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善得定

善得定的相关文献在1992年到2019年内共计706篇,主要集中在内科学、外科学、药学 等领域,其中期刊论文702篇、会议论文4篇、专利文献29557篇;相关期刊323种,包括现代中西医结合杂志、中华实用中西医杂志、临床医学等; 相关会议4种,包括全国第四次肝脏病学术研讨会暨安徽省第八次肝脏病学术年会、第十三次全国中西医结合肝病学术会议、第三届中日消化内镜及胃肠病学术会议等;善得定的相关文献由1347位作者贡献,包括等、王强、许国铭等。

善得定—发文量

期刊论文>

论文:702 占比:2.32%

会议论文>

论文:4 占比:0.01%

专利文献>

论文:29557 占比:97.67%

总计:30263篇

善得定—发文趋势图

善得定

-研究学者

  • 王强
  • 许国铭
  • 诸葛传德
  • 冯卫华
  • 刘迪群
  • 张捷
  • 徐耀传
  • 李兆申
  • 毕人文
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 李茜; 梅芊; 刘英
    • 摘要: 目的:探讨醋酸奥曲肽原料及其制剂的杂质情况.方法:采用高效液相色谱法,色谱柱为HypersilC18(4.6 mm×250 mm,5μm),流动相A为四甲基氢氧化铵溶液(取10%四甲基氢氧化铵溶液20 mL,加水880 mL,用10%磷酸溶液调节pH至5.4)-乙腈(900∶100),流动相B为四甲基氢氧化铵溶液(取10%四甲基氢氧化铵溶液20 mL,加水380 mL,用10%磷酸溶液调节pH至5.4)-乙腈(400∶600),流速1.0 mL· min-1,紫外检测波长为210 nm,分析醋酸奥曲肽原料及制剂的杂质谱,并比较了原料间、制剂间的杂质情况.再结合影响因素试验、加速试验、配伍稳定性试验,分析影响杂质产生的因素及杂质的变化情况,并确证未知杂质的结构.结果:醋酸奥曲肽杂质谱显示其主要杂质共21个,不同企业间的原料、制剂杂质谱均有差异,同一企业不同剂型的制剂杂质谱也有差异;影响因素试验及加速试验表明温度、湿度、光及贮藏均可增加醋酸奥曲肽的杂质;确定了5个未知杂质的结构,分别为杂质6(D-Th6-OCTR)、杂质7([des-Thr-ol8]-OCTR)、杂质9(Des-Thr6-OCTR)、杂质12(D-Cys7-OCTR)、杂质13(Des-Lys5-OCTR)及杂质15([AC-D-phe1]-OCTR).结论:醋酸奥曲肽的杂质主要来源于制剂的生产及贮藏过程,应进一步提高制剂的生产工艺及严格控制贮藏条件,以提高产品的质量.%Objective:To study the impurity profiles of octreotide acetate and its injection.Methods:The HPLC method was used to analyze the impurity profiles of octreotide acetate and its injection.A Hypersil C18 (4.6 mm × 250 mm,5 μm) column was adopted,the mobile phase A was tetramethylammonium hydroxide solution (20 mL of 10% tetramethylammonium hydroxide solution and 880 mL water were added,pH was adjusted to 5.4 with 10% phosphoric acid)-acetonitrile (900:100),the mobile phase B was tetramethylammonium hydroxide solution (20 mL of 10% tetramethylammonium hydroxide solution and water 380 mL were added,pH was adjusted to 5.4 with 10% phosphoric acid)-acetonitrile (400:600),and the flow rate was 1.0 mL· min-1,the UV detective wavelength was 210 nm.The impurity profiles of octreotide acetate and its injection were analyzed,the impurities in raw materials and preparations from different manufacturers were compared respectively.In addition,the source and influence factor of impurities of octreotide acetate and its injection were analyzed by stress testing,accelerating