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Bioequivalence study of modified-release gliclazide tablets in healthy volunteers. 格列齐特缓释片在健康人体的生物等效性研究。
Pub Date : 2012-01-01 Epub Date: 2012-09-17 DOI: 10.5402/2012/375134
Noppamas Rojanasthien, Thatree Autsavakitipong, Boonyium Kumsorn, Maleeya Manorot, Supanimit Teekachunhatean

This study was aimed to investigate bioequivalence of modified-release 30 mg gliclazide tablets in 18 healthy Thai volunteers. A test product, Glycon MR (Siam Bheasach, TH), was compared with a reference product, Diamicron MR (Servier, France). The study was performed under a single-dose, two-treatment, two-period, and two-sequence crossover design in fasted and fed conditions with a washout period of 2 weeks. Blood samples were collected for 72 h after drug administration. Drug plasma concentrations were determined by HPLC with a UV detector. Analysis of pharmacokinetic characteristics was based on a non-compartmental model. The logarithmically transformed data of C(max) and AUCs were analyzed for 90% confidence intervals using ANOVA. The test product gave slightly higher C(max) in both conditions and shorter T(max) in the fed condition. However, there is no significant difference in pharmacokinetic characteristics between both products under fasted and fed conditions. Effect of food was not significantly observed. The 90% confidence intervals were within the acceptance criteria of 0.80-1.25 regardless of the food effect, indicating bioequivalence between the two products on the rate and extent of gliclazide MR absorption without regard to meals.

本研究旨在探讨30 mg格列齐特缓释片在18名泰国健康志愿者体内的生物等效性。将测试品Glycon MR (Siam Bheasach, TH)与参比品Diamicron MR (Servier, France)进行比较。该研究采用单剂量、两处理、两期、两序列交叉设计,禁食和进食条件下进行,洗脱期为2周。给药后72h采集血样。采用高效液相色谱-紫外检测器测定药物血药浓度。药代动力学特征分析基于非室室模型。C(max)和auc的对数转换数据采用方差分析(ANOVA)进行90%置信区间的分析。试验产品在两种条件下的C(max)略高,而在饲喂条件下的T(max)略短。然而,两种产品在禁食和饲喂条件下的药代动力学特征无显著差异。食物的影响不明显。90%的置信区间在0.80-1.25的可接受标准范围内,不考虑食物效应,这表明两种产品在格列齐特MR吸收速率和程度上的生物等效性与食物无关。
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引用次数: 9
The effect of tempol administration on the aortic contractile responses in rat preeclampsia model. 大鼠子痫前期模型大鼠主动脉收缩反应的影响。
Pub Date : 2012-01-01 Epub Date: 2012-09-03 DOI: 10.5402/2012/187208
Mohammad Sharif Talebianpoor, Hossein Mirkhani

It is reported that reactive oxygen species production has a critical role in the manifestations and complications of preeclampsia. In the present study, the effect of tempol on the response changes of aortic rings of preeclamptic rats has been studied. Preeclamptic rats (induced by L-NAME) were treated with three different oral doses of tempol (20, 60 and 180 mg/kg/day) from the Day 10 of gestation. Systolic blood pressure, plasma malondialdehyde and 8-isoprostane and the vascular effects of phenylephrine, calcium, acetylcholine and diazoxide were the studied parameters. L-NAME administration resulted in hypertension, proteinuria, increased oxidative stress markers, increased vascular sensitivity to phenylephrine and decreased sensitivity to acetylcholine in pregnant rats. No significant changes in response to calcium and diazoxide were observed. Tempol at doses of 20 and 60 mg/kg/day significantly reversed these changes but at a high dose (180 mg/kg/day), it had no significant effect and in some cases intensified the effect. These results revealed that in the experimental preeclampsia, the sensitivity of rat aorta to alpha- adrenergic receptor agonists was increased and its endothelium-dependent relaxation was decreased. Tempol at lower used doses reduced the blood pressure and oxidative stress and restored the normal responsiveness of vascular tissue in preeclamptic rats.

