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Feasibility study of morphine-induced rat pica model by tail vein injection to replace vomiting model 尾静脉注射吗啡诱导大鼠异食癖模型替代呕吐模型的可行性研究
Q4 Health Professions Pub Date : 2020-10-31 DOI: 10.5428/PCAR20200510
W. Zhou, P. Bao, Wenjun Guo, T. Hong, Menwang Yang, Shangping Fang
Objective: To explore the feasibility of the morphine-induced rat pica model by tail vein injection to replace the vomiting model,and the effective dose of morphine with less severe complications when the model was developed.Methods: Fifty SD rats were randomly divided into the blank control group and the M1,M2,M3 and M4 groups,each consisting of 10 animals. The rats in the blank control group were injected with 10 ml/kg normal saline(NS) via tail vein,while the animals in the M1,M2,M3 and M4 groups were injected with morphine hydrochloride injection at a dosage of 5,10,20 and 30 mg/kg via tail vein.Heart rate,blood oxygen saturation and activities of the animals were closely observed and recorded at 5,10 and 15 minutes after medication.Then,changes in the intake of kaolin,feed and water of the rats in each group were recorded and compared between the groups for 4 successive days after medication.Results: The blood oxygen saturation in the morphine treatment groups all reduced significantly,and statistical significance could be seen,when it was compared with that of the blank control group(P<0.05).On the first day after medication,the intake of kaolin in the M3 and M4 groups increased significantly,as compared with that of the blank control group(P<0.05).On the third day after medication,the intake of kaolin in the M1 group significantly increased,as compared with that of the blank control group(P<0.05).Conclusion: The rat pica model was established by tail vein injection of morphine,which could be used to replace the vomiting model.The effective dose of morphine was 20 mg/kg with less severe complications.
目的:探讨尾静脉注射吗啡诱导大鼠异食癖模型替代呕吐模型的可行性,以及在建立该模型时使用并发症较少的吗啡的有效剂量。方法:50只SD大鼠随机分为空白对照组和M1、M2、M3、M4组,每组10只。空白对照组大鼠尾静脉注射生理盐水10ml/kg,M1、M2、M3和M4组动物尾静脉注射盐酸吗啡5、10、20和30mg/kg。在用药后5、10和15分钟密切观察并记录动物的心率、血氧饱和度和活动。然后,记录各组大鼠高岭土、饲料和水的摄入量变化,并在用药后连续4天在各组之间进行比较。结果:吗啡治疗组的血氧饱和度均较空白对照组显著降低,且有统计学意义(P<0.05)。用药后第1天,M3、M4组高岭土摄入量较空白对照对照组显著增加(P<0.05),第3天用药后M1组高岭土摄入量较空白对照组明显增加(P<0.05)。结论:尾静脉注射吗啡建立异食癖大鼠模型,可替代呕吐模型。吗啡的有效剂量为20mg/kg,并发症较轻。
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引用次数: 0
Therapeutic drug monitoring of teicoplanin in a patient with bloodstream infection by Enterococcus faecium 1例粪肠球菌血流感染患者的替柯planin治疗药物监测
Q4 Health Professions Pub Date : 2020-10-31 DOI: 10.5428/PCAR20200513
Yifan Luo, L. Ren, Mingyan Jiang
Objective: To analyze the blood concentration,efficacy and adverse drug reactions(ADRs) of teicoplanin in treatment of bloodstream infection by Enterococcus faecium.Methods: Changes in physiological and pathological indexes of the patient were closely followed and recorded,and the treatment regimen was adjusted according to the results of therapeutic drug monitoring(TDM) of teicoplanin.Results: In the light of the results of therapeutic drug monitoring of teicoplanin,bloodstream infection was cured,pathogenic microorganism was effectively eliminated and no ADRs occurred.Conclusion: With TDM,teicoplanin could be safely and effectively used in the treatment of blood stream infection.
