冬早夏草多糖保护小鼠免疫性肝损伤的筛选研究

目的 评价６种冬虫夏草多糖对小鼠免疫性肝损伤的保护作用。方法 序贯注射卡介苗和脂多糖诱导小鼠免疫性肝损伤模型，在造模过程中，每日灌服６种冬虫夏草多糖每鼠各１５０ｍｇ，共１２天。检测血清转氨酶和肝匀浆超氧化物歧化酶的活力、肝匀浆丙二醛浓度、肝脾脏器指数，并做肝脏病理学检查。结果 ６种冬虫夏草多糖均有抗肝脏指质过氧化作用，使肝匀浆丙二醛含量下降，超氧化物歧化酶活力升高（Ｐ〈０．０５或０．０１）。其中地     

山莨菪碱对小鼠免疫性肝损伤的保护作用

目的 研究山茛菪碱对小鼠急性免疫性肝损伤的保护作用及可能的机制.方法 建立卡介苗与脂多糖(BCG LPS)诱导的小鼠免疫性肝损伤模型,测定血清丙氨酸转氨酶(ALT),天冬氨酸转氨酶(AST)水平和肝匀浆丙二醛(MDA)、谷胱甘肽过氧化物酶(GSH-px)、超氧化物歧化酶(SOD)含量,计算肝脏、脾脏重量指数,并进行肝脏病理组织检查.结果 小鼠腹腔注射山莨菪碱,连用7 d,可显著降低免疫性肝损伤小鼠血清ALT、AST水平(P＜0.01),使升高的肝指数降低(P＜0.05,P＜0.01),脾指数也呈降低趋势;山莨菪碱还可明显降低肝匀浆MDA含量,使降低的肝匀浆GSH-px、SOD活性升高(P＜0.05,P＜0.01),减轻肝组织病理损伤程度.结论 山莨菪碱对小鼠急性免疫性肝损伤有明显的保护作用,保肝机制可能与其增强抗氧化活性等有关.     

和肝助脾饮对免疫性肝损伤小鼠脾脏T和B淋巴细胞功能的影响

Ｃ５７ＢＬ／６小鼠脾脏Ｔ和Ｂ淋巴细胞的增殖能力，在受到免疫性肝损伤后下降（Ｔ细胞１６５７４±７７６→２８８０±１３４ｃｐｍ，Ｐ＜０．０１；Ｂ细胞１６０６４±３２５→１４９０４±２４１ｃｐｍ，Ｐ＜０．０５），和肝助脾饮不仅能使免疫性肝损伤小鼠脾脏Ｔ和Ｂ淋巴细胞增殖能力下降得到改善（Ｔ细胞６１８８±１２９ｃｐｍＰ＜０．０１；Ｂ细胞有增高趋势１５６００±２６８ｃｐｍ），而且正常小鼠应用后亦明显提高（Ｔ细胞３１４５４±４７２ｃｐｍ，Ｐ＜０．０１；Ｂ细胞２９５９８±６４２ｃｐｍ，Ｐ＜０．０１）。提示和肝助脾饮能改善免疫功能，减轻小鼠的免疫损伤。     

维生素E对三氯乙烯急性染毒大鼠肝脏脂质过氧化与抗氧化酶的影响

本文用抗氧化剂维生素Ｅ 预处理后,观察了三氯乙烯（３０００ｍｇｋｇ Ｂ－ Ｗ－） 一次性经口染毒２４ｈ 大鼠肝脏的超氧化物歧化酶、谷胱甘肽过氧化物酶等抗氧化酶活力及丙二醛含量的变化,结果表明三氯乙烯染毒组肝脏中丙二醛含量、超氧化物歧化酶活力及血清谷丙转氨酶、谷草转氨酶活力均高于对照组（Ｐ＜ ０－０１） ;而维生素Ｅ 干预组的丙二醛含量、超氧化物歧化酶活力及血清谷丙转氨酶、谷草转氨酶活力均分别低于三氯乙烯染毒组（Ｐ＜ ０－０１） ,说明三氯乙烯急性染毒可引起肝脏脂质过氧化反应及肝损害,肝脏超氧化物歧化酶活力升高可能是机体受自由基及脂质过氧化反应刺激而诱导产生的一种适应性反应,维生素Ｅ 对三氯乙烯所致的肝损害有一定的保护作用。     

氯乙醇急性染毒对大鼠肝抗氧化酶与脂质过氧化物影响的研究

本文观察了一次性经腹腔注射氯乙醇（３０ｍｇ／ｋｇＢ．Ｗ．）的急性染毒大鼠３，６，１２，２４ｈ等四个不同时点肝脏的超氧化物歧化酶、谷胱甘肽过氧化物酶等抗氧化酶活力及脂质过氧化物—丙二醛含量的变化关系，结果发现氯乙醇急性染毒组肝脏中上述的抗氧化酶活性于所设四个时点中均比对照组低（Ｐ＜０．０１及０．０５），而同时丙二醛含量高于对照组（Ｐ＜０．０１及０．０５），提示氯乙醇急性染毒大鼠中肝脏抗氧化酶活性受氯乙醇毒性所抑制，出现肝脏脂质过氧化并造成肝损害。同时，本文也发现氯乙醇急性染毒大鼠血清中丙二醛含量与肝脏丙二醛含量存在着高度密切的正相关关系（Ｐ＜０．０１），且血清中丙二醛含量比谷丙转氨酶活性早升高，提示血清丙二醛可能可以作为检测氯乙醇急性肝损害较为敏感的指标     

