Research Status of Serum Pharmacology and Serum Pharmacochemistry of Traditional Chinese Medicine

Serum pharmacochemistry of traditional Chinese medicine has become a more accurate and rapidly developing reasonable way to analyze the effective material basis of traditional Chinese medicine in recent years. Through this method, we can select very complex Chinese medicine components and clarify the effective substances consistent with the main functions, and then separate and purify effective ingredients in traditional Chinese medicine, so as to explain the material basis of the drug effect and prove the rationality and principle of action of Chinese medicine compounds. It can show the multi-component and multi-target characteristic of traditional Chinese medicine, and after analyzing the migrating components of serum, we can explore the direct effective substances that act on the patient’s body, so as to accelerate and accurately complete the in-depth study of the effective substances of Chinese medicine.

Emergent Serum Therapy and Antibody Medicine to Counteract Sudden Attacks of COVID-19 and Other Pathogenic Epidemics

The science behind two life-saving protocols to combat COVID-19 and future pathogenic epidemics is presented for immediate implementation.

Clinical Observation of Zhuang Medicine Crystal Sugar Ye'An Decoction in Treating Senile Skin Pruritus and Its Effects on Serum lgE

Objective:To discuss the specific application of Zhuang Medicine Crystal Sugar Ye'An Decoction in senile skin pruritus and its effects on serum IgE detection level.Methods:90 patients with senile skin pruritus admitted to our hospital from February 2019 to April 2020 were randomly grouped.The general treatment effect,itching,secondary skin lesion severity,sernum IL-6,IgE level and adverse reactions between 45 patients treated with Chlorcyclizine Hydrochloride Tablets(The control group)and 45 patients treated with Crystal Sugar Ye'An Decoction were compared.Results:The total effective rate of the treatment in the observation group was 93.33%,much higher than that in the control group,75.56%.The difference was verified and statistically significant(P<0.05).Before the treatment,the itching area,frequency,duration and severity of secondary skin lesions were at the same level(P>0.05).After the treatment,the above data were all reduced,and the reduction of the observation group was more significant than that of the control group,indicating the difference was statistically significant(P<0.05).Before the treatment,there was no difference in serum IL-6 and IgE test data between the two groups(P>0.05).After the treatment,the tendency all declined,and that of the observation group was more obvious,indicating the difference was statistically significant(P<0.05).During the experiment,no obvious adverse reactions were observed in both groups.Conclusion:In the treatment of patients with senile pruritus,the application of Zhuang Medicine Crystal Sugar Ye’An Decoction is not only safe and reliable,but can promote the improvement of patients'symptoms,adjust the level of inflammatory factors,and enhance clinical efficacy.

Differentially Expressed Serum Protein Profiling in Esophageal Squamous Cell Carcinoma Patients with Different Chinese Medicine Syndromes

