苦蛇治霉滴耳剂的制备及其临床疗效观察

目的探讨苦蛇治霉滴耳剂的制备工艺与质量控制程序,观察该制剂治疗真菌性外耳道炎的临床疗效。方法采用常规制备工艺将该组方制备为滴耳剂,同时建立质量控制规范操作流程。收集在本院门诊就诊的真菌性外耳道炎患者300例,随机分为观察组160例和对照组140例。所有患者均彻底清洁外耳道,然后各组分别接受不同治疗。对照组患者以4%硼酸酒精滴耳液耳浴,治疗组患者则以苦蛇治霉滴耳剂耳浴,均为每日2次,7d为1疗程,共治疗2疗程。疗程结束后评定两组患者的治疗效果。结果该制剂生产工艺可行,质量控制良好。观察组有效率95.43%,明显优于对照组的有效率80.74%(P<0.01)。结论苦蛇治霉滴耳剂组方合理,质量标准稳定可控,治疗真菌性外耳道炎疗效确切,无明显毒副作用。

治霉控释棒剂的研制与临床疗效观察

目的 :以生物粘附理论为基础 ,使两种物质的界面能较持久、紧密地粘在一起的新制剂。方法 :用紫外分光光度法测定替硝唑含量。结果 :药品含量、药理皮肤刺激性及过敏性实验均符合标准。经临床 86 5例观察证明 ,用药 3个疗程治愈率 ,治疗组分别为 6 8.0 5 %、79.0 8%、91.0 3% ,对照组分别为 6 4.49%、75 .12 %、86 .6 8% ,治疗组明显高于对照组 (P <0 .0 5、P <0 .0 1、P <0 .0 1)。结论 :由于该制剂具有生物粘附性 ,使制剂在粘膜作用处停留时间长 ,增加了药物与粘膜接触的紧密性与持续性 ,有利于药物的吸收 ,疗效高。药物稳定性好、含量准确 ,具有控释作用 。

中药治霉液冲洗治疗霉菌性阴道炎的疗效观察

霉菌性阴道炎是妇科常见病、多发病之一,目前治疗方法很多,但复发率较高,治疗效果不理想. 2000年 8月至 2001年 8月,我科采用中药治霉液冲洗阴道治疗霉菌性阴道炎 43例,取得了满意的疗效,报告如下.

治霉胶囊中主要药材的薄层色谱鉴别

目的建立治霉胶囊的质量标准。方法采用薄层色谱法对处方中的苦参、黄柏、蛇床子等进行定性鉴别。结果在薄层色谱图中检出苦参、黄柏、蛇床子等药材的特征斑点。结论所建立的方法可行,重现性好,能有效地控制该制剂的质量。

自拟治霉汤治疗顽固性霉菌性阴道炎65例

目的:观察治霉汤对顽固性阴道炎的疗效。方法:对65例顽固性霉菌性阴道炎患者,采用治雷汤治疗。结果:治霉汤治疗顽固性霉菌性阴道炎有效率97%。

中药治疗霉菌性阴道炎的观察及护理

目的:通过回顾分析的方法,分析中药治疗霉菌性阴道炎确实疗效满意。方法:对过去3年我院中医科采用中药冲洗阴道治疗霉菌性阴道炎的50例患者,进行对照分析。结果:观察结果显示中药治霉液冲洗治疗霉菌性阴道炎有效率高于对照组碘伏液冲洗治疗。结论:中药治霉液治疗霉菌性阴道炎效果明显优于碘伏液,为霉菌性阴道炎患者带来了福音。

木霉菌在园艺植物上的应用研究进展

木霉是一种重要的生防因子,已成功地用于多种植物真菌病害的生物防治。从木霉菌的抑菌作用机理、诱导抗病性、促进植物生长、转基因工程等方面的研究进展进行综述,并对今后的研究进行展望。

Screening of Saprolegniasis Preventive Drugs for Golden Trout (Oncorhynchus mykiss) Fertilized Eggs During Hatching

