感冒非处方中成药之中西复方制剂不良反应的文献分析

目的通过检索常用的感冒类非处方中成药不良反应发生情况,为安全使用感冒类非处方中成药提供参考。方法规定中成药范围包括：中西药复方制剂。采用回顾性研究方法,通过检索药物不良反应杂志和CNKI中文数据库,收集常用的感冒类非处方中成药的不良反应的相关文献,对资料进行整理和分析。结果检索用于治疗感冒的非处方中成药89种,经上述数据库报道,有不良反应发生情况的中成药2种,分别为维C银翘片和新复方大青叶片。涉及病例14例。结论虽然非处方药的特点是药效确定、相对安全、使用方便、毒副作用小,不良反应发生几率低,但药物安全性不容忽视,也需要考虑其不良反应并合理使用。     

防风通圣丸与其他药物联合应用临床现状

防风通圣丸出自《宣明论方》,对于感冒、湿疹、习惯性便秘、荨麻疹等疾病都有很好的疗效。防风通圣丸与其他药物联合应用对某些疾病的治疗效果更好,但是有些临床医生和药房工作人员并不太清楚,现介绍如下:1防风通圣丸与其他药物联合应用治疗皮肤疾病1.1治疗痤疮防风通圣丸每次6     

防风通圣丸与地塞米松联用治疗荨麻疹98例临床报告

目的:研究防风通圣丸与地塞米松联用治疗荨麻疹的临床效果。方法:对98例荨麻疹患者联用防风通圣丸与地塞米松治疗。结果:治愈78例,有效10例,无效10例,治愈率为79.59%,总有效率89.80%;治愈者疗程3~6天,平均4天,治愈病例中随访10个月,有4例复发,但症状较轻。结论:防风通圣丸与地塞米松联用治疗荨麻疹临床效果较好。     

非处方中成药不良反应发生原因的分析

目的通过对非处方中成药不良反应发生原因的归纳总结,为非处方中成药的安全合理使用提供参考。方法规定中成药范围包括:中药复方制剂,中西药复方制剂,中药提取物制剂。采用回顾性研究方法,通过检索检索国家食品药品监督管理局药品不良反应监测中心、药物不良反应杂志和CNKI中文数据库,对有不良反应发生情况的常用非处方中成药进行总结归纳,分析不良反应发生的原因。结果影响非处方药不良反应的因素主要有药物因素、联合用药、药证不符、体质因素、用药不当、含有有毒中药、"中药西化"不成熟。结论非处方药的不良反应与诸多因素有关,建议临床应用,充分考虑各个方面,加大对不良反应的监测与报道,完善不良反应发生机制的研究,为非处方药的安全使用提供参考。     

非处方中成药用于呼吸系统疾病的不良反应分析

目的:通过检索常用于呼吸系统的非处方中成药不良反应发生情况,为安全使用此类非处方中成药提供参考。方法:采用回顾性研究方法,通过检索《药物不良反应杂志》和中国知网(CNKI)中文数据库,收集用于呼吸系统疾病的非处方中成药的不良反应的相关文献,对资料进行整理和分析。结果:经上述数据库报道,有不良反应发生情况的4种中成药分别是复方甘草片、西瓜霜润喉片、蛇胆川贝液、复方草珊瑚含片。结论:虽然非处方药的特点是药效确定、相对安全、使用方便、不良反应发生几率低,但药物安全性不容忽视,也需要考虑其不良反应并合理使用。     

防风通圣丸与地塞米松联用治疗荨麻疹98例临床报告

目的研究防风通圣丸与地塞米松联用治疗荨麻疹的临床效果.方法对98例荨麻疹患者联用防风通圣丸与地塞米松治疗.结果治愈78例,有效10例,无效10例,治愈率为79.59%,总有效率89.80%;治愈者疗程3～6天,平均4天,治愈病例中随访10个月,有4例复发,但症状较轻.结论防风通圣丸与地塞米松联用治疗荨麻疹临床效果较好.     

