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Clinical Study on Treatment to Ankylosing Spondylitis with Fengshi Qutong Capsule-Diclofenac Sodium Combination
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作者 Haibin Wang Ying Wang +2 位作者 Xin Tian Shizhang Liu Le Ji 《Journal of Clinical and Nursing Research》 2021年第3期69-72,共4页
Objective:To discuss the clinical study on Fengshi Qutong capsules combined with diclofenac sodium in the treatment of ankylosing spondylitis.Methods:80 patients who were treated for ankylosing spondylitis from June 2... Objective:To discuss the clinical study on Fengshi Qutong capsules combined with diclofenac sodium in the treatment of ankylosing spondylitis.Methods:80 patients who were treated for ankylosing spondylitis from June 2019 to June 2020 were selected and divided into two groups.The experimental group was treated with Fengshi Qutong capsules combined with diclofenac sodium,and the control group was treated with sulfasalazine enteric-coated tablets.Results:The treatment efficacy,VAS score,BASDAI score,BASFI score,CRP level,TNF-α level,IL-Iβ level,and the incidence of adverse reactions between the two groups were significantly different(P<0.05).Conclusion:The application of Fengshi Qutong capsules combined with diclofenac sodium in the treatment of patients with ankylosing spondylitis is beneficial to improve the treatment efficacy,reduce the levels of CRP,TNF-α,and IL-Iβ,reduce the incidence of adverse reactions,and reduce the VAS,BASDAI and BASFI scores,rendering it of important clinical value. 展开更多
关键词 Fengshi Qutong capsule diclofenac sodium Ankylosing spondylitis
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Polymethylmethacrylate Coated Alginate Matrix Microcapsules for Controlled Release of Diclofenac Sodium 被引量:2
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作者 Tapas Pal Shubhajit Paul Biswanath Sa 《Pharmacology & Pharmacy》 2011年第2期56-66,共11页
Polymethylmethacrylate (PMMA) coated microcapsules of diclofenac sodium (DFS) were prepared by a modified wa-ter-in-oil-in-water (W1/O/W2) emulsion solvent evaporation method using sodium alginate (SAL) as a matrix ma... Polymethylmethacrylate (PMMA) coated microcapsules of diclofenac sodium (DFS) were prepared by a modified wa-ter-in-oil-in-water (W1/O/W2) emulsion solvent evaporation method using sodium alginate (SAL) as a matrix material in the internal aqueous phase (W1).Their performance with respect to controlled release of the drug in simulated gastric fluid (SGF) and simulated intestinal fluid (SIF) were evaluated, and compared with non-matrix microcapsules prepared by the conventional W1/O/W2 emulsion solvent evaporation method. Scanning electron micrographs (SEM) revealed that all the microcapsules were discrete and spherical in shape;however, the surface porosity of the matrix microcap-sules appeared to be less than that of the non-matrix microcapsules. In case of non-matrix microcapsules, an increase in the volume of water in W1 phase resulted in decrease in the drug entrapment efficiency (DEE) along with increase in release of the drug in both SGF and SIF. While in case of matrix microcapsules increase in the amount of SAL in W1 phase and concentration of the coating polymer in organic phase led to increase in DEE of the matrix microcapsules and considerable decrease in the drug release in both SGF and SIF. No interaction between the drug and any of the polymers used to prepare microcapsules was evident from Fourier transform infra-red (FTIR) analysis. The matrix microcapsules prepared using higher concentration of SAL and PMMA released the drug following zero order or Case-II transport model. The matrix microcapsules appeared to be suitable for releasing lesser amounts of DFS in SGF and providing extended release in SIF. 展开更多
