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.

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.

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.

Correlation between Traditional Chinese Medicine symptom patterns and serum concentration of zinc,iron,copper and magnesium in patients with hepatitis B and associated liver cirrhosis

OBJECTIVE:To investigate the correlation between the patterns of Traditional Chinese Medicine(TCM)syndromes and the serum concentration of zinc,iron,copper and magnesium of patients with chronic hepatitis B(CHB) and hepatitis B virus(HBV)-induced liver cirrhosis.METHODS:A total of 86 patients were included in the study between March 1,2009 and January 1,2010.All were diagnosed with CHB or HBV-induced liver cirrhosis according to the diagnosis standard of the Chinese Medical Association.Fasting serum concentrations of zinc,iron,copper and magnesium were measured.Patients were classified into different patterns of TCM symptoms according to TCM theory and clinical experience.RESULTS:In the HBV-induced liver cirrhosis group,the mean zinc concentration in patients with the TCM pattern of stagnation of fluid-Dampness was lower than that in patients with obstruction of collaterals by Blood stasis(P < 0.034).In the CHB group,the mean magnesium concentration in patients with toxic Heat flourishing was significantly lower than that in those with Damp-Heat in the Liver and Gallbladder,and those with Liver depression and Spleen deficiency(P < 0.021).The concentrations of iron and copper showed little difference among the different TCM symptom patterns.CONCLUSION:The serum zinc and magnesium concentrations correlated with certain TCM patterns of symptoms in patients with HBV-induced liver cirrhosis and CHB.It may be helpful to interpret the pathogenic change in the TCM symptom patterns in liver cirrhosis and CHB,and also to conduct clinical treatment of the diseases based on identified TCM patterns.

UHPLC-Q-TOF-MS技术在中药及中药复方制剂研究中的应用

超高效液相色谱-四级杆飞行时间质谱串联(UPLC-Q-TOF-MS)技术特点是效率高、灵敏度高、分辨率高,也能获取一些信息,比如离子碎片、化合物的相对分子质量、元素组成等,能迅速确定出相关化合物结构。中药尤其复方制剂是极端复杂的体系,存在多靶点、多组分、多途径的协同效应,这些特征给科研工作者的研究带来了巨大挑战。这项技术使得中药复杂体系的深入研究成为可能。本文对近年UPLC-Q-TOF-MS技术在代谢组学、测定化学成分、血清药物化学、入血成分领域中的应用进行概述,并指出其在中药及中药复方制剂领域中的优势和未来的发展方向。

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.

Protective Effect of Buyang Huanwu Decoction on Cerebral Ischemia/Reperfusion Injury by Inhibiting Autophagy Based on AMPK/UIK1Signaling Pathway

The aim of the paper is to explore whether AMPK/U1K1 signaling pathway is involved in regulating autophagy and alleviating cerebral ischemia/reperfusion(I/R)injury.On this basis,study the regulatory effect of Buyang Huanwu Decoction(BHD)on AMPK/U1K1 signaling pathway,aiming to clarify the molecular mechanism of BHD in alleviating cerebral I/R injury and the protective effect of BHD containing serum(BHDS)on OGD/R neurons.The research group adopted the following methods:Neurons cultured for 7 days in vitro were randomly divided into normal control group,model group(OGD/R),AMPK activator(AICAR)group(3 mmol/L),Buyang Huanwu Decoction medicated serum(BHDS)group(3%),Buyang Huanwu Decoction medicated serum+AMPK activator(BHDS+AICAR)group.The protein expressions of p-AMPK,AMPK,p-UlKl,U1K1,Beclin-1 and LC3B in neurons were detected by Western blot,the fluorescence intensity and apoptosis rate of neuron autophagosome CYTO-ID staining were detected by flow cytometry,the fluorescence intensity and morphological changes of neuron LC3B were detected by immunofluorescence double labeling method,the morphological changes of neurons were observed by inverted microscope,and the survival rate of neurons was detected by CCK-8 method.Neuron OGD/R model and the optimal concentration of BHDS.The neurons in the model group were subjected to hypoxia and glucose deprivation for 1 h,2 h,3 h,4 h and reoxygenation and glucose deprivation for 24 h.The survival rate of neurons and the release rate of 1DH to determine whether the model was successfully established.And the results show that BHDS group,the survival rate of OGD/R neurons was significantly increased,and the apoptosis rate was significantly decreased.Among them,3%BHDS intervention at the same time of hypoxia glucose deprivation for 3 h and reoxygenation glucose for 24 h was the best condition.In BHDS group,the levels of p-AMPK/AMPK,p-UlKl/UlKl,beclin-1,CYTO-ID and LC3B fluorescence intensity,and the transformation from LC3B-I to LC3B-II of OGD/R neurons were significantly decreased.So we can draw a conclusion that BHD can inhibit autophagy and alleviate cerebral I/R injury through AMPK/U1K1 signaling pathway.