据报道,活性氧的产生在子痫前期的表现和并发症中起着关键作用。本研究研究了天麻酚对子痫前期大鼠主动脉环反应变化的影响。子痫前期大鼠(L-NAME诱导)从妊娠第10天开始口服三种不同剂量的天酚(20、60和180 mg/kg/天)。研究收缩压、血浆丙二醛和8-异前列腺素以及苯肾上腺素、钙、乙酰胆碱和二氮氧化合物对血管的影响。L-NAME可导致妊娠大鼠高血压、蛋白尿、氧化应激标志物升高、血管对苯肾上腺素敏感性升高、对乙酰胆碱敏感性降低。对钙和二氮氧化合物的反应无明显变化。20和60 mg/kg/天剂量的天冬酚显著逆转了这些变化,但在高剂量(180 mg/kg/天)时,它没有显著作用,在某些情况下还会增强这种作用。结果表明,实验性子痫前期大鼠主动脉对α -肾上腺素能受体激动剂的敏感性增加,内皮依赖性松弛降低。低剂量的天酚降低了子痫前期大鼠的血压和氧化应激,恢复了血管组织的正常反应性。
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引用次数: 22
Vitamins e and C alleviate the germ cell loss and oxidative stress in cryptorchidism when administered separately but not when combined in rats. 维生素e和C在单独给药时可减轻隐睾症的生殖细胞损失和氧化应激,而在大鼠中联合给药时则无此作用。
Pub Date : 2012-01-01 Epub Date: 2012-10-30 DOI: 10.5402/2012/843569
Ayobami Oladele Afolabi, Olaolu Opeyemi Olotu, Isiaka Abdullateef Alagbonsi

The antioxidant effects of vitamins C and E on cryptorchidism-induced oxidative stress were investigated in male Sprague-Dawley rats. Forty rats (200-250 g) were randomly divided in a blinded fashion into five groups (n = 8). Group 1 was sham operated and treated with vehicle (corn-oil, 10 mL/kg). Groups 2, 3, 4, and 5 were rendered unilaterally cryptorchid and treated with vehicle (10 mL/kg), vitamin E solution (75 mg/kg), vitamin C solution (1.25 g/kg), and combination of vitamin E (75 mg/kg) and vitamin C (1.25 g/kg) solutions, respectively. Germ cell count, superoxide dismutase (SOD), total protein (TP), and testicular weight (TW) were lower, but malondialdhyde (MDA) was higher in the cryptorchid rats than the sham-operated rats. When administered separately, vitamins C and E increased germ cell count, SOD, TP, and TW but did not reduce MDA in the cryptorchid rats when compared to the vehicle-treated cryptorchid rats. However, there was no significant difference in these parameters between vehicle-treated and combined vitamins C- and E-treated rats. This suggests that vitamins E and C alleviate the germ cell loss and oxidative stress in cryptorchidism when administered separately but not when combined in rats.

研究了维生素C和E对雄性sd大鼠隐睾致氧化应激的抗氧化作用。取大鼠40只(200 ~ 250 g),采用盲法随机分为5组(n = 8),第1组假手术,给药(玉米油,10 mL/kg)。2组、3组、4组和5组单侧隐睾,分别给予对照物(10 mL/kg)、维生素E溶液(75 mg/kg)、维生素C溶液(1.25 g/kg)和维生素E (75 mg/kg)和维生素C (1.25 g/kg)混合处理。隐睾大鼠生殖细胞计数、超氧化物歧化酶(SOD)、总蛋白(TP)和睾丸重量(TW)均低于假手术大鼠,但丙二醛(MDA)高于假手术大鼠。当单独给药时,维生素C和E增加了隐睾大鼠的生殖细胞计数、SOD、TP和TW,但没有降低MDA。然而,这些参数在维生素C和维生素e联合处理的大鼠之间没有显著差异。这表明维生素E和C在单独给药时可以减轻隐睾症的生殖细胞损失和氧化应激,而在大鼠中联合给药时则没有作用。
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引用次数: 9
Nephroprotective effect of ursolic Acid in a murine model of gentamicin-induced renal damage. 熊果酸在庆大霉素诱发肾损伤小鼠模型中的肾保护作用
Pub Date : 2012-01-01 Epub Date: 2012-06-28 DOI: 10.5402/2012/410902
Preethi G Pai, Savindika Chamari Nawarathna, Avdhooth Kulkarni, Umma Habeeba, Sudarshan Reddy C, Srinivas Teerthanath, Jnaneshwara P Shenoy

