Calmoseptine Ointment Tube皮肤保护剂联合院内制剂妇洁康对失禁性皮炎大鼠的作用及经济效益分析

目的:研究和探讨Calmoseptine Ointment Tube皮肤保护剂联合院内制剂妇洁康对失禁性皮炎大鼠模型的作用,并分析其经济效益,以期选出价格较实惠且效果较好的失禁性皮炎的防治方案。方法:建立失禁性皮炎大鼠模型,成功后将32只大鼠分为四组,即妇洁康洗剂组(A组)、3M液体敷料联合造口护肤粉组(B组)、Calmoseptine Ointment Tube皮肤保护剂组(C组)、妇洁康联合Calmoseptine Ointment Tube皮肤保护剂组(D组),每组8只。根据皮肤的症状评估大鼠的失禁性皮炎严重程度,通过追踪皮炎边缘测量皮炎面积,同时进行组织病理学评估其组织损伤,免疫生化分析其嗜中性粒细胞、巨噬细胞、淋巴细胞以及血管内皮生长因子、增殖细胞核抗原等水平。并结合成本效果分析方法分析其经济效益。结果:治疗后,A、B、C三组大鼠的失禁性皮炎的严重程度、面积和恢复时间比较无显著差异(P>0.05);与D组相比,A、B、C三组大鼠失禁性皮炎的严重程度显著更高,面积更大,恢复时间更长(P<0.05)。组织病理学分析显示,A、B、C三组大鼠表皮萎缩、毛囊萎缩、胶原蛋白流失、水肿等各组织情况评分比较无显著差异(P>0.05),但与D组相比,A、B、C三组大鼠的各组织指标评分显著更高(P<0.05)。免疫生化分析显示,A、B、C、D四组大鼠的PCNA水平比较无显著差异(P>0.05);A、B、C三组大鼠的嗜中性粒细胞、巨噬细胞、淋巴细胞、VEGF水平比较无显著差异(P>0.05);与D组相比,A、B、C三组大鼠的嗜中性粒细胞、巨噬细胞、淋巴细胞、VEGF水平显著更高(P<0.05)。根据不同经济效益分析可知,CEA分析显示,D组>C组>B组>A组;CMA分析显示,D组>C组>B组>A组;C/E分析显示,D组>C组>A组>B组。ΔC/ΔE分析显示,成本额最高为D组,与其他三组进行比较,D组与A组ΔC/ΔE为7.94;D组与B组ΔC/ΔE为11.89;D组与C组ΔC/ΔE为7.57。可见在经济成本上,D组明显要高于其他三组,但从增益量上看,D组虽然治疗成本较高,但所产生的效果也较高,而且,增加的治疗成本可以带来更加满意的增量效果。结论:Calmoseptine Ointment Tube皮肤保护剂联合院内制剂妇洁康对失禁性皮炎具有较好的治疗效果,能够缩小皮炎面积,缩短恢复时间,并改善皮肤组织情况,提高免疫力。同时该治疗方案虽然治疗成本较高,但治疗效果也更好,更具经济性,能够节省治疗的整体费用,值得临床推广应用。

Skin Toxicity of Wufang Babu Ointment to Zebrafish

[Objectives]Using wild-type AB strain of zebrafish as experimental animal,this study investigated the damaging effect of Wufang Babu Ointment on skin cells,in order to evaluate the skin toxicity of Wufang Babu Ointment.[Methods]Wild-type AB strain of zebrafish with an age of 2 d were taken and fed in different concentrations of Wufang Babu Ointment solution for 24 h.The number of deaths in each group of zebrafish was recorded,and the mortality rate was calculated.Using Origin 8.0 software,the maximum non lethal concentration(MNLC)was simulated.Zebrafish raised in different concentrations of Wufang Babu Ointment solution for 24 h were placed under an anatomical microscope for taking photos,to analyze and calculate the incidence of skin damage in zebrafish.Based on the statistical analysis results of this indicator,the skin toxicity of Wufang Babu Ointment was evaluated.[Results]The MNLC of Wufang Babu Ointment on zebrafish was 671μg/mL;Wufang Babu Ointment can induce skin damage at the concentrations of 224μg/mL(1/3 MNLC)and 671μg/mL(MNLC).[Conclusions]Wufang Babu Ointment had certain skin toxicity to zebrafish.