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。

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。

从虚-湿-热-瘀探讨NLR、标化SUA与早期糖尿病肾病的相关性

【目的】基于“虚-湿-热-瘀”病机探讨外周血中性粒细胞计数与淋巴细胞计数比值(NLR)、标化SUA[血尿酸与血肌酐比值(SUA/Scr)]与早期糖尿病肾病(early diabetic kidney disease,EDKD)中医证型的相关性,为EDKD患者中医精准化治疗提供客观化依据。【方法】回顾性分析197例EDKD患者(包括单纯气阴两虚证42例、气阴两虚兼湿证44例、气阴两虚兼热证53例、气阴两虚兼瘀证58例)的临床资料,对比不同中医证型EDKD患者脂代谢指标、肾功能指标、NLR、标化SUA的水平差异,探讨NLR、标化SUA与EDKD中医证型的相关性。【结果】(1)不同中医证型EDKD患者的性别、糖化血红蛋白(HbA1c)比较,差异均无统计学意义(P>0.05);年龄方面,气阴两虚兼瘀证组年龄大于气阴两虚证组(P<0.05);病程方面,气阴两虚兼瘀证组病程大于其余各组(P<0.01);体质量指数(BMI)方面,气阴两虚证组<气阴两虚兼瘀证组<气阴两虚兼热证组<气阴两虚兼湿证组(P<0.05)。(2)气阴两虚证组的总胆固醇(TC)水平低于气阴两虚兼湿证组和气阴两虚兼瘀证组(P<0.05),气阴两虚证组的甘油三酯(TG)水平低于气阴两虚兼瘀证组(P<0.05),气阴两虚兼热证组的血肌酐(Scr)水平高于气阴两虚证组和气阴两虚兼湿证组(P<0.05),气阴两虚证组的肾小球滤过率(eGFR)水平高于气阴两虚兼热证组和气阴两虚兼瘀证组(P<0.05),气阴两虚兼热证组的NLR水平高于其余3组(P<0.05),气阴两虚兼瘀证组的标化SUA水平低于气阴两虚兼湿证组和气阴两虚兼热证组(P<0.05)。(3)无序多分类Logistic回归分析结果显示,BMI、SUA是气阴两虚兼湿证的影响因素,BMI、SUA、NLR是气阴两虚兼热证的影响因素,BMI、TC、标化SUA是气阴两虚兼瘀证的影响因素,差异均有统计学意义(P<0.05或P<0.01)。【结论】NLR和标化SUA可作为EDKD中医证型的参考指标,NLR水平升高可能会加速气阴两虚兼热证的发生,标化SUA水平降低可能会加速气阴两虚兼瘀证的发生。

降浊合剂治疗痰浊内阻型无症状高尿酸血症临床研究

目的:观察降浊合剂治疗痰浊内阻型无症状高尿酸血症的临床疗效。方法:选取64例痰浊内阻型高尿酸血症且无明显痛风症状者,按随机数字表法随机分为治疗组和对照组各32例。2组均进行生活方式干预,对照组口服苯溴马隆片,治疗组在对照组基础上加服降浊合剂,疗程为4周。比较2组临床疗效,比较2组治疗前后血尿酸水平、中医证候积分及不良反应。结果:治疗组临床总有效率90.63%,高于对照组71.88%(P<0.05)。治疗后,2组血尿酸水平均降低(P<0.05),且治疗组低于对照组(P<0.05)。治疗后,对照组渴不多饮、头部昏重中医证候积分下降(P<0.05),治疗组渴不多饮、神疲乏力、便溏不爽、头部昏重中医证候积分均下降(P<0.05),且治疗组上述中医证候积分均低于对照组(P<0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:在苯溴马隆片的基础上合用降浊合剂治疗痰浊内阻型无症状高尿酸血症,可以明显改善血尿酸水平,降低尿酸回升率,同时有效改善痰浊内阻的临床症状。