Objective:Esophageal carcinoma is the eighth most common malignant tumor and ranked the sixth cause of death in the worldwide careinoma.To find out effective serum markers for early diagnosis and targeted treatment is important to improve esophageal carcinoma survival rate.The aim of this study was to screen differ-entially expressed serum protein profiling in esophageal squamous cell careinoma(ESCC)patients with differ-ent Chinese medicine syndrome and establish ESCC syndrome diagnosis model,to explore the signifcance of ESCC serum differential protein in traditional Chinese medicine(TCM)syndrome diagnosis and provide exper-imental and theoretical basis for the diagnosis,clinical treatment of ESCC.Methods:Serum specimens of 80 ES-CC patients with different syndrome and 20 healthy people were selected according to distribution of their sex and age.Magnetic beads based weak cation exchange combined w ith matrix-assist ed laser desorption/ionization time-of-flight mass spectrometry prot eomic technology and Autoflex Analysis and ClinProTools software were applied to screen differentially expressed serum protein profiling.Then establishing each syndrome group diag-nosis model and verifying with new samples to evaluate the diagnosis value of each syndrome group diagnosis model.Results:18 significantly differential expression protein peaks were screened between the whole ESCC patients sera and the healthy control group.Compared with normal control group,among which,ten were signif-cant down-regulation with m/z values of4210,4267,4054,4248,2106,4091,2991,5337,3952,822,and eight were significant up-regulation with m/z values of 2900,2883,1467,1617,2862,2600,895,811.There were 16,12,11,15 differentially expressed protein peaks in phlegm and qi stagnat ion syndrome(Group P),fluid insufficiency and heat agglomeration syndrome(Group F),blood stasis syndrome(Group B),qi and yang deficiency syndrome(Group Q),respectively.Protein with m/z of4210,4091,4054 and 5337 presen-ted obviously low expression in all syndrome groups,while protein with m/z of2883,1617 presented obvious-y high expression.Protein with m/z of 4644 is an obvious and significative biomarker in the comparison of dif-ferent syndrome of ESCC.Establishing ESCC each syndrome serum different ial protein profiling diagnosis mod-el showed that the specificity and veracity in four syndrome groups were all≥80.00%.Conclusion:Our study achieved differentially expressed protein profiling in ESCC patients with different TCM syndromes,established relatively high sensitivity and specificity of different syndrome of ESCC serum differential protein profiling diag-nosis model,which implied the screened syndrome related serum differential expression protein in TCM syn-drome differentiation and diagnosis had great clinical meaning,could be the assistant diagnosis biomarker of ESCC.

Effects of Chinese Medicine Additive on Promoting Production of Meat Hybrid Chicken and Its Action Mechanism

[ Objective] The aim was to study the effects of Chinese medicine additive HMS on promoting the production of meat hybrid chicken and its action mechanism, so as to provide a scientific basis for the promotion effects of Chinese medicine additive on production. [ Method] Meat hybrid chickens, 7 day-old with similar weight, were randomly divided into four groups. And Chinese medicine feed additive HMS was added to the diet of each group at different proportions. All the chickens were weighed before the test as well as at the end of the 2nd, 3rd, 4^th and 5^th week. The feed consumption was also recorded during the test. Before slaughter, serum samples were collected from the randomly selected chickens for the deter- mination of serum biochemical indexes. Their bursae of Fabdcius and spleens were collected and weighed in order to determine the indexes, of im- mune organs. [ Result] HMS significantly reduced the feed conversion ratio （ P 〈 0.05 ）, very significantly reduced the feed consumptioh （ P 〈 0.01 ）, very significantly improve the content of serum high-density lipoprotein （ P 〈 0.01 ）, significantly increased the activity of serum alkaline phos- phatase （ P 〈 0.05）, very significantly reduced the content of serum urea nitrogen and uric acid （ P 〈 0.01 ）, and significantly reduced the level of serum cholesterol （ P 〈0.05）. There were no significant difference between the test groups and the control group （ P 〉 0.05） in the increase of im- mune organ indexes, but the index of immune organs has increasing trend. [ Conclusion] HMS reduces feed consumption and feed conversion rati- o, improves the feed utilization, and has a role in promoting production. The possible mechanism may be HMS improving the activity of serum alka- line phosphatase and the level of serum high-density lipoprotein, as well as reducing the content of serum cholesterol, urea nitrogen and uric acid in meat hybrid chickens.

How do Chinese medicines that tonify the kidney inhibit dopaminergic neuron apoptosis?

