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Development and validation of bioanalytical method for the determination of valsartan in human plasma 测定人血浆中缬沙坦的生物分析方法的建立与验证
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i4.795
S. H. Ramadhan
A bioanalytical method which utilizes high performance liquid chromatography with mass spectrometry method has been developed and validated for the quantification of valsartan in human plasma. The samples were processed by precipitation with formic acid then extracted with diethyl ether. Benazepril   was used as an internal standard. The chromatographic separation is performed through C18 column with a mobile phase consisting of deionized water, acetonitrile and formic acid, followed by mass spectrometric detection in the positive ionization mode. The proposed method was specific and had been validated in the linear range of 50.0 – 5000.0 ng/ml for valsartan. The validation results were as follows: the intra-day and inter-day precision were 3.46 to 8.33% and 5.85 to 7.05% respectively, the intra-day and inter-day accuracy were 93.53 to 107.13% and 95.26 to 104.0% respectively. The recovery for valsartan and benazepril was 81.4% and 113.7% respectively. Also, stability was studied and the results obtained for short-term stability 99.24 to 102.32%, for freeze / thaw stability 99.75 to 99.95% and for long-term stability 98.24 to 103.03%. It can be concluded that the method can be applied in pharmacokinetic bioequivalence studies.
建立了一种高效液相色谱-质谱联用的生物分析方法,用于人血浆中缬沙坦的定量分析。样品经甲酸沉淀处理,乙醚萃取。以苯那普利为内标。色谱分离采用C18柱,流动相为去离子水、乙腈和甲酸,质谱检测采用正电离模式。该方法具有特异性,在50.0 ~ 5000.0 ng/ml的线性范围内有效。验证结果为:日内、日间准确度分别为3.46 ~ 8.33%和5.85 ~ 7.05%,日内、日间准确度分别为93.53 ~ 107.13%和95.26 ~ 104.0%。缬沙坦和苯那普利的回收率分别为81.4%和113.7%。稳定性测试结果表明:短期稳定性为99.24 ~ 102.32%,冻融稳定性为99.75 ~ 99.95%,长期稳定性为98.24 ~ 103.03%。结果表明,该方法可用于药代动力学生物等效性研究。
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引用次数: 0
Preparation and evaluation of oral capsules containing apigenin nanocrystals prepared by ultrasonication 超声法制备芹菜素纳米晶口服胶囊的制备与评价
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i3.793
Mahmood A. Haiss, Nidhal K. Maraie
This work aims to enhance dissolution rate, increase absorption and bioavailability of Apigenin by formulating it as nanocrystal suspension employing ultrasonic technology. Two different diluents; (5%, 10%) microcrystalline cellulose (MCC) and (2%, 3%) anhydrous lactose were used to prepare hard gelatin capsules for two optimum types for apigenin nanocrystals prepared in our laboratory utilizing ultrasonication technique using 1% tween 80 (F6) and 2% poloxamer 188 (F20). The results showed that the marketed capsules (containing MCC) had about half the dissolution rate than all the prepared nanocrystals capsules formulas, and the nanocrystals prepared with poloxamer gave 90% release within 20 minutes and 100% release with 2 hours with excellent flow properties with no effect of the added diluents while the addition of diluents improved significantly the release of nanocrystals capsules (F6) with 1% tween 80 with good flow properties. The results suggested that utilizing apigenin nanocrystals prepared by ultrasonication technique may improve drug absorption and bioavailability with a reduced required dose.
本研究旨在利用超声技术制备芹菜素纳米晶悬浮液,提高芹菜素的溶出率、吸收率和生物利用度。两种不同的稀释剂;采用(5%,10%)微晶纤维素(MCC)和(2%,3%)无水乳糖制备硬明胶胶囊,以1%的tween 80 (F6)和2%的poloxam188 (F20)为超声技术制备了两种最佳类型的芹菜素纳米晶体。结果表明,市售微胶囊(含MCC)的溶出率约为所有制备的纳米晶胶囊配方的一半;波洛沙姆制备的纳米晶在20分钟内释放90%,2小时内释放100%,具有良好的流动性能,不受稀释剂的影响;而稀释剂的加入显著提高了1% tween 80的纳米晶胶囊(F6)的释放度,具有良好的流动性能。结果表明,利用超声技术制备的芹菜素纳米晶体可以提高药物的吸收和生物利用度,同时降低所需剂量。
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引用次数: 1
The Impact of Vitamin D on The Development of Multiple Sclerosis (Review article) 维生素D对多发性硬化发展的影响(综述文章)
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i3.792
Aseel Ghassan Daoud, Huda Jaber Waheed, Mayssaa Essam Abdala
Multiple Sclerosis is a harmful disease causes severe and painful symptoms. In the recent period, researchers have tended to study the effect of vitamin D deficiency on general health. Several studies have reported that there is a relation between vitamin D levels and MS disease progression. Epidemiological testimony and reports have recorded that there are an association between the decrement in plasma vitamin D levels and the incidence of MS also with the disease development; and it has seen that when take vitamin D as supplement may protect the MS patients against disease development. Despite clear evidence of the correlation between disease progression and vitamin D deficiency but the mechanism yet unclear.