The present study evaluates the nephroprotective effects of ursolic acid in a murine model of gentamicin induced renal damage. Wistar albino rats of either sex, weighing 150-200 g were divided into 5 groups; normal saline, gentamicin 80 mg/kg, intraperitoneally for 8 days, ursolic acid at 2, 5, and 10 mg/kg, per oral for 8 days, ursolic acid administered 3 days prior and concurrently with gentamicin for 5 days. Blood urea, serum creatinine, uric acid and blood urea nitrogen analyses and microscopic examination of kidney were performed. Gentamicin treatment caused nephrotoxicity as evidenced by marked elevation in serum urea, serum uric acid, serum creatinine and blood urea nitrogen (162.33 ± 9.92 mg/dL, 3.13 ± 0.12 mg/dL, 6.85 ± 0.35 mg/dL and 75.86 ± 4.64 mg/dL; resp.) when compared to the saline treated groups. Co-administration of ursolic acid with gentamicin decreased the rise in these parameters in a dose dependent manner. Histopathological analysis revealed epithelial loss with intense granular degeneration in gentamicin treated rats, whereas ursolic acid mitigated the severity of gentamicin-induced renal damage. To conclude, our data suggest that ursolic acid exhibits renoprotective effect in gentamicin induced renal damage and further studies on its mechanis of action are warranted.

本研究评估了熊果酸在庆大霉素诱导的肾损伤小鼠模型中的肾保护作用。将体重为 150-200 克的 Wistar 白化大鼠分为 5 组:正常生理盐水组、庆大霉素 80 毫克/千克腹腔注射组(8 天)、熊果酸 2、5 和 10 毫克/千克口服组(8 天)、熊果酸 3 天前注射组和庆大霉素同时注射组(5 天)。进行了血尿素、血清肌酐、尿酸和血尿素氮分析以及肾脏显微镜检查。与生理盐水治疗组相比,庆大霉素治疗引起的肾毒性表现为血清尿素、血清尿酸、血清肌酐和血尿素氮明显升高(162.33 ± 9.92 mg/dL、3.13 ± 0.12 mg/dL、6.85 ± 0.35 mg/dL 和 75.86 ± 4.64 mg/dL)。熊果酸与庆大霉素合用可降低这些参数的升高,其升高呈剂量依赖性。组织病理学分析表明,庆大霉素治疗组大鼠的上皮细胞脱落,并伴有严重的颗粒变性,而熊果酸则减轻了庆大霉素引起的肾损伤的严重程度。总之,我们的数据表明熊果酸对庆大霉素诱导的肾损伤具有肾保护作用,因此有必要对其作用机理进行进一步研究。
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引用次数: 0
Anti-Inflammatory, Analgesic, and Antipyretic Activities of the Ethanol Extract of Piper interruptum Opiz. and Piper chaba Linn. 冬椒乙醇提取物的抗炎、镇痛和解热作用。还有派珀·查巴·林。
Pub Date : 2012-01-01 Epub Date: 2012-03-18 DOI: 10.5402/2012/480265
Seewaboon Sireeratawong, Arunporn Itharat, Nusiri Lerdvuthisopon, Pritsana Piyabhan, Parirat Khonsung, Supot Boonraeng, Kanjana Jaijoy

Piper interruptum Opiz. and Piper chaba Linn. are herbaceous plants in the Piperaceae family. The ethanol extract of P. interruptum and P. chaba inhibited ethyl phenylpropiolate-induced ear edema and carrageenan-induced hind paw edema in rats. Both extracts reduced transudative and granuloma weights as well as body weight gain and thymus weight of the chronic inflammatory model using cotton pellet-induced granuloma formation in rats. Moreover, both extracts exhibited analgesic activity on both early phase and late phase of formalin test in mice and also showed antipyretic activity on yeast-induced hyperthermia in rats.