Clinical Efficacy of Huanglian Ointment in the Treatment of Chronic Eczema

Objective:To investigate and analyze the clinical efficacy of Huanglian ointment in the treatment of chronic eczema.Methods:114 cases of chronic eczema patients admitted to the Department of Dermatology of our hospital from January 2023 to January 2024 were selected as the study subjects.They were divided into a study group(n=57)and a reference group(n=57)using the double-blind method.The study group was treated with dialyzed Huanglian ointment,while the reference group was treated with conventional treatment.Symptom scores,inflammatory levels,treatment effects,and immune indexes of the two groups were similar before treatment.Results:After treatment,the symptom scores of the study group were significantly lower than those in the reference group(P<0.05).Besides,the interleukin-2(IL-2),tumor necrosis factor-a(TNF-a),interferon-(IFN-),and other inflammatory indicators of the study group were significantly better than those of the reference group(P<0.05).The total efficacy of treatment in the study group was significantly higher than that in the reference group(P<0.05).Furthermore,after treatment,the immunity indexes such as CD3+,CD4+,and CD8+of the study group were significantly better than those of the reference group,(P<0.05).Conclusion:Huanglian ointment is extremely effective for treating chronic eczema so this treatment program should be popularized.

The effect of Jiangan Xiaozhi Formula on oxidative stress and inflammatory factors in patients with non-alcoholic fatty liver disease

Objective:To investigate the effects of Jiangan Xiaozhi Formula(JGXZ)on oxidative stress and inflammatory factors in patients with non-alcoholic fatty liver disease(NAFLD).Methods:Between September 2022 and December 2023,our hospital admitted a total of 58 patients with NAFLD.These patients were split into two groups at random:one for experimentation and the other for control.There were 27 patients in the experimental group at the end,compared to 26 in the control group,reasonable exercise,weight management,lipid regulation,and oral polyene phosphatidylcholine capsules(PPC).The experimental group received JGXZ in addition to the above treatments for 12 consecutive weeks.Changes in Traditional Chinese Medicine(TCM)syndrome scores,blood lipids,liver function indicators,the levels of oxidative stress markers,such as malondialdehyde(MDA),glutathione peroxidase(GSH-Px),and superoxide dismutase(SOD),as well as serum inflammatory factors,such as interleukin-6(IL-6),interleukin-8(IL-8),and tumor necrosis factor-α(TNF-α),were measured both before and after treatment.Results:After treatment,both groups showed significant reductions in TCM syndrome scores(P<0.05)and improvements in blood lipids,liver function indicators,inflammatory factors,and oxidative stress markers(P<0.05).Improvements were noticeably better in the experimental group than in the control group.(P<0.05).Conclusion:JGXZ can significantly improve clinical symptoms,regulate blood lipids,and protect liver function in patients with NAFLD.Its mechanism may be related to inhibiting inflammatory responses and regulating the balance of the oxidation-antioxidation system.

Exploring the mechanism of moist exposed burn ointment for the treatment of diabetic ulcer based on network pharmacology and molecular docking

Objective:To discuss the main active components and potential mechanisms of moist burn ointment in the treat-ment of diabetic ulcer were discussed by network pharmacology and molecular docking technology.Methods:Based on the TC-MSP database,the main active components and targets of MEBO were screened.The targets related to diabetic ulcers were searched from GeneCards,OMIM,PharmGkb,TTD,and DrugBank databases.The STRING 11.5 database was used to con-struct a protein-protein interaction(PPI)network to screen the core targets.The'drug-target-disease'network diagram was made in Cytoscape 3.8.2 software to screen the core active components.GO enrichment analysis and KEGG pathway enrichment analysis were performed using R language software.Finally,molecular docking was used to preliminarily verify the screening results.Results:A total of 37 active components of MEBO were screened to map 100 targets,5527 targets for diabetic ulcer dis-ease,and 77 intersection targets.PPI network topology analysis suggested that TP53,TNF,HSP90AA1 and other targets were key targets;the network diagram of ‘drug-target-disease’showed that acacetin,wogonin,quercetin,and rutaecarpine were the core active ingredients.GO function analysis mainly involved angiogenesis,ion transport,diameter regulation,cytokine receptor binding,and other processes.KEGG enrichment analysis mainly included PI3K-Akt,AGE-RAGE,and other signaling pathways.Molecular docking showed that the core active ingredients and key targets had good docking activity.Conclusion:The treatment of diabetic ulcer with MEBO is the result of multi-component,multi-target,and synergistic regulation,which provides a theoretical basis for the clinical application of MEBO and the treatment of diabetic ulcer.

Optimization of Compound Coptis Ointment Extraction through the Integration of Pharmacodynamic Indices and Orthogonal Test

[Objectives]To determine the optimal reflux extraction process conditions for Compound Coptis Ointment.[Methods]The study employed the orthogonal experimental design method and drug-sensitive disc agar diffusion method to evaluate the extraction rate,berberine hydrochloride content,and bacteriostatic ring diameter of the extract as comprehensive indices,and optimized the extraction process conditions of Compound Coptis Ointment using ethanol reflux.[Results]Based on the results of comprehensive indices,the optimal reflux extraction conditions for Compound Coptis Ointment were determined to be soaking in 1.5 times the amount of 70%ethanol for 2 h,followed by two extractions with 6 times the amount of 70%ethanol for 1 h each time.Three verification tests were conducted under the optimal process conditions.The yield of the extract was 28.32%±0.53%,the content of berberine hydrochloride was 4.68%±0.45%,and the diameter of the bacteriostatic ring was(2.5±0.2)cm.[Conclusions]The extract had higher drug content and exhibited better antibacterial effects.The optimized extraction process is simple,stable,and reliable,and can be effectively used to optimize the extraction process of Compound Coptis Ointment.

