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Open reduction and Internal fixation of mandibular subcondylar fractures with quadrangular plate - A Case Report 四角钢板切开复位内固定下颌髁下骨折1例
Pub Date : 2018-06-05 DOI: 10.7439/IJPR.V8I5.4685
P. Pravahitha, M. R. Mutushekar
Mandibular condylar fractures are the most commonly encountered mandibular fractures, being 17.5–52% of all mandibular fractures. The most common unilateral fracture is subcondylar, and the most common bilateral fracture is of the condylar heads, mostly caused by direct trauma, but may also be due to indirect forces. Treatment of condylar fractures depends on physical and imaging evidence of the fracture, extent of injury (whether unilateral or bilateral), the level of fracture, the degree of displacement and dislocation, the size and position of the fractured condylar segment, and the dental malocclusion.
下颌髁骨折是最常见的下颌骨折,占所有下颌骨折的17.5-52%。最常见的单侧骨折是髁下骨折,最常见的双侧骨折是髁头骨折,大多是由直接创伤引起的,但也可能是由于间接的力。髁突骨折的治疗取决于骨折的物理和影像学证据、损伤程度(无论是单侧还是双侧)、骨折的程度、移位和脱位的程度、骨折的髁段的大小和位置以及牙错合。
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引用次数: 0
Hutchinson-Gilford progeria syndrome - A brief introduction 哈钦森-吉尔福德早衰综合征-简要介绍
Pub Date : 2018-06-05 DOI: 10.7439/IJPR.V8I5.4634
K. Gupta, A. Shukla
Progeria is also known as Hutchinson Gilford Progeria Syndrome. It is described by Jonathan Hutchinson and Hasting Gilford. The word Progeria obtained from the Greek word “pro” means “before” and “geras” means “agedness”. It is a genetic disorder, not inherited. It is identify by facial appearance containing prominent eye, thin nose, small chin and thin lip. The symptoms of progeria may include alopecia (hair loss), low body weight, decrease joint motility, facial appearance that are similar to old age person and accelerated cardiovascular disease. It is caused due to mutation in LMNA gene in which cysteine is replaced by thymine. This gene is important for producing Lamin A and Lamin C proteins. Treatment includes aspirin may helps to prevent antithrombotic events and cardiovascular disease. Hydrotherapy may be used to improve joint mobility and sign and symptoms of arthritis. FTIs (farnesyl transferase inhibitors) are used to decrease the severity of disease. FTIs are effective by blocking the farnesylation of progerin. Fluoride and vitamin supplements are recommend for progeria patients.
早衰症也被称为哈钦森-吉尔福德早衰综合征。它是由乔纳森·哈钦森和黑斯廷斯·吉尔福德描述的。“早衰症”这个词来源于希腊语“pro”,意思是“之前”,“geras”意思是“衰老”。这是一种遗传性疾病,不是遗传的。它是通过面部外观来识别的,包括突出的眼睛,薄鼻子,小下巴和薄嘴唇。早衰症的症状包括脱发、体重过轻、关节活动能力下降、面容与老年人相似、心血管疾病加速等。它是由LMNA基因突变引起的,其中半胱氨酸被胸腺嘧啶取代。这个基因对产生层粘连蛋白A和层粘连蛋白C很重要。治疗包括阿司匹林可能有助于预防抗血栓事件和心血管疾病。水疗法可用于改善关节活动性和关节炎的体征和症状。FTIs(法尼基转移酶抑制剂)用于降低疾病的严重程度。fti通过阻断progerin的法尼化而有效。建议早衰症患者补充氟化物和维生素。
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引用次数: 2
Antiviral potential of mangiferin against poliovirus 芒果苷对脊髓灰质炎病毒的抗病毒潜力
Pub Date : 2018-04-24 DOI: 10.7439/IJPR.V8I4.4706
D. Z. Rechenchoski, L. Faccin-Galhardi, A. Cunha, N. Ricardo, C. Nozawa, R. Linhares
Poliovirus (PV),an enterovirus of the Picornaviridae family, is the agent of poliomyelitis, a devastating neurologic disease that may result in paralysis and even death.Mangiferin is the major constituent of Mangifera indica and has multiple pharmacological activities, including antiviral. This study evaluated the activity of mangiferin against poliovirus type-1 (PV-1). The compound exhibited the 50% cytotoxic concentration (CC50) > 2000 μg/mL in HEp-2 cell cultures, by the dimethylthiazolyl-diphenyltetrazolium bromide method (MTT). The 50% inhibitory concentration (IC50) was of 53.5 μg/mL, determined by the plaque reduction assay (PRA) with selectivity index (SI) > 37.4. We investigate the possible mechanism of action of mangiferin and a maximum inhibition of PV was found for virucidal and inhibition of adsorption assays, at all tested concentrations. The inhibition of viral protein synthesis was also demonstrated by immunofluorescence assay (IFA).These results suggested that mangiferin is an attractive candidate for the control of PV infection.