多发性硬化症是一种有害的疾病,引起严重和痛苦的症状。近年来,研究人员倾向于研究维生素D缺乏对总体健康的影响。一些研究报道了维生素D水平与多发性硬化症进展之间的关系。流行病学证据和报告记录了血浆维生素D水平下降与多发性硬化症发病率之间的联系,也与疾病发展有关;研究表明,服用维生素D补充剂可以保护多发性硬化症患者免受疾病发展的影响。尽管有明确的证据表明疾病进展与维生素D缺乏之间存在关联,但其机制尚不清楚。
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引用次数: 0
Phytochemical study and thin layer chromatography of Ficusreligiosa leaves extract cultivated in Iraq 伊拉克栽培榕叶提取物的植物化学研究及薄层色谱分析
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i2.807
Noor S Jaafar, Maha N Hamad, Duha A Alshammaa, Zainab S Noori
Ficusreligiosa Linn, (Moraceae), is a large evergreen or deciduous, irregularly shaped tree. Traditionally the leaves are used for the treatment of constipation, vomiting, hiccup, and others. Leaves were extracted by two methods; maceration and soxhelt using hexane and   80% aqueous methanol, then subjected to preliminary phytochemical examination, fractionation with chloroform, ethyl acetate, and n.butanol, then TLC. Soxhelt was the suitable extraction method. Sterols, alkaloids, saponins, tannins, and flavonoids were identified in leaves. TLC examination demonstrates the possible presence of stigmasterol, chlorogenic acid, caffeic acid, rutin, and luteolin or apigenin.
榕树,(桑科),是一种大型常绿或落叶,形状不规则的乔木。传统上,叶子被用来治疗便秘、呕吐、打嗝等。采用两种方法提取叶片;用己烷和80%的甲醇水溶液浸泡和浸泡,然后进行初步的植物化学检查,用氯仿、乙酸乙酯和正丁醇分馏,然后进行薄层色谱分析。索氏提取法是比较合适的提取方法。在叶片中鉴定出甾醇、生物碱、皂苷、单宁和黄酮类化合物。薄层色谱检查显示可能存在豆甾醇、绿原酸、咖啡酸、芦丁、木犀草素或芹菜素。
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引用次数: 0
Clinical Signs, Laboratory Diagnosis and Treatments Involved in Corona Viruses-19 冠状病毒-19的临床体征、实验室诊断和治疗
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i1.776
Israa Burhan Raoof, Zahraa Ahmed Okhti, Mayssaa E. Abdalah
Covid -19 is a viral disease play important role in danger pathogens for human, it is infecting on respiratory, hepatic, central nervous systems and gastrointestinal, in addition to that, the triggers included cytokine storm is inflammatory response to viral infection     Therefore, excessive enhance of immune cells lead to new of pro-inflammatory cytokines. COVID-19 interaction with the cardiovascular system on different levels, rising death percent in people underlying cardiovascular state provoking myocardial injury. Respiratory infection varying from   mild  cold to  the severe illness like  as Middle East Respiratory Syndrome and Severe Acute Respiratory Syndrome the most important coronavirus (COVID-19) complications, however individuals with asymptomatic disease were also suspected of possible infectious transmission, which further adds to the uncertainty of the dynamic of disease transmission in COVID-19 infections, Suppression of  angiotensin-converting enzyme (ACE2) expression by inflammatory cytokines accompanied by the decrease of estrogens and androgens  of the elderly, establish a negative correlation between   ACE2 expression and mortality in other cases may lead to infertility. Early detection by PCR has aided the identification of the pathogen at an early level.  Furthermore, the treatment includes the effectiveness of glucocorticoid drugs (dexamethasone), anti-malaria drug (hydroxychloroquine), azithromycin (antibacterial drug) and favipiravir are all drugs recommended in illness with Covid-19. Remdesivir suppression COVID-19 replication and decreases viral load, alleviates clinical signs and improves pulmonary injury, therefore Remdesivir drug has been used as a compassionate medicine for treating COVID-19 patients.
