清疏口服液成分测定

目的:探讨测定清疏口服液中各成分的方法.方法:采用薄层色谱法对制剂中的金银花、连翘、栀子进行定性鉴定;采用高效液相色谱法对制剂中的黄芩苷进行定量检测.结果与结论:薄层色谱法可以准确鉴别清疏口服液中的金银花、连翘和栀子.采用高效液相色谱法测定黄芩苷含量,线性范围0.143～0.683 μg,线性关系Y=0.165 35.522X,r=0.999 5(P＜0.05),精密度较高,重现性好,回收率达99.51%.上述方法简便、可靠,适用于清疏口服液制剂的质量控制.     

双花解毒合剂质量控制研究

目的：研究双花解毒合剂的质量控制方法,提高其质量标准。方法：采用薄层色谱法对制剂中的金银花、黄芩进行定性鉴别;采用高效液相色谱法对制剂中的有效成分黄芩苷进行含量测定。结果：薄层色谱鉴别的色谱斑点清晰、阴性对照无干扰;黄芩苷质量0.0282～1.128μg有良好的线性范围,r=0.9996,平均加样回收率（n=5）为99.72%,RSD=0.94%。结论：本文建立方法准确可靠、灵敏度高、专属性强,可有效控制双花解毒合剂的质量。     

中药复方咽扁糖浆质量标准的制定

目的:制定咽扁糖浆质量标准.方法:用薄层色谱法对处方中麦冬、金银花进行定性鉴别,用高效液相色谱法测定样品中黄芩苷的含量,采用C18柱(4.6 mm×150 mm,5μm),流动相:甲醇-2g/L磷酸溶液(40:60);检测波长280nm;流速1 mL/min.结果:薄层色谱法鉴别方法专属性强,阴性对照无干扰;含量测定结果表明,黄芩苷进样量在0.1405～1.2641μg范围内线性关系良好(r=0.9998),平均回收率为98.71%,RSD为0.52%(n=5).结论:薄层色谱法准确、简便,专属性、重现性好,可用于咽扁糖浆的质量控制.     

柴芩清肾颗粒质量标准的研究

目的：建立柴芩清肾颗粒的定性、定量鉴别方法。方法：采用薄层色谱法对柴芩清肾颗粒中的黄芩、金银花、柴胡、连翘进行定性鉴别。采用高效液相色谱法测定制剂中黄芩苷的含量,色谱柱：ZorbaxC18柱（4.6mm×250mm,5μm）;流动相：甲醇-水-冰醋酸（50∶50∶1）;流速：1.0mL/min;检测波长：277nm;进样量：10μL。结果：采用薄层色谱法定性鉴别专属性强,斑点清晰;含量测定结果表明,黄芩苷的线性范围为0.202μg～4.04μg,r=0.9999（n=5）,平均加样回收率为100.22%,RSD=1.53%（n=6）。结论：所建立的方法简便、准确,专属性强,可作为柴芩清肾颗粒的质量控制标准。     

小儿感冒宁糖浆的薄层鉴别及黄芩苷的含量测定

目的:建立小儿感冒宁糖浆质量标准。方法:采用TLC和HPLC。结果:TLC鉴别小儿感冒宁糖浆中的金银花、黄芩、栀子等药材;HPLC测定黄芩苷的含量,黄芩苷在0.033~0.664μg范围内,线性关系良好(r=0.9999)。平均回收率为99.6%,RSD=1.4%。结论:薄层鉴别重复性好,专属性强,含量测定方法专属、简便、准确。     

桑麻口服液质量标准研究

目的:建立桑麻口服液的质量控制方法。方法:采用薄层色谱法对方中所含的连翘、黄芩、紫菀进行定性鉴别;用高效液相色谱测定方中所含连翘苷的含量。结果:薄层色谱法可鉴别出连翘、黄芩、紫菀,且阴性对照无干扰;连翘苷在0.552～3.864μg范围内呈良好线性关系,r=0.9999,平均回收率为98.68%,RSD=1.20%。结论:本方法操作简便、准确可靠,重现性好、可作为桑麻口服液的质量控制方法。     

双花解毒口服液质量标准研究

目的：建立双花解毒口服液的质量标准。方法：采用薄层色谱法鉴别双花解毒口服液黄芩药材;高效液相色谱法测定双花解毒口服液中黄芩苷含量。结果：双花解毒口服液中黄芩有良好的鉴别特征,符合规定;黄芩苷在0.27~8.64μg范围内,进样量与其色谱峰峰面积呈良好的线性关系,r=0.9998,平均加样回收率为99.39%。结论：本鉴别和含量测定方法简单、快速、准确,可作为本品定性和定量检测方法。     

乳结平颗粒质量控制方法研究

目的 制定乳结平颗粒(淫羊藿、赤芍等)质量控制方法.方法 采用薄层色谱法对处方中的淫羊藿、赤芍进行定性鉴别;采用高效液相色谱法对赤芍中的芍药苷进行含量测定.结果 芍药苷在0.592～4.998μg线形关系良好,r=0.999 8,平均回收率为99.15%,相对标准差为2.55%.结论 该方法可准确地进行定性鉴别和定量分析,并能有效地控制其制剂的质量.     

丹芪偏瘫胶囊质量标准的研究

[目的]建立丹芪偏瘫胶囊的质量控制标准。[方法]采用薄层色谱法对丹芪偏瘫胶囊中赤芍、丹参进行定性鉴别,对地鳖虫、全蝎进行显微鉴别,并用薄层扫描法对黄芪中黄芪甲苷进行含量测定。检测波长为530nm;展开剂为氯仿-甲醇-水=13:6:2;显色剂为10%硫酸乙醇溶液。[结果]黄芪甲苷在0.525~10.5μg有良好的线性关系(r=0.9993),平均回收率为96.56%,峰面积(RSD)为1.15%。[结论]该方法简便、专属性强、稳定性好,可作为丹芪偏瘫胶囊的质量控制标准。     

康乐鼻炎片的质量标准研究

目的 建立康乐鼻炎片的质量标准.方法 采用薄层色谱法对康乐鼻炎片中白芷、薄荷、黄芩和马来酸氯苯那敏做定性鉴别,采用高效液相色谱法对黄芩中黄芩苷的含量进行测定.结果 薄层色谱鉴别方法专属性强、重复性好,高效液相色谱法定量测定黄芩苷的线性范围是0.136-1.36 μg（r=0.9998）,均加样回收率是99.44％,RSD=1.32％（n=9）.结论 薄层色谱法和高效液相色谱法可以更好地控制康乐鼻炎片的药品质量.     

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…