关键词 POLYMETHYLMETHACRYLATE sodium ALGINATE MATRIX MICROCAPSULES diclofenac sodium Drug Release
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Inhibitory Effect of Diclofenac Sodium on the Proliferation of Rabbit Corneal Epithelial Cells in vitro 被引量:1
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作者 Ningling Wu Zhiyu Du 《Eye Science》 CAS 2010年第2期107-110,共4页
<Abstract>Purpose:To investigate the inhibitory effect of diclofenac sodium on rabbit corneal epithelial cells (RCECs) in vitro and explore its pharmacological mechanism. Methods: The fresh rabbit cornea was cul... <Abstract>Purpose:To investigate the inhibitory effect of diclofenac sodium on rabbit corneal epithelial cells (RCECs) in vitro and explore its pharmacological mechanism. Methods: The fresh rabbit cornea was cultured to get the primary RCECs,and RCECs of passage 2 were used for the research. The cells were divided into experimental groups,the cells in which were incubated with different concentrations(18.18, 27.27, 36.36, 45.45, 54.55 μg/ml) of diclofenac sodium, and control group. The effect of diclofenac sodium on the proliferation of cells was measured by methyl thiazolyl thiazolium (MTT) assay 24, 48 and 72 h after incubation. While the RCECs were divided into experimental groups, the cells in which were incubated with 9 and 12.5 μg/ml diclofenac sodium, and control group. The cell cycle and apoptotic rate were observed by flow cytometer. Results:MTT assay showed that diclofenac sodium had obvious inhibitory effect on RCECs,and the inhibition rate was increasing along with the increase of the concentration of diclofenac sodium and the incubation time(P<0.05). Flow cytometer showed that after incubation with diclofenac sodium, the cells in G0/G1 phase were obviously increased, the apoptosis cusp and apoptotic rate were increased. Conclusion: Diclofenac sodium has obvious inhibitory effect on RCECs, which was dosage-dependent,and it may function by inducing cell apoptosis and ceasing cells cycles. 展开更多
关键词 Dielofenae sodium CORNEAL EPITHELIAL cells Rabbit INHIBITION
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Protective Effect of Cranberry Extracts against Oxidative Stress and DNA Damage Induced by Diclofenac Sodium in Kidney of Male Albino Rate
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作者 Soha A. Hassan Dalia A. Sabry Mohammed A. Hussein 《Chinese Medicine》 2017年第4期113-131,共19页
This work aimed to find the effect of cranberry extract (75 and 150 mg/kg&middot;b&middot;w) and vit. C (1 g/kg&middot;b&middot;w orally) on renal toxicity induced by Diclofenac sodium in male albino r... This work aimed to find the effect of cranberry extract (75 and 150 mg/kg&middot;b&middot;w) and vit. C (1 g/kg&middot;b&middot;w orally) on renal toxicity induced by Diclofenac sodium in male albino rats. Treated rats with diclofenac sodium with a concentration 150 mg/kg&middot;b&middot;w, expressed a significant increase in several parameters includes, plasma total cholesterol, LDL-cholesterol, and triglyceride as well as renal nitric oxide (NO), tumor necrosis factor-alfa (TNF-α) and TBARS. In addition, a significant reduction in renal superoxide dismutase (SOD), GSH, catalase (CAT) and plasma HDL. The present results explain that, using cranberry extract and vit. C resulted in increasing the level of GSH, CAT and SOD as well as gene expression of renal SOD, CAT and IL-22 and reduce the level of TBARs significantly which led to preventing renal tissue damage. Our results also revealed that cranberry extract can protect DNA from damage as obtained from comet essay. TM-U was elevated in DCLF treated group when compared with normal. However cranberry extract was able to reduce this elevation in dose dependant manner. Histological features in H&E taken to different groups also mirrors this findings. DCLF causes many changes in renal tissue include infiltration by inflammatory cells, attenuated glomeruli, apoptosis in tubular epithelia. 展开更多
