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Rhizoma Atractylodis: a review on processing, chemical composition, pharmacological effects, and product development
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作者 Chang Ke Linghang Qu +3 位作者 Yanju Liu Yi Xia Chunli Wang Kang Xu 《Acupuncture and Herbal Medicine》 2025年第1期115-130,共16页
Rhizoma Atractylodis has a long history of medicinal use,a broad spectrum of applications,and diverse clinical utility.This review provides a comprehensive overview of Rhizoma Atractylodis,focusing on its processing,c... Rhizoma Atractylodis has a long history of medicinal use,a broad spectrum of applications,and diverse clinical utility.This review provides a comprehensive overview of Rhizoma Atractylodis,focusing on its processing,chemical composition,pharmacological effects,and product development.Processing methods include stir-frying with bran,stir-frying until cooked,and rinsing with rice-washed water.The chemical composition includes terpenes,alkynes,sugars and their glycosides,organic acids and their esters,coumarins,and other compounds.Its pharmacological effects include the treatment of gastrointestinal diseases,arthritis,liver diseases,lung diseases,cancer,cardiovascular conditions,etc.Finally,product development prospects include decoction-ready products,Chinese patent medicines,health products and daily necessities,epidemic prevention,and veterinary medicine.Notably,this review simultaneously discusses,analyzes,and explores the quality control and industrial development of Rhizoma Atractylodis,offering guidance for advancing related industries,enhancing production quality control,and exploring innovative strategies for the clinical application and development of new Rhizoma Atractylodis-based products. 展开更多
关键词 Active ingredient Chinese patent drug Pharmacological activity processing Rhizoma Atractylodis
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Deep Learning in Biomedical Image and Signal Processing:A Survey
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作者 Batyrkhan Omarov 《Computers, Materials & Continua》 2025年第11期2195-2253,共59页
Deep learning now underpins many state-of-the-art systems for biomedical image and signal processing,enabling automated lesion detection,physiological monitoring,and therapy planning with accuracy that rivals expert p... Deep learning now underpins many state-of-the-art systems for biomedical image and signal processing,enabling automated lesion detection,physiological monitoring,and therapy planning with accuracy that rivals expert performance.This survey reviews the principal model families as convolutional,recurrent,generative,reinforcement,autoencoder,and transfer-learning approaches as emphasising how their architectural choices map to tasks such as segmentation,classification,reconstruction,and anomaly detection.A dedicated treatment of multimodal fusion networks shows how imaging features can be integrated with genomic profiles and clinical records to yield more robust,context-aware predictions.To support clinical adoption,we outline post-hoc explainability techniques(Grad-CAM,SHAP,LIME)and describe emerging intrinsically interpretable designs that