双黄连治疗感冒的文献分析

目的了解和评价双黄连在感冒治疗中的应用情况。方法以双黄连、感冒为检索词,按主题检索2000年1月—2009年10月中国期刊全文数据库,记录患者年龄、双黄连剂型、用法用量、是否辨证施治、疗效和不良反应的相关数据进行统计分析。结果共检索到10篇文献,1395份病例,用于风热感冒的病例数为477例（34.19%）,用于风寒感冒的病例数为30例（2.15%）,未辨证施治的病例数为888例（63.66%）,所有注射剂均未按辨证施治的原则使用。口服制剂与注射剂疗效相似。不同年龄组疗效未见明显差异。结论应用双黄连治疗感冒,要辨证施治,用于风热感冒,首选口服给药。生产厂家应开展上市后临床研究及不良反应汇总分析,明确双黄连在特殊人群的用药资料。     

藿香正气不同制剂对动物小肠运动的影响

目的探讨藿香正气液、藿香正气水对家兔和小鼠肠运动的影响。方法采用离体方法观察藿香正气水、藿香正气口服液对家兔离体小肠收缩力的影响,采用在体方法观察不同浓度的藿香正气水、藿香正气口服液对小鼠小肠运动的推进作用,并观察其量效关系和毒性。结果①藿香正气口服液、藿香正气水均可使离体家兔回肠的收缩力增强,也可使在体小鼠的小肠运动加快。②用新斯的明预处理后,藿香正气口服液、藿香正气水均可使离体家兔回肠的收缩力和小鼠小肠运动减弱。用阿托品预处理后,藿香正气口服液、藿香正气水均使离体家兔回肠的收缩力和小鼠小肠运动增强。③四川蜀中生产的藿香正气水和白云山生产的藿香正气水的LD50分别为（30.20±0.03）mL/kg和（35.48±0.02）mL/kg;浓度为45%的乙醇的LD50为（33.88±0.02）mL/kg;藿香正气口服液的最大耐受量为200 mL/kg。结论藿香正气口服液和藿香正气水可促进小肠运动,但对小肠的运动是双向的,使兴奋的小肠运动减弱,使抑制的小肠运动增强。藿香正气水的毒性可能与其溶剂乙醇有关。     

藿香正气水的不良反应

藿香正气水是临床常用的中成药 ,其不良反应屡有报道。现将该药引起的不良反应综述如下 :1　不良反应1.1　过敏性皮疹 :郭平和 [1 ] 报道 :患者 ,女 ,2 3岁 ,因腹胀恶心而口服藿香正气水 (江西昌九工业走廊白塘开发区 ,批号 980 70 7) 10 m L,服药后 10 min,即感全身瘙痒、发热 ,射区、四肢出现红斑皮疹 ,停用此药 ,口服息斯敏片 ,并注射葡萄糖酸钙针剂 ,2 d痊愈。再服藿香正气水 10 m L(同批号 ) ,30 min后又出现类似症状 ,经抗过敏治疗而愈 ,证实为藿香正气水引起过敏的反应。此患者既往无药物过敏史 ,也无食物过敏史。董燕钦 [2 ] 、苏…     

用于外科疾病的非处方中成药不良反应文献分析

目的通过检索常用于外科疾病的非处方中成药不良反应发生情况,为安全使用此类非处方中成药提供参考。方法规定中成药范围包括中药复方制剂、中西药复方制剂、中药提取物制剂。采用回顾性研究方法,通过检索药物不良反应杂志和CNKI中文数据库,收集用于外科疾病的非处方中成药的不良反应的相关文献,对资料进行整理和分析。结果经上述数据库报道,有不良反应发生情况的中成药5种,分别是跌打丸、红花油、三七片、少林风湿跌打膏、麝香壮骨膏。结论虽然非处方药的特点是药效确定、相对安全、使用方便、毒副作用小,不良反应发生几率低,但药物安全性不容忽视,也需要考虑其不良反应并合理使用。     

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.