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    药物研究
  • 药物研究
    DOU Chunqing;ZHAO Qingchuan;DOU Kefeng;YANG Yanling;YUE Shuqiang;LI Kaizong
    2004, 23(8): 519-0521.
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    To study the effect of tarcrolimus(FK506) on serum TNFα and IL1β levels during inflammatory reactions induced in mice and rats. Methods:80 mice of the Kunming strain and 48 SD rats were randomly divided equally into 2 groups, the acute inflammatory injury (AII) group and tacrolimus pretreatment (AII+FK506) group, respectively. An endotoxin shock model in mice was wrought by an intraperitoneal injection of LPS( 25 mL·kg1 for each mouse )and a severe acute pancreatitis (SAP) model in rats was produced by a retrograde injection of sodium taurocholate solution(0.8 mL·kg1 for each rat) into the biliopancreatic duct. Beginning from 2 days before the production of the models, mice and rats of the AII+FK506 group were given each by gastrogavage 20 mL·kg1 of tacrolimus q.12.h., while animals of the AII group were given each equal amount of 0.9% sodium chloride solution in the same manner. 10 mice and 6 rats of both groups were sacrificed 0, 3, 6 and 9 hours after the injection of LPS and sodium taurocholate, respectively. Blood samples were collected and serum TNFαand IL1β contents were determined. The ratio of the wet weight and dry weight (W/D) of the lung was calculated and the histopathology of the lung was studied. Results:A trend of an early rise followed by a subsequent fall in the levels of serum TNFα and IL1β was demonstrated in blood samples from both groups. Serum TNFα and IL1β reached their peaks 3 h and 6 h after the injection of LPS and sodium taurocholate, respectively. The levels of serum TNFα and IL1β were lower in animals of the AII+FK506 group than those of the AII group at every time point(P<0.01). The W/D ratio of the lung in animals of both groups 3, 6 and 9 h after the production of the model was greater than that 0 h after the production (P<0.01). However, the W/D ratio increment was smaller in animals of the AII+FK506 group than that of the AII group(P<0.01). Histopathologic examination revealed extensive lesions in parenchymal and interstitial tissues of the lung in animals of the AII group. The interalveolar septa were edematous and thickened. The alveolar architecture was deranged, with the presence of large amount of inflammatory exudates and infiltration of polymorphonuclear neutrophil leukocytes. In contrast, the lung tissue was injured to a much smaller extent in animals of the AII+FK506 group.Conclusion:Tacrolimus pretreatment was shown to decrease the serum contents of TNFα and IL1β during inflammatory reactions in mice and rats and alleviate the acute lesions induced by inflammatory mediators.
  • 药物研究
    WANG Decai;ZHAO Xiaomin;LI Tongde;MA Jian;KONG Zhifeng;LI Ke;GAO Yunsheng
    2004, 23(8): 523-0525.
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    To investigate the effect of the total coumarins from peucedanum praeruptorum Dunn(TCP) on the activity of hepatic drugmetabolizing enzymes in mice. Methods:Mice were randomly grouped. Animals of the blank control, positive control and TCP groups were given each by gastrogavage 5% Tween80 (20 mL·kg1), chloromycetin (25 mg·kg1) and TCP(50, 100, 200 mg·kg1)in equal volumes, respectively. An hour later, mice of all groups were given each an intraperitoneal injection of either 36 mg·kg1 of pentobarbital sodium or 180 mg·kg1 of barbital sodium. The effects of these 2 hypnotics were kept under observation in all the animals tested and the activities of hepatic microsomal aniline hydroxylase(ANH) and aminopyrine Ndemethylase(ADM) determined by spectrophotometry. Results:TCP was shown to dramatically prolong the hypnotic duration of pentobarbital sodium in a dosedependent manner, but it hardly influenced the hypnotic effect of barbital sodium. TCP in doses of 50 and 100 mg·kg1 was found to markedly inhibit the activities of ANH and ADM. Conclusion:TCP proved to be capable of inhibiting the activity of hepatic microsomal drugmetabolizing enzymes in mice.
  • 药物研究
    LI Gonghua;QI Jinwen;MA Ke
    2004, 23(8): 527-0529.
