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Flow injection chemiluminescence determination of meloxicam using potassium permanganate and formaldehyde system 被引量:1
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作者 贾宝秀 曹明亮 +3 位作者 刘彩红 李玉琴 李珂 齐永秀 《Journal of Chinese Pharmaceutical Sciences》 CAS 2008年第1期35-40,共6页
A simple, rapid and sensitive flow injection chemiluminescence (FI-CL) method has been developed for the determination of meloxicam. The method is based on the CL-emitting reaction between meloxicam and potassium pe... A simple, rapid and sensitive flow injection chemiluminescence (FI-CL) method has been developed for the determination of meloxicam. The method is based on the CL-emitting reaction between meloxicam and potassium permanganate in a hydrochloric acid medium, enhanced by formaldehyde (HCHO). Under optimum conditions, calibration curve over the range of 1.0-20.0μg/mL was obtained. The proposed method was successfully applied to the determination of meloxicam in capsules with no evi- dence of interference from common excipients. The detection limit of this method was 25.6 ng/mL. The relative standard deviation was 2.1% for 10.0 μg/mL meloxicam. The sample throughput was found to be 120 samples/h. 展开更多
关键词 meloxicam Flow injection chemiluminescence FORMALDEHYDE Pharmaceutical analysis
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Physicochemical Properties and Evaluation of Microemulsion Systems for Transdermal Delivery of Meloxicam 被引量:6
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作者 YUAN Yue LI San-ruing +2 位作者 YU Li-min DENG Pan ZHONG Da-fang 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2007年第1期81-86,共6页
Microemulsion systems, composed of water, isopropyl myristate (IPM), polyoxyethylene sorbitan trioleate (Tween 85 ), and ethanol, were investigated as transdermal drug delivery vehicles for a lipophilic model drug... Microemulsion systems, composed of water, isopropyl myristate (IPM), polyoxyethylene sorbitan trioleate (Tween 85 ), and ethanol, were investigated as transdermal drug delivery vehicles for a lipophilic model drug( meloxicam). The purpose of this study was to investigate the physicochemieal properties of the tested microemulsion and to find the correlation between the physicoehemical properties and the skin permeation rate of the microemulsion. Pseudo-ternary phase diagram of the investigated system at a constant surfactant/cosurfactant mass ratio ( Km = 1 : 1 ) was constructed by titration at 20℃, and the five fommlations were selected for further research in the o/w microemulsion domains. The values of electrical conductivity and viscosity showed that the selected systems were bicontinuous or non-spherical o/w microemulsion, and the electrical conductivity and viscosity were increased with increasing the content of water. These results suggest that the optimum formulation of microemulsion, containing 0. 375 meloxicam, 5% isopropyl myristate, 25% Tween 85. 25% ethanol, and water, showed the maximum permeation rate. It had a high electrical conductivity, small droplet size, and proper viscocity. 展开更多
关键词 MICROEMULSION Physicochemical property Transdermal delivery meloxicam Polyoxyethylene sorbitan triolcate
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Enhanced transdermal delivery of meloxicam by nanocrystals: Preparation, in vitro and in vivo evaluation 被引量:4
