Use of lotus petal flap in the treatment of perineal hidradenitis suppurativa

Perineal hidradenitis suppurativa is a complex problem to treat. Various methods of treatment have been tried in the past, but recurrence was common. In this paper, we describe the use of the lotus petal flap in hidradenitis suppurativa of the perineum in three patients. Many local flaps have been used for covering the defect after excision of hidradenitis suppurativa; in our cases, we have used the lotus petal flap. Until now, this flap has been used for vaginal reconstruction after cancer surgery [Yii NW, Niranjan NS (1996) Lotus petal flaps in vulvo vaginal reconstruction. Br J Plast Surg 49(8):547–554, Hashimoto I et al (1999) Vulvo vaginal reconstruction with gluteal fold flaps. J Jpn P R S 19:92–98]. Three patients had five lotus petal flaps after the excision of perineal hidradenitis suppurativa, and there were no recurrences of the lesion in the excised area after follow-up at 2 years.     

Gastrointestinal Transit and Mucoadhesion of Colloidal Suspensions of Lycopersicon Esculentum L. and Lotus Tetragonolobus Lectin-PLA Microsphere Conjugates in Rats

Purpose. To investigate in vivo the fate and the behavior of lectin-particle conjugates after oral administration. Methods. Two plant lectins were selected, namely Lycopersicon esculentum L. and Lotus tetragonolobus lectins, which have been reported to be specific for oligomers of N-acetyl-D-glucosamine and L-fucose, respectively, and conjugated to small poly(lactide) microspheres. Their intestinal transit was investigated in detail using radiolabeled particles. The transport and the distribution of the particles along the intestine, as well as their interactions with the intestinal mucosa, were determined after oral administration in rat. Results. The overall transit of the particles was shown to be strongly delayed when the microspheres were conjugated to the lectins, mainly due to the gastric retention of the particles. A significant fraction of the conjugates adhered to the gastric and intestinal mucosae. No significant differences were observed after a preliminary incubation of lectin-microsphere conjugates with specific sugars. Conclusion. Although specific interactions could not be excluded, especially in the stomach, it was likely that adhesion was predominantly due to nonspecific interactions. These results could be attributed both to unfavorable physicochemical characteristics of the conjugates and to premature adsorption of soluble mucin glycoproteins, preventing any further specific adhesion.     

均匀设计法优化荷叶超临界CO2萃取工艺及萃取物GC-MS分析

目的：研究超临界CO2萃取荷叶最佳萃取工艺及其萃取物的化学成分。方法：采用均匀设计法以萃取压力、萃取温度、萃取时间为因素，考察超临界CO2萃取荷叶的最佳萃取工艺条件并对萃取物进行GC-MS分析。结果：最佳萃取工艺为：萃取压力26Mpa，萃取温度40％，萃取时间90min。并且从萃取物中分离出37个可识别峰，共鉴定26个成分，主要成分为1-乙基-1H-吡咯-2-甲醛。结论：采用均匀设计方法可以快速、准确地确定超临界CO2萃取技术萃取荷叶的最佳工艺，为荷叶进一步开发利用提供实验依据。     

均匀设计法优化荷叶超临界CO_2萃取工艺及萃取物GC-MS分析

目的:研究超临界CO2萃取荷叶最佳萃取工艺及其萃取物的化学成分。方法:采用均匀设计法以萃取压力、萃取温度、萃取时间为因素,考察超临界CO2萃取荷叶的最佳萃取工艺条件并对萃取物进行GC-MS分析。结果:最佳萃取工艺为:萃取压力26 Mpa,萃取温度40℃,萃取时间90 min。并且从萃取物中分离出37个可识别峰,共鉴定26个成分,主要成分为1-乙基-1H-吡咯-2-甲醛。结论:采用均匀设计方法可以快速、准确地确定超临界CO2萃取技术萃取荷叶的最佳工艺,为荷叶进一步开发利用提供实验依据。     

荷叶生物碱对大肠杆菌代谢作用的研究

目的研究荷叶碱对大肠杆菌代谢作用的影响。方法从荷叶中提取其中的生物碱，用热活性检测仪测定了37℃下不同浓度的生物碱对大肠杆菌代谢作用的热功率-时间曲线，计算出细菌的生长速率常数。结果荷叶碱对大肠杆菌的代谢具有抑制作用，随浓度的增加，大肠杆菌生长速率常数线性降低。结论荷叶生物碱液对大肠杆菌代谢作用的最佳用药浓度为0．01146mg·mL^-1。     

莲龙消积方改善中晚期原发性肝癌患者生活质量的临床疗效评价

目的:评价莲龙消积方改善中晚期原发性肝癌患者生活质量的临床疗效,探讨中医药治疗肝癌的效应机制,并探索肝癌治疗的最佳方式方法。方法:采用开放性随机对照研究方法,将中晚期原发性肝癌患者分为中药组(莲龙消积方组)(40例)、综合治疗组(莲龙消积方联合榄香烯西药介入组)(40例)及单纯西药介入组(45例)。疗程30 d,为1个观察周期,观察比较3组中医证候、体能状况(Karnofsky Performance Score,KPS评分)、肿瘤患者生活质量(Quality of Life,QOL评分)及AFP值变化情况等指标。结果:3组比较,在改善中医症候、KPS及QOL方面,中药组明显优于单纯化疗介入组,差异有统计学意义(P0.05);综合治疗组降低甲胎蛋白(Alpha Fetal Protein,AFP)值明显优于中药组、化疗介入组,差异有统计学意义(P0.05)。结论:莲龙消积方能够缓解中晚期原发性肝癌患者临床症状、改善AST及ALT、提高体能、改善生活质量。     

荷叶胶囊对人体血脂异常的调脂作用研究

目的:探讨荷叶水提物对人体血脂异常的调脂作用。方法:从郴州市各类人员体检检出的高脂血症者中,选择符合高血脂诊断标准的自愿者,共90人。随机分成3组,每组30人,即荷叶胶囊组(A组),洛伐他汀组(B组)和对照组(C组)。A组服用荷叶水提物制作的胶囊,4粒/次,3次/d;B组服用洛伐他订,20mg/次,1次/d,C组给予安慰剂;各组均进行健康教育和膳食指导,调脂40天。采用日本产全自动生化分析仪(OLYMPUS-640)测定调脂前、后的血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)水平。结果:A组调脂后血清TC、TG、LDL-C水平明显下降,HDI-C水平明显升高,与调脂前比较有显著差异(P<0.001.<0.001,<0.002,<0.01);B组调脂后TC、TG、LDL-C水平亦明显下降(P<0.001,<0.05,<0,001),与A组无显著差异(P>0.05),但升高HDL-C效果不明显(P>0.05);C组调脂前、后血清TC、TG、LDL-C和HDL-C水平无显著差异(P>0.05),且调脂后的血脂水平明显高于A、B组(P<0.01)。结论;荷叶水提物对人体具较好的调脂作用,且无毒,未发现副作用。     

Inferiorly based lotus petal flap & laser therapy in difficult pilonidal sinus management

Aim

To assess the efficacy of the lotus petal flap in difficult pilonidal sinus management.