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    药物研究
  • 药物研究
    LI Jing;LIU Yunhai;CHEN Xin;DING Xiaojia;WU Sanlan;XIE Wei
    2006, 25(12): 1237-1240.
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    To probe into the antiendotoxin effects of baicalin isolated from Radix Scutellariae. MethodsA 0.5% aqueous solution of baicalin was prepared which was extracted and isolated from Radix Scutellariae. The in vitro antiendotoxin effect of baicalin was quantitatively determined with the limulus test after a mixture of endotoxin and baicalin had been incubated in a 37 ℃water bath for 1 h. The in vitro inhibitory of baicalin on the endotoxininduced fever was measured in rabbits. The LPSinduced deaths in mice pretreated and not pretreated with baicalin were compared. Effects of baicalin on the LPS induced excessive increase in the serum contents of tumor necrosis factorα(TNFα) and nitric oxide (NO) were studied in mice. Results0.833 mg· mL1 of baicalin was shown to result in a degradation of endotoxin from 4 EU to 0.546 EU, the destruction percentage being 87.45%. 5 mL·kg1of 0.5% baicalin solution injected intravenously per rabbit gave rise to a striking abatemant of the endotoxininduced fever. The LPSinduced death rate in mice pretreated with baicalin(10%) was significantly lower than that in those without baicalin pretreatment(70%). The excessive increase in the serum TNFα and NO induced by LPS in mice was brought down significantly by baicalin in a dosedependent manner. ConclusionBaicalin isolated from Radix Scutellariae was shown to be provided with antiendotoxin effects.
  • 药物研究
    XU Leiming;FU Qin;HU Benrong;TANG Qiang;XIANG Jizhou
    2006, 25(12): 1241-1245.
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    To survey the effects of anandamide(Ana) on the cardiac function, nitric oxide(NO) content and nitric oxide synthase(NOS) activity in the left ventricular myocardium of the rat in vitro. MethodsThe Langendorff method was used for surveying the effects of Ana on the heart rate(HR), coronary flow(CF), coronary perfusion pressure (CPP), maximal rate of left ventricular developed pressure(+dp/dtmax), maximal rate of left ventricular decline pressure( dp/dtmax), left ventricular systolic pressure(LVSP), left ventricular enddiastolic pressure(LVEDP) and left ventricular developed pressure(LVDP) of the rat heart. NO content and NOS activity were assayed with benzidine fluorescence spectrophotometry. ResultsAna was shown to decrease HR, CPP, +dp/dtmax, -dp/dtmax, LVSP and LVDP and increase LVEDP and CF. The selective cannabinoid CB1 receptor antagonist AM251(1μmol·L1) blocked a portion of the cardiac effects of Ana. Another selective cannabinoid CB2 receptor antagonist AM630(1μmol·L1) and the nitric oxide synthase inhibitor NomeganitroLarginine methyl ester (LNAME) (100 μmol·L1) had no significant influence on the cardiac effects of Ana. Ana was shown to enhance the activity of constitutive nitric oxide synthase(cNOS) and inhibit the activity of inducible nitric oxide synthase(iNOS). Ana could also promote the release of NO from the myocardium. ConclusionAna was shown to decrease the myocardial contractility and slow down the heart rate, denoting negative inotropic as well as negative chronotropic action. Ana caused coronary vasodilatation and increased coronary blood flow. Cannabinoid CB2 receptors and endogenous NO probably did not take part in the effects of Ana on the cardiac functions. It is likely that other novel action sites may be present that could modulate the cardiac effects of Ana. By regulating the activity of myocardial NOS isoenzyme, increasing the cNOS activity and decreasing the iNOS activity as well as promoting the myocardial release of NO, Ana seems possible to exert a myocardial protective effect and may have a potential prospect of clinical application in the treatment of myocardial ischemia and arterial hypertension.
  • 药物研究
    CHEN Shanjuan;LIU Zhixiang;WU Yan;TU Yating;LI Jiawen
    2006, 25(12): 1246-1248.