关键词 diclofenac sodium CRANBERRY Antioxidant ENZYMES DNA Damage Renal CORTEX
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Controlled Release of Diclofenac Sodium from Silica-Chitosan Composites
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作者 R. B. Kozakevych Y. M. Bolbukh V. A. Tertykh 《World Journal of Nano Science and Engineering》 2013年第3期69-78,共10页
The release profiles of acidic form of diclofenac sodium adsorbed on mesoporous silicas (Silochrom and two samples of spherical silicas) were compared with the dissolution characteristics of the pure drug. Desorption ... The release profiles of acidic form of diclofenac sodium adsorbed on mesoporous silicas (Silochrom and two samples of spherical silicas) were compared with the dissolution characteristics of the pure drug. Desorption of diclofenac sodium from impregnated silicas with various surface liophilicity and composites of silica with chitosan have been studied using rotating basket method in phosphate buffer, pH 6.8. Sedimentations of sodium diclofenac via adsorption and impregnation from alcohol solution on fumed silica and modified silicas with grafted aminopropyl and trimethylsilyl groups were carried out. Polymer-containing composites have been prepared by capsulation of silica particles with impregnated diclofenac sodium by protonated and deprotonated forms of chitosan. Effect of the silica surface nature on the active substance release rate was ascertained. Significant prolongation of diclofenac sodium release was detected in the case of application of hydrophobic silica as a carrier and protonated chitosan as a polymeric shell. 展开更多
关键词 DRUG Incorporation diclofenac sodium Silica-Chitosan COMPOSITES
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Clinical Study of Diclofenac Sodium Eyedrops Used before and after Cataract Operation 被引量:1
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作者 Mingchang Zhang, Houren WeiDepartment of Ophthalmology, Union Hospital, Tongji Medical University, Wuhan 430022 , China 《眼科学报》 1999年第1期36-40,共5页
Purpose: To determine the effect of 0.1% diclofenac sodium (DS) eyedrops made in China on preventing surgically induced miosis and inflammation. Methods: Seventy cases of cataract inpatients were randomly divided into... Purpose: To determine the effect of 0.1% diclofenac sodium (DS) eyedrops made in China on preventing surgically induced miosis and inflammation. Methods: Seventy cases of cataract inpatients were randomly divided into two groups. DS eyedrops and normal saline as placebo were applied respectively 3h, 1h, 0.5h before operation and once every morning for 7 days after operation. The pupil diameter was measured five times at different stages during the extracapsular cataract extraction. The eyepain, photophobia, conjunctival injection, KP, aqueous flare and light reaction of pupil were observed once a day after operation for a week. Results: 37 eyes in DS group and 33 eyes in placebo group were included in the study. 32 of 37 eyes in DS group (86.5%) maintained mydriasis in all stages of operation and 33 eyes (89. 2%) did not show any obvious sign of inflammation. There was statistically significant difference between the two groups. No serious side effects occurred in the DS group.Conclusions : The DS 展开更多
关键词 DS滴眼液 白内障手术 炎症 日童孔
