截骨术结合白芍总苷对强直性脊柱炎患者矢状位平衡与ESR的影响分析

[目的] 探讨截骨术结合白芍总苷对强直性脊柱炎患者矢状位平衡与红细胞沉降率（ESR）的影响。[方法] 纳入择2012年8月-2017年2月在十堰市太和医院诊治的强直性脊柱炎患者110例作为研究对象，采用随机数字表法将研究对象分为观察组与对照组各55例，两组都给予截骨手术治疗，由同一组高年资关节外科医生主持下进行手术操作，对照组在术后给予常规治疗，观察组在对照组治疗的基础上给予白芍总苷治疗，治疗观察3个月。[结果] 术后3个月观察组与对照组的总有效率分别为100.0%和87.3%，观察组的总有效率明显高于对照组（P<0.05）。观察组术后3个月的ESR与Cobb角分别为（15.33±8.24）mm/h和（-8.22±2.49）°，对照组分别为（24.42±5.39）mm/h和（-3.49±1.22）°，观察组明显低于对照组（P<0.05），且都明显低于术前（P<0.05）。观察组术后3个月的脑脊液漏、溃疡疾病、肝肾功能异常、切口感染等并发症发生率（3.6%）明显少于对照组（16.4%，P<0.05）。术后3个月两组的强直性脊柱炎功能指数（BASFI）评分都显著低于治疗前（P<0.05），观察组治疗后的强直性脊柱炎功能指数（BASFI）评分也显著低于对照组（P<0.05）。[结论] 截骨术结合白芍总苷在强直性脊柱炎患者的应用有利于重建矢状位平衡，降低ESR，减少术后并发症的发生，促进缓解患者的临床症状，从而提高总体疗效。     

帕夫林和甲氨蝶呤治疗儿童关节炎疗效观察

目的评价帕夫林对儿童关节炎的疗效和安全性.方法病人随机分为二组,甲氨蝶呤(MTX)组和帕夫林(TGP)组.观察临床疗效和不良事件的发生率.结果统计学显示,治疗前后两组病人的总疗效无差异性;不良反应发生率MTX组明显高于TGP组.结论帕夫林具有抗炎、镇痛、和双向免疫调节作用,副作用少而轻,患儿耐受性好,安全性高.     

帕夫林联合曲安奈德治疗口腔扁平苔藓

目的　观察帕夫林联合曲安奈德局部注射治疗口腔扁平苔藓 (OLP)的临床疗效。 方法　 将口腔扁平苔藓患者 6 0例随机分为两组 ,治疗组 30例口服帕夫林 ,局部注射曲安奈德注射液 ,对照组 30例服用左旋咪唑片 ,进行临床疗效观察。 结果　 治疗组有效 2 7例 ,总有效率为 90 % ;对照组有效 2 1例 ,总有效率为70 % ,P <0 .0 5 ,有差异。 结论　 帕夫林联合曲安奈德局部注射治疗口腔扁平苔藓有良好的疗效     

白芍总苷对角质形成细胞增生及ICAM-1表达的影响

目的：探讨白芍总苷（TGP）对人永生化角质形成细胞（HaCaT细胞）增生及分泌细胞间黏附分子（ICAM）-1的影响,探讨可能涉及的信号传导通路。方法用500 U/ml干扰素（IFN）-γ诱导HaCaT细胞,不同浓度TGP（0.5～312.5μg/ml）作用于HaCaT细胞。四甲基偶氮唑盐（MTT）法观察TGP对HaCaT细胞增生活性的影响。酶联免疫吸附试验（ELISA）及荧光免疫组化法检测HaCaT细胞表达ICAM-1的水平。结果 TGP在低浓度（0.5～25.0μg/ml）时对HaCaT细胞增生活性有促进作用,在高浓度（62.5～125.0μg/ml）时对HaCaT细胞增生活性呈抑制作用。0.5～25.0μg/ml TGP可显著降低HaCaT细胞表达ICAM-1的水平（P＜0.05,P＜0.01）。结论 TGP对IFN-γ上调HaCaT细胞分泌ICAM-1有显著的抑制作用,可能是TGP抗炎作用机制之一。     

白芍总苷治疗类风湿性关节炎疗效观察

[目的]探讨白芍总苷在类风湿性关节炎治疗中的意义。[方法]对同时期的类风湿性关节炎50例随机分为两组,一组用甲氨喋呤（5-20mg,每周1次,口服）＋白芍总苷（600mg,每日3次口服）治疗,另一组用氨甲喋呤＋双氯芬酸（25mg,每日3次,口服）治疗。[结果]两组总有效率均为100％,显效率分别为68％、72％。差异无显著性（P〉0．05）,与双氧芬酸相比,白芍总苷无明显的胃肠道不良反应的副作用（P〈0．01）。[结论]白芍总苷在类风湿性关节炎的治疗中有较好的疗效,可广泛应用。     

