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2021 Vol. 39, No. 4

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Research progress on chemical composition and clinical efficacy of Lianhua Qingwen (LHQW) capsule, a traditional Chinese medicine (TCM) used to treat COVID-19
ZENG Yuanye, HE Yingying, TANG Qinglong, LI Kang, GU Yanqiu, CHEN Xiaofei
2021, 39(4): 291-294, 361. doi: 10.12206/j.issn.1006-0111.202011002
Abstract(9637) HTML (4488) PDF (926KB)(116)
Abstract:
The outbreak of COVID-19 posed a huge threat to human health and social stability. With the rapid spread of the virus around the world, the drug development and related research of novel coronavirus (SARS-CoV-2) have become an urgent issue in the medical field. COVID-19 fails into the category of epidemics in the theory of TCM. LHQW capsule has repeatedly played an important role in many major epidemics. Previous studies have shown that LHQW capsule can inhibit the biological activity of varied viruses including MERS-CoV and SARS-CoV. The paper summarizes the relevant research data and achievements of LHQW capsule in the past few years, reviews the chemical constituents, clinical efficacy and pharmacological effects of LHQW capsule, and provides scientific basis for the anti-virus mechanism of LHQW capsule and clinical treatment of COVID-19.
Review of anti-atherosclerosis mechanism of a TCM formula
XIE Bin, YUAN Xing, XU Xike, LIU Runhui
2021, 39(4): 295-298, 304. doi: 10.12206/j.issn.1006-0111.202103001
Abstract(7543) HTML (2500) PDF (905KB)(62)
Abstract:
The global morbidity and mortality of cardiovascular diseases remain high. Atherosclerosis is an important pathological basis of cardiovascular diseases, and its pathogenic mechanism has not been fully clarified. It was reported that pathogenic mechanism of atherosclerosis is related to vascular endothelial cell injury, lipid metabolism disorder, inflammatory reaction, imbalance between autophagy and apoptosis, et al. Traditional Chinese medicine(TCM) formula has shown good effects in the prevention and treatment of atherosclerosis. There are a lot of studies that showed the anti-atherosclerosis effect and the mechanism of TCM formula. In this paper, we reviewed the mechanism of anti-atherosclerosis action of TCM formula by summarizing the research literatures in the past five years, and provide reference for the further systematic study of anti-atherosclerosis effect of TCM formula.
Research progress on film forming materials for liquid band-aid
XU Hang, ZHANG Lingna, ZHANG Xueting, LIN Jiao, YANG Xuehan, SONG Hongtao
2021, 39(4): 299-304. doi: 10.12206/j.issn.1006-0111.202008046
Abstract(13645) HTML (3582) PDF (1003KB)(295)
Abstract:
Liquid band-aid is a new type of wound dressing that has emerged in recent years. Compared with traditional band-aid, it has the advantages of convenient use, natural shedding, good waterproof and breathable effect, and easy fitting for irregular wounds. It has brought a great convenience to the wound treatment in our daily life. This paper reviews the current research status of liquid band-aids at home and abroad and summarizes the research progress on film forming materials for liquid band-aids with the purpose to provide references for the further development and improvement of liquid band-aids.
Cytotoxicity study on FC58, an indole-chalcone, against multi-drug resistant leukemia cells
DAI Jiawei, SHI Saijian, SONG Aiwei, WANG Zhibin, ZHUANG Chunlin, XIA Chunnian
2021, 39(4): 305-308. doi: 10.12206/j.issn.1006-0111.202012008
Abstract(4389) HTML (1749) PDF (1115KB)(36)
Abstract:
  Objective  To synthesize and investigate cytotoxicity of an indole-chalcone derivative FC58.  Methods  The target compound was synthesized through the Aldol condensation with 1-(3,4,5-trimethoxyphenyl)ethan-1-one and 1H-indole-3-carbaldehyde. The Cell Titer-Blue method was used to determine in vitro cytotoxicity. The cell cycle experiment was performed to analyze the action characteristics of FC58.  Results  FC58 exhibited high cytotoxicity against various leukemia cells and resulted in G2/M phase arrest. It showed stronger drug resistant index than traditional tubulin inhibitors such as paclitaxel, vinblastine and doxorubicin.  Conclusion  FC58 represents a promising lead compound for multi-drug resistant leukemia.
