DKM_2-93_COA_24661_MedChemExpress
硕士论文--多奈哌齐透皮贴剂的药学研究
多奈哌齐透皮给药研究
Ｓｔｕｄｙ ｏｆ Ｄｏｎｅｐｅｚｉｌ Ｔｒａｎｓｄｅｒｍａｌ Ｐａｔｃｈ
Ａｂｓｔｒａｃｔ
Ｄｏｎｅｐｅｚｉｌ（ＤＰＢ）ｉｓ ａ ｐｉｐｅｒｉｄｉｎｅ—ｂａｓｅｄ ｒｅｖｅｒｓｉｂｌｅ ａｃｅｔｙ７ｌｃｈｏｌｉｎｅｓｔｅｒａｓｅ ｉｎｈｉｂｉｔｏｒ． Ｃｕｒｒｅｎｔｌｙ ＤＰＢ ｉｓ ｔｈｅ ｍｏｓｔ ｐｒｅｓｃｒｉｂｅｄ ｐｈａｒｍａｃｏｌｏｇｉｃａｌ ａｇｅｎｔ ｆｏｒ ｔｈｅ ｔｒｅａｔｍｅｎｔ ｏｆ ｍｉｌｄ ｔｏ ｍｏｄｅｒａｔｅ Ａｌｚｈｅｉｍｅｒ’Ｓ ｄｉｓｅａｓｅ．Ｉｔ ａｌｓｏ ｐｌａｙｓ ｔｈｅ ｉｍｐｏｒｔａｎｔ ｒｏｌｅ ｉｎ ｉｍｐｒｏｖｉｎｇ ｔｈｅ ｐａｔｉｅｎｔ’Ｓ ｍｅｎｔａｌ ｓｔａｔｅ ａｎｄ ｋｅｅｐｉｎｇ ｔｈｅ ｂｒａｉｎ ａｃｔｉｖｅ．Ｎｏｗ ｔｈｅ ｄｒｕｇ ｄｏｓａｇｅ ｆｏｒｍ ｏｆ ＤＰＢ ｈａｓ ｔａｂｌｅｔｓ ａｎｄ ｃａｐｓｕｌｅｓ．Ｒｅｓｅａｒｃｈｅｓ ｈａｖｅ ｓｈｏｗｅｄ ｔｈａｔ ａｉｚｈｅｉｍｅｒ’Ｓ ｄｉｓｅａｓｅ ｉｓ ｔｈｅ ｍｏｓｔ ｃｏｍｍｏｎ ｃａｕｓｅ ｏｆ
研究结果表明当使用混合丙烯酸酯压敏胶作为基质时（Ｂ／Ｃ＝３／Ｉ，ｗ／ｗ），多奈哌齐 经皮贴剂中药物浓度超过１５％ｗｔ＿ｉ产生结晶，透皮贴剂能够保证长时间的给药需求， 贴剂中有关物质的生成量较少，药物的稳定性较好，但药物的体外经皮渗透速率较低， 需要加入促渗剂提高药物的经皮渗透速率。使用脂肪酸酯１和有机酸作为混合促渗剂时， 能够起到协同促渗作用，与对照组相比，可将多奈哌齐累积透过量提高２．７倍。使用最 优处方进行大鼠体内药代动力学实验，结果表明，与口服给药相比，多奈哌齐经皮给药 后，血药浓度垒少可以维持４８小时以上，药物生物利用度显著提高，－、Ｉ‘均滞留时间和 半衰期也相应显著延长。
3_种常用碳青霉烯类抗生素血药浓度UPLC-MS
3种常用碳青霉烯类抗生素血药浓度UPLC-MS/MS检测方法的建立Δ秦怡1＊，张瑞霞2，吕雅瑶2，翁莉莉1，张弋2 #（1.天津医科大学一中心临床学院，天津 300192；2.天津市第一中心医院药学部，天津 300192）中图分类号 R917；R978.1文献标志码 A 文章编号 1001-0408（2024）03-0343-05DOI 10.6039/j.issn.1001-0408.2024.03.14摘要目的建立3种临床常用碳青霉烯类抗生素——厄他培南（ETP）、亚胺培南（IPM）、美罗培南（MEM）血药浓度检测的超高效液相色谱-质谱联用（UPLC-MS/MS）法。
方法血浆样品经甲醇沉淀蛋白后，以3种抗生素的稳定性同位素（ETP-D4、IPM-D4、MEM-D6）为内标，采用ACQUITY UPLC BEH C18（2.1 mm×50 mm，1.7μm）色谱柱分离；流动相为98%乙腈+2%水+0.1%甲酸和98%水+2%乙腈+0.1%甲酸，梯度洗脱；流速为0.3 mL/min；柱温为40 ℃；采用正离子、多反应监测模式进行扫描分析。
结果该方法专属性良好，在ETP、IPM、MEM 0.2～200、0.1～100、0.1～100μg/mL范围内线性良好（r2≥0.993），批内、批间精密度和准确度良好（RE均≤5.14%，RSD均≤11.15%），基质效应、提取回收率较一致（RSD≤12.99%）。
结论本实验建立了一种可以同时定量ETP、IPM、MEM血药浓度的UPLC-MS/MS法，该方法样品前处理简单、检测时间短、所需样品量少，可满足临床需求。
关键词碳青霉烯类抗生素；超高效液相色谱-质谱联用；血药浓度；厄他培南；亚胺培南；美罗培南Establishment of UPLC-MS/MS method for the determination of plasma concentration of three common carbapenem antibioticsQIN Yi1，ZHANG Ruixia2，LYU Yayao2，WENG Lili1，ZHANG Yi2（1. First Central Clinical College of Tianjin Medical University，Tianjin 300192，China；2. Dept. of Pharmacy，Tianjin First Central Clinical Hospital，Tianjin 300192， China）ABSTRACT OBJECTIVE To establish a UPLC-MS/MS method for the determination of plasma concentration of three carbapenem antibiotics，i.e. ertapenem （ETP），imipenem （IPM）and meropenem （MEM）.METHODS After protein precipitation with methanol，the plasma samples were separated by ACQUITY UPLC BEH C18column （2.1mm×50mm，1.7μm）using stable isotopes of three antibiotics （ETP-D4，IPM-D4，MEM-D6）as the internal standard. The mobile phases were 98%acetonitrile +2% water +0.1%formic acid and 98%water +2%acetonitrile +0.1%formic acid，by gradient elution. The flow rate was 0.3mL/min and the column temperature was 40 ℃. Scanning analysis was performed in the positive ion and multiple reaction monitoring mode. RESULTS The method had good specificity，good linearity （r2≥0.993）in the range of 0.2-200，0.1-100and 0.1-100μg/mL of ETP，IPM and MEM，and good intra-batch and inter-batch precision and accuracy （all RE≤5.14%，all RSD≤11.15%），the matrix effect and extraction recovery were consistent （RSD≤12.99%）. CONCLUSIONS This study establishes the UPLC-MS/MS method to simultaneously quantify the plasma concentration of ETP，IPM and MEM. The method has the advantages of simple pretreatment， short detection time and small sample quantity to meet clinical requirement.KEYWORDS carbapenem antibiotics； UPLC-MS/MS； plasma concentration； ertapenem； imipenem； meropenem碳青霉烯类抗生素具有抗菌谱广、抗菌活性强、耐药率低的特点，已成为治疗重症感染的主要选择。
