益气养阴活血清利法治疗慢性泌尿系感染48例临床观察

[目的]探讨以益气养阴活血清利中药治疗慢性泌尿系感染的临床疗效.[方法]将96例患者随机分成2组,治疗组48例,在抗生素治疗基础上加用益气养阴活血清利中药治疗,对照组48例,采用抗生素常规治疗,4周后评判疗效.[结果]治疗组总有效率为93.75%,而对照组则为87.50%,两组比较有显著性差异(P＜0.05);两组临床症状、尿常规、菌尿及尿沉渣计数均有明显改善,但治疗组优于对照组(P＜0.05).[结论]以益气养阴活血清利法中药配伍组方治疗慢性泌尿系感染具有良好的治疗效果.     

A Review: The Pharmacology of Isoliquiritigenin

Isoliquiritigenin (ISL) is one of the bioactive ingredients isolated from the roots of plants belonging to licorice, including Glycyrrhiza uralensis, Mongolian glycyrrhiza, Glycyrrhiza glabra, and so forth. Liquiritigenin is available in common foods and alternative medicine, and its derivative‐ISL is applied into food additives and disease treatment like cancer therapy, antibiotic therapy, and so on. This review aims at providing a comprehensive summary of the pharmacological activities of ISL. The information published between 1972 and 2014 from a number of reliable sources including PubMed, ScienceDirect, Springer, and Wiley‐Blackwell. The practical application of ISL on the various disease prevention and treatments may stem from its numerous pharmacological properties such as antiinflammatory, anti‐microbial, anti‐oxidative, anticancer activities, immunoregulatory, hepatoprotective, and cardioprotective effects. However, further studies are needed to verify the target‐organ toxicity or side effects investigation. Copyright © 2015 John Wiley & Sons, Ltd.     

扶正固表汤联合敷贴疗法治疗小儿反复上呼吸道感染的临床观察

目的:观察扶正固表汤联合敷贴疗法治疗小儿反复上呼吸道感染(RRTI)的疗效及对免疫功能和微量元素的影响。方法:将150例患儿按就诊先后以随机数字表法分为对照组和观察组各75例。两组患儿在急性感染期给予抗生素、抗病毒、退热、止咳、补液等对症治疗;并采用匹多莫德口服溶液治疗。对照组给予玉屏风口服液,5~10 m L/次,3次/d,口服。观察组给予扶正固表汤联合敷贴疗法。两组疗程均为16周,再进行32周的随访。记录48周内的发病次数;记录每次发病的天数;记录发病病种;进行肺脾两虚证评分;检测血清免疫球蛋白(Ig)A,IgG,IgM,T淋巴细胞亚群和补体C3及补体C4,检测钙(Ca),铁(Fe),锌(Zn),镁(Mg),铜(Cu)水平。结果:观察组临床疗效总有效率为94.29%,高于对照组的82.09%(P0.05);在48周的观察随访期间,观察组平均发作次数少于对照组,平均病程短于对照组,病情程度轻于对照组(P0.01);治疗后观察组CD3~+,CD4~+和CD4~+/CD8~+均高于对照组,而CD8~+低于对照组(P0.01);治疗后观察组血清IgG,IgA,IgM水平均高于对照组(P0.01);两组患儿C3和C4水平治疗前后变化无统计学意义;治疗后观察组Ca,Fe,Zn,Mg水平均高于对照组(P0.05,P0.01),两组患儿Cu水平的组间比较,差异无统计学意义。结论:扶正固表汤联合敷贴疗法治疗肺脾两虚型RRTI,能提高机体免疫力,调节微量元素水平,能预防RRTI的发作次数和发作程度,近期和远期均有明显疗效。     

Evaluation of healing and antimicrobiological effects of herbal therapy on venous leg ulcer: pilot study

