1.Study on Watering Extraction Process of Yangyinqingwei Oral Liquid
Huaiqing WEN ; Wenchao HUANG ; Bin LI
China Pharmacy 1991;0(06):-
OBJECTIVE:To select the optimum watering extraction process of yangyinqingwei oral liquid. METHODS: Influence of extraction time upon the extraction of volatile oil was observed; The orthogonal design was adopted to observe the extraction process of weight of the extracts and the content of paeoniflorin. RESULTS & CONCLUSIONS:The optimum watering extraction process of yangyinqingwei oral liquid was that medicinal materials were dipped for 30 minutes before decoction,then the extraction of volatile oil in saposhnikovia divaricata and pogostemon cablinlasted for 2 hours, next the residue of drugs and the other drugs were decocted together, and finally water of 8 times as much as the drugs were added and the mixture was extracted 3 times, with 1.5 hours for each time.
2.Effects of propofol and midazolam on the prognosis of patients treated with noninvasive positive pressure ventilation
Hongjie DOU ; Fangbao HU ; Wen WANG ; Lin LING ; Deqiang WANG ; Huaiqing WANG ; Fenlian LIU ; Guanghao GE ; Hao WENG
Chinese Journal of Primary Medicine and Pharmacy 2019;26(5):587-591
Objective To compare the effects of propofol and midazolam on the prognosis of patients treated with noninvasive positive pressure ventilation.Methods A prospective,single-blind,randomized controlled trial (RCT) was conducted in 90 patients who were treated with noninvasive ventilation for acute dyspnea in the ICU of the Sixth People's Hospital Affiliated to Shanghai Jiaotong University from October 2014 to December 2016.They were randomly divided into three groups according to the digital table,with 30 cases in each group.The control group was not given sedation treatment.The propofol group was given propofol 0.5 ~ 1 mg/kg,and then administered by intravenous infusion of 1 mg · kg-1 · h-1 with a micropump.The midazolam group was given midazolam 0.05-O.1 mg/kg,and then with intravenous infusion of 0.05-0.1 mg · kg-1 · h-1 maintaining the patients'sedation goals(Ramsay score of 2).The vital signs and blood gas analysis indicators were recorded.The incidence of tracheal intubation,the incidence of hospital infection,length of ICU and hospital stay,mortality and sedation-related complications were compared.Results The tracheal intubation rate in the propofol group was similar to that in the midazolam group (20.0% vs.23.3%,x2 =2.65,P > 0.05),while the tracheal intubation rate (46.7%) in the control group was significantly higher (x2 =4.21,4.17,all P < 0.05).The length of ICU and hospital stay in the pmpofol group [(7 ± 3)d and (15 ± 5) d] and midazolam treatment group[(8 ± 4) d and (16 ± 4) d] were significantly shorter than those in the control group[(13 ± 4) d and (20 ± 6) d] (t =2.384,2.371,2.392,2.389,all P < 0.05).The mortality rates of 30d (20.0%,6/30) and 90d (30.0%,9/30) in the control group were higher than those in the propofol group(10.0%,3/30;20.0%,6/30),and the midazolam group (13.3%,4/30;23.3%,7/30),but the differences were not statistically significant(P > 0.05).The incidence rates of hospital infection in the pmpofol group and midazolam group were 6.6% (2 cases) and 10.0% (3 cases),which were significantly lower than 33.3% (10 cases) in the control group (x2 =4.32,4.23,all P < 0.05).Conclusion The use of mild sedation in patients of acute dyspnea treated with noninvasive positive pressure ventilation can improve the patients' tolerance rate,reduce the rate of tracheal intubation and the incidence of hospital infection,and decrease the length of ICU and hospital stay,without significant adverse reactions.There was no significant difference between propofol and midazolam.