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    26 October 2023, Volume 13 Issue 5 Previous Issue    Next Issue

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    Exploring the Effect and Mechanism of Pterostilbene on Alzheimer’s Disease Based on Network Pharmacology
    2023, 13 (5):  1.  DOI: 10.3969/j.issn.2095-1396.2023.05.001
    Abstract ( 69 )   PDF (4504KB) ( 70 )  
    Objective: Based on network pharmacology, the study aims to explore the potential target and signaling pathway of pterostilbene against Alzheimer's disease(AD). Methods: Swiss Target Prediction database was used to screen the potential targets of pterostilbene; Gene Cards database was used to retrieve the relevant targets of Alzheimer’s disease; Venny2.1 website was employed to obtain the intersection of drug-disease target genes; STRING database was used to construct the protein-protein interaction (PPI) network of common genes; Cytoscape 3.7.2 software was utilized for visualization and analysis of the pterostilbene-target network; DAVID database was employed for gene ontology (GO) enrichment analysis and kyoto gene and genome encyclopedia (KEGG) signaling pathway enrichment analysis of common genes; Online tools were used to draw GO and KEGG pathway enrichment analysis diagrams. Results: By database screening, 100 potential targets of pterostilbene and 14472 Alzheimer’s disease-related targets were obtained, among which 88 were identified as potential targets of pterostilbene in Alzheimer’s disease. Base on the analysis of Betweenness, ESR1, EGFR, MAPT, PTGS2 and BCL2 were core targets. Enrichment analysis showed that endocrine resistance, neurotrophin signaling pathway and prolactin signaling pathway were highly involved. Conclusion: Pterostilbene may regulate endocrine resistance and neurotrophic signaling pathways through core targets such as ESR1, EGFR, MAPT, PTGS2 and BCL2 to exert its protective effect against Alzheimer’s disease.
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    To study the Mechanism of Astragalus Bupleurum on Hyperthyroidism Based on Network Pharmacology
    CHEN Fan, REN Jun-xu, ZHANG Jing
    2023, 13 (5):  6.  DOI: 10.3969/j.issn.2095-1396.2023.05.002
    Abstract ( 55 )   PDF (3318KB) ( 13 )  
    Objective: The mechanism of Astragalus-Bupleurum treatment for hyperthyroidism was investigated by network pharmacology and molecular docking methods. Methods: TCMSP database was used to screen out the active constituents of Astragalus bupleurum and their corresponding targets with bioavailability (OB)≥30% and drug index (DL)≥0.18. Both GeneCards, DisGeNET, TTD and Drugbank databases were used to search the relevant targets with the key words Hyperthyroidism; To obtain the intersection targets between TCM and diseases, the key targets were selected using the "Degree", "Betweenness" and "Closeness" in Cytoscape software, and the key target information was obtained on the DAVID platform to construct GO functional enrichment and KEGG pathway enrichment analysis. Autodock Tools 1.5.7 software was used to conduct molecular docking of core targets and their corresponding active components. Results: The results showed that 20 active ingredients (224 targets) of Astragalus and 17 active ingredients (193 targets) of Bupleurum were obtained. There were 1358 targets associated with hyperthyroidism. Intersection mapping obtained 76 intersection targets. Eighteen core targets were selected by the plug-in for GO functional enrichment analysis and 306 items were obtained, including 244 biological process items, 20 cell localization items and 42 molecular function items. Ninety-six signaling pathways were annotated by KEGG pathway, such as HIF-1 signaling pathway, IL-17 signaling pathway, TNF signaling pathway, etc. Molecular docking results showed that the key targets of AKT1, IL-6, TNF and IL-1β had good affinity with the corresponding active ingredients. Conclusion: Radix Astragalus Bupleurum is effective in treating hyperthyroidism through multi-component, multi-target and multi-pathway synergies. This study provides sufficient theoretical basis for subsequent research.
