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半数溶血浓度测定在监测中药注射剂不良反应中的意义

Significance of half hemolytic dosage in precontrolling adverse drug reaction of traditional Chinese medicine injections

中文摘要英文摘要

目的]探讨半数溶血浓度测定应用于监测中药注射剂不良反应的意义。[方法]以血塞通注射液为例测定半数溶血浓度;对出现异常溶血现象的血塞通注射液进行注射剂有关物质检查,体内溶血实验,安全性试验,指纹图谱比较。[结果]部分生产批号血塞通注射剂体外试验显示产生溶血现象异常,体内试验多数动物只有轻微溶血反应趋势,个别动物出现较强溶血不良反应。但按照现行《中国药典》标准,注射剂有关物质检查均合格;病理切片表明其产生了轻微的肌肉刺激性,但按照注射剂相关要求的评价结果符合标准。引起异常溶血现象的血塞通注射液液相图谱与正常溶血现象的血塞通注射液液相图谱无显著差异,且相似度评价良好。[结论]采用半数溶血浓度作为指标,比《中国药典》现行的溶血试验方法作为注射剂安全性评价指标更好,不仅可以反应中药注射剂的溶血不良反应,而且对注射剂其他不良反应指标的监测也是一项补充。

ims] To study the significance of half hemolytic dosage in precontrolling adverse drug reaction of Chinese meteria medica injections. [Methods] Take Xuesaitong injections for example and determine half hemolytic dosage. Relavent substances test, in vivo hemolytic reaction, safety test as well as fingerprint chromotograms of TCM injections were examined for the injections with abnormal hemolytic phenomena. [Results] The results indicated that partial injections showed abnormal hemolytic phenomena in in-vitro test and hemolytic tendency in in-vivo hemolytic test with some individual showing stronger hemolysis. In the light of standard proposed by China's pharmacopeia, the relvent substance met the standard of China's pharmacopoeia. But pathology sections showed slight muscular irritant reaction and most rats only showed trend of slight hemolysis, few exhibited hemolysis. The result of safety test met the criterion in present China's pharmacopoeia. Moreover, the fingerprint chromotograms showed good similiarity between injections with normal and abnoraml hemolytic phenomena. [Conclusion] Half hemolytic dosage of TCM injections can be an index for the precontrolling their ADR not only in the hemolysis of TCM injections, but also for a reference to other ADR of TCM injection. It is better than the present methods used in China's Pharmacopoeia for the hemolytic evaluation test.

项峥、张剑峰、窦德强

医药卫生理论药学中医学

半数溶血浓度不良反应溶血中药注射剂

half hemolytic dosageadverse drug reactionhemolysistraditional Chinese medicine injection

项峥,张剑峰,窦德强.半数溶血浓度测定在监测中药注射剂不良反应中的意义[EB/OL].(2010-12-07)[2025-08-02].http://www.paper.edu.cn/releasepaper/content/201012-175.点此复制

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