26291346_基于UPLC-MS
Abstract: A UPLC-MS/MS method was established to quantitatively determine the content of alliin in animal plasma to study whether alliin and alliin in garlic enteric preparations can react to produce the active ingredient allicin in the in vivo environment. Methods Reversed-phase C18 column (Waters ICQUITY UPLC BEH, 100 × 2.1 mm, 1.7μm), column temperature: 40 ℃, flow rate: 0.15 mL/min, injection volume: 2μl, Mobile phase: 0.1% formic acid (A)-acetonitrile (B), gradient elution; mass spectrometry ionization: ESI+, determination of allicin in rat plasma . Results The results of two parallel experiments of garlic enteric preparation and enzymatic garlic powder showed that in the garlic enteric preparation with allinase, the plasma concentration of alliin in the blood of rats was significantly lower. Conclusion A UPLC-MS/MS method for the quantitative determination of alliin in animal plasma has been established. Alliin and alliin in garlic enteric-coated preparations can react in vivo.Key words: Garlic enteric preparation; garbonine; UPLC-MS-MS基于UPLC-MS/MS大蒜肠溶制剂中蒜氨酸、蒜酶体内反应情况研究杨亮1，胡小霞4 ，宋百灵4，关明3，李新霞2*（1.新疆警察学院 新疆 乌鲁木齐 8300112.新疆医科大学药学院 新疆 乌鲁木齐 8300113.新疆师范大学化学化工学院 新疆 乌鲁木齐 8300544.新疆医科大学中心实验室 新疆 乌鲁木齐 830011）Study on the Reaction of Garlic and Uterine in the UPLC-MS / MS of Garlic SausolYANG Liang 1，HU Xiaoxia 4 ，SONG Bailing 4，GUAN Ming 3，LI Xinxia 2*(1. Xinjiang Police College, Urumqi 830054, Xinjiang China2.Chemistry and Chemical Engineering of Xinjiang Normal University College, Urumqi 830054, Xinjiang China3.School of Pharmacy, Xinjiang Medical University, Urumqi 830011, Xinjiang China4.Central Laboratory of Xinjiang Medical University, Urumqi 830011, Xinjiang China ）摘要：目的 建立定量测定动物血浆中蒜氨酸含量的UPLC-MS/MS 方法，研究大蒜肠溶制剂中蒜氨酸、蒜酶能否在体内环境下反应生成活性成分大蒜辣素。
DKM_2-93_SDS_MedChemExpress
Inhibitors, Agonists, Screening LibrariesSafety Data Sheet Revision Date:Jun.-08-2017Print Date:Jun.-08-20171. PRODUCT AND COMPANY IDENTIFICATION1.1 Product identifierProduct name :DKM 2-93Catalog No. :HY-101836CAS No. :65836-72-81.2 Relevant identified uses of the substance or mixture and uses advised againstIdentified uses :Laboratory chemicals, manufacture of substances.1.3 Details of the supplier of the safety data sheetCompany:MedChemExpress USATel:609-228-6898Fax:609-228-5909E-mail:sales@1.4 Emergency telephone numberEmergency Phone #:609-228-68982. HAZARDS IDENTIFICATION2.1 Classification of the substance or mixtureNot a hazardous substance or mixture.2.2 GHS Label elements, including precautionary statementsNot a hazardous substance or mixture.2.3 Other hazardsNone.3. COMPOSITION/INFORMATION ON INGREDIENTS3.1 SubstancesSynonyms:NoneFormula:C11H14ClNO3Molecular Weight:243.69CAS No. :65836-72-84. FIRST AID MEASURES4.1 Description of first aid measuresEye contactRemove any contact lenses, locate eye-wash station, and