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    To probe into the transference of tinidazole across the bloodpancreas barrier in rats so as to provide theoretical basis for the selection of appropriate antimicrobics for the treatment of secondary infections of the pancreas. Methods:35 SD rats served as the subjects of the study. Each of the animals was given a subcutaneous injection of tinidazole (20 mg·kg1 body weight). Blood samples were taken 0, 5, 10, 20, 30, 60, 90, 120, 180 and 240 min separately after the injection and sera were separated. Pancreata of the animals were taken out separately at the same time points as mentioned above for the preparation of tissue homogenates. The concentrations of tinidazole in the sera and pancreatic tissue homogenates were determined with high performance liquid chromatography (HPLC). Results:The concentrations of tinidazole in sera and pancreatic tissue homogenates reached their peak values of 19.73 μg·mL1 and 55.17 μg·g1 20 min after the injection, respectively. The permeation ratio of the drug through the blood pancreas barrier was greater than 1.Conclusion:After a subcutaneous injection of tinidazole in the rat the drug was shown to have a fairly high distribution in the pancreas, denoting its good tranferability across the bloodpancreas barrier. It is therefore proposed by the authors that tinidazole may be used clinically for the prevention and treatment of pancreatic infections.
  • 药物研究
    JIANG Yiping;LIU Yonggang;CHEN Houchang
    2004, 23(8): 529-0531.
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    To probe into the therapeutic effect of the aqueous extract of radix paeoniae rubra in the treatment of liver fibrosis induced in rats by carbon tetrachloride (CCl4). Methods:Model of liver fibrosis in rats was induced by a series of subcutaneous injections of CCl4. The animals of the treatment group were given each 20, 40 or 80 mg·kg1 of radix paeoniae rubra q.d. while those of the positive control group were given each 90 mg·kg1 of malotilate q.d.. Drugs in both groups were administered by gastrogavage, and the course of treatment lasted 12 consecutive weeks in both groups. The liver histology was studied with light microscopy. Levels of serum alanine aminotransferase(ALT), aspartate aminotransferase (AST), nitric oxide (NO), hyaluronic acid(HA) and laminine (LN) as wells as contents of hydroxyproline (Hyp), malonyldialdehyde (MDA) of the liver were determined to mirror the extent of liver injury and hepatic fibrosis.Results:The elevated serum levels of ALT, AST, NO, HA and LN as well as the increased content of Hyp and MDA in the liver tissue were significantly brought down by radix paeoniae rubra. Pathological examination also demonstrated that radix paeoniae rubra could strikingly alleviate the experimental hepatic fibrosis. Conclusion:Aqueous extract of radix paeoniae rubra was shown to be effective in the treatment of experimental liver fibrosis in rats.
  • 抗微生物药物专栏
  • 抗微生物药物专栏
    SI Bin;JIANG Juquan;LIU Mengli;SUN Hui
    2004, 23(8): 533-0535.
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    To survey the therapeutic effect of the antiviral drug ribavirin in the treatment of severe acute respiratory syndrome(SARS). Methods:38 patients with SARS admitted into the Xiao Tang Mountain Hospital of Beijing served as the subjects of the study. The patients were divided into 2 groups. Group A (small dose group) was composed of 18 cases each of which was given ribavirin 600-1 000 mg·d1, q.d.. 20 patients of group B (large dose group) were given each 1 000-3 000 mg·d1 of the same antivirotic, b.i.d. The drug was administered by intravenous instillation in patients of both groups.The course of treatment in both groups lasted 7-26 days. Biochemical indices of the blood reflecting liver and kidney functions before and after the treatment as well as the therapeutic effect in patients of both groups were kept under observation and compared. Results:With the exception of 3 cases, all other patients of the 2 groups had their temperature abated to normal levels and general condition apparently improved within 2 weeks of the treatment. All of the patients were perfectly recovered from the illness and discharged in good condition. A dramatic increase in white cell count and platelet count was demonstrated after the ribavirin treatment in a part of the patients (P<0.05 or P<0.01). There was also a mild rise in the level of blood urea nitrogen(BUN)(P<0.05), which was not related to the dose of ribavirin and the course of treatment. The liver function and red cell count in patients of both groups were not noticeably affected by ribavirin. Conclusion:Ribavirin in two different dosages was shown to be fairly effective in the treatment of 38 cases of SARS. No serious adverse reaction were encountered.
  • 药物与临床
  • 药物与临床
    LIU Guanghui;ZHU Rongfei;WANG Zhongxi
    2004, 23(8): 546-0548.