红背叶根对小鼠免疫性肝损伤的保护作用

目的 探讨红背叶根对卡介苗和脂多糖诱导的小鼠免疫性肝损伤的保护作用.方法 尾静脉注射卡介苗 脂多糖诱导小鼠免疫性肝损伤.称重并计算小鼠的胸腺、肝脏、脾脏系数,检测血清谷丙转氨酶、谷草转氨酶、一氧化氮的活性以及测定肝组织匀浆中TNF-α、IL-1β的含量.结果 红背叶根可显著改善免疫性肝损伤小鼠的胸腺、肝脏、脾脏系数.降低血清中谷丙转氨酯、谷草转氨酶、一氧化氮的活性以及肝组织匀浆中TNF-α、IL-1β的含量.结论 红背叶根对免疫性肝损伤具有显著的保护作用.     

山茛菪碱对小鼠免疫性肝损伤的保护作用

目的 研究山莨菪碱对小鼠急性免疫性肝损伤的保护作用及可能的机制。方法 建立卡介苗与脂多糖（BCG＋LPS）诱导的小鼠免疫性肝损伤模型，测定血清丙氨酸转氨酶（ALT），天冬氨酸转氨酶（AST）水平和肝匀浆丙二醛（MDA）、谷胱甘肽过氧化物酶（GSH—px）、超氧化物歧化酶（SOD）含量，计算肝脏、脾脏重量指数，并进行肝脏病理组织检查。结果 小鼠腹腔注射山莨菪碱，连用7d，可显著降低免疫性肝损伤小鼠血清ALT、AST水平（P〈0．01），使升高的肝指数降低（P〈0．05，P〈0．01），脾指数也呈降低趋势；山莨菪碱还可明显降低肝匀浆MDA含量，使降低的肝匀浆GSH—px、SOD活性升高（P〈0．05，P〈0．01），减轻肝组织病理损伤程度。结论 山莨菪碱对小鼠急性免疫性肝损伤有明显的保护作用，保肝机制可能与其增强抗氧化活性等有关。     

小儿病毒性心肌炎超氧化物歧化酶及脂质过氧化物的改变

目的探讨小儿病毒性心肌炎与自由基的关系。方法测定了６５例病毒性心肌炎患儿血清超氧化物歧化酶活性和脂质过氧化物的终产物丙二醛含量。结果显示急性期与正常组比较超氧化物歧化酶活性明显降低（Ｐ＜００１），丙二醛含量显著升高（Ｐ＜００１）。恢复期与急性期比较超氧化物歧化酶活性明显升高（Ｐ＜００１），丙二醛含量也明显降低（Ｐ＜００１）。而恢复期与正常组比较超氧化物歧化酶变化差异不明显（Ｐ＞００５），丙二醛含量却有明显差异（Ｐ＜００５），但仍未降至正常值。结论表明自由基—脂质过氧化作用在病毒性心肌炎发病中起一定作用，且与病情轻重和病期长短有一定关系。     

百春肝泰灵对小鼠免疫性肝损伤及免疫功能的影响

了解百春肝泰灵对小鼠免疫性肝损伤及免疫功能的影响。方法采用丙酸杆菌（ＣＰ）加脂多糖（ＬＰＳ）诱导小鼠免疫性肝损伤模型和环磷酰胺（Ｃｙ）所致小鼠ＤＴＨ反应增高模型进行观察。结果百春肝泰灵（３、９、２７ｇ·ｋｇ－１，ｑｄ×１０ｄ，ｉｇ）可使免疫性肝损伤小鼠升高的血清ＡＬＴ、ＡＳＴ和肝脏指数降低（Ｐ＜０．０１），并使小鼠肝脏损伤性病理变化减轻；同时能使Ｃｙ所致小鼠增高的ＤＴＨ反应及Ｔ淋巴细胞增殖反应降低（Ｐ＜０．０１）。结论百春肝泰灵对小鼠免疫性肝损伤有明显的保护作用     

牛膝多糖对小鼠免疫性肝损伤的保护作用

目的研究牛膝多糖对小鼠免疫性肝损伤的保护作用。方法序贯注射卡介苗（BCG）和脂多糖（LPS）,诱导小鼠产生免疫性肝损伤模型。在造模过程中,小鼠每曰ig150、300mg·kg^-1牛膝多糖,共10d。比色法测定血清和肝组织中丙氨酸氨基转移酶（ALT）的含量,TBA法和NBT法测定肝匀浆中超氧歧化酶（SOD）的活力以及丙二醛（MDA）的浓度。并计算脾脏及胸腺重量指数。结果ig150、300mg·kg^-1牛膝多糖后,可明显降低模型小鼠血清和肝组织中升高的ALT的水平,抑制肝匀浆中上升的MDA水平和升高过低的SOD活性,并降低脾脏及胸腺重量指数。结论牛膝多糖对小鼠免疫性肝损伤有一定的保护作用。     

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…     

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.     

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.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…