flush eyes immediately with large amounts of water. Separate eyelids with fingers to ensure adequate flushing. Promptly call a physician.Skin contactRinse skin thoroughly with large amounts of water. Remove contaminated clothing and shoes and call a physician.InhalationImmediately relocate self or casualty to fresh air. If breathing is difficult, give cardiopulmonary resuscitation (CPR). Avoid mouth-to-mouth resuscitation.IngestionWash out mouth with water; Do NOT induce vomiting; call a physician.4.2 Most important symptoms and effects, both acute and delayedThe most important known symptoms and effects are described in the labelling (see section 2.2).4.3 Indication of any immediate medical attention and special treatment neededTreat symptomatically.5. 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Keep the product away from drains or water courses.6.3 Methods and materials for containment and cleaning upAbsorb solutions with finely-powdered liquid-binding material (diatomite, universal binders); Decontaminate surfaces and equipment by scrubbing with alcohol; Dispose of contaminated material according to Section 13.7. HANDLING AND STORAGE7.1 Precautions for safe handlingAvoid inhalation, contact with eyes and skin. Avoid dust and aerosol formation. Use only in areas with appropriate exhaust ventilation.7.2 Conditions for safe storage, including any incompatibilitiesKeep container tightly sealed in cool, well-ventilated area. Keep away from direct sunlight and sources of ignition.Recommended storage temperature:Powder-20°C 3 years4°C 2 yearsIn solvent-80°C 6 months-20°C 1 monthShipping at room temperature if less than 2 weeks.7.3 Specific end use(s)No data available.8. EXPOSURE CONTROLS/PERSONAL PROTECTION8.1 Control parametersComponents with workplace control parametersThis product contains no substances with occupational exposure limit values.8.2 Exposure controlsEngineering controlsEnsure adequate ventilation. Provide accessible safety shower and eye wash station.Personal protective equipmentEye protection Safety goggles with side-shields.Hand protection Protective gloves.Skin and body protection Impervious clothing.Respiratory protection Suitable respirator.Environmental exposure controls Keep the product away from drains, water courses or the soil. Cleanspillages in a safe way as soon as possible.9. PHYSICAL AND CHEMICAL PROPERTIES9.1 Information on basic physical and chemical propertiesAppearance White to off-white (Solid)Odor No data availableOdor threshold No data availablepH No data availableMelting/freezing point No data availableBoiling point/range No data availableFlash point No data availableEvaporation rate No data availableFlammability (solid, gas)No data availableUpper/lower flammability or explosive limits No data availableVapor pressure No data availableVapor density No data availableRelative density No data availableWater Solubility No data availablePartition coefficient No data availableAuto-ignition temperature No data availableDecomposition temperature No data availableViscosity No data availableExplosive