【目的】观察扶正化瘀通络方治疗高血压脑出血恢复期气虚血瘀证患者的临床疗效及对血清基质金属蛋白酶9(matrix metalloproteinase-9,MMP-9)、S100-β蛋白(S100-βprotein,S100-β)、苏氨酸蛋白激酶(threonine protein kinase,AKT)和Th1...【目的】观察扶正化瘀通络方治疗高血压脑出血恢复期气虚血瘀证患者的临床疗效及对血清基质金属蛋白酶9(matrix metalloproteinase-9,MMP-9)、S100-β蛋白(S100-βprotein,S100-β)、苏氨酸蛋白激酶(threonine protein kinase,AKT)和Th1/Th2平衡的影响。【方法】将130例高血压脑出血恢复期气虚血瘀证患者随机分为对照组和观察组,每组各65例。对照组给予西医常规治疗,观察组在对照组的基础上联合扶正化瘀通络方治疗,疗程为4周。观察2组患者治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、健康状况调查简表(SF-36)评分、中医证候积分(主要症状包括乏力、偏瘫、口眼歪斜,次要症状包括头部刺痛、气短)及血清MMP-9、S100-β、AKT和白细胞介素10(IL-10)、超敏C反应蛋白(Hs-CRP)、同型半胱氨酸(Hcy)、白细胞介素6(IL-6)水平的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗4周后,观察组的总有效率为95.38%(62/65),对照组为78.46%(51/65),组间比较,观察组的疗效明显优于对照组(P<0.05)。(2)治疗后,2组患者的NIHSS评分和中医证候积分均较治疗前明显降低(P<0.05),SF-36评分均较治疗前明显升高(P<0.05),且观察组对NIHSS评分和中医证候积分的降低幅度及对SF-36评分的升高幅度均明显优于对照组(P<0.05)。(3)治疗后,2组患者的血清MMP-9、S100-β、AKT水平均较治疗前明显降低(P<0.05),且观察组对血清MMP-9、S100-β、AKT水平的降低幅度均明显优于对照组(P<0.05)。(4)治疗后,2组患者血清Hs-CRP、Hcy、IL-6水平均较治疗前明显降低(P<0.05),血清IL-10水平均较治疗前明显升高(P<0.05),且观察组对血清Hs-CRP、Hcy、IL-6水平的降低幅度及对血清IL-10水平的升高幅度均明显优于对照组,差异均有统计学意义(P<0.05)。【结论】对于高血压脑出血恢复期气虚血瘀证患者而言,在西医常规治疗基础上联合扶正化瘀通络方治疗,可有效促进Th1/Th2平衡恢复,减轻氧化应激失衡,提高临床疗效。展开更多
The crystal structure of the title compound 1-（4-fluorophenyl） -2-hexylthio-benzo [4,5]furo[3,2-d]-1,2,4-triazolo[1,5-a]pyrimidin-5（1H） -one（C23H21FN4O2S,Mr = 436.5） has been prepared and determined by single-cr...The crystal structure of the title compound 1-（4-fluorophenyl） -2-hexylthio-benzo [4,5]furo[3,2-d]-1,2,4-triazolo[1,5-a]pyrimidin-5（1H） -one（C23H21FN4O2S,Mr = 436.5） has been prepared and determined by single-crystal X-ray diffraction. The crystal is of monoclinic,space group P21/n with a = 13.9854（3） ,b = 17.2678（4） ,c = 18.1828（5）A,β = 99.364（2） °,V = 4332.58（18） A^3,Z = 4,Dc = 1.338,F（000） =1824,μ = 0.185 mm^-1,MoKa radiation（λ = 0.71073） ,R = 0.0538 and wR = 0.1162 for 4728 observed reflections with I 〉 2σ（I） . X-ray diffraction analysis reveals the fused rings of benzo[4,5]furo[3,2-d]-1,2,4-triazolo[1,5-a] pyrimidin-5（1H） -one system are nearly coplanar. The crystal packing is mainly stabilized by weak intermolecular C-H···O hydrogen bond and π-π interactions.展开更多
The title compound has been synthesized by the reaction of 1-bromo-3,3-dime- thyl- 1 - （1 H- 1,2,4-triazol- 1 -yl）butan-2-one with 1 -（2-fluorophenyl）thiourea, and its crystal struc- ture was determined by single-...The title compound has been synthesized by the reaction of 1-bromo-3,3-dime- thyl- 1 - （1 H- 1,2,4-triazol- 1 -yl）butan-2-one with 1 -（2-fluorophenyl）thiourea, and its crystal struc- ture was determined by single-crystal X-ray diffraction. The crystal belongs to the orthorhombic system, space group Pbca with a = 15.2568（6）, b = 12.1533（5）, c = 16.7307（7） A, Z = 8, V = 3102.2（2） A3, Mr = 317.39, Dc = 1.359 g/cm3, S = 1.05, μ = 0.223 mm-1, F（000） = 1328, the final R = 0.034 and wR = 0.097 for 2590 observed reflections （I 〉 2σ（I））. X-ray crystal structure presents the intramolecular N-H…N hydrogen bond, which plays an important role in stabilizing the crystal structure. In addition, the preliminary biological test on the title compound shows good antitumor activity, with IC50 of 0.122 μmol/mL against the Hela cell line.展开更多