基于抗氧化作用预测桑椹质量标志物

通过UPLC-Q-Exactive Orbitrap MS技术对桑椹化学成分及血清药物化学成分进行研究,探讨桑椹的药效物质基础,结合网络药理学及分子对接方法,确定桑椹抗氧化作用的质量标志物(Q-Marker),并建立其含量的HPLC测定方法。利用UPLC-Q-Exactive Orbitrap MS从桑椹的乙醇提取物和灌胃小鼠血清中分别鉴定到74种和43种化合物,以共有成分作为Q-Marker候选成分,经与网络药理学相关联后分别获得桑椹发挥抗氧化作用的14个关键靶点和11种关键化合物。基于分子对接对关键靶点和化合物进行验证,结果显示新绿原酸、绿原酸、隐绿原酸和芦丁具有较好的抗氧化活性,是桑椹发挥抗氧化作用的关键化合物,SRC、AKT1、CASP3、EGFR是桑椹发挥抗氧化作用的关键靶点。利用HPLC法在不同产地批次桑椹中均检出新绿原酸、绿原酸、隐绿原酸和芦丁,但各成分含量差异较大,总质量比在0.4846~2.5578 mg/g之间。结果表明,新绿原酸、绿原酸、隐绿原酸和芦丁可作为桑椹抗氧化作用的潜在Q-Marker,为评价不同来源桑椹的质量提供参考。

中药穴位敷贴联合自制补肺健脾养儿膏对肺虚证喘息性支气管炎患儿免疫功能和血清指标的影响

目的 探讨中药穴位敷贴联合自制补肺健脾养儿膏对肺虚证喘息性支气管炎患儿免疫功能和血清指标的影响。方法 选取2021年1月至2023年1月在江苏省如皋市中医院接受治疗的喘息性支气管炎患儿98例为研究对象,按照随机数字表法将其分为对照组和试验组,每组49例。对照组患儿采用西医常规用药方案,试验组在对照组基础上给予中药穴位敷贴并口服自制补肺健脾养儿膏,均治疗1周。比较两组治疗前后外周血淋巴细胞水平、炎症水平[降钙素原(PCT)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)]、中医证候评分、舒适度[舒适状况量表(GCQ)评分]和睡眠质量。结果治疗前,两组CD4^(+)、CD8^(+)、CD4^(+)/CD8^(+)、自然杀伤(NK)细胞水平比较,差异无统计学意义(P>0.05);治疗后,两组CD4^(+)、CD8^(+)、CD4^(+)/CD8^(+)和NK细胞水平高于治疗前,且试验组高于对照组,差异有统计学意义(P<0.05)。治疗前,两组PCT、CRP、TNF-α、IL-6水平比较,差异均无统计学意义(P>0.05);治疗后,两组PCT、CRP、TNF-α、IL-6水平低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组发热、咳痰、气短、喘息评分比较,差异无统计学意义(P>0.05);治疗后,两组发热、咳痰、气短、喘息评分低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组GCQ评分、总睡眠时间、睡眠潜伏期比较,差异无统计学意义(P>0.05);治疗后,两组GCQ评分高于治疗前、总睡眠时间长于治疗前、睡眠潜伏期短于治疗前,且试验组GCQ评分高于对照组,总睡眠时间长于对照组,睡眠潜伏期短于对照组,差异有统计学意义(P<0.05)。结论 中药穴位敷贴联合自制补肺健脾养儿膏有助于提高喘息性支气管炎患儿的免疫功能,改善睡眠质量。

益肾补骨汤治疗绝经后骨质疏松症的临床效果研究

目的:探讨益肾补骨汤治疗绝经后骨质疏松症的临床效果。方法:选取2022年6月—2023年6月海安市中医院收治的84例绝经后骨质疏松症患者为研究对象,按随机数字表法分为对照组和试验组,每组42例。对照组采用常规治疗,试验组在对照组基础上采用益肾补骨汤治疗,疗程为3个月。比较两组临床效果、腰椎部位的骨密度、视觉模拟评分法(VAS)、血清相关指标[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-10(IL-10)]。结果:治疗后,试验组的总有效率明显高于对照组,差异有统计学意义(P<0.05)。治疗后,试验组腰椎骨密度高于对照组,VAS评分明显低于对照组,差异均有统计学意义(P<0.05);试验组TNF-α、IL-6水平均低于对照组,IL-10水平高于对照组,差异均有统计学意义(P<0.05)。结论:益肾补骨汤显著提高了绝经后骨质疏松症患者的中医证候治疗效果、腰椎骨密度,减轻VAS评分,以及优化了TNF-α、IL-6、IL-10等血清指标,为临床治疗提供了新的策略。

枳实大黄汤联合丁苯酞对急性脑梗死神经功能和氧化应激的影响

目的观察枳实大黄汤联合丁苯酞对急性脑梗死(ACI)患者的神经功能及血清氧化应激水平的影响。方法将92例ACI患者按照随机数字表法分为两组各46例,观察组采用枳实大黄汤联合丁苯酞治疗,对照组采用丁苯酞治疗,治疗周期14 d。观察治疗后两组临床疗效、中医证候评分、神经功能、血清氧化应激水平以及不良反应。结果治疗14 d后,观察组血清丙二醛(MDA)、一氧化氮(NO)水平低于对照组(P<0.05),超氧化物歧化酶(SOD)水平高于对照组(P<0.05)。治疗后两组神经功能评分均明显下降(P<0.05),观察组治疗后评分均显著低于对照组(P<0.05)。观察组总有效率为95.65%,高于对照组78.26%(P<0.05)。治疗后观察组半身不遂、偏身麻木、头晕目眩等症状积分均低于对照组(P<0.05);观察组胃肠道障碍、肢体乏力、言语不清、反应迟钝等不良反应发生率与对照组比较差异无统计学意义(P>0.05)。结论枳实大黄汤联合丁苯酞治疗ACI患者能够改善血清氧化应激水平,提升神经功能,提高其临床疗效,改善临床症状,无明显不良反应。

