正交试验法优选桃红四物汤的水提工艺

目的优选桃红四物汤的水提工艺。方法以芍药苷和浸膏得率为考察指标,以加水量、提取时间、提取次数为考察因素,采用正交试验优选桃红四物汤的最佳水提工艺。结果桃红四物汤的最佳水提工艺为加12倍量水提取3次,每次1.5h。结论优选出的桃红四物汤的水提工艺合理,可为其工业化生产提供依据。     

田口实验设计法优选麻黄提取工艺

目的:优选麻黄最佳提取工艺.方法:采用田口实验设计法,以乙醇浓度、乙醇用量、提取时间、提取次数为考察因素,以醇提液中盐酸麻黄碱含量为考察指标进行工艺筛选.结果:最佳醇提工艺为6倍量60%乙醇回流提取3次,每次1 h.结论:该工艺稳定可行,简单合理.     

正交试验法优选冠舒颗粒提取工艺

目的：优选冠舒颗粒的醇提工艺和水提工艺。方法采用单因素考察法和 L9（34）正交试验法,以总皂苷含量为考察指标,考察乙醇浓度、加醇量、提取时间、提取次数对醇提工艺的影响。以总多糖含量为考察指标,考察提取时间、提取次数、加水量对水提工艺的影响。结果最佳醇提工艺为加8倍于药材量70%乙醇提取3次,每次2 h;最佳水提工艺为加6倍于药材量水提取3次,每次2 h。结论冠舒颗粒提取工艺稳定可行,适合大工业生产。     

桂枝解郁方中巴戟天、甘草提取工艺研究

目的：优选桂枝解郁方中巴戟天、甘草提取工艺。方法：采用正交试验对醇提工艺条件进行优选,以耐斯糖、甘草苷、甘草酸的含量及固体得率为指标,对乙醇浓度、乙醇体积、提取时间、提取次数进行考察,优选桂枝解郁方的最佳提取工艺。结果：最佳提取工艺为乙醇浓度30％,加12倍量的体积,提取3次,每次回流1．5h。结论：该提取工艺提取效率高,方法简便、稳定。     

定眩颗粒醇提工艺研究

目的：研究定眩颗粒中部分药物的醇提工艺,优选提取工艺条件。方法：采用L9（3^4）正交试验设计,以饮片中天麻素和丹参酮ⅡA的提取率为考察指标,同时结合乙醇用量、乙醇浓度、回流时间、提取次数等考察因素,采用HPLC法测定,所得的结果进行方差分析,综合两个指标结果确定最佳工艺。结果：此复方中丹参、天麻等药物确定的最佳醇提工艺条件为：加饮片总量15倍量的70％乙醇分2次回流提取,每次2小时。结论：优选的工艺稳定,方法可行。     

正交试验优选安乳颗粒中乳香、没药的提取工艺

目的：优选安乳颗粒中乳香、没药的提取工艺。方法：以浸膏得率为指标,采用L（934）正交试验进行优选。结果：醇提工艺影响因素依次为乙醇浓度、乙醇用量和提取时间,最佳工艺条件为加8倍量80%乙醇,回流提取2次,每次2小时。结论：优选的醇提工艺易于操作,合理可行。     

散结明目片醇提工艺的研究

目的：优选散结明目片的醇提工艺。方法：以芍药苷含量和干膏得率为考察指标,采用L9（3^4）正交设计试验,对提取时间、提取次数、乙醇浓度、乙醇倍量等因素进行考察,以确定最优提取工艺。结果：最优工艺为用10倍量80％乙醇,回流提取3次,每次1h。结论：优选得到的散结明目片醇提工艺简易、稳定,可作为散结明目片的提取工艺使用。     

复方鼻炎颗粒的醇提工艺优选

目的：优选复方鼻炎颗粒醇提工艺。方法：以黄蓖甲苷及欧前胡素含量和浸膏得率为指标进行综合评价,通过正交实验考查乙醇浓度、提取次数、提取时间和加醇倍量对提取工艺的影响。结果：最佳醇提工艺为乙醇浓度75％,加醇10倍量,提取3次,每次1．0h。结论：优选的提取工艺稳定可行。     

芪红胶囊醇提工艺的研究

目的：优选苠红胶囊醇提工艺。方法：以红景天苷提取量和干膏得率为指标,采用L9（3^4）正交设计试验,对提取时间、乙醇浓度、乙醇倍量因素进行考察．以确定最优提取工艺。结果：最优工艺为用14倍量95％乙醇,回流提取2次,每次1h。结论：优选得到的芪红胶囊醇提工艺稳定、可行。     

正交设计优选益脾软肝丸最佳醇提工艺

目的:优选益脾软肝丸的醇提工艺。方法:采用正交试验设计,以阿魏酸、绿原酸提取量和浸膏得率的综合评分为指标,考察乙醇体积分数、乙醇用量、提取时间和提取次数对醇提工艺条件的影响。结果:最佳提取工艺为加8倍量体积分数80%乙醇回流提取3次,每次1.5 h。结论:优选工艺科学合理,可作为该制剂合理开发的依据。     

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…     

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.     

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.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…