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UNIQUE ORAL DRUG DELIVERY SYSTEM 被引量:1
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作者 Raphael M.Ottenbrite Sam Milstein 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 1995年第4期315-321,共7页
An oral drug delivery system using proteinoid microspheres is discussed with respect to itsunique dependence on pH. It has been found that certain drugs such as insulin and heparin canbe encapsulated in proteinoid sph... An oral drug delivery system using proteinoid microspheres is discussed with respect to itsunique dependence on pH. It has been found that certain drugs such as insulin and heparin canbe encapsulated in proteinoid spheres at stomach pH's (1--3). These spheres also dissemble atintestinal pH's (6--7) releasing the drug for absorption. Using this technique low molecularweight heparin and human growth hormone have been orally delivered successfully to severalanimal species. Future work has been proposed to study the interaction and binding of thespecific drugs with synthesized oligopeptides. 展开更多
关键词 oral drug delivery system Proteinoid microspheres OLIGOPEPTIDES
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Preparation of Ionic Liquid Functionalized Silica Nanoparticles for Oral Drug Delivery 被引量:3
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作者 Mehrdad Mahkam Fatemeh Hosseinzadeh Mohammad Galehassadi 《Journal of Biomaterials and Nanobiotechnology》 2012年第3期391-395,共5页
The objective of this study is to utilize the pH sensitivity of modified silica nanoparticles (SNIL) by imidazole-based ionic liquid for oral delivery of insulin. In the first time, the imidazole was covalently attach... The objective of this study is to utilize the pH sensitivity of modified silica nanoparticles (SNIL) by imidazole-based ionic liquid for oral delivery of insulin. In the first time, the imidazole was covalently attached to the 3-trimethoxysily-lpropyl chloride with replacement of all the chlorine atoms. Then, a silica nanoparticle was modified by N-(3-trimeth-oxysilylpropyl) imidazole. The nanocapsule (NCIL) was achieved after the etching of the modified silica nanoparticle template with hydrofluoric acid. The nanoparticles connected through an ionic liquid-like network were characterized by FTIR and SEM. Insulin was entrapped in these carriers and the in vitro release profiles were established separately in both enzyme-free simulated gastric and intestinal fluids (SGF, pH 1) and (SIF, pH 7.4), respectively. When these drug-loaded nanoparticles was placed in physiological buffer solution (pH 7.4), a partial negative surface charge on the modified silica nanoparticle was generated due to the deprotonation of silanol groups, and the strong electrostatic repulsion triggered a sustained release of the loaded molecules. 展开更多