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Combinatorial effect of diclofenac with piperine and D-limonene on inducing apoptosis and cell cycle arrest of breast cancer cells
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作者 Srivarshini Sankar Gothandam Kodiveri Muthukaliannan 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2023年第2期80-92,共13页
Objective:To investigate the potential synergistic activity of diclofenac with piperine and D-limonene in inducing apoptosis and cell cycle arrest in breast cancer MCF-7 cells.Methods:Molecular docking study was condu... Objective:To investigate the potential synergistic activity of diclofenac with piperine and D-limonene in inducing apoptosis and cell cycle arrest in breast cancer MCF-7 cells.Methods:Molecular docking study was conducted to evaluate the binding affinity of diclofenac with piperine and D-limonene against p53,Bax,and Bcl-2.The MTT assay was used to determine IC50,and the Chou-Talay method was used to determine the synergistic concentration of the combination treatment of diclofenac plus piperine and diclofenac plus D-limonene.Apoptosis detection,cell cycle arrest,reactive oxygen species production,and mitochondrial membrane potential were also investigated.Results:Diclofenac,piperine,and D-limonene showed potent binding affinity for p53,Bax,and Bcl-2.Diclofenac plus piperine and diclofenac plus D-limonene enhanced the formation of reactive oxygen species,which also had an effect on the mitochondrial membrane’s integrity and caused DNA fragmentation.Diclofenac plus piperine and diclofenac plus D-limonene arrested the cells in the sub-G0phase while drastically lowering the percentage of cells in the G2/M phase.Furthermore,the elevated apoptosis in the combined therapy was confirmed by annexin V/propidium iodide staining.Conclusions:The combined therapy prominently enhanced the antiproliferative and apoptotic effects on MCF-7 cells compared with treatment with diclofenac,piperine,and D-limonene alone. 展开更多
关键词 Breast cancer diclofenac sodium PIPERINE D-LIMONENE Reactive oxygen species Cell cycle arrest APOPTOSIS
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Diclofenac sodium aqueous systems at low concentrations: Interconnection between physicochemical properties and action on hydrobionts
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作者 Irina S.Ryzhkina Yuliya V.Kiseleva +6 位作者 Lyaisan I.Murtazina Tatyana V.Kuznetsova Erik R.Zainulgabidinov Igor V.Knyazev Andrew M.Petrov Sergey E.Kondakov Alexander I.Konovalov 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2020年第2期177-186,共10页
Diclofenac sodium(DS) is a widely used nonsteroidal anti-inflammatory drug(NSAIDs).NSAIDs are poorly removed during standard wastewater treatment.The consequences of the presence of NSAIDs in rivers and lakes at 10-11... Diclofenac sodium(DS) is a widely used nonsteroidal anti-inflammatory drug(NSAIDs).NSAIDs are poorly removed during standard wastewater treatment.The consequences of the presence of NSAIDs in rivers and lakes at 10-11–10-8 mol/L are not yet established;therefore, ecotoxicologists have focused their efforts on studying the effect of lowconcentration NSAIDs on fish and hydrobionts, and also on predicting the potential risks to humans.Literature provides some information about the bioeffects of some NSAID solutions in low concentrations but there is no physicochemical explanation for these phenomena.Studying the physicochemical patterns of DS solutions in the low range of concentrations and establishing an interconnection between the solutions’ physicochemical properties and bioeffects can provide a conceptually new and important source of information regarding the unknown effects of DS.The physicochemical properties and action of