中国科技论文统计源期刊 中文核心期刊  
美国《化学文摘》《国际药学文摘》
《乌利希期刊指南》
WHO《西太平洋地区医学索引》来源期刊  
日本科学技术振兴机构数据库(JST)
第七届湖北十大名刊提名奖  

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    药物制剂
  • 药物制剂
    ZHOU Jun;QIN Xiangyang;SUN Xiaoli
    2006, 25(4): 0-0.
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    ObjectiveTo optimize the extraction technology for huaqitongmai granules(HTG). MethodsAn orthogonal test was adopted in the study. The rate of harvesting of the extract, the contents of scutellarin70glucuronide and tetrahydropalmatine were used as indices of appraisal. Data processing was carried out with the multiple guidelines grading method for optimizing the extraction condition. ResultsThe optimized extraction technology for huaqitongmai granules was shown to be: a tenfold volume of 70 % alcohol should be added to 1 volume of the granules for 2 successive reflux extractions each of which lasting 2 h. ConclusionThe optimized extraction technology was rational and the extraction rate of the active principles was high.
  • 用药指南
  • 用药指南
    LI Jingsu;CAI Changchun;HOU Yanning
    2006, 25(4): 0-0.
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    ObjectiveTo study the present situation of nosocomial infection of Pseudomonas aeruginosa (PA) and the drug resistance of the bacteria to antibiotics so as to provide tactics for the rational use of antibiotics in the clinical treatment of PA infection. MethodsA retrospective survey was carried out by reviewing the case histories of patients with nosocomial PA infections in our hospital with respect to the status of PA infection inside the hospital, resistance of the bacteria to drugs as well as the application of antibiotics. ResultsThe average rate of drug resistance of the 204 strains of PA isolated from patients with nosocomial infections of the bacteria to 18 antibiotics was up to 45.26 %. Among these, 47strains produced AmpCβlactamase , 31 produced ESBLSs and 7 produced both AmpC βlactamases and ESBLSs, the rate of enzymeproducing PA totaling 38.24 %. The appearance of these enzymeproducing PA was shown to be closely related to the extensive application of broadspectrum antibiotics. ConclusionThe situation of drug resistance of PA during nosocomial infection of the bacteria was shown to be extremely rigorous. The pressure of the choice of antibiotics could be eased only by energetic bacteria culture and drug sensitivity tests, timely switching from empirical to targeted treatment, the use of drugs to which the bacteria are highly sensitive as well as refrainment from longterm application of broadspectrum antibiotics.
  • 用药指南
    SU Yinfa;DU Leyan
    2006, 25(4): 0-0.
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    ObjectiveTo establish a numerical method for the assay of plasma concentrations of drugs obeying the parallel first order and MichaelisMenten clearance kinetics in the case of extravascular administration.MethodsAccording to the fourstage RungeKutta algorithm, we used Microsoft Excel to make a program based on the pharmacokinetic parameters.ResultsThe Microsoft Excel spreadsheet displayed plasma concentrations at 0.005 hour intervals after the administration. ConclusionThe algorithm was shown to be a reliable numerical method that may be used to obtain data of plasma concentrations of drugs obeying parallel first order and MichaelisMenten clearance kinetics in the case of extravascular administration.
  • 药物研究
  • 药物研究
    REN Leiming;ZHU Zhongning;WANG Miao;WANG Lili;TIAN Helin;HE Dongwei
    2006, 25(4): 0-0.
