反相高效液相色谱法测定人血清中氯氮平含量

目的　探讨血清中氯氮平含量的测定方法。方法　以C18色谱柱、甲醇 -水 (80∶2 0 )、0 .1%三乙胺 (pH =7.75 )为流动相 ,在 40℃、2 30nm波长下分离、检测氯氮平 ,以安定做内标 ,内标法定量。结果　线性范围为 0～ 16 0 0ng·ml-1,r =0 .9998。氯氮平的相对回收率为99.85 %～ 10 1.2 0 %。三浓度的平均日内相对标准偏差 (RSD)为 2 .5 % ,平均日间RSD为 4.0 %。结论　本方法快速、简便、准确 ,可用于科研和临床工作中氯氮平血药浓度的快速检测     

重症急性胰腺炎的早期非手术治疗

目的探讨重症急性胰腺炎 (SAP)的早期非手术治疗。方法分析 1 986-2 0 0 1年收治的SAP1 0 3例的临床资料 ,按各个阶段治疗方法不同分为 2组 :A组 1 986-1 994年以手术治疗为主 5 1例 ,B组 1 995 -2 0 0 1年以非手术治疗为主 5 2例。结果A组死亡率为 3 1 .3 % (1 6/ 5 1 ) ,休克、肾衰、继发感染等并发症发生率为 5 7.9% (2 7/ 5 1 ) ,B组则分别为 7.8% (4 / 5 2 )及 1 3 .6% (7/ 5 2 )。两者相比均有显著性差异 (P <0 .0 1 )。结论早期非手术治疗重症胰腺炎优于手术治疗     

利福昔明胶囊溶出度测定方法的研究

目的　建立利福昔明胶囊溶出度的测定方法。　方法　按中国药典 2 0 0 0年版二部附录XC第二法 ,以0 1mol·L-1盐酸溶液 (含 0 2 %十二烷基硫酸钠 ) 90 0ml为溶剂 ,转速为 75r·min-1,经 45时采样 ,以分光光度法测定 ,检测波长为 410nm。　结果　本法线性范围为 4 72 4～ 82 67μg·ml-1,r =0 9996,平均回收率为 99 3 % ,RSD =0 94% (n=9)。　结论　该方法简便 ,结果准确可靠 ,可作为测定制剂溶出度的方法。     

原发眼部非何杰金氏淋巴瘤的治疗

目的 :分析原发眼部的非何杰金氏淋巴瘤的治疗方法。方法 :30例原发眼部的非何杰金氏淋巴瘤。Ann -Arbor分期。ⅠA2 2例 ,ⅡA8例 ,放疗剂量 40 0 0～ 6 0 0 0cCy/4～ 6周。放疗前均经手术病理证实。结果 :1、3、5年局部控制率 93%、90 %、91 % ;3、5、1 0年生存率分别为 1 0 0 %、92 %、70 %。结论 :原发眼部的恶性淋巴瘤 (主要是非何杰金氏淋巴瘤 ) ,主要以放射治疗为主 ,推荐剂量为 40 0 0～ 6 0 0 0cCy/4～ 6周 ,对恶性程度高者 ,配合以化疗。     

3种方法不同组合诊断幽门螺杆菌感染的比较

目的　探讨联合诊断方法 ,以提高幽门螺杆菌 (helicobacter pylori,Hp)感染的诊断敏感性和特异性。方法　2 5 9例胃镜检查患者除作组织病理检查外 ,在胃窦部取 3块胃粘膜分别作细菌培养、快速尿素酶试验、组织涂片染色。结果　检测方法中以细菌培养阳性率为最高 [76.19% (175 / 2 5 9) ];快速尿素酶试验次之 [5 8.3 % (15 1/ 2 5 9) ];组织涂片染色最低 [5 1.7% (13 4/ 2 5 9) ];后 2项与细菌培养相比有显著性差异。以 3种方法平行检测为金标准 ,细菌培养敏感性为 87.1% (175 / 2 0 1) ,快速尿素酶试验为 75 .1% (15 1/ 2 0 1) ,组织涂片染色 66.7% (13 4/ 2 0 1) ;两两平行检测的敏感性 :细菌培养加快速尿素酶试验为 99.5 % (2 0 0 / 2 0 1) ,细菌培养加组织涂片染色为 89.6% (180 / 2 0 1) ,快速尿素酶试验加组织涂片染色为 85 .1% (171/ 2 0 1)。结论　平行检测可提高 Hp感染诊断敏感性 ,细菌培养加快速尿素酶试验是提高 Hp感染诊断敏感性的一个较理想的组     

