清肺止痉活血法治疗儿童支原体肺炎的临床效果观察

目的 探究清肺止痉活血法治疗儿童支原体肺炎的临床疗效.方法 我院收治的支原体肺炎患儿92例,随机均分为两组,对照组予以阿奇霉素治疗,观察组在此基础上予以清肺止痉活血法治疗,观察对比两组临床疗效及用药安全性.结果 观察组总有效率为93.5％,明显高于对照组的78.3％,差异有统计学意义(x2=4.39,P＜0.05);观察组退热时间[(3.1±1.2)d]、止咳时间[(4.1±1.4)d]、肺部啰音消失时间[(5.2±1.6)d]、住院时间[(7.4±1.5)d]均短于对照组[(5.6±1.5)d、(7.8±1.6)d、(7.9±1.3)d、(9.8±1.4)d],差异均有统计学意义(P＜0.05);两组用药期间未发生严重药物不良反应.结论 小儿支原体肺炎患儿予以清肺止痉活血法治疗的效果明显,安全可靠.     

基于平喘生物效价的麻黄品质评价研究

目的研究37个不同产地麻黄平喘作用及其生物效价的差异。方法取豚鼠离体气管平滑肌建立平喘药效模型,按累积计量法于麦氏浴槽中加入不同质量浓度梯度(剂间距1:0.5)的麻黄水煎液,计算不同产地麻黄解痉率;按照《中国药典》2010年版二部附录XIV生物检定统计法项下"量反应平行线法"(2,2)法计算生物效价值;采用HPLC法测定麻黄药材中麻黄碱和伪麻黄碱的量;对不同产地麻黄生物效价值进行聚类分析。结果麻黄对磷酸组胺(His)引起的豚鼠离体气管平滑肌收缩有解痉作用,与麻黄对照药材相比,有20个产地的麻黄达显著水平(P0.05),麻黄解痉作用与给药质量浓度呈剂量依赖性,草麻黄与中麻黄种间解痉率无显著差异(P0.05);37个产地的麻黄药材与对照药材相比平喘效价值存在显著差异(P0.05、0.01),平喘效价值为22.35~489.04 U/g,可信限率(FL)13.15%~38.97%,效价相差近21.88倍,麻黄平喘生物效价与麻黄碱及伪麻黄碱总量之间相关不显著;采用聚类分析法能够将不同平喘生物效价值的麻黄区分开来,37份麻黄药材中有24份生物效价值高于对照药材,占麻黄样品总数的64.86%。结论平喘生物效价值可以定量评价不同产地麻黄的质量。     

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Abstract

The essential oil of nutmeg (600 or 900 mg/kg, IP) altered the young chicks' species-specific response to amphetamine (20 mg/kg, SQ). Nutmeg oil totally blocked the development of chirping and decreased the duration of wing droop and stereotyped behavior “b” (head and neck extended forward, parallel to but not touching floor), but increased the duration of stereotyped behavior “a” (head and neck drawn back with top of head almost touching back). Amphetamine caused a significant decrease in the duration of light and deep sleep in the group that received the higher dose level of nutmeg oil.     

疏风解痉法联合西药治疗 52 例咳嗽变异性哮喘临床观察

目的观察疏风解痉法联合西药治疗咳嗽变异性哮喘的临床效果。方法选取北京市宣武中医医院及中日友好医院52例门诊患者,随机分为两组,对照组26例予舒利迭吸入剂50／250μg,1吸,bid,治疗组26例在对照组西药治疗的基础上配合疏风解痉法的中药汤剂口服,28d为1个疗程,治疗结束后观察疗效。结果治疗后,治疗组在咳嗽次数、咳嗽程度、咯痰及咽痒症状的缓解上明显优于对照组（P〈0．05）,治疗组肺功能激发试验转阴率明显优于对照组,差异均有统计学意义（P〈0．05）;观察90d复发率明显低于对照组（P〈0．05）;两组总疗效比较,治疗组明显优于对照组,差异有统计学意义（P〈0．05）。结论疏风解痉法联合西药治疗咳嗽变异性哮喘明显改善临床症状,效果优于单纯西药治疗。     

抗痉挛治疗对脑卒中偏瘫患者肢体功能恢复的疗效分析

目的探讨抗痉挛治疗对偏瘫肢体运动功能的影响。方法40例脑卒中偏瘫患者均采用以促通技术为主的神经肌肉再训练方法进行训练,并对治疗前后状态进行比较。结果瘫侧上下肢运动功能均有不同程度的改善,显效率上肢达47.5%,下肢达60%;有效率上肢达95%,下肢达97.5%。训练前后存在显著性差异(P<0.01)。结论抗痉挛治疗是促进肢体运动功能恢复的有效途径。     

Antidiarrhoeal and spasmolytic activities of the methanolic crude extract of Alstonia scholaris L. are mediated through calcium channel blockade

This study was aimed to provide a pharmacological basis to the medicinal use of Alstonia scholaris as an antidiarrhoeal and antispasmodic by using in vivo and in vitro techniques. In the in vivo study the crude extract of Alstonia scholaris (As.Cr), which tested positive for the presence of alkaloids, provided 31–84% protection against castor oil‐induced diarrhoea in mice at 100–1000 mg/kg doses, similar to loperamide. In isolated rabbit jejunum preparation, the As.Cr caused inhibition of spontaneous and high K⁺ (80 mm )‐induced contractions, with respective EC₅₀ values of 1.04 (0.73–1.48) and 1.02 mg/mL (0.56–1.84; 95% CI), thus showing spasmolytic activity mediated possibly through calcium channel blockade (CCB). The CCB activity was further confirmed when pretreatment of the tissue with the As.Cr (0.3–1 mg/mL) caused a rightward shift in the Ca⁺⁺ concentration‐response curves similar to verapamil, a standard calcium channel blocker. Loperamide also inhibited spontaneous and high K⁺ precontractions as well as shifted the Ca⁺⁺ CRCs to the right. These results indicate that the crude extract of Alstonia scholaris possesses antidiarrhoeal and spasmolytic effects, mediated possibly through the presence of CCB‐like constituent(s) and this study provides a mechanistic base for its medicinal use in diarrhoea and colic. Copyright © 2009 John Wiley & Sons, Ltd.     