脊髓灰质炎病毒(PV)是小核糖核酸病毒科的一种肠道病毒,是脊髓灰质炎的病原体,脊髓灰质炎是一种毁灭性的神经系统疾病,可导致瘫痪甚至死亡。芒果苷是芒果的主要成分,具有多种药理活性,包括抗病毒活性。本研究评估了芒果苷对1型脊髓灰质炎病毒(PV-1)的活性。二甲基噻唑-二苯基溴化四唑(MTT)法测定该化合物对HEp-2细胞的50%细胞毒浓度(CC50) > 2000 μg/mL。斑块减少法(PRA)测定50%抑制浓度(IC50)为53.5 μg/mL,选择性指数(SI) > 37.4。我们研究了芒果苷可能的作用机制,发现在所有测试浓度下,PV对病毒和吸附的抑制作用最大。免疫荧光法(IFA)也证实了对病毒蛋白合成的抑制作用。这些结果表明,芒果苷是一个有吸引力的候选人控制PV感染。
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引用次数: 6
Antimicrobial Potential of Endophytes from Datura metel Linn. 曼陀罗内生菌的抑菌潜力研究。
Pub Date : 2018-04-24 DOI: 10.7439/IJPR.V8I4.4696
M. Priya, P. Theoder
Endophytes are a suite of microorganisms that grow in the tissues of higher plants. Endophytes constitute a valuable source of secondary metabolites for the discovery of new potential therapeutic drugs.  Endophytes can have many effects on their host such as enhancement of stress, insect and disease resistance, and herbicide activities when in association with their host plant. The present study was to examine the antimicrobial activity of ethyl acetate extracts of endophytic fungi (both extra and intracellular) and actinomycete from the stem and root of Datura metel L. The crude extract of these endophytic isolates were screened for their antimicrobial potential. Among the endophytes, the extracellular fungal extract showed the highest antimicrobial activity when compared to intracellular fungi and actinomycetes. The studies and isolation of these compounds can be used as a good approach to search of novel products.
内生菌是一组生长在高等植物组织中的微生物。内生菌为发现新的潜在治疗药物提供了宝贵的次生代谢物来源。当内生菌与寄主植物结合时,可以对寄主植物产生许多影响,如增强胁迫,增强病虫害抗性和除草剂活性。研究了曼陀罗茎、根内生真菌(胞外和胞内)和放线菌的乙酸乙酯提取物的抑菌活性,并对这些内生真菌粗提物进行了抑菌活性筛选。在内生菌中,胞外真菌提取物的抑菌活性高于胞内真菌和放线菌。这些化合物的研究和分离可作为寻找新产物的良好途径。
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引用次数: 1
Fluindione and cefixime induced cutaneous bleeding manifestations –A case report and review of literature 氟茚酮与头孢克肟致皮肤出血1例报告并文献复习
Pub Date : 2018-04-05 DOI: 10.7439/IJPR.V8I3.4637
Nishanthi Anandabaskar, Nalinidevi Jayabalan, Mohanasundaram Jayaraman, M. Rajamohammad
Fluindione an oral vitamin K antagonist is associated with various hemorrhagic and immunoallergic effects. This drug is also prone to produce various drug interactions, which if not taken into consideration while prescribing, might lead to increased incidence of adverse drug reactions for the patients. We report a case of drug interaction between fluindione and cefixime leading to cutaneous bleeding manifestations and raised PT-INR. Our patient was a 59 year old lady, a known case of rheumatic heart disease and mitral valve replacement, on tablet fluindione 20 mg for past 11 years. She was prescribed tablet cefixime 200 mg two times a day for three days for treatment of upper respiratory tract infection, following which she developed cutaneous bleeding manifestations like ecchymosis and purpura in left upper and lower limbs. She also had a rise in PT-INR level to 4.2, predisposing the patient to life threatening bleeding manifestations. Hence, caution is warranted while prescribing antibiotics to patients on oral anticoagulant therapy. Antibiotics that do not cause drug interaction with the anticoagulants must be selected in these patients. Also, periodic monitoring of PT INR in patients on anticoagulants especially when a new drug is co-prescribed is essential to curb the hazards of potential adverse drug interaction.
