决明子药材HPLC指纹图谱研究

目的 建立决明子药材反相高效液相色谱(RP-HPLC)指纹图谱分析方法,为有效控制决明子药材的质量奠定基础.方法 采用RP-HPLC法,色谱柱为SunfireTM C18柱 (4.6 mm×150 mm,5 μm),乙腈-0.1%磷酸水梯度洗脱,检测波长为280 nm,流速为0.8 mL /min,分析时间为120 min,分析了10批决明子药材的HPLC指纹图谱.结果 在选定的色谱条件下,通过相似度分析确定27个色谱峰构成决明子药材指纹图谱的特征峰.结论 采用RP-HPLC方法 建立的指纹图谱具有稳定、重复性好的特点,不但可用于决明子药材质量控制,还可作为决明子有效物质基础研究的有效手段.     

川芎药材的 HPLC 指纹图谱及模式识别研究

目的 研究川芎药材的质量控制方法。方法 采用高效液相色谱建立了川芎药材的 HPLC 的指纹图谱,收集了不同批次的23批样品进行测定,并使用聚类分析和主成分分析对指纹图谱进行了模式识别研究。结果 建立川芎药材的指纹图谱。结论 该方法可用于川芎质量控制及综合评价。     

决明子饮片的HPLC指纹图谱研究

目的建立决明子饮片的HPLC指纹图谱鉴定方法。方法采用RP-HPLC法,梯度洗脱,研究决明子饮片的指纹图谱,并作相似度比较分析。结果初步建立了决明子饮片的指纹图谱。结论采用HPLC指纹图谱法可作为决明子饮片的一项质控指标。     

心舒口服液毛细管电泳指纹图谱的研究

目的对心舒口服液的质量控制方法进行研究。方法采用高效毛细管电泳法建立以10批当归道地药材,10批川芎道地药材,10批红花道地药材,10批心舒口服液为样品的指纹图谱,比较研究制剂与药材指纹图谱之间的相关性,并与单味药材水煎液、各药材阴性对照液的指纹图谱进行比较,通过比较在线紫外光谱和迁移时间的方法,对口服液与各药材的水煎液、阴性对照液的指纹图谱中各指纹峰进行一一归属。结果分别建立标准指纹图谱,初步确定样品制剂与原料药材指纹图谱之间的相关性,最终建立复方中药制剂的质量控制方法。结论在心舒口服液指纹谱中,27个指纹峰中有14个指纹峰来自当归,10个指纹峰来自川芎(其中7个指纹峰是当归与川芎所共有的),9个指纹峰来自红花。     

基于指标成分和HPLC指纹图谱检测的决明子化学品质评价研究

目的 客观评价决明子内在质量差异.方法 采用HPLC方法测定大黄酚的量;采用梯度洗脱法建立HPLC指纹图谱;指纹图谱色谱条件:C18柱(250mm×4.6mm,5μm),流动相为乙腈和1%醋酸,检测波长为254nm,柱温为室温,体积流量为1mL/min;利用中药色谱指纹图谱相似度评价软件对不同产地决明子指纹图谱进行相似度分析;以大黄酚的量和指纹图谱相似度为指标,运用SAS软件进行聚类分析.结果 建立的指纹图谱精密度、重现性、稳定性好,不同产地决明子的大黄酚的量及化学指纹图谱不尽相同,化学成分差异与产地相关,大黄酚质量分数为0.037%～0.170%,指纹图谱相似度范围为0.864～0.962.结论 综合指标成分定量测定及化学指纹图谱分析方法,能较全面地表征不同产地决明子的内在成分差异,可为决明子内在质量控制提供参考.     

基于药物体系酚类特征架构的决明子质量表征关联分析研究

目的建立基于药物体系的决明子药材特征图谱及其特征指标性成分质量表征关联分析与评价模式,以有效、精准地评价决明子药材质量。方法采用所建立的HPLC-PDA法检测决明子药物体系构架的特征图谱,基于特征图谱中特征峰的梳理及所属化学类型对11批决明子药材进行质的表征,基于特征图谱中6个特征指标性成分和萘骈吡喃酮类、蒽醌类的含量对11批决明子药材进行量的表征,并基于基准药材将11批决明子药材质与量的表征结果分别进行关联性分析。结果以批号10决明子为基准药材,决明子药材特征图谱中共含有12个特征峰,11批药材色谱图中均含有此12个特征峰;批号5、11、8、1、2指标成分含量总体较高,批号5、11、2、9、7与基准药材关联性最高,综合评价得出批号5、11、8、1、2、9、7优良度居前。结论所建立的决明子药材中酚类成分的含量测定方法简便、准确,所构建的质量表征关联分析模式可用于分析决明子药材质量整体性与应用有效性,为决明子药材的质量控制及评价提供可靠方法学依据。     

白芍的HPLC指纹图谱及模式识别研究

目的 研究白芍药材的质量控制方法。 方法 采用高效液相色谱建立了白芍药材的HPLC的指纹图谱,收集了不同批次的47批样品进行测定,并使用聚类分析和主成分分析对指纹图谱进行了模式识别研究。 结果 主成分分析和聚类分析结果一致,样品分为药材和饮片两类。 结论 该方法可用于白芍质量控制及综合评价。     

