的血糖(包括禁食空腹和进食以后)(P<0.05),且能明显提高血中胰岛素水平;减低血胰高血糖素浓度。结论:南瓜多糖对糖尿病小鼠有降糖作用。     

碱提浒苔多糖降血糖作用研究

目的 探讨浒苔多糖的降血糖作用,开发海洋药物新资源.方法 用碱提的方法提取浒苔多糖,用四氧嘧啶复制糖尿病小鼠,用浒苔多糖降低小鼠血糖浓度.结果 浒苔多糖100,200和400 mg/kg剂量组对糖尿病小鼠的降糖率分别是14.4%,20.3% 和15.4%.其中200 mg/kg剂量组浒苔多糖达到最有效的降糖效果.结论 碱提浒苔多糖能显著降低四氧嘧啶复制糖尿病小鼠的血糖浓度.     

糖脂清对四氧嘧啶糖尿病小鼠糖、脂代谢的影响*

[目的]探讨糖脂清降糖、调脂的药理作用,为临床用药提供实验依据.[方法]小鼠一次性腹腔注射2%四氧嘧啶溶液200mg/kg,72 h后检测空腹血糖(FBG),以空腹血糖大于11mmol/L为模型成功.糖脂清8、4、2 g生药/kg连续灌胃给药30d,以二甲双胍片为对照药,观察糖脂清对小鼠空腹血糖、血脂等的影响.[结果]糖脂清可以改善四氧嘧啶糖尿病小鼠生长状况,降低四氧嘧啶糖尿病小鼠空腹血糖、血清甘油三酯(TG)含量,减轻胰腺、肝脏的病理变化.[结论]糖脂清对四氧嘧啶糖尿病小鼠有很好的治疗作用.     

南瓜多糖的分离纯化及其降支链氨基酸作用

目的　研究南瓜多糖对正常及糖尿病模型小鼠支链氨基酸的影响。方法　南瓜干粉经热水提取 ,Sevag法弃蛋白 ,透析 ,乙醇沉淀 ,沉淀干燥物再经SephadexG - 10 0柱层析纯化 ,即得南瓜多糖精品。用聚丙烯酰胺凝胶电泳及玻璃纤维纸电泳证明为均一体。PP的分子量为 1.6× 10 4 。南瓜多糖精品用酸完全水解 ,经纸层析表明由D -葡萄糖、D -半乳糖、L -阿拉伯糖、木糖和D -葡萄糖醛酸组成。其摩尔比分别为 0 .181:0 .0 83:0 .0 6 9:0 .0 31:0 .175。结果　用南瓜多糖精品灌胃 ,剂量在 2 0 0mg/kg和 5 0 0mg/kg时 ,对正常小鼠、四氧嘧啶糖尿病模型小鼠均有降支链氨基酸作用 ,且呈现一定的量效关系。结论　南瓜多糖精品是较理想的降支链氨基酸的食疗剂     

青钱柳多糖对糖尿病小鼠血糖水平和胰腺组织形态的影响

目的:研究青钱柳多糖(CP)对正常及糖尿病小鼠降血糖的作用及胰岛组织形态的影响.方法:通过尾静脉注射四氧嘧啶建立小鼠糖尿病模型,分别以300,450,600 mg/kg青钱柳多糖灌胃给药,连续14 d后,测定空腹12 h血糖,并观察各组小鼠胰脏组织结构.结果:CP不影响正常小鼠血糖,可降低糖尿病小鼠血糖(P<0.05)并对胰岛组织损伤有一定的保护作用.结论:青钱柳多糖具有降血糖作用并对胰岛组织有一定的保护作用.     

泰山四叶参多糖对糖尿病小鼠血糖和抗氧化能力的影响

目的观察泰山四叶参多糖(PCL)对四氧嘧啶诱导的糖尿病模型小鼠血糖和抗氧化能力的影响。方法采用四氧嘧啶腹腔注射法,建立糖尿病小鼠模型,将小鼠分成5组:正常对照组、模型组、阳性对照组(盐酸二甲双胍200mg/kg)、PCL低剂量组(400mg/kg)、高剂量组(800mg/kg),连续灌胃14天后,测定各组血糖、胸腺和脾脏指数;检测血清和肝脏中的SOD活性及MDA含量。结果与模型组比较,PCL高、低剂量组和阳性对照组糖尿病小鼠血糖明显降低,小鼠的胸腺和脾脏指数,血清和肝脏SOD活性明显提高,MDA含量降低。PCL高剂量组与盐酸二甲双胍组比较,各观察指标无显著性差异。结论 PCL能降低四氧嘧啶诱导的糖尿病小鼠血糖,提高小鼠抗氧化能力。     