expose decision logic to end users.Regulatory guidance from the U.S.FDA,the European Medicines Agency,and the EU AI Act is summarised,linking transparency and lifecycle-monitoring requirements to concrete development practices.Remaining challenges as data imbalance,computational cost,privacy constraints,and cross-domain generalization are discussed alongside promising solutions such as federated learning,uncertainty quantification,and lightweight 3-D architectures.The article therefore offers researchers,clinicians,and policymakers a concise,practice-oriented roadmap for deploying trustworthy deep-learning systems in healthcare. 展开更多
关键词 Deep learning biomedical imaging signal processing neural networks image segmentation disease classification drug discovery patient monitoring robotic surgery artificial intelligence in healthcare
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Modern research on the Meridian tropism theory of traditional Chinese medicine processing with auxiliary materials–taking the theory of“Salt-processing enhancing drug into kidney meridian”as an example
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作者 Yu-Ting Zhang Meng-Ting Wang +7 位作者 Zhi-Tong Yang Zi-Lu Liu Xue Zhang De-Ling Wu Chuan-Shan Jin Shan-Shan Li Tu-Lin Lu Xiao-Li Wang 《Integrative Medicine Discovery》 2024年第33期1-19,共19页
The theory of“Salt-processing enhancing drug into kidney meridian”was firstly put forward by Chen Jiamu,a medical doctor of Xin’an,in“Enlightening Primer of Materia Medica”.This theory integrates the theory of th... The theory of“Salt-processing enhancing drug into kidney meridian”was firstly put forward by Chen Jiamu,a medical doctor of Xin’an,in“Enlightening Primer of Materia Medica”.This theory integrates the theory of the five elements of Chinese medicine that the five flavors enter into the five viscera,and forms the theory of the role of the auxiliary materials of Chinese medicine concoctions.This theory is an important guiding significance for the clinical use of raw and cooked Chinese medicine tablets.At present,there are more studies on the theory of“Salt-processing enhancing drug into kidney meridian”in the literature,mainly focusing on the chemical composition,efficacy changes and the concoction mechanism of salt products of traditional Chinese medicines before and after salt preparation.There are relatively few review papers on the theory of“Salt-processing enhancing drug into kidney meridian”from the perspectives of auxiliary salt and attribution of meridians.In this paper,through reviewing relevant ancient books and literature,and on the basis of the previous review articles,this paper centers on the auxiliary salt,and conducts in-depth excavation and elaboration in terms of its sources,types,and the historical evolution of the salt production method.From the perspective of categorization,focusing on the core theory of“Kidney stores essence,governing reproduction,bone and generating marrow,water and brain”,we summarize the changes in efficacy before and after the salt preparation of kidney tonic traditional Chinese medicines,the changes in external and internal constituents as well as the scientific connotation of the concocting mechanism behind the effect-constituent changes.The scientific connotation of the concoction theory of“Salt-processing enhancing drug into kidney meridian”was initially elucidated,providing a new reference model for the study of the theory of Chinese medicine concoction attribution. 展开更多
