In this study,six kinetics models of indomethacin hydrophilic gel patch transdermal in vitro release was established,including zero-level,first-order,Higuchi-level,Ritger-Peppas,Weibull and Hixcon-Crowell dynamic equa...In this study,six kinetics models of indomethacin hydrophilic gel patch transdermal in vitro release was established,including zero-level,first-order,Higuchi-level,Ritger-Peppas,Weibull and Hixcon-Crowell dynamic equations.The chemical permeation enhancers,including 3%and 5%Azone,and iontophoresis were used as the control.Transdermal diffusion tests were performed in vitro and indomethacin was quantified by high performance liquid chromatography system.The transdermal parameter of the Higuchi and Weibull dynamic equations,indicated that Fu’s cupping therapy(FCT)could significantly improve Higuchi and Weibull kinetic parameters in vitro transdermal,increased transdermal rate and permeability coefficient,reduced lagging time.Additionally,statistical analysis speculated the skin barrier function could be restored after 46 h treatment.Hence,as a new physical transdermal drug delivery technology,transdermal permeation effects produced by FCT are obvious,which has the characteristics of traditional Chinese medicine and has important clinical application value.展开更多
目的:通过参与化疗所致恶心呕吐(chemotherapy induced nausea and vomiting,CINV)规范化治疗病房的创建,探索临床药师应用"合作药物治疗管理(collaborative drug therapy management,CDTM)"工作模式在CINV规范化管理中的作...目的:通过参与化疗所致恶心呕吐(chemotherapy induced nausea and vomiting,CINV)规范化治疗病房的创建,探索临床药师应用"合作药物治疗管理(collaborative drug therapy management,CDTM)"工作模式在CINV规范化管理中的作用。方法:2019年8月,福建省立医院(以下简称"我院")开始构建以临床药师为主导的CDTM化疗患者无恶心呕吐管理工作模式,对首次接受化疗患者的CINV进行全面管理,通过建档、制订个体化止吐方案,提供药学监护、用药教育等方式,参与患者CINV的治疗。收集2019年6—12月就诊于我院肿瘤内科患者的信息,比较CDTM模式实施前后肿瘤化疗患者CINV发生情况。结果:共纳入130例初诊为肿瘤首次接受化疗的患者,其中CDTM模式实施前(2019年6—7月)34例,CDTM模式实施后(2019年8—12月)96例。与CDTM模式实施前比较,临床药师采用CDTM模式后,患者的CINV总发生率和严重程度均明显降低,差异均有统计学意义(P<0.05),特别是高中度致吐风险患者的CINV发生率明显降低;另外,患者的呕吐功能性生活指数明显提高,差异有统计学意义(P<0.05)。结论:临床药师通过CDTM工作模式,可在CINV规范化治疗过程中发挥积极的作用,值得推广。展开更多
基金This work was supported by the Projects[NO.20154030 and NO.(2017)5655]from the Science and Technology Department of Guizhou Province and the National Natural Science Foundation of China(No.81873020).
文摘In this study,six kinetics models of indomethacin hydrophilic gel patch transdermal in vitro release was established,including zero-level,first-order,Higuchi-level,Ritger-Peppas,Weibull and Hixcon-Crowell dynamic equations.The chemical permeation enhancers,including 3%and 5%Azone,and iontophoresis were used as the control.Transdermal diffusion tests were performed in vitro and indomethacin was quantified by high performance liquid chromatography system.The transdermal parameter of the Higuchi and Weibull dynamic equations,indicated that Fu’s cupping therapy(FCT)could significantly improve Higuchi and Weibull kinetic parameters in vitro transdermal,increased transdermal rate and permeability coefficient,reduced lagging time.Additionally,statistical analysis speculated the skin barrier function could be restored after 46 h treatment.Hence,as a new physical transdermal drug delivery technology,transdermal permeation effects produced by FCT are obvious,which has the characteristics of traditional Chinese medicine and has important clinical application value.
文摘目的:通过参与化疗所致恶心呕吐(chemotherapy induced nausea and vomiting,CINV)规范化治疗病房的创建,探索临床药师应用"合作药物治疗管理(collaborative drug therapy management,CDTM)"工作模式在CINV规范化管理中的作用。方法:2019年8月,福建省立医院(以下简称"我院")开始构建以临床药师为主导的CDTM化疗患者无恶心呕吐管理工作模式,对首次接受化疗患者的CINV进行全面管理,通过建档、制订个体化止吐方案,提供药学监护、用药教育等方式,参与患者CINV的治疗。收集2019年6—12月就诊于我院肿瘤内科患者的信息,比较CDTM模式实施前后肿瘤化疗患者CINV发生情况。结果:共纳入130例初诊为肿瘤首次接受化疗的患者,其中CDTM模式实施前(2019年6—7月)34例,CDTM模式实施后(2019年8—12月)96例。与CDTM模式实施前比较,临床药师采用CDTM模式后,患者的CINV总发生率和严重程度均明显降低,差异均有统计学意义(P<0.05),特别是高中度致吐风险患者的CINV发生率明显降低;另外,患者的呕吐功能性生活指数明显提高,差异有统计学意义(P<0.05)。结论:临床药师通过CDTM工作模式,可在CINV规范化治疗过程中发挥积极的作用,值得推广。