Content determination and extraction process of macrocyclic polyphenols from Penthorum chinense Pursh
CHEN Lan, JIANG Shenggui, SHI Pengjie, CAI Shuxin, DONG Zhiying, SUN Lianna
2021, 39(4): 309-312, 378. doi: 10.12206/j.issn.1006-0111.202009048
Abstract(4397) HTML (1091) PDF (976KB)(38)
Abstract:
  Objective  To establish an HPLC method for simultaneous assay of macrocyclic polyphenols from Penthorum chinense Pursh, pinocembrin-7-O-[4'', 6''-(S)-hexahydroxydiphenoyl]-β-D-glucose (PHG), pinocembrin-7-O-[3''-O-galloyl-4'', 6''-(S)-hexahydroxydiphenoyl]-β-D-glucose (PGHG) and pinocembrin dihydrochalcone-7-O-[3''-O-galloyl-4'', 6''-(S)-hexahydroxydiphenoyl]-β-D-glucoside or thonningianin A (THA), and optimize the extraction process.  Methods  The total extraction rate of PHG, PGHG, THA was used as an investigated index to analyze the extracts from Penthorum chinense Pursh. Orthogonal design was applied to evaluate solvent amount, extraction time, solvent concentration and extraction times as the influencing factors for the optimal extraction process of macrocyclic polyphenols from Penthorum chinense Pursh.  Results  When this content assay method was adopted, there were good linear relationships for PHG, PGHG, THA in the linear range. The recoveries were between 100.90% to 102.04% with the RSDs below 1.5%. The optimal extraction process was involved in cutting Penthorum chinense Pursh into 3-5 cm, adding 10 times 80% ethanol aqueous solution by volume and refluxing 2 hours twice. The extraction rate of macrocyclic polyphenols was above 90% with this process.  Conclusion  This assay method is accurate, stable, and repeatable. The optimized extraction process is stable and feasible for further development and utilization.
Determination of harpagide and harpagoside contents in Scrophularia ningpoensis from 15 origins
REN Dan, QI Fangyuan, HUANG Ziyan, QIN Luping, ZHU Bo
2021, 39(4): 313-316, 330. doi: 10.12206/j.issn.1006-0111.202008102
Abstract(4162) HTML (2002) PDF (1042KB)(37)
Abstract:
  Objective  To establish an HPLC method for the simultaneous determination of harpagide and harpagoside content in Scrophularia ningpoensis (SN).  Methods  An Eclipse C18 column was used for determination of methanol extract of S. ningpoensis with a HPLC-PDA method and mobile phase of acetonitrile-0.03% phosphate solution in a gradient elution manner. The flow rate of mobile phase was 1.0 ml/min, and the detection wavelengths were 210 nm and 280 nm.  Results  Harpagide and harpagoside contents in SN showed good linear relationships within 0.1020-0.5100 mg/ml (r=0.9999) and 0.0340-0.1700 mg/ml (r=0.9999). Their average recovery rates were 97.44% and 97.08%.The RSDs were 0.93% and 1.24%.. There were significant differences in the contents of harpagide and harpagoside in SN from 15 origins (P<0.01). The content of harpagoside in Sichuan Long-dong, Zhejiang Lin-an, Zhejiang Pan-an and Henan Nan-feng is higher.  Conclusion  This method is stable, accurate and reproducible and can be used for the quality control of SN.
Protective effect and mechanism of active peptide GRGDS on PC12 cells damage by oxygen-glucose deprivation
ZHANG Cheng, MA Jianping, SHEN Yuhua, ZHU Wenjun, LIU Helong, QIU Yan
2021, 39(4): 317-321, 330. doi: 10.12206/j.issn.1006-0111.202007053
Abstract(4929) HTML (1445) PDF (1280KB)(47)
Abstract:
  Objective  To study the protective effect of active peptide GRGDS on rat nerve cells (PC12 cells) in oxygen glucose deprivation (OGD) injury model and explore its mechanism of action.  Methods  PC12 cells were divided into control group, ODG group, and active peptide GRGDS treatment group. The injury model was established by simulating in vitro cerebral ischemia by oxygen and sugar deprivation. MTT and flow cytometry were used to detect apoptosis after oxygen-glucose deprivation. ELISA method was used to detect the changes of inflammatory factors TNF-α and IL-1β in PC12 cell supernatant after oxygen-glucose deprivation. Western blot was used to detect the expression of apoptosis pathway-related proteins.  Results  The results of MTT and flow cytometry showed that the active peptide GRGDS significantly reduced the apoptosis of PC12 cells after oxygen glucose deprivation (P<0.05). ELISA test results showed that the active peptide GRGDS significantly reduced the content of TNF-α and IL-1β in the supernatant of PC12 cells after oxygen-glucose deprivation. (P<0.05). Western blot results showed that the active peptide GRGDS significantly reduced the expression levels of p-JNK, Bax, and cleaved caspase 3 in PC12 cells mediated by oxygen-glucose deprivation injury (P <0.01).  Conclusion  The active peptide GRGDS has protective effect on PC12 cells damaged by oxygen and glucose deprivation. The mechanism may be related to anti-apoptotic and anti-inflammatory effects.