Protective Effect and Molecular Mechanism of Shui People's Classic Prescription Jipei Dilong Ointment on Osteoarthritis in Rats

[Objectives]To explore the protective effect and molecular mechanism of Shui People s Classic Prescription Jipei Dilong Ointment on knee osteoarthritis in rats.[Methods]72 SPF male SD rats were divided into control group,model group,Jipei Dilong Ointment high,medium and low dose groups,and positive drug Diclofenac group,with 12 rats in each group.Except the control group,all other groups were injected with 0.2 mL of 2%papain and 0.3%L-cysteine mixture into knee joint cavity to establish osteoarthritis model,while the control group was injected with the same amount of normal saline.The Lequesne MG score was used to determine the success of the model.After successful modeling,external administration was given for 4 weeks.The histopathological changes in articular cartilage and synovium were observed by HE staining;the levels of TNF-α,IL-1βand COX-2 in serum were detected by ELISA,and the relative expression of MMP-9 and TIMP-1 mRNA in cartilage was detected by qRT-PCR;the relative expression of MMP-9,TIMP-1,TLR4,MyD88 and NF-κB in rat cartilage was detected by Western-blot.[Results]Compared with the model group,Jipei Dilong Ointment could significantly reduce the Lequesne MG score and Mankin s score of arthritic rats(P<0.01);significantly improve the pathological changes in articular cartilage and synovium,reduce tissue edema,necrosis,inflammatory cell infiltration and fibrous tissue proliferation;reduce the expression of MMP-9 mRNA(P<0.01)in different degrees and increase the expression of TIMP-1 mRNA(P<0.01);reduce the relative expression of MMP-9,TLR4,MyD88 and NF-κB protein in different degrees(P<0.01),and significantly increase the relative expression of TIMP-1 protein in cartilage(P<0.01).[Conclusions]Jipei Dilong Ointment can improve the joint injury of osteoarthritis rats,and the mechanism may be related to the regulation of TLR4/MyD88/NF-κB signaling pathway and the ratio of MMP-9/TIMP-1.

Effects of Cigu Xiaozhi Formula on miR-378a-3p Expression and Hh Signaling Pathway in TGF-β1 Induced LX2 Cells

[Objectives]To observe the effects of Cigu Xiaozhi Formula on miR-378a-3p expression and Hh signaling pathway in TGF-β1 induced and activated LX2 cells.[Methods]Cells were divided into control group,induction group,drug-containing serum group,miR-378a-3p inhibitor group,and miR inhibitor NC group.CCK-8 method was used to detect the cell viability of each group,and flow cytometry was used to detect the apoptosis rate of each group.RT-qPCR was used to detect the expression of miR-378a-3p in each group s cells,and RT-qPCR and Western blot were used to detect mRNA and protein expression of Shh,Gli1,Gli2,Col-I,andα-SMA in each group s cells.[Results]Compared with the control group,the cell viability and expression of Shh,Gli1,Gli2,Col-I,andα-SMA mRNA and protein in induction group increased(P<0.01),while the expression of miR-378a-3p decreased(P<0.01).Compared with the induction group,the cell viability and expression of Shh,Gli1,Gli2,Col-I,α-SMA mRNA andα-SMA and Gli2 protein decreased in drug-containing serum group(P<0.05),while cell apoptosis rate and miR-378a-3p expression increased(P<0.01).In miR-378a-3p inhibitor group,cell viability and the expression of Shh,Gli1,Gli2,Col-I,α-SMA mRNA and Gli1,Gli2,α-SMA protein increased(P<0.05,P<0.01),while the apoptosis rate and miR-378a-3p expression decreased(P<0.05,P<0.01).[Conclusions]Cigu Xiaozhi Formula containing serum can upregulate miR-378a-3p expression and downregulate the expression of Gli2 andα-SMA in TGF-β1 induced LX2 cells,thereby inhibiting the activation of LX2 cells and exerting the effects of anti liver fibrosis.