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    ObjectiveTo study the effects of urethane and pentobarbital sodium in anesthetizing doses administered intravenously or intraperitoneally on the blood glucose levels in mice and the underlying mechanisms. Methods①80 male Kunming mice were randomly divided into 8 equal groups. Mice of group 1 to group 3 were given each 1.0 g·kg-1 of urethane via the caudal vein. Blood samples were taken 15,30 and 60 min after the urethane injection for the determination of glucose concentration with the glucose oxidase method. Mice of group 4 ,serving as control, were given each an IV injection of equivalent amount of 0.9 % sodium chloride (NS) solution. Blood samples were taken as well for glucose determination as deseribed. Mice of group 5 to group 7 were given each an IV injection of 40 mg·kg-1 of pentobarbital solution. Mice of group 8, serving as control, were given each an IV injection of equivalent amount of 0.9 % NS. Blood samples were taken from these mice 15,30 and 60 min after the injection for blood glucose determination. Muscle and liver tissues were taken from all the mice of these 8 groups immediately after the collection of blood samples for the determination of glycogen with the anthrone method. ②80 male mice were randomly divided as described in experiment ①. Except for mice of the control groups, these animals were given each an intraperitoneal injection of 1.0 g·kg.-1 of urethane or 40 mg·kg-1 of pentobarbital solution. Blood samples were taken for glucose determination as described in experiment ①.③ 20 mice were randomly divided into 2 equal groups, mice of the trial group were given each 1.0 g·kg-1 of urethane IV and those of the control group were given each equivalent amount of NS IV. Blood samples were taken 30 min after the injections for the counting of red blood cells, white blood cells and blood platelets. ResultsBlood glucose concentration was increased by 48.4 % 15 min after the intravenous administration of urethane at an anesthetizing dose. In contrast, blood glucose concentration was increased by 204 % and 59.3 % 15 min and 60 min, respectively, after the intraperitoneal injection of urethane at that same anesthetizing dose. Intravenous or intraperitoneal administration of pentobarbital sodium at anesthetizing doses did not bring about apparent changes in the blood glucose concentration of the animals. The glycogen content of the liver was significantly increased after the IV injection of urethane or pentobarbital sodium, while the content of muscle glycogen was not apparently affected. Intravenous administration of urethane did not change the countings of red blood cells, white blood cells or blood platelets significantly as compared with results of the controls. ConclusionIntraperitoneal administration of urethane was shown to induce a hyperglycemia far more pronounced than that caused by intravenous administration of the drug at the same dose, suggesting that a local stimulating effect exerted by urethane may aggravate the hyperglycemia in mice.
  • 药物研究
    LI Li;TU Ziliang;DU Shiming;HUANG Liangyong;ZHANG Xiaoqiao
    2006, 25(4): 0-0.
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    ObjectiveTo survey the effects of fluoxetine hydrochloride on the depression behavior and regeneration of hippocampus neurons in rats with experimental depression in order to probe into the mechanisms of the development of depression and the theoretical basis of the treatment of the disease with drugs that inhibit 5-HT reuptake. MethodsThe depression model in adult Wistar rats was set up by exposure of the animals to different unpredictable stresses of moderate intensity over a period of 21 days. The openfield behaviour test was adopted to study the depression behavior of the rats before and after the intraperitoneal injection of fluoxetine hydrochloride. Immunohistochemical technique was used to detect the expression of nestin——the marker of the neural precursor cells of the hipocampal dentate gyrus(DG). Neuron regeneration induced by the DG neural precursor cells was observed with the use of 5bromodeoxyuridine(5-BrdU) . ResultsNeural precursor cells were present in the DG of the normal rats and some of these cells were in a state of division and regeneration. In rats with depression the DG neural precursor cells were decreased and attenuated in regeneration. Administration of fluoxetine hydrochloride was shown to dramatically improve the depression behavior, increase the number of DG neural precursor cells and enhance the regeneration of these cells in rats with depression. ConclusionThe development of depression may be related to the decrease in the number of DG regenerating neurons. Promotion of the regeneration of DG neurons may be a novel idea with respect to the mechanism underlying the effect of fluoxetine hydrochloride in the treatment of depression.
  • 药物研究
    GUO Jiansheng;OU Li;ZHOU Jun
    2006, 25(4): 0-0.