Wistar rats were intragastrical y perfused with Chinese medicines used for tonifying the kidney. These included 0.180 g/mL of Herba Epimedi （Epimedium）, Semen Cuscutae （Dodder Seed）, or Herba Cistanches （Desertliving Cistanche）, 0.04 mg/mL monoamine oxidase-B inhibitor selegiline, or distil ed water for 14 consecutive days to prepare drug-containing serum or blank serum. MES23.5 cells in the logarithmic phase were cultured in media supplemented with 15%drug-containing serum for 24 hours, fol owed by incubation in culture solution containing 100μmol/L H2O2 for 3 hours. 3-（4,5-Dimethylthiazol-2-yl）-2,5-diphenyltetrazolium bromide （MTT） and flow tometry results showed that al drug-containing serums improved the survival rate of H 2 O 2-injured MES23.5 cells, inhibited pro-apoptotic FasL and caspase-3 expression, promoted anti-apoptotic Bcl-2 expression. However, drug-containing serums had little influence on Fas expression in H 2 O 2-injured MES23.5 cells. Enzyme-linked immunosorbent assay results showed that serum containing Herba Cistanches or Herba Epimedi increased the expression of nerve growth factor, brain-derived neurotrophic factor, and glial cellline-derived neurotrophic factor in injured MES23.5 cells;serum containing Semen Cuscutae only increased brain-derived neurotrophic factor expres-sion; while expression of the above neurotrophic factors remained the same in cells treated with serum containing selegiline. These findings indicate that Chinese medicines used to tonify the kid-ney can protect nerve cells by regulating the expression of apoptosis-related factors and neuro-trophic factors in MES23.5 cells.

Shuyusan-containing serum protects SH-SY5Y cells against corticosterone-induced impairment

The Chinese herb Shuyusan, whose main constituent is jasminoidin, has been shown to protect SH-SY5Y cells against corticosterone-induced damage. SH-SY5Y cells injured by 400 μmol/L cor- ticosterone were treated with 5 and 30 μg/mL Shuyusan-containing serum. Results revealed that Shuyusan-containing serum elevated the survival rate of SH-SY5Y cells, reduced Bax expression, increased Bcl-2 expression, markedly elevated brain-derived neurotrophic factor mRNA expression, and blocked cell apoptosis. Moreover, the effect of high-dose （30 μg/mL） Shuyusan-containing se- rum was more remarkable. Therefore, Shuyusan-containing serum appears to protect SH-SY5Y cells against corticosterone-induced impairment by adjusting the expression of apoptosis-associ- ated proteins and brain-derived neurotrophic factor. Moreover, high-dose Shuyusan-containing se- rum has a protective effect on high-dose corticosterone-induced impairment.

EFFECTS OF MEDICINAL MOXIBUSTION ON SERUM GASTRIN,URINARY D-XYLOSE EXCRETORY RATE AND T CELL SUBGROUPS IN SPLEEN DEFICIENCY PATIENTS

The medicinal moxa stick made by moxa wool combining with Chinese medicines of supporting the body resistance and strengthening the spleen was used to treat 74 cases of spleen deficiency, the other 41 patients as control were treated by pure moxa stick. After treatment, the serum gastrin, urinary D - xylose excretory rate and T cell subgroups in patients with spleen deficiency have been greatly improved as compared with those before treatment in two groups (P< 0.01 or 0.05). Comparing the changes of the indexes between treatment group and control group, there were significant(P<0.05), or markedly significant(P<0.01) differences. It indicated that the medicinal moxibustion could improve the secreting and absorbing functions of digestive tract and the cellular immune function in patients with spleen deficiency.

Effects of Additives of Traditional Chinese Medicine on Blood Biochemical Indices of Wenchang Chickens in Hainan

[Objective]The aim was to study on effects of additives of traditional Chinese medicines on biochemical indices of blood of Wenchang chickens in Hainan. [Method]About 180 female Wenchang chickens were divided into five groups at random with three repetitions for every group and twelve chickens for a repetition. Group 1 was control group and the chickens were fed with basic forages; the 2nd group was control group of antibiotics and the chickens were fed with basic forages and 600 mg /kg of aureomycin; group 3,4 and 5 contained 0. 1%,0. 2% and 0. 3% of the additives respectively,besides basic forages. Chickens at average weight were chosen six from every group on 35th and 56th days,respectively, to prepare serums for biochemical indices of bloods and analyze effects of additives on the indices. [Result]Serum cholinesterase activity and albu- min content were both improved by 0. 1%,0. 2% and 0. 3% of the additives （ P 〈0. 05） ; activity of alkaline phosphatase was enhanced,and serum cholesterol was lowered both by 0. 2% and 0. 3% of the additives （ P 〈0. 05） . [Conclusion]Additives of traditional Chinese medicines have an ac- tive effect on blood biochemical indices of Wenchang chickens.