关键词 Salt-processing enhancing drug into kidney meridian history of salt processed effect change compositional change salt-processing mechanism
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Research Progress on the Process Optimization and Stability Improvement of Third-generation Cephalosporins
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作者 Hao LIU Yanxi LAI +1 位作者 Shengjiu GU Kaimei ZHU 《Medicinal Plant》 2025年第1期23-26,共4页
The latest progress in the process optimization and stability improvement of third-generation cephalosporins in recent years was reviewed.The introduction of green chemistry,enzyme catalysis,nanotechnology,lyophilizat... The latest progress in the process optimization and stability improvement of third-generation cephalosporins in recent years was reviewed.The introduction of green chemistry,enzyme catalysis,nanotechnology,lyophilization,and nitrogen-filled packaging technologies can only improve production efficiency and reduce the generation of by-products,but also significantly extend the shelf life of drugs.In the future,process automation and intelligent technology will further optimize the large-scale production process,and the combination of nanotechnology and precision drug delivery will promote the improvement of effect in clinical applications. 展开更多
关键词 Third-generation cephalosporins Process optimization NANOTECHNOLOGY Green chemistry Drug stability
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Optimization and pharmacodynamic evaluation of stir-frying with bran for Tangshen processing
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作者 Xiao-Ming Qi Xiao-Qin Liu +4 位作者 Xiang-Long Meng Xiao-Yan Zhang Xiao-Juan Su Chen-Xu Ning Shuo-Sheng Zhang 《TMR Pharmacology Research》 2023年第2期30-37,共8页
Background:Traditional Chinese medicine requires special processing before it can be effectively used for clinical treatment of diseases.In particular,Tangshen stir-fried with wheat bran smoke has been found to enhanc... Background:Traditional Chinese medicine requires special processing before it can be effectively used for clinical treatment of diseases.In particular,Tangshen stir-fried with wheat bran smoke has been found to enhance the function of the stomach and spleen.However,there is limited research on the technology and pharmacodynamic effects of Tangshen fried with bran.Therefore,the objective of this article is to optimize the method of stir-frying with bran for Tangshen processing and to compare the anti-fatigue and hypoxia-resistance effects of Tangshen before and after bran-frying.Methods:The response surface methodology was utilized to optimize the frying temperature,frying time,and the bran-to-Tangshen ratio,using lobetyolin as the indicator.The swimming time of mice and the levels of blood urea nitrogen,lactate dehydrogenase,and blood glucose in fatigued mice were compared before and after Tangshen was fried with