Covid -19是一种对人类具有重要危险作用的病毒性疾病,它可感染呼吸道、肝脏、中枢神经系统和胃肠道,除此之外,触发因子风暴包括对病毒感染的炎症反应,因此免疫细胞的过度增强导致促炎细胞因子的产生。COVID-19在不同层面上与心血管系统相互作用,导致心血管状态引发心肌损伤的人群死亡率上升。呼吸道感染从轻度感冒到中东呼吸综合征和严重急性呼吸综合征(最重要的冠状病毒感染并发症)等严重疾病不等,但无症状患者也被怀疑可能存在传染性传播,这进一步增加了COVID-19感染中疾病传播动态的不确定性。炎症细胞因子抑制血管紧张素转换酶(ACE2)表达,并伴有老年雌激素和雄激素的降低,建立ACE2表达与死亡率的负相关关系,其他情况下可能导致不孕。PCR的早期检测有助于在早期鉴定病原体。此外,治疗包括糖皮质激素药物(地塞米松)、抗疟疾药物(羟氯喹)、阿奇霉素(抗菌药物)和法匹拉韦都是Covid-19疾病时推荐使用的药物。瑞德西韦抑制COVID-19复制,降低病毒载量,缓解临床症状,改善肺损伤,因此瑞德西韦药物已被用作治疗COVID-19患者的同情心药物。
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引用次数: 2
Detection of Human Herpes Virus-6 in saliva of Patients with Bell's palsy 贝尔麻痹患者唾液中人类疱疹病毒-6的检测
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i1.801
Mustafa Hameed Majeed, Abdul–Kareem Kadhim Alkhazraji
Background: Bell’s palsy is unilateral peripheral paralysis of the seventh cranial nerve, several mechanisms have been proposed in the pathogenesis of this disease, among the viral infections specially herpes virus's family including roseola viruses that have been detected in patients' saliva. Method: A case-control study conducted on Bell’s palsy patients at al-Imamein Al-kadhimein Medical City throughout the period from March 2019 to November 2019. Saliva samples were taken from 50 patients (18-55) years of age with early stages of Bell's palsy and from 50 apparently healthy and age and sex matched volunteers as control. Viral DNA was extracted from the saliva and then real time PCR for detection and quantification of HHV6 DNA in these patients Results: Saliva samples taken from 28 patients in the Bell’s palsy patients (56%) tested positive for HHV6, as vs. to just 8 (16%) in the healthy group(control) (P= 0.028). There was increase amount of HHV6 load in patients compare to control group (p=0.001). Regarding the demographic values, an important difference in the detection rate for Human herpes virus-6 between male (64%) and females (35%) (P= 0.02). There was significant correlation between age and grading (p =0.01), as increase age correlate with high grading, also between viral load of HH6 and grading as increase viral load of the virus correlate with high grading (p = 0.001). Conclusion: HHV-6 virus might have a potential role in the pathogenesis of Bell’s palsy.
背景:贝尔麻痹是第七脑神经的单侧周围性麻痹,该病的发病机制有多种,在病毒感染中,特别是在患者唾液中检测到包括玫瑰疹病毒在内的疱疹病毒家族。方法:对2019年3月至2019年11月在al-Imamein Al-kadhimein医疗城就诊的贝尔氏麻痹患者进行病例对照研究。唾液样本取自50名(18-55岁)早期贝尔氏麻痹患者和50名明显健康且年龄和性别匹配的志愿者作为对照。从这些患者的唾液中提取病毒DNA,然后实时PCR检测和定量这些患者的HHV6 DNA。结果:从贝尔氏麻痹患者中提取的唾液样本中有28例(56%)检测出HHV6阳性,而健康组(对照组)只有8例(16%)检测出HHV6阳性(P= 0.028)。与对照组相比,患者HHV6负荷增加(p=0.001)。在人口统计学值方面,男性(64%)和女性(35%)的人类疱疹病毒6检出率有重要差异(P= 0.02)。年龄与分级呈正相关(p =0.01),年龄越大分级越高;HH6病毒载量与分级呈正相关(p = 0.001)。结论:HHV-6病毒可能在贝尔麻痹的发病机制中起潜在作用。
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引用次数: 1
Highlights on polymeric micelles as versatile nanocarriers for drug transporting 高分子胶束作为药物运输的多用途纳米载体
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i2.806
Hussein A. Abdul Hussein, Nidhal K. Maraie
Polymeric micelles are nanoscale core-shell structures formed by amphiphilic (block or graft) copolymers, that can self-aggregate in an aqueous medium. PMs characterized by small size, spherical shape, lower critical micellar concentration, which gave higher stability for PMs over conventional surfactant micelles. The core/shell structure permits polymeric micelle to entrap poor soluble drugs and can improve their solubility and permeability. The preparation of PMs tends to be relatively easy as compared to other novel drug delivery systems. This review focus on the general properties, types, types of copolymer utilized, formation mechanism, preparation methods, characterization techniques, and the applications on PMs.