A new and weakly antispasmodic protoberberine alkaloid from Rhizoma Coptidis

A new protoberberine alkaloid, 3‐hydroxy‐2‐methoxy‐9,10‐methylenedioxy‐8‐oxo‐protoberberine, along with three known compounds, was isolated from Rhizoma Coptidis. The new compound displayed weak antispasmodic activity against acetylcholine‐induced contraction in isolated guinea‐pig ileum with an IC₅₀ of 83.7 μm . Copyright © 2010 John Wiley & Sons, Ltd.     

Pharmacological effects of butylidenephthalide

The pharmacological effects of synthetic butylidenephthalide (Bdph), the most potent antispasmodic agent found in the neutral oil of Ligusticum wallichii Franch., were examined in this study. In vivo, Bdph exerted a significant antihypertensive effect in anaesthetized renal hypertensive rats at a dose of 30 mg/kg (i.v. or i.p.), or 60 mg/kg (p.o.). Bdph antagonized noradrenaline (NA) induced increases in blood pressure in anaesthetized normotensive rats. In addition, Bdph prevented the pituitrin-induced T-wave lowering of the ECG in anaesthetized rats. It also dose-dependently decreased coronary arterial pressure in dogs. It is concluded that Bdph dilates coronary vessels. In vitro, Bdph non-competitively antagonized adrenaline-induced contraction in isolated rabbit aortic strips. It also significantly antagonized the NA-induced maximum decrease in perfusion rate of isolated rabbit ears. However, the vasodilator effect may cause a heat loss because Bdph significantly lowered the rectal temperature of rats at ambient temperature of 20°C, but not at 30°C. Bdph might be a useful coronary dilator and antihypertensive drug.     

Antispasmodic,bronchodilator and blood pressure lowering properties of Hypericum oblongifolium – possible mechanism of action

The crude extract of Hypericum oblongifolium (Ho.Cr), which tested positive for flavonoids, saponins and tannins caused concentration‐dependent (0.1–1.0 mg/mL) relaxation of spontaneous and high K⁺ (80 mM)‐induced contractions in isolated rabbit jejunum preparations, suggesting a Ca⁺⁺ antagonistic effect, which was confirmed when pretreatment of the tissue with Ho.Cr produced a rightward shift in the Ca⁺⁺ concentration‐response curves, like that caused by verapamil. Ho.Cr relaxed carbachol (1 μM) and high K⁺‐induced contractions in guinea pig tracheal preparations. It caused a dose‐dependent (3–100 mg/kg) fall in arterial blood pressure of rats under anesthesia. In isolated guinea pig atria, Ho.Cr caused inhibition of both atrial force and rate of spontaneous contractions. When tested in rabbit aortic rings, Ho.Cr exhibited a vasodilator effect against phenylephrine (1 μM) and high K⁺‐induced contractions. These results indicate that Ho.Cr possesses gastrointestinal, respiratory and cardiovascular inhibitory effects, mediated via a Ca⁺⁺ antagonist mechanism. Copyright © 2009 John Wiley & Sons, Ltd.     

Calcium channel blocking activity of Mentha longifolia L. explains its medicinal use in diarrhoea and gut spasm

Mentha longifolia has a reputation in traditional medicine in the indications of diarrhoea and gut spasm. This study was carried out to provide a possible pharmacological basis for its medicinal use in hyperactive gut disorders. In a castor oil induced diarrhoeal model, the crude extract of Mentha longifolia (Ml.Cr), at doses of 100–1000 mg/kg, provided 31–80% protection, similar to loperamide. In isolated rabbit jejunum preparations, Ml.Cr caused inhibition of spontaneous and high K⁺‐induced contractions, with respective EC₅₀ values of 1.80 (1.34–2.24; n = 6–8) and 0.60 mg/mL (0.37–0.85; n = 6–8), which suggests spasmolytic activity, mediated possibly through calcium channel blockade (CCB). The CCB activity was further confirmed when pretreatment of the tissue with Ml.Cr (0.3–1 mg/mL) caused a rightward shift in the Ca⁺⁺ concentration–response curves (CRCs), similar to verapamil. Loperamide also inhibited spontaneous and high K⁺‐induced contractions and shifted the Ca⁺⁺ CRCs to the right. Activity‐directed fractionation revealed that the petroleum spirit fraction was more potent than the parent crude extract and aqueous fraction. These data indicate that the antidiarrhoeal and spasmolytic effects of the crude extract of Mentha longifolia are mediated through the presence of CCB‐like constituent(s), concentrated in the petroleum spirit fraction and this study provides indirect evidence for its medicinal use in diarrhoea and spasm. Copyright © 2010 John Wiley & Sons, Ltd.