美沙拉嗪颗粒联合双歧三联活菌胶囊对溃疡性结肠炎患者血清SOD、MDA的影响

目的探讨美沙拉嗪颗粒(艾迪莎)与双歧三联活菌胶囊(培菲康)联合治疗对溃疡性结肠炎(UC)患者血清中丙二醛(MDA)浓度和超氧化物歧化酶(SOD)活力的影响。方法 38例UC患者随机分为两组:对照组和治疗组,每组各19例。对照组给予美沙拉嗪颗粒(1.0 g/次,4次/d),治疗组在此基础上加用双歧三联活菌胶囊(420 mg/次,3次/d),疗程均为2个月。比较治疗前后UC患者血清中MDA浓度和SOD活力,同时对治疗前后两组患者临床疗效进行评价。结果治疗组和对照组MDA浓度均较治疗前降低(P<0.05),SOD活力较治疗前上升(P<0.05)。两组治疗前后差值比较,差异也有统计学意义(P<0.05)。治疗组总有效率高于对照组(P<0.05)。结论美沙拉嗪颗粒联合双歧三联活菌胶囊治疗UC较单独使用美沙拉嗪颗粒可更明显地降低MDA的水平,升高SOD活力。     

培菲康联合美沙拉嗪治疗轻中度溃疡性结肠炎的临床疗效观察

目的评价培菲康联合美沙拉嗪治疗轻、中度溃疡性结肠炎(UC)的临床疗效及作用机制。方法选取活动期轻、中度UC患者60例,随机分成2组。联合用药组(n=30),采用培菲康联合美沙拉嗪治疗;美沙拉嗪组(n=30),单用美沙拉嗪治疗,疗程为8周。于治疗前后评估临床症状及结肠镜下病变活动性,并取结肠黏膜活检,免疫组织化学染色检测两组患者用药前后NF-κB的表达。结果治疗后联合用药组临床症状和结肠镜下病变活动性较美沙拉嗪组明显改善(P<0.05),患者结肠黏膜NF-κB表达亦明显低于美沙拉嗪组(P<0.05)。结论培菲康联合美沙拉嗪治疗活动期轻、中度UC较单用美沙拉嗪效果好,其机制可能是通过抑制NF-κB而起到治疗作用的。     

美沙拉嗪与培菲康联合治疗对溃疡性结肠炎患者血清TNF-a、IL-10的影响

目的分析美沙拉嗪与培菲康联合治疗对溃疡性结肠炎患者血清TNF-a、IL-10的影响。方法选择2012年4月-2013年1月在该院进行治疗的溃疡性结肠炎患者52例,随机分成两组,每组均26例,对照组采用单纯美沙拉嗪进行治疗,治疗组采用美沙拉嗪加上培菲康联合应用进行治疗,两组患者治疗时间均为2个月。对两组患者治疗前后的血清TNF-a及IL-10水平进行测定,观察两组临床疗效。结果两组患者血清TNF—d水平治疗后明显低于治疗前,IL-10水平治疗后明显高于治疗前,均P〈0．05;两组患者治疗前后数据差异有统计学意义,（P〈0．05）。治疗组患者临床表现缓解程度明显优于对照组。结论美沙拉嗪与培菲康联合应用治疗效果比单独应用美沙拉嗪效果好。     

美沙拉嗪对溃疡性结肠炎患者血清白细胞介素-6、白细胞介素-8及肿瘤坏死因子-α的影响

目的探讨美沙拉嗪治疗溃疡性结肠炎(UC)的疗效及对血清白细胞介素(IL)-6、IL-8及肿瘤坏死因子-α(TNF-α)的影响。方法选择40例活动期UC患者为观察组,选取与观察组相匹配的30名健康志愿者作为对照组。观察组应用美沙拉嗪缓释颗粒治疗6周,观察治疗效果,并比较2组血清IL-6、IL-8及TNF-α水平的差异。结果治疗6周后,观察组治疗总有效率为90.0%(36/40),不良反应发生率为2.5%(1/40);观察组治疗前血清IL-6、IL-8及TNF-α水平较健康对照组明显升高(P<0.01);观察组治疗后血清IL-6、IL-8及TNF-α水平均较治疗前明显下降(P<0.01)。结论 UC患者血清IL-6、IL-8及TNF-α等炎性因子水平明显升高,美沙拉嗪可有效下调其水平,获得较好的治疗效果,并具有较好的用药安全性。     