Study on components with anti-complement activity from ethanol extract of Sanse tablets by UPLC-Q-TOF-MS/MS
QIN Yan, TAO Jiajia, SHEN Yun, CHEN Zhe, YE Yanrong
2021, 39(4): 322-330. doi: 10.12206/j.issn.1006-0111.202101036
Abstract(5428) HTML (2419) PDF (1455KB)(25)
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  Objective   To analyze the chemical components in the ethanol extract of Sanse tablets with anti-complement activity, and to provide scientific basis for its therapeutic effects.   Methods   The classical anti-complement pathway was used to compare the activity of different portions of Sanse tablet alcohol extract, and to identify the fraction with anti-complement activity. The chemical composition in active fraction was analyzed by UPLC-Q-TOF-MS/MS. The chemical components were identified by comparing the retention time, exact molecular weight and mass spectrum information with the standard chemicals.   Results   The ethyl acetate fraction of the Sanse tablet ethanol extract had the best anti-complement activity. 42 chemicals were identified, including 16 alkaloids, 15 terpenoids, 6 flavonoids and 5 phenolic acids.   Conclusion   The characterization of the chemical components in the anti-complement active fraction of Sanse tablets provides a scientific basis for the therapeutic effects of Sanse tablets, which will help the future development of the compound preparations of Chinese medicine in our hospital.
Bibliometric analysis of pharmaceutical papers from Double First-rate universities in China
LI Ruimin, CUI Lijun, SHU Lixin, CHEN Jing
2021, 39(4): 331-335. doi: 10.12206/j.issn.1006-0111.202106136
Abstract(3417) HTML (1894) PDF (1091KB)(26)
Abstract:
  Objective  To understand the development status in the subject of pharmacy and provide recommendations for the construction of universities and the development of pharmacy by the bibliometric analysis of pharmaceutical papers from Double First-rate universities in China.  Methods  China National Knowledge Network (CNKI), Wanfang and VIP databases were searched for Chinese literature, and Scopus database was searched for English literature. Duplicates and non-research literatures were deleted. 12 028 literatures were included. Excel 2016 software was used for statistical analysis.  Results  From 2014 to 2019, the total number of papers published by Double First-rate universities increased year by year, with the highest increase rate of 14%. From 2014 to 2020, 11 178 papers were published in international journals, while only 850 were published in domestic journals. Nearly 93% of pharmaceutical papers flowed to foreign journals. Peking Union Medical College published the most papers in international journals. Sun Yat-sen University published the most SCI papers. Peking University published the most papers in domestic journals, while Fudan University published the highest number of papers in Q1 area. Only a few papers published with international coauthors from colleges or universities. The cooperation works were limited in the same province or municipality directly under the central government.  Conclusion  Double First-rate universities should focus on strengthening international cooperation and inter-provincial cooperation, improving industry-university collaboration, and accelerating the transformation from scholar research to productions.