氟茚酮是一种口服维生素K拮抗剂,与多种出血和免疫过敏作用有关。该药物还容易产生各种药物相互作用,如果在处方时不加以考虑,可能会导致患者药物不良反应的发生率增加。我们报告一例氟茚酮和头孢克肟之间的药物相互作用导致皮肤出血表现和PT-INR升高。我们的患者是一名59岁的女性,已知的风湿性心脏病和二尖瓣置换术病例,服用氟地酮片20mg过去11年。治疗上呼吸道感染,给予头孢克肟片200 mg,每日2次,连用3天。术后患者出现左上肢和下肢瘀斑、紫癜等皮肤出血表现。患者PT-INR升高至4.2,易出现危及生命的出血症状。因此,在给口服抗凝治疗的患者开抗生素处方时要谨慎。这些患者必须选择不与抗凝药物相互作用的抗生素。此外,定期监测抗凝药物患者的PT INR,特别是当联合使用一种新药时,对于抑制潜在的药物不良相互作用的危害至关重要。
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引用次数: 0
Ethnopharmacological plants used to treat hepatitis and their anti-oxidant activity of district of Bobo-Dioulasso (Burkina Faso) 布基纳法索Bobo-Dioulasso地区治疗肝炎的民族药物植物及其抗氧化活性
Pub Date : 2018-04-05 DOI: 10.7439/IJPR.V8I3.4643
Tata Kadiatou Traoré, Tibiri André, Ouédraogo Noufou, Sombie Nogma Ernest, N’do Jotham Yhi-pênê, Ouédraogo Salfo, G. Pierre
Background : Plants are frequently used by traditional healer for the care of the hepatic pathologies. Objective : This study is part of the valorization of the hepatoprotective potential of some plants used in traditional medicine for the care of hepatitis in the Hauts-Bassins region of Burkina Faso. Materials and methods : A survey realized in this region allowed retaining 5 species, after the classification according to the frequency of quotation and the bibliographic review, among the 44 species recorded: Anogeissus leiocarpus (DC.) Guill. & Perr (Combretaceae), Balanites aegyptiaca Delie. (Balanitaceae), Cassia alata L. (Ceasalpiniaceae), Opilia celtidifolia (Guill. & Perr.) Endl. (Opiliaceae) and Ziziphus mauritiana L. (Rhamnaceae). The content in phenolic compounds of the aqueous extracts of these plants was determined. Their antioxidant activity was evaluated by two methods: discoloration of radical cation ABTS and iron reduction (FRAP). Results : Anogeissus leiocarpus and Ziziphu smauritiana gave the strongest antioxidant activities and high phenolic compounds (total phenolics, total flavonoids, total tannins and flavonols). The antioxidant activity (FRAP, ABTS) was associated with the total phenolic content of the extracts expressed in tannic acid equivalent per 100 grams of dry matter with R 2 of 0.8148 and 0.7966. Conclusion : The antioxidant activity and the content phenolic compounds observed during this study with Anogeissus leiocarpus and Ziziphus mauritiana indicates that these two plants have a high hepato protective potential which can justify their use by the Traditional healer in the care of hepatitis.