properties No data availableOxidizing properties No data available9.2 Other safety informationNo data available.10. STABILITY AND REACTIVITY10.1 ReactivityNo data available.10.2 Chemical stabilityStable under recommended storage conditions.10.3 Possibility of hazardous reactionsNo data available.10.4 Conditions to avoidNo data available.10.5 Incompatible materialsStrong acids/alkalis, strong oxidising/reducing agents.10.6 Hazardous decomposition productsUnder fire conditions, may decompose and emit toxic fumes.Other decomposition products - no data available.11.TOXICOLOGICAL INFORMATION11.1 Information on toxicological effectsAcute toxicityClassified based on available data. For more details, see section 2Skin corrosion/irritationClassified based on available data. For more details, see section 2Serious eye damage/irritationClassified based on available data. For more details, see section 2Respiratory or skin sensitizationClassified based on available data. For more details, see section 2Germ cell mutagenicityClassified based on available data. For more details, see section 2CarcinogenicityIARC: No component of this product present at a level equal to or greater than 0.1% is identified as probable, possible or confirmed human carcinogen by IARC.ACGIH: No component of this product present at a level equal to or greater than 0.1% is identified as a potential or confirmed carcinogen by ACGIH.NTP: No component of this product present at a level equal to or greater than 0.1% is identified as a anticipated or confirmed carcinogen by NTP.OSHA: No component of this product present at a level equal to or greater than 0.1% is identified as a potential or confirmed carcinogen by OSHA.Reproductive toxicityClassified based on available data. For more details, see section 2Specific target organ toxicity - single exposureClassified based on available data. For more details, see section 2Specific target organ toxicity - repeated exposureClassified based on available data. For more details, see section 2Aspiration hazardClassified based on available data. For more details, see section 212. ECOLOGICAL INFORMATION12.1 ToxicityNo data available.12.2 Persistence and degradabilityNo data available.12.3 Bioaccumlative potentialNo data available.12.4 Mobility in soilNo data available.12.5 Results of PBT and vPvB assessmentPBT/vPvB assessment unavailable as chemical safety assessment not required or not conducted.12.6 Other adverse effectsNo data available.13. DISPOSAL CONSIDERATIONS13.1 Waste treatment methodsProductDispose substance in accordance with prevailing country, federal, state and local regulations.Contaminated packagingConduct recycling or disposal in accordance with prevailing country, federal, state and local regulations.14. 