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    ObjectiveTo study the analgesic and antiinflammatory effects of jingu tablets(JGT) in animals. MethodsA mouse model of ear swelling induced by xylene smearing and a rat model of hind paw swelling caused by hypodermic injection of carrageenan were used to study the antiinflammatory effects of JGT while hot plate test and writhing reflex produced by intraperitoneal injection of acetic acid in mice were adopted for the examination of the analgesic effect of the drug. Results4.42,8.84 and 17.68 g·kg1 of JGT per mouse administered by gastrogavage were shown to have striking inhibitory effects on the writhing reflex induced by intraperitoneal injection of acetic acid , the inhibitory rates being 30.9 %,40.5 % and 50.6 % ,respectively. The drug at these doses was also found to elevate the pain threshold evidently in the hot plate test in a dose dependent manner 30-120 min after the administration(P<0.01). The effect was most pronounced 60 min after the administration of the drug. Administration of JGT at the doses mentioned above resulted in an inhibition of the mouse ear swelling induced by xylene at the rates of 35.0 %,42.4 % and 51.2 %,respectively. The drug at doses of 3.06,6.12 and 12.24 g·kg-1 per rat administered by gastrogavage was shown to inhibit the paw edema caused by carrageenan in a dose dependent manner. The effect was most obvious 4 h after the induction of the inflammation. ConclusionJGT was shown to have dramatic antiinflammatory and analgesic effects with definite doseeffect relationships.
  • 麻醉科用药
  • 麻醉科用药
    LIAO Zhi pin;LI Baili;LUO Ai lin;TIAN Yuke
    2006, 25(4): 0-0.
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    ObjectiveTo assess the feasibility of the application of total intravenous anesthesia in neurosurgical operation and to compare its effects with those of inhalation anesthesia. Methods60 patients scheduled for craniocerebral operations were randomly divided into 2 equal groups: the trial group (for total intravenous anesthesia ) and control group(for combined IV and inhalation anesthesia). Patients of the trial group were given each a sustained IV injection of 5 mg·kg-1·h-1 of propofol,2.5 mg·kg-1·h-1 of lidocaine, 1.8-3.0 μg·kg-1·h-1 of fentanyl and 0.5 mg·kg-1·h-1 of atracutium with an injection pump. Patients of the control group wer given disconnected IV injections of vecuronium bromide combined with inhalation of isoflurance. Electroencephalographic and hemodynamic parameters of the patients were continuously monitored. The time of recovery from the anesthesia, adverse reactions and complications of anesthesia were noted down. ResultsThe bispectral index (BIS )and 95 % spectral edge frequency(SEF ) in patients of both groups were significantly decreased after the induction of anesthesia and the BIS in patients of the trial group was strikingly lower than that of the control group. The mean arterial blood pressure(MAP) was elevated and heart rate increased significantly in patients of the control group after the induction of anesthesia and intratracheal inhalation. Changes in these 2 parameters were moderate in patients of the trial group. Symptoms of restlessness were more frequently observed in patients of the control group than in those of the trial group after the extubation. ConclusionThe total intravenons anesthesia was shown to be superior to inhalation anesthesia in craniocerebral operations.
  • 麻醉科用药
    YAN Meijuan;LOU Xiaokan
    2006, 25(4): 0-0.
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    ObjectiveTo study the effects of total intravenous anesthesia (TIVA)with controlled plasma concentrations of propofol ,sufentanil and vecuronium bromide as well as TIVA combined with epidural anesthesia on the plasma levels of glucose, epinephrine and cortisol in patients undergoing major epigaetric operations. Methods40 patient of ASA gradeⅠor Ⅱ scheduled for epigaetric operations were randomly divided into 2 equal groups: group TIVA ad group EIVA. Patients of the group TIVA were subjected to total intravenous anesthesia with targeted plasma concentrations of propofol, sufentanil and vecuronium bromide. On the basis of the TIVA, patients of the group EIVA were given each a sustained epidural injection of 0.375 % ropivacaine at a speed of 5 mL·h1 .Arterial blood samples were collected at the time before anesthesia(t0),2 min after endotracheal intubation(t1),2 min after skin incision(t2), during exploration of the peritoneal cavity(t3), 1.0 h after skin incision(t4)and 2 min after extubation (t5) for the determination of plasma levels of glucose, epinephrine and cortisol. ResultsBlood glucose levels at t4 and t5 in patients of both groups were higher than those at t0(P<0.05). However, patients of group TIVA had higher blood glucose levels at these time points than those in patients of group EIVA(P<0.05). Plasma concentrations of cortisol in patients of group EIVA were lower at t3 than those at t0(P<0.05) and they return to the t0 level at t5. Plasma concentrations of cortisol in patients of group TIVA were higher at t4 and t5 than those at t0(P<0.05) and they were also higher than those in patients of group EIVA(P<0.05). Plasma concentrations of epinephrine in patients of both groups were lower at t2 than those at t0(P<0.05), and there were restored to t0 levels at t3 and t4. Plasma concentrations of epinephrine in patients of group TIVA were higher at t5 than those at t0(P<0.05). Plasma epinephrine levels in patients of group TIVA were higher than those in patients of group EIVA (P<0.05).ConclusionBoth TIVA with controlled plasma concentrations of propofol , sufentanil and vecuronium bromide and TIVA combined with epidural anesthesia were shown to exert striking suppressive effects on the secretions of epinephrine and cortisol in patients undergoing major epigaetric operations. These suppressive effects and the effects to counteract hyperglycemia were more pronounced in patients subjected to the combined anesthesia than those receiving TIVA alone. These results suggest that both TIVA and TIVA combined with epidural anesthesia may induce notable remission of the stress reaction of the patients in the perioperative period .