DS solutions on Ceriodaphnia affinis cladocerans,Paramecium caudatum infusoria, Chlorella vulgaris unicellular green algae, as well as on the growth of the roots of Triticum vulgare wheat seeds, were studied in the calculated concentration range of 1 × 10-3–1 × 10-18 mol/L.The relationship between these phenomena was established using the certified procedures for monitoring the toxicity of natural water and wastewater.It was shown for the first time that water solutions of DS are dispersed systems in which the dispersed phase undergoes a rearrangement with dilution, accompanied by changes in its size and properties, which affects the nonmonotonic dependences of the system’s physicochemical properties and could cause nonmonotonic changes in action on hydrobionts in the low concentration range. 展开更多
关键词 diclofenac sodium Low concentration AQUEOUS solutions PHYSICOCHEMICAL properties HYDROBIONTS TOXICITY
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Comparison of bioavailability and pharmacokinetics of diclofenac sodium and diclofenac potassium in normal and dehydrated rabbits
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作者 Mahmood AHMAD Muhammad IQBAL Ghulam MURTAZA 《药学学报》 CAS CSCD 北大核心 2009年第1期80-84,共5页
Two different salts of diclofenac,diclofenac sodium and diclofenac potassium,in tablet dosage form were tested for their bioavailability and disposition kinetics in a group of eighteen rabbits in normal and experiment... Two different salts of diclofenac,diclofenac sodium and diclofenac potassium,in tablet dosage form were tested for their bioavailability and disposition kinetics in a group of eighteen rabbits in normal and experimentally induced dehydrated conditions with a wash out period of 7 days between both stages of study.Biochemical and physiological parameters were also measured in both normal and dehydrated states.Diclofenac levels in plasma were determined using a validated reversed phase HPLC method.Primary kinetic parameters i.e.AUC0-∞,Cmax,Tmax and other disposition kinetics were obtained with non-compartmental procedure.Biochemical parameters i.e.packed cell volume,plasma glucose and total lipid concentration in dehydrated rabbits increased significantly.Plasma concentration of diclofenac sodium and diclofenac potassium decreased significantly in water deprived rabbits.In comparison,diclofenac potassium in normal and dehydrated state of the same group of rabbits showed a significantly increased plasma concentration when compared with diclofenac sodium. 展开更多
关键词 生物药效率 药物动力学 药物化学 生物化学
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Effects of Sodium Diclofenac on the Distribution of Fos Protein in Central Amygdala and Lateral Hypothalamus during Experimental Tooth Movement in Rats
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作者 Ana Paula R. Novaes Amanda C. Desiderá +1 位作者 Glauce C. Nascimento Christie R. A. Leite-Panissi 《World Journal of Neuroscience》 2014年第2期183-189,共7页
This study evaluated whether the administration of a NSAID, sodium diclofenac, can promote alterations in the expression of Fos protein in central amygdala (CEA) and the lateral hypothalamus (LH) after 6 h of experime... This study evaluated whether the administration of a NSAID, sodium diclofenac, can promote alterations in the expression of Fos protein in central amygdala (CEA) and the lateral hypothalamus (LH) after 6 h of experimental tooth movement with a controlled force of 70 g, applied to the superior central incisors of rats. Adult male rats were anesthetized and divided into four groups: Control, no orthodontic appliance (OA);OA activated with 70 g;OA activated with 70 g and pretreated with diclofenac sodium (5 mg/kg, intramuscular);and diclofenac sodium alone. Six hours after the onset of the experiment the rats were reanesthetized and perfused with 4% paraformaldehyde. The brains were removed and fixed, and sections containing the CEA and LH were processed for Fos protein immunohistochemistry. The results show that in the control group, intramuscular injection of a ketamine/xylazine mixture did not induce IR-Fos cells in the CEA or LH. However, in the 70 g group, IR-Fos was the strongest observed 展开更多