Microbial transformation of Asiatic acid by Syncephalastrum racemosum CGMCC 3.2500
LI Hui, WANG Jing, GU Shenyong
2021, 39(4): 336-339. doi: 10.12206/j.issn.1006-0111.202012005
Abstract(3121) HTML (1159) PDF (1593KB)(18)
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  Objective  Asiatic acid is the main medicinal component of aursane pentacyclic triterpene and possessed various biological activities. In order to obtain better active Asiatic acid analogues, microbial transformation was used for structural modification.  Methods  Asiatic acid was biotransformed by Syncephalum racemosum CGMCC 3.2500. The structure of the compound was identified by high resolution electrospray ionization mass spectroscopy (HR-ESI-MS) and nuclear magnetic resonance spectroscopy (i.e., 1H NMR、13C NMR、1H-13C HSQC、1H-13C HMBC、1H-1H NOESY).  Results  The structure of the compound was determined as 2-oxo-3α, 15α, 23-trihydroxyurs-12-en-28-oic acid which was a new compound.  Conclusion  Syncephalum racemosum CGMCC 3.2500 can modify the structure of Asiatic acid and obtain Asiatic acid analogues.
The anti-inflammatory role of α7 nicotinic acetylcholine receptor in microglial cells and its mechanisms
SHEN Yue, ZHANG Jingjing, DU Jing, CAO Qi, LIU Chong, QIAN Jiao
2021, 39(4): 340-344, 358. doi: 10.12206/j.issn.1006-0111.202103028
Abstract(4917) HTML (2369) PDF (1379KB)(40)
Abstract:
  Objective  To investigate the anti-inflammatory role of α7 nicotinic acetylcholine receptor (α7nAChR) under inflammatory stress and its mechanisms.  Methods  PNU282987 was used for the activation of α7nAChR and LPS was administrated as inflammatory stressor. Realtime PCR was used for the detection of IL-1β, IL-6, TNF-α, M1 macrophage marker CD68, CD86 and M2 macrophage marker CD206, Arg1. Cell immunofluorescence was used for the detection of M1/M2 ratio and Western blot was applied for the detection of autophagy-related proteins.  Results  Under the stimulation of LPS, the mRNA levels of proinflammatory cytokines IL-1β, IL-6 and TNF-α, the proportion of M1 macrophage and autophagy process were increased in BV2 microglial cells. However, the administration of PNU282987 significantly decreased the mRNA levels of IL-1β, IL-6 and TNF-α and the proportion of M1 macrophage while increased the proportion of M2 macrophage and the level of autophagy process.  Conclusion  Activating α7nAChR plays an anti-inflammatory role in microglial cells under inflammatory stress due to the regulation of M1/M2 macrophage ratio and increase of autophagy level.
Optimization of determination method for silver sulfadiazine cream and its stability under extreme conditions
LI Ling, SONG Hongjie, DING Deying, SHU Lixin
2021, 39(4): 345-347, 368. doi: 10.12206/j.issn.1006-0111.202012011
Abstract(4445) HTML (1622) PDF (964KB)(65)
Abstract:
  Objective  To optimize the method of assay for silver sulfadiazine, and to investigate its stability in high temperature, humidity and salt environment.  Methods  Agilent ZORBAX SB-C18 column was used in HPLC for the determination of silver sulfadiazine with acetonitrile and 0.1% phosphoric acid as mobile phase.The flowing rate was 1.0 ml/min and column temperature was 30℃. Salt spray test chamber was used to simulate the high temperature, humidity and salt environment. The silver sulfadiazine content was assayed at 0, 2, 4, 6, 8, 10, 12 weeks.  Results  The calibration curve was linear within the range of 4.00~20.00 μg/ml (r=0.9999). The average recovery was 101.47% (RSD=2.33%). The content of silver sulfadiazine cream began to decrease significantly after 4 weeks.  Conclusion  This method is convenient, accurate and reliable. It can be used for the content determination of silver sulfadiazine in the cream.The results showed that the silver sulfadiazine cream was unstable in the environment of high temperature, humidity and salt. Therefore, environmental impact should be fully considered in transportation, storage and application. For the long-distance navigation mission, protective measures should be taken for its packaging or replace it with more stable products.