降糖合剂的抗糖尿病作用

目的:观察分析降糖合剂对正常小鼠血糖及四氧嘧啶糖尿病小鼠血糖、血脂的影响。方法:正常动物实验于给药后3 h取血测血糖。糖尿病动物模型制备:给小鼠尾静脉注射四氧嘧啶72 mg.kg-1,造成糖尿病模型。用自动生化仪测定血糖、血脂等血液指标。降糖合剂分为5 g.kg-1、10 g.kg-1、20 g.kg-1三个剂量组,灌胃给药。结果:四氧嘧啶模型组小鼠血糖、甘油三酯、总胆固醇、肌酐及尿素氮明显升高。降糖合剂能降低正常动物血糖及糖尿病动物血糖;治疗给药20 d还降低糖尿病诱发的血脂、肌酐及尿素氮升高。结论:降糖合剂具有明显抗糖尿病作用。     

江苏地产浒苔多糖对四氧嘧啶诱导糖尿病小鼠的降糖作用研究

目的 观察江苏地产浒苔多糖对四氧嘧啶诱导糖尿病小鼠的影响。方法 腹腔注射四氧嘧啶建立糖尿病小鼠模型,将小鼠随机分为空白组、模型组、参芪降糖颗粒（500mg/kg）、浒苔多糖低（100mg/kg）、中（200mg/kg）、高（400mg/kg）剂量组,连续灌胃给药28d,观察给药期间动物体质量、进食和饮水量的变化。于给药28d后测定各组小鼠空腹血糖值、口服糖耐量、糖化血清白蛋白以及血清胰岛素的含量。小鼠处死后,剖取胰腺组织进行病理学观察,测定胰岛数和胰岛面积。结果 与空白模型组相比,中、高剂量组浒苔多糖能显著降低糖尿病小鼠空腹血糖水平（P<0.01）,血糖曲线下面积（P<0.01）,显著增多胰岛数目（P<0.01）,增大胰岛面积（P<0.01）,升高血清胰岛素含量（P<0.05~0.01）,且浒苔多糖高剂量组能显著降低模型小鼠糖化白蛋白的浓度（P<0.05）。结论 江苏地产浒苔多糖在200~400mg/kg剂量范围内能降低四氧嘧啶诱导糖尿病小鼠的血糖,改善模型小鼠的耐糖力,缓解胰岛病变程度。该结果将为以江苏地产浒苔多糖为原料的功能性保健品的开发提供理论依据。      

土牛膝提取物对正常及四氧嘧啶糖尿病模型小鼠血糖的影响

目的研究土牛膝提取物齐墩果酸、牛膝多糖对正常及四氧嘧啶糖尿病模型小鼠血糖的影响。方法采用正常小鼠和四氧嘧啶糖尿病模型小鼠,用邻甲苯胺法测定血糖值。结果土牛膝提取物齐墩果酸、牛膝多糖对正常小鼠空腹血糖无明显降低作用,能明显降低四氧嘧啶糖尿病模型小鼠的空腹血糖水平。结论土牛膝提取物齐墩果酸、牛膝多糖对糖尿病模型小鼠有较好的降糖作用。     

灵芝多糖对小鼠糖耐量的影响

目的 :探讨灵芝多糖对正常和糖尿病小鼠糖耐量的影响。方法 :采用腹腔注射四氧嘧啶 (2 0 0 mg· kg- 1 )诱导小鼠造成糖尿病模型 ,分别观察单次给予 0 .5 g·kg- 1、1.5 g· kg- 1灵芝多糖后 ,正常和糖尿病小鼠糖耐量的改变。结果 :灵芝多糖 0 .5 g· kg- 1仅能显著降低糖尿病小鼠餐后 1h和 2 h血糖 ,而灵芝多糖 1.5 g·kg- 1对正常和糖尿病小鼠餐后 1h和 2 h血糖均有显著降低作用。结论 :灵芝多糖能改善正常和四氧嘧啶糖尿病小鼠糖耐量。     

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…     

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.     

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.     

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.     

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.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.