瘿瘤消散汤联合左甲腺素钠片治疗结节性甲状腺肿的疗效观察

目的:探讨瘿瘤消散汤联合左甲腺素钠片治疗结节性甲状腺肿的临床疗效。方法:选择2013年7月到2016年2月在我院门诊治疗的120例结节性甲状腺肿患者,随机分为对照组和试验组,各60例。对照组患者给予左甲腺素钠片治疗,试验组患者给予瘿瘤消散汤联合左甲腺素钠片治疗,两组患者均治疗6个月。评价并比较两组患者临床疗效。测量并比较两组患者治疗前后甲状腺结节最大横截面积和最大直径,检测并比较两组患者治疗前后血清促甲状腺激素(TSH)、促甲状腺素受体抗体(TRAb)、游离三碘甲状腺原氨酸(FT3)及游离甲状腺素(FT4)水平。结果:试验组患者的总有效率为86.67%,明显高于对照组的66.67%(P0.05)。治疗后,两组患者的甲状腺结节最大横截面积、最大直径均明显低于治疗前,并且试验组患者均明显低于对照组(P0.05)。治疗后,两组患者血清TSH、TRAb及FT3水平均明显低于治疗前,并且试验组患者均明显低于对照组,差异均具有统计学意义(P0.05);两组患者血清FT4水平治疗前后均无明显变化(P0.05)。结论:瘿瘤消散汤联合左甲腺素钠片治疗结节性甲状腺肿的临床疗效显著,能够明显缓解临床症状和体征,值得在临床上推广应用。     

Green micelle and complex inclusion enhance synchronous spectrofluorimetric quantification of a novel analgesic combination: Tramadol and celecoxib in tablet dosage form and spiked human plasma

This work offers for the first time an optimized, highly sensitive, simple, and accurate synchronized spectrofluorimetric technique for the simultaneous measurement of tramadol and celecoxib in powder form, their combined multimodal tablet, and finally spiked human plasma samples. Tramadol and celecoxib were recently released as a new drug combination to alleviate intense, sudden pain when other pain medications had failed. The technique entailed taking measurements of the fluorescence amplitudes of the synchronized spectra at Δλ = 100 nm. Excitation was made at 220 nm and 264 nm, whereas the emission points were 282 nm and 368 nm for tramadol and celecoxib, respectively. This technique offers linearity of 40–400 ng/ml and 100–2000 ng/ml for tramadol and celecoxib, respectively. Complex formation between the cited medications with the surfactant sodium dodecyl sulphate enhanced the fluorescence intensity and other control parameters. Tramadol and celecoxib were both determined in spiked human plasma using the current technique with marked percentage recoveries of 98.63 ± 6.30% and 99.32 ± 6.67%, respectively. Last, the research was extended to check the greenness profile of the finally optimized method and the results revealed excellent eco-friendliness. Three greenness assessment tools were used including Eco-scale, the Green Analytical Procedure Index tool, and the AGREE calculator. Sustainable development, economic feasibility, and environmental soundness were all considered throughout the development of the present technique. The approach was validated in accordance with the requirements provided by the International Council for Harmonization.     

Spectrofluorimetric determination of folic acid in tablets and urine samples using 1,10‐phenanthroline‐terbium probe

A new spectrofluorimetric method was reported for the determination of folic acid (FA), based on its quenching effect on the fluorescence intensity of Tb³⁺–1,10‐phenanthroline complex as a fluorescent probe. The quenched fluorescence intensity at an emission wavelength of 545 nm was proportional to the concentration of FA in Tris–HCl buffer solution of pH 6.2. The effects of pH, time, order of addition of reagents, temperature and concentrations of Tb³⁺, buffer and 1,10‐phenanthroline were investigated and optimized. The linear range for the determination of FA was 0.01–1.1 mg/L. The detection limit was 0.003 mg/L and the relative standard deviation for replicated determination of 1 mg/L of folic acid was 1.2%. This method was simple, practical and relatively free from interference effects. It was successfully applied to assess FA in pharmaceutical tablets and urine samples. Copyright © 2010 John Wiley & Sons, Ltd.     

Simultaneous determination of metolazone and losartan in their combined tablets using synchronous fluorescence spectroscopy

Synchronous spectrofluorimetry is utilized to carry out a rapid, sensitive and reliable method for determination of the binary mixture of metolazone (MTL) and losartan potassium (LSP). Under optimized experimental conditions, the synchronized fluorescence spectra of the two drugs were measured at Δλ = 80 nm in acidic methanolic solution and intensities were recorded at 260 nm for MTL and 335 nm for LSP. Linear correlation between fluorescence intensity and concentration were obtained through the ranges 0.02–0.2 μg/mL and 0.2–2.0 μg/mL for MTL and LSP, respectively. Limits of detection were 3.02 and 0.12 ng/mL, whereas limits of quantification were 9.16 and 0.35 ng/mL for MTL and LSP, respectively. The designated procedure was easily and successfully adopted to determine the two compounds in their single, as well as in co‐formulated, tablets and the results showed high precision and accuracy without any significant interference from common tablet excipients. A comparison of the obtained results with a published reference method was carried out and both showed good agreement with respect to accuracy and precision.     

API Determination by NIR Spectroscopy Across Pharmaceutical Production Process

The purpose of this research was to demonstrate the ability of reflectance near-infrared (NIR) spectroscopy for quantitative analysis of an active ingredient in different production steps of a solid formulation. The drug is quantified at two different steps of a pharmaceutical process: after granulation and after tablet coating. Calibration samples were prepared by mixing pure drug, excipients, and batch samples (75–120 mg/g active ingredient) using a simple methodology that can be easily carried out in a laboratory. Partial least squares calibration models were calculated in second-derivative mode using the wavelength range 1,134–1,798 nm. The error of prediction for granulated samples was 1.01% and 1.63% for tablets. The results prove that NIR spectroscopy is a good alternative to other, more time-consuming means of analysis for pharmaceutical process monitoring.     

强力定眩片及联合他汀类对高脂血症小鼠的降脂作用

摘要 目的：探讨强力定眩片及联合他汀类药物的降脂作用,通过对上市药品再评价,指导临床合理用药。方法：采用60% kcal高脂饲料建立高脂血症小鼠模型,同时灌胃给予强力定眩片或瑞舒伐他汀钙片8周,于给药2、4、8周分别检测血清中血脂水平,8周给药结束后检测血清及肝脏中总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白（HDL-C）和低密度脂蛋白（LDL-C）含量,H&E染色和油红O染色观察肝脏脂肪病变情况。结果：给药2周、4周和8周,瑞舒伐他汀钙片组、强力定眩片高、中剂量组以及联合给药组TC、TG和LDL-C水平均低于模型组,差异具有统计学意义（P<0.05或P<0.01）,HDL-C高于模型组（P<0.05）,随着给药时间延长,药物的降脂作用更明显。H&E和油红O染色结果显示,模型组小鼠肝脏脂肪病变严重,出现脂肪空泡和红色脂滴,强力定眩片能成剂量依赖性改善肝脏脂肪病变,联合用药后肝脏脂肪病变改善最为显著,肝脏细胞基本恢复正常,肝脏细胞排列整齐,仅存在少量红色脂滴和脂肪空泡。结论：在观察的时间段（2周～8周）,随着用药时间的延长,除强力定眩片低剂量组外,各组对血脂指标改善明显,肝脏脂肪病变程度减轻,脂滴减少,强力定眩片呈现剂量依赖性,联合用药后强力定眩片和瑞舒伐他汀钙片具有协同降脂作用。本研究为临床合理用药提供了实验依据。