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作者 Qina Yu Xiying Wu +4 位作者 Quangang Zhu Wei Wu Zhongjian Chen Ye Li Yi Lu 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2018年第6期518-526,共9页
Meloxicam(MLX) is efficient in relieving pain and inflammatory symptoms, which, however, is limited by the poor solubility and gastrointestinal side effects. The objective of this study is to develop a nanocrystal for... Meloxicam(MLX) is efficient in relieving pain and inflammatory symptoms, which, however, is limited by the poor solubility and gastrointestinal side effects. The objective of this study is to develop a nanocrystal formulation to enhance transdermal delivery of MLX. MLX nanocrystals were successfully prepared by the nanoprecipitation technique based on acidbase neutralization. With poloxamer 407 and Tween 80(80/20, w/w) as mixed stabilizers,MLX nanocrystals with particle size of 175 nm were obtained. The crystalline structure of MLX nanocrystals was confirmed by both differential scanning calorimetry and X-ray powder diffractometry. However, the nanoprecipitation process reduced the crystallinity of MLX.Nanocrystals increased both in vitro and in vivo transdermal permeation of MLX compared with the solution and suspension counterparts. Due to the enhanced apparent solubility and dissolution as well as the facilitated hair follicular penetration, nanocrystals present a high and prolonged plasma MLX concentration. And 2.58-and 4.4-fold increase in AUC0 →2 4 h was achieved by nanocrystals comparing with solution and suspension, respectively. In conclusion, nanocrystal is advantageous for transdermal delivery of MLX. 展开更多
关键词 meloxicam NANOCRYSTALS TRANSDERMAL delivery NANOPRECIPITATION ACID-BASE NEUTRALIZATION
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Effects of Meloxicam on Vascular Endothelial Growth Factor and Angiopoietin-2 Expression in Colon Carcinoma Cell Line HT-29 被引量:2
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作者 张宁 陶凯雄 黄韬 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2007年第4期399-402,共4页
To investigate the effect of meloxicam, a selected NSAIDs, on cell growth, expression of VEGF and angiopointin-2 (Ang-2) protein in HT-29 cell line, cultured HT-29 cells were treated with meloxicam of various concen... To investigate the effect of meloxicam, a selected NSAIDs, on cell growth, expression of VEGF and angiopointin-2 (Ang-2) protein in HT-29 cell line, cultured HT-29 cells were treated with meloxicam of various concentrations for various lengths of time. The proliferation of HT-29 was detected by cell counting kit-8 (CCK-8), the cell cycle was determined by flow cytometer and the levels of VEGF and Ang-2 protein in supernatants were examined by enzyme linked immunosorbent assay (ELISA). The mRNA expressions of VEGF and Ang-2 in cultured HT-29 were determined by real-time quantitative reverse-transcription polymerase chain reaction. Our results showed that treatment of meloxicam of different concentrations and for various lengths of time had a cytotoxicic effect on the cell proliferation of HT-29 cells in a concentration-dependant and time-dependant manner. Cell cycle analysis showed that the cells were mainly blocked in G0/G1 phase. The VEGF and Ang-2 protein levels in supernatants of the culture medium were decreased gradually in a concentration-dependent or time-dependent fashion. The mRNA expression of cox-2, VEGF and Ang-2 showed a gradual and concentration-dependent reduction. It is concluded that meloxicam can reduce the expression of VEGF and Ang-2 at the protein and mRNA level in colon carcinoma cell line. 展开更多