关键词 Silica Nanoparticles NANOCAPSULE PH-SENSITIVE INSULIN oral drug Delivery
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Rational design of oral drugs targeting mucosa delivery with gut organoid platforms 被引量:2
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作者 Tianjian Tong Yijun Qi +5 位作者 Derrick Rollins Luke D.Bussiere Debarpan Dhar Cathy L.Miller Chenxu Yu Qun Wang 《Bioactive Materials》 SCIE CSCD 2023年第12期116-128,共13页
Effective oral drugs and vaccines require high delivery efficiency across the gastrointestinal epithelia and protection of medically effective payloads(i.e.,immunogens)against gastric damage.In this study,hollowed nan... Effective oral drugs and vaccines require high delivery efficiency across the gastrointestinal epithelia and protection of medically effective payloads(i.e.,immunogens)against gastric damage.In this study,hollowed nanocarriers(NCs:silica nanospheres and gold nanocages)with poly-l-lysine(PLL)coating and mammalian orthoreovirus cell attachment proteinσ1 functionalization(NC-PLL-σ1)were explored as functional oral drug delivery vehicles(ODDVs).The transport of these ODDVs to mucosal lymphoid tissues could be facilitated by microfold cells(M-cells)mediated transcytosis(viaσ1-α2–3-linked sialic acids adherence)across gastrointestinal epithelia.PLL coating provided protection and slow-release of rhodamine 6 G(R6G),a model payload.The transport effectiveness of these ODDVs was tested on intestinal organoid monolayers in vitro.When compared with other experimental groups,the fully functionalized ODDV system(with PLL-σ1)demonstrated two significant advantages:a significantly higher transport efficiency(198%over blank control at 48 h);and protection of payloads which led to both better transport efficiency and extended-release of payloads(61%over uncoated carriers at 48 h).In addition,it was shown that the M cell presence in intestinal organoid monolayers(modulated by Rank L stimulation)was a determining factor on the transport efficiency of the ODDVs:more M-cells(induced by higher Rank L)in the organoid monolayers led to higher transport efficiency for ODDV-delivered model payload(R6G).The fully functionalized ODDVs showed great potential as effective oral delivery vehicles for drugs and vaccines. 展开更多
关键词 oral drug delivery vehicles ORGANOIDS Biomimetic virus Sigma 1 protein Gold and silica nanoparticles
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The influence of the gut microbiota on the bioavailability of oral drugs 被引量:4
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作者 Xintong Zhang Ying Han +2 位作者 Wei Huang Mingji Jin Zhonggao Gao 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2021年第7期1789-1812,共24页