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    To compare the therapeutic effectiveness of three different antifungal drugs terbinafine, fluconazole and itraconazole in the treatment of experimental vaginitis caused by Candida albicans in mice. MethodsThe fungal vaginitis model was set up in female ICR mice by intravaginal inoculation of suspension of Candida albicans after the animals had been pretreated with estradiol. Mice divided randomly into different groups were then treated with terbinafine, fluconazole and itraconazole, respectively, administered by gastrogavage. The loading of the fungus in the vaginal lavage fluids in mice of the different groups were meatured dynamically at different time points after the beginning of the drug treatment. ResultsThe fungal loadings in the vaginal lavage fluids taken at different time points from mice treated with terbinafine were significantly higher than those taken at corresponding time points from mice treated with fluconazole or itraconazole(P<0.01). The fungal loading in the vaginal lavage fluids taken from mice 1 week after the beginning of the treatment with terbinafine remained at a relatively high level. A dramatic fall of the fungal loading in the vaginal lavage fluids taken on the 2nd day of treatment from mice treated with itraconazole or fluconazole group was demonstrated and the fungal loadings on the 3rd day of treatment in these mice were shown to be at a very low level, showing that itraconazole and fluconazole were highly effective in the treatment. However, the difference between the therapeutic effectiveness of these 2 drugs was not significant (P>0.05). ConclusionItraconazole and fluconazole, but not terbinafine, were shown to be very effective in the treatment of fungal vaginitis caused by Candida albicans in mice.
  • 药物研究
    FENG Zhengquan;WU Liangcun;SHEN Minhe;SHU Qijin;WANG Binbin
    2006, 25(12): 1249-1252.
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    To probe into the effects of the tailored shashen maidong decoction(TSMD) in the prevention and treatment of tumor metastases in mice and the underlying mechanisms. MethodsAliquots of the suspension containing tumor cells of the highly metastatic lung adenocarcinoma LA795 in mice were inoculated subcutaneously into T739 mice. 24 h after the challenge, mice bearing the tumor were randomly divided into 3 equal groups (n=20 in each group): the cyclophophamide(Cy) group, the TSMD group and the blank control group. Mice of the Cy group were given each an intraperitoneal injection of 60 mg·kg1 of Cy q.o.d. for 16 consecutive days. Mice of the TSMD group were given each 0.45 mL·d1 of TSMD q.d. administered by gastrogavage for 16 consecutive days. Mice of the blank control group were given each 0.45 mL·d1 of distalled water q.d. administered by gastrogavage for 16 consecutive days. The rate of tumor inhibition as reflected by the decrease in the weight of the subcutaneous tumor 20 days after the beginning of the drug treatment, the rate of inhibition of lung metastases, the survival span of the animals and expression of VEGF(vascular endothelial growth factor), CD34(vascular endothelial factor Ⅷ), CD44V6(adhesion molecule), MMT2(matrix metalloproteinase 2) and TIMP2(tissue inhibitor of metalloproteinase 2) by the subcutaneous tumors in mice of the different groups were compared. ResultsThe rate of tumor inhibition in mice treated with TSMD was 37.3%,which was , however , lower than that (57.3%)in mice treated with Cy(P<0.01). The survival span of mice treated with TSMD was (31.4±2.5) days ,which was significantly longer than that (26.0±3.1 days) in mice of the blank control group but similar to that (30.1±3.6 days) in mice treated with Cy(P>0.05). The expression of VEGF by the subcutanecous tumor in mice treated with TSMD was (2.6±1.4), which was significantly lower than that (5.2±3.2) in mice of the blank control group (P<0.01) but similar to that (4.7±2.5 in mice treated with Cy(P>0.05). The microvascular density (MVD) of the subcutaneous tumor in mice treated with TSMD was 10.2±1.7,which was strikinly lower than that (15.7±4.4) in mice of the blank control group (P<0.01) but similar to that (10.2±1.7) in mice treated with Cy (P>0.05). The expression of CD44V6 by the subcutaneous tumor in mice treated with TSMD was (2.1±1.9), which was significantly lower than that (4.1±2.6) in mice of the blank control group (P<0.01) and than that (5.0±2.9) in mice treated with Cy (P<0.01). The expression of TIMP2 by the subcutaneous tumor in mice treated with TSMD was (4.7±2.4), which was significantly higher than that (2.8±1.9) in mice of the blank control group(P<0.01) but similar to that (3.6±1.5) in mice treated with Cy(P>0.05) . The expression of MMP2 by the subcutaneous tumor in mice of the blank control group and those treated with TSMD and Cy were (4.8±3.6), (4.6±2.4) and (5.1±3.0), respectively, the differences between them being insignificant(P>0.05, P>0.05). A linear correlation was demonstrated between the number of lung metastases and VEGF,CD44V6 and MVD, the correlation coefficients being 0.490,0.398 and 0.455, respectively. Conclusion①TSMD was shown to inhibit tumor growth and lung metactaces, prolong survival span in mice bearing highly metastatic lung adenocarcinoma LA795. ② TSMD is thought by the authors to inhibit tumor metastases in a multipathway and multitarget manner by modulating adhesion, matrix degradation and expression of corresponding molecules relevant to angiogenesis during the process of tumor metatases.