bran.Additionally,the hypoxic resistance ability of Tangshen before and after bran-frying was determined through normobaric hypoxia test and sodium nitrite poisoning test.Results:The optimal bran-frying conditions for Tangshen processing were determined as:frying temperature of 167°C,frying time of 2.67 min,and the bran-to-Tangshen ratio of 50:100.Pharmacodynamic analysis results indicated that Tangshen significantly increased the GLU content(P<0.01)and significantly reduced the LDH content(P<0.01)both before and after bran-frying.While both traditional and new bran-frying methods significantly increased the content of muscle glycogen(P<0.05),the optimized method in this study also significantly elevated the content of liver glycogen(P<0.05).The traditional method significantly prolonged the survival time of mice from sodium nitrite poisoning(P<0.05).Conclusion:The response surface model proved to be highly effective in optimizing the stir-frying process with bran for Tangshen processing.The results of this study indicate that Tangshen possesses anti-fatigue and hypoxia-resistance effects both before and after bran-frying,with bran-fried Tangshen exhibiting significantly stronger effects. 展开更多
关键词 Tangshen LOBETYOLIN stir-frying with bran Chinese crude drug processing ANTI-FATIGUE hypoxia-resistance
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Enlightenment and Suggestions on the Construction of Information Platform and Processing Mechanism of Drug Shortages in Developed Countries to China
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作者 Cui Li Xing Hua 《Asian Journal of Social Pharmacy》 2023年第2期177-186,共10页
Objective To study how to improve and perfect the information platform and processing mechanism of drug shortages in China.Methods By searching the relevant policies from official websites of FDA,European Medicines Ag... Objective To study how to improve and perfect the information platform and processing mechanism of drug shortages in China.Methods By searching the relevant policies from official websites of FDA,European Medicines Agency(EMA),Health Canada(HC)and National Health Commission,the good experience of the United States,the European Union and Canada in the construction of information platform and processing mechanism of drug shortages was summarized for reference in China.Results and Conclusion China has initially established the processing mechanism of drug shortages,but the platform construction should be improved,and the information disclosure of drug shortages varies from province to province.We should improve the information platform of drug shortages,strengthen the disclosure and communication of information,enrich the processing tools and measures after the drug shortages occurs,and strengthen the cooperation with relevant associations and other non-governmental departments. 展开更多
关键词 drug shortage CONSTRUCTION information platform processing mechanism
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Application of Stir-frying Method in Chinese Medicine Processing
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作者 ZHUGE Zhijun 《外文科技期刊数据库(文摘版)医药卫生》 2021年第2期373-377,共5页
