老年人用药问题

随着年龄的增长,人体的生理机能和生化反应发生改变,使药物对老年人药动学发生改变。因此有必要为老年人提供合理、安全、有效的用药方案,指出用药时应注意的问题。     

健康老年人血清锌,铜,镁含量的调查

应用原子吸收分光光度法对济南市健康老年人血清中铜、锌、镁含量进行了测定。结果表明，健康老年人血液铜、锌水平低，但铜、锌比值正常，而镁的含量则较高。提示这组健康老年人未患心、脑血管疾病及糖尿病的原因可能与铜、锌、镁等微量元素有关。     

34例输液发生过敏反应患者的分析及护理

为找出过敏反应的原因，保证临床用药安全，对湛江市第二人民医院近年临床输液发生的过敏反应病例的输液联用药种数、残余液进行了检查和分析。发现过敏反应中，以抗生素、中草药制剂引起的过敏反应最为常见，其次为患者的个体差异因素。结果表明药品质量、不合理用药、患者过敏体质和个体差异均是引起过敏反应的因素。     

骨质疏松症的防治

骨质疏松症是中老年人的常见病，40岁以上6个人中就有一个患骨质疏松症。其发病原因与人体内钙和多种微量元素含量降低有关，也与老年人性激素尤其老年女性雌激素缺乏有关，还与人们不良饮食习惯和运动量减少等有关。骨质疏松症严重威胁老年人的健康和生活，而且有年轻化的趋势，应予高度关注。     

高空缺氧条件下DPH对脑铁,锌及MDA含量的影响

和原子吸收法测定了高空缺氧条件下ＤＰＨ对大鼠脑组织铁、锌含量的影响，并测定了脑ＭＤＡ含量。结果显示：对照组在高空缺氧条件下，脑组织铁含量明显高于用药组，而脑锌含量明显低于用药组。脑组织ＭＤＡ一明显高于地面对照及用药组，这表明，在高空缺氧条件下，对照组脑组织过氧化反应增强，高于用药组：脑组织ＭＤＡ含量与锌含量成反比。     

健康老年人与若干常量及微量元素的相关性研究

用原子吸收光谱法测定了７０例健康老年人、３０例健康成年人和３０例老年高血压病人血清中Ｃｕ、Ｚｎ、Ｆｅ、Ｍｎ、Ｃａ、Ｍｇ６种元素的含量．结果表明，健康老年人组与健康成年人组（对照组）相比，除Ｆｅ以外，Ｃｕ、Ｚｎ、Ｍｎ、Ｃａ、Ｍｇ均有显著性差异；与老年高血压病人组相比，除Ｍｇ以外，Ｃｕ、Ｚｎ、Ｆｅ、Ｍｎ、Ｃａ均有显著性差异．我们认为稳定的Ｃｕ／Ｚｎ比值及较高的血Ｍｇ水平是健康老年人未发生心血管疾病及糖尿病的重要原因之一，而高Ｃｕ、高Ｃａ及显著偏高的Ｃｕ／Ｚｎ比值，则是发生高血压的一个重要原因。     

老年人上消化道出血176例临床分析

对１７６例老年人上消化道出血病因进行了分析，提出了临床治疗和预后措施。     

微量元素对老年人健康的作用与危害

介绍了微量元素的生理功能，微量元素与衰老，长寿和老年人冠心病，高血压，脑血管疾病，肿瘤，糖尿病等五种常见病的关系。还特别介绍了锌对人类健康的作用和铅对人类健康的危害。老年人体内有益的微量元素，如铁，锌，锰，铬，硒等比较缺乏，相反镍，铅，铝等有害的微量元素比较高。长寿老人头发中有益微量元素锰，钴，硒，铜，锌，铬等均有较高水平。人要长寿，必须维持体内微量元素的水平，微量元素过低或者过高应及时通过食疗或药物治疗进行调节。     

地塞米松、消炎痛治疗流行性出血性结膜炎效果分析

为观察地塞米松，消炎痛对流行性出血性结膜炎的治疗效果，回顾分析了80例流行性出血性结膜炎门诊病人，对口服地塞米松，消炎痛联合局部用药与单纯局部用药进行了对比研究。结果表明，两组治疗方法有统计学差异。可见两药联合局部用药能迅速改善患者症状，缩短病程。     

湖南省四市老年人头发微量元素正常值研究

对长沙等四市445例健康中、老年人的八种头发微量元素进行了测定．制定了老年期和老年前期正常值，并对地区、职业、头发染色分布进行了探讨，测定结果可作为今后老年医学研究和临床参考．     

微量元素研究对中药研究和应用的指导作用

通过对微量元素与中药材的栽培，中药的炮制加工，中成药的工艺研究及中药的合理应用之间相关性的综述，阐明了微量元素研究对中药研究和应用的指导意义，同时也给研究人员对微量元素的研究提出了新课题。     

Information theory applied to chromatographic fingerprint of herbal medicine for quality control

At present, the construction of chromatographic fingerprints plays an important role in the quality control of complex herbal medicines. In this work, information theory was applied to obtain chromatographic fingerprints with good performance. Moreover, according to the characteristics of the chromatographic fingerprints obtained, some modifications of the calculation of the information content were conducted. In comparison with the information content from several chromatographic fingerprints obtained, reliable chromatographic fingerprints with a high separation degree and uniform concentration distribution of chemical components could be determined. The successful application of information theory with modification to simulated chromatographic fingerprints together with real herbal medicines such as Rhizoma chuanxiong and Ginkgo biloba from different sources demonstrated clearly that the proposed method to determine chromatographic fingerprints was reasonable and reliable and it was user-friendly. Chromatographic fingerprints determined with high separation degrees and uniform concentration distribution of chemical ingredients might also chemically represent characteristic components of herbal medicines for quality control.     