Therapeutic Effect and Mechanism of Jipei Dilong Ointment on Acute Soft Tissue Injury in Rats

[Objectives]This study was conducted to observe the therapeutic effect of Jipei Dilong Ointment on rats with acute soft tissue injury caused by heavy objects and to explore its action mechanism.[Methods]Thirty six rats were randomly divided into six groups(control group,model group,high-dose Jipei Dilong Ointment group(JP-H),medium-dose Jipei Dilong Ointment group(JP-M),low-dose Jipei Dilong Ointment group(JP-L)and diclofenac group).Except for the Control group,other groups were subjected to modeling of acute soft tissue injury by the weight impact method.All administration was performed once a day for nine consecutive days.The local appearance score and activity disorder score were determined after soft tissue injury in rats.HE staining was used to detect the pathological changes of injured soft tissues in rats.RT-PCR was used to detect the relative mRNA expressions of Bax,Bcl-2,MMP-9 and TIMP-1 in injured soft tissues of rats.Western Blot was used to detect the protein expressions of MMP-9,TIMP-1,TLR4,MyD88 and NF-κB p65 in injured soft tissues of rats.Results were statistically analyzed.[Results]Compared with the model group,Jipei Dilong Ointment could significantly improve the appearance symptoms such as swelling and ecchymosis in the injured area and the movement function of the affected limb(P<0.05).It could also improve the infiltration of inflammatory cells and widening of the intermuscular space caused by injury.Among them,the JP-H group and the diclofenac group had more significant curative effects.After 9 d of administration,each administration group could significantly up-regulate the ratio of Bcl-2/Bax mRNA expression level(P<0.05 or P<0.01),and the ratio of MMP-9/TIMP-1 mRNA expression level showed a downward trend(P>0.05).The expression level of NF-κB p65 protein in each administration group was significantly decreased(P<0.01).The protein expression levels of TLR4 and MyD88 and the ratio of MMP-9/TIMP-1 protein expression level in each administration group decreased to varying degrees.Among them,the JP-H group and diclofenac group significantly decreased(P<0.05).[Conclusions]Jipei Dilong Ointment has the functions of relieving pain,swelling and inflammation.It could improve the local appearance,functional activity and tissue morphology of affected limbs in rats,and has a therapeutic effect on acute soft tissue injury in rats.Its mechanism of action might be related to the inhibition of TLR4/MyD88/NF-κB p65 signaling pathway and the regulation of Bcl-2/Bax and MMP-9/TIMP-1 balance.

Simultaneous Determination of Six Components in Wanjinxiang Shushuang Ointment by QAMS

[Objectives]To regulate the quality of Wanjinxiang Shushuang Ointment through simultaneously quantifying menthol,camphor,1,8-cineole,linalool,borneol and caryophyllene oxide by QAMS(quantitative analysis of multi-components by single-marker).[Methods]The method was performed using an Agilent DB-WAX(30 m×0.32 mm,0.25μm)polyethylene glycol chromatographic column;with nitrogen employed as a carrier gas.The constant pressure was 4.73 psi;and the injection temperature was 240℃,with a shunt ratio:of 10:1;The hydrogen flame ion detector with a detector temperature of 240℃;the injection volume was 0.3μL.To verify the accuracy and applicability of QAMS,the results were compared with those obtained using the internal standard method(naphthalene).[Results]In Wanjinxiang Shushuang Ointment,menthol,camphor,1,8-cineole,linalool,borneol,caryophyllene oxide and naphthalene were well separated by the same chromatography with good linearity in their respective ranges(R≥0.9992).The average recoveries were 99.66%,101.03%,98.07%,98.24%,101.39%,and 103.39%with RSD s of 0.69%,1.52%,1.25%,1.94%,1.44%,and 2.74%,respectively.The QAMS is similar to the internal standard method.[Conclusions]This simple,accurate method with high precision,separation and reproducibility can serve as a reference for the quality control of Wanjinxiang Shushuang Ointment.

Effect of Zangfu ointment and massage therapy on functional constipation:a protocol for a randomised controlled trial

Introduction:Functional Constipation(FC)is a type of functional bowel disease that is in Clinically characterized by dysportia,decreased frequency of bowel movements,or incomplete bowel movements in the absence of irritable bowel syndrome syndrome,at least 6 months before diagnosis,and symptoms within the last 3 months.At present,commonly used drugs include enema and suppositories,laxatives,microecological preparations,gastrointestinal motility drugs and other treatments.However,the effect is limited.Traditional Chinese medicine(TCM)treatment of FC has advantages.Methods:In this randomized controlled study,244 eligible patients were randomly assigned in a 1:1 ratio to a treatment group(Zangfu ointment and massage therapy+Lactulose Oral Liquid)and a control group(Lactulose Oral Liquid)for 14 days.Number of spontaneous defecation per week and First defecation time will be used as primary outcomes,and Traditional Chinese Medicine(TCM)syndrome scores and syndrome scores,PAC-QOL form will be used as secondary outcomes.Blood routine,liver function,and renal function will be used as safety outcomes.The primary and secondary outcomes will be performed at 0th,7th,and 14th day,and the safety outcomes will be performed at 0th and 14th day.Ethics and dissemination:Ethical approval has been obtained from the Committee on Health Research Ethics of the Fangshan Hospital,Beijing University of Chinese Medicine,Beijing,People's Republic of China(FZY LK-2020-010)on September 18,2020.All patients will be provided oral and written information about the trial before screening.The study results will be disseminated by peer-review publications and conference presentations.Trial registration number:ChiCTR2000038754(registered on April 14,2021).This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial license,which permits others to distribute,remix,adapt,build upon this work non-commercially,and license their derivative works on different terms,provided the original work is properly cited,appropriate credit is given,any changes made indicated,and the use is non-commercial.STRENGTHS AND LIMITATIONS OF THIS STUDY(1)The efficacy of the Zangfu ointment and massage therapy is evaluated in a randomised,double-blind 2-week clinical trial in FC patients.(2)Form a complete and generalizable regimen for the treatment of FC(Qi stagnation)with the Zangfu ointment and massage therapy.

