何首乌药材HPLC指纹图谱研究

目的 建立何首乌药材反相高效液相色谱(RP-HPLC)指纹图谱分析方法,为有效控制何首乌药材的质量奠定基础.方法 采用RP-HPLC法,色谱柱为SunfireTM C18,乙腈-0.1%甲酸水梯度洗脱,检测波长为280 nm,流速为1.0 mL/min,分析时间为60 min,分析了10批生首乌药材和10批制首乌药材的HPLC指纹图谱.结果 在选定的色谱条件下通过相似度分析确定13个色谱峰构成生首乌药材指纹图谱的特征峰,11个色谱峰构成制首乌药材指纹图谱的特征峰,可用于不同产地何首乌药材的指纹图谱的测定和质量评价.结论 采用RP-HPLC方法所建立的指纹图谱具有稳定、重复性好的特点,不但可以用于何首乌药材质量控制,还可以作为探索中药何首乌有效物质基础研究的有效手段.     

不同产地清蒸熟地黄饮片高效液相指纹图谱研究

目的:对不同产地清蒸熟地黄饮片的高效液相指纹图谱进行对比研究,建立可靠的质量控制方法.方法:采用高效液相法,以麦角甾苷为对照品,Polaris C18色谱柱(4.6 mm×250 mm,5μm),检测波长为334 nm,流速1.0 mL/min,柱温25℃,进样量20 μL.以乙腈-0.1％醋酸为流动相.溶剂A为乙腈,...     

雪峰虫草高效液相色谱指纹图谱研究

目的 建立雪峰虫草药材的高效液相色谱指纹图谱,为评价其质量提供依据.方法 采用高效液相色谱法,色谱柱为月旭 AQ-C18(4.6 mm×250 mm,5 μm);检测波长 260 nm;以甲醇-0.1%甲酸水溶液为流动相进行梯度洗脱;体积流量0.5 mL/min;柱温30 ℃;进样量20 μL. 结果 建立了11批雪峰虫草药材高效液相色谱指纹图谱,确定共有峰15个,采用对照品结合HPLC-Q-TOF-MS/MS技术对7个特征峰进行了指认,并采用相似度分析、主成分分析、聚类分析的方法对指纹图谱进行了分析. 结论 建立的雪峰虫草高效液相指纹图谱方法简便、可靠且重复性好,为雪峰虫草的质量控制提供了有效的手段.     

藏药湿生扁蕾药材反相高效液相层析指纹图谱的研究

目的建立藏药湿生扁蕾药材反相高效液相色谱指纹图谱分析方法,为有效控制湿生扁蕾药材的质量奠定基础。方法采用反相高效液相层析(RP-HPLC)技术,选用ZORBAX SB-C18色谱柱,甲醇-0.4%磷酸水溶液梯度洗脱,紫外检测波长为260nm,流速为1.0mL/min,记录时间为60min,分析了10批湿生扁蕾药材的HPLC指纹图谱。结果在选定的色谱条件下通过相似度分析,确定10个色谱峰构成湿生扁蕾药材指纹图谱的特征峰。结论采用RP-HPLC所建立的指纹图谱具有稳定、重复性好的特点,可用于湿生扁蕾药材的质量控制。     

甘草药材HPLC指纹图谱研究

目的建立甘草药材的HPLC指纹图谱。方法采用高效液相色谱法,选用ZORBAX Eclipse XDB-C18（4.6mm×250mm,5μm）色谱柱,流动相为乙腈-0.05%磷酸水溶液,分析时间为70min,各时间段检测波长为：0～16min,215nm;16～22min,360nm;22～70min,250nm。结果建立了甘草药材的高效液相色谱指纹图谱,确定7个共有色谱峰,方法学验证结果符合指纹图谱相关要求。结论该方法稳定、可靠、重复性好,可作为不同批次甘草药材质量控制的评价方法。     