  • 药物研究
    LV Xinke;DING Hong
    2006, 25(12): 1253-1255.
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    To study the pharmacokinetics and relative bioavailability of sustainedrelease lovastatin capsules in healthy Beagle dogs and to assess the bioequivalence and performance of the sustained release of the capsules. Methods Following a single dose of 40 mg of the sustainedrelease lovastatin capsules (test preparation) and conventional lovostatin capsules (reference preparation) administered by gastrogavage to each of the 4 dogs in a randomized crossover design, the plasma levels of the active drugs at different time points thereafter were determined with HPLC and the plasma drug concentrationtime curves of these preparations were drawn. The pharmacokinetic parameters as well as the relative bioavailability were calculated. ResultsThe Tmax values of the test preparation and reference preparation were (2.167±0.408) and (3.167±0.408)h; the Cmax values were (23.960±6.091) and (14.307±4.319) nmol·L1; and the AUC0~t were (118.647±13.369) and (129.065±14.729) nmol·h·L1 ,respectively. Calculated with AUC and compared with the reference preparation, the relative bioavailability of lovastatin in the test preparation was (110.4±9.6)% in average. The results of variance analysis showed that the differences between the test and reference preparations with respect to periods and preparations were not significant(P>0.05). The differences between individual subjects, however, were significant. The 90% confidence interval of AUC0~t of the test praparation was 101.3%~119.5% of that of the reference preparation. ConclusionThe sustainedrelease lovastatin capsules and the conventional lovastatin capsules were shown to be bioequivalent in terms of the degree of absorption.
  • 药物研究
    CHEN Lijia;WU Weiming
    2006, 25(12): 1256-1258.
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    To set up an RPHPLC method for the determination of the concentration of (S)amlodipine benzenesulfonate in human blood plasma. MethodsA reverse phase C8 column(4.6 mm×150 mm,5 μm) served as the solid phase,the mobile phase was methanol-20 mmol·L1potassium dihydrogen phosphate solution(pH=3.5),42 : 58, V/V. with diltiazem as the internal standard; the detection wavelength, 238 nm; the flow rate, 1.0 mL·min1. The plasma samples were treated with methanol for the precipitation of protein and concentrated by freeze drying before addition to the system. The volume of samples added was 50 μL. ResultsThe calibration curve exhibited an excellent linear relationship with a correlation coefficient of 0.998 7 when the concentration of (S)amlodipine benzenesulfonate was within a range of 0.2 ~ 20.0 ng· mL1 .The average absolute recovery rate was (94.3 ± 4.6)% (n = 15). The within day and inter days precisions (RSD) were both less than 9.6%. The lower limit of detection was 0.1 ng· mL1. The assay was not interfered with by endogenous substances. ConclusionThe method was shown to be simple, sensitive and accurate and may be used in the pharmacokinetic and pharmacodynamic studies of (S)amlodipine benzenesulfonate as well as in the monitoring of the blood concentration of the substance in the clinical practice.
  • 药物研究
    LIU Qiang;WU Peihua;HE Wen;SONG Jinchun
    2006, 25(12): 1259-1260.