关键词 meloxicam colon carcinoma cell line vascular endothelial growth factor ANGIOPOIETIN-2
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Gut-liver axis improves with meloxicam treatment after cirrhotic liver resection 被引量:1
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作者 Astrit R Hamza Avdyl S Krasniqi +4 位作者 Pramod Kadaba Srinivasan Mamdouh Afify Christian Bleilevens Uwe Klinge René H Tolba 《World Journal of Gastroenterology》 SCIE CAS 2014年第40期14841-14854,共14页
AIM: To investigate the effect of meloxicam on the gut-liver axis after cirrhotic liver resection.
关键词 Liver cirrhosis Liver resection Gut-liver axis meloxicam Cyclooxigenase-2 MICROCIRCULATION
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Co-nanoencapsulated meloxicam and curcumin improves cognitive impairment induced by amyloid-beta through modulation of cyclooxygenase-2 in mice 被引量:1
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作者 Maria Eduarda Ziani Gutierrez Anne Suély Pinto Savall +8 位作者 Edina da Luz Abreu Kelly Ayumi Nakama Renata Bem Dos Santos Marina Costa Monteiro Guedes Daiana SilvaÁvila Cristiane Luchese Sandra Elisa Haas Caroline Brandão Quines Simone Pinton 《Neural Regeneration Research》 SCIE CAS CSCD 2021年第4期780-786,共7页
Alzheimer’s disease is a progressive brain disorder and complex mechanisms are involved in the physiopathology of Alzheimer’s disease.However,there is data suggesting that inflammation plays a role in its developmen... Alzheimer’s disease is a progressive brain disorder and complex mechanisms are involved in the physiopathology of Alzheimer’s disease.However,there is data suggesting that inflammation plays a role in its development and progression.Indeed,some non-steroidal antiinflammatory drugs,such as meloxicam,which act by inhibiting cyclooxygenase-2 have been used as neuroprotective agents in different neurodegenerative disease models.The purpose of this study was to investigate the effects of co-nanoencapsulated curcumin and meloxicam in lipid core nanocapsules(LCN)on cognitive impairment induced by amyloid-beta peptide injection in mice.LCN were prepared by the nanoprecipitation method.Male Swiss mice received a single intracerebroventricular injection of amyloid-beta peptide aggregates(fragment 25–35,3 nmol/3μL)or vehicle and were subsequently treated with curcumin-loaded LCN(10 mg/kg)or meloxicam-loaded LCN(5 mg/kg)or meloxicam+curcumin-co-loaded LCN(5 and 10 mg/kg,respectively).Treatments were given on alternate days for 12 days(i.e.,six doses,once every 48 hours,by intragastric gavage).Our data showed that amyloid-beta peptide infusion caused long-term memory deficits in the inhibitory avoidance and object recognition tests in mice.In the inhibitory avoidance test,both meloxicam and curcumin formulations(oil or co-loaded LCN)improved amyloid-beta-induced memory impairment in mice.However,only meloxicam and curcumin-co-loaded LCN attenuated non-aversive memory impairment in the object recognition test.Moreover,the beneficial effects of meloxicam and curcuminco-loaded LCN could be explained by the anti-inflammatory properties of these drugs through cortical cyclooxygenase-2 downregulation.Our study suggests that the neuroprotective potential of meloxicam and curcumin co-nanoencapsulation is associated with cortical cyclooxygenase-2 modulation.This study was approved by the Committee on Care and Use of Experimental Animal Resources,the Federal University of Pampa,Brazil(approval No.02-2015)on April 16,2015. 展开更多
