利胆止痛胶囊对小鼠抗抑菌炎、镇痛和利胆作用研究

目的观察云南永孜堂制药有限公司生产的利胆止痛胶囊的利胆、抑菌和抗炎镇痛作用.方法采用摘除小鼠胆囊直接称重的方法观测利胆止痛胶囊对正常小鼠胆汁量的影响.采用试管两倍稀释法观测利胆止痛胶囊在体外对甲型溶血性链球菌、乙型溶血性链球菌、金黄色葡萄球菌及痢疾杆菌、大肠杆菌和沙门菌生长的影响.采用小鼠耳廓肿胀、大鼠足跖肿胀模型,观测利胆止痛胶囊抗炎消肿作用.运用小鼠热板法及醋酸扭体方法评价利胆止痛胶囊的镇痛作用.结果 0.72、1.44 g/kg的利胆止痛胶囊明显减轻正常小鼠的胆囊重量,低剂量的利胆止痛胶囊对小鼠胆囊重量无明显影响.利胆止痛胶囊对金黄色葡萄球菌、甲型溶血性链球菌、乙型溶血性链球菌、痢疾杆菌和大肠杆菌的MIC分别为25、50、50、25和12.5 mg/mL,对沙门菌无明显抑菌作用.0.72、1.44 g/kg利胆止痛胶囊明显减轻小鼠耳廓肿胀度.对大鼠足跖肿胀模型,高剂量（0.72 g/kg）的利胆止痛胶囊于给药后1 h起效,作用至少可持续4 h;中、低剂量无明显影响.0.72和1.44 g/kg的利胆止痛胶囊明显减少小鼠扭体次数,热板法结果表明于给药后60～120 min均显著延长小鼠置入圆筒至开始舔后足时间.结论利胆止痛胶囊具有抑菌、抗炎、消肿、镇痛和利胆作用.     

苗药口溃康散的抗炎、镇痛作用研究

目的评价苗药口溃康散治疗口腔溃疡的抗炎及镇痛作用。方法通过小鼠尾静脉注射0.5%伊文思兰生理盐水溶液对腹腔毛细血管通透性及二甲苯致小鼠耳廓肿胀试验,观察口溃康散的抗炎作用;通过小鼠醋酸扭体法和热板法,观察口溃康散的镇痛作用。结果口溃康散对低、中剂量组对二甲苯致小鼠耳廓肿胀(P0.05),高剂量组(P0.01);高剂量组对小鼠腹腔毛细血管通透性(P0.05);低、中、高剂量组提高小鼠痛阈值(P0.01);低剂量组对小鼠扭体反应(P0.05),中高、剂量组(P0.01)。结论口溃康散具有明显的抗炎、镇痛作用。     

复方硼酸含漱剂抗炎、镇痛、抑菌作用的研究

目的 研究复方硼酸含漱剂抗炎、镇痛、抑菌作用.方法 采用二甲苯所致的小鼠耳廓肿胀和角叉菜胶所致大鼠足趾肿胀炎症模型、热板法和扭体法及体外抑菌试验,观察复方硼酸含漱剂抗炎、镇痛、抑菌作用.结果 复方硼酸含漱剂对二甲苯所致的小鼠耳廓肿胀和角叉菜胶所致大鼠足趾肿胀有显著的抑制作用,对由热传导及化学物质引起的疼痛有明显的抑制作用,对甲型链球菌、金黄色葡萄球菌、肺炎链球菌、乙型链球菌、肺炎克雷伯菌、变形链球菌、乳酸杆菌具有较好的抑制或杀灭作用.结论 复方硼酸含漱剂具有抗炎、镇痛、抑菌作用.     

血脉舒颗粒剂对小鼠抗炎镇痛作用的实验研究

目的：观察血脉舒颗粒剂对小鼠的抗炎及镇痛作用。方法：将昆明种小鼠随机分为5组,分别为空白对照组,血脉舒颗粒剂高、中、低剂量组和阿司匹林组。给小鼠灌胃（ig）给药5 d后,采用二甲苯致小鼠急性耳肿胀试验观察血脉舒颗粒剂的抗炎作用;采用醋酸扭体法和热板镇痛法观察血脉舒颗粒剂对小鼠的镇痛作用。结果：血脉舒颗粒剂中、高剂量组对于二甲苯所致的小鼠急性耳肿胀和有显著的抑制作用,对小鼠醋酸所致的扭体及热板法致痛反应有较好的止痛作用,镇痛疗效呈剂量依赖关系。结论：血脉舒颗粒剂具有显著的抗炎、止痛疗效。     