  • 药物研究
  • 药物研究
    YAN Jidong;LI Mengquan;ZHAO Defang;GAO Xueling
    2006, 25(4): 0-0.
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    ObjectiveTo survey the antitussive and antiasthmatic effects of the seeds of Spinacia oleracea(SSOL) in animals. Methods48 young guinea pigs were randomly divided into 4 equal groups. Animals of all 4 groups were subjected to inhalation of different solutions nebulized by an ultrasonic device: guinea pigs of the control group inhaled nebulized 0.9 % sodium chloride solution, animals of the lowdose trial group, 100 % extract of SSOL;those of the highdose trial group, 200 % extract of SSOL, and guinea pigs of the positive control group, 0.05 % solution of isoprenaline hydrochloride. The inhalation lasted 3 minutes and was followed immediately by inhalation of nebulized solution of 0.01 % histamine0.2 % acetylcholine for 20 s in order to induce asthma. The animals were then kept under observation for 6 min for the attack of asthma. ResultsThe latent period of asthma attack was prolonged both in animals of the highdose and lowdose trial groups, and the difference was significant(P<0.01) if compared with that in animals of the control group. ConclusionThe extract of SSOL was shown to exert antagonistic effect against the cough and asthma induced by histamineacetylcholine in guinea pigs.
  • 麻醉科用药
  • 麻醉科用药
    WU Shimin;ZHANG Xianwei;DING Hanlin;ZHANG Tiejun;CHEN Lin;TIAN Yuke
    2006, 25(4): 0-0.
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    ObjectiveTo investigate the anesthetic effects of liposomal lidocaine injected intrathecally in rats.Methods40 healthy female SD rats were randomly divided into 2 equal groups,the control group and the trial group . Rats of the control group and the trial group were given each an intrathecal injection of 0.8 mg of 2 % lidocaine phosphate solution and 2 % liposomal lidocaine at a speed of 0.02 mg·s-1, respectively. The acting time, the times of motor and sensory recovery in the hind limbs of the rats were kept under observation with combined behavioral observation and dynamic plantar aesthesiometer. The time of motor blockade was assessed using revised Bromage scale. ResultsThe difference between the acting times in animals of the two groups was not significant (P>0.05). The times of motor and sensory recovery in rats of the trial group were significantly longer than those of the control group (P<0.01). As shown by the revised Bromage scale, the motor blockade time of Grade Ⅲ in rats of the control group was significantly longer than that in rats of the trial group, while the motor blockade times of Grade Ⅰand Ⅱ in rats of the control group were significantly shorter than those of the trial group (P<0.01).ConclusionThe effect of spinal anesthesia in rats was shown to be prolonged by intrathecal injection of liposomal lidocaine as a result of a slow release of the drug from the liposomes.
  • 麻醉科用药
    LEI Lipei;FAN Lihua;ZHU Liping;WU Bibo
    2006, 25(4): 0-0.