Stir-frying is one of the important methods of processing medicinal materials. When stir-frying medicinal materials, no auxiliary materials are added, and only equipment is used to control the stir-frying temperature.... Stir-frying is one of the important methods of processing medicinal materials. When stir-frying medicinal materials, no auxiliary materials are added, and only equipment is used to control the stir-frying temperature. Through stir-frying, expected changes in the appearance, smell and medicinal properties of the medicinal materials are promoted, and the application value of the Chinese medicinal materials is improved. In this paper, the method of stir-frying is briefly described, and the three operation methods of stir-frying yellow, stir-frying coke and stir-frying charcoal are explained. The practical application of stir-frying Chinese medicine processing is also analyzed. 展开更多
关键词 stir-fry Chinese medicine processing medicinal properties EFFICACY adverse drug reactions
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Research on Aseptic Control in the Production Process of Aseptic Drugs
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作者 ZHANG Peixuan MO Yajun 《外文科技期刊数据库(文摘版)医药卫生》 2021年第2期509-513,共5页
For pharmaceutical enterprises, the emphasis is on strengthening the production level of sterile drugs. The standard requirements for the production of sterile drugs are extremely strict and the standard requirements ... For pharmaceutical enterprises, the emphasis is on strengthening the production level of sterile drugs. The standard requirements for the production of sterile drugs are extremely strict and the standard requirements for sterility are relatively high. However, at present, there are still some non-standard behaviors in the actual production process of aseptic drugs, which need to be solved and improved by strengthening aseptic control. Based on this, this paper studies the aseptic control in the production process of aseptic drugs, first outlines the basic characteristics of aseptic drugs, then analyzes the non-standard behavior in the production process of aseptic drugs, and finally studies the aseptic control strategy. 展开更多
关键词 aseptic drugs production process aseptic control
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Study on the Influence of Processing of Traditional Chinese Medicine on Its Property
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作者 LI Shiyou WANG Zhibi 《外文科技期刊数据库(文摘版)医药卫生》 2021年第2期355-359,共5页
Traditional Chinese medicine processing is a traditional Chinese medicine processing technology with a long history in our country. Through different processing methods, the properties, functions and side effects of t... Traditional Chinese medicine processing is a traditional Chinese medicine processing technology with a long history in our country. Through different processing methods, the properties, functions and side effects of traditional Chinese medicine will change. The ultimate purpose of processing Chinese medicine is to reduce the toxicity of Chinese medicine and enhance the drug properties. With the development of science and technology, the processing of traditional Chinese medicine plays an extremely important role in the properties of the medicine. In this paper, the effects of different processing methods on the medicinal properties of traditional Chinese medicine are explained. 展开更多