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REGULATORY INFORMATIONSARA 302 Components:No chemicals in this material are subject to the reporting requirements of SARA Title III, Section 302.SARA 313 Components:This material does not contain any chemical components with known CAS numbers that exceed the threshold (De Minimis) reporting levels established by SARA Title III, Section 313.SARA 311/312 Hazards:No SARA Hazards.Massachusetts Right To Know Components:No components are subject to the Massachusetts Right to Know Act.Pennsylvania Right To Know Components:No components are subject to the Pennsylvania Right to Know Act.New Jersey Right To Know Components:No components are subject to the New Jersey Right to Know Act.California Prop. 65 Components:This product does not contain any chemicals known to State of California to cause cancer, birth defects, or anyother reproductive harm.16. OTHER INFORMATIONCopyright 2017 MedChemExpress. 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2597.10.02119 1.078 877 4.30.068460.99799 1.40.001410.915 449 6.30.028910.786 16157.50.18356 1.081 22860.020170.96535 1.90.00176 1.224 1160 3.80.055440.914 201 6.30.017610.949 426 4.10.025740.772 2120 3.70.074070.708 1016 5.80.054290.757 321 5.50.013530.63690 3.30.006210.726 184 4.80.010070.73123>10.00.00228 1.513 610 3.80.032170.72 842 5.40.057730.829 213 5.40.01270.77439 2.40.001731002 4.80.033670.729 208 4.30.00930.537 5247.60.043570.93 116>10.00.02104 1.812 173>10.00.013330.936 589 5.30.032210.807 108 6.10.009190.931 487 4.70.03951 1.142 76450.047770.779 1666 5.20.091160.854 193 1.80.004620.921 120 2.20.004670.894 3338.70.027140.756 4327.10.027040.625 19520.003610.533 194 6.90.011710.909 2597.30.013360.716 266 6.80.026850.752 87080.070140.869 2187.70.01310.75610 5.60.00062 1.012 4189.20.026590.815 622 5.20.034970.666 1709.90.01712 1.222 178 5.80.009120.836 907.70.00320.65258>10.00.01221 1.371 4877.30.041850.896 187 5.60.009820.662 338 6.50.019280.711 443 6.30.026840.651 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达格列净联合二甲双胍治疗初诊2_型糖尿病的临床疗效分析
达格列净联合二甲双胍治疗初诊2型糖尿病的临床疗效分析卢宁，刘艳梅，仇颖盐城市第一人民医院内分泌科，江苏盐城224000[摘要]目的探讨达格列净联合二甲双胍治疗初诊2型糖尿病患者的临床疗效及其安全性。
方法选取2021年9月—2022年11月在盐城市第一人民医院内分泌科接受治疗的初诊2型糖尿病患者70例为研究对象，根据系统盲选分组法分成两组，每组35例。
对照组应用二甲双胍治疗，观察组应用达格列净+二甲双胍治疗。
检测并对比两组患者血糖指标、血脂指标、体质指数、不良反应发生情况及疗效。
结果治疗后，观察组血糖及血脂各项指标水平均优于对照组，体质指数低于对照组，差异有统计学意义（P<0.05）。
观察组治疗总有效率高于对照组，差异有统计学意义（P<0.05）。
两组不良反应发生率比较，差异无统计学意义（P>0.05）。
结论达格列净联合二甲双胍对初诊2型糖尿病患者具有良好的治疗作用，有助于改善血糖和血脂、体质量水平，不良反应较少。
[关键词] 达格列净；二甲双胍；初诊2型糖尿病；不良反应；治疗效果[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2023）03（b）-0091-04 Clinical Analysis of Dapagliflozin Combined with Metformin in the Treat⁃ment of Newly Diagnosed Type 2 Diabetes MellitusLU Ning, LIU Yanmei, QIU YingDepartment of Endocrinology, Yancheng First People´s Hospital, Yancheng, Jiangsu Province, 224000 China[Abstract] Objective To investigate the clinical efficacy and safety of Dapagliflozin combined with metformin in the treatment of newly diagnosed type 2 diabetes patients.Methods Seventy newly diagnosed patients with type 2 diabetes who received treatment in the Endocrinology Department of Yancheng First People´s Hospital from September 2021 to November 2022 were selected as the research objects and divided into two groups with 35 cases in each group accord⁃ing to systematic blind selection grouping. The control group was treated with metformin, and the