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    To carry out a quantitative examination of the liposomal gel encapsulating 8methoxypsoralen (LMOPgel) with respect to its drugrelease properties in vitro. MethodsThe in vitro drugrelease properties of the LMOP gel was assayed with the dialysis method using 8methoxypsoralen gel (8MOPgel) as the control. The stability of drug release from the LMOPgel within a period of 3 week storage at 4 ℃was studied. ResultsIn comparison with the 8MOPgel,the LMOPgel was shown to have distinct sustainedrelease and longacting properties. In the first 3 hours,the drugrelease profile of the LMOPgel followed the diffusion model of Higuchi(rate constant k=4.07% ·h-1/2) .After the 3rd h, however, it obeyed the zero orderrelease model(k=0.66%·h1).In contrast, the drug release from the 8MOPgel followed the Higuchi (k=6.91%·h -1/ 2) diffusion model throughout the 24 hours of the experiment. Both the drugrelease properties and the drugentrapment percentage of the LMOPgel were kept stable within the 3 week period of storage at 4 ℃. ConclusionThe LMOPgel was shown to be provided with distinct sustainedrelease properties and ideal stability in the in vitro drugrelease experiment. It is therefore worth further study and exploitation.
  • 皮肤性病课用药专栏
  • 皮肤性病课用药专栏
    LIU Houjun;TU Yating;CHEN Xingping;WEN Haiquan;XIE Hongfu;CAO Yuchun
    2006, 25(12): 1262-1263.
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    To survey the clinical therapeutic effectiveness and safeness of 5% imiquimod cream in the topical treatment of condyloma acuminatum at the perianal region and external genitalia. MethodsA randomized, double blind, multicentre, parallelcontrolled clinical study was carried out. Two hundred thirty seven patients with anogenital condyloma acuminatum enrolled into the trial were randomly divided into 2 groups: the treatment group(n=119) and control group (n=118). Patients of the treatment group and control group were given each 5% imiquimod cream qs and 2.5% 5fluorouracil cream qs, respectively, administered by topical smearing 3 times a week. The course of treatment in both groups lasted 8 weeks. Patients whose warts had been cleared up completely were followed up for 8 weeks for checking on recurrence rates. ResultsThe cure rates were 66.4% in patients of the treatment group and 66.1% in those of the control group (P>0.05); the effective rates in patients of the treatment group and control group were 86.7% and 85.6%, respectively (P>0.05). 6 patients in the treatment group and 27 patients in the control group experienced recurrences of warts after complete recovery, the recurrence rates being 5.0% and 22.4%, respectively( P<0.05).Adverse reactions were encountered in 29 patients(24.4%) of the treatment group and 44 patients(37.3%) of the control group(P<0.05). The major adverse reactions in patients of the treatment group included erythema and erosion in the topical areas where the drug was smeared. There were no systemic adverse reactions in patients of both groups. Conclusion5% imiquimod cream was shown to be effective, safe and handy in the topical treatment of anogenital condyloma acuminatum.
  • 皮肤性病课用药专栏
    JIANG Wen;DENG Yunhua;JIN Wenhua;QIN Zhihui
    2006, 25(12): 1264-1266.
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    To probe into the reliability and security of desensitization therapy with penicillin per os in the treatment of syphilis patients with skin test positive for penicillin. MethodsDesensitization therapy with penicillin per os administered in progressively increasing concentrations was adopted in 4 syphilis patients with skin tests positive for penicillin. The patients were then treated with penicillin G in combination with benzathine penicillin G if the desensitization was successful. ResultsNo adverse reactions were encountered in the course of treatment of the 4 cases of syphilis showing skin tests positive for penicillin. Skin test reactions in 3 of the 4 patients turned to be negative for penicillin at the termination of the desensitization therapy. All the 4 patients completed their antisyphilitic treatment successfully. ConclusionDesensitization therapy with penicillin was shown to result in a transient desensitization in syphilis patients with skin tests positive for penicillin, and the desensitization therapy with penicillin per os proved to be reliable and secure.
  • 药物与临床
  • 药物与临床
    XIONG Xianzhi;CAI Shuqing;JIN Yang;ZHANG Jianchu;BAI Ming
    2006, 25(12): 1273-1275.