关键词 processing traditional Chinese medicine drug properties impact
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门诊药房实施药品追溯码管理的实践与分析 被引量:4
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作者 廖丽文 王钰琦 +4 位作者 王玉紫 陈康 黎曙霞 唐可京 杨威 《中国药房》 北大核心 2025年第7期858-862,共5页
目的探索药品追溯码管理模式在门诊药房工作流程中的优化路径,为提升药学服务效率提供实践依据。方法以中山大学附属第一医院门诊药房为研究对象,通过信息系统架构升级(包括医院信息系统与追溯平台对接)、流程优化(入库-配药-发药三环... 目的探索药品追溯码管理模式在门诊药房工作流程中的优化路径,为提升药学服务效率提供实践依据。方法以中山大学附属第一医院门诊药房为研究对象,通过信息系统架构升级(包括医院信息系统与追溯平台对接)、流程优化(入库-配药-发药三环节重组)与双模式追溯数据采集机制设计(配药端主采集/发药端辅采集),构建药品全流程追溯体系。基于2024年9月医保数据与业务时效指标,对比分析追溯码管理模式实施前后的运行效能差异。结果实施药品追溯码管理后,在数据采集层面模式一(发药环节采集)上传记录26144条,模式三(入库环节采集,入库即销售模式)上传443061条,总计上传达469205条;在时效层面,门诊药房平均配药时间由28.74 s增至43.37 s(增幅51%),但通过动态人力调配,患者平均取药时间仅从8.04 min延长至8.67 min(增幅8%)。结论药品追溯码管理可通过“系统重构-流程再造-人机协同”三位一体策略落地实施,其核心在于利用信息化技术(如双模式数据采集机制)对冲人工操作耗时增量,在满足国家实现追溯码监管要求的同时维持服务效率是可行的。 展开更多
关键词 门诊药房 药品追溯码 信息系统 流程优化
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逍遥散的古今文献分析与关键信息考证 被引量:2
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作者 王哲 曹佳蕾 +6 位作者 梁绿圆 王艺萍 陈晨 李维笑 魏炳琦 李银丽 闫永彬 《中国实验方剂学杂志》 北大核心 2025年第15期227-237,共11页
逍遥散首载于北宋官修医书《太平惠民和剂局方》,功善疏肝解郁、健脾养血,经历代医家发扬、传承至今。该研究采用文献计量学方法,通过查阅古代医籍与现代文献,系统梳理逍遥散历史沿革、药物剂量、药物基原、炮制方法、煎服用量、古今主... 逍遥散首载于北宋官修医书《太平惠民和剂局方》,功善疏肝解郁、健脾养血,经历代医家发扬、传承至今。该研究采用文献计量学方法,通过查阅古代医籍与现代文献,系统梳理逍遥散历史沿革、药物剂量、药物基原、炮制方法、煎服用量、古今主治等,同时探究阐释组成中姜、薄之疑,并形成该处方的关键信息表,以期为逍遥散制剂开发提供科学参考。根据宋代度量衡换算逍遥散(煮散剂)现代用法用量为甘草20.65 g,当归、茯苓、白芍、白术、柴胡各41.3 g,制粒径为“10目”的混散,每服取混散8.26 g,加生姜1 g,薄荷0.62 g,加水300 mL,煎至210 mL,去渣,不拘时服。折算后每服药量约为甘草0.75 g,当归、茯苓、白芍、白术、柴胡各1.50 g。逍遥散古籍主治“血虚劳倦”,具体病症如血虚劳热,月水不调,头目、胁肋、四肢疼痛,羸瘦骨蒸等,至清代张璐明确提出肝郁病机,逍遥散治疗肝郁诸证也为清代及近代医家所推崇。现代应用范围广泛,遍布化系统疾病、妇科系统疾病、心理疾病、神经系统疾病、耳眼鼻喉系统疾病等,其中逍遥散在抑郁症及其他疾病伴抑郁、乳腺增生等应用频次最高。该文全面考证逍遥散关键信息及古今应用进展,望为该方深度研究与临床拓展应用提供参考。 展开更多
关键词 逍遥散 药物炮制 古代文献 现代临床应用 关键信息
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Characterization and Performance of Magnesium Doped Bioactive Glass Nanoparticles
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作者 Anteneh Tilahun Awoke Lingqi Zhu Xinbo Ding 《Open Journal of Polymer Chemistry》 2024年第2期95-111,共17页
The bioactive glass and related biomaterials have become increasingly popular, and have also attracted the research interest of many researchers in recent years due its special performance and tissue engineering appli... The bioactive glass and related biomaterials have become increasingly popular, and have also attracted the research interest of many researchers in recent years due its special performance and tissue engineering application. In this study, to create a material with a variety of properties Mg doped hollow bioactive glass (Mg-HBG) of 80SiO2-5P2O5-10CaO-5MgO system had been produced by using a sol-gel method. The porous structure nanoparticles were specifically made by employing the cetyltrimethylammonium bromide (CTAB) as a surfactant. Magnesium was selected as a doped material with HBG, because it is the most existing cations in the human body which helps for bone metabolism as well as it has antibacterial property. Based on different investigations resulted nanoparticle with the inclusion of the lower molar fractions magnesium has good tested result. For a drug model vancomycin hydrochloride (VAN) was used in this study and it has also good antibacterial activity effect. These findings help the possibility of using Mg-HBG nanoparticles to treat infectious bone abnormalities by demonstrating their compatibility with antibiotics, drug loading and release behavior. 展开更多