背景:传统治疗师经常使用植物来治疗肝脏疾病。目的:本研究是布基纳法索上盆地地区传统医学中用于治疗肝炎的一些植物的肝保护潜力的一部分。材料与方法:在本地区进行调查,根据被引频次和文献综述进行分类,在记录的44种中保留了5种:Anogeissus leiocarpus (DC;Guill。& Perr (combretacae), Balanites, egyptica Delie。(Balanitaceae),决明子(Cassia alata L.),蛇毛(Opilia celtidifolia)。&穗青葱)。Endl。(蛇麻科)和毛里求斯紫皮菇(鼠李科)。测定了这些植物水提液中酚类化合物的含量。采用自由基阳离子ABTS变色法和铁还原法(FRAP)评价其抗氧化活性。结果:平栎和紫杉树抗氧化活性最强,总酚类物质、总黄酮、总单宁和黄酮醇含量较高。抗氧化活性(FRAP, ABTS)与提取物中总酚含量(单宁酸当量/ 100 g干物质)相关,r2分别为0.8148和0.7966。结论:本研究中观察到的平栎和毛细藤的抗氧化活性和酚类化合物含量表明,这两种植物具有较高的肝保护潜力,可以作为传统中医治疗肝炎的依据。
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引用次数: 8
Major problem of today’s generations 当今几代人的主要问题
Pub Date : 2018-03-09 DOI: 10.7439/ijpr.v8i2.4613
A. Shukla, Shashi Pratap Singh, N. Srivastava, K. Gupta
Major depression is a mood disorder characterized by a sense of inadequacy, despondency, decreased activity, pessimism, and sadness where these symptoms severely disrupt and adversely affect the person’s life, sometimes to such an extent that suicide is attempted or results. The search for an extended understanding of the causes of depression, and for the development of additional effective treatments is highly significant. Clinical and pre-clinical studies suggest stress is a key mediator in the pathophysiology of depression.
重度抑郁症是一种情绪障碍,其特征是感觉不足、沮丧、活动减少、悲观和悲伤,这些症状严重破坏和负面影响了人的生活,有时达到自杀的程度或导致自杀。对抑郁症病因的深入了解,以及对其他有效治疗方法的开发,都是非常重要的。临床和临床前研究表明,应激在抑郁症的病理生理中起着重要的中介作用。
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引用次数: 0
Study of prescribing pattern of topical corticosteroids in dermatology out patients department in a Tertiary Care Hospital in Puducherry 普杜切里某三级医院皮肤科门诊局部皮质类固醇处方模式的研究
Pub Date : 2018-02-14 DOI: 10.7439/IJPR.V8I1.4576
M. Kumaravelu, R. Saravanan, S. Balan, R. Menon, Brinda G. David
Background: Topical corticosteroids have been used as the mainstay of treatment in many inflammatory and autoimmune dermatological conditions like psoriasis, lichen plannus, SLE etc. Keeping a constant watch on the rationality of these prescriptions is needed due to many known side effects of long term use of steroids and the high prevalence of such conditions with economical burden. The data pertaining to topical corticosteroids usage patterns in skin conditions are particularly lacking. Objective: This study aims to evaluate and analyze the prescribing pattern of topical corticosteroids among dermatology outpatients in a tertiary care hospital. Materials and Methods: This is a cross-sectional study conducted in the Dermatology outpatient Department of a tertiary care hospital, Puducherry, India for 3 months in patients prescribed with topical corticosteroids. The collected data were analyzed and results are expressed using descriptive statistics. Result: A total of 200  prescriptions were analyzed, among which males and females were 43% and 57% respectively .The common indications for topical steroids were eczema (13.5%) followed by psoriasis vulgaris (12%). Clobetasol propionate was prescribed in 34.5% followed by mometasone furoate (24 %), betamethasone dipropionate (18%) and halobetasol (11%). Cream formulation was prescribed in 44.5%. Average drug per prescription was 3.5. 54% were prescribed drugs in generic names, but specification of strength and quantity were lacking. Instructions regarding usage were specified in 48% for area of application, 61.5% for route of administration, and 92% for frequency of administration. Conclusion: Periodical analysis of prescriptions for a year with an emphasis on rational prescription with proper instructions to be followed for a good and quick therapeutic outcome which can reduce the economical and mental stress to the patients.