金氏痔疮膏的药效学研究

目的：观察金氏痔疮膏的抗炎、镇痛、止血和止痒效果。方法：将动物随机分成5组,包括对照组、马应龙麝香痔疮膏组、金氏痔疮膏高剂量组、中剂量组和低剂量组。采用二甲苯引起的小鼠耳廓肿胀及醋酸所致小鼠腹腔毛细血管通透性增高模型,观察金氏痔疮膏的抗炎作用;通过热板法及化学刺激法观察该药的镇痛作用;采用断尾法测定出血时间,玻片法测定凝血时间;通过磷酸组胺致痒观察该药的止痒效果。结果：金氏痔疮膏对小鼠耳廓肿胀及腹腔毛细血管通透性增高均有明显的抑制作用,而且其抑制作用与马应龙麝香痔疮膏相比,差异有显著性意义;该药对热传导及化学刺激引起的拟痛反应有明显的镇痛作用;该药明显缩短小鼠的出血时间和凝血时间,且与马应龙麝香痔疮膏相比,差异有显著性意义;该药能明显提高豚鼠致痒阈。结论：金氏痔疮膏具有良好的抗炎、镇痛、止血和止痒功效,且其抗炎和止血效果优于马应龙麝香痔疮膏。     

鼻炎滴剂抗炎消肿药效学研究

目的研究鼻炎滴剂抗炎、解热、缩血管及抑菌作用。方法通过观察鼻炎滴剂对棉球肉芽肿、耳廓肿胀和毛细血管通透性的影响,研究其抗炎作用;通过大鼠被动皮肤过敏反应观察抗过敏作用;通过热板法和扭体法实验观察镇痛作用;采用平板法观察其体外抑菌作用。结果鼻炎滴剂能显著降低大鼠组胺性鼻炎鼻黏膜毛细血管通透性;对二甲苯所致的小鼠耳廓肿胀均有非常显著的抑制作用;对慢性炎症大鼠棉球肉芽肿和角叉菜所致大鼠足肿胀有显著的抑制作用;对伤寒、副伤寒甲、乙菌苗所引起的大鼠实验性发热有显著的解热作用;鼻炎滴剂能降低兔耳灌流量,显示收缩血管的作用;鼻炎滴剂在体外对肺炎链球菌、肺炎克雷伯杆菌、乙型溶血性链球菌、甲型溶血性链球菌、金黄色葡萄球菌均有较强的抗菌作用。结论鼻炎滴剂具有抗炎、镇痛、抗过敏、缩血管和抑菌作用,这些结果为鼻炎滴剂散风、清热、通窍,用于风热蕴肺型急、慢性鼻炎等疾患提供了药理学实验依据。     

美宝烫伤膏对大鼠烫伤的影响

目的：观察并分析美宝湿润烫伤膏的抗炎、抑菌及镇痛作用。方法采取大鼠耳廓肿胀分析、滤纸片法、及镇痛实验对美宝烫伤膏的治疗效果进行考察。结果在耳廓肿胀实验中，不同剂量的美宝烫伤软膏与空白组相比都有一定的抗炎作用，其中低剂量组差异有统计学意义（P<0.05），中高剂量美宝烫伤膏与空白组比较差异有统计学意义（P<0.01）。可见中高剂量的美宝烫伤膏都可以起到较好的作用，而且中高剂组量差异无统计学意义，而低剂量组效果较差。同时通过体外抑菌实验体外抑菌实验发现，高、中、低3个剂量的美宝膏对金黄色葡萄球菌、铜绿假单胞菌和大肠埃希菌均有明显的抑菌效果，并呈浓度依赖性，其中对金黄色葡萄球菌的抑菌效果最为明显。在镇痛方面参考热板实验结果显示，中高剂量的美宝烫伤膏可有效提升大鼠痛域，促进其痛反应潜伏期增长，低剂量的美宝烫伤膏可见一定效果但效果不明显。结论美宝烫伤膏抗炎，抑菌作用显著，并具有良好的镇痛效果。     

妇炎消冲剂抗炎、镇痛的实验研究

目的：探讨妇炎消冲剂抗炎、镇痛的药效作用。方法：小鼠（或大鼠）随机分组：空白对照组给10g/I羧甲基纤维素，阳性对照组给阿司匹林（0.2g/kg），高剂量组、中剂量组和低剂量组分别扫20g/kg、10g/kg、5g/kg3个剂量给妇炎消冲剂，各组n＝10。用巴平油致小鼠耳肿胀、塑料管致大鼠子宫肿胀、棉球肉芽肿等方法观察妇炎消冲剂的抗炎作用；扭体法、热板法观察妇炎消冲剂的镇痛作用，并测定致炎大鼠子宫前列腺素含量。结果：与空白对照组比较，各高剂量组（20g/kg）和塑料管致大鼠子宫肿胀法、扭体法的中剂量组差异有显著性（P＜0.01）；巴豆油致小鼠耳肿胀、棉球肉芽肿、热板法等中剂量组差异有显著性（P＜0.05）；大鼠子宫前列腺素高、中、低剂量组差异均有显著性（P＜0.01）。结论：妇炎消冲剂具有显著抑制炎性组织增生、消除肿胀、抗炎镇痛的作用。     