Venous leg ulcers represent a significant public health problem that will increase as the population ages. Numerous herbs and their extracts are potentially conducive to wound healing, including the ability to serve as an antimicrobial, antifungal, astringent, etc. A total of 32 patients with venous leg ulcers were randomized into two groups: a group with herbal therapy treatment (PT) (17 patients) and a control group (C) (15 patients). The investigation focused on five controls of parameter changes important for ulcer healing and the control of microbiological flora. Within‐treatment analysis of the PT group showed that, following herbal therapy treatment, there was a significant decrease in the scores of surface leg ulcer and venous leg ulcer after week 7 of treatment (p < 0.05). In group C following topical antibiotic treatment there was no significant decrease in the surface leg ulcer. Comparing the results of decreased venous leg ulcer surface of the) PT group with the C group showed a significant difference at p < 0.05 after week 7 of treatment. The number of different types of isolated bacterial species decreased significantly (p < 0.05) after the use of herbal preparations. The results of this pilot study demonstrate the healing and antimicrobiological effects of herbal therapy on non‐infected venous leg ulcer. Copyright © 2009 John Wiley & Sons, Ltd.     

In vitro Study of Five Herbs Used Against Microbial Infections in Burundi

The emergence of antimicrobial resistant infectious diseases remains a major threat to worldwide public health, in developed and in developing countries. Therefore, new antimicrobial agents acting by new mechanisms of action are urgently needed. As plants used in traditional medicine may help to overcome these problems, Justicia subsessilis, Platostoma rotundifolium, Pavetta ternifolia, Stomatanthes africanus, and Virectaria major (plants highly cited to be used against microbial infections in traditional Burundian medicine) were studied to assess their traditional use efficacy. We conducted a preliminary phytochemical screening of the extracts, as well as their direct and indirect (effect on antibiotic resistance) antibacterial activity on four bacterial strains (Staphylococcus sp. and Escherichia coli) by broth microdilution methods. All five medicinal plants investigated in this work were found to have direct antibacterial activity against all tested bacterial strains (minimum inhibitory concentration = 62.5–1000 μg/mL) that may support the use of these species in traditional Burundian medicine. Extracts (with no direct antibacterial activity), tested at 200 μg/mL, decreased the MIC values of β‐lactams and aminoglycoside antibiotics by a factor of 2 to 64‐fold. These interactions between plant extracts and antibiotics could open an avenue of research against antibiotic resistance. Copyright © 2017 John Wiley & Sons, Ltd.     

平冲化瘀通络法联合灸法 治疗子宫内膜异位症痛经32例的临床研究

目的: 探讨平冲化瘀通络法联合灸法治疗子宫内膜异位症(Ems)痛经的疗效及神经生长因子(NGF)和前列腺素(PGs)的影响。方法: 63例Ems痛经患者随机按数字法分为对照组31例和观察组32例。对照组采用布洛芬缓释胶囊,0.3 g/次,必要时服用;观察组采用平冲化瘀通络法加艾灸治疗。疗程均为3个月经周期。观察痛经视觉模型评分法(VAS),采用改良的B&B多维量表评价临床症状,检测血清神经生长因子(NGF)、前列腺素F_{2 a}(PGF_{2 a})、前列腺素E₂(PGE₂)、6酮前列腺素F_1a(6-keto-PGF_1a)水平。结果: 观察组综合疗效100%优于对照组的80.6%(P<0.05);治疗后第2、3个月经周期及随访期,观察组痛经VAS评分均低于对照组(P<0.01);治疗后观察组B&B多维量表评分低于对照组(P<0.01);治疗后观察组血清NGF,PGF_2a,PGE₂水平低于对照组(P<0.01),观察组6-keto-PGF_1a高于对照组(P<0.01)。结论: 平冲化瘀通络法联合灸法治疗子宫内膜异位症痛经疗效显著,作用持久,其作用机制可能与其降低NGF水平,调节PGs水平有关。     

IQP‐GC‐101 Reduces Body Weight and Body Fat Mass: A Randomized,Double‐Blind,Placebo‐Controlled Study