金黄膏联合伤药膏外敷对桡骨远端骨折术后早期肿胀患者的临床疗效

目的探讨金黄膏联合伤药膏外敷治疗桡骨远端骨折术后患者早期肿胀的临床疗效。方法选取2020年9月至2023年8月在南昌市洪都中医院行手术治疗的桡骨远端骨折术后早期肿胀患者90例作为研究对象,采用随机数字表法将患者分为对照组(45例)和观察组(45例)。对照组男22例,女23例;年龄30~68(50.47±9.63)岁;骨折时间1.3~9.0(4.23±1.82)h;左患侧15例,右患侧30例;屈曲型9例,伸直型36例。观察组男21例,女24例;年龄26~69(50.53±9.68)岁;骨折时间1.0~8.2(4.22±1.81)h;左患侧17例,右患侧28例;屈曲型7例,伸直型38例。对照组采用常规消炎止痛、预防感染等对症治疗,观察组在对照组的基础上,采用金黄膏联合伤药膏外敷治疗。两组均治疗2周。比较两组治疗前后的肿胀情况、肿胀消退时间、疼痛解除时间和治疗效果。采用独立样本t检验、配对t检验和χ^(2)检验。结果治疗后,观察组肿胀评分[(0.91±0.36)分]低于对照组[(1.18±0.39)分](P<0.05);观察组肿胀消退时间[(5.31±1.18)d]和疼痛解除时间[(4.20±1.12)d]均短于对照组[(7.24±1.06)d、(4.98±1.16)d](均P<0.05)。观察组治疗总有效率[86.67%(39/45)]高于对照组[53.33%(24/45)](P<0.05)。结论金黄膏联合伤药膏外敷治疗桡骨远端骨折术后早期肿胀患者,可促进肿胀消退,缓解疼痛,提升患者的生活质量。

通络祛痛膏循经取穴贴敷对腰间盘突出患者止痛效果的随机对照研究

目的通过随机对照研究通络祛痛膏循经取穴贴敷对腰间盘突出患者止痛效果。方法110例腰间盘突出患者,采用随机数字表法分为观察组和对照组,每组55例。观察组采用循经取穴贴敷通络祛痛膏,对照组采用常规阿是穴贴敷通络祛痛膏。比较两组患者治疗前后及随访期间视觉模拟评分法(VAS)评分、伴随症状缓解效果、安全性。结果治疗前,观察组患者VAS评分(5.98±1.84)分与对照组的(6.10±2.20)分比较,无明显差异(P>0.05)。治疗后,两组患者VAS评分均低于治疗前,且观察组患者VAS评分(2.93±1.30)分低于对照组的(3.97±2.29)分(P<0.05)。观察组治疗后2周、1个月、3个月随访VAS评分分别为(2.79±1.68)、(2.67±1.38)、(2.37±1.95)分,均低于治疗前(P<0.05),略低于治疗后,但无明显差异(P>0.05)。对照组患者治疗后2周、1个月、3个月随访VAS评分分别为(3.67±2.54)、(4.67±2.63)、(4.59±2.98)分,治疗后2周随访VAS评分略低于治疗后,治疗后1、3个月随访VAS评分均高于治疗后,但均无明显差异(P>0.05)。观察组治疗后2周、1个月、3个月随访VAS评分均低于对照组(P<0.05)。观察组患者伴随症状缓解显效率94.6%高于对照组的76.4%(P<0.05)。观察组与对照组患者伴随症状缓解总有效率均为98.2%,无明显差异(P>0.05)。治疗过程中两组各发生轻度皮肤瘙痒3例,局部涂抹药膏后缓解,局部皮肤后期有轻微结痂,无感染及瘢痕产生。两组均未发生严重安全性问题,两组安全性比较无明显差异(P>0.05)。结论通络祛痛膏循经取穴贴敷疗法对腰间盘突出患者止痛效果及远期疗效优于常规阿是穴贴敷,且在改善伴随症状上循经取穴贴敷显效率高于阿是穴贴敷。

