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1龙胆苦苷和龙胆碱的生物转化和药理活性研究进展显示文摘龙胆苦苷是重要的环烯醚萜类成分之一,是龙胆属植物的主要活性成分,具有促进胃排空和肠蠕动,还有保肝、镇痛、抗炎等作用。龙胆碱具有抗炎、解热、镇静催眠、抗惊厥等作用。龙胆苦苷等环烯醚萜类化合物在植物内生真菌、人体肠内菌等生物转化作用下可以转化成龙胆碱和新的活性成分。笔者将龙胆苦苷和龙胆碱近年在药理活性、生物转化和体内代谢研究进行综述,为进一步开发利用环烯醚萜类成分及其代谢产物提供一定的理论依据。匡海学 吴高松 刘华 吴琼 王秋红 王知斌 2016天津中医药2016,33,7:23
2Effect of somatostatin in advanced gastric cancer after D2 radical gastrectomy显示文摘AIM:To study the effect of somatostatin in patients with advanced gastric cancer who received D2 lymphadenectomy and vagina vasorum dissection.METHODS:Using a prospective,single-blind,placebocontrolled design,patients with advanced gastric cancer were randomized into a study group(n=61)and a control group(n=59).Patients in the study group were given somatostatin for 5-7 d starting 6 h after the operation,and patients in the control group were given normal saline.Preoperative and nonoperative complications in the perioperative period,as well as differenttypes of postoperative drainage in the two groups were compared.RESULTS:There was no significant difference between the study group and the control group for preoperative clinicopathological indicators.We found no significant difference between the two groups for the overall incidence of complications,but a lower percentage of peritoneal effusion was observed in the treatment group(1.6%vs 10.2%,P<0.05).There were no significant differences between the two groups in the incidence of postoperative pancreatic dysfunction and chylous fistula.However,there were significant differences in the amylase concentration in drainage fluid,volume and duration of drainage,volume and duration of chylous fistula and peritoneal drainage,and volume and duration of gastric tube drainage.The study group did not show any increase in mean hospitalization cost and the cost reduced when the postoperative complications occurred.CONCLUSION:Postoperative somatostatin reduces volume and duration of surgical drainage and related complications.Somatostatin may improve safety of gastric cancer surgery,reducing postoperative complications and promoting recovery.Wu Song Jian-Hui Chen Xin-Hua Zhang Jian-Bo Xu Yu-Long He Shi-Rong Cai Fang-Hai Han Chuang-Qi Chen 2014World Journal of Gastroenterology2014,20,40:5
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