IQP‐GC‐101 is a patented blend of the standardized extracts of Garcinia cambogia, Camellia sinensis, unroasted Coffea arabica, and Lagerstroemia speciosa. These individual ingredients of IQP‐GC‐101 have each shown promise in promoting weight loss; however, the efficacy of the blend has not been established. This randomized, placebo‐controlled, double‐blind, parallel group study conducted over 14 weeks (including a 2‐week run‐in phase) aimed to investigate the efficacy and safety of IQP‐GC‐101 in reducing body weight and body fat mass in overweight Caucasian adults. Subjects took three IQP‐GC‐101 or placebo tablets, twice a day, 30 min before main meals. All subjects also adhered to a 500 kcal/day energy deficit diet with 30% of energy from fat. Ninety‐one overweight and mildly obese subjects (46 in the IQP‐GC‐101 group, 45 in the placebo group) completed the study. After 12‐week intervention, IQP‐GC‐101 resulted in a mean (±SD) weight loss of 2.26 ± 2.37 kg compared with 0.56 ± 2.34 kg for placebo (p_U = 0.002). There was also significantly more reduction in body fat mass, waist circumference, and hip circumference in the IQP‐GC‐101 group. No serious adverse events were reported. The use of IQP‐GC‐101 has been shown to result in body weight and body fat reduction in the current study, with good tolerability. © 2014 InQpharm Group Sdn Bhd. Phytotherapy Research published by John Wiley & Sons, Ltd.     

玉屏风散加味联合阿司匹林干预RSA合并血清阴性APS及对D-二聚体，PagT的影响

目的:观察玉屏风散加味联合阿司匹林治疗复发性流产(RSA)合并血清阴性抗磷脂抗体综合征(SN-APS)的临床疗效,为临床治疗提供参考。方法:选取2016年12月至2018年3月就诊于南京中医药大学附属医院生殖医学科的109例RSA合并SN-APS的患者进行分组研究,按照随机数字法分为空白组、对照组与观察组。空白组从孕前给予叶酸片安慰治疗,1片/次,1次/d。对照组于孕前给予阿司匹林1片/次,3次/d;丹参片4片/次,3次/d;叶酸片1片/次,1次/d治疗。观察组则于孕前给予玉屏风散加味口服,每次150 m L,2次/d,联合阿司匹林1片/次,3次/d,叶酸片1片/次,1次/d治疗,3组患者均试孕1年,并于妊娠后加用阿司匹林1片/次,3次/d,地屈孕酮1片/次,3次/d,分别观察至孕13周,流产则停药,对3组患者妊娠率、流产率、治疗前后凝血指标、中医证候评分以及流产月份等数据进行统计比较。结果:观察组治疗后在凝血指标D-二聚体,血小板聚集率(Pag T),中医证候评分(易感冒、自汗、恶风、神疲、乏力、腰膝酸软)较治疗前明显改善,且治疗后观察组凝血指标低于空白组(P 0. 05),中医证候积分低于对照组与空白组(P 0. 05),对照组治疗后凝血指标较治疗前明显降低(P 0. 05);观察组治疗后流产率、超出流产月份之流产率低于空白组(P 0. 05),对照组治疗后流产率明显低于空白组(P 0. 05)。结论:西药联合单味中药或中药复方干预均能提高该类患者的保胎疗效,结合中药复方可多靶点地调节机体免疫平衡,减缓血栓形成,改善中医证候,疗效更为突出,但确切疗效需要更大样本验证。而保胎至超过流产月份或许并不能改变妊娠结局,故保胎治疗应至少维持至早孕期结束。     

The Multi‐Targeted Effects of Chrysanthemum Herb Extract Against Escherichia coli O157:H7

The Chrysanthemum lavandulifolium extract, which includes chrysoeriol, sudachitin, and acacetin, has excellent antibiotic effects on Escherichia coli O157:H7 (E. coli O157). A notable point is that the antibiotic targets of the herb extract are similar to the targets of commonly used antibiotic drugs, including bacterial cell wall biosynthesis, bacterial protein synthesis, and bacterial DNA replication and repair. In addition, the herbal antibiotic inhibits the etiological factors that contribute to the pathogenic property. The herbal sample was extracted and fractionated and then inoculated through a disk diffusion method to confirm its antibiotic effect against E. coli O157. Total RNA was isolated from the affected bacterial cells, and its expression level was analyzed through a microarray analysis. To confirm the accuracy of the microarray data, a real‐time PCR was performed. Three active compounds, chrysoeriol, sudachitin, and acacetin, were identified with a high‐performance liquid chromatography‐electrospray ionization/mass spectrometry chromatogram, and the disk diffusion study confirmed that chrysoeriol and sudachitin contribute to the antibiotic properties of the herb extract. The results demonstrate that the multi‐target efficacy of the herbal sample may indicate the potential for the development of more effective and safer drugs that will act as substitutes for existing antibiotics. Copyright © 2012 John Wiley & Sons, Ltd.     