扶正养血膏对化疗致骨髓抑制小鼠造血调控功能的影响

目的:观察扶正养血膏对化疗致骨髓抑制小鼠造血调控功能的影响,并通过代谢组学分析探讨其作用机制。方法:制备化疗致骨髓抑制模型小鼠,试验组灌胃给予扶正养血膏,模型组和对照组灌胃给予饮用水,比较各组小鼠外周血常规、胸腺/脾脏指数、骨髓/胸腺/脾脏病理形态等指标,采用LC-MS分析各组小鼠血清代谢谱的变化,初步探讨扶正养血膏作用机制。结果:扶正养血膏可提升化疗致骨髓抑制模型小鼠的外周血指标,对红系细胞疗效显著;可缓解化疗致骨髓抑制模型小鼠脾脏的肿大,提升小鼠骨髓造血功能;代谢组学结果显示,试验组出现5种化合物升高和44种化合物下降,可改善小鼠化疗致代谢失调。结论:扶正养血膏可改善化疗致骨髓抑制小鼠造血调控功能,缓解化疗导致的毒副反应。

加味普济消毒颗粒内服联合消肿散结膏外敷治疗儿童急性扁桃体炎的临床研究

【目的】评价加味普济消毒颗粒(由金银花、连翘、蒲公英、紫花地丁、荆芥、牛蒡子、皂角刺、赤芍、牡丹皮、芦根等组成)内服联合消肿散结膏(由黄芩、黄连、黄柏、皂角刺等组成)外敷治疗儿童急性扁桃体炎(acute tonsillitis in children,ATC)的临床疗效及对免疫功能与相关炎症指标的影响。【方法】将116例ATC肺胃郁热证患儿随机分为对照组和观察组,每组各58例。对照组给予头孢克肟分散片治疗,观察组给予加味普济消毒颗粒内服联合消肿散结膏外敷治疗,疗程为14 d并随访6个月。观察2组患儿治疗前后中医证候积分、外周血中白细胞计数(WBC)、T淋巴细胞亚群CD3^(+)、CD4^(+)、CD8^(+)和CD4^(+)/CD8^(+)水平及血清肿瘤坏死因子α(TNF-α)、白细胞介素1β(IL-1β)、白细胞介素6(IL-6)、C反应蛋白(CRP)水平的变化情况,比较2组患儿的临床疗效和各项临床症状消失时间,同时监测2组患儿的不良反应发生情况和扁桃体炎复发情况。【结果】(1)研究期间,对照组有8例患儿脱落,观察组无脱落病例,最终对照组50例、观察组58例患儿完成全部疗程的治疗。(2)治疗14 d后,观察组的总有效率为98.28%(57/58),对照组为90.00%(45/50);组间比较(秩和检验),观察组的临床疗效明显优于对照组(P<0.05)。(3)治疗后,观察组患儿的咽痛消失时间、脓点消失时间、退热时间及扁桃体恢复正常时间均较对照组明显缩短(P<0.05)。(4)治疗后,2组患儿的主症积分、次症积分和中医证候总积分均较治疗前明显降低(P<0.05),且观察组的降低幅度均明显优于对照组(P<0.05)。(5)治疗后,2组患儿的T淋巴细胞亚群CD3^(+)、CD4^(+)和CD4^(+)/CD8^(+)水平均较治疗前明显升高(P<0.05),CD8^(+)水平均较治疗前明显降低(P<0.05),且观察组对T淋巴细胞亚群CD3^(+)、CD4^(+)和CD4^(+)/CD8^(+)水平的升高幅度及对CD8^(+)水平的降低幅度均明显优于对照组(P<0.05)。(6)治疗后,2组患儿的WBC、TNF-α、IL-1β、IL-6及CRP水平均较治疗前明显降低(P<0.05),且观察组的降低幅度均明显优于对照组(P<0.05)。(7)治疗期间,2组患儿均未出现皮肤过敏及恶心、呕吐等胃肠道不良反应情况,具有较高的安全性。(8)随访6个月,观察组患儿的扁桃体炎复发率为5.17%(3/58),明显低于对照组的24.00%(12/50),组间比较,差异有统计学意义(χ2=8.330,P<0.05)。【结论】加味普济消毒颗粒内服联合消肿散结膏外敷治疗ATC肺胃郁热证患儿疗效显著,可明显缩短病程,改善临床症状,有效降低扁桃体炎复发率,其机制可能与增强机体免疫功能、抑制炎症反应有关。