关键词 Alzheimer’s disease CURCUMIN CYCLOOXYGENASE-2 lipid core nanocapsules meloxicam memory rats inflammation
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Physicochemical characterization, the Hirshfeld surface, and biological evaluation of two meloxicam compounding pharmacy samples
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作者 Luciana F.A.Romani Maria I.Yoshida +7 位作者 Elionai C.L.Gomes Renes R.Machado Felipe F.Rodrigues Marcio M.Coelho Marcelo A.Oliveira Maria B.Freitas-Marques Rosane A.S.San Gil Wagner N.Mussel 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2018年第2期103-108,共6页
Meloxicam(MLX) is an anti-inflammatory drug susceptible to variations and crystalline transitions. In compounding pharmacies, the complete crystallographic evaluation of the raw material is not a routine procedure. We... Meloxicam(MLX) is an anti-inflammatory drug susceptible to variations and crystalline transitions. In compounding pharmacies, the complete crystallographic evaluation of the raw material is not a routine procedure. We performed a complete crystallographic characterization of aleatory raw MLX samples from compounding pharmacies. X-ray diffraction indicated the presence of two crystalline forms in one sample. DSC experiments suggested that crystallization, or a crystal transition, occurred differently between samples. The FTIR and ~1H NMR spectra showed characteristic assignments.^(13)C solid-state NMR spectroscopy indicated the presence of more than one phase in a sample from pharmacy B. The Hirshfeld surface analysis, with electrostatic potential projection, allowed complete assignment of the UV spectra in ethanol solution. The polymorph I of meloxicam was more active than polymorph III in an experimental model of acute inflammation in mice. Our results highlighted the need for complete crystallographic characterization and the separation of freely used raw materials in compounding pharmacies,as a routine procedure, to ensure the desired dose/effect. 展开更多
关键词 meloxicam POLYMORPHISM Hirshfeld surface Anti-inflammatory activity
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The Effect of Delivery Method on the Pharmacokinetic Properties of Meloxicam in Pre-Weaned Dairy Calves with Diarrhea
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作者 Daniel Shock Steven Roche +1 位作者 Denis Nagel Merle Olson 《Open Journal of Veterinary Medicine》 2020年第3期27-38,共12页