observation group was treated with dagliazine+metformin. Blood glucose index, blood lipid index, body mass index, occurrence of ad⁃verse reactions and efficacy of the two groups were detected and compared.Results After treatment, the blood glucose and lipid levels of the observation group were better than those of the control group, while the body mass index of the observation group was lower than that of the control group, the difference was statistically significant (P<0.05). The to⁃tal effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusion Dapagliflozin combined with metformin has a good therapeutic effect on newly diag⁃nosed type 2 diabetes patients, which can help to improve blood glucose, blood fat and body mass level, and less ad⁃verse reactions.[Key words] Dapagliflozin; Metformin; Newly diagnosed type 2 diabetes mellitus; Adverse reaction; Therapeutic effect目前，老年化问题越发突出，加之国民饮食习惯、膳食结构以及饮食偏好的变化，使得糖尿病患者逐渐增多[1]。
机械通气临床应用指南(中华重症医学分会2024)
机械通气临床应用指南中华医学会重症医学分会（2024年）引言重症医学是探讨危重病发生发展的规律，对危重病进行预防和治疗的临床学科。
器官功能支持是重症医学临床实践的重要内容之一。
机械通气从仅作为肺脏通气功能的支持治疗起先，经过多年来医学理论的发展及呼吸机技术的进步，已经成为涉及气体交换、呼吸做功、肺损伤、胸腔内器官压力及容积环境、循环功能等，可产生多方面影响的重要干预措施，并主要通过提高氧输送、肺脏爱护、改善内环境等途径成为治疗多器官功能不全综合征的重要治疗手段。
机械通气不仅可以依据是否建立人工气道分为“有创”或“无创”，因为呼吸机具有的不同呼吸模式而使通气有众多的选择，不同的疾病对机械通气提出了具有特异性的要求，医学理论的发展及循证医学数据的增加使对呼吸机的临床应用更加趋于有明确的针对性和规范性。
在这种条件下，不难看出，对危重病人的机械通气制定规范有明确的必要性。
同时，多年临床工作的积累和多中心临床探讨证据为机械通气指南的制定供应了越来越充分的条件。
中华医学会重症医学分会以循证医学的证据为基础，采纳国际通用的方法，经过广泛征求看法和建议，反复仔细探讨，达成关于机械通气临床应用方面的共识，以期对危重病人的机械通气的临床应用进行规范。
重症医学分会今后还将依据医学证据的发展及新的共识对机械通气临床应用指南进行更新。
指南中的举荐看法依据2024年ISF提出的Delphi分级标准(表1)。
指南涉及的文献依据探讨方法和结果分成5个层次，举荐看法的举荐级别依据Delphi分级分为A E级，其中A 级为最高。
表1 Delphi分级标准举荐级别A 至少有2项I级探讨结果支持B 仅有1项I级探讨结果支持C 仅有II级探讨结果支持D 至少有1项III级探讨结果支持E 仅有IV级或V探讨结果支持探讨课题分级I 大样本，随机探讨，结果清楚，假阳性或假阴性的错误很低II 小样本，随机探讨，结果不确定，假阳性和/或假阴性的错误较高III 非随机，同期比照探讨IV 非随机，历史比照和专家看法V 病例报道，非比照探讨和专家看法危重症患者人工气道的选择人工气道是为了保证气道通畅而在生理气道与其他气源之间建立的连接，分为上人工气道和下人工气道，是呼吸系统危重症患者常见的抢救措施之一。
有机化学常用网址整理
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德谷门冬双胰岛素注射液治疗2_型糖尿病临床效果及安全性探讨
DOI：10.16658/ki.1672-4062.2023.17.098德谷门冬双胰岛素注射液治疗2型糖尿病临床效果及安全性探讨林生，谢平，陈予福州市长乐区人民医院内分泌科，福建福州350200[摘要]目的研究德谷门冬双胰岛素注射液治疗2型糖尿病的临床效果及安全性。
方法选取于2022年7月—2023年4月福州市长乐区人民医院收治的2型糖尿病患者98例为研究对象，采用随机抓阄法分为两组，每组49例。
两组均联用常规降糖药物治疗，对照组采用甘精胰岛素注射液治疗，观察组采用德谷门冬双胰岛素注射液治疗。
对比两组临床治疗效果、临床症状好转时间和胰岛素用量情况、糖代谢指标、胰岛素功能指标、不良反应发生情况、心血管不良事件发生情况。
结果观察组总有效率高于对照组，差异有统计学意义（P<0.05）。
观察组尿酮体转阴时间、血糖达标时间、胰岛素用量均优于对照组，差异有统计学意义（P< 0.05）。
观察组空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组，差异有统计学意义（P<0.05）。
观察组胰岛β细胞功能指数高于对照组，胰岛素抵抗指数、空腹胰岛素低于对照组，差异有统计学意义（P<0.05）。
两组恶心呕吐、倦怠乏力、低血糖总发生率比较，差异无统计学意义（P>0.05）。
两组心绞痛、心力衰竭总发生率比较，差异无统计学意义（P>0.05）。
结论德谷门冬双胰岛素注射液治疗2型糖尿病临床效果显著优于甘精胰岛素注射液，但是治疗安全性无显著变化。