In order to screen the effective preventive drugs for saprolegniasis occurred during hatching of the fertilized eggs of golden trout, effects of two kinds of self-made Chinese herbal compounds（AB） and two kinds of chemical bactericides（peroxyacetic acid andhydrogen peroxide, CD） with three disinfection concentrations were compared in this study. The fertilized eggs of golden trout were randomly divided into 13 groups, each group with two parallels of 1 000 eggs. Drugs at high,medium and low concentration were respectively used to immerse the fertilized eggs35 min for disinfection once a day. The numbers of live and dead eggs were recorded each day before disinfection and the numbers of survival eyed eggs were counted in each experimental group after finishing the whole test. The results indicated that all of four kinds of drugs used here had a certain effect on prevention and control of saprolegniasis during hatching of fertilized eggs of golden trout, and also showed a correlation between the concentrations and effects. After the selection of several drugs, we found that group B-medium, C-medium and D-high exhibited the most remarkable effects on control of saprolegniasis. However, careful consideration should be given to chemical drugs residues and their potential hazard to the eyed eggs. Therefore, Chinese herbal compound B was suggested to be used for prevention and control of saprolegniasis to achieve the healthy aquaculture. And the concentration and operation time of Chinese herbal compound B should be strictly controlled when used in disinfection of fertilized eggs.

Diagnosis and Treatment of a Disease Caused by Mixed Infection of Escherichia coli and Arthrinium saccharicola in Bamboo Rats

The feeding amount of bamboo rats in Southern China is increased year by year. Under condition of captive breeding, the occurrence of diseases has also become more and more frequent in bamboo rats. In this paper, the results of mor- phological and biochemical studies showed that the cultural and biochemical charac- teristics of isolated strains are basically the same, and they all have strong pathogenicities to bamboo rats. The disease was diagnosed to be caused by the mixed infection of Escherichia coil and Arthrinium saccharico/a, and it was controlled by corresponding measures.

Prevention of 25% Azoxystrobin Suspending Agent to Cucumber Downy Mildew

[Objective] The aim was to research prevention effects of 25％ azoxys trobin suspending agent to cucumber downy mildew.[Method] The test,including control group and four treatment groups with 450,600,and 750 g/hm2 25％ azoxystrobin suspending agents,and 80％ mancozeb wettable powder,was carried out in 2012 and 2013 consecutively to test the prevention effects of 25％ azoxystrobin suspending agent to cucumber downy mildew.[Result] The prevention effects were significant of 25％ azoxystrobin suspending agent to cucumber downy mildew in the range of 70.0％-83.6％,and it is recommended 25％ azoxystrobin suspending agent at 600 g/hm2 be spread before plants diseased or in initial stage.In the whole stage,it was spread once every 7 d,totaling 3 times.[Conclusion] The research provides references for wide application of 25％ azoxystrobin suspending agent in production.

Effects of Biological Pesticides on Prevention and Treatment of Virus Diseases in Greenhouse Tomato in Autumn

To alleviate the damage of tomato virus diseases, reduce chemical pesticide consumption and residue, and prevent environmental pollution, forecasting, randomized block design and statistical analysis were adopted to conduct field efficacy tests for Lentinan ＋ Gibberellin-heteroauxin-brassinolide （GHB） and Ningnanmycin ＋ GHB. The results showed that when the virus diseases in greenhouse tomato were serious, 0.5% Lentinan AS 3 000 ml ＋ GHB WP 600 g and 8% Ningnanmycin AS 900 ml ＋ GHB WP 600 g per hectare were applied 4 times with an interval of 7 days, and the control effects on the 10th, 17th, 26th and 35th day were above 88%, 87%, 78% and 67%, respectively. The difference in control effect of the two biological pesticides was insignificant, while their control effects were all significantly better than that of moroxydine hydrochloride （CK） ＋ GHB. The obtained results indicated that Lentinan ＋ GHB and Ningnanmycin ＋ GHB were the ideal biological pesticides, which could be used not only for controlling tomato virus diseases, but also for realizing modern, pollution-free, green and organic agricultural production.

Evolution of systemic therapy of advanced hepatocellular carcinoma

Hepatocellular carcinoma (HCC) commonly occurs in hepatitis B endemic areas, especially in Asian countries. HCC is highly refractory to cytotoxic chemotherapy. This resistance is partly related to its tumor biology, pharmacokinetic properties, and both intrinsic and acquired drug resistance. There is no convincing evidence thus far that systemic chemotherapy improves overall survival in advanced HCC patients. Other systemic approaches, such as hormonal therapy and immunotherapy, have also disappointing results. Recently, encouraging results have been shown in using sorafenib in the treatment of advanced HCC patients. In this review, we concisely summarize the evolution of developments in the systemic therapy of advanced HCC.