珍珠滴丸药效学及急性毒性实验研究

目的 研究珍珠滴丸的抗炎镇痛作用，并观察珍珠滴丸的急性毒性试验。方法 采用醋酸致小鼠腹腔毛细血管通透性增加模型、二甲苯致小鼠耳廓肿胀模型，观察珍珠滴丸的抗炎作用；采用热板法测定小鼠的痛阈、醋酸诱发的小鼠扭体反应，观察珍珠滴丸的镇痛作用。结果 珍珠滴丸能显著抑制醋酸所致小鼠毛细血管通透性增加和二甲苯致小鼠耳廓肿胀；明显提高小鼠的痛阂，减少醋酸致小鼠扭体次数，且无急性毒性反应。结论 珍珠滴丸有显著的抗炎镇痛作用，临床应用安全。     

金茵颗粒剂抗炎及镇痛作用的实验研究

目的观察金茵颗粒剂对急性炎症反应的抑制作用及镇痛作用。方法二甲苯涂布法及热板法分别观察金茵颗粒剂对急性炎症所致肿胀、疼痛反应的抑制作用。结果金茵颗粒剂低、中、高剂量组对二甲苯所致小鼠耳廓肿胀均有明显抑制作用,与生理盐水组比较差异显著(低剂量组P<0.05,中、高剂量组P<0.01);金茵颗粒剂高剂量组于给药后30分钟及60分钟对热板刺激所致小鼠疼痛反应有抑制作用,与生理盐水组比较差异显著(P<0.01、P<0.05)。结论金茵颗粒剂具有抗炎、镇痛作用。     

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.     

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.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

Electro-Acupuncture Combined with the Trigger Point Needle-Embedding for Treatment of Primary Trigeminal Neuralgia in 31 Cases

In recent years, the author of this essay has applied electro-acupuncture combined with the trigger point needle-embedding for treatment of primary trigeminal neuralgia in 31 cases, yielding satis- factory results as reported in the following.     

Investigation of Matrix Metalloproteinase -1, 2 and tissue inhibitor of matrix metalloproteinases-1 in Endometriosis

Objective： To explore the role of matrix metalloproteinase-1,2 （MMP-1, MMP-2） and tissue inhibitor of matrix metalloproteinases-1 （TIMP-1） in endometriosis. Methods： The eutopic and ectopic endometria from 40 subjects suffering from endometriosis and regular.endometria from 40 subjects （excluding endometriosis） were collected and examined by in situ hybridization technology and western blot assay. Results： Both expressions of MMP-1 and -2 were stronger in ectopic endometrium and eutopic endometrium than in normal endometrium. On the contrary, the expression of TIMP-1 in ectopic endometrium and eutopic endometrium was lower. The differences were significant （P 〈 0.01 ）. Moreover, there was no relationship among the expressions of MMP-1, 2 and TIMP-1 in ectopic endometrium. Conclusion： The expressions of MMP-1, 2 and TIMP-1 lose balance and lack of periodic changes in ectopic endometrium , which explains the biological invasive behavior of endometriosis. It was suggested-that regulating the balance between the MMPs and TIMP-1 should be an ideal therapeutic target to endometriosis.     

Shi Da-zhuo (史大卓) —An outstanding cardiologist of integrative medicine

Prof. SHI Da-zhuo, Ph.D., male, was born on March 20, 1960. Prof. SHI entered the Ph.D. program in 1990 at the China Academy of Chinese Medical Sciences under the supervision of Prof. CHEN Ke-ji, majoring in the treatment of cardiovascular diseases. After receiving his Ph.D. degree in 1993, Prof. SHI started working at the Cardiovascular Center in Xiyuan Hospital affiliated to China Academy of Chinese Medical sciences.     

Persist in and Carry Forward the Integrative Medical Research——Speech at the 6th National General Congress of Chinese Association of Integrative Medicine by Academician CHEN Zhu,Minister of Ministry of Health

The 6th National General Congress of Chinese Association of Integrative Medicine （CALM） was convened at 19-20, April 2008 in Beijing. Academician CHEN Zhu, the minister of Ministry of Health indicated at the congress that the integration of Chinese and Western medicine is very well in keeping with the situation of our country and the general rule of development in medical science; and as a good integration of Chinese medicine and Western medicine, it is mutually beneficial and advantageous to both of them. Seeing the creativity shown in integrative medical investigation in theoretic and methodological sides, we should and must persist in and develop it.