Due to its safety,convenience,low cost and good compliance,oral administration attracts lots of attention.However,the efficacy of many oral drugs is limited to their unsatisfactory bioavailability in the gastrointesti... Due to its safety,convenience,low cost and good compliance,oral administration attracts lots of attention.However,the efficacy of many oral drugs is limited to their unsatisfactory bioavailability in the gastrointestinal tract.One of the critical and most overlooked factors is the symbiotic gut microbiota that can modulate the bioavailability of oral drugs by participating in the biotransformation of oral drugs,influencing the drug transport process and altering some gastrointestinal properties.In this review,we summarized the existing research investigating the possible relationship between the gut microbiota and the bioavailability of oral drugs,which may provide great ideas and useful instructions for the design of novel drug delivery systems or the achievement of personalized medicine. 展开更多
关键词 Gut microbiota oral drugs BIOAVAILABILITY PROBIOTICS Colon-specific drug delivery system
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Milk-derived exosomes exhibit versatile effects for improved oral drug delivery 被引量:3
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作者 Lei Wu Lingling Wang +9 位作者 Xi Liu Yuli Bai Ruinan Wu Xiang Li Yutong Mao Ling Zhang Yongxiang Zheng Tao Gong Zhirong Zhang Yuan Huang 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2022年第4期2029-2042,共14页
As endogenous courier vesicles,exosomes play crucial roles in macromolecule transmission and intercellular communication.Therefore,exosomes have drawn increasing attention as biomimetic drug-delivery vehicles over the... As endogenous courier vesicles,exosomes play crucial roles in macromolecule transmission and intercellular communication.Therefore,exosomes have drawn increasing attention as biomimetic drug-delivery vehicles over the past few years.However,few studies have investigated the encapsulation of peptide/protein drugs into exosomes for oral administration.Additionally,the mechanisms underlying their biomimetic properties as oral delivery vehicles remain unknown.Herein,insulin-loaded milk-derived exosomes(EXO@INS)were fabricated and the in vivo hypoglycemic effect was investigated on type I diabetic rats.Surprisingly,EXO@INS(50 and 30 IU/kg)elicited a more superior and more sustained hypoglycemic effect compared with that obtained with subcutaneously injected insulin.Further mechanism studies indicated that the origin of excellent oral-performance of milk-derived exosomes combined active multi-targeting uptake,pH adaptation during gastrointestinal transit,nutrient assimilation related ERK1/2 and p38 MAPK signal pathway activation and intestinal mucus penetration.This study provides the first demonstration that multifunctional milk-derived exosomes offer solutions to many of the challenges arising from oral drug delivery and thus provide new insights into developing naturally-equipped nanovehicles for oral drug administration. 展开更多