紫冰疮愈膏外敷对混合痔外剥内扎术后创面的影响

目的观察紫冰疮愈膏外敷对混合痔外剥内扎术后创面的影响。方法将70例混合痔患者随机分为观察组和对照组,每组35例。术后两组患者均接受抗感染、止痛等对症治疗,观察组、对照组患者分别加用紫冰疮愈膏、肛泰软膏换药。术后1、4、7、14 d,分别检测两组患者血清血管内皮生长因子(vascular endothelial growth factor,VEGF)水平,采用视觉模拟量表(visual analogue scale,VAS)评估创面疼痛程度,观察创面分泌物、创缘水肿、肉芽组织生长情况和创面愈合情况。结果术后4、7、14 d,观察组患者血清VEGF水平均显著高于对照组(P<0.05);观察组患者创面疼痛VAS评分、创面分泌物评分、创面肉芽组织生长情况评分、创缘水肿评分、创面面积少于对照组(P>0.05)或显著少于对照组(P<0.05)。结论紫冰疮愈膏外敷可减轻混合痔外剥内扎术后创面疼痛,减少创面分泌物,减轻创缘水肿,促进肉芽组织生长和创面愈合。

络合滴定法测定复方乳酸依沙吖啶软膏中氧化锌的含量

目的:建立复方乳酸依沙吖啶软膏中氧化锌含量的测定方法。方法:采用络合滴定法对同一批次复方乳酸依沙吖啶软膏供试品进行氧化锌含量测定,对其专属性、线性范围、精密度、准确度实验结果进行数据分析,以判断方法的适用性。结果:本实验方法专属性良好,氧化锌在6.0~56.5 mg质量范围内线性关系良好,线性方程Y=0.245196X+0.050564(r=0.9994);氧化锌检出限为0.13 mg,定量限为0.43 mg;精密度实验氧化锌重复性实验相对标准偏差(RSD)为1.5%(n=6),氧化锌中间精密度RSD为1.3%(n=12);所有加标水平氧化锌平均回收率为100.3%(RSD=2.7%)。结论:该方法简单、快速,测定结果均符合《中华人民共和国药典》2020年版四部通则9101要求,适用于复方乳酸依沙吖啶软膏中氧化锌的含量测定。

玫芦消痤膏治疗湿疹作用机制的网络药理学研究

目的:研究苗药玫芦消痤膏治疗湿疹的作用机制,探索玫芦消痤膏治疗湿疹的作用靶标及信号途径。方法:在中药系统药理学数据库和分析平台,以及多个数据库中,联合检索筛选玫芦消痤膏活性成分-作用靶点,基因名注释使用UniProt数据库,并在OMIM数据库、GeneCards数据库、DrugBank数据库中检索湿疹的相关疾病靶标,再采用Rversion 3.6.2软件及Cytoscape 3.7.1软件构建玫芦消痤膏治疗湿疹的成分-作用靶点-通路网络,最后利用R语言中Bioc Manager包进行基因本体功能注释及KEGG通路富集分析。结果:经筛选得到玫芦消痤膏活性成分35个,槐定碱、槲皮素、苦参碱、木犀草素、鞣花酸、花生四烯酸、芦荟大黄素等是关键活性成分;作用靶标基因97个,核心蛋白有丝裂原活化蛋白激酶3前列腺素内过氧化物合酶,丝裂原活化蛋白激酶1、内皮一氧化氮合成酶、激素受体1、雄激素受体、脑源性神经营养因子、转录因子、过氧化物酶体增生激活受体等,参与调控高级糖基化终末产物-受体、肿瘤坏死因子、白细胞介素17、丝裂原活化蛋白激酶、PI3K-Akt等信号通路,从而发挥抗炎等作用。结论:玫芦消痤膏能有效缓解湿疹症状,可能与肿瘤坏死因子、PI3K-Akt等经典炎症通路有关,为后续分析玫芦消痤膏的药理机制和实验验证提供了理论支撑。