UHPLC-MS/MS determination of uracil and dihydrouracil in human plasma
TONG Cui, CHEN Shun, WANG Zhipeng, GAO Shouhong
2021, 39(4): 348-351, 365. doi: 10.12206/j.issn.1006-0111.202102011
Abstract(4541) HTML (2001) PDF (1036KB)(59)
Abstract:
  Objective  To establish an UHPLC-MS/MS method for the determination of uracil (U) and dihydrouracil (UH2) in human plasma.  Methods  A positive ion detection mode was adopted on the Agilent 6460A mass spectrometer. Chlorouracil was used as the internal standard. 3% bovine serum albumin was used as surrogate plasma matrix. The pretreatment of plasma sample was completed based on liquid-liquid extraction with ethyl acetate. The chromatographic separation was achieved on an Agilent Poroshell 120 SB-Aq (2.1 mm×100 mm, 2.7 μm) column with gradient elution. The mobile phase was 5 mmol/L ammonium acetate aqueous solution and acetonitrile solution. The flow rate was 0.3 ml/min. The column temperature was 30°C. The injection volume was 5 μl.  Results  The linear range of uracil and dihydrouracil was 10.0-1500.0 ng/ml. Both of uracil and dihydrouracil had good linear relationship with correlation coefficient (r)>0.990. Both of inter- and intra-day precision was <15%.  Conclusion  The established method is simple, selective, and suitable for the determination of U and UH2 in human plasma.
Study on pharmacokinetic and gastrointestinal distribution study of mesalazine enteric-coated sustained-release granules in rats
HU Bei, SHI Ying, ZHANG Chaoshen, XU Zihua
2021, 39(4): 352-358. doi: 10.12206/j.issn.1006-0111.202007101
Abstract(5581) HTML (2094) PDF (1697KB)(57)
Abstract:
  Objective  To evaluate the pharmacokinetics of the new mesalazine enteric-coated sustained-release granules in SD rats and their distribution in the gastrointestinal tract, and to understand the preclinical pharmacokinetics and gastrointestinal distribution characteristics of the preparation.  Methods  Rats were administered orally to determine the drug concentrations in plasma samples and in the gastrointestinal tract. The commercially available mesalazine sustained-release granule was used as a reference to self-developed one to evaluate the process of absorption and elimination in vivo, relative bioavailability, and distribution in the gastrointestinal tract.  Results  The relative bioavailability of mesalazine enteric-coated sustained-release granule and non-enteric-coated one characterized by mesalazine was 89.62% ± 9.36%. After oral administration of mesalazine enteric-coated sustained-release granules, the drug has a high concentration distribution in the stomach within 2-8 hours, and gradually enters and remains in the jejunum, ileum and colon over time for 6-12 hours and then reaching a high concentration distribution in the colon. This help for the absorption of mesalazine, as well as the fixed-point release of the drug to produce a therapeutic effect.  Conclusion  The absorption and elimination process of mesalazine enteric sustained-release granule showed linear kinetic characteristics. There was no significant difference in pharmacokinetic parameters from the commercially available formulations, and it had a certain fluidity in the gastrointestinal tract. Good gastrointestinal distribution characteristics help the absorption of drugs in the body and the targeted release of the site of action
Pharmaceutical care for a patient with cancer pain after surgery for metastatic breast cancer
LU Jin, ZHAO Xincai, CHEN Beirong, ZHAO Yun, WANG Jing, HUO YAN
2021, 39(4): 359-361. doi: 10.12206/j.issn.1006-0111.202101028
Abstract(3885) HTML (1274) PDF (885KB)(49)
Abstract:
  Objective  By participating in the process of drug treatment and pharmaceutical monitoring for a patient with cancer pain, clinical pharmacists participated in formulating drug treatment plans and proposed rational medication recommendations. At the same time, patients were given health education to reduce or avoid adverse drug reactions.  Methods  Pharmacists participate in the process of pharmacy monitoring of patients by participating in the review of prescriptions, discovering problems, intervening in time for improper prescriptions, communicating with doctors, changing medication plans, and providing health education to patients.  Results   Physicians accepted the suggestions of pharmacists and modified the medication regimen. The patient's condition improved.   Conclusion  The pharmacist participated in the intervention of an improperly prescribed medication for a patient with metastatic breast cancer postoperative cancer pain, and gave the patient a full range of pharmaceutical care, which reflects the importance of the pharmacist in pharmaceutical care.