目的:分析替柯planin治疗粪肠球菌血流感染的血药浓度、疗效及不良反应。方法:密切跟踪记录患者的生理、病理指标变化,并根据替柯planin治疗药物监测(TDM)结果调整治疗方案。结果:结合替柯planin治疗药物监测结果,治愈血流感染,有效消除病原微生物,无不良反应发生。结论:替柯planin可安全有效地治疗TDM患者的血流感染。
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引用次数: 0
Analysis of a case of delayed anaphylaxis induced by iohexol 碘己醇致迟发性过敏反应1例分析
Q4 Health Professions Pub Date : 2020-10-31 DOI: 10.5428/PCAR20200520
Jialiang Guan, Heping Liu, Borden Ji
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引用次数: 0
Study on the pharmacodynamics of wound repair ointment in promoting wound healing in rats 创面修复膏促进大鼠创面愈合的药效学研究
Q4 Health Professions Pub Date : 2020-10-31 DOI: 10.5428/PCAR20200509
Meng Yang, Minyan Chen, Rong Wang, Han Lu, Yongfang Yuan
Objective: To study pharmacodynamics of the wound repair ointment in promoting wound healing in rats.Methods: Healthy SD rats were selected to establish general wound model and burn and scald wound model.After cleaning,drugs were administrated,wound surfaces were covered with sterile gauze,fixed with medical tape,and dressing changed daily until all wounds healed.Then,healing time and healing rate were investigated.Evaluations on the wound surface healing of the affected sites were made in accordance with the inflammatory exudate,granulation tissue regeneration and epithelial regeneration.Histopathological changes of the wound surfaces were observed by hematoxylin-eosin(HE) staining.Results: The wound repair ointment could shorten the time required for wound healing and wound scabbing,reduce wound size,and alleviate skin scar hyperplasia.Conclusion: The wound repair ointment has obvious effect on the promotion of wound healing.
目的:研究创面修复软膏促进大鼠创面愈合的药效学。方法:选择健康SD大鼠分别建立普通创面模型和烧伤烫伤创面模型。清洗后给药,创面用无菌纱布覆盖,用医用胶带固定,每日更换敷料,直至创面全部愈合。然后观察愈合时间和愈合率。根据炎性渗出液、肉芽组织再生和上皮再生情况评价受创部位创面愈合情况。苏木精-伊红(HE)染色观察创面组织病理变化。结果:创面修复膏可缩短创面愈合和结痂时间,缩小创面大小,减轻皮肤瘢痕增生。结论:创面修复软膏具有明显的促进创面愈合的作用。
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引用次数: 0
Basic and clinical research progress of psychological pharmacology: a brand-new discipline 心理药理学基础与临床研究进展:一门崭新的学科
Q4 Health Professions Pub Date : 2020-10-31 DOI: 10.5428/PCAR20200501
Zhijun Guo, Zhuman Li, Weijia Cai, Yitian Chen, Jian-Qiang Guo, Feng Xu
Psychological pharmacology is a brand-new discipline that studies the interaction between psychological state and drugs,explores general rules of the effects of mental state on drug activity,and promotes rational use of drugs in clinical practice.Evidence showed that depression could affect the levels of endogenous substances,drug metabolizing enzymes and drug transport protein,thus influencing drug metabolism and efficacy.In clinical practice,medication recognition might affect drug choice and medication compliance of patients.The application of placebo might achieve positive treatment outcomes in certain patients.These research results indicate that attention should be paid to the psychological state of patients in drug treatment.In accordance with changes of physiological and psychological changes of patients,therapeutic regimens should be duly adjusted.Rational drug use education and psychological support should be provided to patients,so that patients’ psychological burden could be relieved and therapeutic efficacy improved.
心理药理学是研究心理状态与药物相互作用,探索心理状态对药物活性影响的一般规律,促进临床合理用药的一门新兴学科。有证据表明,抑郁症可影响内源性物质、药物代谢酶和药物转运蛋白的水平,从而影响药物代谢和疗效。在临床实践中,药物认知会影响患者的药物选择和用药依从性。安慰剂的应用可能在某些患者中取得积极的治疗结果。这些研究结果表明,在药物治疗中应重视患者的心理状态。根据患者的生理、心理变化,适时调整治疗方案。对患者进行合理用药教育和心理支持,减轻患者心理负担,提高治疗效果。
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引用次数: 0
Efficacy comparison of concurrent chemoradiotherapy with nedaplatin and cisplatin in inoperable locally-advanced non-small cell lung cancer 奈达铂与顺铂同步放化疗治疗不能手术的局部晚期非小细胞肺癌疗效比较
Q4 Health Professions Pub Date : 2020-10-31 DOI: 10.5428/PCAR20200508
Yong-lin Wu, Kuantang Chen, Jun Wang