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    To assess the therapeutic effectiveness and safety rate of desensitization therapy with the dust acarid allergen vaccine for patients with dust acarid allergic asthma. Methods:166 patients with dust acarid allergic asthma were subjected to the study. The initial concentration and dosis of the vaccine were determined according to the result of the allergen skin test and level of serum IgE. Routine as well as maintaining desensctization therapy was carried out. The initial vaccine concentration and dosis ranged from 5 TU·mL1 to 50 TU·mL1. The dosis or concentration of the vaccine was gradually increased with every succeeding injection until the maximal tolerable concentration 5 000 TU·mL1 and dosis 0.8-1.0 mL were reached. This concentration and dosis were maintained throughout the total course of desensitization therapy lasting 15-21 months. The symptom integral, pulmonary function, specific serum IgE and IL4 levels of 152 patients before and after the desensitization therapy were compared. Results:152 of the 166 patients insisted on to complete the course of treatment. Before and after the treatment, the symptom integral was (9.4±2.4) and (3.2±1.7), the pulmonary function force expiratory volume in one second(FEV1) was (1.98±0.72) and (2.37±0.79) L, peak expiratory flow rate (PEFR) was (6.3±2.1) and (7.4±2.5) L·s1, level of specific acarid serum IgE was (15.3±2.3) and (3.2±1.4) KUA·L1, and the level of serum IL4 was (534.7±78.6)and (316.3±72.7) ng·mL1, respectively. The differences were all highly significant(P<0.01). Only 62 of the 152 patients showed local adverse reactions, no systemic ones were encountered. Conclusion:Desensitization therapy with dust acarid allergen vaccine was shown to be an effective and safe method for the treatment of dust acarid allergic asthma.
  • 药物与临床
    SHI Yeqing;HAN Xinghai;LIU Yu;ZHAO Dongbao
    2004, 23(8): 548-0550.
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    To survey the therapeutic effectiveness and safety rate of recombinant interferongamma (IFNγ) in the treatment of systemic sclerosis(SSc).Methods:15 patients with SSc served as the subjects of the study. Each patient was given a daily I.M. injection of 1 000 000 U of recombinant IFNγ in 5 days of a week. The course of treatment lasted 3 months. Results:After the completion of the treatment course, a striking improvement was demonstrated in skin sclerosis scores, maximal oral opening, joint function index, carbon monoxide diffusing capacity(DLco), erythrocyte sedimenation rate(ESR) and content of Creactive protein (CRP). No serious adverse reactions were encountered. Conclusion:Recombinant INFγ was shown to be effective in the treatment of systemic sclerosis with low incidence of adverse reactions.
  • 药物与临床
    ZHANG Ying;GAO Pengfei;FANG Zhonghong
    2004, 23(8): 551-0553.
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    To assess the clinical therapeutic effectiveness of compound tingqin cream applied topically in the treatment of acute bronchitis and acute exacerbation of chronic bronchitis. Methods:94 cases of bronchitis diagnosed clinically were randomly divided into 2 equal groups, the treatment group and control group. Each patient of the treatment group was treated with a total amount 5 g of compound tingqin cream topically applied onto the points Feishu and Shenque. The dressings were changed every other day. The course of treatment lasted 7 days in patients with acute bronchitis and 14 days in those with acute exacerbation of chronic bronchitis. Patients of the control group were given each conventionally 0.5 g of amoxicillin capsules PO, t.i.d.. If symptoms could not be controlled within 7 days, the oral antibiotic amoxicilin was changed into cefaclor in a dosis of 0.25 g PO, t.i.d.. Symptoms,signs, content of Creative protein (CRP) and blood routine of the patients were kept under observation. The clinical effects in patients of the two groups were compared. Results:The clinical therapeutic effectiveness with respect to control of coughing, expectoration, asthma as well as lowering of neutrophil granulocyte count and CRP content in patients of the treatment group was significantly superior to that of the control group(P<0.01). The overall effective rates and the excellent effective rates in patients of the treatment group and control group were 85.1% and 66.0%, 74.4% and 40.4%, respectively. The differences between the two groups were significant(P<0.05). Conclusion:Compound tingqin cream applied topically onto relevant points was shown to have definite therapeutic effect in the treatment of bronchitis, revealing a new way for controlling bronchitis——treating internal disease externally.
  • 药物与临床
    ZHANG Chi;WANG Yanlin;WAN Dening
    2004, 23(8): 553-0555.
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    To study the influence of pretreatment with ketamine on the epidural analgesic effect of ropivacaine. Methods:60 ASAⅠⅡpatients scheduled for elective hypogastric surgeries were randomly divided into 2 equal groups, the control group(A) and ketamine group(B). After the surgeries, patients of both groups were subjected to PCEA (patient controlled epidural analgesia). In this procedure, patients of group(A) were given each 5 mL of 0.2% ropivacaine with addition of 0.0002% fentanyl analgesic mixture administered through an epidural catheter. Another 3 mL of the drug were injected 15 min later if no apparent analgesic effect was induced. Thereafter, a maintenance dose of 2 mL·h1 was sustained for 24~48 h. 1 h before PCEA, patients of group (B) were given each 0.3 mg·kg1 of ketamine administered through the epidural catheter. All other measures were the same as those taken for patients of group(A). Visual analogue scale(VAS) score and Bruggerman comfort scale (BCS) score were registered 4, 8, 16 and 24 h after the operation to assess the analgesic effect and the level of comfortableness, respectively. Results:The VAS scores in group (B) were significantly lower than those in group (A), while the BCS scores in group(A) were significantly lower than those in group(B) (P<0.05 in both cases). Conclusion:Pretreatment with ketamine was shown to enhance the analgesic effect of ropivacaine.