关键词 Tissue Engineering Bioactive Glass Sol-Gel Process Drug Loading and Release
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基于德尔菲法和层次分析法构建《药品临床综合评价主题遴选指南》研究问题及主题遴选评估指标体系 被引量:2
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作者 段蓉 李正翔 《中国药房》 北大核心 2025年第7期789-793,共5页
目的构建《药品临床综合评价主题遴选指南》研究问题及主题遴选评估指标体系,为该指南的制定提供依据。方法通过文献研究,初步构建《药品临床综合评价主题遴选指南》研究问题及主题遴选评估指标体系专家问卷。根据指南制定和德尔菲法相... 目的构建《药品临床综合评价主题遴选指南》研究问题及主题遴选评估指标体系,为该指南的制定提供依据。方法通过文献研究,初步构建《药品临床综合评价主题遴选指南》研究问题及主题遴选评估指标体系专家问卷。根据指南制定和德尔菲法相关要求遴选专家,通过电子问卷函询并筛选指南研究问题及评估指标,采用层次分析法对主题遴选评估指标体系进行权重赋值。结果构建了5个《药品临床综合评价主题遴选指南》研究问题,包括主题遴选的组织管理、评审流程、评估方法、评估指标体系和指标权重赋值,并构建包括5个一级指标、9个二级指标、17个三级指标在内的主题遴选评估指标体系。研究问题及各级指标的肯德尔协调系数均大于0.4,χ^(2)检验P值均小于0.05,评价结果具有较好的一致性。利用层次分析法对主题遴选评估指标体系的各级指标进行权重赋值,一致性比率为0.0076(<0.1),模型矩阵通过一致性检验。结论本研究构建的《药品临床综合评价主题遴选指南》的研究问题及主题遴选评估指标体系具有较高的权威性、科学性和可靠性,可为该指南的标准化制定奠定基础。 展开更多
关键词 药品临床综合评价 主题遴选 研究问题 指标体系 德尔菲法 层次分析法 指南
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人工智能在药物警戒领域应用情况综述
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作者 柳鹏程 杨嘉乐 +4 位作者 胡骏 顾光 王青 陈量 王涛 《中国新药与临床杂志》 北大核心 2025年第9期708-714,共7页
药物警戒在药品上市后的监管中占据重要地位,对确保公众用药安全发挥着关键作用。随着人工智能(AI)技术的发展,AI技术逐步被引入到药物警戒领域,并得到广泛应用。常用的AI算法有机器学习、深度学习、自然语言处理等,其在药物警戒领域的... 药物警戒在药品上市后的监管中占据重要地位,对确保公众用药安全发挥着关键作用。随着人工智能(AI)技术的发展,AI技术逐步被引入到药物警戒领域,并得到广泛应用。常用的AI算法有机器学习、深度学习、自然语言处理等,其在药物警戒领域的应用覆盖了药物安全性监测、识别、风险评估、风险控制等关键环节,显著提高了药品不良反应监测和风险预测的效率与准确性。然而,AI技术在药物警戒中的应用还存在语义歧义性、数据完整性、数据质量与标准化、跨学科合作壁垒等问题亟须解决。AI技术在药物警戒领域的创新应用有望为药物安全性监测带来更高的精确性和前瞻性,推动药物警戒体系的全面升级。 展开更多
关键词 人工智能 药物警戒 自然语言处理 真实世界研究 药品安全
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基于钉钉平台的医院临时申购药品审批流程管理及优化
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作者 刘莉 泽碧 +2 位作者 巴桑拉姆 杨安吉 胡扬 《西藏科技》 2025年第3期3-9,共7页
目的 为提升医院药品临时采购效率,该研究依托钉钉平台对西藏自治区人民医院临时申购药品进行信息化管理及优化。方法 为基于传统临时申购药品审批存在的诸多痛点,借助信息化技术在钉钉平台建立优化的临时申购药品审批流程功能。梳理西... 目的 为提升医院药品临时采购效率,该研究依托钉钉平台对西藏自治区人民医院临时申购药品进行信息化管理及优化。方法 为基于传统临时申购药品审批存在的诸多痛点,借助信息化技术在钉钉平台建立优化的临时申购药品审批流程功能。梳理西藏自治区人民医院2020年9月~2023年8月基于钉钉平台对临时申购药品管理前后的相关审批数据,通过上线前后临时申购药品审批周期、申购品种数、申购例次、国家谈判品种情况等指标分析评价实践效果。结果 钉钉平台上线后,临时申购药品指标统计更加智能化、审批方式自动化、表单信息规范化,平均统计所需时间由8h/100例缩短至30s/100例,平均审批周期由5~7d缩短至1~2d,人工统计差错率下降。说明钉钉模式在上线后以其高效快速的工作效率能满足临床临时申购药品的需求,且在后期医院药品目录优化后结构逐渐趋于合理稳定状态。结论 为基于钉钉平台的医院药品临时申购管理充分体现了精细化管理理念和药学服务价值,为医院药事管理降本增效。通过本研究,为医院药品管理领域提供了新视角和解决方案,有望为行业内其他机构提供有益的参考和借鉴。 展开更多
关键词 钉钉平台 临时申购药品 审批流程 精细化管理
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基于数智平台的抗肿瘤药物护理全流程管理信息系统的构建及应用
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作者 王毅青 夏云 +3 位作者 孙亚君 常虹 汪维佳 李玮 《浙江临床医学》 2025年第10期1560-1562,共3页
目的 构建抗肿瘤药物护理全流程管理信息系统,并评价其应用效果。方法 组建研究团队,开发抗肿瘤药物护理全流程管理信息系统,包括医嘱开具与审核模块、抗肿瘤药物配置模块和护士临床执行模块。应用该系统后,通过统计用药错误(包括时间... 目的 构建抗肿瘤药物护理全流程管理信息系统,并评价其应用效果。方法 组建研究团队,开发抗肿瘤药物护理全流程管理信息系统,包括医嘱开具与审核模块、抗肿瘤药物配置模块和护士临床执行模块。应用该系统后,通过统计用药错误(包括时间错误、顺序错误等)拦截次数及调查护士满意度评价其效果。结果 系统共成功拦截用药错误73次。护士对系统的整体满意度达到100%。结论 抗肿瘤药物护理全流程管理信息系统具有较强的实用性,能够有效降低用药错误发生率,规范临床抗肿瘤药物的使用流程。该系统的应用初步实现了抗肿瘤药物护理全流程的闭环管理模式。 展开更多
