1.Study on Quality Standard for Shendi Tangmaining Capsules
China Pharmacy 1991;0(03):-
OBJECTIVE:To identify Salvia miltiorrhiza,Rehmannia,Chuangxion rhizome,rhubarb and to determine the content of tanshinone Ⅱ A,as an efficacious composition,in Shendi Tangmaining capsules.METHODS:TLC and SPE-UV were used.The SPE-UV method was performed with silica gel column(1.1cm).The mobile phase consisted of dichloromethane-me_thanol(8∶2).The detected wavelength was 280nm.RESULTS:In the SPE-UV method,the standard curve for tanshinone Ⅱ A was linear in the range of 1.6~8?g/ml(r=0.9 999).The average recovery was 96.13% with RSD=0.80%.CONCLUSION:The method is simple,rapid and reliable for quality control of the capsules.
2.Prognostic risk factors of catheter-related bloodstream infection in patients with maintenance hemodialysis
Caihe CHEN ; Shuyan MA ; Wenhui HUANG
Chinese Critical Care Medicine 2024;36(2):183-188
Objective:To analyze the pathogen distribution and prognostic risk factors of catheter-related bloodstream infection (CRBSI) in patients with maintenance hemodialysis (MHD) during non-hospitalization.Methods:A retrospective comparative study was conducted. Thirty-four patients of MHD with semi-permanent catheter admitted to the department of nephrology of Gansu Provincial Hospital from January 2020 to May 2023 due to CRBSI during non-hospitalization were enrolled. The distribution characteristics of pathogens causing CRBSI in MHD patients during non-hospital period were analyzed. All patients were actively given anti-infection treatment after admission. The general data, laboratory indicators and prognosis during hospitalization were collected through the electronic medical record system. Patients were divided into poor prognosis group (14 cases) and good prognosis group (20 cases) according to the treatment results during hospitalization. Univariate and binary Logistic regression were used to analyze the risk factors affecting the prognosis of patients, and receiver operator characteristic curve (ROC curve) was drawn to evaluate its predictive value for prognosis.Results:A total of 28 pathogenic bacteria were isolated from 34 patients, of which 25 were Gram-positive, Staphylococcus was the most common pathogen, accounting for 82.15% of the total, and 16 strains of Staphylococcus aureus (57.15%), including 6 methicillin-resistant Staphylococcus aureus (MRSA, 21.43%). There were 7 strains of Staphylococcus epidermidis (25.00%), including 3 strains of methicillin-resistant Staphylococcus epidermidis (MRSE, 10.71%). There were 3 strains of Gram-negative bacteria, 1 strain each of Pseudomonas aeruginosa, Escherichia coli and Acinetobacter baumannii. Univariate analysis showed that the fever duration of MHD patients with CRBSI in the poor prognosis group was significantly longer than that in the good prognosis group [days: 8.50 (3.75, 45.00) vs. 2.50 (1.00, 4.75), P < 0.01], serum erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and random blood glucose (GLU) were significantly higher than those in the good prognosis group [ESR (mm/1 h): 82.36±24.98 vs. 56.95±35.65, CRP (mg/L): 123.45±74.10 vs. 67.35±55.22, GLU (mmol/L): 8.74±3.66 vs. 6.42±1.95, all P < 0.05]. Binary Logistic regression analysis showed that serum CRP was an independent risk factor for poor prognosis in MHD patients with CRBSI [odds ratio ( OR) = 1.020, 95% confidence interval (95% CI) was 1.002-1.038, P = 0.025]. ROC curve analysis showed that the area under the curve (AUC) of serum CRP in predicting poor prognosis of MHD patients with CRBSI was 0.711; when the optimal cut-off value was 104.65 mg/L, the sensitivity was 64.3% and the specificity was 85.0%, indicating that it has good predictive value. Conclusions:Gram-positive bacteria are the main pathogens of CRBSI in MHD patients during non-hospital period. The poor prognosis is mainly related to the high level of serum CRP. Serum CRP level can effectively screen the high-risk group of MHD patients with CRBSI with poor prognosis.