testing and compatibility testing,and the structures of impurities were determined.Results:The impurity profiles showed that there were 21 major impurities in octreotide acetate.The impurity profiles of raw materials from different manufacturers were different,so was the preparations from different manufacturers.The impurity profile of different formulations of the preparations from the same manufacturer were different.The temperature,humidity,light and storage could increase the impurities of octreotide acetate.The structures of five unknown impurities were identified,namely impurity 6 (D-Thr6-OCTR),impurity 7 ([des-Thr-ol8]-OCTR),impurity 9 (DesThr6-OCTR),impurity 12 (D-Cys7-OCTR),impurity 13 (Des-Lys5-OCTR) and impurity 15 ([AC-D-phe1]-OCTR).Conclusion:The impurities of octreotide acetate mainly come from producing process and storage of the preparation.In order to improve the quality of the products.it is important to improve the manufacturing procedures and control the storage conditions.
    • 赵丽琴
    • 摘要: 目的:观察善得定联合大黄治疗急性水肿型胰腺炎的治疗效果.方法:将确诊为急性水肿型胰腺炎的74例患者随机分为两组:对照组38例,常规治疗;治疗组36例,在对照组治疗基础上加用善得定、生大黄治疗.观察两组患者临床症状缓解时间、血尿淀粉酶恢复时间,对比治疗效果.结果:两组均无死亡病例,对照组有4例患者发展为急性重型胰腺炎;治疗组0例患者发展为急性重型胰腺炎.治疗组的临床症状、血尿淀粉酶缓解时间明显短于对照组,两组比较差异明显,具有统计学意义(P<0.05).结论:善得定联合生大黄治疗急性水肿型胰腺炎能够有效的缩短病程,改善预后,是一种有效的治疗方法.
    • 史进福
    • 摘要: 目的:探讨分析用善得定治疗急腹症手术后早期炎症性肠梗阻的临床效果。方法:选取2009年1月~2015年1月间我院收治的接受急腹症手术后发生早期炎症性肠梗阻(EPII)的患者84例作为研究对象,我们采用随机数表法将其分为对照组(42例)和观察组(42例),为对照组患者进行常规治疗,为观察组患者在进行常规治疗的基础上加用善得定进行治疗,然后观察对比两组患者的临床疗效,并将对比的结果及两组患者的临床资料进行回顾性的分析。结果:观察组患者的鼻胃管引流量明显少于对照组患者,观察组患者术毕至恢复正常排气的时间明显短于对照组患者,观察组患者的住院时间明显短于对照组患者,观察组患者的临床疗效明显优于对照组患者,差异均具有统计学意义(P <0.05)。结论:用善得定治疗急腹症手术后早期炎症性肠梗阻的临床效果显著,值得在临床上推广应用。
    • 孔令春
    • 摘要: Objective:To explore the clinical treatment of liver cirrhosis combined with UGB.Methods:100 patients with liver cirrhosis combined with upper gastrointestinal bleeding(UGB) were selected.They were randomly divided into two groups with 50 cases in each.The two groups were given conventional treatment.On this basis,the observation group was given sandostatin,and the control group was given pituitrin.The hemostasis situations,treatment effects and adverse reactions of two groups were compared. Results:The hemostasis success rate and 24 