The non-steroidal anti-inflammatory drug meloxicam is commonly used as adjunct therapy for neonatal calf diarrhea to control pain and inflammation. The objective of this study was to compare the pharmacokinetics of me... The non-steroidal anti-inflammatory drug meloxicam is commonly used as adjunct therapy for neonatal calf diarrhea to control pain and inflammation. The objective of this study was to compare the pharmacokinetics of meloxicam in diarrheic pre-ruminant dairy calves dosed either orally or subcutaneously. Twelve pre-ruminant male dairy calves with mild to moderate diarrhea were randomly assigned to receive one of four treatments (three per group): subcutaneous meloxicam (SM, 0.5 mg/kg body weight);an oral bolus meloxicam suspension (OM, 1 mg/kg body weight);an oral meloxicam suspension added to a feeding of oral electrolytes (EM, 1 mg/kg body weight);and an oral meloxicam suspension added to a feeding of milk replacer (MM, 1 mg/kg body weight). The predicted pharmacokinetic parameters for OM, MM, EM, and SM groups were: half-life (56.8 ± 21.7 vs. 136.0 ± 26.6 vs. 85.2 ± 21.7 vs. 36.3 ± 21.7 h), Cmax (4.3 ± 0.4 vs. 3.7 ± 0.4 vs. 3.9 ± 0.4 vs. 2.1 ± 0.4 μg/mL), Tmax (13.3 ± 4.0 vs. 10.7 ± 4.0 vs. 13.3 ± 4.0 vs. 2.7 ± 4.0 h), and AUC0-∞ (383.4 ± 126.8 vs. 877.8 ± 155.3 vs. 457.1 ± 126.8 vs. 126.4 ± 126.8 h * μg/mL). Oral meloxicam, especially MM, had extended elimination phases relative to SM. All meloxicam therapies provided effective therapeutic levels but all oral therapies (1 mg/kg) provided longer durations of activity than injectable meloxicam (0.5 mg/kg). 展开更多
关键词 meloxicam DAIRY CALVES Pharmacokinetics DIARRHEA ANTI-INFLAMMATORY
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Mutagenicity Study of Meloxicam
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作者 Lian-Bing Li +2 位作者 Ming-Fu Ma 《癌变·畸变·突变》 CAS CSCD 2001年第4期238-239,共2页
关键词 抗炎药 meloxicam 致突变性
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消炎镇痛剂Meloxicam
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作者 阎文亮 《国外新药介绍》 1998年第1期21-24,共4页
关键词 消炎镇痛剂 meloxicam 药代动力学
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Simple Spectrophotometric Methods for the Determination of Meloxicam in Presence of Its Degradation Products
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作者 Ellham A. Taha 《药物分析杂志》 CAS CSCD 北大核心 2004年第4期390-394,共5页
To develope two simple and accurate spectrophotometric methods for the determination of meloxicam( I )in presence of its degradation products, 5 -methyl -2 -aminothiazole ( II )and benzothiazine carboxylic acid( Ill )... To develope two simple and accurate spectrophotometric methods for the determination of meloxicam( I )in presence of its degradation products, 5 -methyl -2 -aminothiazole ( II )and benzothiazine carboxylic acid( Ill ). Method:Both methods are based on the formation of chelate complexes of the studied drug with uranyl acetate and ferric chloride at room temperature in a methanolic medium. Results:The resulting complexes are stable for 24 hrs and show absorption maxima at 406 nm and 580 nm for uranyl and ferric complexes respectively. These methods are applicable over the concentration ranges of 10 -100 and 37.5 -300 p^g ~ mL-1 with mean recoveries of (99.44 ~ 0. 48 ) % and (99. 42 ~ 0. 45 ) %, and molar absorptivity of 4.67 x 103 and 1. 029 x 103 respectively. Conclusion:Both methods are proved to be stability indicating as no interference was observed with the degradation products. The proposed methods were successfully applied to the determination of the frug in bulk powder, laboratory prepared mixtures containing different percentages of degradation products of the drug in bulk powand pharmaceutical dosage 展开更多
关键词 分光光度法 羧基酸 吸收率 药物剂量
