HPLC测定活血止痛膏中芍药苷、马钱子碱、士的宁的含量

目的:建立高效液相色谱法测定活血止痛膏中芍药苷、马钱子碱、士的宁的含量。方法:采用AgilentTC-C18色谱柱(250 mm×4.6 mm,5μm),柱温为25℃,流速为1 mL.min-1;芍药苷的流动相为乙腈-水(16∶84),检测波长为230 nm;马钱子碱、士的宁的流动相为乙腈-0.01mol.L-1庚烷磺酸钠与0.02mol.L-1磷酸二氢钾等量混合溶液(用10%磷酸溶液调节pH值至2.8)(21∶79),检测波长为260 nm。结果:两种液相方法可分别测定活血止痛膏中芍药苷、马钱子碱、士的宁的含量。芍药苷浓度在25.2～200.2μg.mL-1(r=0.9996),马钱子碱浓度在2.45～19.6μg.mL-1(r=0.9998),士的宁浓度在2.95～23.6μg.mL-1(r=0.9997)范围内与其峰面积呈良好的线性关系;平均回收率(n=9)分别为95.13%(RSD=1.77%),87.63%(RSD=2.99%),90.93%(RSD=2.57%)。结论:两种液相测定方法专属性强,结果准确,可用于活血止痛膏的质量控制。     

玄黄活络膏加电磁波治疗急性软组织运动损伤45例

目的观察玄黄活络膏加电磁波治疗急性软组织运动损伤的临床疗效。方法将90例患者随机分为治疗组45例、对照组45例,分别选用外用玄黄活络膏加电磁波和红花油治疗,疗程7d。结果治疗组显效32例,有效12例,无效1例,总有效率为97．78％;对照组显效21例,有效19例,无效5例,总有效率为88．89％,治疗组明显优于对照组（P〈0．05）.结论玄黄活络膏加电磁波能明显促进急性软组织运动损伤的瘀血吸收,改善局部循环情况,改善临床症状。     

Strong and light plaster casts?

Three geometries of volar slab plaster cast for the stabilisation of wrist fractures were investigated. It was found that by moulding reinforcement ridges on the inferior surface of the slab the strength and stiffness could be doubled with only a 20% increase in weight. It was discovered that to provide the same increase in strength with a traditional cast the entire thickness of the cast would have to be doubled, with a 100% increase in weight that would be cumbersome to most users. Bending theory is presented in a simple manner to allow clinicians to understand how reinforcement mouldings can improve the strength and stiffness of plaster casts without adversely influencing weight, or cost.     

Treatment of 20 infants with night crying by tuina and auricular application

Night crying is a condition that infants under one year old often cry at night, or at regular times, sometimes throughout the entire night, but acting normal during daytime. We treated 20 cases by tuina and auricular application. It is reported as follows.     

香樟风寒熨剂的薄层色谱鉴别

目的:制定香樟风寒熨剂的质量控制标准。方法:采用薄层色谱法对香樟风寒熨剂中独活、川芎进行定性鉴别。结果:独活、川芎的薄层色谱清晰,重现性良好。结论:所建立的方法简便,专属性强,可作为香樟风寒熨剂的薄层色谱的定性鉴别标准。     

驱风止痛膏对血浆神经递质和调质的影响变化分析

对１６０例慢性疼痛患者治疗前后血浆血管紧张素Ⅱ（ＡＮＧ－Ⅱ）、强非肽（ＤＹＮＡ）、Ｐ物质（ＳＰ）、６－酮前列环素（６－ｋｅｔｏ－ＰＧＦ１ａ）、血栓素Ｂ２（ＴＸＢ２）含量进行测定,与２０例正常组人群进行比较,结果治疗前后Ｐ〉０．０５,说明药物对上述血浆神经递质和调质,具有调节使用。     

冠心膏缓释剂外贴抗犬实验性心肌缺血的研究

目的:观察冠心膏缓释剂外贴对实验性心肌缺血的影响。方法:采用冠状动脉缩窄术造成犬心肌缺血模型,以心脏血流动力学、心肌耗氧量、冠脉流量及心外膜电图为观察指标。结果:冠心膏大、小剂量组均能降低冠脉阻力(P<0.05,P<0.01);增加冠脉流量(P<0.05,P<0.01),且呈剂量相关性。大剂量组能降低心肌耗氧量及总外周阻力(P<0.05),减少左室做功(P<0.05),减轻心肌损伤程度(∑-ST)及范围(N-ST),与药前比较,有显著性差异(P<0.05)。结论:冠心膏缓释剂具有改善麻醉犬心脏血液动力学、减少心肌耗氧、增加冠脉流量、减轻心肌损伤程度及范围的作用。     

穴贴定喘膏对过敏性哮喘豚鼠IL3、IL5和IgE的影响

目的　探讨穴贴定喘膏治疗过敏性哮喘模型豚鼠的作用机理。方法　用 10 %卵蛋白液给豚鼠致敏 ,2周后再用1%的该溶液雾化吸入 ,以诱发豚鼠哮喘 ,然后将发作的哮喘豚鼠随机分为模型组、先声咳喘宁组 (7 5ml·kg-1)、穴贴定喘膏组(1g·kg-1、3g·kg-1) ,同期另设一正常组。先声咳喘宁组豚鼠灌胃给药 ,穴贴定喘膏组豚鼠经皮给药。每日给药 1次 ,连续 7日。其间在给药 1h后 ,诱发哮喘 1次。 1周后取豚鼠血清 ,测定IL3 、IL5和IgE水平。结果　穴贴定喘膏能降低血清IL3 、IL5和IgE ,与模型组比较具有显著性差异 (P <0 0 5 )。结论　穴贴定喘膏治疗过敏性哮喘作用机理与降低IL3 、IL5和IgE有关。     

乙肝贴敷灵膏治疗慢性乙型肝炎临床研究

目的：观察乙肝贴敷灵膏治疗慢性乙型肝炎的疗效，并探讨其作用机理。方法：运用乙肝贴敷灵膏治疗慢性乙肝，临床观察150例，治疗组100例，对照组50例。结果：两组总有效率分别为91%、56%；e抗原转阴率分别为52%、28%，两组比较均有显著差异。结论：乙肝贴敷灵膏治疗慢性乙型肝炎疗效确切。     

Plaster casts in the management of advanced ischaemic and neuropathic diabetic foot lesions

The outcome of plaster cast treatment of diabetic ulcerations at different sites of the feet in 33 patients was assessed in a prospective study. They were selected for the study because the previous conservative treatment had been unsuccessful. The mean age was 68 years and Type 1/Type 2 ratio was 4/29. Fifteen patients had lesions of grade 2 severity according to Wagner's classification, 9 patients' lesions were grade 3, and 9 patients had grade 4 lesions. The lesions healed in 19 patients (58%). All 10 patients (100%) with plantar lesions healed, while 7 (44%) of the patients with ischaemic lesions on the toes underwent lower leg amputation (p less than 0.01). Other factors that were important in determining which patients underwent amputation included the presence of local pain (p less than 0.001), and ankle/arm pressure index (less than 0.5 vs greater than or equal to 0.5, p less than 0.001). We conclude that plaster cast treatment is more useful in the treatment of advanced foot lesions than has previously been reported.