1.Study on Quality Standard of Sanyuan Rupixiao Gel Paste
Zhuo WANG ; Yuchuan CHENG ; Yuanyuan LI ; Dingding GUO ; Yan NI ; Xuliang HAO ; Peng KONG ; Jiaoni YAO ; Ze LIANG
Chinese Journal of Information on Traditional Chinese Medicine 2017;24(3):78-81
Objective To establish the quality standard for Sanyuan Rupixiao Gel Paste. Methods Sparganii Rhizoma, Gleditsiae Sinensis Fructus, Cyperi Rhizoma and Impatientis Semen were identified by TLC method. The content of tetrahydropalmatine was determined by HPLC. Waters symmetry column was used with the mobile phase of acetonitrile-0.1% phosphatic acid in a gradient manner (pH was adjusted to 6.4 by triethylamine) (55:45) at the detection wavelength of 280 nm. The flow rate was 1.0 mL/min at the column temperature of 30 ℃. Results The spots in TLC were clear without any interference;tetrahydropalmatine showed a good linear relation in the range of 0.092–1.84 μg;the average recovery was 100.15%with RSD of 1.58%(n=6). Conclusion The method is simple and accurate with high reproducibility, which can be used for the quality control of Sanyuan Rupixiao Gel Paste.
2.Effects of Non-selective β-blockers on Mortality of Patients with Cirrhosis and Ascites:A Meta-analysis
Xiao CHEN ; Jiaoni ZHENG ; Yao HE ; Yi RUAN ; Yang CHEN ; Xiaoyuan ZHENG
China Pharmacy 2020;31(8):1003-1008
OBJECTIVE:To syste matically evaluate the effects of non-selective β-blockers(NSBB)on mortality of patients with cirrhosis and ascites ,and to provide evidence-based reference for clinical drug use. METHODS :Retrieved from PubMed ,the Cochrane Library ,Embase,Web of Science ,CNKI and Wanfang database ,randomized controlled trials (RCTs)and cohort studies about the effects of NSBB on mortality of patients with cirrhosis and ascites were collected from the date of database establishment to Sept. 30th,2019. The patients in the trial group were treated with NSBB ,the patients in the control group were treated with blank control or isosorbidemononitrate ,variceal ligation or other measures to prevent variceal bleeding. After literature screening and data extraction ,the quality of RCTs and cohort studies were evaluated by using bias risk evaluation tool recommended by Cochrane system evaluator manual 5.1.0 and Newcastle-Ottawa scale . Meta-analysis was performed by using Rev Man 5.3 statistical software. RESULTS :Totally 18 studies were included ,involving 8 649 patients,4 RCTs and 14 cohort studies. Results of Meta-analysis showed that ,there was no significant difference in all-cause mortality between the patients using NSBB of trial group [RR =0.85,95% CI(0.65,1.11),P=0.22],severe ascites [RR =0.58,95% CI(0.15,2.22),P=0.42] or refractory ascites [RR =0.85,95%CI(0.61,1.20),P=0.36] and the control group. Subgroup analysis showed that ,there was no significant difference in all-cause mortality between the patients using NSBB of trial group and control group according to the research method (RCT vs. cohort study )and the type of drug use (P>0.05). CONCLUSIONS :The use of NSBB does not increase the incidence of all-cause mortality in cirrhosis patients with ascites ,or even in those with severe ascites or refractory ascites.