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Physical characterization of meloxicam-β-cyclodextrin inclusion complex pellets prepared by a fluid-bed coating method 被引量:4
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作者 Yi Lu Xingwang Zhang +2 位作者 Jie Lai Zongning Yin Wei Wu 《Particuology》 SCIE EI CAS CSCD 2009年第1期1-8,共8页
Meloxicam-β-cyclodextrin (ME-β-CD) inclusion complex was prepared by a fluid-bed coating technique upon solvent removal and simultaneous depositing onto the surface of nonpareil pellets and using PVP K30 as a bind... Meloxicam-β-cyclodextrin (ME-β-CD) inclusion complex was prepared by a fluid-bed coating technique upon solvent removal and simultaneous depositing onto the surface of nonpareil pellets and using PVP K30 as a binding agent to facilitate good coating. The resultant pellets were spherical and intact in shape with good flowability and friability. SEM analysis showed that the pellets were smooth and had a tightly coated inclusion complex layer. In vitro dissolution of the inclusion complex pellets in pH 7.4 phosphate buffer was dramatically enhanced at an ME/CD ratio of 1/1. DSC and powder X-ray diffractometry proved the absence of crystallinity in the ME/CD inclusion complexes. Moreover, Fourier transform-infrared spectrometry together with Raman spectrometry indicated that the thiazole ring of ME was possibly included in the cavity of β-CD. 展开更多
关键词 meloxicam Inclusion complex Β-CYCLODEXTRIN Fluid-bed PELLETS Dissolution Characterization
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Evaluation on monoamine neurotransmitters changes in depression rats given with sertraline, meloxicam or/and caffeic acid 被引量:6
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作者 Dan Huang Lu Zhang +4 位作者 Jun-qing Yang Ying Luo Ting Cui Ting-ting Du Xin-hui Jiang 《Genes & Diseases》 SCIE 2019年第2期167-175,共9页
Inflammation drives the development of depression and may affect neurotransmitters and thus neurocircuits increase the risk of depression.To investigate the influence of inhibition of inflammatory pathways on the biog... Inflammation drives the development of depression and may affect neurotransmitters and thus neurocircuits increase the risk of depression.To investigate the influence of inhibition of inflammatory pathways on the biogenic amine neurotransmitters metabolism in depressive rats,sertraline,and meloxicam,the inhibitors of arachidonic acid-cyclooxygenase-2/lipoxygenase(AA-COX-2/5-LO)pathways,were given to depressive rats.After the development of depression model by chronic unpredictable mild stress(CUMS)for 6 weeks,Successful modeling rats were selected and randomly divided into CUMS group and medication administration group.After given medicine,The biogenic amine neurotransmitters in rat cortex and hippocampus were measured by high-performance liquid chromatography equipped with an electrochemical detector(HPLC-ECD).Compared with the normal group,the concentration of norepinephrine(NE)significantly decreased and the concentrations of Tyrosine(Tyr),Tryptophan(Trp),3,4-dihydroxyphenyl acetic acid(DOPAC),3-methoxy-4-hydroxyphenylglycol(MHPG),homovanillic acid(HVA)and 5-hydroxyindoleacetic acid(5-HIAA)significantly increased in the CUMS group.Sertraline significantly inhibited the elevation of 5-HIAA.Meloxicam inhibited the decrease of NE level in CUMS-induced rat and the increase of