派珀打断了,奥皮兹。还有派珀·查巴·林。是胡椒科的草本植物。断续木和恰巴木乙醇提取物对苯丙酸乙酯诱导的大鼠耳水肿和卡拉胶诱导的大鼠后足水肿有抑制作用。两种提取物均可降低棉花颗粒诱导肉芽肿形成的慢性炎症模型大鼠的转囊和肉芽肿重量,以及体重增加和胸腺重量。此外,两种提取物在小鼠福尔马林早期和晚期实验中均表现出镇痛活性,对酵母诱导的大鼠高热也表现出解热活性。
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引用次数: 39
How to predict the impact of methylphenidate on cardiovascular risk in children with attention deficit disorder: methylphenidate improves autonomic dysfunction in children with ADHD. 如何预测哌甲酯对注意缺陷障碍儿童心血管风险的影响:哌甲酯可改善ADHD儿童的自主神经功能障碍。
Pub Date : 2012-01-01 Epub Date: 2012-03-05 DOI: 10.5402/2012/170935
Reiner Buchhorn, Christian Müller, Christian Willaschek, Kambiz Norozi

Background. Although stimulants have long been touted as treatments for attention deficit disorder with or without hyperactivity (ADHD), in recent years, increasing concerns have been raised about the cardiovascular safety of these medications. We aimed to prove if measurements of autonomic function with time domain analysis of heart rate variability (HRV) in 24-hour Holter ECG are useful to predict the risk of sudden cardiac death in ADHD children and adolescents. Methods. We analysed HRV obtained from children with the diagnosis of ADHD prior to (N = 12) or during medical therapy (N = 19) with methylphenidate (MPH), aged 10.8 ± 2.0 years (mean ± SD), who were referred to our outpatient Paediatric Cardiology Clinic to rule out heart defect. As a control group, we compared the HRV data of 19 age-matched healthy children without heart defect. Results. Average HRV parameters from 24-hour ECG in the ADHD children prior to MPH showed significant lower values compared to healthy children with respect to rMSSD (26 ± 4 ms versus 44 ± 10 ms, P ≤ 0.0001) and pNN50 (6.5 ± 2.7% versus 21.5 ± 9.0%, P ≤ 0.0001). These values improved in MPH-treated children with ADHD (RMSSD: 36 ± 8 ms; pNN50: 14.2 ± 6.9%). Conclusion. Children who suffer from ADHD show significant changes in HRV that predominantly reflects diminished vagal tone, a well-known risk factor of sudden cardiac death in adults. In our pilot study, MPH treatment improved HRV.

背景。尽管兴奋剂长期以来一直被吹捧为治疗伴有或不伴有多动症(ADHD)的注意力缺陷障碍,但近年来,越来越多的人开始关注这些药物对心血管的安全性。我们的目的是证明自主神经功能的测量与24小时动态心电图心率变异性(HRV)的时域分析是否有助于预测ADHD儿童和青少年心源性猝死的风险。方法。我们分析了在使用哌醋甲酯(MPH)治疗前(N = 12)或在药物治疗期间(N = 19)诊断为ADHD的儿童(年龄10.8±2.0岁(平均±SD))的HRV,这些儿童被转介到我们的门诊儿科心脏病诊所以排除心脏缺陷。作为对照组,我们比较了19名年龄匹配且无心脏缺陷的健康儿童的HRV数据。结果。ADHD儿童在MPH前24小时心电图的平均HRV参数与健康儿童相比,rMSSD(26±4 ms比44±10 ms, P≤0.0001)和pNN50(6.5±2.7%比21.5±9.0%,P≤0.0001)的值显著降低。这些数值在mph治疗的ADHD儿童中有所改善(RMSSD: 36±8 ms;pNN50: 14.2±6.9%)。结论。患有ADHD的儿童表现出显著的HRV变化,主要反映了迷走神经张力减弱,这是众所周知的成人心源性猝死的危险因素。在我们的初步研究中,MPH治疗改善了HRV。
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引用次数: 23
A Review of the Ethnobotany and Pharmacological Importance of Alstonia boonei De Wild (Apocynaceae). A Review of Ethnobotany and Pharmacological Importance of Alstonia boonei De Wild (Apocynaceae).
Pub Date : 2012-01-01 Epub Date: 2012-07-30 DOI: 10.5402/2012/587160
John Prosper Kwaku Adotey, Genevieve Etornam Adukpo, Yaw Opoku Boahen, Frederick Ato Armah

Alstonia boonei De Wild is a herbal medicinal plant of West African origin, popularly known as God's tree or "Onyame dua". Within West Africa, it is considered as sacred in some forest communities; consequently the plant parts are not eaten. The plant parts have been traditionally used for its antimalarial, aphrodisiac, antidiabetic, antimicrobial, and antipyretic activities, which have also been proved scientifically. The plant parts are rich in various bioactive compounds such as echitamidine, Nα-formylechitamidine, boonein, loganin, lupeol, ursolic acid, and β-amyrin among which the alkaloids and triterpenoids form a major portion. The present paper aims at investigating the main research undertaken on the plant in order to provide sufficient baseline information for future work and for commercial exploitation.