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    To analyze and sum up the clinical characteristics of disseminated histoplasmosis (DH) so as to improve the levels of diagnosis and treatment of the disease. MethodsRetrospective analysis and summing up of the complete clinical data of 8 inpatients with DH were carried out the diagnosis of which had been confirmed by bone marrow cytomorphology and/or bone marrow fungus cultivation. Results and Conclusion The clinical characteristics of the 8 cases of DH were as follows: ① Long term fever associated with multisystem affection, the digestive, blood and respiratory systems being frequently compromised. The corresponding symptoms and signs included anaemic countenance, emaciation, dermatorrhagia and splenohepatomegaly. ② Mild anemia, the total number of WBC in the peripheral blood was not increased or slightly decreased. The percentage of neutrophil granulocytes was less than 0.73, with a relative increase in the stabform granulocytes. The number of lymphocytes was decreased or normal, while the percentage of monocytes was increased. ③ The extent of the increase in Creactive protein was strikingly greater than that of the acceleration of erythrocyte sedinentation rate. The plasma IgG increased while the serum A/G ratio decreased. ④Special instrumental examinations revealed splenohepatomegaly and enlarged abdominal lymphoid nodes. A reduced liver CT density suggested fatty liver. Bone marrow cells taken from patients with clinical manifestations described above were subjected to cytomorphologic examination under the oil immersion objective of the light microscope. The diagnosis of histoplasmosis was confirmed by the finding of the biphasic fungus growth in the culture of the Histoplasma capsulatum demonstrated in the macrophages. The disease was treated with amphotericin B with a total dose of round 350 mg, the therapeutic effect being excellent.
  • 药物与临床
    WANG Jinghe;HU Guohua
    2006, 25(12): 1276-1277.
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    To study the clinical therapeutic effectiveness of xiaoerqingrening (XQN) combined with nimesulide in the treatment of acute upper respiratory tract infection(AURTI) in children.Methods207 cases of AURTI were randomly divided into 2 groups: the trial group (n=105) and control group (n=102). Patients of the trial group were given each 4 to 8 g of XQN 2 to 3 times a day PO, according to the ages of the children from 1~2 to 6~14 years old, combined with 5 mg·kg 1of nimesulide, PO, 3 times a day. Patients of the control group were given each 1~2 mL to 10 mL of paracetamol solution PO, every 4~6 hours, according to the ages of the children from 3~12 months to 6~11 years old. The course of treatment in both groups lasted 3 days. ResultsThe effective rates in patients of the trial group (94.3%) was significantly higher than that of the control group (78.3%)(P<0.01). ConclusionXQN combined with nimesulide was shown to exert satisfactory therapeutic effects in the treatment of AURTI in children. Besides, the treatment was also less expensive.
  • 药物与临床
    LIU Guangjian;LUO Guojun;HE Guohou
    2006, 25(12): 1278-1279.
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    To survey the clinical therapeutic effectiveness and security of topiramate (TPM) in the treatment of patients with neuralgia. Methods118 patients with different kinds of neuralgia including greater occipital nerve neurolgia, spinal nerve neuralgia,sciatica etc. were randomly divided into 2 equal groups: the trial group and control group . Patients of the trial group were given each 25 or 50 mg of TMP PO,b.i.d., while those of the control group were given each 100 mg of carbamazepine(CBZ) PO,b.i.d. or t.i.d.. The medication was continued for 1 more week after the pain had been relieved. The clinical therapeutic effectiveness of the drugs was assessea after the 2 week treatment.ResultsThe overall effective rates in patients treated with TPM and CBZ were 93.2%, and 86.4%, respectively (P<0.05). The incidences of adverse reactions in patients treated with TPM and CBZ were 10.2% and 40.7%, respectively. Adverse reactions encountered in patients treated with TPM included transient dizziness, somnolence,hypomnesis and hypologia. ConclusionTPM was shown to be effective and safe in the treatment of neuralgia and may be regarded as one of the first choice analgesics in the treatment of the disease.
  • 药物与临床
    WANG Guangyong;FANG Zhong;DUN Xianli
    2006, 25(12): 1280-1282.