文摘【目的】观察扶正化瘀通络方治疗高血压脑出血恢复期气虚血瘀证患者的临床疗效及对血清基质金属蛋白酶9(matrix metalloproteinase-9,MMP-9)、S100-β蛋白(S100-βprotein,S100-β)、苏氨酸蛋白激酶(threonine protein kinase,AKT)和Th1/Th2平衡的影响。【方法】将130例高血压脑出血恢复期气虚血瘀证患者随机分为对照组和观察组,每组各65例。对照组给予西医常规治疗,观察组在对照组的基础上联合扶正化瘀通络方治疗,疗程为4周。观察2组患者治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、健康状况调查简表(SF-36)评分、中医证候积分(主要症状包括乏力、偏瘫、口眼歪斜,次要症状包括头部刺痛、气短)及血清MMP-9、S100-β、AKT和白细胞介素10(IL-10)、超敏C反应蛋白(Hs-CRP)、同型半胱氨酸(Hcy)、白细胞介素6(IL-6)水平的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗4周后,观察组的总有效率为95.38%(62/65),对照组为78.46%(51/65),组间比较,观察组的疗效明显优于对照组(P<0.05)。(2)治疗后,2组患者的NIHSS评分和中医证候积分均较治疗前明显降低(P<0.05),SF-36评分均较治疗前明显升高(P<0.05),且观察组对NIHSS评分和中医证候积分的降低幅度及对SF-36评分的升高幅度均明显优于对照组(P<0.05)。(3)治疗后,2组患者的血清MMP-9、S100-β、AKT水平均较治疗前明显降低(P<0.05),且观察组对血清MMP-9、S100-β、AKT水平的降低幅度均明显优于对照组(P<0.05)。(4)治疗后,2组患者血清Hs-CRP、Hcy、IL-6水平均较治疗前明显降低(P<0.05),血清IL-10水平均较治疗前明显升高(P<0.05),且观察组对血清Hs-CRP、Hcy、IL-6水平的降低幅度及对血清IL-10水平的升高幅度均明显优于对照组,差异均有统计学意义(P<0.05)。【结论】对于高血压脑出血恢复期气虚血瘀证患者而言,在西医常规治疗基础上联合扶正化瘀通络方治疗,可有效促进Th1/Th2平衡恢复,减轻氧化应激失衡,提高临床疗效。
基金Supported by the Natural Science Foundation of Hubei Province (2006ABB016)Key Science Research Project of Hubei Provincial Department of Education (No.D200724001)the Science Research Project of Yunyang Medical College (No.2008CXG01)
文摘The crystal structure of the title compound 1-（4-fluorophenyl） -2-hexylthio-benzo [4,5]furo[3,2-d]-1,2,4-triazolo[1,5-a]pyrimidin-5（1H） -one（C23H21FN4O2S,Mr = 436.5） has been prepared and determined by single-crystal X-ray diffraction. The crystal is of monoclinic,space group P21/n with a = 13.9854（3） ,b = 17.2678（4） ,c = 18.1828（5）A,β = 99.364（2） °,V = 4332.58（18） A^3,Z = 4,Dc = 1.338,F（000） =1824,μ = 0.185 mm^-1,MoKa radiation（λ = 0.71073） ,R = 0.0538 and wR = 0.1162 for 4728 observed reflections with I 〉 2σ（I） . X-ray diffraction analysis reveals the fused rings of benzo[4,5]furo[3,2-d]-1,2,4-triazolo[1,5-a] pyrimidin-5（1H） -one system are nearly coplanar. The crystal packing is mainly stabilized by weak intermolecular C-H···O hydrogen bond and π-π interactions.
基金Project supported by the National Technology R&D Program (No. 2011 BAE06B01)
文摘The title compound has been synthesized by the reaction of 1-bromo-3,3-dime- thyl- 1 - （1 H- 1,2,4-triazol- 1 -yl）butan-2-one with 1 -（2-fluorophenyl）thiourea, and its crystal struc- ture was determined by single-crystal X-ray diffraction. The crystal belongs to the orthorhombic system, space group Pbca with a = 15.2568（6）, b = 12.1533（5）, c = 16.7307（7） A, Z = 8, V = 3102.2（2） A3, Mr = 317.39, Dc = 1.359 g/cm3, S = 1.05, μ = 0.223 mm-1, F（000） = 1328, the final R = 0.034 and wR = 0.097 for 2590 observed reflections （I 〉 2σ（I））. X-ray crystal structure presents the intramolecular N-H…N hydrogen bond, which plays an important role in stabilizing the crystal structure. In addition, the preliminary biological test on the title compound shows good antitumor activity, with IC50 of 0.122 μmol/mL against the Hela cell line.