Effects of ginger moxibustion combined with Chinese medicine iontophoresis on patients with primary dysmenorrhea

Objective:To observe the effects of Ginger moxibustion combined with iontophoresis with traditional Chinese medicine on the improvement of symptoms, serum platelet activating factor (PAF) level and uterine artery pulsation index in patients with primary dysmenorrhea.Methods 114 patients with primary dysmenorrhea who were treated in our hospital from August 2017 to February 2019 were divided into two groups according to the different treatment schemes. 57 patients in the control group were treated with ibuprofen capsules, and 57 patients in the study group were treated with Ginger moxibustion combined with iontophoresis with traditional Chinese medicine. After three menstrual cycles of treatment, the curative effect was evaluated and the improvement of symptoms was counted. PAF, PAF-AH and platelet adhesion rate were compared, uterine artery hemodynamics was measured, and levels of serum hs-CRP and IL-6 were measured.Results The overall response rate of the study group was significantly higher than that of the control group (P < 0.05). After treatment, the scores of different symptoms in the two groups were significantly lower than those before treatment (P < 0.05), and the scores of different symptoms in the study group were significantly lower than those in the control group (P < 0.05). After treatment, PAF and platelet adhesion rate in the two groups were significantly lower than those before treatment (P < 0.05), PAF-AH was significantly higher than that before treatment (P < 0.05), and PAF and platelet adhesion rate in the study group were significantly lower than those in the control group (P < 0.05), PAF-AH was significantly higher than that in the control group (P < 0.05). After treatment, the pulsation index, resistance index and peak systolic-diastolic ratio in the study group were significantly lower than those before treatment (P < 0.05), and the pulsation index, resistance index and peak systolic-diastolic ratio in the study group were significantly lower than those in the control group (P < 0.05). After treatment, the levels of serum hs-CRP and IL-6 in the two groups were significantly lower than those before treatment (P < 0.05), and the levels of serum hs-CRP and IL-6 in the study group were significantly lower than those in the control group (P < 0.05).Conclusions Ginger moxibustion combined with iontophoresis with traditional Chinese medicine is helpful to improve the overall response rate of primary dysmenorrhea treatment, reduce the score levels of different symptoms, rationally improve PAF, PAF-AH, platelet adhesion rate, and the pulse index, resistance index, peak systolic-diastolic ratio are decreased significantly, and serum hs-CRP and IL-6 levels tend to be normal.

复方中草药制剂对林下绿壳蛋乌鸡产蛋性能、蛋品质和血清生化指标的影响

本研究旨在探究日粮中添加不同水平的复方中草药制剂对林下绿壳蛋乌鸡产蛋性能、蛋品质、血清生化指标的影响。选取520日龄健康、体质量接近的绿壳蛋乌鸡560羽,随机分成4组,分别为对照组和试验Ⅰ组、Ⅱ组、Ⅲ组。对照组饲喂基础日粮,试验Ⅰ组、Ⅱ组、Ⅲ组分别在基础日粮中添加0.5%、1.0%、1.5%的复方中草药制剂,试验期45 d。结果显示,日粮中添加不同水平的复方中草药制剂对林下绿壳蛋乌鸡的平均蛋重、平均产蛋率、绿壳蛋破损率有显著影响,其中Ⅱ组平均蛋重显著高于对照组(P<0.05),Ⅰ组、Ⅱ组平均产蛋率显著高于对照组(P<0.05),Ⅱ组绿壳蛋破损率显著低于对照组(P<0.05);日粮中添加不同水平的复方中草药制剂对绿壳蛋蛋黄相对重、蛋白高度、蛋黄水分含量、蛋黄指数及哈氏单位有显著影响,其中Ⅱ组绿壳蛋蛋黄相对重显著高于对照组(P<0.05),Ⅰ组、Ⅱ组、Ⅲ组绿壳蛋蛋白高度显著高于对照组(P<0.05),Ⅱ组、Ⅲ组绿壳蛋水分含量显著低于对照组和Ⅰ组(P<0.05),Ⅱ组绿壳蛋蛋黄指数显著高于对照组、Ⅰ组、Ⅲ组(P<0.05),Ⅱ组绿壳蛋哈氏单位显著高于对照组和Ⅲ组(P<0.05);日粮中添加不同水平的复方中草药制剂对林下绿壳蛋乌鸡的血清总蛋白(TP)、球蛋白(GLO)、丙氨酸氨基转移酶(ALT)、胆固醇(TC)和甘油三酯(TG)有显著影响,其中Ⅰ组、Ⅱ组血清TP含量显著高于对照组(P<0.05),Ⅰ组、Ⅱ组、Ⅲ组血清GLO含量显著高于对照组(P<0.05),Ⅲ组血清ALT活性显著高于对照组和Ⅰ组(P<0.05),Ⅱ组血清TC和TG含量显著高于对照组(P<0.05)。综上,日粮中添加不同水平的复方中草药制剂能改善绿壳蛋乌鸡的产蛋性能、蛋品质及血清生化指标,且以1.0%添加量的复方中草药制剂效果最佳。