Effects and mechanisms of total glucosides of paeony on synoviocytes activities in rat collagen-induced arthritis

The aim of the study was to investigate the effects of TGP, an active compound extracted from the roots of Paeonia lactiflora Pall, on the activities of synoviocytes in rats with collagen-induced arthritis (CIA) and its possible mechanisms. CIA was induced in male Sprague-Dawley (SD) rats immunized with chicken type II collagen (CII) in Freund's complete adjuvant (FCA). Synoviocytes proliferation was determined by 3-(4, 5-2dimethylthiazal-2yl) 2, 5-diphenyltetrazoliumbromide (MTT) assay. Tumor necrosis factor alpha (TNF-alpha), interleukin-1 (IL-1), prostaglandin E(2) (PGE(2)) and cyclic adenosine monophosphate (cAMP) levels in synoviocytes were measured by radioimmunoassay (RIA). E-prostanoid (EP)(2) and EP(4) receptors were analyzed by Western blot analysis. The results showed that TGP significantly inhibited the proliferation of synoviocytes, decreased the production of IL-1, TNF-alpha and PGE(2) and elevated the levels of cAMP. Further study showed that TGP could up-regulate the expression of EP(2) and EP(4). These results indicated that TGP might exert its anti-inflammatory effects through inhibiting the production of pro-inflammatory mediators in synoviocytes of CIA rats, which might be associated with its ability to regulate cAMP-dependent EP(2)/EP(4)-mediated pathway.     

Effects and mechanisms of total glucosides of paeony on adjuvant arthritis in rats

Total glucosides of paeony (TGP) is the major active constituent of Paeonia lactiflora Pall. The present study was carried out to investigate the effects of TGP on adjuvant arthritis (AA) of rat and its possible mechanisms. AA was induced by metatarsal footpad injection with complete Freund's adjuvant in male Sprague-Dawley rats. The secondary inflammatory reaction was evaluated by hind paw swelling, polyarthritis index. Activity of interleukin-1 (IL-1) was detected by Con A-induced thymocytes proliferation of C57BL/6J mice assay. The tumor necrosis factor alpha (TNFalpha), prostaglandin E(2) (PGE(2)) and cyclic adenosine monophosphate (cAMP) levels in synoviocytes were assessed by radioimmunoassay (RIA). PGE(2) receptors, EP2 and EP4, were analyzed by Western blot analysis. The level of IL-6 was measured by ELISA. Intragastric administration of TGP (50,100 mg/kg) significantly decreased secondary inflammatory reaction in AA rats. Suppressing the activity of IL-1 and TNFalpha, decreased PGE(2) and increased cAMP levels in synoviocytes of AA rats were observed after administration of TGP. In the immunoblot analysis, TGP could up-regulate the expression of EP2 and EP4. These results showed TGP significantly inhibited the progression of AA, and the inhibitory effects might be associated with its ability to mediate the level of cAMP and inhibit the production of IL-1, TNFalpha, IL-6 and PGE(2) from activated synoviocytes.     

流化床包衣法制备芍药总苷缓释微丸的研究

目的 应用挤出滚圆法制备芍药总苷速释微丸,用Eudragit RS 100作为包衣材料,制备芍药总苷缓释微丸.方法 采用mini Glatt流化床底喷包衣法制备缓释微丸,对其包衣工艺及处方进行单因素考察.评价微丸的粉体学性质和体外释放行为.结果 当聚合物包衣增质量为6%,增塑剂用量为10%时,药物具有明显的缓释作用,体外释放曲线符合Peppas和Higuchi方程.结论 制备的芍药总苷缓释微丸具备较理想的缓释效果.     

白芍总甙对大鼠佐剂性关节炎及其免疫功能的影响

本文研究了白芍总甙(TGP)对大鼠佐剂性关节炎(AA)的治疗作用及其机理。TGP 50 mg·kg~1·d~1 ig,连续11d对大鼠多发性关节炎有明显的防治作用,同时可使AA大鼠腹腔巨噬细胞升高的H_2O_2和白细胞介素(IL-1)水平下降,并可使AA大鼠低下的胸腺细胞有丝分裂原反应及脾淋巴细胞产生IL-2能力恢复正常。表明TGP对AA大鼠有抗炎和机能依赖性的免疫调节作用。     

白芍总苷的抗炎活性

目的:通过系列炎症模型,研究白芍总苷(TGP)的抗炎活性特点。方法:采用小鼠热板法,醋酸腹膜炎模型,苯酚胶浆所致盆腔炎大鼠等实验观察白芍的镇痛抗炎效果。结果:白芍总苷在200mg.kg-1时具有较好的镇痛作用,并对小鼠腹膜炎的白细胞渗出有一定抑制作用,对慢性盆腔炎大鼠的子宫粘连与扩张有较好的治疗作用。结论:白芍总苷具有较好的镇痛、抗炎作用。