Alstonia boonei De Wild 是一种源自西非的草本药用植物,俗称 "神树 "或 "Onyame dua"。在西非的一些森林社区,这种植物被视为圣物,因此不能食用其植物部分。该植物的部分在传统上被用于抗疟疾、壮阳、抗糖尿病、抗菌和解热,其活性也已得到科学证明。该植物部分富含各种生物活性化合物,如 echitamidine、Nα-formylechitamidine、boonein、loganin、lupeol、熊果酸和 β-amyrin,其中生物碱和三萜类化合物占主要部分。本文旨在调查对该植物进行的主要研究,以便为今后的工作和商业开发提供充足的基础信息。
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引用次数: 0
Abnormal Movements of Japanese Infants following Treatment with Midazolam in a Neonatal Intensive Care Unit: Incidence and Risk Factors. 日本婴儿在新生儿重症监护室使用咪达唑仑治疗后的异常运动:发病率和危险因素。
Pub Date : 2012-01-01 Epub Date: 2012-05-07 DOI: 10.5402/2012/950603
Mitsuru Irikura, Eri Minami, Yoichi Ishitsuka, Akihiko Kawase, Yuichi Kondo, Tetsumi Irie

Background. This study was conducted to investigate the incidence of, and factors associated with, myoclonus-like abnormal movements of Japanese infants following treatment with midazolam in a neonatal intensive care unit (NICU). Methods. We retrospectively investigated abnormal movements and associated risk factors in Japanese infants (less than 1 year old) who received continuous intravenous midazolam treatment in the NICU of the Neonatal Medical Center, Kumamoto City Hospital, Japan, between April 2007 and March 2009. Results. The study included 94 infants who received 119 sessions of midazolam treatment in total. Nine infants (9.6%) developed abnormal movements attributable to midazolam. These nine patients had a significantly lower gestational age at birth, a significantly lower number of weeks after conception at the start of midazolam treatment, and significantly lower body weight compared with patients free of abnormal movements. Logistic regression analysis revealed neonatal asphyxia as a factor associated with an elevated risk of abnormal movements (P = 0.03). Conclusion. The incidence of abnormal movements after midazolam treatment was about 9.6% among the Japanese NICU infants. This result suggests that neonatal asphyxia may be involved in the onset of abnormal movements in infants treated with midazolam.

背景。本研究旨在调查在新生儿重症监护病房(NICU)接受咪达唑仑治疗的日本婴儿肌晕样异常运动的发生率及其相关因素。方法。我们回顾性调查了2007年4月至2009年3月间在日本熊本市医院新生儿医学中心NICU接受持续静脉注射咪达唑仑治疗的日本婴儿(小于1岁)的异常运动及相关危险因素。结果。该研究包括94名接受119次咪达唑仑治疗的婴儿。9例(9.6%)患儿因咪达唑仑而出现异常运动。与无异常运动的患者相比,这9例患者出生时胎龄明显降低,妊娠周数明显减少,体重明显降低。Logistic回归分析显示新生儿窒息是异常运动风险升高的一个因素(P = 0.03)。结论。日本NICU患儿咪达唑仑治疗后异常运动发生率约为9.6%。这一结果表明新生儿窒息可能与咪达唑仑治疗婴儿异常运动的发病有关。
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引用次数: 6
Doripenem dosing recommendations for critically ill patients receiving continuous renal replacement therapy. 接受持续肾替代治疗的危重患者多利培南的剂量建议。
Pub Date : 2012-01-01 Epub Date: 2012-07-19 DOI: 10.5402/2012/782656
Mahesh N Samtani, Nicole Vaccaro, Iolanda Cirillo, Gary R Matzke, Rebecca Redman, Partha Nandy