Study on the Liquid Fermentation Condition of Trichoderma hamatum Th12 Strain

[Objective] The research aimed to study the optimum liquid fermentation condition of Trichoderma hamatum Th12 strain,which provided the theory basis for studying and developing the biological control agent of Trichoderma spp.[Method] By using the diluted soil plate method and the plate confrontation method,Trichoderma hamatum Th12 strain was identified.Moreover,the influences of carbon source,nitrogen source,fermentation time,fermentation temperature,initial pH,inoculation amount,bottling capacity and shaker speed on the mycelium yield of Trichoderma hamatum Th12 were studied.[Result] The optimum liquid fermentation conditions of Trichoderma hamatum Th12 strain were：glucose as the carbon source,peptone as the nitrogen source,fermentation temperature was 25 ℃,initial pH was 6,inoculation amount was 0.8 ml,bottling capacity was 50 ml,shaker speed was 180 r/min.Trichoderma hamatum Th12 strain was cultivated 3 d under the condition,and the mycelium yield was the highest.[Conclusion] Under the optimum liquid cultivation condition,Trichoderma hamatum Th12 strain could provide the mycelium amount which was used for preventing and controlling Fusarium oxysporum and Rhizoctonia solani of lawn to the utmost extent.

Application of Trichoderma harzianum (T22) and Trichoderma atroviride (P1) as plant growth promoters, and their compatibility with copper oxychloride

Trichoderma strains are used in agriculture because they provide to the plants the following benefits: i) are rhizosphere competence and establish stable rhizosphere microbial communities; ii) control plant disease caused by pathogenic and competitive microflora, by using a variety of mechanisms; iii) improve vegetative growth, root development and yield; iv) make nutrients more available to the plant. In this work we have investigated the ability of T. harzianum T22 and T. atroviride P1 to improve plant growth of locally important horticultural crops: lettuce, tomatoes and peppers and to prevent disease in the greenhouse and field. The effect of the Trichoderma treatment was evaluated by determining the weight of fresh and dry roots and above ground plant biomass, measuring plants height, counting the number of emerged leaves (lettuce, tomatoes and peppers) and quantifying production (tomatoes and peppers). No disease symptoms were found during production, although Fusarium sp. strains pathogenic to tomato were detected in the soil. Compounds containing copper oxychloride are frequently used for fungal disease control in agriculture. In order to investigate the compatibility of T. harzianum T22 and T. atroviride P1 with copper oxychloride applications, the effect on mycelia growth was monitored in both liquid and solid medium. In general, the tests indicated a high level of tolerance of the Trichoderma strains to concentrations of copper oxychloride varying from 0.1 to 5 mmol/L.

LOW DOSE PIRFENIDONE SUPPRESSES TRANSFORMING GROWTH FACTOR BETA-1 AND TISSUE INHIBITOR OF METALLOPROTEINASE-1, AND PROTECTS RATS FROM LUNG FIBROSIS INDUCED BY BLEOMYCIN

Objective To investigate the optimal dosage of pirfenidone for the treatment of pulmonary fibrosis induced by bleomycin in Wistar rats, and the alteration of expressions of transforming growth factor beta-1 （ TGF-β1 ）, tissue inhibitor of metalloproteinase-1 （ TIMP-1 ）, and matrix metalloproteinase-13 （ MMP-13 ） in lung tissue. Methods Male Wistar rats were endotracheally instilled with bleomycin or normal saline. Pirfenidone （25-800 mg · kg^-l · d^-1 ）, dexamethasone （3 mg/kg）, or 1% carboxymethylcellulose sodium were given daily by feed 2 days before instillation of bleomycin. Groups T7 and T14 were fed pirfenidone 50 mg · kg^-1 · d^-1 at 7 days or 14 daYs after bleomycin instillation. Lungs were harvested at 28 days after bleomycin instillation. Patholological changes in luffg tissues were evaluated with HE staining. Lung collagen was stained by sirius red and measured by content of hydroxypro- line. Expression of proteins of TGF-β1 TIMP-1, and MMP-13 were detected by Western blotting. Results At doses of 25, 50, and 100 mg· kg^- 1 · d ^- 1, pirfenidone had significant anti-fibrotic effects for bleomy- cin-induced rat pulmonary fibrosis, and these effects were most significantly attenuated at the dosage of 50 mg · kg^-1 ·d^ -1（ HE： P 〈 0. 01, P 〈 0.01, and P = 0.064; sirius red： P 〈0.05, P 〈 0.01, and P 〈 0.05 ; hydroxyproline： P = 0.595, P 〈 0.01, and P = 0.976）. Pirfenidone at a dosage of 50 mg · kg^- l · d^-1 inhibited protein expression of TGF-131 and TIMP-1 in lung tissue in the early phase （0.79 and 0.75 times of control group）, but had no effect on ex- nr^eelnn nf MMP-13. Conclusion Low dose pirfenidone, especially at dosage of 50 mg · kg^-1 · d^-1, has significant anti-fibrotic effects on bleomycin-induced rat pulmonary fibrosis. Pirfenidone partially inhibits the enhancement of the expression of TGF-131 and TIMP-β1 in lung tissue.