关键词 Milk-derived exosomes oral drug delivery system Apical-to-basolateral transport pH Adaptation Biomimetic vehicles Insulin TRANSCYTOSIS Signal regulation
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Chinese expert consensus on oral drugs for the treatment of mature B-cell lymphomas (2020 edition) 被引量:2
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作者 Suning Chen Weili Zhao +2 位作者 Jianyong Li Depei Wu on behalf of Lymphoid Disease Group,Chinese Society of Hematology,Chinese Medical Association 《Frontiers of Medicine》 SCIE CSCD 2022年第5期815-826,共12页
Oral drugs such as ibrutinib play an important role in the treatment of mature B-cell lymphoma(BCL)due to their reliable efficacy,manageable safety,high accessibility,and convenience for use.Still,no guidelines or con... Oral drugs such as ibrutinib play an important role in the treatment of mature B-cell lymphoma(BCL)due to their reliable efficacy,manageable safety,high accessibility,and convenience for use.Still,no guidelines or consensus focusing on oral drug therapies for BCL is available.To provide a reference of oral agent-based treatment for mature BCL,a panel of experts from the Lymphocyte Disease Group,Chinese Society of Hematology,Chinese Medical Association conducted an extensive discussion and reached a consensus on oral drugs for Chinese BCL patients on the basis of the current application status of oral drugs in China,combined with the latest authoritative guidelines in the world and current research reports.This consensus reviewed the application of oral drugs in the treatment of BCL and the latest research and provided appropriate recommendations on the use of oral drugs for indolent or aggressive BCL patients.With the deepening of research and the development of standardized clinical applications,oral medications will bring better treatment to BCL patients,enabling more patients to benefit from them. 展开更多
关键词 B-cell lymphoma oral drug targeted therapy IMMUNOTHERAPY COVID-19 pandemic
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A “cluster bomb” oral drug delivery system to sequentially overcome the multiple absorption barriers 被引量:2
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作者 Qingling Song Huirui Wang +5 位作者 Junfei Yang Hui Gao Ke Wang Hao Wang Yun Zhang Lei Wang 《Chinese Chemical Letters》 SCIE CAS CSCD 2022年第3期1577-1583,共7页
Oral drugs have been widely used in clinical therapy, but their developments were severely limited by the side effects of drug exposure as well as the multiple biological barriers. In this study, we constructed a “cl... Oral drugs have been widely used in clinical therapy, but their developments were severely limited by the side effects of drug exposure as well as the multiple biological barriers. In this study, we constructed a “cluster bomb” oral drug delivery system (DOX@PFeL@L100) with core-shell structure to overcome the complex absorption barriers. The inner core termed as “bomb” that contains a lot of ultra-small diameter Fe_(3)O_(4) nanoparticles (DOX@PFeL NPs) loaded with doxorubicin (DOX) and modified with l-valine, which can efficiently penetrate the epithelial cells via PePT1 receptor mediated endocytosis. The outer shell of this “cluster bomb” is a layer of pH-sensitive polymer (Eudragit®L100) that can be served as a pH-responsive switch and effectively control the “bomb” release in the intestinal microenvironment to improve the antitumor efficiency by the Fenton like reaction of DOX and Fe^(2+)/Fe^(3+). This study demonstrates that the “cluster comb” oral drug delivery system can sequentially overcome the multiple biological barriers, providing a safe and effective approach for tumor therapy. 展开更多
关键词 oral drug delivery Absorption barrier Cluster bomb PH-SENSITIVE PePT1 receptor
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Adapting liposomes for oral drug delivery 被引量:30
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作者 Haisheng He Yi Lu +3 位作者 Jianping Qi Quangang Zhu Zhongjian Chen Wei Wu 《Acta Pharmaceutica Sinica B》 SCIE CSCD 2019年第1期36-48,共13页
Liposomes mimic natural cell membranes and have long been investigated as drug carriers due to excellent entrapment capacity, biocompatibility and safety. Despite the success of parenteral liposomes,oral delivery of l... Liposomes mimic natural cell membranes and have long been investigated as drug carriers due to excellent entrapment capacity, biocompatibility and safety. Despite the success of parenteral liposomes,oral delivery of liposomes is impeded by various barriers such as instability in the gastrointestinal tract,difficulties in crossing biomembranes, and mass production problems. By modulating the compositions of the lipid bilayers and adding polymers or ligands, both the stability and permeability of liposomes can be greatly improved for oral drug delivery. This review provides an overview of the challenges and current approaches toward the oral delivery of liposomes. 展开更多
关键词 Liposomes oral drug delivery STABILITY ABSORPTION BIOAVAILABILITY
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创新软件和设备在口服外摆拆零药品智能化管理中的应用
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作者 陈洁 陈婷 +3 位作者 王立华 何丽娜 姜赛平 吴军 《中国处方药》 2024年第10期62-66,共5页
目的通过开发智能创新软件结合独立调配桌对住院药房口服外摆拆零药品进行高效、安全的管理和调配,确保药品的安全供应。方法设置独立外摆药品调配操作台,利用创新软件集成掌上电脑(PDA)智能系统,结合条码扫描导入技术与全自动药品分包... 目的通过开发智能创新软件结合独立调配桌对住院药房口服外摆拆零药品进行高效、安全的管理和调配,确保药品的安全供应。方法设置独立外摆药品调配操作台,利用创新软件集成掌上电脑(PDA)智能系统,结合条码扫描导入技术与全自动药品分包机,优化和改进口服外摆药品调剂、加药、有效期维护等易错环节。对比创新软件使用前后口服医嘱平均调剂时长(min),外摆拆零药品月均盘存时长(min)和外摆拆零药品有效期维护平均时长(min)。结果使用创新软件和设备后,口服医嘱平均调剂时长从(218.07±6.72)min缩短至(173.81±6.08)min(P<0.01),均值减少44.26 min;外摆拆零药品月均盘存时长从(156.00±5.29)min缩短至(108.00±2.64)min(P<0.01),均值缩短48.00 min;外摆拆零药品有效期维护平均时长从(147.00±2.64)min缩短至(23.00±3.00)min(P<0.01),均值缩短124 min。结论该项创新应用可解决传统外摆拆零药品容易出现的药品混装、定位混乱、库存数量不明、效期管理困难等问题,实现了药品管理的精细化、科学化,有效提高了药师的工作效率和服务质量,同时也为患者提供了更加安全、便捷的用药服务。 展开更多
关键词 创新软件 独立外摆药品调配操作台 口服外摆拆零药品 智慧药房
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Drug utilization analysis of oral hypoglycemic agents in our hospital during the period of 2003~2005
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作者 辛海莉 《药学实践杂志》 CAS 2007年第6期393-395,共3页
关键词 口服降血糖药 药效 规定日剂量 糖尿病 合理用药
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大黄三味片治疗抗精神病药药物性便秘临床观察
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作者 刘博 《中国医药指南》 2024年第5期121-123,共3页
目的探讨大黄三味片治疗抗精神病药药物性便秘的有效性和安全性。方法收集2020年7月至2022年12月沈阳市精神科卫生中心精神科病房符合抗精神病药药物性便秘诊断标准的120例患者,按照随机数字法分为治疗组和对照组,每组60例,治疗组予大... 目的探讨大黄三味片治疗抗精神病药药物性便秘的有效性和安全性。方法收集2020年7月至2022年12月沈阳市精神科卫生中心精神科病房符合抗精神病药药物性便秘诊断标准的120例患者,按照随机数字法分为治疗组和对照组,每组60例,治疗组予大黄三味片治疗,对照组予乳果糖口服溶液。观察两组患者治疗前后便秘症状积分,排便时间,腹痛评分(VAS),大便性状改善时间、停药7 d内排便次数及生活质量评分。结果两组治疗有效率对比无统计学差异(P>0.05);治疗组大便性状改善时间短于对照组、停药7 d的排便次数多于对照组(均P<0.05);治疗后,治疗组便秘症状评分、腹痛评分、排便时间低于对照组,生活质量评分高于对照组(均P<0.05)。结论大黄三味片治疗抗精神病药药物性便秘临床疗效确切,有效减轻患者痛苦,停药后疗效持久,两组患者均未见不良反应,安全有效。 展开更多
关键词 大黄三味片 抗精神病药药物性便秘 乳果糖口服溶液
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医院药房口服单剂量调配模式的探索与实践
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作者 杨丽萍 商然 +3 位作者 王海玲 杨帆 刘静 赵志刚 《中国药事》 CAS 2024年第6期724-730,共7页
目的:缩短口服单剂量调配时间,提高工作效率。方法:分析既往单剂量分包模式的不足,从设备、软件、流程等方面改进,包括设计智能棋盘式摆药盘、优化合并备用药槽及使用三备用药槽。比较口服单剂量调配模式改进前后的工作效率。结果:使用... 目的:缩短口服单剂量调配时间,提高工作效率。方法:分析既往单剂量分包模式的不足,从设备、软件、流程等方面改进,包括设计智能棋盘式摆药盘、优化合并备用药槽及使用三备用药槽。比较口服单剂量调配模式改进前后的工作效率。结果:使用智能棋盘式摆药盘后,每条口服医嘱的调配时间从之前的(5.4±0.16)s缩短至(3.5±0.27)s,药师调配速度显著提高(P<0.05)。与改进前的全自动摆药模式相较,改进后平均每包调配时间缩短了24.72%~56.39%,平均每包调配时长显著短于改进前(P<0.05)。与人工摆药模式相较,改进前的全自动摆药模式调配药师从3名缩减至2名,每日人均调配医嘱条数提高至2848.90±153.21,显著高于人工摆药模式(P<0.05),工作效率提升了114.82%;改进后的全自动摆药模式每日人均调配医嘱条数提高至3671.90±56.48,显著高于人工摆药模式(P<0.05),效率提升了176.87%。结论:通过对我院既往单剂量调配模式的改进,工作效率显著提高。 展开更多
关键词 口服单剂量 智能棋盘式摆药盘 三备用药槽 调配模式
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左心室血栓患者抗栓治疗的单中心回顾性分析
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作者 齐会红 李霞 +4 位作者 高新培 褚智君 付连浩 周航 缴万里 《中国医院用药评价与分析》 2024年第10期1196-1199,共4页
目的:了解左心室血栓(LVT)患者抗栓治疗方案现状,并分析口服抗凝血药使用情况和LVT患者的临床转归情况,为LVT的治疗提供参考。方法:纳入2018年5月至2023年9月该院电子病历系统中诊断为LVT的患者,回顾性分析患者的抗凝血药使用情况,探讨... 目的:了解左心室血栓(LVT)患者抗栓治疗方案现状,并分析口服抗凝血药使用情况和LVT患者的临床转归情况,为LVT的治疗提供参考。方法:纳入2018年5月至2023年9月该院电子病历系统中诊断为LVT的患者,回顾性分析患者的抗凝血药使用情况,探讨抗凝治疗与非抗凝治疗、新型口服抗凝血药(NOAC)与华法林的血栓消退情况、血栓栓塞及出血事件发生情况。结果:共纳入156例患者,120例(占76.9%)患者接受抗凝治疗,其中接受NOAC治疗的患者为87例(占55.8%),接受华法林治疗的患者为33例(占21.2%)。抗凝组患者血栓栓塞事件发生率明显低于非抗凝组[5.0%(6/120)vs.16.7%(6/36),P=0.032],且未升高出血事件发生率[13.3%(16/120)vs.25.0%(9/36),P=0.094];NOAC组与华法林组患者血栓栓塞、出血事件发生率的差异均无统计学意义(P>0.05)。进一步分析106例有影像学资料患者的血栓转归情况,72例(占67.9%)患者的左心室血栓完全消退。抗凝组患者血栓消退率明显高于非抗凝组[72.4%(63/87)vs.47.4%(9/19),P=0.034],且血栓消退中位时间更短[48.0(32.0,120.0)d vs.(167.4±113.0)d,P=0.035],差异均有统计学意义。与华法林组比较,NOAC组患者血栓消退率相似,差异无统计学意义[71.4%(45/63)vs.75.0%(18/24),P=0.739];NOAC组患者血栓消退速度更快,差异有统计学意义[43.0(32.0,85.0)d vs.106.0(32.8,239.8)d,P=0.049]。结论:抗凝治疗可改善LVT患者血栓消退,减少血栓栓塞事件且不增加出血风险,但该院抗凝治疗比例仍有待提高。NOAC可考虑作为华法林的替代治疗,尤其是对华法林不耐受的患者。 展开更多