聚合物胶束是由两亲(嵌段或接枝)共聚物形成的纳米级核壳结构,可在水介质中自聚集。其具有体积小、球形、临界胶束浓度低的特点,与传统表面活性剂胶束相比具有更高的稳定性。核/壳结构允许聚合物胶束捕获难溶性药物,提高其溶解度和渗透性。与其他新型给药系统相比,pmms的制备相对容易。本文综述了共聚物的一般性质、类型、共聚物类型、形成机理、制备方法、表征技术及其在高分子材料中的应用。
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引用次数: 1
Protective Effect of Co Q10 and Candesartan on Bleomyycin Induced Lung Fibrosis in Rats coq10和坎地沙坦对博莱霉素诱导大鼠肺纤维化的保护作用
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i1.787
Fatima Mohammad Saeed Mahdi, M. G. Alabbassi, Muthanna Ibrahim, Al-Ezzi
Fibrosis of the lungs is the final phase of many lung illnesses. Its characterized by excessive matrix production leading to the normal lung architecture destruction and eventually death. CoQ10 is an essential constituent of membrane oxidoreductase System. It is an intracellularly localized antioxidant   enzyme that is endogenously synthesized in humans. CoQ10 protects cellular components from destruction by free radical-induced oxidative damage. candesartan is a selective antagonist of angiotensin II type 1 receptor (AT1) and is widely employed for treatment of hypertension. Most up to date research shows angiotensin II close involvement with damage and fibrosis process in tissues of organs of circulation. Objective: This animal study was designed to investigate the effect of Co Q10 and candesartan as antifibrotic agents against pulmonary fibrosis focusing on selected markers involved in pulmonary fibrosis. Materials and Method: 48 rats divided randomly into four groups, each consisting of 12 male rats. Group I: (Control group), the rats in this group received single injection of 0.2 ml normal saline via intratracheal route. Group II: (The BLM group), received BLM (8.3 U/kg) as a single dose via the intratracheal rout. Group III: (BLM+CoQ10 group) rats receive BLM (8.3 U/kg) as sulfate salt dissolved in 0.1 ml of normal saline via the intratracheal instillation concomitant with 100 mg/kg co Q 10 per day orally for 5 days before and 10 days after BLM injection. Group IV: (BLM+ candesartan group) rats receive BLM (8.3 U/kg) as sulfate salt dissolved in 0.1 ml of normal saline via the intratracheal instillation concomitant with (10 mg/kg) candesartan per day orally for 5 days before and 10 days after BLM injection. The studied serum biomarkers were glutathione, arachidonate 5 lipoxygenase in addition to histopathological examination using trichrome stain.  Results: serum GSH concentration was lower in BLM group in comparison with the control group and the (BLM+ CoQ10) but this difference is not statistically significant. The serum GSH levels showed a significant(P<0.05) elevation in (BLM+ Candesartan) group when compared with the levels in the BLM group. The serum ALOX5 concentration was significantly elevated in BLM group in comparison with the control group (P < 0.05). The serum ALOX5 levels were highly significantly lower in (BLM +CoQ10) (P < 0.01) and very highly significantly lower in the (BLM+ Candesartan) group (P < 0.001) when comparing it with the levels in the BLM group. furthermore, histologically CoQ10 and candesartan showed reduction in the numbers of inflammation cells and a decrease in the damage to the lung architecture and fibrosis induced by bleomycin. Conclusion: CoQ10 and candesartan decrease pulmonary fibrosis induced by bleomycin in male rats.