The therapeutic effects of tranexamic acid in total knee arthroplasty during perioperative period
PING Wei, WANG Wei, SONG Wei, LI Panhong, LIU Xiaojuan
2021, 39(4): 362-365. doi: 10.12206/j.issn.1006-0111.202102020
Abstract(3954) HTML (1554) PDF (936KB)(17)
Abstract:
  Objective  To evaluate the application value of tranexamic acid in total knee arthroplasty.  Methods  120 elderly patients with knee osteoarthritis admitted to Department of Joint Surgery in our hospital from December 2018 to March 2020 were selected as study subjects. They were divided into the control group and the observation group by random number table method, with 60 patients in each group. The control group was treated with total knee arthroplasty. The observation group received one tranexamic acid injection during and after total knee arthroplasty. Both groups were followed up for 6 months after the operation. The operation-related indexes in two groups, preoperative and postoperative coagulation function 48 h after operation, preoperative and postoperative knee joint function 6 months after operation were compared. The incidence of complications during hospitalization in the two groups was counted.  Results  The intraoperative blood loss, hidden blood loss and postoperative drainage volume of the observation group were lower than those in the control group (P<0.05). The postoperative drainage time, drying time and wound healing time in the observation group were all shorter than those in the control group (P<0.05). There was no significant difference in prothrombin time (PT), partial thromboplastin time (APTT) and whole blood fibrinogen (FIB) between two groups before the surgery and 48 h after operation (P>0.05). No statistically significant difference was observed between the two groups (P>0.05). Compared with those before operation, the pain, walking stability, walking distance, walking assistance, flexor extension and muscle strength scores of the subjects in the two groups increased 6 months after the operation. The index scores in the observation group were higher than those in the control group (P<0.05). During the treatment, the total complication rate was 8.33% in the observation group and 13.33% in the control group, with no statistically significant difference between the two groups (P>0.05).  Conclusion  Tranexamic acid can effectively reduce blood loss, postoperative drainage volume, and postoperative drainage time in total knee arthroplasty for elderly patients with knee osteoarthritis. It promotes wound healing, improves knee joint function, and has little effect on coagulation function and less postoperative complications.
Analysis of the clinical efficacy of acupuncture combined with selective serotonin reuptake inhibitors (SSRIs) in the treatment depression
LI Xiazhen, SONG Weiwei, HE Zhongli
2021, 39(4): 366-368. doi: 10.12206/j.issn.1006-0111.202006099
Abstract(4197) HTML (1482) PDF (913KB)(13)
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  Objective  To explore the clinical efficacy of acupuncture combined with SSRIs in the treatment of patients with depression.   Methods  A total of 83 patients with depression admitted to our hospital between January 2019 and January 2020 were selected as the research objects. Patients in the control group were treated with SSRIs, and the combined treatment (observation) group was treated with acupuncture on the basis of the control group. The clinical efficacy, anxiety (HAMD) and depression scale (HAMD) of patients in the two groups were compared.   Results  After treatment, the clinical efficacy of depression patients in the observation group was significantly higher than that in the control group (P<0.05). HAMA and HAMD scores showed statistical difference between the two groups. HAMA and HAMD scores of patients in the observation group were lower than those in the control group (P<0.05).   Conclusion  Acupuncture combined with SSRIs in the treatment of depression can significantly improve the patient's condition, reduce the patient's anxiety and depression, and has a positive significance for the treatment of the patients.
Analysis of typical practical problems and countermeasures of supply chain management mode in public hospitals
DONG Zhengjun, DI Xuemei, FAN Jie, ZHANG Hai
2021, 39(4): 369-372. doi: 10.12206/j.issn.1006-0111.202105125
Abstract(5070) HTML (1461) PDF (849KB)(55)
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  Objective  to analyze the differences and changes before and after the introduction of supply processing distribution (SPD) supply chain management mode in a public hospital, analyze the typical problems existing in the clinical practice and development of SPD mode, and explore the countermeasures to improve the SPD supply chain management.  Methods  the changes of 20 management functions before and after the introduction of SPD supply chain management mode were compared. The advantages and disadvantages of SPD management mode were analyzed. The improvement measures and countermeasures were proposed.  Results  among the 20 management functions, 11 of them were reduced, 5 of them were equal, and 4 of them were increased. The overall efficiency of hospital management was improved. Because the external medicine supplier has not been included in the hospital rules, regulations system and process. The role positioning was not clear. There were defects in institutional and continuous guarantee.  Conclusion  SPD supply chain management mode can be improved and innovated to promote the supply channel reform of drugs and medical consumables, and improve the fine management level of drugs and medical consumables.