关键词 左心室血栓 抗凝 口服抗凝血药 新型口服抗凝血药 非维生素K拮抗剂
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表观遗传药物联合诱导口腔癌FMR1NB表达的研究
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作者 张煜萱 谢欢 +8 位作者 王燕靖 李枫 王国鉴 农蔚霞 刘畅 罗彬 谢小薰 沈宁 张庆梅 《安徽医科大学学报》 CAS 北大核心 2024年第5期761-766,共6页
目的研究DNA去甲基化药物联合组蛋白去乙酰化酶抑制剂对人口腔癌细胞脆性X智障基因1邻近蛋白(FMR1NB)表达及其启动子甲基化的影响,探寻改善FMR1NB表达异质性的方法和策略。方法DNA甲基化转移酶抑制剂地西他滨(DAC)联合组蛋白去乙酰化酶... 目的研究DNA去甲基化药物联合组蛋白去乙酰化酶抑制剂对人口腔癌细胞脆性X智障基因1邻近蛋白(FMR1NB)表达及其启动子甲基化的影响,探寻改善FMR1NB表达异质性的方法和策略。方法DNA甲基化转移酶抑制剂地西他滨(DAC)联合组蛋白去乙酰化酶抑制剂曲古抑菌素A(TSA)和丙戊酸(VPA)干预人舌鳞癌细胞株Cal27和SCC-9后,采用逆转录-聚合酶链式反应(RT-PCR)、实时定量RT-PCR(qRT-PCR)和蛋白印迹法(Western blot)检测干预前后FMR1NB的表达变化;焦磷酸测序法检测干预前后FMR1NB启动子甲基化的变化。结果与空白对照组相比,DAC及其与TSA和VPA联合组均能显著诱导Cal27和SCC-9中FMR1NB mRNA和蛋白的表达。与DAC单独组比较,Cal27中各联合用药组的FMR1NB mRNA表达水平均显著升高,但FMR1NB蛋白表达无明显变化;而SCC-9中除DAC与TSA联合组不能明显提升FMR1NB mRNA表达水平之外,其余各组均能引起FMR1NB mRNA和蛋白水平的显著升高。此外,两株细胞中FMR1NB mRNA和蛋白表达在三药联合组和各两药联合组之间差异均无统计学意义。进一步甲基化测定显示:除SCC-9的三药联合组之外,其余各给药组在两株细胞中FMR1NB启动子区的整体甲基化水平和所测各CpG位点的甲基化水平均有不同程度地降低。结论DAC及其TSA和VPA联合组普遍可介导FMR1NB启动子去甲基化而增强FMR1NB表达,其中两药联合组的增强表达作用更强。 展开更多
关键词 口腔癌 FMR1NB 表观遗传学药物 表达 甲基化
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儿童苔藓样肉芽肿性口炎1例报道及文献回顾
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作者 徐婧 夏荣辉 +2 位作者 杨涟漪 沈雪敏 杜观环 《口腔疾病防治》 2024年第2期137-142,共6页
目的探讨口腔苔藓样损害的分类、临床表现、诊断、鉴别诊断及治疗,为临床提供参考。方法获得医院伦理审批及患者知情同意,报道1例儿童口腔苔藓样损害病例,结合文献对口腔苔藓样损害的诊疗进行回顾分析。结果患儿舌背反复破溃伴疼痛3年余... 目的探讨口腔苔藓样损害的分类、临床表现、诊断、鉴别诊断及治疗,为临床提供参考。方法获得医院伦理审批及患者知情同意,报道1例儿童口腔苔藓样损害病例,结合文献对口腔苔藓样损害的诊疗进行回顾分析。结果患儿舌背反复破溃伴疼痛3年余,舌背大面积糜烂面,形状不规则,糜烂周围见珠光白色纹,左侧糜烂区伴组织增生,约1.5 cm×2.0 cm,质地韧,宽蒂。舌背白色网纹组织切取活检病理诊断为苔藓样损害;舌背增生物切除活检病理诊断为苔藓样损害伴肉芽肿性炎。根据患者口内损害特征、系统病史、用药史、组织病理学检查结果,最终诊断为苔藓样肉芽肿性口炎。文献回顾表明,口腔苔藓样损害病因不明,临床上需与口腔扁平苔藓、口腔苔藓样药物反应、口腔苔藓样接触性损害、慢性溃疡性口炎等疾病鉴别。临床上治疗口腔苔藓样损害以糖皮质激素的局部和/或全身使用为主。结论目前口腔苔藓样损害的分类和诊断仍无统一标准,主要依靠病史询问、临床表现和组织病理学检查结果,治疗方法主要为糖皮质激素的局部和/或全身使用。 展开更多
关键词 口腔苔藓样损害 苔藓样肉芽肿性口炎 口腔扁平苔藓 口腔苔藓样药物反应 口腔苔藓样接触性损害 移植物抗宿主病相关性苔藓样损害 慢性溃疡性口炎 类天疱疮样扁平苔藓 儿童 糖皮质激素
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多学科协作护理专案在日间结直肠癌患者院外口服化疗药中的应用
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作者 范琳琳 蔡燕梅 +2 位作者 王美英 杨莹 林婷 《中国医药指南》 2024年第12期151-153,共3页
目的探讨结直肠癌患者接受护理专案干预后对提高口服化疗药服药依从性、强化自我效能的作用。方法选择2022年6月至2022年12月在我院接受药物化疗治疗的结直肠癌患者300例作为研究对象,按照计算机随机编号抽取结果进行分组,对照组(150例... 目的探讨结直肠癌患者接受护理专案干预后对提高口服化疗药服药依从性、强化自我效能的作用。方法选择2022年6月至2022年12月在我院接受药物化疗治疗的结直肠癌患者300例作为研究对象,按照计算机随机编号抽取结果进行分组,对照组(150例)患者实施常规模式护理;观察组(150例)患者开展护理专案模式护理,对两组患者护理前后口服化疗药物服药依从性予以评估,比较两组结果的统计学差异。另外分别评估两组患者护理前后自我效能及生活质量,分析评分变化趋势。结果两组患者实施护理前服药依从性各个方面评分组间对比无统计学差异(P>0.05),观察组患者通过护理专案干预后,服药依从性评分高于对照组(P<0.05)。另外,观察组患者自我效能评分、生活质量评分均高于对照组(P<0.05)。结论针对结直肠癌患者通过实施护理专案干预能够有效提高口服用药的依从性,强化患者自我管理效能,提高生活质量,值得运用推广。 展开更多