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    Excavation and Analysis of Compatibility Law and Application Characteristics of Prescriptions Containing Sanguisorbae Radix
    ZHANG Feng , ZHONG Juan, PAN Wen-bo, PEI Zhi-fei
    2023, 13 (5):  14.  DOI: 10.3969/j.issn.2095-1396.2023.05.003
    Abstract ( 60 )   PDF (2898KB) ( 52 )  
    Objective: Based on data mining, to explore the compatibility law and application characteristics of prescriptions containing Sanguisorbae Radix. Methods: Taking "Sanguisorbae Radix" or "Sanguisorbae Radix root" as keywords, collecting prescriptions on Yaozhi.com and related classic books; Microsoft Office Excel 2017, VOSviewer1.6.15, IBM SPSS Modeler 18.0, IBM SPSS Statistics 25.0 and other software are utilized to perform frequency statistics, overall drug usage analysis,nature and flavor analysis, association rule analysis, cluster analysis, etc. Results: 445 prescriptions are included in this study, which involves a total of 329 traditional Chinese medicine. Among them, traditional Chinese medicine such as Angelicae Sinensis Radix; Glycyrrhiza uralensis Fisch; Astragali Radix; Paeoniae Radix Alba; Coptidis Rhizoma are often in combination with Sanguisorbae Radix. The medicinal properties of traditional Chinese medicine combined with Sanguisorbae Radix are mainly cold and warm; while the medicinal tastes are more bitter, pungent and sweet; in addition, the meridian generally belongs to liver, lung and spleen. While Sanguisorbae Radix is often compatible with traditional Chinese medicine of tonic, hemostasis, and heat-clearing. It is mostly applied to treat dysentery, hemorrhoids, metrorrhagia disorder. In the treatment of dysentery, traditional Chinese medicine such as Angelicae Sinensis Radix; Coptidis Rhizoma; Scutellariabaicalensis Georgi; Glycyrrhiza uralensis Fisch; Saussurea lappa are often compatible with Sanguisorbae Radix. While traditional Chinese medicine such as Sanguisorbae Radix, Angelicae Sinensis Radix; Sophorae Flos; Aurantii Fructus; Scutellariabaicalensis Georgi are the core compatibility in the treatment of hemorrhoids. The results of cluster analysis show that high-frequency traditional Chinese medicine in the treatment of the two diseases can be grouped into 9 groups and 6 groups respectively. Conclusion: Sanguisorbae Radix is often in combination with traditional Chinese medicine of invigorating deficiency, hemostasis, and clearing away heat, which regularly have the effects of clearing away heat and cooling blood, purging fire and detoxification, astringing sores and promoting muscle growth. It is mostly applied to treat dysentery, hemorrhoids, and metrorrhagia disorder in clinical application.
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    Thin Layer Identification and Determination of Paeonol Content in Moutan Cortex from Different Origins
    YIN Hong-yan, YOU Si-han, ZHAO Yong-ming, YAN Fan-li, CHEN Ming-xia, JIANG Hai-yan, GUO Chun-yan
    2023, 13 (5):  24.  DOI: 10.3969/j.issn.2095-1396.2023.05.004
    Abstract ( 49 )   PDF (1159KB) ( 47 )  
    Objective: High performance liquid chromatography (HPLC) was used to determine the content of paeonol in Moutan Cortex of different origins, and thin-layer chromatography (TLC) was used to identify the herbs of Moutan Cortex of different origins. Methods: The separation was performed on a G-type thin-layer chromatography silica gel plate with cyclohexane-ethyl acetate-glacial acetic acid (4:1:0.1) as the unfolding agent, and the color was developed by spraying with 2% vanillic acid ethanol sulfate solution; the separation was carried out on a Chevonne C18 column (4.6 mm × 250 mm,5μm) with the elution of methanol-water (45:55 V/V) as the mobile phase, at the flow rate of 1.0 mL·min-1 and the detection wavelength of 274 nm. The mobile phase was methanol-water (45:55 V/V) at a flow rate of 1.0 mL·min-1, the detection wavelength was 274 nm, the column temperature was 30 ℃, and the injection volume was 10 μL. Results: The results showed that the thin-layer identification spots of 21 batches of peony dandelion herbs were clear, and the contents of dandelion were in the range of 2.7%~2.9%, which were higher than the pharmacopoeia standard, of which dandelion in Shandong province was the highest. Conclusion: The quality of peony bark grown in Shandong, Henan and Anhui is good, with good character, small differences between different batches, and uniform and stable quality.