左氧氟沙星治疗呼吸系统感染病人不同给药方案的比较

 目的对左氧氟沙星(levofloxacin,LVFX)在治疗呼吸系统感染病人中不同给药方案进行比较。方法病人被分为2组,按照不同给药方案给药,组1为静脉输注给药200mg,每12h1次;组2为左氧氟沙星400mg,静脉输注给药,每24h1次。高效液相色谱法测定病人血药浓度。根据不同给药方案中左氧氟沙星的PK-PD特点,评价2种不同给药方案临床疗效。结果药动学研究结果表明,组1的药物峰浓度(c_max)明显低于组2(P<0.001),组1的谷浓度明显高于组2(P<0.001)。PK-PD研究结果表明,与体外抗菌活性研究结果比较,c_max/MIC₉₀值显示,组1给药方案对于肺炎克雷伯菌和变形杆菌抗菌作用较强,组2对肺炎克雷伯菌、肠杆菌、变形杆菌、β-溶血链球菌和不动杆菌可产生有效的抗菌作用(c_max/MIC₉₀≥10)。2组临床疗效如体温,白细胞检查及X-光学检查方面,无明显差异。2组间不良反应发生率无差异。结论组1的给药方案血药浓度波动较小,组2的给药方案峰浓度较高,抗菌作用较强,给药次数少,2组临床疗效及不良反应发生率无差异。     

Enzymes inhibitors from natural sources with antidiabetic activity: A review

Natural products have been extensively investigated for antidiabetic therapy. Many of the natural products have direct or indirect effect in diabetes pathways as enzyme inhibitors. The most involved mechanisms are inhibition of intestinal alpha‐glucosidase and alpha‐amylase, lens aldose reductase, oxidative stress protection, inhibition of formation of advanced glycation end products, inhibition of aldose reductase, lowering plasma glucose levels, altering enzyme activity of hexokinases and glucose‐6‐phosphate, synthesizing and releasing of insulin, postprandial hyperglycemia inhibition, stimulation of GLUT‐4, decreasing activity of G6P, lowering the level of skeletal hexokinases, etc. The following medicinal plants products or extracts showed promising effects as enzyme inhibitors: Abelmoschus moschatus, Alangium salvifolium, Azadirachta indica, Bidens pilosa, Boerhaavia diffusa, Capsicum frutescens, Cassia alata, Eclipta alba, Embellica officinalis, Ficus carica, Gentiana Olivier, Glycyrrhiza glabra, Gymnema sylvestre, Hordeum vulgare, Ipomoea aquatica, Juniperus communis, Mangifera indica, Momordica charantia, Ocimum sanctum, Punica granatum, and Zingiber officinale. Some of the group of phytochemicals isolated with enzyme inhibition activities are Alkaloids, sesquiterpene and saponins, polysaccharides, flavonoids, dietary fibers, ferulic acid, tannins, limonene, and oleuropeoside. This review will provide very useful material to enhance the efficiency of rational antidiabetic drug design.     