肺纤维化是许多肺部疾病的最后阶段。其特点是基质产生过多,导致正常肺结构破坏,最终死亡。辅酶q10是膜氧化还原酶系统的重要组成部分。它是一种细胞内定位的抗氧化酶,在人体内内源性合成。辅酶q10保护细胞成分免受自由基诱导的氧化损伤的破坏。坎地沙坦是血管紧张素II型1受体(AT1)的选择性拮抗剂,广泛用于治疗高血压。最新研究表明血管紧张素II与循环器官组织的损伤和纤维化过程密切相关。目的:本动物研究旨在探讨Co Q10和坎地沙坦作为抗纤维化药物对肺纤维化的作用,重点关注与肺纤维化有关的选定标志物。材料与方法:48只大鼠随机分为4组,每组12只雄性大鼠。第一组:(对照组)经气管内注射生理盐水0.2 ml单次。第二组(BLM组),经气管内给药,给药剂量为8.3 U/kg。第三组(BLM+CoQ10组)大鼠给予BLM (8.3 U/kg)硫酸盐溶解于0.1 ml生理盐水中,气管内滴注,同时每天口服100mg /kg CoQ10,连续注射BLM前5天,注射后10天。IV组(BLM+坎地沙坦组)大鼠给予BLM (8.3 U/kg)硫酸盐溶解于0.1 ml生理盐水中,经气管内滴注,同时每日口服(10 mg/kg)坎地沙坦,连续注射BLM前5天、注射后10天。血清生物标志物为谷胱甘肽、花生四烯酸脂氧合酶,并进行三色染色组织病理学检查。结果:与对照组和(BLM+ CoQ10)相比,BLM组血清GSH浓度较低,但差异无统计学意义。与BLM组相比,(BLM+坎地沙坦)组血清GSH水平显著升高(P<0.05)。与对照组相比,BLM组血清ALOX5浓度显著升高(P < 0.05)。血清ALOX5水平(BLM+ CoQ10)极显著低于BLM组(P < 0.01), (BLM+坎地沙坦)组极显著低于BLM组(P < 0.001)。此外,组织学上,CoQ10和坎地沙坦显示炎症细胞数量减少,博来霉素引起的肺结构损伤和纤维化减少。结论:CoQ10和坎地沙坦可降低博来霉素诱导的雄性大鼠肺纤维化。
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引用次数: 3
Effects of Saw Palmetto Therapy on some Inflammatory Biomarkers in a Sample of Iraqi Male with Symptomatic Benign Prostatic Hyperplasia 锯棕榈治疗对伊拉克男性症状性前列腺增生一些炎症生物标志物的影响
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i1.774
Mazin Abdulridha Ateyah, Manal Khalid Abdulridha, Munaim Jumaa Alkabee
Background Saw palmetto contains powerful anti-inflammatory components commonly used in Benign prostatic hyperplasia (BPH) patients with symptoms. The current study was designed to assess the effectiveness of saw palmetto alone or supplementation   therapy with tamsulosin via measurement of some inflammatory biomarker in male with lower urinary tract symptoms (LUTS) consistent with (BPH). Methods The present study is an interventional prospective randomized enrolled newly diagnosed patients with moderate to severe symptomatic BPH. The eligible 60 patients were allocated into (3) groups, each group with (20) patients; Group (1) treated with Saw palmetto cap (320 mg); Group (2) treated with  Saw palmetto cap (320 mg) and tamsulosin (0.4mg); Group (3) treated with tamsulosin (0.4mg), protocols to be given once daily for 12 weeks. Measurement of prostate specific antigen (PSA), C-reactive protein (CRP), and interleukin 6 (IL-6) was done. Results There was significant decrease in the serum PSA, CRP and IL-6 level (P<0.01) in group1 and 2 patients only after treatment when compared to pretreatment.  Patients on combination therapy presented with high percent of change compared to other groups. No change in CRP and IL-6 level in patients on tamsulosin alone. Conclusion From the findings of the present study, phytotherapy with Saw Palmetto alone or as supplement produced significant 3 months drop in both inflammatory markers, the total CRP level and IL-6 level. Also produced significant decrease in PSA level, and may substitute the conventional therapy in mild disease status.