关键词 AMYGDALA LATERAL HYPOTHALAMUS FOS Protein ORTHODONTIC Movement sodium diclofenac
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A New Liposomal-Drug-in-Adhesive Patch for Transdermal Delivery of Sodium Diclofenac
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作者 Seyed Mojtaba Taghizadeh Sara Bajgholi 《Journal of Biomaterials and Nanobiotechnology》 2011年第5期576-581,共6页
Liposomes are known to have considerable potential as drug carriers such as liposomal suspension, freeze dried and cream-based systems among many other liposomal formulations. In this study a new drug-in-adhesive patc... Liposomes are known to have considerable potential as drug carriers such as liposomal suspension, freeze dried and cream-based systems among many other liposomal formulations. In this study a new drug-in-adhesive patch was fabricated using liposome-based nanocarrier. Transfersomes as ultra-deformable liposomes are based on phosphatidylcholin 95% (phospholipon 90G) and phosphatidylcholin 50% (phosal 50PG) were prepared and further optimized in a final acrylic patch system for effective adhesion. The prepared liposomes were added to an acrylic adhesive to obtain a new hybrid transdermal patch termed as “lipo-drug-in-adhesive” patch system. The sodium diclofenac was selected as a model drug and the permeation of the drug across rat skin was evaluated (P > 0.05), using the lipo-drug-in-adhesive patch system with various percentages of transfersomes (4% - 8%w/w) and constant concentration of the drug (2% w/w). The peel strength and tack value of samples were also examined and quantified. The maximum flux of sodium diclofenac was observed in samples containing 8% (w/w) phosphatidylcholin 50%. The peel strength and tack value in samples containing phosphatidylcholin 50% were lower than those samples containing phosphatidylcholin 95%. It was observed that with increased amount of liposome in drug-in-adhesive patch system, the rate of skin permeation of the drug was also increased. It can be concluded that the developed lipo-drug-in-adhesive patch system enhances the drug release potential of transdermal delivering systems. 展开更多
关键词 LIPOSOME sodium diclofenac Acrylic ADHESIVE PEEL Strength TACK Value
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UiO-66-NH_(2)/SiO_(2)-ZrO_(2)杂化陶瓷纳滤膜的制备及性能研究
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作者 刘若妍 位笑娜 +3 位作者 任秀秀 钟璟 郭猛 夏凌云 《现代化工》 CAS CSCD 北大核心 2024年第6期123-128,共6页
将UiO-66-NH_(2)晶体加入SiO_(2)-ZrO_(2)溶胶中,通过溶胶-凝胶法在陶瓷载体上制备出UiO-66-NH_(2)/SiO_(2)-ZrO_(2)膜,利用UiO-66-NH_(2)的多孔结构和亲水基团改进SiO_(2)-ZrO_(2)膜的纳滤性能。考察了不同UiO-66-NH_(2)加入量对杂化... 将UiO-66-NH_(2)晶体加入SiO_(2)-ZrO_(2)溶胶中,通过溶胶-凝胶法在陶瓷载体上制备出UiO-66-NH_(2)/SiO_(2)-ZrO_(2)膜,利用UiO-66-NH_(2)的多孔结构和亲水基团改进SiO_(2)-ZrO_(2)膜的纳滤性能。考察了不同UiO-66-NH_(2)加入量对杂化膜纳滤双氯芬酸钠(DCF)水溶液的影响,并对杂化膜进行表征,以聚乙烯醇截留分子质量评价膜孔径。结果表明,在DCF的纳滤测试中,随着UiO-66-NH_(2)质量分数的增大,UiO-66-NH_(2)/SiO_(2)-ZrO_(2)膜水通量先增大后降低,但均高于未添加的SiO_(2)-ZrO_(2)膜,对DCF的截留率均保持在98.7%以上;最佳UiO-66-NH_(2)/SiO_(2)-ZrO_(2)掺杂为0.3时,杂化膜通量提高至4.8 L/(h·m^(2)),通量增加了84%。随着操作压力和料液温度的提高,膜通量增大,截留率变化较小。在70℃、0.6 MPa下,杂化膜通量达到14.25 L/(h·m^(2)),对DCF水溶液的截留率为98.1%。 展开更多
关键词 陶瓷膜 纳滤 双氯芬酸钠 溶胶-凝胶
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双氯芬酸钠胶囊联合运动康复治疗急性期原发性冻结肩的临床疗效观察