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    Efficacy of Citicoline Combined with Alteplase in the Treatment of Acute Cerebral Infarction and Its Effect on Cerebral Blood Flow Velocity and Inflammatory Factors
    XU Jing, HU Wen-yi , LI Huang
    2023, 13 (5):  29.  DOI: 10.3969/j.issn.2095-1396.2023.05.005
    Abstract ( 36 )   PDF (1027KB) ( 49 )  
    Objective: To investigate the efficacy of citicoline combined with alteplase in the treatment of acute cerebral infarction (ACI) and its effect on cerebral blood flow velocity and inflammatory factors. Methods: Sixty patients with ACI were divided into control group and experimental group by random number table method, with 30 cases in each group. Both groups were given conventional treatment such as anti-platelet aggregation and anticoagulation. In addition, the control group was treated with alteplase thrombolytic therapy, and the observation group was treated with citicoline combined with alteplase. Both groups were treated for 14 days. The neurological function (National Institutes of Health Stroke Scale (NIHSS)), daily living ability (Barthel Index (BI)), cerebral blood flow velocity and serum inflammatory factors (C-reactive protein (CRP), tumor necrosis factor-α (TNF-α)) of the two groups before and after treatment were statistically analyzed, and the efficacy and adverse reactions of the two groups were compared. Results: Compared with the control group (73.33%), the total effective rate of the observation group (96.67%) was higher (P<0.05). After treatment, compared with the control group, the NIHSS score of the observation group was lower(P<0.05), and the BI score was higher (P< 0.05). After treatment, the cerebral blood flow velocity in the observation group was increased(P<0.05), and the levels of serum CRP and TNF-α were decreased (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: Citicoline combined with alteplase is effective in the treatment of ACI, which can better reduce the neurological deficit of patients. The mechanism may be related to the improvement of cerebral blood flow velocity and the reduction of inflammation level.
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    Investigation and Rationality Analysis of Antihypertensive Drugs for Inpatients in Xiamen Third Hospital in 2022
    HONG Shui-ta
    2023, 13 (5):  33.  DOI: 10.3969/j.issn.2095-1396.2023.05.006
    Abstract ( 32 )   PDF (1032KB) ( 45 )  
    Objective: To analyze the use and rationality of antihypertensive drugs in inpatients in our hospital in 2022. Methods: The general data of 510 hospitalized patients in our hospital in 2022 were retrospectively analyzed. The data of 510 hospitalized patients were collected from the database of our hospital. The types and frequencies of antihypertensive drugs were counted, the DDDs and DUI of common antihypertensive drugs were calculated, and the medication methods of antihypertensive drugs were analyzed. Results: The three most frequently used antihypertensive drugs were CCB (68.03%), β-RB (52.94%) and diuretics (50.00%). Among the antihypertensive drugs, the most frequently used drugs were nifedipine controlled-release tablets, accounting for 40.78%, followed by metoprolol tartrate sustained-release tablets, enalapril maleate tablets, hydrochlorothiazide tablets, valsartan capsules, accounting for 29.80%, 28.03%, 24.31%, 15.68%, respectively. Nifedipine controlled release tablets had the highest DDDs value. The DUI values of nifedipine controlled-release tablets, enalapril maleate tablets, metoprolol tartrate sustained-release tablets, hydrochlorothiazide tablets and valsartan capsules were 0.97, 1.03, 0.93, 0.95 and 0.90, respectively. Single, double, triple, quadruple, five and six antihypertensive drugs accounted for 13.52%, 42.35%, 33.33%, 9.40%, 0.98% and 0.39%, respectively. Conclusions: CCB, β-RB and diuretics are the main antihypertensive drugs used in our hospital in 2022, and combination therapy is the main treatment method. The application of antihypertensive drugs is scientific as a whole, but there are still some irrational drug use cases, such as high dosage of enalapril maleate tablets. In the subsequent treatment process, clinicians should clarify the contraindications and adverse reactions of different antihypertensive drugs, and ensure the rationality of medication according to the actual condition of patients.
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    Analysis of Clinical Distribution and Drug Resistance Characteristics of Carbapenem Resistant Pseudomonas Aeruginosa
    XIAO Xin-rong, WANG Fu-an, WANG Man-ya
    2023, 13 (5):  38.  DOI: 10.3969/j.issn.2095-1396.2023.05.007
    Abstract ( 47 )   PDF (1034KB) ( 51 )  
    Objective: To analyze the distribution of carbapenem-resistant pseudomonas aeruginosa (CRPA) in clinical departments, summarize the characteristics of drug resistance, and explore the antimicrobial methods. Methods: A total of 80 CRPA strains from March 2022 to February 2023 were selected as the observation group, and 80 carbapenem-resistant Pseudomonas aeruginosa strains from the same period were collected as the control group. The distribution of clinical departments, the characteristics of CRPA resistance, the positive rate of MBL phenotype and the results of gene detection were compared. Results: The detection rate of CRPA was higher in the departments of respiratory and critical care medicine, critical care medicine and general surgery, and the difference was statistically significant (P < 0.05). The resistance rate of CRPA to ticarcillin/clavulanic acid was significantly higher than that to other antibiotics. Amikacin and tobramycin were the most common antibiotics with low resistance rate. The positive rate of MBL phenotype was 92.50 % (74/80), MDR-PA accounted for 53.75 % (43/80), and XDR-PA accounted for 22.50 % (18/80). Conclusions: CRPA is more likely to occur in the departments of respiratory and critical care medicine and critical care medicine. Amikacin and tobramycin have good antibacterial effects in CRPA infection.