关键词 护理专案 结直肠癌 口服化疗药 服药依从性 自我效能
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口腔苔藓样药物反应的研究进展
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作者 黎希晔 葛姝云 唐国瑶 《口腔疾病防治》 2024年第7期555-561,共7页
口腔苔藓样药物反应(oral lichenoid drug reactions,OLDR)是特殊体质者使用特定药物后引起的口腔黏膜炎性反应,属于口腔苔藓样损害(oral lichenoid lesions,OLL)这一病种,其临床表现和病理表现与其他种类的OLL相比不存在明显的特异性,... 口腔苔藓样药物反应(oral lichenoid drug reactions,OLDR)是特殊体质者使用特定药物后引起的口腔黏膜炎性反应,属于口腔苔藓样损害(oral lichenoid lesions,OLL)这一病种,其临床表现和病理表现与其他种类的OLL相比不存在明显的特异性,可能诱发OLDR的药物种类繁多,包括了降压药、非甾体抗炎药、降糖药、抗焦虑/精神类药物、生物制剂等,治疗方案除局部或全身使用糖皮质激素以外,停用可疑药物是最有效的治疗措施,大多数患者的黏膜溃疡、糜烂能得到较大缓解,但可能仍有白纹残留。虽然OLDR已在文献报道和临床工作中得到广泛关注,但由于缺乏系统的认识,对于OLDR的诊断并没有公认的标准,也缺乏规范化的诊疗流程,且相关药物与口腔苔藓样病变之间的因果关系仍然存在疑问。针对以上问题,笔者检索了近20年国内外药物相关口腔扁平苔藓和苔藓样损害的文献,其中绝大多数为病例报告,仅有少量病例对照研究。本文从相关概念、可疑药物、临床及病理表现、治疗预后4个方面介绍了其研究现状,希望能为相关苔藓样损害的预防、诊断和临床治疗提供理论参考。文献综述显示了该疾病在病因、发病机制、临床诊疗、治疗预后等方面仍有大量问题尚不明确,仍需进一步开展临床及基础研究予以深入探索。 展开更多
关键词 口腔扁平苔藓 口腔苔藓样药物反应 苔藓样反应 苔藓样疹 降压药 非甾体类抗炎药 降糖药 免疫抑制剂
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吞咽困难患者新型口服抗肿瘤药物的替代给药方法
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作者 郭子寒 张洪禄 +4 位作者 戴贤春 张志圣 刘继勇 王萌萌 杜琼 《医药导报》 CAS 北大核心 2024年第8期1278-1285,共8页
目的为吞咽困难的患者提供新型口服抗肿瘤药物的替代给药方法。方法根据“新型抗肿瘤药物临床应用指导原则(2022年版)”药品目录确定检索范围,通过查阅说明书,检索PubMed、Micromedex、UpToDate等数据库获得药品临时液体制剂的制备、稳... 目的为吞咽困难的患者提供新型口服抗肿瘤药物的替代给药方法。方法根据“新型抗肿瘤药物临床应用指导原则(2022年版)”药品目录确定检索范围,通过查阅说明书,检索PubMed、Micromedex、UpToDate等数据库获得药品临时液体制剂的制备、稳定性、储存和相关临床信息。结果70种口服抗肿瘤药物被纳入文献检索,其中33种药物有相关的文献或数据支持替代给药方法,8种在说明书中有替代给药的相关信息,其他药物的证据水平各不相同。结论大部分药物临时液体制剂的证据水平较低,医疗团队在使用说明书以外的用法时应充分考虑利弊,谨慎使用。 展开更多
关键词 新型口服抗肿瘤药物 吞咽困难 替代给药方法
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口服抗肿瘤药癌症患者药物素养的研究进展
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作者 褚云怡 江子芳 贺泽翻 《护理学杂志》 CSCD 北大核心 2024年第14期126-128,F0003,共4页
口服抗肿瘤药是癌症患者治疗的重要组成部分,良好的药物素养是确保患者安全用药的基础,药物素养不足会导致药物不良事件的产生。本文对癌症患者口服抗肿瘤药的药物素养概念、现状、影响因素和干预措施进行综述,以期为保障癌症患者安全... 口服抗肿瘤药是癌症患者治疗的重要组成部分,良好的药物素养是确保患者安全用药的基础,药物素养不足会导致药物不良事件的产生。本文对癌症患者口服抗肿瘤药的药物素养概念、现状、影响因素和干预措施进行综述,以期为保障癌症患者安全服用抗肿瘤药提供参考。 展开更多
关键词 癌症 肿瘤患者 口服抗肿瘤药 化疗药物 靶向药物 药物素养 影响因素 综述文献
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司库奇尤单抗注射液致口腔苔藓样药物反应1例
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作者 李丹丹 万梓欣 王建莉 《药物流行病学杂志》 CAS 2024年第4期461-465,共5页
1例57岁女性患者因银屑病给予司库奇尤单抗注射液治疗,第8次给药后舌背及左颊黏膜出现大面积网状白纹伴充血糜烂,给予糖皮质激素等治疗3周后好转,再次给药后症状加重,诊断为口腔苔藓样药物反应,给予糖皮质激素等治疗8周后好转。患者停... 1例57岁女性患者因银屑病给予司库奇尤单抗注射液治疗,第8次给药后舌背及左颊黏膜出现大面积网状白纹伴充血糜烂,给予糖皮质激素等治疗3周后好转,再次给药后症状加重,诊断为口腔苔藓样药物反应,给予糖皮质激素等治疗8周后好转。患者停用司库奇尤单抗注射液4个月后不良反应未复发。该病例的口腔苔藓样药物反应与司库奇尤单抗注射液的关联性评价为“肯定”,在国内尚未见文献报道。口腔苔藓样药物反应临床表现多为单侧颊黏膜白纹伴充血糜烂,停用可疑药物与局部应用皮质类固醇是目前治疗最有效的手段。 展开更多
关键词 司库奇尤单抗 口腔苔藓样药物反应 药品不良反应
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