Trp,MHPG,and 5-HIAA level in a dose-dependent manner.Caffeic acid inhibited the decrease of NE and the increase of Trp and MHPG in a dose-dependent manner.The inhibition of AA-COX-2/5-LO pathways can improve the behaviors of depression rats and suppress CUMSinduced changes in biogenic amines.Compared with the single-dose lipoxygenase(5-LO)or Cyclooxygenase-2(COX-2)inhibitor,the combination treatment with meloxicam 1 mg/kg and caffeic acid 10 mg/kg have no significant improvement in CUMS-induced depression behavior and the level of cortical monoamine neurotransmitters and their metabolites. 展开更多
关键词 AA-COX-2/5-LO inflammatory pathways Bioamine neurotransmitters Caffeic acid Depression rat meloxicam SERTRALINE
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科学使用抗炎药物提升犊牛福利与养殖效率的综述
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作者 王礞礞 李玉芳 +2 位作者 杨旭 田园 王晶 《中国乳业》 2025年第8期61-66,共6页
在现代集约化奶牛养殖中,疾病防控与动物福利管理直接影响牧场经济效益。抗炎药物的科学应用不仅能有效缓解奶牛疼痛、控制炎症反应,还能显著改善动物福利并提高生产性能。本文结合国内外最新研究成果,以河北乐源家思牧业的实证数据为基... 在现代集约化奶牛养殖中,疾病防控与动物福利管理直接影响牧场经济效益。抗炎药物的科学应用不仅能有效缓解奶牛疼痛、控制炎症反应,还能显著改善动物福利并提高生产性能。本文结合国内外最新研究成果,以河北乐源家思牧业的实证数据为基础,探讨抗炎药物在犊牛去角中的关键作用。研究结果表明,去角后使用美洛昔康(一种高选择性COX-2抑制剂)可显著降低犊牛疼痛评分(降低30%以上),提高平均日增重10%~15%,并缩短创面愈合时间2~3天。与传统非甾体抗炎药相比,美洛昔康具有胃肠道副作用小、药物残留低等优势,更适合犊牛使用。此外,本文提出了优化去角操作、强化饲养管理等配套措施,为牧场科学使用抗炎药物提供了系统化方案。研究证实,抗炎药物的规范化应用可同时实现动物福利与经济效益的双重提升,对推动我国奶牛养殖业高质量发展具有重要意义。 展开更多
关键词 抗炎药物 犊牛去角 动物福利 美洛昔康 养殖效率
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硫酸氨基葡萄糖片联合美洛昔康片治疗早期膝骨关节炎疼痛患者疗效及对患者炎症因子 疼痛介质的影响 被引量:3
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作者 刘刚 兰允平 +2 位作者 邱荣恩 徐慧胜 赖凯丽 《中国药物与临床》 2025年第2期110-114,共5页
目的探讨硫酸氨基葡萄糖片联合美洛昔康片治疗早期膝骨关节炎疼痛患者疗效及对患者血清炎症因子、疼痛介质的影响。方法选取2022年1月至2024年1月在浙江省衢州市人民医院疼痛科接受治疗的100例早期膝骨关节炎疼痛患者,回顾性收集和整理... 目的探讨硫酸氨基葡萄糖片联合美洛昔康片治疗早期膝骨关节炎疼痛患者疗效及对患者血清炎症因子、疼痛介质的影响。方法选取2022年1月至2024年1月在浙江省衢州市人民医院疼痛科接受治疗的100例早期膝骨关节炎疼痛患者,回顾性收集和整理其病历资料,根据治疗方案不同分为2组,其中对照组50例接受美洛昔康片治疗,观察组50例接受硫酸氨基葡萄糖片联合美洛昔康片治疗。治疗3个月后比较2组疗效、视觉模拟量表(VAS)评分、西大略和麦克马斯特大学骨性关节炎指数(WOMAC)评分、血清炎症因子[白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)]及疼痛介质[前列腺素E_(2)(PGE_(2))、P物质(SP)、5-羟色胺(5-HT)、多巴胺(DA)]水平。结果观察组治疗后临床总有效率96.0%高于对照组78.0%(χ^(2)=4.111,P<0.05);治疗后,观察组VAS评分、WOMAC指数较对照组低(t=6.820、5.558,P均<0.05);治疗后,观察组血清IL-1β、TNF-α、IL-6水平较对照组低(t=13.591、10.206、7.264,P均<0.05);治疗后,观察组血清PGE_(2)、SP、5-HT及DA水平较对照组低(t=14.823、13.508、15.051、11.639,P均<0.05)。结论硫酸氨基葡萄糖片联合美洛昔康片治疗早期膝骨关节炎疼痛患者疗效显著,可有效缓解关节疼痛,降低炎症因子及疼痛介质水平。 展开更多
关键词 硫酸氨基葡萄糖片 美洛昔康 骨关节炎 炎症因子 疼痛介质
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可注射布比卡因美洛昔康缓释制剂的安全性与药物代谢动力学研究
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作者 刘金玉 杨丽娜 杨孟昌 《实用医院临床杂志》 2025年第4期159-163,共5页
目的评估可注射布比卡因美洛昔康缓释制剂(布美制剂)在单侧腹股沟疝术后受试者中的安全性、药物代谢动力学(PK)及药效学(PD)。方法40例单侧腹股沟疝术后患者,采用随机数字表法分为5组,采用3∶1区组随机法,在补片固定后分别涂抹布美制剂(... 目的评估可注射布比卡因美洛昔康缓释制剂(布美制剂)在单侧腹股沟疝术后受试者中的安全性、药物代谢动力学(PK)及药效学(PD)。方法40例单侧腹股沟疝术后患者,采用随机数字表法分为5组,采用3∶1区组随机法,在补片固定后分别涂抹布美制剂(A组)或浸润注射0.25%盐酸布比卡因注射液(C组)。A组为剂量爬坡设计(布比卡因/美洛昔康):80mg/2.4mg(A1组);60mg/4.8mg(A2组);240mg/7.2mg(A3组);360mg/9.6mg(A4组);400mg/12mg(A5组)。术后随访27天,记录不良事件(AE);监测给药后120小时内20个采血点数据以评估PK参数;计算静息和运动状态下NRS评分的AUC_(0-72h)初步评价PD。结果A组未观察到严重AE,且AE发生无剂量依赖性。PK结果显示,与C组比较,A组T_(max)、T_(1/2)差异有统计学意义(P<0.01),A3组与C组的C_(max)比较,差异无统计学意义(P>0.05)。A组血浆药物浓度随剂量增加呈正相关。PD方面,运动状态下A4、A5组NRS-AUC_(0-24h)较C组显著降低(P<0.05)。结论布美制剂在单次递增剂量给药显示出良好的安全性和显著的缓释特性,有望成为术后切口浸润镇痛的有效选择。 展开更多
关键词 布比卡因 美洛昔康 安全性 药物代谢动力学