罗布麻叶HPLC指纹图谱构建及在种属鉴别中的应用

目的 建立罗布麻叶的HPLC指纹图谱,用以控制罗布麻叶的内在质量,并对罗布麻叶药材与其混淆品进行鉴别.方法 采用HPLC梯度洗脱的方法建立指纹图谱,"计算机辅助相似度评价系统"软件进行数据处理,据此对不同种属的药材进行比较.结果 建立的罗布麻HPLC指纹图谱方法的精密度、稳定性和重现性较好.罗布麻叶(红麻叶)HPLC指纹图谱共标定12个共有指纹峰,与白麻属样品图谱之间呈显著差异,可以依此鉴别.结论 HPLC指纹图谱可以用作罗布麻叶药材的质量控制.     

杧果叶HPLC指纹图谱共有模式的建立及在近缘品种扁桃叶鉴别中的应用

目的 建立杧果叶药材的HPLC指纹图谱,为杧果叶药材的鉴别及质量控制提供新的方法。方法 采用HPLC分析方法,以具有代表性的28批杧果叶HPLC图谱为基础,建立杧果叶药材HPLC指纹图谱共有模式。结果 该指纹图谱共有模式可以较好地区分杧果叶与扁桃叶。结论 杧果叶HPLC指纹图谱共有模式的建立为杧果叶药材的鉴别和质量控制提供了一种新的方法。     

生地黄药材指纹图谱研究

目的:建立生地黄药材的HPLC指纹图谱,为药材的质量控制提供科学依据.方法:采用Grace Allitma C18色谱柱(250mm×4.6mm,5μm),以乙腈-水为流动相梯度洗脱,检测波长为203nm,在45min内获得生地黄药材的指纹图谱.采用国家药典委员会的中药色谱指纹图谱相似度评价系统生成对照指纹图谱,并进行相似度分析.结果:建立了生地黄药材的指纹图谱,确定了11个共有峰,13批药材的指纹图谱与对照指纹图谱的相似度在0.849-0.987.结论:该方法稳定可靠,信息量大,可为生地黄药材质量控制标准的制定提供参考.     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

Electro-Acupuncture Combined with the Trigger Point Needle-Embedding for Treatment of Primary Trigeminal Neuralgia in 31 Cases

In recent years, the author of this essay has applied electro-acupuncture combined with the trigger point needle-embedding for treatment of primary trigeminal neuralgia in 31 cases, yielding satis- factory results as reported in the following.     

Investigation of Matrix Metalloproteinase -1, 2 and tissue inhibitor of matrix metalloproteinases-1 in Endometriosis

Objective： To explore the role of matrix metalloproteinase-1,2 （MMP-1, MMP-2） and tissue inhibitor of matrix metalloproteinases-1 （TIMP-1） in endometriosis. Methods： The eutopic and ectopic endometria from 40 subjects suffering from endometriosis and regular.endometria from 40 subjects （excluding endometriosis） were collected and examined by in situ hybridization technology and western blot assay. Results： Both expressions of MMP-1 and -2 were stronger in ectopic endometrium and eutopic endometrium than in normal endometrium. On the contrary, the expression of TIMP-1 in ectopic endometrium and eutopic endometrium was lower. The differences were significant （P 〈 0.01 ）. Moreover, there was no relationship among the expressions of MMP-1, 2 and TIMP-1 in ectopic endometrium. Conclusion： The expressions of MMP-1, 2 and TIMP-1 lose balance and lack of periodic changes in ectopic endometrium , which explains the biological invasive behavior of endometriosis. It was suggested-that regulating the balance between the MMPs and TIMP-1 should be an ideal therapeutic target to endometriosis.     

Shi Da-zhuo (史大卓) —An outstanding cardiologist of integrative medicine

Prof. SHI Da-zhuo, Ph.D., male, was born on March 20, 1960. Prof. SHI entered the Ph.D. program in 1990 at the China Academy of Chinese Medical Sciences under the supervision of Prof. CHEN Ke-ji, majoring in the treatment of cardiovascular diseases. After receiving his Ph.D. degree in 1993, Prof. SHI started working at the Cardiovascular Center in Xiyuan Hospital affiliated to China Academy of Chinese Medical sciences.     

Persist in and Carry Forward the Integrative Medical Research——Speech at the 6th National General Congress of Chinese Association of Integrative Medicine by Academician CHEN Zhu,Minister of Ministry of Health

The 6th National General Congress of Chinese Association of Integrative Medicine （CALM） was convened at 19-20, April 2008 in Beijing. Academician CHEN Zhu, the minister of Ministry of Health indicated at the congress that the integration of Chinese and Western medicine is very well in keeping with the situation of our country and the general rule of development in medical science; and as a good integration of Chinese medicine and Western medicine, it is mutually beneficial and advantageous to both of them. Seeing the creativity shown in integrative medical investigation in theoretic and methodological sides, we should and must persist in and develop it.