Objective: To compare the efficacy and safety of concurrent chemoradiotherapy with nedaplatin and cisplatin in inoperative locally-advanced non-small cell lung cancer(NSCLC).Methods: Eighty patients with locally-advanced NSCLC treated in Guanyun County People’s Hospital,Lianyungang,Jiangsu Province,from January 2015 to January 2019 were enrolled as study subjects,and were randomly divided into the nedaplatin group and the cisplatin group,each consisting of 40 patients.The patients in the 2 groups were treated with linear accelerator 6 MV high energy X-ray and 3D-CRT,5 times a week for a succession of 6 weeks,with a total dosage of 55-66 Gy.Then,the patients were given paclitaxel(155 mg/m2) intravenously for 3 hours in the first day after radiotherapy,and the patients in the cisplatin group were treated with cisplatin(80 mg/m2) intravenously for 3 to 4 days,and the patients in the nedaplatin group were given nedaplatin(80 mg/m2) intravenously also for 3 to 4 days.The efficacy,the levels of such serum tumor markers as carcinoembryonic antigen(CEA),carbohydrate antigen 125(CA125),neuron specific enolase(NSE) and cytokeratin fragment antigen 21-1(CYFRA21-1),as well as the rate of adverse drug reactions(ADRs) were compared between the 2 groups.Results: There was no statistical significance in remission rate and disease control rate,when comparisons were made between the 2 groups(P>0.05).After treatment,CEA,CA125,NSE and CYFRA21-1 levels in the 2 groups were significantly lower than those before treatment(P<0.05).There were no significant differences in CEA and CA125 levels,when comparisons were made between the 2 groups(P>0.05).However,NSE and CYFRA21-1 levels in the patients of the nedaplatin group were significantly lower than those of the cisplatin group(P<0.05).The rates of leucopenia,neutropenia,nausea and vomiting,constipation or diarrhea,increase of blood urea nitrogen or creatinine,and weight loss in the nedaplatin group were significantly lower than those in the cisplatin group(P<0.05).Conclusion: Nedaplatin has similar efficacy as cisplatin in the treatment of inoperable locally-advanced NSCLC,with higher safety,meanwhile it could decrease the levels of NSE and CYFRA21-1.For this reason,it is worthy further clinical promotion.
目的:比较奈达铂与顺铂同步放化疗治疗非手术期局部晚期非小细胞肺癌(NSCLC)的疗效和安全性。方法:选取2015年1月至2019年1月在江苏省连云港市关云县人民医院接受治疗的80例局部晚期NSCLC患者作为研究对象,随机分为奈达铂组和顺铂组,每组40例。两组患者均采用直线加速器6 MV高能x射线+ 3D-CRT治疗,每周5次,连续6周,总剂量55 ~ 66 Gy。放疗后第1天给予紫杉醇(155 mg/m2)静脉滴注3小时,顺铂组给予顺铂(80 mg/m2)静脉滴注3 ~ 4天,奈达铂组给予奈达铂(80 mg/m2)静脉滴注3 ~ 4天。比较两组患者的疗效、血清肿瘤标志物癌胚抗原(CEA)、碳水化合物抗原125(CA125)、神经元特异性烯醇化酶(NSE)、细胞角蛋白片段抗原21-1(CYFRA21-1)水平及药物不良反应(adr)发生率。结果:两组患者缓解率、疾病控制率比较,差异均无统计学意义(P < 0.05)。治疗后,两组患者CEA、CA125、NSE、CYFRA21-1水平均显著低于治疗前(P0.05)。但奈达铂组患者NSE和CYFRA21-1水平显著低于顺铂组(P<0.05)。奈达铂组患者白细胞减少、中性粒细胞减少、恶心呕吐、便秘或腹泻、血尿素氮或肌酐升高、体重减轻率均显著低于顺铂组(P<0.05)。结论:奈达铂治疗不能手术的局部晚期NSCLC疗效与顺铂相似,安全性更高,同时可降低NSE和CYFRA21-1水平。因此,值得进一步临床推广。
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引用次数: 0
Establishment and evaluation of UPLC method for concentration determination of vancomycin in serum 超高效液相色谱法测定血清万古霉素浓度的建立及评价
Q4 Health Professions Pub Date : 2020-10-31 DOI: 10.5428/PCAR20200516
Fashuang Li, Jing Zong, Huiying Li, Lili Zhang, Qiang Li, Linbo Li
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引用次数: 1
Development and application of prescription review rules of rational drug use software in Xinhua Hospital Affiliated to School of Medicine,Shanghai Jiao Tong University 上海交通大学医学院附属新华医院合理用药处方审核规则软件的开发与应用
Q4 Health Professions Pub Date : 2020-10-31 DOI: 10.5428/PCAR20200504
Yang Shu, X. Guo, Ying Gao, Yi Yang
Objective: To introduce the development method of prescription review rules of rational drug use software in Xinhua Hospital Affiliated to School of Medicine,Shanghai Jiao Tong University.Methods: Before the launch of rational drug use software,pharmacists reviewed the prescriptions from each clinical department from August 2017 to October 2017 by software.Through comparison of the differences between software review and manual review,the prescription review rules were developed and modified.With the comprehensive application of rational drug use software from April 2018,the Pharmacy Department established the maintenance procedures for routine prescription review rules and assessment method for the performance of prescription review pharmacists,so that continuous improvement of prescription review rules could be ensured from the aspects of procedures and systems.Results: The rate of prescription rationality of the hospital increased from about 77% before the application of the rational drug use software to about 97% after its application.In addition,the application of the rational drug use software in the outpatient and inpatient promoted the compliance of off-label drug use behavior in the hospital.Conclusion: Proper placement and continuous optimization of the prescription review rules could help pharmacists to review prescriptions accurately and improve the level of rational medication in the hospital.