The efficacy and safety of ceftazidime/avibactam therapy on carbapenem-resistant Enterobacteriaceae infections: a Meta-analysis
CEN Jing, LÜ Shan, TANG Min
2021, 39(4): 373-378. doi: 10.12206/j.issn.1006-0111.202007011
Abstract(6711) HTML (2619) PDF (1210KB)(42)
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  Objective  To systematically evaluate the efficacy and safety of ceftazidime/avibactam(CAZ/AVI) in the treatment of carbapenem-resistant Enterobacteriaceae(CRE) or carbapenem-resistance Klebsiella pneumonia (CRKP), and to provide evidence-cased reference for clinic therapy.  Methods  A comprehensive literature search from PubMed, Embase, the Cochrane Library, CBM, CNKI and VIP database was conducted for the CAZ/AVI therapy on CRE/CRKP infections published before May.2020. Two reviewers independently screened literatures according to the inclusion and exclusion criteria, extracted data, and assessed the methodological quality of the included studies. The results were analyzed by RevMan 5.3 statistical software.  Results  Five studies in English involving 392 patients were included for the analysis. In terms of effectiveness, the results showed CAZ/AVI group significantly increased the clinical cure rate[OR=3.57, 95% CI (2.03, 6.26), P<0.00001] compared with the control group. Also CAZ/AVI group significantly decreased the 28/30 day all-cause mortality [OR=0.27, 95% CI (0.14, 0.50), P<0.0001]. There were no significant difference between the two groups in the clinical remission rate [OR=1.92, 95% CI (0.93, 3.97), P=0.08] and the infection recurrence rate [OR=0.44, 95% CI (0.11, 1.85), P=0.26]. In terms of safety, the incidence of adverse events in CAZ/AVI group were lower than those in control group [OR=0.29, 95% CI (0.10, 0.80), P=0.02]. There was no significant difference between two groups in the incidence of serious adverse events[OR=0.33, 95% CI (0.09, 1.19), P=0.09].  Conclusion  The current evidence shows that CAZ/AVI therapy has advantage in survival rate for the treatment of CRE/CRKP infections without increase of SAEs. Limited by the quality and quantity of the included studies, the above conclusions need to be verified with more high-quality RCTs.
Analysis of drug consumption in field training of joint logistic support force in Yunnan
WANG Xiaonü, TAO Wenbin, YANG Lulu, GONG Yuanyuan, XU Xinming, XU Fan
2021, 39(4): 379-383. doi: 10.12206/j.issn.1006-0111.202103025
Abstract(3380) HTML (1410) PDF (863KB)(15)
Abstract:
  Objective  To analyze the drug consumption of the joint logistics support force during field training in Yunnan, summarize the drug use characteristics of medical staff, and analyze the drug use rules, so as to provide the basis for modular drug support.  Methods  The basic information and drug use of the personnel in an institution of the joint logistics support force during the resident training period from April to June 2020 were collected and sorted out. The drug use indicators were calculated by using the defined daily dose (DDD) as the unit, including: daily drug dose (DDDs), daily drug dose cost (DDDc), drug use intensity (DUI), drug utilization rate (DUR) and drug ranking ratio (R) were used to describe drug use characteristics.  Results  During the resident training period, the amount of musculoskeletal system drugs was large, and the number of users was large. The dosage of cardiovascular system drugs, digestive system drugs and hormone drugs was large, but the number of users was small. Sensory organ drugs, dermatological drugs, heat-clearing agents (Chinese patent medicine) and respiratory system drugs were small in dosages, but the number of users was large. Ranked by DDDs, the top 3 drugs with the highest dosage were Yunnan Baiyao plaster, Yunnan Baiyao Band-Aid and Loratadine Tablets. Ranked by DDDc, the largest daily cost was Budesonide and Formoterol Fumarate Powder for Inhalation. As age increases, the intensity of drug use increased; The intensity of drug use in women was greater than that in men. The intensity of drug use was different for different categories personnel.  Conclusion  Musculoskeletal system drugs are important drugs for field training. The task personnel should formulate a list of medicines for basic diseases based on their own medication for basic diseases and the duration of the task, and submit it to the medicinal material guarantee department to ensure the carrying drugs. The factors affecting modular drug support in field training include: task type, region, solar term, duration and personnel composition, etc.
2021, 39(4): 384-386. doi: 10.12206/j.issn.1006-0111.202007016
Abstract(3648) HTML (1407) PDF (848KB)(33)
Abstract: