河北医科大学学报

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龙血竭涂膜剂制备工艺研究及临床应用

  

  1. 1.河北省保定市第一中心医院药剂科,河北 保定 071000;2.昆明医科大学药学院,云南 昆明 650500
  • 出版日期:2019-02-25 发布日期:2019-01-16
  • 作者简介:石聪(1987-),女,河北保定人,河北省保定市第一中心医院主管药师,医学硕士,从事临床药学研究。
  • 基金资助:
    云南省南药研究协同创新中心项目(NY2014002);云南省教育厅科学研究基金项目(ZD2012004)

The preparation and clinical application of Dragon′s blood gel#br#

  1. 1.Department of Pharmacy, the First Central Hospital of Baoding, Hebei Province,
    Baoding 071000, China; 2.College of Pharmacy, Kunming Medical University,
    Yunnan Province, Kunming 650500, China
  • Online:2019-02-25 Published:2019-01-16

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨龙血竭涂膜剂的制作工艺,并评价其治疗褥疮的临床效果。
〖HTH〗方法〖HTSS〗〖KG*2〗采用正交试验,以聚乙烯醇、聚乙烯吡咯烷酮、药物质量、甘油量作为考察因素,涂膜剂的外观均匀性、柔韧性、耐热、耐寒及离心试验为考察指标,筛选涂膜剂最佳配比处方。临床褥疮实验,随机抽取一期褥疮患者60例,分为对照组和观察组,对照组外用医院敷料,观察组使用龙血竭涂膜剂,观察2组褥疮患者使用药物后创面恢复情况、治愈率和患者的出院时间。
〖HTH〗结果〖HTSS〗〖KG*2〗正交试验结果处方A1B3C3D3工艺涂膜剂基质评分最高,与其他处方相比,此处方亲肤性良好,成膜迅速,易剥离。观察组临床疗效、治愈率虽然高于对照组,但差异无统计学意义(P>005)。观察组出院率明显高于对照组,出院时间及药物起效时间短于对照组,差异均有统计学意义(P<005)。
〖HTH〗结论〖HTSS〗〖KG*2〗该涂膜剂的处方和制备工艺稳定可行,涂膜剂外观颜色均匀,涂布性良好,耐热、耐寒性试验制剂均无变化。临床实验中,龙血竭涂膜剂组对于褥疮治疗具有较好的效果。

关键词: 龙血竭, 正交试验, 褥疮实验

Abstract: 〗[Abstract] Objective〖HTSS〗〓To prepare the Dragon′s blood gels and to investigate its clinical effect of the gels.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Orthogonal test was used. Polyvinyl alcohol, polyvinylpyrrolidone, drug quality and glycerol content were taken as the investigation factors. The appearance uniformity, flexibility, heat resistance, cold resistance and centrifugal test of the coating agent were taken as the indexes to select the best formulation of the coating agent. In the clinical experiment, 60 bedsore patients were randomly divided into 2 groups, the control group(pharmaceutical dressing) and observation group(Dragon′s blood gels). The wound healing, cure rate and discharge time of 2 groups of patients with bedsore after medication were observed.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓Orthogonal test results showed that the formulation of A1B3C3D3 film coating agent had the highest matrix score. Compared with other prescriptions, this prescription has good skin affinity, fast film formation and easy to peel off. The clinical efficacy and cure rate of the observation group were higher than those of the control group, but the difference was not statistically significant(P>005), The discharge rate of the observation group was significantly higher than the control group, the discharge time and drug effective time were shorter than the control group(P<005), which showed significant difference.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The preparation technology of Dragon′s blood gels is simple and the gel has good appearance and stability. Moreover, the Dragon′s blood gels have a good effect on bedsore patients.

Key words: Dragon′s blood, orthogonal test, cure bedsore