背景:局部皮质类固醇已被用作许多炎症性和自身免疫性皮肤病的主要治疗方法,如牛皮癣、计划地衣、SLE等。由于长期使用类固醇有许多已知的副作用,而且这种情况的高发率和经济负担,因此需要不断关注这些处方的合理性。有关皮肤状况下局部皮质类固醇使用模式的数据尤其缺乏。目的:评价和分析某三级医院皮肤科门诊患者外用皮质类固醇的处方情况。材料和方法:这是一项横断面研究,在印度普杜切里一家三级医院皮肤科门诊部进行了为期3个月的局部使用皮质类固醇的患者。对收集的数据进行分析,并使用描述性统计表示结果。结果:共分析200张处方,其中男性占43%,女性占57%,外用类固醇的适应症为湿疹(13.5%),其次为寻常性牛皮癣(12%)。处方丙酸氯倍他索的占34.5%,其次是糠酸莫米松(24%)、二丙酸倍他米松(18%)和氟倍他索(11%)。处方乳膏制剂占44.5%。每张处方平均使用3.5种药物。54%的患者处方药品使用通用名,但缺乏剂量和数量的规格说明。使用说明中使用面积占48%,给药途径占61.5%,给药频率占92%。结论:定期分析处方1年,注重合理处方,遵医嘱用药,可获得良好、快速的治疗效果,减轻患者的经济压力和精神压力。
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引用次数: 3
A study of the monitoring of the adverse drug reactions caused by antiretroviral drugs 抗逆转录病毒药物不良反应监测研究
Pub Date : 2018-02-14 DOI: 10.7439/IJPR.V8I1.4496
A. Vardhan, C. Naidu
Introduction: Human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) is a disease of the human immune system. The drugs used in the treatment of HIV/AIDS are known to cause adverse effects, therefore this study was carried out for the monitoring and evaluation of adverse drug reactions (ADRs) caused by the use of antiretroviral drugs in patients of HIV/AIDS. Methods: A prospective, observational, cross sectional study was done in Andaman & Nicobar Islands institute of medical sciences, to monitor ADRs caused by Antiretroviral therapy (ART) over a period of 10 months in 120 patients of HIV/AIDS. Out of 120 patients, 84 had ADR’s. The data collected was filled in the spontaneous ADR reporting forms and Causality assessment was done using the WHO-UMC and Naranjo scale, seriousness was considered as per the ADR reporting form. Results: The study shows that out of 84 patients with ADR’s, 52 patients (61.9%) reported at least one ADR. 68 ADR’s (80.9%) were attributed to the tenofovir + lamivudine + efavirenz regimen. Most of the ADRs were from the system organ class of neurological disorders as 55 patients (65.4%) and 16 patients (19%) were having gastrointestinal ADR’s (19.44%) followed by Cutaneous ADR’s in 5 patients (5.9%). Causality assessment by WHO-UMC scale revealed most of the reactions as ‘possible’ (99.2%) while Naranjo scale assessed most of them as ‘probable’ (69.8%). Conclusion: Antiretroviral drugs have a huge potential for causing ADRs specially neurological and gastrointestinal. Active Pharmacovigilance is vital in recognizing such reactions to ensure timely management and optimal therapeutic outcomes.