[关键词] 2型糖尿病；德谷门冬双胰岛素注射液；不良反应；心血管不良事件[中图分类号] R59 [文献标识码] A [文章编号] 1672-4062（2023）09（a）-0098-04Discussion on the Clinical Effect and Safety of Insulin Degludec and Insu⁃lin Aspart Injection in the Treatment of Type 2 Diabetes MellitusLIN Sheng, XIE Ping, CHEN YuDepartment of Endocrinology, Changle District People's Hospital, Fuzhou, Fujian Province, 350200 China[Abstract] Objective To study the clinical effect and safety of insulin degludec and insulin aspart injection in the treatment of type 2 diabetes mellitus. Methods A total of 98 patients with type 2 diabetes admitted to Fuzhou Changle District People's Hospital from July 2022 to April 2023 were selected as the study objects and divided into two groups with 49 cases in each group by random lottery method. Both groups were treated with conventional hypoglycemic drugs, the control group was treated with insulin glargine injection, and the observation group was treated with Degu asparton double insulin injection. The clinical therapeutic effect, time of improvement of clinical symptoms, insulin dosage, glucose metabolism index, insulin function index, occurrence of adverse reactions and cardiovascular adverse events were compared between the two groups. Results The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). The time of urine ketone body turning negative, blood glucose reaching standard and insulin dosage in observation group were better than those in control group, and the differences were statistically significant (P<0.05). Fasting plasma glucose, 2-hour postprandial blood glucose and glycated hemoglobin in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). The function index of islet β cells in observation group was higher than that in control group, the insulin resistance index and fasting insulin was lower than that in control group, the dif⁃ference was statistically significant (P<0.05). There was no statistically significant difference in the total incidence of [作者简介]林生（1981-），男，本科，副主任医师，研究方向为糖尿病及其并发症的相关临床研究。
德谷门冬双胰岛素注射液治疗2_型糖尿病的疗效及安全性研究
DOI：10.16658/ki.1672-4062.2023.19.084德谷门冬双胰岛素注射液治疗2型糖尿病的疗效及安全性研究戴卉，张开凤，朱凤丽江苏省镇江市丹徒区人民医院内分泌科，江苏镇江212000[摘要]目的探讨德谷门冬双胰岛素注射液在2型糖尿病中的效果以及安全性。
方法选取2022年1月—2023年7月江苏省镇江市丹徒区人民医院收治的62例2型糖尿病患者为研究对象，按随机数表法分为对照组（n=31）和观察组（n=31）。
对照组患者接受门冬胰岛素30注射液治疗，观察组患者接受德谷门冬双胰岛素注射治疗。
对比两组患者临床疗效、血糖变化和不良反应发生率。
结果观察组治疗有效为96.77%，高于对照组的77.42%，差异有统计学意义（χ2=5.167，P=0.023）。
治疗前，两组患者血糖水平比较，差异无统计学意义（P>0.05）；治疗后，两组患者血糖水平均改善，且观察组血糖指标低于对照组，差异有统计学意义（P< 0.05）。
观察组不良反应发生率低与对照组，差异有统计学意义（P<0.05）。
结论德谷门冬双胰岛素的应用可以明显改善2型糖尿病患者血糖水平，疗效更为确切，且安全性更高，不会增加用药后不良反应。
[关键词] 2型糖尿病；德谷门冬双胰岛素；门冬胰岛素30注射液；安全性[中图分类号] R587 [文献标识码] A [文章编号] 1672-4062（2023）10（a）-0084-04Study on the Efficacy and Safety of Insulin Degludec and Insulin Aspart Injection in the Treatment of Type 2 Diabetes MellitusDAI Hui, ZHANG Kaifeng, ZHU FengliDepartment of Endocrinology, Zhenjiang Dantu District People's Hospital, Zhenjiang, Jiangsu Province, 212000 China [Abstract] Objective To explore the effect and safety of insulin degludec and insulin aspart injection in type 2 diabe⁃tes mellitus.Methods 62 patients of type 2 diabetes mellitus patients admitted to Zhenjiang Dantu District People's Hospital, Jiangsu Province from January 2022 to July 2023 were selected as study objects and divided into the control group (n=31) and the observation group (n=31) by taking the random number table method. The patients in the control group were treated with insulin aspart 30 injection and the patients in the observation group were treated with insulin degludec