  • 药物与临床
    LI Wengang;XU Chengrong;WAN Mufen;LI Shenqiu
    2004, 23(8): 557-0559.
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    To survey the therapeutic effectiveness of BCGPolysaccharide Nucleic Acid (BCGPSN) in the treatment of patients with chronic urticaria and the influence of the drug on the level of serum IgE in the patients. Methods:78 patients with chronic urticaria were randomly divided into two groups. Patients of the treatment group(n=48) were given each 1 mg of BCGPSN injection I.M., q.o.d.. The course of treatment comprised 18 injections. In the meantime, each of the patients was given 3 mg of astemin PO q.d.. Patients of the control group(n=30) were treated only with astemin in the same manner and same dosage as in patients of the treatment group. The course of treatment in the 2 groups was also the same. The clinical therapeutic effectiveness was assessed according to the level of pruritus, number and size of wheals, etc.. The levels of serum IgE of all the patients were determined before and after the treatment. Results:The effective rates were 58.3% and 33.3% in the treatment group and control group, respectively(P<0.05), while the cure rates were 18.8% and 10.0% in the treatment group and control group, respectively(P>0.05). The serum IgE levels were significantly lower after the treatment as compared with those before the treatment in patients of the treatment group(P<0.05).Conclusion:BCGPSN was shown to be fairly effective in the treatment of chronic urticaria. The mechanism may be related to modulation of the level of immunity by the drug.
  • 药物制剂
  • 药物制剂
    FANG Jianguo;LI Yongjin;SHI Chunyang
    2004, 23(8): 583-0585.
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    To prepare and control the quality of ligustrazine phosphate sodium chloride injection. Methods:Briefly, the injection was prepared by dissolving 1.0 g of ligustrazine phosphate and 9.0 g of sodium chloride in water for injection added gradually until a final volume of 1 000 mL was reached. The content of ligustrazine phosphate in the injection was determined with HPLC and that of sodium chloride, with silver nitrate titrimetry. Results:Linear relationship was found when the ligustrazine phosphate concentrations ranged from 20.0 μg·mL1 to 200.0 μg·mL1. The average rate of recovery of ligustrazine phosphate was 100.13%, RSD=0.56%(n=9). The average rate of recovery of sodium chloride was 100.27%, RSD=0.39%(n=9). Conclusion:The formula of this preparation is reasonable and the technology was simple and convenient. Moreover, its quality control is easy to handle.
  • 药物制剂
    LIU Jinlai;HUANG Xuesun;LIN Zhong
    2004, 23(8): 588-0589.
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    To explore the preparation technology and method of quality control of indometacin suppositories for neonates. Methods:New technology was used for the preparation of indometacin suppositories for neonates. Briefly, 42 g of compound glycerates of fatty acids, 0.2 g of carbomer and 0.1g of indometacin were subjected to ultrasound mixing. The content of indometacin in the suppositories was determined with reversephase high performance liquid chromatography(RPHPLC). Results:The calibration curve was linear when the concentration of indometacin was within a range of 1-20 mg·L1(r=0.999 9). The RSD of intraday and interdays assay was 0.15%-1.56%. The rates of recovery for high, medium and low concentrations were 98.6%-99.7%. Conclusion:The preparation technology for the suppositories was simple and the RPHPLC method proved suitable for the quality control of the preparation.
  • 药品质量控制
  • 药品质量控制
    GU Jinlin
    2004, 23(8): 591-0592.
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    To set up a method for determining the content of baicalin in qinghouyan mixture with HPLC. Method:Chromatography was performed on a Hypersil ODS C18 column (4.6 mm×250 mm,5μm), with a mixture of methanolwaterphosphoric acid (53∶47∶0.3) as the mobile phase. The detection wavelength was 280 nm. Results:The calibration curve was linear when the concentration of baicalin was in the range of 10-150 μg·mL1 (r=0.999 0). The average rate of recovery was 100.2%, with a coefficient of variation of 1.4%. Conclusion:The method was shown to be simple, accurate, with a good reproducibility and could therefore be used for the quality control of qinghouyan mixture.