Clindamycin-induced acute cholestatic hepatitis

We report a case of acute hepatotoxicity in a 42-yearold woman after administration of clindamycin for a dental infection. After 6 d of treatment, she had fatigue, nausea, vomiting, anorexia, pruritus and jaundice. Her laboratory analysis showed alanine aminotransferase （ALT）, 1795 IU/L （normal range 0-40）; aspartate aminotransferase （AST）, 1337 IU/L （normal range 5-34）; alkaline phosphatase （ALP）, 339 IU/L （normal range 40-150）; 7-glutamyl transpeptidase （GGT）, 148 IU/L （normal range 9-64 IU/L）; total bilirubin, 4.1 mg/dL; direct bilirubin, 2.9 mg/dL and prothrombin time （PT）, 13.5 s, with international normalized ratio （INR）, 1.04. She was hospitalized, with immediate drug discontinuation. Her liver biopsy specimen showed mixed-type （both hepatocellular and cholestatic） hepatic injury, compatible with a diagnosis of drug-induced hepatitis. An objective causality assessment using the Naranjo probability scale suggested that clindamycin was the probable cause of the acute hepatitis. In susceptible individuals, clindamycin use may lead to acute mixedtype liver toxicity. Complete recovery may be possible if the drug is discontinued before severe liver injury is established.

Fumagillin treatment of hepatocellular carcinoma in rats: An in vivo study of antiangiogenesis

AIM: To investigate the effect and possible mechanisms of antiangiogenesis therapy for HCC in rats.METHODS: Adult male LEW/SsN rats were divided into 3groups, 25 animals each. Group A was the control group.Groups B and C were given diethylnitrosamine, 5 mg/kg/d.In addition, group C rats received an intraperitoneal injection of fumagillin, 30 mg/(kg.d). Five animals in each group were killed at 6th, 12th, 18th, 20th and 24th wk to evaluate the development of HCC and metastasis. Weight of the rats, liver tumors, and number of organs involved by HCC were measured at each stage. We compared methionine aminopeptidase-2 (MetAP-2) mRNA, Bcl-2mRNA, telomerase mRNA, and telomerase activity at 24th wk in the liver tissue of group A rats and tumor tissue of HCC from group B and C rats.RESULTS: No HCC developed in group A, but tumors were present in group B and C rats by the 18th wk. At wk 20 and 24, the median liver weight in group B was 0.64 g (range:0.58-0.70 g) and 0.79 g (range: 0.70-0.90 g) (P = 0.04),and that in group C was 0.37 g (range: 0.35-0.42 g) and 0.39 g (range: 0.35-0.47 g) (P = 0.67). The liver weight in group C rats was significantly lower than that in group B rats (P = 0.009). At the same time, the median metastasis score (number of organ systems involved) was 3 (range2-3)in group B, and 1 (range 1-2) in group C, a significant difference between the groups (P = 0.007, 0.004). The levels of MetAP-2 mRNA were significantly higher in groups B and C than in group A (P = 0.025), and significantly higher in group C than in group B (P = 0.047). The level of Bcl-2 mRNA was significantly higher in group B than in group A (P = 0.024), but lower in group C than in group B, although not significantly (P = 0.072). Telomerase mRNA was significantly higher in group B than in group A (P = 0.025), but significantly lower in group C than in group B (P = 0.016). The same inter-group relationship was also true for telomerase activity (P = 0.025 and 0.046).CONCLUSION: Fumagillin effectively inhibits both liver tumor growth and metastasis in rats in vivo. A possible mechanism is fumagillin-induced inhibition of MetAP-2,which plays an essential role in endothelial cell proliferation.Inhibition of MetAP-2 also results in inhibition of Bcl-2and telomerase activity.

RETREATMENT WITH FLUDARABINE AND CYCLOSPORINE FOR ONE CASE OF REFRACTORY PURE RED CELL APLASIA

MANY cases of pure red cell aplasia （PRCA） were mediated by over-function of immune cells, and responded well to immunosuppressive therapy. Sometimes refractory cases also arose. Fludarabine is an analogue of adenosine resistant to deamination which is widely used for B-chronic lymphocytic leukemia （CLL） and other hematological malignancies.^2 As a strong immunosuppressive agent, fludarabine has generally been used in nonmyeloblative conditioning regimens for hematopoietic stem cells transplantation for hematological malignancies and severe aplastic anemia recently.^3 In this study,