3.Comparative Analysis of Volatile Oil and Fatty Oil Constituents from Cinnamomum migao in Different Sources
Kai HUANG ; Jie LIU ; Caihe HUANG ; Yao LIU ; Chun CHENG ; Yongping ZHANG ; Jian XU
China Pharmacy 2020;31(16):1961-1966
OBJECTIVE:To c ompare the difference of volatile oil and fatty oil constituents from Cinnamomum migao in different sources. METHODS :The steam distillation method and Soxhlet extraction mothod were used to extract volatile oil and fatty oil from C. migao in different sources respectively ,and the extraction rates were calculated ;GC-MS was used to analyze volatile oils and fatty oils constituents from C. migao in different sources. The compounds were searched and matched through NIST 17,WILEY 275 databases and mass spectrometry computer date system. The relative percentage content of each constituent was calculated by peak area normalization method. RESULTS :The extraction rates of the volatile oils from 4 batches of C. migao in different sources were 3.1%,4.5%,6.2% and 5.5%,respectively;the extraction rates of the fatty oils from C. migao were 6.2%,8.3%,10.5% and 9.4%,respectively. A total of 87 constituents were identified in 4 batches of volatile oils of C. migao in different sources ,of which 104 constituents were separated from S 1,67 were identified ,and the relative percentage content was 90.172%;102 constituents were separated from S2,73 were identified ,and the relative percentage contentwas 88.836%;77 constituents were separated from S 3,57 were identified , with a relative percentage content of 93.972%;87 constituents were separated from S 4,60 were m identified,with a relative percentage content of 95.247% . Among above 87 constituents,48 were monotyloids and their derivat ives,33 were sesquiterpenoids and their derivatives ,4 were aliphatic and 2 were ketones. There were 44 common constituents from the volatile oil of C. migao in different sources ,all of which were terpenoids. The relative percentage content of S 1-S4 were 38.556%,66.776%,88.886% and 90.115%,respectively. Among 44 common constituents ,the relative percentage content of which were all greater than 1% were 1,8-cineole(S2: 6.518%;S4:3.850%;S3:1.655%;S1:1.475%;),4-terpineol(S2:1.591%;S4:1.384%;S3:1.193%;S1:1.182%), α-terpinenol(S3:8.662%;S4:7.173%;S2:6.503%;S1:4.839 %),δ-cadinene(S3:8.597%;S4:5.329%;S2:2.677%; S1:2.547%),elemol(S3:4.781%;S2:4.113%;S1:2.568%;S4:1.897%)and γ-eudesmol(S2:4.061%;S3:2.167%;S1: 1.575%;S4:1.197%). A total of 37 constituents were identified in the 4 batches of fatty oil of the C. migao in different sources , of which 87 constituents were separated from S 1,34 were identified ,and the relative percentage content was 91.072%;69 constituents were separated from S 2,28 were identified ,and the relative percentage content was 90.527%;63 constituents were separated from S 3,23 were identified ,the relative percentage content was 85.297%;71 constituents were separated from S 4,24 were identified ,with relative percentage content of 91.527%. Among above 37 constituents,there were 21 monoterpenes and their derivatives,2 sesquiterpenes,13 aliphatics,and 1 alkane. There were 20 common constituents in fatty oil from C. migao of different sources ,and the relative percentage content in S 1-S4 were 89.667%,89.595%,84.651% and 90.972%,respectively. Among 20 common constituents ,the constituents with relative percentage content greater than 1% were methyl caprate (S4: 59.498%;S1:58.733%;S2:57.552%;S3:26.423%)and methyl dodecanoate (S3:31.434%;S2:26.990%;S1:25.095%; S4:24.334%). CONCLUSIONS :There are differences in volatile oil and fatty oil constituents of C. migao from different sources , and the contents of the same constituent were also different.