基于循证医学理念的护理应用于重症急性胰腺炎患者的价值及对其生命质量的影响

目的分析基于循证医学理念的护理应用于重症急性胰腺炎患者的价值及对其生命质量的影响。方法选取2019年7月至2021年7月无锡市人民医院消化内科收治的100例重症急性胰腺炎患者作为研究对象,按照随机数字表法分为对照组与观察组,每组50例。对照组行常规护理,观察组行基于循证医学理念的护理。比较两组的症状缓解情况、血清康复自我效能指标[WBC、C反应蛋白(CRP)、血淀粉酶(AMS)、血清脂肪酶(LPS)]、希望水平评分及生命质量评分。结果观察组高热、腹部疼痛和腹胀的消失时间及排气恢复时间均短于对照组,差异有统计学意义(P<0.05)。护理后,观察组血清WBC、CRP、AMS、LPS水平均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组积极行动态度、对未来与当前的积极态度、与他人维持亲密关系的积极态度评分及总分均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组标准生理组分、标准心理组分的生命质量评分均高于对照组,差异有统计学意义(P<0.05)。结论基于循证医学理念的护理应用于重症急性胰腺炎患者中的价值显著,有助于缓解患者症状,改善血清指标,提高希望水平及生命质量。

蛋黄油联合清热解毒汤外洗在肛周脓肿术后创面愈合中的应用

目的基于创面肉芽组织中生长因子探讨蛋黄油联合清热解毒中药外洗对肛周脓肿患者术后创面愈合的促进作用。方法选取我院2023年1月至5月收治的80例肛周脓肿手术患者,随机分为对照组和观察组,每组40例。术后3 d,对照组予以清热解毒中药外洗,凡士林纱布换药等常规治疗,观察组在此基础上加用蛋黄油治疗,连续治疗7 d。比较2组临床疗效、临床症状改善情况及不同时间点创面恢复情况、血清炎性细胞因子、创面肉芽组织相关因子表达水平。结果观察组临床总有效率高于对照组(95%vs.75%,P<0.05);观察组创面瘙痒消失、腐肉脱落、新生上皮出现及愈合时间均短于对照组(P<0.05);术后7 d、10 d观察组疼痛程度、创面分泌物、肉芽形态及周围组织水肿评分较对照组显著下降(P<0.05);术后7 d、10 d观察组血清白细胞介素(IL)-1β、IL-8、肿瘤坏死因子-α(TNF-α)水平低于对照组(P<0.05),创面肉芽组织碱性成纤维细胞生长因子-2(FGF-2)、血管内皮细胞生长因子(VEGF)、转化生长因子-β(TGF-β)水平高于对照组(P<0.05)。结论蛋黄油联合清热解毒中药外洗能显著改善肛周脓肿患者的临床症状,促进创面愈合,治疗效果显著,可能与抑制炎性细胞因子表达、促进创面肉芽组织生长因子表达有关。