hours hemostasis success rate of the observation group were significantly higher than those of the control group,and the hemostasis time was significantly shorter than that of the control group(P<0.05).The incidence rate of adverse reaction in the observation group(18.0% ) was significantly lower than 58% of the control group(P<0.05). Conclusion:Sandostatin and pituitrin in the treatment of liver cirrhosis combined with UGB all have better effect,but the pituitrin is easy to cause adverse reactions,and the hemostasis effect and hemostasis speed of sandostatin are better than those of pituitrin, and its incidence rate of adverse reaction is low.%目的:探讨肝硬化合并上消化道出血的临床治疗。方法:收治肝硬化合并上消化道出血患者100例,随机分为观察组和对照组,各50例。两组均给予常规治疗,在此基础上,观察组给予善得定,对照组给予垂体后叶素。对比两组止血情况、治疗效果及不良反应。结果:观察组止血成功率、24 h内止血成功率显著高于对照组,止血时间明显短于对照组(P<0.05);观察组不良反应发生率18.0%显著低于对照组58.0%(P<0.05)。结论:善得定与垂体后叶素治疗肝硬化合并上消化道出血效果均较好,但垂体后叶素较易引起不良反应,而善得定止血效果和止血速度优于垂体后叶素,且不良反应发生率低。
    • 郜雪枝; 赵聚光
    • 摘要: 目的探讨奥曲肽治疗食管胃底静脉曲张破裂出血(EVH)的疗法。方法分别使用奥曲肽和垂体后叶素治疗,观察其止血效果并进行统计学处理。结果奥曲肽组显效率48.37%,总有效率85%;垂体后叶素组显效率25%,总有效率50%。两组经x2检验,差异有统计学意义(P〈0.05)。结论奥曲肽是治疗食管胃底静脉曲张出血有效而安全的药物。
    • 胡静文; 王鹏飞; 高文飞
    • 摘要: 目的::探讨善得定治疗术后早期炎症性肠梗阻的临床效果。方法:选择我院收治的54例术后早期炎症性肠梗阻患者为研究对象,随机分为善得定组(29例)和对照组(25例)。对照组采用胃肠减压补液等传统方法治疗;善得定组在对照组的基础上加用善得定。观测2组患者主要临床指标。结果:善得定组胃肠减压引流量减少,临床症状缓解迅速,肛门排气时间提前,平均住院时间缩短,疗效明显优于对照组( P<0.05~0.01)。结论:善得定是术后早期炎症性肠梗阻的有效治疗方法,可显著改善患者临床症状,缩短治疗时间,值得在临床上大力推广。
    • 王香芹
    • 摘要: 目的:食管胃底静脉曲张破裂出血(EGVB)是消化科的急重症,如何快速止血防止再出血,挽救患者生命是临床医师经常面临的问题,本实验研究目的在于探讨善得定和垂体后叶素治疗食管胃底静脉曲张破裂出血的疗效及不良反应,为临床上治疗食管胃底静脉曲张破裂出血止血药物选择提供理论基础。方法:收集辽宁省葫芦岛市连山区人民院2007年1月~2013年12月住院治疗的肝硬化合并食管胃底静脉曲张破裂出血患者78例,将78例消化道出血病人随机分为2组:A组(善得定组)、B组(垂体后叶素组),A组先用善得定0.1 mg加10%葡萄糖溶液20ml静脉注射,继以0.05 mg/h于10%葡萄糖溶液1000ml静脉滴注72~96小时。B组给予垂体后叶素0.2~0.4 u/min持续静脉滴注72~96小时,高龄或伴有冠心病患者联合应用硝酸甘油0.8 mg/h,观察2组的止血率及不良反应发生情况。结果:A组止血率为89.7%,不良反应率为7.7%,B组止血率为61.5%,不良反应率为38.5%,2组止血率及不良反应率差异均有统计学意义。结论:善得定治疗急性食管胃底静脉曲张破裂出血患者较垂体后叶素治疗能有效地缩短止血时间,提高抢救成功率,降低不良反应发生率,疗效显著且安全性高,为临床急救首选使用,值得在临床实践中广泛地应用和推广。
    • 于云芳
    • 摘要: 肝硬化上消化道出血的原因主要食道胃底静脉曲张;肝硬化患者合并有凝血机制障碍时也较易诱发上消化道出血。肝硬化患者凝血机制障碍的原因,肝硬化时肝功能降低,当肝脏合成的凝血因子减少时,就可引起凝血机制障碍;当脾功能亢进时,血小板破坏增加,凝血机制也会发生障碍;善得定注射液联合洛赛克治疗肝硬化上消化道出血,可以减少门静脉及其侧枝循环血流量和压力,具有止血迅速、安全性高、不良反应少等优点。
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