Doripenem dosing regimens for patients receiving continuous venovenous hemofiltration (CVVH) and continuous venovenous hemodiafiltration (CVVHDF) were devised based on an established efficacy criterion (free plasma doripenem concentrations above the minimum inhibitory concentration [fT > MIC] of 1 mg/L for ≥35% of the dosing interval) while maintaining exposure below that with the highest studied dose of 1000 mg infused over 1 hour every 8 hours in healthy subjects. Simulations were utilized to assure ≥90% probability of achieving the efficacy criterion with the recommended doripenem regimens. Inflated intersubject variability of 40% (coefficient of variation) was used for pharmacokinetic parameters (representative of clinical variation) and nonrenal clearance was doubled to account for potential changes with acute renal insufficiency. Results indicate that a reduction in doripenem dose will be needed for critically ill patients receiving CVVH or CVVHDF. This work was conducted to fulfill a health authority request and resulted in the addition of dosing recommendations to the Doribax Summary of Product Characteristics.

持续静脉静脉血液滤过(CVVH)和持续静脉静脉血液滤过(CVVHDF)患者的多利培南给药方案是根据既定的疗效标准设计的(多利培南游离血浆浓度高于最低抑制浓度[fT > MIC] 1mg /L≥35%的给药间隔),同时保持暴露低于健康受试者的最高研究剂量1000mg每8小时输注1小时。通过模拟确保推荐的多利培南方案达到疗效标准的概率≥90%。药代动力学参数(临床变异的代表)采用膨胀的受试者间变异性40%(变异系数),非肾清除率加倍,以解释急性肾功能不全的潜在变化。结果表明,接受CVVH或CVVHDF治疗的危重患者需要减少多利培南的剂量。这项工作是为了满足卫生当局的要求而进行的,结果是在多利百产品特性摘要中增加了剂量建议。
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引用次数: 6
Examination of haematotoxicity of fixed-dose highly active antiretroviral drug in albino wistar rats. 固定剂量高活性抗逆转录病毒药物对白化wistar大鼠血液毒性的研究。
Pub Date : 2012-01-01 Epub Date: 2012-12-30 DOI: 10.5402/2012/309084
Thomas Nubila, Ernest O Ukaejiofo, Nkoyo I Nubila, Godfrey I Okorie

Highly active antiretroviral therapy (HAART) is considered toxic and has other life-threatening side effects. Our aim was to evaluate the haematotoxic effects of lamivudine, zidovudine, and nevirapine fixed-dose combinations in Albino Wistar rats. Fifty (50) three (3) months old male Albino Wistar rats weighing between 200 and 250 g were randomly assigned to five (5) groups (A, B, C, D, and E). Group A served as control. Two (2 mLs) of venous blood was aseptically collected on Days 5, 10, 15, 20, and 25 of treatment. Red blood cell (RBC) mean value recorded statistically significant increase (P < 0.05) in groups B and C when compared with the control group on Day 5. However, there was a statistically significant decrease (P < 0.05) in RBC, haemoglobin concentration (Hb), packed cell volume (PCV), and some red cell indices on Day 10. In addition there was no statistically significant difference (P > 0.05) in all the parameters evaluated when the test group was compared with the control on Day 25. Furthermore, there was a time-related statistically significant increase (P < 0.05) in the two major blood cells-RBC and platelet counts. From the result of this present study, it can be concluded that HAART when administered in fixed-dose combinations have no subacute haematotoxic effects.

高效抗逆转录病毒疗法(HAART)被认为是有毒的,并有其他危及生命的副作用。我们的目的是评估拉米夫定、齐多夫定和奈韦拉平固定剂量组合对白化Wistar大鼠的血液毒性作用。选取体重在200 ~ 250 g的3月龄雄性白化Wistar大鼠50只,随机分为A、B、C、D、E 5组,其中A组为对照组。在治疗的第5天、第10天、第15天、第20天和第25天无菌采集静脉血2 ml。第5天,B、C组红细胞平均值较对照组升高,差异有统计学意义(P < 0.05)。然而,第10天红细胞、血红蛋白浓度(Hb)、堆积细胞体积(PCV)和一些红细胞指标均有统计学意义(P < 0.05)下降。第25天试验组与对照组比较,各项指标均无统计学差异(P > 0.05)。此外,两种主要血细胞-红细胞和血小板计数均有时间相关的统计学意义(P < 0.05)。根据本研究的结果,可以得出结论,当以固定剂量联合施用HAART时,没有亚急性血液毒性作用。
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引用次数: 5
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