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    To probe into the threrapeutic effectiveness of celecoxib combined with glucosamine sulfate(ViartrilS) in the treatment of degenerative osteoarthritis of the knee. Methods180 outpatients with osteoarthritis of the knee were randomly divided into 3 equal groups:① the celecoxib group ,② glucosamine sulfate(ViartrilS) group and ③ celecoxih+ViartrilS group. Patients of group ① were given each 200 mg of celecoxib PO b.i.d . for 8~10 consecutive weeks. Patients of group ② were given each 250 mg of VartrilS PO t.i.d . for 16 consecutive weeks. Patients of group ③ were given celecoxib and ViartrilS in the same dosage and duration of time as deseribed for patients in group ①and ②.The courses of treatment were repeated in patients of all 3 groups until each patient was subjected to a oneyear treatment in total. The average Womac arthritis index scores and the indexes of average severity of asteoarthritis were used to assess the improvement in clinical symptoms and amelioration of the structure and function of the knee joint cartilage in patients of the 3 groups after the beginning of the treatment. The data obtained were analyzed statislically. In the 1st month as well as 3 months after the beginning of the treatment, striking improvement in the clinical symptoms was demonstrated in patients of group ①(celecoxib group) and in particular those of group ③ (celecoxib +ViartrilS group). Amelioration of symptoms in patients of group ② (ViartrilS group) was tardy, the joint scoring being inferior to those in patients of group ① and group ③(P<0.01). 6 months after the beginning of the treatment, the scorings in patients of the ViartrilS group and especialy in those of the celecoxib+ViartrilS group were shown to decrease continuously, the differences between the scorings in patients of the 2 groups at this time period and those before the treatment being highly significant (P<0.01), and in this respect, the celecoxib+ViartrilS group was superior to the ViartrilS group(P<0.05) while the changes in patients of the celecoxil group were not significant(P>0.05). Furthermore, magnetric resonance imaging (MRI) revealed dramatic amelioration and reduction of joint cartilage abrasion in patients of the celecoxil+ViartrilS group and ViartrilS group 6 months after the beginning of the treatment, the situation being superior to that in patient’s of the celecoxib group(χ2=39.3, P<0.01). The MRI finding in patients of the celecoxib+ViartrilS group were evidently superior to those in patients of the ViartrilS group 12 months after the beginning of the treatment (χ2=5.88, P<0.01). ConclusionCelecoxib combined with ViartrilS was shown to be fairly effective in the treatment of osteoarthritis of the knee. Not only could it control symptoms and improve joint function in the early stage of treatment, but also maintain its long term therapeutic effectiveness, protecting joint cartilage from abrasion and promoting repair of injured joint cartilage.
  • 药物制剂
  • 药物制剂
    ZHANG Xiaoying;XU Runjuan;MO Mingxiu
    2006, 25(12): 1309-1310.
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    To prepare an enteroscope paste and to set up a method for its quality control. MethodsIn the process of preparation of the parte, glycerin insterd of water was used to soak the sodium carboxymethyl cellulose (CMCNA). The content of tetracaine hydrochloride in the paste was determined with UV spectrophotometry at a wavelength of 310 nm. ResultsThe swelling time of CMCNa is shortened as compared with that in the traditional method. The standard curve of tetracaine hydrochloride was linear over the concentration range of 2~10 μg· mL1, r= 0.998 7(n=5 ).The average recovery rate was 99.61%, RSD = 0.54%. ConclusionThe method was handy, quick and the content determination was accurate .
  • 药品质量控制
  • 药品质量控制
    ZONG Wei;ZONG Heng
    2006, 25(12): 1317-1318.
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    To set up a method for the detemination of 2α hydroxyursolic acid (2αHUA)in Lagerstroemia specious L. hypoglycemic capsules. MethodsAn RPHPLC method was used. A Luna C18 chromatographic column served as the solid phase; the mobile phase was a mixture of acetonitrile: 0.2%formic acid (60: 40); the flow rate was 1.0 mL·min1 ; the injection volume,10 μL , and detection wavelength, 204 nm. ResultsA good linear relationship was found if the concentration of 2αHUA was in the range of 8.0180.10 μg· mL1 .The average recovery rate of loading samples was 98.60%,RSD=0.50%. ConclusionThe method was shown to be handy , rapid and accurate and can thus be used in the determination of 2α HUA in Lagerstroemia specious L. hypoglycemic capsules.