自拟中药方剂联合阿奇霉素序贯治疗小儿支原体肺炎的临床效果

目的观察自拟中药方剂联合阿奇霉素序贯治疗小儿支原体肺炎的临床效果。方法60例小儿支原体肺炎患儿,以随机数字表法分成对照组和研究组,各30例。对照组以阿奇霉素序贯治疗,研究组在对照组基础上联合自拟中药方剂治疗。比较两组患儿治疗前后的血清炎性指标[C反应蛋白(CRP)、降钙素原(PCT)、白细胞介素-6(IL-6)]水平,咳嗽咳痰、发热、湿啰音、哮鸣音显著改善与消失时间,治疗效果,不良反应发生情况。结果研究组治疗前的CRP、PCT、IL-6水平分别为(30.96±2.76)mg/L、(2.95±0.27)ng/ml、(69.75±1.52)pg/ml,治疗后的CRP、PCT、IL-6水平分别为(13.86±2.22)mg/L、(0.69±0.11)ng/ml、(24.49±1.45)pg/ml;对照组治疗前的CRP、PCT、IL-6水平分别为(30.71±2.88)mg/L、(2.83±0.24)ng/ml、(70.01±1.47)pg/ml,治疗后的CRP、PCT、IL-6水平分别为(17.17±3.55)mg/L、(0.98±0.18)ng/ml、(37.18±2.31)pg/ml。治疗后,两组CRP、PCT、IL-6水平较治疗前下降,其中研究组下降更多(P<0.05)。研究组患儿咳嗽咳痰、发热、湿啰音、哮鸣音显著改善时间分别为(2.25±0.25)、(1.88±0.57)、(2.53±0.27)、(2.88±0.57)d,消失时间分别为(3.14±0.23)、(2.75±0.52)、(5.65±0.97)、(5.35±0.79)d;对照组患儿咳嗽咳痰、发热、湿啰音、哮鸣音显著改善时间分别为(3.34±0.45)、(2.65±0.66)、(3.96±0.18)、(4.24±0.93)d,消失时间分别为(4.76±0.61)、(4.08±0.76)、(6.91±1.16)、(6.94±1.53)d。研究组患儿咳嗽咳痰、发热、湿啰音、哮鸣音显著改善与消失时间与对照组相比更短(P<0.05)。研究组患儿治疗总有效率93.33%高于对照组的70.00%,且不良反应发生率3.33%低于对照组的26.67%(P<0.05)。结论相对于阿奇霉素持续治疗,序贯治疗可以更好地控制病情、缩短病程,而配合使用自拟中药方剂,在缩短病程,减少不良反应发生的效果上更为理想。

中医三联疗法对脾肾两虚型多囊卵巢综合征不孕症患者卵泡发育、血清INHB水平及妊娠情况的影响

目的探究中医三联疗法对脾肾两虚型多囊卵巢综合征(PCOS)不孕症患者卵泡发育、血清抑制素B(INHB)水平及妊娠情况的影响。方法采用随机数字表法将选取的72例2022年6月至2023年1月于河北生殖妇产医院进行治疗的脾肾两虚型PCOS不孕症患者分为观察组(n=36)和对照组(n=36)。对照组采用克罗米芬进行治疗,观察组在对照组基础上给予中医三联疗法,比较两组患者的卵泡发育情况、激素水平和血清INHB水平、妊娠率。结果两组治疗6个月后的成熟卵泡数均比治疗3个月后有显著提升,且观察组治疗3个月、6个月后的成熟卵泡数均高于对照组(P<0.05);两组治疗3个月、6个月后的黄体生成素(LH)水平均较治疗前有所降低,卵泡刺激素(FSH)和血清INHB水平较治疗前有所提升,且观察组LH水平降低幅度、FSH和血清INHB水平升高幅度均较对照组显著(P<0.05);治疗3个月和6个月后,观察组妊娠率高于对照组,差异具有统计学意义(P<0.05)。结论中医三联疗法能够显著改善脾肾两虚型PCOS不孕症患者的卵泡发育情况,提高其血清INHB水平及妊娠率。