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海桐皮汤外敷联合常规西药治疗湿热痹阻型类风湿关节炎的疗效与安全性
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作者 张长江 漆翔宇 +5 位作者 程勇 李颖焱 肖洒 熊盛杰 张文辉 樊一桦 《合肥医科大学学报》 2025年第12期1273-1279,共7页
目的探讨海桐皮汤外敷结合甲氨蝶呤、叶酸片、美洛昔康片治疗类风湿关节炎(RA)的有效性与安全性。方法将132例湿热痹阻型的RA病人采用Excel软件生成随机数字按1∶1的比例分为治疗组和对照组。两组患者均口服甲氨蝶呤片、叶酸片以及美洛... 目的探讨海桐皮汤外敷结合甲氨蝶呤、叶酸片、美洛昔康片治疗类风湿关节炎(RA)的有效性与安全性。方法将132例湿热痹阻型的RA病人采用Excel软件生成随机数字按1∶1的比例分为治疗组和对照组。两组患者均口服甲氨蝶呤片、叶酸片以及美洛昔康片,治疗组在对照组的基础上联合海桐皮汤外敷,连续治疗12周。比较两组在治疗第4、8、12周后ACR20应答率、DAS 28评分、疼痛VAS评分、关节肿痛数和关节压痛数等指标的变化,并记录研究过程中两组患者的不良反应。结果研究结束后治疗组脱落4例,对照组脱落2例,共126例患者完成研究。在第12周后,治疗组的ACR20应答率为66.13%(41/62),优于对照组37.50%(24/64),差异有统计学意义(P<0.05);在治疗第4、8、12周,两组的DAS28、疼痛VAS评分、关节肿痛数、关节压痛数、晨僵时间、健康评定问卷残疾指数(HAQ-DI)均较治疗前降低(P<0.05),且治疗组优于对照组(P<0.05);在治疗12周后,两组的ESR、CRP和RF水平均较治疗前降低(P<0.05),且治疗组的ESR和CRP水平在第12周低于对照组(P<0.05),而两组的RF水平无统计学差异(P>0.05);两组在不良反应发生率的比较上无统计学差异(P>0.05)。结论甲氨蝶呤、叶酸片、美洛昔康片口服联合海桐皮汤外敷治疗湿热痹阻型RA的临床疗效优于单纯使用甲氨蝶呤、叶酸片、美洛昔康片,可以显著提高ACR20应答率,改善临床症状和炎症状态,且不增加不良事件。 展开更多
关键词 类风湿关节炎 海桐皮汤 甲氨蝶呤 美洛昔康片
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甲氨蝶呤联合美洛昔康治疗类风湿关节炎的临床效果评估
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作者 王娴 陈正龙 《中外医药研究》 2025年第8期69-71,共3页
目的:评估甲氨蝶呤联合美洛昔康治疗类风湿关节炎的临床效果。方法:选取2022年1月-2024年8月黄石市第二医院收治的类风湿关节炎患者102例为研究对象,采取随机数字表法分为试验组(采取甲氨蝶呤联合美洛昔康治疗)和参照组(应用甲氨蝶呤治... 目的:评估甲氨蝶呤联合美洛昔康治疗类风湿关节炎的临床效果。方法:选取2022年1月-2024年8月黄石市第二医院收治的类风湿关节炎患者102例为研究对象,采取随机数字表法分为试验组(采取甲氨蝶呤联合美洛昔康治疗)和参照组(应用甲氨蝶呤治疗),各51例。对比两组临床疗效、临床症状、免疫功能和生化指标。结果:试验组总有效率高于参照组(P=0.027);治疗后,两组晨僵时间缩短,关节压痛数、关节肿胀数减少,试验组优于参照组(P<0.05);治疗后,两组CD4+、CD4+/CD8+水平降低,CD8+水平升高,试验组优于参照组(P<0.05);治疗后,两组C反应蛋白、类风湿因子水平降低,试验组低于参照组(P<0.05)。结论:甲氨蝶呤联合美洛昔康治疗类风湿关节炎的效果显著,可改善患者临床症状,调节免疫功能,优化生化指标。 展开更多
关键词 甲氨蝶呤 类风湿关节炎 美洛昔康
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艾拉莫德联合来氟米特或美洛昔康对类风湿关节炎患者骨密度、免疫功能及炎症指标的影响
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作者 韩丹 刘志队 +3 位作者 王静 常琼洁 桂银莉 陈运转 《中国合理用药探索》 2025年第8期145-150,共6页
目的:分析艾拉莫德联合来氟米特或美洛昔康治疗类风湿关节炎(RA)的临床疗效及对患者骨矿物质密度(BMD)、免疫功能及炎症指标的影响。方法:选取2022年10月~2024年11月期间某院收治的120例RA患者作为研究对象,采用随机数字表法分为A组(失... 目的:分析艾拉莫德联合来氟米特或美洛昔康治疗类风湿关节炎(RA)的临床疗效及对患者骨矿物质密度(BMD)、免疫功能及炎症指标的影响。方法:选取2022年10月~2024年11月期间某院收治的120例RA患者作为研究对象,采用随机数字表法分为A组(失访5例,n=55)和B组(失访8例,n=52)。两组患者均给予甲氨蝶呤片治疗,A组患者采用艾拉莫德片联合来氟米特片治疗,B组患者采用艾拉莫德片联合美洛昔康片治疗。比较两组临床疗效、腰骨及桡骨BMD、免疫功能指标[免疫球蛋白G(IgG)、免疫球蛋白A(IgA)、免疫球蛋白M(IgM)]、炎症指标[白介素-17(IL-17)、白介素-22(IL-22)、肿瘤坏死因子-α(TNF-α)]、类风湿因子(RF)及不良反应的发生情况。结果:治疗后,A组患者治疗总有效率(94.55%)高于B组(78.85%,P<0.05),腰骨BMD和桡骨BMD均高于B组(P<0.05)。两组患者IgG、IgA、IgM、IL-17、IL-22、TNF-α和RF水平均降低,且A组低于B组(P<0.05)。两组患者治疗期间不良反应总发生率比较无统计学差异(P>0.05)。结论:艾拉莫德联合来氟米特治疗RA患者具有较好的临床效果,可有效增加患者骨密度,改善免疫功能,降低炎症因子水平。 展开更多
关键词 艾拉莫德 来氟米特 美洛昔康 类风湿关节炎 骨矿物质密度 免疫功能 炎症指标
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奶牛疼痛评估与抗炎镇痛治疗关键技术研究进展
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作者 韩萌 张文学 +1 位作者 杨旭 王晶 《中国乳业》 2025年第9期84-90,96,共8页
奶牛疼痛管理是现代奶牛养殖中提升动物福利与生产效益的关键环节。本文系统综述了奶牛疼痛的评估方法、抗炎镇痛药物的合理选用及常见疼痛性操作与疾病的综合管理策略。研究表明,疼痛会导致奶牛行为异常、生理应激加剧和生产性能下降... 奶牛疼痛管理是现代奶牛养殖中提升动物福利与生产效益的关键环节。本文系统综述了奶牛疼痛的评估方法、抗炎镇痛药物的合理选用及常见疼痛性操作与疾病的综合管理策略。研究表明,疼痛会导致奶牛行为异常、生理应激加剧和生产性能下降。目前,国际上已开发出多种基于行为指标的疼痛评估工具(如奶牛疼痛量表),为疼痛识别提供科学依据。在药物治疗方面,推荐使用COX-2高选择性非甾体抗炎药(如美洛昔康),并需严格遵守弃奶期与休药期规定。针对去角、去势、肢蹄病、难产和乳房炎等常见问题,应实施多模式镇痛方案,结合局部麻醉与全身性镇痛药物,并注重操作时机与规范流程。美国FARM、加拿大proAction等国际奶业质量计划已将疼痛管理列为强制性要求,我国奶业也应加快推动相关标准的落地实施,通过科学镇痛提升奶牛健康水平与养殖效益。 展开更多
关键词 奶牛 疼痛评估 抗炎镇痛 非甾体抗炎药 美洛昔康 动物福利 疼痛管理 奶牛养殖
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