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作者 穆鑫 鲁圣波 +1 位作者 常家豪 李伟 《中华养生保健》 2024年第11期1-4,共4页
目的探讨及分析运动康复联合双氯芬酸钠胶囊应用于急性期原发性冻结肩的临床效果。方法选取2022年6月—2023年12月于北京大学深圳医院就诊的52例急性期原发性冻结肩患者作为研究对象。所有患者采用双氯芬酸钠双释放肠溶胶囊口服联合运... 目的探讨及分析运动康复联合双氯芬酸钠胶囊应用于急性期原发性冻结肩的临床效果。方法选取2022年6月—2023年12月于北京大学深圳医院就诊的52例急性期原发性冻结肩患者作为研究对象。所有患者采用双氯芬酸钠双释放肠溶胶囊口服联合运动康复治疗。比较患者在治疗前及治疗后1个月的美国肩肘外科协会评分(American Shoulder and Elbow Surgeons Scale,ASES)、疼痛视觉模拟评分法(Visual Analog Scale,VAS)评分及肩关节活动度,并评估治疗的有效率及患者的满意度。结果所有患者治疗后1个月ASES评分、VAS评分、肩关节活动度均高于本组治疗前,差异有统计学意义(P<0.05)。治疗的有效率达94.23%,患者满意度为(7.88±1.43)分。结论对于急性期原发性冻结肩患者,使用双氯芬酸钠双释放肠溶胶囊治疗联合运动康复,能显著缓解患者的肩部疼痛并改善活动度,治疗有效率及患者满意度较高。 展开更多
关键词 原发性冻结肩 双氯芬酸钠 运动康复
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揿针治疗亚急性甲状腺炎临床观察
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作者 冯臻谛 梁静华 +1 位作者 冯胜奎 翟煦 《河南中医》 2024年第3期433-438,共6页
目的:观察揿针治疗亚急性甲状腺炎的临床疗效。方法:将110例亚急性甲状腺炎患者按照随机数字表法分为治疗组和对照组,每组各55例。对照组给予口服双氯芬酸钠缓释片治疗,治疗组在对照组治疗的基础上给予揿针治疗,不服用醋酸泼尼松片。观... 目的:观察揿针治疗亚急性甲状腺炎的临床疗效。方法:将110例亚急性甲状腺炎患者按照随机数字表法分为治疗组和对照组,每组各55例。对照组给予口服双氯芬酸钠缓释片治疗,治疗组在对照组治疗的基础上给予揿针治疗,不服用醋酸泼尼松片。观察两组患者治疗前后中医证候积分、减分率、甲状腺肿痛消失时间、血沉恢复正常时间、甲状腺摄碘率恢复正常时间、血清淀粉样蛋白A(serum amyloid A,SAA)、肿瘤坏死因子(tumor necrosis factor,TNF)-β、白细胞介素(interleukin,IL)-6及临床疗效、1年后复发率。结果:治疗组治疗后中医证候积分低于对照组,差异有统计学意义(P<0.05)。治疗组中医证候积分减分率为71.1%,对照组中医证候积分减分率为36.7%,治疗组高于对照组,差异有统计学意义(P<0.05)。治疗组治疗后SAA、TNF-β、IL-6水平低于对照组,差异有统计学意义(P<0.05)。治疗组治疗后甲状腺肿痛消失时间、血沉恢复正常时间、甲状腺摄碘率恢复正常时间短于对照组,差异有统计学意义(P<0.05)。治疗组有效率为100%,1年后复发率为3.6%,对照组有效率为90.9%,1年后复发率为16.4%,治疗组有效率高于对照组,1年后复发率低于对照组,差异有统计学意义(P<0.05)。结论:揿针治疗亚急性甲状腺炎,可以更快缓解患者临床症状,改善中医证候,降低SAA、TNF-β、IL-6水平和复发率。 展开更多
关键词 亚急性甲状腺炎 揿针 双氯芬酸钠缓释片
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卡马西平联合双氯芬酸钠片对脑外伤术后患者镇痛和精神状况的影响
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作者 汪德秀 王丰 《中国药物应用与监测》 CAS 2024年第2期118-121,共4页
目的探讨卡马西平联合双氯芬酸钠片对脑外伤术后镇痛效果和精神状况的影响。方法选择2022年5月—2023年6月在温州市中西医结合医院接受手术治疗的外伤性颅脑损伤患者86例,按照随机数字表法分为观察组(43例)与对照组(43例)。两组患者均... 目的探讨卡马西平联合双氯芬酸钠片对脑外伤术后镇痛效果和精神状况的影响。方法选择2022年5月—2023年6月在温州市中西医结合医院接受手术治疗的外伤性颅脑损伤患者86例,按照随机数字表法分为观察组(43例)与对照组(43例)。两组患者均给予术后镇痛治疗,对照组给予双氯芬酸钠片进行术后镇痛,观察组给予卡马西平联合双氯芬酸钠片进行术后镇痛,两组患者均连续治疗7 d。两组患者术后各时间段(术后第1、3、5、7天)采用视觉模拟量表(VAS)法进行疼痛评分,采用Ramsay镇静评分法进行躁动情况评分,采用汉密尔顿抑郁量表(HAMD)进行抑郁评分。比较两组患者各时间段的评分情况,观察并记录患者用药期间的不良反应。结果两组患者术后第1天VAS评价相近(P>0.05),观察组患者术后第3、5、7天VAS分别为(4.26±1.20)分、(3.45±1.07)分、(1.76±1.18)分,低于对照组的(5.44±1.52)分、(4.82±1.23)分、(3.14±1.16)分(P<0.05)。两组患者术后第1天Ramsay镇静评分、HAMD评价均相近(均P>0.05),观察组患者术后第3、5、7天Ramsay镇静评分分别为(1.98±0.53)分、(2.52±0.43)分、(2.74±0.37)分,高于对照组的(1.62±0.49)分、(1.91±0.48)分、(2.21±0.42)分(P<0.05),HAMD分别为(20.47±4.01)分、(15.67±2.32)分、(8.49±1.14)分,低于对照组的(22.88±3.98)分、(17.64±2.48)分、(9.46±1.24)分(P<0.05)。两组患者的不良反应均较为轻微,且无因药物不耐受而中止治疗者。观察组总不良反应发生率为23.26%,与对照组的18.60%比较差异无统计学意义(χ^(2)=0.281,P=0.596)。结论卡马西平联合双氯芬酸钠片用于脑外伤术后患者能有效降低患者VAS评分,两者镇痛的协同作用使得术后镇痛效果更加显著;且有助于缓解患者术后抑郁情绪,安全可靠。 展开更多
关键词 脑外伤手术 卡马西平 双氯芬酸钠 疼痛
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舒筋通络法推拿联合双氯芬酸钠治疗肩周炎疗效观察
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作者 张湛 钟萍 孙鲁琨 《山东中医杂志》 2024年第1期59-64,共6页
目的:观察舒筋通络法推拿联合双氯芬酸钠治疗肩周炎的疗效。方法:将280例肩周炎患者按随机数字表法分为观察组和对照组各140例。对照组给予双氯芬酸钠治疗,同时配合肩部功能锻炼,观察组在对照组基础上联合舒筋通络法推拿治疗,两组均治疗... 目的:观察舒筋通络法推拿联合双氯芬酸钠治疗肩周炎的疗效。方法:将280例肩周炎患者按随机数字表法分为观察组和对照组各140例。对照组给予双氯芬酸钠治疗,同时配合肩部功能锻炼,观察组在对照组基础上联合舒筋通络法推拿治疗,两组均治疗4周。观察两组治疗前后肩关节功能、肩关节活动度、简化版McGill疼痛问卷(SF-MPQ)评分、实验室指标[P物质(SP)、前列腺素E_(2)(PGE_(2))、5-羟色胺(5-HT)]的变化情况,并评估疗效。结果:治疗后,两组疼痛评分、关节活动度(ROM)评分、日常生活能力(ADL)评分、肌力评分、肩关节局部形态(LF)评分、肩关节功能评价量表总分、肩关节活动度均改善(P<0.05),且观察组优于对照组(P<0.05)。治疗后,两组疼痛分级指数(PRI)评分、视觉模拟评分法评分(VAS)、当前疼痛强度(PPI)评分,以及SP、PGE_(2)、5-HT水平均低于治疗前(P<0.05),且观察组低于对照组(P<0.05)。观察组总有效率94.29%,对照组87.14%,观察组疗效优于对照组(P<0.05)。结论:舒筋通络法推拿联合双氯芬酸钠治疗可改善肩周炎患者的肩关节功能,增加肩关节活动度,减少疼痛介质的分泌,缓解肩关节疼痛。 展开更多
关键词 舒筋通络法推拿 双氯芬酸钠 肩周炎 肩关节功能 肩关节活动度 P物质 前列腺素E_(2) 5-羟色胺
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右旋布洛芬栓对输尿管结石所致肾绞痛的临床疗效研究