十一味参芪胶囊内服和热敏灸法对结直肠癌术后气血两虚证化疗患者的干预

目的:探讨十一味参芪胶囊内服和热敏灸法对结直肠癌术后(气血两虚证)化疗患者的疗效和对血清基质金属蛋白酶-2(MMP-2),血管内皮生长因子(VEGF)和环氧合酶2(COX_2)水平的影响。方法:将98例结直肠癌手术后患者,依据入院先后顺序随机按数字表法分为试验组和对照组各49例。对照组术后采用Cape OX化疗方案和西医常规护理。试验组在对照组治疗的基础上加用十一味参芪胶囊内服和热敏灸法,并给予饮食和情志护理指导。两组疗程均为12周。进行治疗前后气血两虚证评分;记录化疗所致不良反应;进行治疗前后生活质量评价;检测治疗前后T淋巴细胞亚群和NK细胞水平;检测治疗前后MMP-2,COX_2和VEGF水平。结果:试验组实体瘤疗效总有效率为97.8%,高于对照组的82.93%(P0.05);试验组白细胞减少、血小板减少、胃肠道反应和肝肾功能损害等不良反应发生率均低于对照组(P0.05);试验组生活质量量表中恶心呕吐、疼痛和疲劳评分低于对照组(P0.01),躯体功能、角色功能、情绪功能、社会功能和认识功能评分均高于对照组(P0.01);试验组CD3~+,CD4~+和NK细胞水高于对照(P0.01),CD8~+水平均低于对照组(P0.01);试验组血清MMP-2,VEGF和COX_2水平低于对照组(P0.01);治疗后试验组气血两虚证评分低于对照组(P0.01)。结论:十一味参芪胶囊内服和热敏灸辅助用于结肠癌术后化患者能起到改善症状,降低化疗副作用,提高生活质量和患者免疫功能,防治肿瘤转移,其近期疗效显著。     

阿萨伊对虚热及虚寒证候模型的生物学表达特征影响

研究阿萨伊对虚热证、虚寒证大鼠生物学表达特征的影响。SD大鼠分为空白组;虚热模型组,虚热模型加黄柏组、加阿萨伊高、低剂量组;虚寒模型组,虚寒模型加肉桂组、加阿萨伊高、低剂量组;采用每日肌肉注射地塞米松磷酸钠、氢化可的松琥珀酸钠1次、连续21 d的方法制备大鼠虚热模型、虚寒模型;通过放免法检测环核苷酸(cAMP,cGMP),内分泌激素(T3,T4,r T3)指标变化;通过比色法检测代谢(TP,UA,TC,TG,ALB)指标变化。虚热阿萨伊高剂量组能降低血清中cAMP,cAMP/cGMP值(分别P0.05,P0.001);虚热阿萨伊高剂量组均能显著降低T3,T4,r T3值(分别P0.01,P0.001,P0.05);虚热阿萨伊高剂量组均能显著降低TP,UA,TC,TG,ALB值(分别P0.001,P0.05,P0.05,P0.05,P0.01);阿萨伊对虚寒模型作用不明显。阿萨伊同黄柏一致,表现出对虚热模型大鼠的调整作用;与肉桂相反,对虚寒模型大鼠的指标纠正不明显。该文从同类比较、异类反证角度验证了理论推导的阿萨伊中药寒凉药性。     

Garlicin—fact or fiction? the antibiotic substance from garlic (Allium sativum L.)

It was in the early pioneer days of the antibiotic era when ‘garlicin’, the antibiotic agent from garlic (Allium sativum L.), appeared for the first time in the scientific literature and was described as a substance isolated from garlic cloves with convincing pharmacological and clinical evidence concerning its antibiotic properties. In this article evidence for and against garlicin as a chemical entity will be reviewed in order to clarify more fully the known antibiotic activity of garlic clove extracts.     