目的:介绍上海交通大学医学院附属新华医院合理用药软件处方审核规则的开发方法。通过比较软件审查和人工审查的差异,制定并修改了处方审查规则。从2018年4月开始,随着合理用药软件的全面应用,药学部建立了常规处方审核规则的维护程序和处方审核药剂师绩效考核方法,从程序和制度方面保证处方审核规则不断完善。结果:医院处方合理率由合理用药软件应用前的77%左右提高到应用后的97%左右。此外,合理用药软件在门诊和住院患者中的应用促进了医院标示外用药行为的合规性。结论:合理安排和不断优化处方审核规则,有助于药师准确审核处方,提高医院合理用药水平。
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引用次数: 0
Correlation between ABCB1 C3435T gene polymorphism and clopidogrel resistance:a meta analysis ABCB1 C3435T基因多态性与氯吡格雷耐药的相关性:一项meta分析
Q4 Health Professions Pub Date : 2020-10-31 DOI: 10.5428/PCAR20200503
Jianqin Li, Xin-xin Yang, Wei-Zhou Shi
Objective: To systematically evaluate the correlation between ABCB1 C3435T gene polymorphism and clopidogrel resistance(CR).Methods: The databases,such as Wanfang Data,the Chinese Biomedical Literature Database(CBM),the Chinese Journal Fulltext Database in China National Knowledge Infrastructure(CNKI),the China Science and Technology Journal Database(VIP),Science Citation Index(SCI),PubMed and EMBase,were searched from the inception to October 2019.The quality of clinical studies which met the inclusion criteria was evaluated,and meta analysis was performed using Stata 14.0 software.Results: Ten papers were included and 2642 patients were enrolled,including 878 cases in the clopidogrel-resistance group and 1764 cases in the non-clopidogrel resistance group.Results of meta-analysis showed that due to ABCB1 C3435T gene polymorphism,the overall effect of each subgroup was statistically significant(P<0.05): allele gene model OR=1.39,95% CI(1.07,1.81), dominant gene model OR=1.37,95% CI(1.13,1.66),recessive gene model OR=1.62,95% CI(1.02,2.57), homozygous gene model OR=1.92,95% CI(1.14,3.22),and heterozygous gene model OR=1.33,95% CI(1.06,1.66).Conclusion: Current findings confirmed that ABCB1 C3435T gene polymorphism is associated with clopidogrel resistance.
目的:系统评价ABCB1 C3435T基因多态性与氯吡格雷耐药(CR)的相关性。方法:检索万方数据、中国生物医学文献数据库(CBM)、中国知网中文期刊全文数据库(CNKI)、中国科技期刊数据库(VIP)、科学引文索引(SCI)、PubMed、EMBase等数据库,检索时间为建库至2019年10月。对符合纳入标准的临床研究进行质量评价,使用Stata 14.0软件进行meta分析。结果:纳入文献10篇,纳入患者2642例,其中氯吡格雷耐药组878例,非氯吡格雷耐药组1764例。meta分析结果显示,由于ABCB1 C3435T基因多态性,各亚组总体效果均有统计学意义(P<0.05):等位基因模型OR=1.39,95% CI(1.07,1.81),显性基因模型OR=1.37,95% CI(1.13,1.66),隐性基因模型OR=1.62,95% CI(1.02,2.57),纯合基因模型OR=1.92,95% CI(1.14,3.22),杂合基因模型OR=1.33,95% CI(1.06,1.66)。结论:目前研究结果证实ABCB1 C3435T基因多态性与氯吡格雷耐药有关。
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引用次数: 0
Application of regionalization and chromatics in design of phase Ⅰ clinical trial ward 区域化与色度学在Ⅰ期临床试验病房设计中的应用
Q4 Health Professions Pub Date : 2020-10-31 DOI: 10.5428/PCAR20200519
Hongya Mei, Xiangdong Zhong
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引用次数: 0
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