人类免疫缺陷病毒感染及获得性免疫缺陷综合征(HIV/AIDS)是一种人体免疫系统疾病。众所周知,治疗HIV/AIDS的药物会产生不良反应,因此本研究对HIV/AIDS患者使用抗逆转录病毒药物引起的药物不良反应(adr)进行监测和评价。方法:在安达曼和尼科巴群岛医学科学研究所进行了一项前瞻性、观察性、横断面研究,监测120名艾滋病毒/艾滋病患者在10个月的时间里接受抗逆转录病毒治疗(ART)引起的不良反应。120例患者中,84例出现不良反应。将收集到的数据填写在自发性ADR报告表中,并采用WHO-UMC和Naranjo量表进行因果关系评估,根据ADR报告表考虑严重性。结果:84例出现ADR的患者中,52例(61.9%)报告了至少一次ADR。替诺福韦+拉米夫定+依非韦伦方案引起的不良反应68例(80.9%)。ADR以系统器官类神经系统疾病为主,55例(65.4%),16例(19%)为胃肠道ADR(19.44%), 5例(5.9%)为皮肤ADR。WHO-UMC量表的因果关系评估显示,大多数反应为“可能”(99.2%),而Naranjo量表将大多数反应评估为“可能”(69.8%)。结论:抗逆转录病毒药物极易引起不良反应,特别是神经系统和胃肠道不良反应。积极的药物警戒对于识别此类反应以确保及时管理和最佳治疗结果至关重要。
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引用次数: 0
Anti-inflammatory and antioxidant potential of Dichrostachys cinerea root bark, an Ivorian anti-asthmatic herbal 象牙海岸的一种抗哮喘草本植物——灰根树皮的抗炎和抗氧化潜力
Pub Date : 2017-12-30 DOI: 10.7439/IJPR.V7I12.4540
G. Irié-N’guessan, S. Kouakou, K. Effo, A. A. Adepo, N. Kouakou-Siransy, T. Sadikou
Objectives : root bark of Dichrostachys cinerea is used in Ivorian folk for the treatment of asthma. This study aimed to evaluate anti-inflammatory and antioxidant activities of this plant. Methods : an aqueous-alcoholic extract was obtained from the root bark. Two tests i.e. rat's paw irritation with formalin and rat's paw oedema induced by carrageenan were used to appreciate the anti-inflammatory activity. The antioxidant activity was performed using ABTS (2.2-azinobis 3 ethyl-benzothiazoline-6-sulfonic acid), DPPH (1.1 diphenyl 1-2-picrylhydrazyl), and FRAP (Ferric Reducing Antioxidant Power) tests. Results : the extract, only at 1000 mg/kg b.wt, reduced significantly the licking time (22.03 1.08 s) in the second period of formalin-induced irritation test. Concerning the carrageenan-induced oedema test, oedema was weakly reduced 1, 2, and 3 hours after injection of carrageenan. Indeed, levels of inhibition were respectively 1.71 0.56 %, 1.45 0.70%, 4.5 1.91% for the extract at 10 mg/kg b.wt; 3.71 0.33%, 6.50 0.10%, 10.75 0.42% for the extract at 100 mg/kg b.wt. and 3.47 0.40%, 10.54 0.48%, 13.50 0.93 for the extract at 1000 mg/kg b.wt. The extract did not exert any antioxidant activity through both ABTS and DPPH methods, but with FRAP one, low doses showed a high antioxidant activity (86.33 1.78%) similar to that of Trolox (90.99 6.47%) used as reference. Conclusion : the herbal lacks anti-inflammatory activity. However, it induced an antioxidant activity which could be recommended to neutralize the free radicals involved in the bronchial hyperactivity phenomena during acute asthma.
目的:象牙海岸民间用白蜡根皮治疗哮喘。本研究旨在评价该植物的抗炎和抗氧化活性。方法:从根皮提取水醇提取物。采用福尔马林大鼠足部刺激实验和卡拉胶致大鼠足部水肿实验考察其抗炎活性。采用ABTS (2.2-azinobis 3乙基-苯并噻唑啉-6-磺酸)、DPPH(1.1 -二苯基- 1-2-picrylhydrazyl)和FRAP(铁还原抗氧化能力)测试测定其抗氧化活性。结果:仅在1000mg /kg b.wt时,可显著缩短第二期福尔马林刺激试验的舔舐时间(22.03 - 1.08 s)。在角叉菜胶致水肿试验中,注射角叉菜胶后1、2、3小时,水肿均有较弱的减轻。当浓度为10 mg/kg b.wt时,抑菌率分别为1.71 0.56%、1.45 0.70%、4.5 1.91%;100 mg/kg b.wt的提取率分别为3.71 0.33%、6.50 0.10%、10.75 0.42%。在1000 mg/kg b.wt时,其提取率分别为3.47 0.40%、10.54 0.48%、13.50 0.93%。ABTS法和DPPH法均未表现出抗氧化活性,而FRAP法低剂量提取液的抗氧化活性为86.33 1.78%,与对照品Trolox(90.99 6.47%)相当。结论:该草药缺乏抗炎活性。然而,它可以诱导抗氧化活性,可以推荐中和自由基参与支气管多动症的现象在急性哮喘。
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引用次数: 4
期刊
International Journal of Pharmacological Research
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