基于微小RNA-30b-5p/B细胞淋巴瘤2样11轴分析滋金补水膏对慢性阻塞性肺疾病大鼠肺功能的影响及机制

目的基于微小RNA-30b-5p/B细胞淋巴瘤2样11轴(miR-30b-5p/BCL2L11轴)分析滋金补水膏对慢性阻塞性肺疾病(COPD)大鼠肺功能的影响及机制。方法选用84只SPF雄性Wistar大鼠,按照随机数字表法分为7组,即对照组、模型组、滋金补水膏低剂量组、滋金补水膏中剂量组、滋金补水膏高剂量组、antagomir NC组、miR-30b-5p antagomir组,每组12只组。除对照组外,其余6组采用气道滴注脂多糖(LPS)联合烟雾暴露构建COPD大鼠模型,建模成功后,各组灌胃、尾静脉注射相应药物,每日1次,连续12周。小动物肺功能检测仪检测各组大鼠肺功能;实时荧光定量聚合酶链反应(RT-qPCR)法检测各组大鼠肺组织miR-30b-5p mRNA表达;苏木精-伊红(HE)染色法观察各组大鼠肺组织病理损伤情况,并测量肺组织小气道管壁厚度;原位缺口末端标记法(TUNEL)染色观察各组大鼠肺上皮细胞凋亡情况;酶联免疫吸附(ELISA)法检测各组大鼠血清白细胞介素(IL)-8、IL-1β水平;Western blot法检测各组大鼠B淋巴细胞瘤-2(Bcl-2)、Bcl-2相关X蛋白(Bax)及BCL2L11蛋白表达。双荧光素酶报告实验验证miR-30b-5p和BCL2L11之间的靶向关系。结果与对照组比较,模型组大鼠静息呼吸频率、RI、肺组织小气道管壁厚度、肺上皮细胞凋亡指数、血清IL-8和IL-1β水平及肺组织Bax、BCL2L11蛋白表达水平显著升高(P<0.05),肺组织病理损伤严重,PIF、C_(dyn)值、肺组织miR-30b-5 p mRNA表达水平和Bcl-2蛋白表达下降(P<0.05);与模型组比较,滋金补水膏低、中、高剂量组大鼠静息呼吸频率、RI、肺组织小气道管壁厚度、肺上皮细胞凋亡指数、血清IL-8和IL-1β水平及肺组织Bax、BCL2L11蛋白表达水平显著降低(P<0.05),肺组织病理损伤减轻,PIF、C_(dyn)值、肺组织miR-30b-5p mRNA表达水平和Bcl-2蛋白表达显著升高(P<0.05),且除滋金补水膏中剂量组静息呼吸频率与滋金补水膏低剂量组比较差异无统计学意义(P>0.05)外,其余指标滋金补水膏低、中、高剂量组两两比较差异均有统计学意义(P<0.05);与滋金补水膏高剂量组、antagomir NC组比较,miR-30b-5p antagomir组大鼠静息呼吸频率、RI、肺组织小气道管壁厚度、肺上皮细胞凋亡指数、血清IL-8和IL-1β水平及肺组织Bax、BCL2L11蛋白表达水平显著升高(P<0.05),肺组织病理损伤加重,PIF、C_(dyn)值、肺组织miR-30b-5p mRNA表达水平和Bcl-2蛋白表达下降(P<0.05),miR-30b-5p antagomir减弱了高剂量的滋金补水膏对COPD大鼠的改善作用。miR-30b-5p靶向负调控BCL2L11表达。结论滋金补水膏可抑制COPD大鼠肺上皮细胞凋亡和炎症反应,改善肺功能,缓解相关症状,其机制可能与促进miR-30b-5p表达、降低BCL2L11表达相关。

不同基质松节油膏对骨性关节炎大鼠的疗效及关节炎症的影响

目的比较以羊油和酥油为基质制作的松节油膏和以凡士林为基质制作的松节油膏对骨性关节炎(Osteoarthritis,OA)大鼠的疗效及关节炎症的影响。方法选取SD雄性大鼠90只为研究对象,10只作为空白组,其余80只大鼠关节注射单碘乙酸钠(Monoiodoacetate,MIA)建立OA模型,造模成功后,随机分为模型对照组(不用任何药物)、阳性对照组(外用消肿止痛酊0.5 mL/次)、松节油膏高剂量组(80 mg/kg)、松节油膏中剂量组(40 mg/kg)、松节油膏低剂量组(20 mg/kg)、凡士林高剂量组(80 mg/kg)、凡士林中剂量组(40 mg/kg)、凡士林低剂量组(20 mg/kg),各给药组3次/d,连续7 w。各组大鼠给药50 d后断尾取血,比较各组大鼠关节炎指数、白细胞介素-1β(Interleukin-1β,IL-1β)、肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)、干扰素-γ(Interferon-γ,IFN-γ)的水平、白细胞(White blood count,WBC)中性粒细胞(Neutrophils,NEU)计数。结果与空白组比较,模型对照组大鼠关节指数,血清IL-1β、TNF-α、IFN-γ水平,WBC及NEU计数均升高(P<0.05);与模型对照组比较,松节油膏高、中、低剂量组和凡士林高、中、低剂量组大鼠关节指数、大鼠血清IL-1β、TNF-α、IFN-γ、WBC及NEU计数显著降低(P<0.05);与松节油膏中剂量组比较,凡士林高中低剂量组大鼠关节指数、大鼠血清IL-1β、TNF-α、IFN-γ水平相对较高(P<0.05)。结论以羊油和酥油为基质制作的松节油膏和以凡士林为基质制作的松节油膏均能改善关节功能,减轻炎症反应和软骨破坏,尤以羊油和酥油为基质制作的松节油膏效果更明显。