解热抗炎Ⅰ号口服液质量控制方法的研究

目的 :利用 TL C和 HPL C对解热抗炎 号口服液中有效成分大黄素进行定性、定量分析。方法 :用 TL C法对成分大黄素和薄荷进行定性分析 ,以 HPL C法在 ODS- C1 8柱上以甲醇 - 0 .1%高氯酸 (2 0∶ 80 )为流动相测定其含量。结果 :大黄素回收率为 96 .89% (RSD =0 .96 % ) ,检测范围为 0 .0 5～ 0 .8μg/ m L ,r=0 .9995 ,可以作为该制剂的质控方法。结论 :所用定性、定量方法快速简便、灵敏度高、重现行好。     

反相高效液相色谱法测定微量血浆中卡马西平浓度

目的 :建立微量血浆中卡马西平浓度的测定方法。方法 :采用反相高效液相色谱 (HPLC)法 ,以艾司唑仑为内标 ,测定微量血浆中卡马西平浓度。色谱柱 :ShimadzuShimpackCLC -ODS 6 0mm× 15 0mm ,加保护柱 ,流动相为甲醇和水 (6 0∶40 ) ,流速 0 8ml/min ,检测波长为 2 5 4nm。结果 :卡马西平在 2～ 16mg/L浓度范围内线性良好 ,r=0 9996。最低检测限为 4 92 μg/L。卡马西平高、中、低 3种浓度的平均回收率分别为 97 0 0 % ,96 0 0 % ,93 98% ;RSD分别为 1 1% ,3 0 % ,4 1% (n =9)。日内RSD分别为 1 9% ,1 6 % ,6 3% (n =5 )。日间RSD分别为 1 8% ,2 4% ,2 9% (n =5 )。结论 :该方法准确、快速、简便 ,可作为卡马西平血药浓度常规监测方法     

乳腺癌患者尿液基质金属蛋白酶检测的临床意义

目的 :探讨乳腺癌患者尿液基质金属蛋白酶 (MMP)检测的临床意义。　方法 :应用以明胶为底物的SDS 聚丙烯酰胺凝胶电泳技术对 92例乳腺癌患者进行尿液MMP的检测。　结果 :乳腺癌组尿液中相对分子质量为1 30 0 0 0、92 0 0 0及 72 0 0 0的MMP检出率分别为 5 5 .4 %、6 4 .1 %及 5 1 .1 % ,明显高于乳腺良性疾病组的 1 1 .1 %、2 2 .2 %及 1 6 .7% (P <0 .0 5 )。乳腺癌远处转移组的检出率分别为 80 .0 %、86 .7%及 70 .0 % ,明显高于乳腺癌无转移组的 4 3.5 %、5 3.2 %及 4 1 .9% (P <0 .0 5 )。　结论 :尿液MMP的检测可用于判断肿瘤的发生和发展 ,并可作为判断乳腺癌是否转移的标志     

丁哌卡因轻比重脊麻用于剖宫产术的观察

0.1%丁哌卡因轻比重脊麻用于剖宫产术 ,效果满意、优点突出。但因其镇痛时间较短 ,临床应用受到一定限制[1 ] 。本文旨在前期工作的基础上 ,对 0 .1%和 0 .2 %丁哌卡因轻比重脊麻在剖宫产术中的应用进行比较 ,以寻找一种更适宜于剖宫产手术的麻醉方法。1　资料与方法1.1　比重测定　 0 .1%和 0 .2 %丁哌卡因分别用 0 .5 %和 0 .75 %丁哌卡因加注射用水配制而成 ,以 ERMA比重计测得的0 .2 %丁哌卡因比重为 1.0 0 2 0 ,与 0 .1%丁哌卡因一样 [1 ] ,均可用于轻比重脊麻。1.2　病例选择　急诊或择期行剖宫产术的 ASA 级产妇 35例 ,随机分成两…     

高效液相色谱法测定人血浆中的烟酸

目的　建立人血浆中烟酸的高效液相色谱 (highperformanceliquidchromatography ,HPLC)测定方法。方法　以替硝唑为内标物 ,用乙腈直接沉淀人血浆中蛋白质 ,上清液在sphersorb色谱柱上 ,以乙腈 水 10 %四丁基氢氧化铵 (5 5∶4 5∶1)为流动相进行分离 ,流速 1ml·mim-1;柱温 30°C ;检测波长为 2 5 4nm。结果　烟酸与内标分离完全且无其他干扰 ,保留时间分别为 5 5 4、4 15min。线性范围 0 18～ 11 0 μg·ml-1,r=0 9999.日内RSD为 1 70～ 3 33% ,日间RSD为 1 75 %～ 4 11% ,回收率为 94 2 %～10 6 6 % ,血浆中烟酸的最低检测浓度为 0 0 9μg·ml-1。结论　所用方法简便、准确、重复性好 ,可用于口服烟酸缓释片后的血药浓度检测。     

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.