and insulin aspart injection. Compared the clinical efficacy, the changes in blood glucose and the incidence of adverse reactions between the two groups of patients.Results The treatment effectiveness of the observation group was 96.77%, which was higher than that of the control group, which was 77.42%, and the difference was statistically significant (χ2=5.167, P=0.023). There was no statistically significant difference in blood glucose levels between the two groups before treatment (P>0.05). After treatment, blood glucose levels improved in both groups, and the level of blood glucose in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). The incidence of adverse reactions in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05).Conclusion The application of insulin degludec and in⁃sulin aspart can significantly improve the blood glucose level of patients with type 2 diabetes mellitus, the efficacy is more accurate, and the safety is higher, and it will not increase the occurrence of adverse reactions after the use of medication.[作者简介]戴卉（1985-），女，本科，主治医师，研究方向为内分泌科。
液相微萃取-高效液相色谱法测定支气管肺泡灌洗液中布地奈德
液相微萃取-高效液相色谱法测定支气管肺泡灌洗液中布地奈德马艳;俞斐【期刊名称】《生命科学仪器》【年(卷),期】2022(20)3【摘要】目的:运用中空纤维膜液相微萃取预处理联合高效液相色谱法建立哮喘患者支气管肺泡灌洗液中布地奈德检测分析方法。
方法:对萃取溶剂、时间、转速等重要因素进行优化研究,获得优化条件:萃取溶剂甲醇、转速2500rpm、萃取时间40min。
结果:方法线性关系y=0.904x+1.886(r=0.994),检出限0.025μg/L,批间精密度和日间精密度RSD分别<3.65%和<5.32%,准确度-2.3%~1.2%,样品加标回收率96.41%~109.5%,本方法测得峰面积与混合溶液直接进样峰面积之比90%~110%,样品可在-20℃下稳定保持7d。
经实际样品测试,布地奈德的检出率为28.6%,样品中布地奈德浓度范围在12.41μg/L-87.36μg/L。
结论:本方法具有线性良好,精密度、准确度、加标回收率和重复性较高的优点,可应用于支气管肺泡灌洗液样品中布地奈德检测。
【总页数】7页(P47-53)【作者】马艳;俞斐【作者单位】南京市第二医院【正文语种】中文【中图分类】R969.1;O657.72【相关文献】1.分散固相萃取-分散液液微萃取/高效液相色谱法测定西瓜中氟唑菌酰羟胺残留2.分散液液微萃取-反萃取-接受相固化-高效液相色谱法测定减肥茶中的西布曲明3.固相萃取-分散液液微萃取-高效液相色谱法测定椰子汁中酸性植物激素4.高效液相色谱-蒸发光散射检测器测定大鼠支气管肺泡灌洗液中肺泡表面活性物质5.分散固相萃取-超声辅助分散液液微萃取/高效液相色谱法测定土壤中溴氰菊酯残留因版权原因，仅展示原文概要，查看原文内容请购买。
聚甲基丙烯酸-2-羟乙酯水凝胶载药(类软骨)膜的制备及性能
聚甲基丙烯酸-2-羟乙酯水凝胶载药(类软骨)膜的制备及性能陈鹏;林建华;李柱来;李贵双;叶晓【期刊名称】《中国组织工程研究》【年(卷),期】2009(013)012【摘要】背景:聚甲基丙烯酸-2-羟乙酯载药生物材料既有优异的生物学功能,又能释放药物,是一种潜在的组织工程支架材料和缓、控释药物载体材料.目的:观察布洛芬-聚甲基丙烯酸-2-羟乙酯水凝胶膜表面形态、吸水膨胀性能及缓控释性能.设计、时间及地点:体外观察实验,于2008-01/05在福建医科大学药学院药学综合实验室完成.材料:甲基丙烯酸-2-羟乙酯为Aldrich Chemical Company产品;布洛芬为山东新华制药股份有限公司产品;过硫酸铵为广东省化学试剂工程技术研究开发中心产品;N-N'-亚甲基双丙烯酰胺为苏州市化工研究所有限公司产品.方法:选甲基丙烯酸-2-羟乙酯为单体、过硫酸铵为引发剂、N-N'-亚甲基双丙烯酰胺为交联剂、布洛芬为模型药物水相聚合,通过分步法和同步法导入药物.主要观察指标:光学显微镜和扫描电镜观察凝胶膜的表面形态;水溶液法测定凝胶膜的膨胀性能,拟体液环境中测定凝胶膜的释药特征.结果:含有N-N'-亚甲基双丙烯酰胺的水凝胶膜表面褶皱和沟痕更少,整体面光滑.随着交联剂加入量增加,吸水溶胀度减小,水凝胶膜形成体型结构的趋势增大.不论是同步法还足分步法所制的载药水凝胶膜,其释药达到平台的时间都比未加入交联剂的凝胶膜要长,但同时也发现在交联剂加入后,膜的载约量在减少,综合各因素以N-N'-亚甲基双丙烯酰胺含量7.5 g/L为较佳方案.结论:水凝胶膜表面形态理想,导入药物后的载药膜具有良好的膨胀性能和更优秀的缓、控释特征.【总页数】4页(P2283-2286)【作者】陈鹏;林建华;李柱来;李贵双;叶晓【作者单位】福建医科大学附属第一医院骨科,福建省福州市350004;福建医科大学附属第一医院骨科,福建省福州市350004;福建医科大学药学院,福建省福州市350004;福建医科大学附属第一医院骨科,福建省福州市350004;福建医科大学药学院,福建省福州市350004【正文语种】中文【中图分类】R318【相关文献】1.载药聚甲基丙烯酸-2-羟乙酯水凝胶膜的制备及性能 [J], 杨菲;刘波;罗仲宽;周莉;梁汉秋;李明2.聚甲基丙烯酸-2-羟乙酯软骨膜的制备及性能研究 [J], 李梦佳;沈艺娟;叶德辉;陈燕青;谷璇;李柱来3.依诺沙星-聚甲基丙烯酸-2-羟乙酯水凝胶膜的制备及性能 [J], 李柱来;王津;陈莉敏;林晶4.聚甲基丙烯酸二甲氨基乙酯气体分离膜的制备与\r分离性能 [J], 杜润红;郭雪;张赞赞;李笑笑5.聚丙烯酰胺/聚甲基丙烯酸(2-甲基氨基)乙酯高强度双网络水凝胶的制备及pH响应性 [J], 曾小平;刘璨;郝玉鹏;董贤政;陈柳;熊丽君因版权原因，仅展示原文概要，查看原文内容请购买。