  • 用药指南
  • 用药指南
    FANG Hong;LI Xiuyun;WANG Hongwei;SUN Ziyong;DU Pengchao
    2006, 25(12): 1323-1325.
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    To study the changes in pathogenic bacteria causing pediatric septicemiain in the recent 6 years and the drug resistance of common bacteria in the recent 2 years in the Hubei district. Methods942 strains of bacteria isolated from the blood of pediatric patients suffering from septicemia and hospitalized in the 15 toplevel hospitals of the Hubei district from January 1999 to December 2004 were subjected to culture and identification and those isolated from 2003 to 2004 were submitted to drug sensitivity test. The diameter of the bacterial inhibition zone in the drug sensitivity test described by KirbyBauer was introduced into the computer and statistically analyzed with the "WHONET 5" software. Drug resistance was judged according to the criteria of the year 2002 released by the National Committee on Chinical Labortory Standards(NCCLS).ResultsThe detectable rate of grampositive bacteria was significantly higher than that of gramnegative bacteria. An annual increase in the detectable rate of Staphylococcus epidermidis was demonstrated during the 6 years: it was 22.7% in 1999 and 38.8% in 2004. In contrast, there was a yearly decrease in the detectable rate of Staphycocaus aureus: it was 29.3% in 1999 and 6.4% in 2004. The rate of drug resistance of Staphylococeus aureus to penicillin was as high as more than 96.0% and higher than 62.0% to erythromycin. The rate of drug resistance of Staphylococcus epidermidis to oxacillin reached 79.9 % , which was significantly higher than that of Staphylococcus aureus (18. 3 %) . No strains of Staphylococcus and Streptococcus were shown to be resistant to vancomycin. Klebsiella pneumoniae, Escherichia coli and Salmonella were sensitive to cefoperazone ,sulbactam sodium and imipenem, whereas the drug resistance rates of these antibiotics to ampicillin and the first generation cephalosporins were higher than 50.0%. ConclusionDrug resistance of pathogenic bacteria isolated from pediatric patients was shown to be a serious problem. Timely monitorship of the changes in pathogenic bacteria and the trend of drug resistance to antibiotics is of paramount importance in guiding the clinical treatment.
  • 用药指南
    LIU Huiguo;LIU Jin;XIONG Shengdao;XU Yongjian
    2006, 25(12): 1326-1327.
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    To study the multidrug resistance of Pseudomonas aeruginosa resistant or sensitive to carbapenem and to analyze correlated factors. MethodsSpecimens of respiratory tract secretions collected from 180 patients with confirmed diagnosis of nosocomial infection with Pseudomonas aeruginosa(PA) were demonstrated by culture in our hospital laboratory to be positive for the bacteria . PA from 90 of the specimens was resistant while that of the other 90 of specimers was sensitive to carbapenem.The bacteria both resistant and sensitive to carbapenen were subjected to an assay of drug resistance to many kinds of antibiotics.The results and the clinical situation of the patients were compared and analyzed. ResultsPseudomonas aeruginosa proved resistant to carbapenem was shown to have a strikingly increased rate of tolerance to many other antibiotics and was more liable to develop multidrug resistance. Single factor correlation analysis revealed that the risk factors of PA to be resistant to carbapenem included advanced age,underlying sickness such as chronic obstructive pulmonazy disease/bronchiectasis ,high scoring in (APACHE)II,mixed infection with 2 or more kinds of bactesia,treatment with fluoroquinolone and imipenem/ meropenem 15 days before the isolation of PA,etc.It was shown by multiple factor regression analysis that mechanical ventilation and treatment with imipenem/ meropenem 15 days before the isolation of PA were the 2 independent risk factors. ConclusionThe reason for Pseudomonas aeruginosa to be drugresistant to carbapenem seemed rather complicated. It may be related to the basic condition of the patient , severeity of infection and the use of antibiotics. Drugresistance of Pseudomonas aeruginosa to carbapenem frequently forbodes the possibility of its tolerance to many other antibiotics.