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作者 林发澄 《中国现代药物应用》 2024年第11期118-121,共4页
目的探究右旋布洛芬栓对输尿管结石所致肾绞痛的临床疗效及安全性。方法选取64例确诊为输尿管结石所致肾绞痛患者,以随机数字表法分为对照组和观察组,每组32例。两组均给予氢溴酸山莨菪碱治疗,在此基础上,对照组给予双氯芬酸钠栓治疗,... 目的探究右旋布洛芬栓对输尿管结石所致肾绞痛的临床疗效及安全性。方法选取64例确诊为输尿管结石所致肾绞痛患者,以随机数字表法分为对照组和观察组,每组32例。两组均给予氢溴酸山莨菪碱治疗,在此基础上,对照组给予双氯芬酸钠栓治疗,观察组给予右旋布洛芬栓治疗。比较两组患者临床疗效、症状缓解时间(疼痛开始缓解时间、疼痛完全缓解时间)、血清中炎症因子[血清白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)]、不良反应发生情况。结果对照组总有效率为96.88%,观察组总有效率为90.63%。两组患者临床总有效率比较无统计学差异(χ^(2)=1.067,P=0.302>0.05)。对照组疼痛开始缓解时间为(18.73±3.12)min,观察组疼痛开始缓解时间为(12.67±2.91)min,两组相比具有统计学差异(t=8.035,P=0.000<0.05)。对照组疼痛完全缓解时间为(34.12±3.04)min,观察组疼痛完全缓解时间为(24.62±4.81)min,两组相比具有统计学差异(t=9.444,P=0.000<0.05)。与治疗前相比,两组患者治疗后血清中IL-6、TNF-α、IL-1β水平均明显降低(P<0.05);治疗后,与对照组的(4.67±0.37)、(20.01±2.01)、(2.86±0.15)pg/ml相比,观察组血清中IL-6(4.10±0.15)pg/ml、TNF-α(16.25±3.17)pg/ml、IL-1β(2.11±0.17)pg/ml显著降低(P<0.05)。两组患者不良反应发生率比较无统计学差异(χ^(2)=0,P=1>0.05)。结论对于输尿管结石所致肾绞痛患者应用右旋布洛芬栓在疼痛症状改善、降低机体炎症反应方面优于双氯芬酸钠栓,且安全性可控,值得临床推广。 展开更多
关键词 输尿管结石 肾绞痛 右旋布洛芬栓 双氯芬酸钠 炎症因子
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间苯三酚联合双氯芬酸钠栓在孕早期人工流产中的应用效果
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作者 郑惠芬 《中国医药指南》 2024年第11期20-22,共3页
目的探讨间苯三酚联合双氯芬酸钠栓在孕早期人工流产中的应用效果。方法将2022年1月—2023年12月我院妇产科行孕早期人工流产176例孕妇进行研究。分组方法选择随机数字表法,分成两组,各88例。对照组:双氯芬酸钠栓辅助干预。观察组:间苯... 目的探讨间苯三酚联合双氯芬酸钠栓在孕早期人工流产中的应用效果。方法将2022年1月—2023年12月我院妇产科行孕早期人工流产176例孕妇进行研究。分组方法选择随机数字表法,分成两组,各88例。对照组:双氯芬酸钠栓辅助干预。观察组:间苯三酚联合双氯芬酸钠栓辅助干预。观察对比两组手术时间、术中出血量、镇痛效果、Kolcaba舒适状况量表评分、扩宫效果(宫口松弛度)、并发症发生情况。结果与对照组比较,观察组手术时间较短,术中出血量较少(P<0.05);观察组镇痛VAS评分、并发症发生率相比对照组较低(P<0.05);观察组术后Kolcaba舒适状况量表评分、扩宫效果(宫口松弛度)总有效率相比对照组较高(P<0.05)。结论间苯三酚联合双氯芬酸钠栓在孕早期人工流产中应用能够缩短孕妇的手术时间,减少术中出血量,镇痛效果明显,舒适度较高,且宫颈软化效果较好,孕妇术后人工流产综合征等并发症发生率较低。 展开更多
关键词 人工流产 孕早期 间苯三酚 双氯芬酸钠栓
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非布司他联合双氯芬酸钠缓释片治疗痛风性关节炎伴高尿酸血症的疗效和安全性
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作者 曾怡春 郑风慧 何成光 《当代医学》 2024年第3期64-67,共4页
目的探讨非布司他联合双氯芬酸钠缓释片治疗痛风性关节炎伴高尿酸血症患者的疗效和安全性。方法选取2020年10月至2021年10月抚州市妇幼保健院收治的62例痛风性关节炎伴有高尿酸血症患者作为研究对象,随机分为对照组与观察组,每组31例。... 目的探讨非布司他联合双氯芬酸钠缓释片治疗痛风性关节炎伴高尿酸血症患者的疗效和安全性。方法选取2020年10月至2021年10月抚州市妇幼保健院收治的62例痛风性关节炎伴有高尿酸血症患者作为研究对象,随机分为对照组与观察组,每组31例。对照组给予双氯芬酸钠缓释片治疗,观察组给予非布司他联合双氯芬酸钠缓释片治疗。比较两组治疗前后临床症状、炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)]水平、临床疗效和不良反应发生情况。结果治疗后,观察组关节肿胀、关节疼痛和关节活动受限评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组TNF-α、IL-6、IL-1β水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为96.77%,高于对照组的70.97%,差异有统计学意义(P<0.05);两组不良反应发生率比较差异无统计学意义。结论非布司他联合双氯芬酸钠缓释片治疗痛风性关节炎伴高尿酸血症患者疗效显著,可改善患者炎症因子水平,促进免疫功能恢复平衡状态,缓解临床症状,安全性较高,值得临床推广应用。 展开更多
关键词 非布司他 双氯芬酸钠缓释片 痛风性关节炎 高尿酸血症 不良反应
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痛风性关节炎急性发作期对症治疗的效果及安全性研究
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作者 王黎锋 王珂 +3 位作者 张佳佳 位付涛 韩延明 谢素丽 《中国实用医药》 2024年第2期114-117,共4页
目的 探讨痛风性关节炎(GA)急性发作期对症治疗的疗效及安全性。方法 选取97例痛风性关节炎急性发作患者,随机分为A组(33例)、B组(33例)、C组(31例)。A组采用滑膜炎颗粒治疗,B组采用双氯芬酸钠缓释片治疗,C组采用氨酚双氢可待因治疗。... 目的 探讨痛风性关节炎(GA)急性发作期对症治疗的疗效及安全性。方法 选取97例痛风性关节炎急性发作患者,随机分为A组(33例)、B组(33例)、C组(31例)。A组采用滑膜炎颗粒治疗,B组采用双氯芬酸钠缓释片治疗,C组采用氨酚双氢可待因治疗。对比三组患者治疗前后视觉模拟评分法(VAS)评分、白细胞计数(WBC)、C反应蛋白(CRP)和红细胞沉降率(ESR)及胃肠道反应发生情况。结果 三组治疗前VAS评分对比无统计学意义(P>0.05);治疗后,三组患者的VAS评分均较治疗前下降,且C组VAS评分(1.06±1.03)分低于A组的(2.87±1.69)分和B组的(1.96±0.94)分,B组低于A组,对比有统计学意义(P<0.05)。治疗后,A组和C组胃肠道反应发生率分别为12.12%、19.35%,均低于B组的42.42%,数据有统计学意义(P<0.05)。治疗前三组的WBC、CRP、ESR对比均无统计学意义(P>0.05);治疗后三组的WBC、CRP、ESR均较治疗前下降,且B组CRP(5.60±2.26)mg/L和C组CRP(5.77±2.23)mg/L低于A组的(8.63±3.72)mg/L,数据对比有统计学意义(P<0.05);治疗后三组的WBC、ESR对比数据无统计学意义(P>0.05)。结论 对于痛风性关节炎急性发作患者,氨酚双氢可待因止痛效果优于滑膜炎颗粒和双氯芬酸钠缓释片,但双氯芬酸钠缓释片胃肠道反应高于滑膜炎颗粒及氨酚双氢可待因,临床可根据患者具体情况选择用药。 展开更多
关键词 痛风性关节炎 急性发作 滑膜炎颗粒 双氯芬酸钠缓释片 氨酚双氢可待因
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