甘草泻心汤联合维生素B12对复发性口腔溃疡患儿T淋巴细胞亚群、溃疡面积及口腔菌群的影响

目的:探讨小儿复发性口腔溃疡(ROU)应用甘草泻心汤联合维生素B12治疗的临床效果。方法:选取2016年6月至2018年6月江西省儿童医院收治的116例ROU患儿,利用随机数字表法将其随机分成观察组与对照组,各58例。对照组口服维生素B_(12)治疗,观察组在此基础上内服甘草泻心汤治疗,所有患儿均治疗14 d。比较两组临床效果,治疗前后T淋巴细胞亚群(CD3~+,CD4~+,CD8~+及CD4~+/CD8~+)水平,溃疡面积及口腔菌群(韦荣氏菌、链球菌)含量变化,药物副作用发生情况。结果:观察组总有效率为96. 6%(56/58),明显高于对照组的84. 5%(49/58)(P 0. 05)。与本组治疗前比较,两组治疗后外周血CD3~+,CD4~+水平及CD4~+/CD8~+均明显升高(P 0. 05),CD8~+水平均明显降低(P 0. 05);与对照组比较,观察组T淋巴细胞亚群指标(CD3~+,CD4~+,CD8~+水平和CD4~+/CD8~+)改善更明显(P 0. 05)。治疗后,两组患儿口腔溃疡面积均逐渐缩小(P 0. 05);与对照组比较,观察组治疗7,14 d后溃疡面积较对照组同期均明显更小(P 0. 05)。与本组治疗前比较,两组治疗后口腔中韦荣氏菌、链球菌含量均明显增加(P 0. 05),且观察组上升更明显(P 0. 05)。结论:小儿ROU应用甘草泻心汤联合维生素B12治疗能有效纠正患儿血中T淋巴细胞亚群失衡,促进口腔溃疡愈合,正性调控口腔微生态环境,疗效确切,患儿耐受性良好。     

糖脉康颗粒联合胰岛素强化治疗2型糖尿病的临床疗效及对患者血脂和ET-1的影响

目的:探讨糖脉康颗粒联合胰岛素强化治疗2型糖尿病(type 2 diabetes mellitus,T2DM)的临床观察及对患者血脂和内皮素-1(ET-1)的影响。方法:将滨州市人民医院收治的124例T2DM患者采用随机数字表法分为对照组和观察组各62例。在常规治疗基础下,对照组给予胰岛素强化治疗,观察组在对照组治疗的基础上联合应用糖脉康颗粒治疗。比较两组患者临床疗效、血糖相关指标、血脂和血清ET-1水平及低血糖事件的发生率。结果:治疗后,观察组显效率为83.9%,显著高于对照组的67.7%(P0.05)。与对照组相比,观察组空腹血糖(fasting plasma glucose,FPG)(7.2±0.4)VS(7.9±0.5)mmol·L~(-1),餐后2 h血糖(2 h plasma glucose,2 h PG)(8.5±0.5)VS(9.4±0.6)mmol·L~(-1),糖化血红蛋白A1c(glycosylated hemoglobin A1c,Hb A1c)(7.0%±0.4%)VS(7.6%±0.5%)水平显著降低,血脂总胆固醇(total cholesterol,TC)(4.36±0.82)VS(5.21±0.94)mmol·L~(-1),甘油三酯(triglyceride,TG)(1.93±0.68)VS(2.20±0.53)mmol·L~(-1),低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)(3.10±0.54)VS(3.90±0.64)mmol·L~(-1)水平显著降低,高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)(1.59±0.35)VS(1.29±0.32)mmol·L~(-1)水平显著升高,ET-1(70.2±7.4)VS(75.6±8.3)ng·L~(-1)水平显著降低,比较都有统计学差异(P0.05)。治疗过程中,低血糖发生率为8.1%,与对照组4.8%的发生率比较差异不显著。结论:糖脉康颗粒联合胰岛素强化治疗T2DM的临床效果可靠,能够显著提高疗效,改善血糖、血脂指标,降低ET-1水平,且不会增加低血糖等不良反应发生率,临床上值得推广使用。     

降真香化学成分及药理作用研究进展

降真香为我国海南、广东、广西、云南等省区的特色地道药材,被《全国中草药汇编》,《中国药用植物图鉴》,《中国民间生草药原色图谱》等典籍所收载,主要含有生物碱、酚类及挥发油类化合物,降真香叶具有芳香气味,可以治疗感冒、咳嗽,熟果可食,果肉味甜,微带麻舌感,并可入药助消化,根可止血定痛、消肿生肌、平气喘,树脂具有解热、止痢等作用。现代药理研究表明,降真香具有抗肿瘤、抗菌及细胞毒性等生物活性。本文主要针对降真香主要化学成分和药理活性的研究概况进行综合阐述,为进一步对其资源综合利用和开发提供参考。     