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    ObjectiveTo study the effect of patientcontrolled intravenous analgesia (PCIA) with the use of tramadol on the immune function of patients after epigastric surgery. Methods30 adult patients scheduled for epigastric surgery and subjected to combined intravenous and tracheal inhalation anesthesia were randomly divided into two equal groups,the trial group and control group. Patients of the trial group subjected to postoperative PCIA with tramadol were given each an initial dose of 1.5 mg·kg-1 of tramadol followed by a maintenance dose of 0.3 mg·kg-1·h-1 for 48 h. During this period, a single additional dose of 0.1 mg·kg-1 of the drug was given if no apparent analgesic effects was induced . Patients of the control group were given each an IM injection of 1 mg·kg-1 of pethidine on demand(visual analog score[VAS]>5). Plasma interlukin(IL)-2,IL-6,IL-10 and tumor necrosis factor-α(TNF-α) were determined before the anesthesia, at the termination of the surgery as well as 1,3 and 7 d after the operation. ResultsPostoperative VAS in patients of the control group was strikingly higher than that in those of the trial group. Plasmas content of IL-6,IL-10,TNF-α were increased ,while that of IL-2 was significantly decreased in patients of both groups after the operation. However, the changes in the levels of these cytokines were more prominent in patients of the control group than those in patients of the trial group (P<0.01) .The return of the plasma levels of these cytokines to normal took place earlier in patients of the trial group, the difference between the 2 groups being significant(P<0.05). ConclusionPCIA with tramadol was shown to alleviate the immunosuppression and promote the recovery in postoperative patients.
  • 药物与临床
  • 药物与临床
    LI Wei;HUANG XiaoYuan;ZHUANG Liang;WANG Wei;ZHU Tao;LI Xiao;MA Ding
    2006, 25(4): 0-0.
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    ObjectiveTo approach the therapeutic effectiveness of early intervening treatment of high risk human papilloma virus(HPV) infection of cervix uteri with fluorouracil (5-FU). MethodsHigh risk HPV infection of the cervix was screened out with the thinprep cytological test(TCT) and hybrid captureⅡ (HC-Ⅱ) . 50 cases of Grade Ⅰcervical intraepithelial neoplasia(CIN-Ⅰ) with cytological abnormalies and high risk HPV infection lasting 6 months were chosen and randomly divided into 2 equal groups, the control group and the trial group. Patients of the trial group were subjected to local intervening treatment with absorbable and sustainedrelease 5FU medicine membranes while patients of the control group received no intervening treatment. TCT and determination of the HPV DNA levels were repeated at regular intervals during the course of treatment. ResultsDistinct downward trend of the loading dose of HPV was shown in patients of the trial group and the virus disappeared in 5 patients(20.0 %) during the 3rd month of treatment. In the 6th month of treatment, pathological reversion was demonstrated in 13 patients(52.0 %) and only 2 cases(8.0 %)of the trial group and control group, respectively(P<0.05). ConclusionTreatment of CIN-Ⅰ patients with high risk HPV infection with absorbable and sustained release 5-FU medicine membranes was shown to result in decrement of the loading dose of HPV or even eradication of the virus.
  • 药物与临床
    XIE Yonghong;JIN Faguang
    2006, 25(4): 0-0.
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    ObjectiveTo assess the therapeutic effectiveness and safety rate of the sterilized powder of azithromycin for injection in the treatment of moderate to severe infections of the respiratory system. Methods60 patients with moderate to severe infections of the respiratory system were randomly divided into two equal groups. the trial group and control group. Patients of the trial group were given each 250 mg of the sterilized powder of azithromycin for injection in 500 mL of 5 %glucose solution administered by IV instillation q.d.. Patients of the control group were given each 1.5 g of erythromycin in 500 mL of 5 % glucose solution administered by IV instillation q.d.as well. The course of treatment in both groups lasted 5 days. ResultsThe effective rate and cure rate in patients of the trial group were 93.3 % and 83.3 %, respectively, while those in patients of the control group were 86.7 % and 66.7 %,respectively. The incidence of adverse reactions in the patients of the trial group was 16.7 %, strikingly lower than that (36.7 %) in patients of the control group(P<0.05).ConclusionThe sterilized powder of azithromycin for injection was shown to be very effective in the treatment of moderate to severe infections of the respiratory system and its incidence of adverse reactions was low.