背景锯棕榈含有强效抗炎成分,常用于有症状的良性前列腺增生(BPH)患者。目前的研究旨在通过测量与BPH一致的下尿路症状(LUTS)男性的一些炎症生物标志物来评估锯棕榈单独或坦索罗辛补充治疗的有效性。方法本研究是一项介入前瞻性随机入组的新诊断的中重度BPH症状患者。将符合条件的60例患者分为3组,每组20例;组(1)用锯棕榈帽(320 mg)处理;组(2)用锯棕榈帽(320 mg)和坦索罗辛(0.4mg)处理;3组给予坦索罗辛(0.4mg),每日1次,连用12周。检测前列腺特异性抗原(PSA)、c反应蛋白(CRP)、白细胞介素6 (IL-6)。结果1、2组患者治疗后血清PSA、CRP、IL-6水平均较治疗前显著降低(P<0.01)。与其他组相比,接受联合治疗的患者表现出较高的变化百分比。单独使用坦索罗辛组CRP和IL-6水平无变化。结论从本研究的结果来看,锯棕榈单独或作为补充剂的植物治疗在3个月的时间里,炎症标志物、总CRP水平和IL-6水平都有显著下降。同时也能显著降低PSA水平,在轻症状态下可替代常规治疗。
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引用次数: 1
Prognostic factor of serum carcinoembryonic antigen in colorectal cancer patients: a follow up study 结直肠癌患者血清癌胚抗原影响预后的随访研究
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i3.791
Taha HT Al-Saigh, Shatha A Abdulmawjood, Faris A Ahmed
Colorectal cancer is a serious cancer with high mortality. Most of the recurrence usually occurred within two years after surgery. This study was conducted in Nineveh Medical Center and Al-Jammhorri Hospital to evaluate colorectal cancer patients in a follow up study for two years. Serum carcinoembryonic antigen, colonoscopy, ultrasound of the abdomen, and chest X rays were used for evaluation. One hundred and ninety-four patients with colorectal cancer were included in the study. The patients were diagnosed colorectal adenocarcinomas by histopathology and staged according to Duke’s classification. The patients were undergone surgical removal of the cancer. Chemotherapy was started to the patient after two weeks of the surgery. Blood samples were taken one week before and one week after surgery. Other blood samples were taken after chemotherapy and then every six months for two years. The blood samples were analyzed for serum carcinoembryonic antigen. The patients were also checked by colonoscopy, ultrasound for abdomen, and chest X ray every six months. Serum carcinoembryonic antigen in colorectal patients was higher than 5 ng/mL and decreased significantly after surgery but still higher than 5 ng/mL. After chemotherapy serum decreased significantly compared with that after surgery. During the two-year period serum carcinoembryonic antigen was not significantly different from that in patients after chemotherapy. Twenty-one patients died after two years of the study Serum carcinoembryonic antigen in the dead patients was much significantly higher than 5 ng/mL before surgery and decreased significantly after operation and after chemotherapy but still higher than 5 ng/mL. In conclusion, colorectal cancer is a significant disease in Iraq. The mortality rate is high due to lack of education of the community to that disease. Carcinoembryonic antigen marker is still acceptable test but should be used with other clinical assessments
结直肠癌是一种严重的癌症,死亡率高。大多数复发通常发生在术后两年内。本研究在尼尼微医学中心和Al-Jammhorri医院进行,对结直肠癌患者进行为期两年的随访研究。血清癌胚抗原、结肠镜检查、腹部超声和胸部X线检查进行评估。194名结直肠癌患者参与了这项研究。经组织病理学诊断为结肠腺癌,并按Duke分类法进行分期。这些病人接受了手术切除肿瘤。手术两周后,病人开始接受化疗。手术前一周和手术后一周分别取血样。化疗后采集其他血液样本,然后每六个月采集一次,持续两年。对血样进行血清癌胚抗原分析。每6个月对患者进行结肠镜检查、腹部超声检查和胸部X光检查。结直肠患者血清癌胚抗原高于5 ng/mL,术后明显下降,但仍高于5 ng/mL。化疗后血清水平较手术后明显下降。两年内血清癌胚抗原与化疗后无明显差异。研究2年后死亡21例,死亡患者血清癌胚抗原显著高于术前5 ng/mL,术后和化疗后显著降低,但仍高于5 ng/mL。总之,结直肠癌是伊拉克的一种重要疾病。由于社区缺乏对这种疾病的教育,死亡率很高。癌胚抗原标记仍然是可接受的测试,但应与其他临床评估一起使用
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引用次数: 0
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Al Mustansiriyah Journal of Pharmaceutical Sciences
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