香贝养荣汤加减治疗转移性气血两虚乳腺癌的临床分析

目的:探讨香贝养荣汤加减辨治转移性乳腺癌(气血两虚)的近期疗效及对T淋巴细胞亚群和NK细胞的影响。方法:将90例转移性乳腺癌患者,根据入院先后顺序随机按数字表法分成观察组46例和对照组44例。对照组给予内分泌治疗,必要时加用化疗。观察组在对照组治疗的基础上加香贝养荣汤加减治疗。两组疗程直到疾病出现进展。进行气血两虚及兼证评分;进行功能状态Kupperman评分;记录疾病进展时间(TTP);采用乳腺癌患者生命质量测定量表(FACT-B)和KPS评分;检测T淋巴细胞亚群和自然杀伤细胞(NK)水平,记录不良反应。结果:观察组临床总有效率为54.35%,高于对照组的31.82%(P0.05);对照组TTP(5.12±1.04)个月,观察组为(7.91±1.41)个月,观察组TTP长于对照组(P0.05);治疗后观察组症状评分和Kupperman评分低于对照组,KPS评分高于对照组(P0.01);治疗后观察组生理状况、社会家庭情况、情感情况、功能状况和附加关注5个维度评分均低于对照组(P0.01);治疗后观察组CD3~+,CD4~+,CD4~+/CD8~+和NK水平上升,并高于同期对照组(P0.01),CD8~+水平明显降低,并低于对照组(P0.01);对照组化疗导致不良反应程度重于观察组(P0.05)。结论:香贝养荣汤加减方辨治转移性乳腺癌内分泌治疗或(和)化疗的患者,能延长TTP,提高近期实体瘤疗效,能减轻症状、提高患者生活质量和提高免疫功能,并能减轻内分泌和化疗导致的不良反应。     

中药三联疗法对急性脑梗死疗效及对脑血流量的影响

目的:研究中药三联疗法对急性脑梗死治疗效果及对脑血流量的影响.方法:286例急性脑梗死患者随机均分为观察组与对照组,各143例,观察组予以中药三联疗法治疗,包括自拟中风方煎服,1剂/d;直肠滴注中风方500 mL,1剂/d;银杏叶注射液10 mL,静脉滴注,1次/d.对照组以静脉滴注银杏叶注射液10 mL,1次/d;胞磷胆碱0.5g,静滴,1次/d.两组疗程均为14 d.比较两组的治疗效果及脑血流量变化.结果:观察组总有效率88.8％(127/143),对照组74.1％(106/143),观察组高于对照组(P＜0.05).观察组患者治疗前后脑血流量为(583.1±114.2),(663.5±99.3) mL· min-1,对照组患者治疗前后为(594.1±105.9),(615.47±96.5) mL·min-1,治疗后观察组明显高于对照组(P＜0.05).结论:中药三联疗法治疗急性脑梗死,能够改善脑供血,促进神经功能恢复,值得临床进一步推广实践.     

参苓白术散对体外艰难梭菌生长的影响

目的:探讨参苓白术散对抗生素相关性腹泻(AAD)主要致病菌艰难梭菌的体外抑菌作用。方法:按正常培养组(脑心浸液培养基培养)和加药培养组(脑心浸液培养基中加入不同稀释梯度的参苓白术散水煎剂,加药体积分别为体积比为:10-1,10-2,10-3,10-4),应用连续采样和分光光度法,测定4株艰难梭菌((NC-1,NC-2,SH182,和SH186,其中2株为A+B+,2株为A-B+)的体外生长曲线。结果:加药(参苓白术散水煎剂)体积比为:10-1,10-2,10-3,10-4的培养基对艰难梭菌NC-1,以及加药体各为10-1的参苓白术散水煎剂对艰难梭菌NC-2有明显的抑制作用(P<0.05),不同稀释度的加药培养基对4种不同的艰难梭菌均有一定的影响,艰难梭菌最大生长细菌菌落均有一定程度的减少。结论:参苓白术散对AAD病主要致病菌艰难梭菌在体外具一定的抑制作用。