温针灸配合中药穴位贴敷治疗类风湿关节炎对患者关节功能、血清炎症指标的影响

目的探究温针灸配合中药穴位贴敷治疗类风湿关节炎(RA)对患者关节功能、血清炎症指标的影响。方法选取金乡县人民医院2021年6月—2023年10月收治的70例RA患者为研究对象,按随机数字表法将其分为对照组和观察组,每组35例。对照组采用常规药物治疗,在此基础上,观察组采用温针灸配合中药穴位贴敷治疗,均持续治疗3个月后。比较两组患者的临床疗效、血清炎症指标、关节功能、生活质量及不良反应发生情况。结果观察组的治疗总有效率为94.29%,高于对照组的77.14%,差异有统计学意义(P<0.05)。治疗后,观察组的肿瘤坏死因子-α、C反应蛋白、白细胞介素-6、类风湿因子、红细胞沉降率水平分别为(103.41±13.24)pg/mL、(11.03±1.24)mg/L、(58.52±4.20)pg/mL、(221.42±13.10)IU/mL、(13.42±1.55)mm/L,均低于对照组,组间差异有统计学意义(P<0.05);观察组的关节功能评分为(1.01±0.20)分,低于对照组,世界卫生组织生活质量评定量表简表评分为(87.41±5.73)分,高于对照组,组间差异有统计学意义(P<0.05)。两组的不良反应发生率比较,差异无统计学意义(P>0.05)。结论温针灸配合中药穴位贴敷治疗RA能有效减轻患者炎症反应,改善其关节功能,提升生活质量,且安全性高,可于临床推广。

中草药制剂对肉鸽生长性能、血清生化指标及免疫性能的影响

试验旨在探讨中草药制剂对肉鸽生长性能、血清生化指标及免疫性能的影响。采用单因素试验设计,选择28日龄的健康肉鸽240只,随机分为4组,每组5个重复,每个重复12只肉鸽。CK组饲喂基础饲粮,A组、B组和C组分别在基础饲粮中添加0.010、0.025、0.050 g/kg中草药制剂。预试期7 d,正式试验期30 d。结果显示,B组肉鸽的末重显著高于CK组(P<0.05)。56日龄时,B组肉鸽血清中白蛋白(ALB)含量极显著高于A组(P<0.01),显著高于CK组(P<0.05);B组、C组血清总胆固醇(TC)含量显著高于A组(P<0.05);65日龄时,B组血清总蛋白(TP)含量显著高于CK组(P<0.05),显著高于A组(P<0.05);B组血清ALB含量极显著高于CK组(P<0.01),显著高于A组(P<0.05)。42日龄时,B组血清免疫球蛋白G(IgG)和C组免疫球蛋白M(IgM)含量均显著高于CK组(P<0.05);B组、C组血清补体C3、干扰素-γ (IFN-γ)含量显著高于CK组(P<0.05);65日龄时,B组血清免疫球蛋白A (IgA)、IgM、IgG、白细胞介素-2 (IL-2)含量显著高于CK组(P<0.05);B组血清补体C3、补体C4、IFN-γ、白细胞介素-4 (IL-4)、白细胞介素-6 (IL-6)含量极显著高于CK组(P<0.01)。研究表明,添加中草药制剂能有效改善肉鸽的生长性能和血清生化指标,促进免疫器官发育,增强免疫能力,以0.025 g/kg添加量效果较好。