HPLC Fingerprint Study of Flos Genkwa Processed by Vinegar

目的 建立醋芫花饮片高效液相色谱指纹图谱,并评价醋芜花样品质量的优劣.方法 采用高效液相色谱法,色谱柱:Eclipse Plus C18(250 mm×4.6mm,5μm),流动相:0.05％甲酸乙腈-0.05％甲酸水,梯度洗脱,流速:1.0 mL/min,柱温:30℃,检测波长:332 nm.以聚类分析法提取10批醋芜花样品色谱图进行共有模式建立.结果 建立了醋芫花HPLC指纹图谱共有模式,并指认了其中7个色谱峰,应用其对16批样品进行分析测定,样品相似度结果均在0.9以上.结论 所建立的方法简便、准确、重现性好,可为评价醋芜花的质量提供方法学依据.     

决明子药材HPLC指纹图谱研究

目的 建立决明子药材反相高效液相色谱(RP-HPLC)指纹图谱分析方法,为有效控制决明子药材的质量奠定基础.方法 采用RP-HPLC法,色谱柱为SunfireTM C18柱 (4.6 mm×150 mm,5 μm),乙腈-0.1%磷酸水梯度洗脱,检测波长为280 nm,流速为0.8 mL /min,分析时间为120 min,分析了10批决明子药材的HPLC指纹图谱.结果 在选定的色谱条件下,通过相似度分析确定27个色谱峰构成决明子药材指纹图谱的特征峰.结论 采用RP-HPLC方法 建立的指纹图谱具有稳定、重复性好的特点,不但可用于决明子药材质量控制,还可作为决明子有效物质基础研究的有效手段.     

桂枝配方颗粒的HPLC指纹图谱研究

目的建立桂枝配方颗粒的高效液相指纹图谱,为桂枝配方颗粒的鉴别及其质量控制提供实验依据。方法采用高效液相色谱（HPLC）法,Agilent Zorbax SB-C18（4.6 mm×250 mm,5μm）为色谱柱;乙腈-0.1%磷酸溶液为流动相进行梯度洗脱,检测波长为280 nm;柱温20℃;流速0.8 m L/min。结果建立了桂枝配方颗粒的高效液相指纹图谱,以16号峰为参照峰确定了桂枝配方颗粒的16个共有峰,并指认出了原儿茶酸、肉桂酸,对照指纹图谱色谱峰丰富,分离度高,相似性好。结论该方法方便可靠,可用于桂枝配方颗粒的鉴别、质量评价与控制。     

鲜鱼腥草高效液相色谱指纹图谱研究

目的建立鲜鱼腥草药材高效液相色谱(HPLC)指纹图谱的分析方法,为有效控制鲜鱼腥草药材的质量奠定基础。方法采用HPLC技术,色谱柱为Inertsil ODS-3柱(4.6 mm×150 mm,5μm),流动相为乙腈-0.2%冰醋酸水溶液,梯度洗脱,检测波长254 nm,流速1.0 m L/min,记录时间72 min,分析13批鲜鱼腥草药材的HPLC指纹图谱。结果在选定的色谱条件下通过相似度分析,确定了7个色谱峰构成鲜鱼腥草药材指纹图谱的特征峰。结论采用HPLC所建立的指纹图谱具有稳定、重复性好的特点,可用于鲜鱼腥草药材的质量控制。     

火绒草HPLC指纹图谱初步研究

目的:采用高效液相色谱法(HPLC)建立火绒草的指纹图谱,为火绒草的质量控制提供标准.方法:选用Ultimate XB-C18(5μm,4.6mm×200mm)色谱柱;流动相:A.甲醇-乙腈-四氢呋喃(3:2:1),B.0.5%冰醋酸溶液;柱温:20℃;流速:1mL/min;记录时间60min;二级管阵列检测器,检测波长为325nm;采用药典委员会的色谱指纹图谱相似度计算软件(2004A版)进行分析.结果:确定了火绒草有15个共有峰,图谱中主要色谱峰分离较好,达到指纹图谱要求,可有效地分析和评价药材的质量.结论:所建立的指纹图谱特征性及专属性强,方法稳定可靠、简便快捷,适用于火绒草药材的质量控制.     

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…     

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.     

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.     

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.     

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.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.