奥沙拉嗪对溃疡性结肠炎患者血清TNF-α、IL-6和IL-8的影响

目的观察奥沙拉嗪对溃疡性结肠炎(UC)患者血清肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)和白细胞介素-8(IL-8)的影响。方法将70例UC患者随机分成对照组和治疗组,每组35例。对照组患者予柳氮磺吡啶治疗,治疗组患者予奥沙拉嗪治疗,疗程均为8周。观察治疗前后临床症状、结肠镜下黏膜改变以及血清TNF-α、IL-6和IL-8水平的变化。结果治疗组患者临床疗效与对照组比较,差异无统计学意义(P>0.05);两组患者血清TNF-α、IL-6和IL-8水平均较治疗前显著降低(P<0.01),但治疗组下降更明显。结论奥沙拉嗪治疗UC疗效显著,并可降低患者血清TNF-α、IL-6和IL-8水平,抑制炎症反应,可能是其治疗UC的机制之一。     

美沙拉嗪联合蒲公英多糖治疗溃疡性结肠炎中炎症因子及髓过氧化物酶相关性的研究

目的：观察蒲公英多糖对溃疡性结肠炎(ulcerative colitis, UC)模型大鼠炎症因子白细胞介素(IL)-6、IL-4、IL-8、IL-10和肿瘤坏死因子-α(TNF-α)水平以及结肠组织中髓过氧化物酶(MPO)水平的影响。方法：采用2,4,6-三硝基苯磺酸复合50%乙醇溶液建立大鼠UC模型,以水提醇沉法提取得到蒲公英精制多糖。50只雄性大鼠随机分为5组：正常对照组、模型对照组、美沙拉嗪组、蒲公英多糖组和美沙拉嗪联合蒲公英多糖治疗组(联合治疗组),每组10只。利用酶联免疫吸附试验检测各组大鼠血清中炎性因子即IL-6、IL-4、IL-8、IL-10、TNF-α的含量,以及结肠组织中MPO表达。结果：与正常对照组比较,模型对照组、蒲公英多糖组血清IL-6、IL-8、TNF-α水平、结肠组织中MPO的含量升高,IL-4和IL-10水平降低(P<0.05),美沙拉嗪组血清IL-6和TNF-α水平升高,IL-4和IL-10水平降低(P<0.05),联合治疗组各因子水平差异无统计学意义(P>0.05);与模型对照组比较,美沙拉嗪组、蒲公英多糖组和联合治疗组血清IL-6...     

双歧杆菌三联活菌联合美沙拉嗪治疗溃疡性结肠炎效果分析

108例初发型轻、中度活动期溃疡性结肠炎（UC）患者,随机分为联合组和对照组各59例,对照组采用餐后口服美沙拉嗪（1.0 g/次、4次/d）联合组加用双歧杆菌三联活菌（420 mg/次、3次/d）治疗,疗程2个月.结果显示,联合组治疗后活动度显著降低,Mayo指数低于对照组（P=0.028）,治疗效果优于对照组（P=0.024）.两组治疗后血清肿瘤坏死因子-α（TNF-α）、IL-6、IL-8水平均较治疗前显著降低,血清IL-10水平较治疗前显著升高（P＜0.05）;治疗后联合组与对照组血清TNF-α、IL-6、IL-8、IL-10水平差异均有统计学意义（P＜0.05）.两组治疗后血清超氧化物歧化酶（SOD）水平均较治疗前显著降低,血清丙二醛（MDA）水平显著升高（P＜0.05）;治疗后联合组与对照组血清SOD、MDA水平差异均有统计学意义（P＜0.05）.提示双歧杆菌三联活菌联合美沙拉嗪较单用美沙拉嗪更有效地抑制UC炎性反应和氧化应激,从而降低UC活动度,提高治疗效果.     

