养正合剂质量标准研究

目的:建立养正合剂的质量控制方法。方法:用薄层色谱法对其中枸杞子、人参进行了定性鉴别;用薄层光密度法对黄芪中有效成分黄芪甲苷进行了含量测定。结果:表明本品定性鉴别色谱特征明显,易于区别;本品中黄芪甲苷含量测定线性范围为2～10μg,平均回收率95.8%,RSD为2.5%。结论:建立了该制剂的质量标准,其鉴别与含量测定方法简便、可靠、实用养正合剂质量标准研究@丛晓东@韦英杰@毛秋媚     

爱福宁合剂质量标准的研究

目的:建立爱福宁合剂质量标准.方法:采用薄层色谱法鉴别苦参、金荞麦,采用高效液相色谱法测定苦参碱的含量.结果:薄层斑点清晰,重现性好,含量测定平均回收率为99.35%,RSD为1.52%.结论:该方法准确,简便,重现性好,可用于该制剂的质量控制.     

龙胆大黄合剂的制备及质量标准研究

目的:研究龙胆大黄合剂的制备方法及建立其质量标准.方法:对处方中各成分进行定性鉴别,规定pH限度检查,并对碳酸氢钠含量进行中和法测定.结果:定性鉴别方法专属性强,含量测定结果准确,平均同收率为98.17%,RSD为1.24%.结论:本品制备方法简便,质量可控,值得推广.     

复方抗结核合剂质量标准的建立

目的 建立复方抗结核合剂的质量标准.方法 采用薄层色谱法对方中猫爪草、百部、茵陈和黄精药材进行了色谱鉴别;采用高效液相法测定绿原酸的含量.结果 薄层鉴别的色谱斑点清晰,阴性对照无干扰,绿原酸的含量测定平均回,收率为98.11%,RSD(n=6)为0.91%,在0.4～1.4μg范围内呈线性关系相关系数.结论 研究的方法可有效地控制复方抗结核合剂的质量.     

补肾祛风更年合剂质量控制标准研究

目的:建立补肾祛风更年合剂的质量标准。方法:采用薄层色谱法对山茱萸进行定性鉴别。采用高效液相色谱法测定淫羊藿中淫羊藿苷的含量。结果:山茱萸薄层鉴别色谱斑点清晰,且阴性对照无干扰。含量测定中淫羊藿苷在0.2028~1.8252 mg·mL~(-1)范围内呈良好的线性关系(r=0.9999),平均回收率102.2%,RSD1.80%。结论:本法简便、可靠、专属性强,可以作为补肾祛风更年合剂的质量控制标准。     

小儿止咳平喘合剂质量标准研究

目的建立小儿止咳平喘合剂的质量标准。方法采用薄层色谱法对制剂中苦杏仁、黄芩、甘草进行定性鉴别;采用高效液相色谱法对制剂中麻黄碱、伪麻黄碱含量进行测定。结果薄层色谱中阴性无干扰,专属性强;麻黄碱、伪麻黄碱在1.728μg～8.640μg和1.36μg～6.80μg范围内成良好线性关系,平均回收率分别为：100.43%、100.55%。结论本试验建立的质量控制方法简便、快捷,重复性好,可用于小儿止咳平喘合剂的质量控制。     

白虎汤合剂质量标准研究

目的:建立白虎汤合剂的质量标准。方法:采用薄层色谱法(TLC)对方中的知母和甘草进行定性鉴别。采用高效液相色谱法(HPLC)同时测定白虎汤中的新芒果苷、芒果苷、甘草苷和甘草酸铵的含量。结果:采用TLC法对知母、甘草进行鉴别,斑点清晰、圆整,专属性较强;HPLC测定结果显示,新芒果苷、芒果苷、甘草苷和甘草酸铵的线性范围分别为14.4~144μg·mL~(-1)(r=0.9994)、12.84~128.4μg·mL~(-1)(r=0.9992)、2.73~27.3μg·mL~(-1)(r=0.9992)、6.25~62.5μg·mL~(-1)(r=0.9992),平均加样回收率在98.86%~101.35%。结论:本实验方法所建立的质量标准简便可行,重现性好,可用于白虎汤合剂的质量控制方法。     

金荞麦合剂质量标准研究

目的:建立金荞麦合剂的质量标准。方法:采用薄层色谱法鉴别金荞麦;采用高效液相色谱法测定金荞麦合剂中表儿茶素的含量,以十八烷基硅烷键合硅胶为填充剂;以乙腈-水[用磷酸调p H值至(3.00±0.02)](8∶92)为流动相;检测波长为280 nm。结果:薄层色谱法鉴别金荞麦操作简便、斑点清晰,分离度好,阴性无干扰;表儿茶素对照品线性范围为1.76~17.6μg,r=0.997 5(n=6),平均样品加样回收率为99.35%,RSD为1.85%(n=6)。结论:金荞麦合剂新的质量标准方法简便,重复性好,结果准确可用于金荞麦合剂的质量控制。     

保幼化风丹质量标准研究

目的:建立保幼化风丹的质量标准。方法:采用薄层色谱法对保幼化风丹中的防风、川芎及甘草进行薄层鉴别,采用高效液相色谱法对保幼化风丹中甘草的有效成分甘草酸铵进行含量测定。结果:薄层色谱专属性强,阴性对照无干扰,含量测定甘草酸铵在进样量0.402~2.009μg范围内线性良好,线性方程为Y=7.945×106X+1.783×103,r=0.999 9,平均回收率为99.13%,回收率RSD为0.93%。结论:该方法简便快速,结果准确,可以有效控制保幼化风丹质量。     

润燥清肺膏成分鉴别及含量测定方法研究

目的建立润燥清肺膏中桑叶、甘草的鉴别和甘草中甘草酸铵的含量测定方法。方法用薄层色谱法对桑叶、甘草进行定性鉴别;用HPLC法对甘草中的甘草酸铵进行定量检测。色谱条件:色谱柱:Venusil,C18(250 mm×4.6 mm,5μm),以乙腈-0.1%磷酸溶液(36∶64)为流动相;检测波长为250 nm,进样量10μl。结果用建立的薄层鉴别方法可鉴别桑叶、甘草两种药材。甘草酸铵的含量测定在0.056 43~1.128 6μg范围内线性关系良好(r=0.999 8,n=6),平均加样回收率为98.82%,RSD为0.87%(n=6)。结论该鉴别及含量测定方法准确性好、灵敏度高,可用于产品的质量控制,完善了润燥清肺膏的质量标准。     

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.