关键词 抗肿瘤药物 全流程管理 信息系统 护理安全
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基于德尔菲和层次分析法构建重点监控药品合理用药管理指标体系 被引量:4
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作者 凌俐 司成 +3 位作者 张海霞 朱巧玲 葛卫红 吴晓燕 《医药导报》 北大核心 2025年第3期503-508,共6页
目的构建重点监控药品合理用药管理指标体系,为医疗机构合理用药管理提供参考。方法通过调研重点监控药品相关政策法规、管理规范、指导原则等资料,确定初始指标框架,对26位专家进行2轮德尔菲函询,完善与优化指标体系,通过层次分析法(A... 目的构建重点监控药品合理用药管理指标体系,为医疗机构合理用药管理提供参考。方法通过调研重点监控药品相关政策法规、管理规范、指导原则等资料,确定初始指标框架,对26位专家进行2轮德尔菲函询,完善与优化指标体系,通过层次分析法(AHP)构建判断矩阵获得指标权重。结果2轮函询回收率均为100%,专家权威系数为0.87。最终构建的重点监控药品合理用药管理指标体系,涵盖事前管理(权重0.2536)、事中管理(权重0.5031)、事后管理(权重0.2432)3项一级指标;处方审核(权重0.3026)、制定合理用药规范(权重0.1331)、超常预警管理(权重0.1032)等15项二级指标;制定严格的处方审核规则(权重0.1525)、审方药师干预力度(权重0.0857)和有效性管理(权重0.0525)等62项三级指标,指标判断矩阵通过一致性检验。结论构建的重点监控药品合理用药管理指标体系可满足监督管理流程的闭环,做到事前提醒、事中监控、事后监管,为医疗机构保证管理流程精细化与规范化提供参考。 展开更多
关键词 重点监控药品管理 合理用药 指标体系 德尔菲法 层次分析法
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姜黄连的炮制历史沿革及现代研究进展 被引量:4
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作者 李颖 王云 +3 位作者 贾哲 严林 金敏 张村 《中国实验方剂学杂志》 北大核心 2025年第6期275-282,共8页
姜黄连为黄连“以热制寒”的代表性炮制品之一,以生姜制约黄连之苦寒,可追溯至《博济方》,适用于湿热中阻,寒热互结等证。姜黄连既保留了黄连的生物碱类、苯丙素类、黄酮类成分,又引入了生姜中6-姜酚等姜辣素类成分,具有抗炎、抗菌、抗... 姜黄连为黄连“以热制寒”的代表性炮制品之一,以生姜制约黄连之苦寒,可追溯至《博济方》,适用于湿热中阻,寒热互结等证。姜黄连既保留了黄连的生物碱类、苯丙素类、黄酮类成分,又引入了生姜中6-姜酚等姜辣素类成分,具有抗炎、抗菌、抗肿瘤、改善胃肠机能等药理活性。2020年版《中华人民共和国药典》和多个地方炮制规范对姜黄连的传统炮制工艺和质量标准都有收载,但具体的工艺参数及质量标准还不完整,限制了该炮制品的生产及临床应用。通过整理归纳近20年姜黄连的炮制历史、工艺研究、质量评价、黄连姜制前后药效药性变化及应用等研究报道,笔者发现,姜黄连在各省市炮制规范收载的炮制方法及标准存在差异,主要体现在姜汁的制备方法、用量、炮制过程及终点的量化标准;此外,选用生姜或干姜制备的姜黄连主要成分及药效和药性也存在一定差异。姜黄连炮制工艺的研究对其质量标准的提高发挥重要作用,该综述可为完善姜黄连的质量评价体系提供参考。 展开更多
关键词 姜黄连 以热制寒 炮制工艺 化学成分 质量评价 药效药性 药理作用
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乳酸片球菌HRQ-1微胶囊的制备、优化及其体外评估 被引量:1
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作者 韩瑞琴 徐松 +4 位作者 王新元 王敬敬 张小霞 杜丽平 黄志勇 《生物工程学报》 北大核心 2025年第4期1415-1427,共13页
为提高本课题组前期筛选得到的一株肠道益生菌——乳酸片球菌(Pediococcusacidilactici)HRQ-1的胃肠液耐受能力、运输储存稳定性以及缓慢释放性能,本研究以乳酸片球菌为芯材,海藻酸钠和壳聚糖为壁材,采用挤压法制备乳酸片球菌微胶囊。... 为提高本课题组前期筛选得到的一株肠道益生菌——乳酸片球菌(Pediococcusacidilactici)HRQ-1的胃肠液耐受能力、运输储存稳定性以及缓慢释放性能,本研究以乳酸片球菌为芯材,海藻酸钠和壳聚糖为壁材,采用挤压法制备乳酸片球菌微胶囊。通过单因素和正交试验确定乳酸片球菌微胶囊的最佳制备工艺条件,并以包埋率、存活率、储存稳定性、肠胃液耐受性及释放速率为评定指标,对乳酸片球菌微胶囊最佳配比进行研究。结果表明,在乳酸片球菌微胶囊最佳包埋条件下,包埋率达到(89.60±0.02)%;在最佳的冻干保护剂配方条件下,冻干存活率达到(76.42±0.13)%,制得的微胶囊粒径平均值为(1.16±0.03)mm;通过连续胃肠液模拟实验证实乳酸片球菌微胶囊活菌数得到保证且可在肠液中缓慢释放,通过4℃与室温储存过程活菌数量变化曲线可知制备该微胶囊可实现菌株有效活菌数的保障。本研究中乳酸片球菌微胶囊的制备配方与工艺为活菌药物制备提供技了术支持。 展开更多
关键词 乳酸片球菌 微胶囊 配方工艺 体外评估 活菌药物
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“药-药共制”传统制法发展概况综述 被引量:1
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作者 徐万爱 于欢 《中国中药杂志》 北大核心 2025年第15期4218-4227,共10页
“药-药共制”作为中药炮制领域的一项独特技术,通过将待炮制品与特定药物或药汁协同处理,在减毒增效和改变药性方面展现出显著优势。该文系统梳理了“药-药共制”的历史沿革,创新性地构建了“干药制-药汁制-分量制”三位一体的技术体... “药-药共制”作为中药炮制领域的一项独特技术,通过将待炮制品与特定药物或药汁协同处理,在减毒增效和改变药性方面展现出显著优势。该文系统梳理了“药-药共制”的历史沿革,创新性地构建了“干药制-药汁制-分量制”三位一体的技术体系分类框架。研究发现,干药制包含炒制、焙制、蒸制、煮制等工艺;药汁制则涵盖浸制、炒制、蒸制等10种核心工艺;分量制创新性地采用分等份差异化炮制方法,在苍术、白术等药材处理中展现出独特优势。理论分析表明,该技术通过多组分协同作用机制,不仅能有效缓和药性、增强疗效,还可创制新型药物,显著拓展用药范围。该文首次系统阐释了“药-药共制”的炮制机制,为传统炮制技术的现代化发展提供了理论支撑,对传承中医药文化智慧、推动炮制技术创新具有重要实践意义。 展开更多
关键词 药-药共制 干药制 药汁制 分量制
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