美沙拉嗪联合双岐杆菌三联活菌治疗溃疡性结肠炎的疗效及对氧化应激、炎症因子的影响

目的:探讨美沙拉嗪联合双岐杆菌三联活菌治疗溃疡性结肠炎(UC)的疗效及对氧化应激、炎症因子的影响。方法:将92例于我院进行治疗的UC患者随机分为观察组和对照组,各46例。观察组行美沙拉嗪联合双岐杆菌三联活菌进行治疗,对照组行美沙拉嗪单药治疗,两组治疗时间均为两个月。比较两组疗效,测定两组氧化应激标志物丙二醛(MDA)、超氧化物歧化酶(SOD)水平及炎症因子白介素10(IL-10)、肿瘤坏死因子(TNF-α)水平并进行比较。结果:治疗后观察组的总有效率明显高于对照组,差异具有统计学意义(P<0.05);与治疗前相比,两组MDA、TNF-α水平均明显下降,SOD、IL-10水平均明显升高,差异具有统计学意义(P<0.05);治疗后,观察组较对照组MDA、TNF-α水平下降更明显,SOD、IL-10水平升高更明显,差异具有统计学意义(P<0.05)。结论:美沙拉嗪联合双岐杆菌三联活菌治疗溃疡性结肠炎的疗效显著,可有效调节氧化应激和炎症因子水平。     

培菲康治疗溃疡性结肠炎患者及对细胞因子的影响

目的:评价培菲康对溃疡性结肠炎患者的临床疗效及对血清和结肠组织TNF-α、IL-10、水平的影响。方法:将58例溃疡性结肠炎患者随机分为培菲康组和对照组,每组29例,对照组采用常规治疗,培菲康组在常规治疗的基础上加用培菲康胶囊,治疗2个月后进行疗效评定以及指标检测。结果:两组临床症状及结肠黏膜炎症均有明显减轻(P<0.01);且培菲康组临床症状、结肠黏膜炎症改善程度优于对照组(P<0.01)两组治疗后血清和结肠组织TNF-α、IL-10的表达均有明显变化(P<0.01),但试验血清和结肠组织TNF-α降低及IL-10的表达增高程度大于对照组(P<0.05)。结论:培菲康辅助治疗溃疡性结肠炎效果显著,能够下调TNF-α及上调IL-10水平,可能是其治疗溃疡性结肠炎的机制之一。     

美沙拉嗪联合培菲康治疗溃疡性结肠炎患者的疗效及对 TLR4、MyD88的影响

目的：观察美沙拉嗪联合培菲康治疗溃疡性结肠炎（UC）的疗效及对患者血清Toll样受体4（TLR4）、髓样分化因子88（MyD88）的影响。方法将86例UC患者按随机数字表法分为观察组和对照组,每组43例;观察组给予美沙拉嗪联合培菲康治疗,对照组单纯给予美沙拉嗪治疗,8周为一疗程;观察两组患者的临床疗效,测定血清中TLR4、MyD88的含量变化,并记录治疗中的不良反应情况。结果观察组临床总有效率（95.35％）明显高于对照组（81.40％）,差异有统计学意义（ P ＜0.05）;两组患者血清TLR4、MyD88含量均较治疗前明显下降（ P ＜0.05或P ＜0.01）,且观察组TLR4的下降比对照组更为明显（ P ＜0.05）;两组不良反应发生率比较差异无统计学意义（ P ＞0.05）。结论美沙拉嗪联合培菲康治疗UC疗效确切、安全性好,其作用可能与调节外周血TLR4、MyD88的含量有关。     

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…