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    Clinical Efficacy of Amsulpride Combined with Duloxetine in Treatment of Depression in Forced Detoxification Patients
    HUANG He, LAN Yue-ying
    2023, 13 (5):  43.  DOI: 10.3969/j.issn.2095-1396.2023.05.008
    Abstract ( 34 )   PDF (1032KB) ( 9 )  
    Objective: To analyze the effect of amisulpride combined with duloxetine in clinical treatment of depression in forced detoxification patients. Methods: 60 cases of patients with compulsory detoxification depression were admitted to our hospital from January 2019 to June 2023 were divided into groups according to the computer random number table method. 30 cases of patients in the control group were treated with duloxetine, and 30 cases of patients in the observation group were treated with amsulpride combined with duloxetine. The clinical efficacy, disease symptoms, neurotransmitter levels and safety of the two groups were compared. Results: After treatment, in the observation group, the total effective rate was 96.67%, which was higher than 76.67% that in the control group (P < 0.05). In the observation group, the PWS score and HAMD-17 score were (14.02±2.03) points and (10.02±2.63) points, which were lower than (12.12±2.91) points and (16.17±2.11) points those of control group, respectively (P < 0.05). In the observation group, the levels of 5-HT, GABA and DA were higher than the control group (P < 0.05). The incidence of adverse reactions was 20.00% in the observation group and 16.67% in the control group, and there was no statistical significance between groups (P > 0.05). Conclusion: The combination of amsulpride and duloxetine in the treatment of forced detoxification patients with depression can increase the therapeutic effect of patients, promote the further remission of their disease symptoms, improve the neurotransmitter indicators, and have high safety.
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    Two Cases of Neuromyelitis Optica Spectrum Disease with Refractory Vomiting As the Initial Symptom and Literature Review
    TANG Xiao-ting, PENG Dun-huang, FANG Tai-yong
    2023, 13 (5):  48.  DOI: 10.3969/j.issn.2095-1396.2023.05.009
    Abstract ( 29 )   PDF (1315KB) ( 48 )  
    Neuromyelitis optica spectrum disorder (NMOSD) is a rare immune-mediated central nervous system disease. Long-segment myelitis (>3 vertebrae), severe optic neuritis and/or intractable vomiting and hiccups (Area postrema syndrome, APS) are typical manifestations of the disease. Some cases with intractable nausea, vomiting, hiccups as the only initial symptom, result in early misdiagnosis and missed diagnosis, which delayed correct diagnosis and treatment. This article reports 2 cases of neuromyelitis optica spectrum disorders with intractable nausea, vomiting and hiccups as the initial symptom, in order to provide inspiration for the early and correct diagnosis and treatment of this disease.
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    Advance in Pretreatment Techniques for Biological Samples
    YOU Si-han, YIN Hong-yan, YANG Song-rui, LIU Xin-miao, GUO Chun-yan
    2023, 13 (5):  52.  DOI: 10.3969/j.issn.2095-1396.2023.05.010
    Abstract ( 70 )   PDF (1081KB) ( 76 )  
    Due to the diverse types of drugs, diverse physicochemical properties, and complex composition of biological media in biological samples, various technologies and methods have emerged for the pre-treatment of biological samples. Based on the above background, this article reviews the pre-treatment methods of biological samples in vivo drug molecules in recent years, with the aim of providing reference for the pre-treatment of different biological samples.
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    Research on the Association Between Migraine and Cerebrovascular Disease
    GENG Xin-yu, SHANG Wen-xuan, LI Li-tao
    2023, 13 (5):  60.  DOI: 10.3969/j.issn.2095-1396.2023.05.011
    Abstract ( 45 )   PDF (1036KB) ( 52 )  
    Migraine, as a kind of pulsating pain that mainly occurs on one or both sides of the forehead for a long time, is severe and persistent, which has a serious adverse impact on the patient's life, learning and work ability, and ultimately can lead to a reduction in the patient's quality of life, learning and ability to complete tasks. Migraine is related to cerebrovascular disease to some extent, especially migraine patients with aura are easy to induce cerebrovascular disease. About 7% of young and middle-aged cerebral infarction is caused by migraine. Migraine patients with ischemic stroke are also common in young and middle-aged women. Migraine and cerebrovascular disease may have a common mechanism, such as smoking, hypertension, hypercholesterolemia, taking contraceptives and other similar risk factors and genetic factors, so migraine may induce cerebrovascular disease, and it is also easy to cause migraine if it is a patient with cerebrovascular disease.
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