天然化合物芦丁的治疗潜力

芦丁属于类黄酮化合物,广泛存在于人们日常食用的各种蔬菜、水果和中草药中。 芦丁是天然的抗氧化剂,有清除自由基的特性,可调节众多疾病有关的细胞内和细胞外信号通路,影响细胞的生长,分化及其功能,对人们的健康,防病治病起着重要作用。芦丁具有广泛的药理活性,抗氧化、抗炎、抗病毒、抗癌、预防和治疗心脑血管疾病。以芦丁为原料的药品有多种,使用芦丁毒副作用小,安全,成本低。由于芦丁的生物利用度低,在临床上应用受到一定的限制。克服芦丁溶解性差的问题已经有各种方法,例如使用环糊精的络合,磷脂等,改善水溶性,从而增加生物利用度。本文综述了芦丁的多种潜在用途和治疗作用的信息,与药物输送相关的问题,以及改善药物生物利用度的可能方法。重点介绍了芦丁的抗炎、抗癌、降糖、对心血管的保护作用,为天然化合物的开发和利用奠定基础。     

Field-induced wooden-tip electrospray ionization mass spectrometry for high-throughput analysis of herbal medicines

This study demonstrates the first application of field-induced wooden-tip electrospray ionization (ESI) mass spectrometry (MS) for high-throughput analysis of herbal medicines. By application of an opposite and sample-contactless high voltage on the MS inlet rather than wooden tips, a high-throughput analysis device is easily set up, and a relatively fast analysis speed of 6 s per sample was successfully achieved. In addition, fast polarity switching between positive and negative ion detection mode is readily accomplished, which provides more complete chemical information for quality assessment and control of herbal medicines. By using the proposed method, various active ingredients present in different herbal medicines were rapidly detected, and the obtained mass spectra were served as the samples' fingerprints for tracing the origins, establishing the authenticity, and assessing the quality consistency and stability of herbal medicines. Our experimental results demonstrated that field-induced wooden-tip ESI-MS is a desirable method for high-throughput analysis of herbal medicines, with promising prospects for rapidly differentiating the origin, determining the authenticity, and assessing the overall quality of pharmaceuticals.     

Similarity analyses of chromatographic herbal fingerprints: A review

Herbal medicines are becoming again more popular in the developed countries because being “natural” and people thus often assume that they are inherently safe. Herbs have also been used worldwide for many centuries in the traditional medicines. The concern of their safety and efficacy has grown since increasing western interest. Herbal materials and their extracts are very complex, often including hundreds of compounds. A thorough understanding of their chemical composition is essential for conducting a safety risk assessment. However, herbal material can show considerable variability. The chemical constituents and their amounts in a herb can be different, due to growing conditions, such as climate and soil, the drying process, the harvest season, etc. Among the analytical methods, chromatographic fingerprinting has been recommended as a potential and reliable methodology for the identification and quality control of herbal medicines. Identification is needed to avoid fraud and adulteration. Currently, analyzing chromatographic herbal fingerprint data sets has become one of the most applied tools in quality assessment of herbal materials. Mostly, the entire chromatographic profiles are used to identify or to evaluate the quality of the herbs investigated. Occasionally only a limited number of compounds are considered. One approach to the safety risk assessment is to determine whether the herbal material is substantially equivalent to that which is either readily consumed in the diet, has a history of application or has earlier been commercialized i.e. to what is considered as reference material. In order to help determining substantial equivalence using fingerprint approaches, a quantitative measurement of similarity is required. In this paper, different (dis)similarity approaches, such as (dis)similarity metrics or exploratory analysis approaches applied on herbal medicinal fingerprints, are discussed and illustrated with several case studies.     

膨润土负载壳聚糖制备吸附剂

将壳聚糖与膨润土混合制得一种吸附剂。将其用于染料溶液的脱色、陈醋的澄清、中药注射液中鞣酸的清除等,脱色率为97％,鞣酸脱除率为50％,陈醋的透光率为25．8％。通过X射线衍射图讨论了膨润土的改性机理。改性后膨润土的片状层结构未发生变化,壳聚糖仅仅吸附在膨润土的内外表面。     

关于中药质量控制与体内代谢研究的思考

质量控制是保证中药安全、有效的重要基础。体内代谢研究可以为阐明中药的治病机制提供依据。本文以蟾酥为例,讨论了当前中药质量控制及体内代谢研究存在的主要问题和解决办法:认为把中药指纹图谱的全面指认与多指标成分定量相结合是有效控制中药质量的可行途径;液相色谱-质谱联用技术(LC/MS)将在中药化学研究、体内代谢研究等方面发挥重要作用;中药的化学指纹图谱应与药理活性相关联,从而建立合理的中药质量评价体系;结构修饰对基于天然产物的新药发现具有重要意义。     

西咪替丁治疗消化性溃疡与其它药物的合理应用

对西咪替丁治疗消化性溃疡与其它药物方面不良相互作用以及使用不当进行了分析，并且提出了合理应用之对策。