芍药甘草汤缓急止痛有效部位筛选及其入血成分分析

目的研究芍药甘草汤缓急止痛的药效物质基础。方法通过大鼠离体肠张力实验考察芍药甘草汤全方、芍药甘草汤乙酸乙酯萃取物及其大孔树脂流出部位和大孔树脂90%乙醇洗脱部位(给药质量浓度按生药量计均为13.44 g/mL)的解痉效果。通过小鼠醋酸扭体实验评价大孔树脂流出部位和大孔树脂90%乙醇洗脱部位(给药剂量以生药量计均为2.4 g/kg)的止痛效果,并检测小鼠血清中肿瘤坏死因子α(TNF-α)、白细胞介素1β(IL-1β)、前列腺素E(2 PGE2)、环氧合酶2(COX-2)水平。采用高效液相色谱-飞行时间质谱技术对灌胃大孔树脂90%乙醇洗脱部位后的小鼠血清进行原型成分及代谢产物鉴定。结果大鼠体外实验中,以大孔树脂90%乙醇洗脱部位的解痉效果最好,其小肠张力抑制率显著高于大孔树脂流出部位(P<0.05),且与芍药甘草汤全方比较差异无统计学意义(P>0.05)。小鼠醋酸扭体实验中,与模型组比较,大孔树脂90%乙醇洗脱部位组小鼠的扭体次数显著减少(P<0.05),扭体潜伏期显著延长(P<0.05),且小鼠血清中COX-2、IL-1β、PGE2、TNF-α水平均显著降低(P<0.05)。从血清中共鉴定出包括芍药苷、甘草酸等在内的10种原型成分和包括羟基化甘草苷、葡萄糖醛酸化甘草素等在内的22种代谢产物。结论芍药甘草汤缓急止痛的有效部位为乙酸乙酯萃取物的大孔树脂90%乙醇洗脱部位,甘草酸、芍药苷等10种成分可能是其药效物质基础。

电针结合大承气汤治疗脓毒症胃肠功能障碍(湿热壅滞证)临床观察

目的观察针药结合协同治疗脓毒症胃肠功能障碍(湿热壅滞证)患者的临床疗效。方法患者64例随机分为两组,对照组予西医常规处理,治疗组在此基础上予大承气汤口服、电针(上脘、中脘、双侧天枢、双侧足三里)。治疗7 d后,对比两组疗效及肠道黏膜屏障功能指标、炎症反应水平、胃肠道症状评分、急性生理与慢性健康评分(APACHEⅡ)、序贯器官衰竭估计评分(SOFA)的变化。结果治疗组临床总有效率为93.75%,明显高于对照组75.00%(P<0.05)。治疗后两组患者APACHEⅡ评分、SOFA评分、胃肠道症状评分较治疗前明显降低(P<0.05),且治疗组较对照组明显降低(P<0.05)。治疗后两组患者炎性反应指标C反应蛋白(CRP)、白细胞计数(WBC)、白细胞介素-6(IL-6)、乳酸(Lac)水平均较治疗前降低(P<0.05),且治疗组炎性指标水平均较对照组明显降低(P<0.05)。对照组治疗后肠屏障功能指标肠脂肪酸结合蛋白(IFABP)、二胺氧化酶(DAO)水平较治疗前减少,瓜氨酸(Cit)水平较治疗前升高,但差异无统计学意义(P>0.05)。治疗组治疗后肠屏障功能指标均有改善(P<0.05)。结论在西医常规治疗基础上,针药结合法能够协同促进湿热壅滞型脓毒症胃肠功能障碍患者胃肠动力的恢复,对肠屏障功能具有保护作用,同时可减轻机体炎症反应,改善血清Cit、IFABP、DAO的水平,减轻病情危重程度,避免恶性循环。

基于高效液相色谱-质谱联用技术的脾阴虚糖尿病认知功能障碍大鼠血清代谢组学研究

目的从代谢组学层面上观察脾阴虚(Spleen-Yin deficiency,SD)糖尿病认知功能障碍(Diabetes-associated Cognitive Decline,DACD)大鼠的代谢产物变化,探究脾阴虚糖尿病认知功能障碍潜在标志物及其意义。方法建立SD、DACD及SD-DACD大鼠模型。采用高效液相色谱-四极杆-飞行时间质谱联用技术(High performance liquid chromatography-quadrupole time-of-flight mass spectrometry,HPLC-Q-TOF/MS)对大鼠血清样品的代谢产物进行分析。结果各组大鼠血清代谢存在显著差异。研究建立的代谢物分析方法可以区分SD组、DACD组、SD-DACD组与空白对照(blank control,BC)组,SD组与SD-DACD组,DACD组与SD-DACD组。其中,与BC组大鼠相比,吡哆胺(pyridoxamine)在SD组和SD-DACD组中分别上调约24倍和25倍,在DACD组中则下调约21倍,可将SD组与DACD组、SD-DACD组与DACD组大鼠相区别。吡哆胺可作为一个潜在的生物标志物用于诊断脾阴虚DACD。涉及的苯丙氨酸代谢通路的紊乱主要发生在SD组和SD-DACD组大鼠的差异代谢产物之间。结论吡哆胺和苯丙氨酸代谢途径参与脾阴虚糖尿病认知功能障碍的发病机制,并且可能是脾阴虚和糖尿病认知功能障碍之间相关性的基础。研究结果可为基于代谢组学的SD-DACD筛查及病因研究提供参考资料。

鼻内针刺鼻丘穴、内迎香穴联合中药贴敷治疗过敏性鼻炎疗效及对鼻腔分泌物EOS%、血清总IgE、IL-4及SP水平的影响

目的:探讨鼻内针刺鼻丘穴、内迎香穴联合中药贴敷治疗过敏性鼻炎疗效及对鼻腔分泌物嗜酸性粒细胞百分比(EOS%)、血清总免疫球蛋白E(IgE)、白细胞介素-4(IL-4)及P物质(SP)水平的影响。方法:选取2021年1月~2023年5月在本院门诊接受治疗的过敏性鼻炎患者60例,按治疗方法分为对照组和观察组,每组30例,对照组给予现代治疗方案(温生理盐水鼻腔+氯雷他定片口服+糠酸莫米松气雾剂喷鼻内),观察组基于以上治疗方案再行鼻内针刺联合穴位敷贴治疗,评估两组中医证候疗效,比较两组治疗前及治疗4周后的中医鼻部主要症状积分、鼻腔分泌物EOS%、嗜酸细胞活化趋化因子(eotaxin)含量和血清总IgE、IL-4及SP水平变化。结果:治疗4周后,观察组的中医症候疗效显著优于对照组(P<0.05),总有效率显著高于对照组(P<0.05);治疗4周后,两组喷嚏频发、清水样鼻涕、鼻痒、鼻塞共4项中医鼻部主要症状积分相较于治疗前有显著性降低(P<0.05),两组鼻腔分泌物EOS%、eotaxin含量和血清总IgE、IL-4及SP水平相较于治疗前有显著性降低(P<0.05),以上指标观察组均显著低于对照组(P<0.05)。结论:探讨鼻内针刺鼻丘穴、内迎香穴联合中药贴敷治疗过敏性鼻的中医证候疗效显著,能减轻鼻部症状,抑制鼻腔分泌物EOS%、eotaxin含量和血清总IgE、IL-4及SP水平。

中草药复方添加剂对蛋雏鸡生长性能、血清免疫因子及肠道菌群的影响

试验旨在探讨以桑叶、女贞子、麦冬、蒲公英及马齿苋配伍而成的中草药复方添加剂对蛋雏鸡生长性能、血清免疫因子及肠道菌群的影响。选取960只1日龄健康、体重相近的海兰褐蛋雏鸡随机分成2组,每组5个重复,每个重复96只。对照组饲喂基础日粮,试验组饲喂添加0.2%中草药复方添加剂的基础日粮。试验期42 d。结果显示:与对照组相比,试验组蛋雏鸡22~42日龄平均日增重提高8.53%(P<0.05),平均日采食量与料重比降低6.51%与13.50%(P<0.01);1~42日龄平均日增重提高8.68%(P<0.01),料重比与死淘率分别降低10.37%和55.47%(P<0.01);血清免疫因子IFN-γ与IL-2水平提高33.35%和46.37%(P<0.01);试验组盲肠变形菌门丰度降低31.84%(P<0.05),放线菌门丰度升高82.61%(P<0.05),试验组粪杆菌属丰度升高128.08%(P<0.05);脱硫弧菌属丰度降低53.66%(P<0.01)。综上所述,0.2%中草药复方添加剂可促进蛋雏鸡生长,提高血清免疫因子水平,优化蛋雏鸡的盲肠菌群结构组成。