用户名: 密码: 验证码:
湿疹纳米乳膏成分对淋巴细胞和HaCaT细胞共培养的实验研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
背景和目的:
     慢性湿疹作为临床一种常见病、多发病,其病因复杂、皮损多样、反复发作、剧烈瘙痒、治疗棘手,严重影响着患者的身心健康。多数研究结果证实慢性湿疹患者Thl/Th2细胞分化失衡引起的细胞因子分泌异常影响着湿疹的发生发展过程,慢性湿疹患者皮损研究提示T淋巴细胞浸润在慢性湿疹发病机制中有重要作用,活化的T细胞诱导角质形成细胞的凋亡为湿疹慢性化的转折点,阻断角质形成细胞的凋亡可以减轻湿疹慢性化进程的发生。HaCaT细胞株保持有正常人角质形成细胞的分化和增殖特性,为通用的研究角质形成细胞生理功能的模型,探索采用淋巴细胞和HaCaT细胞共培养来建立慢性湿疹的体外细胞模型,以进行慢性湿疹的药效学实验和药物筛选实验具有重要意义。
     湿疹纳米乳膏为导师杨志波教授在多年临床经验总结的基础上,结合现代纳米技术研制的治疗慢性湿疹的外用制剂,前期临床研究证实疗效确切。本课题拟探索进行淋巴细胞和HaCaT细胞共培养的实验研究,观察湿疹纳米乳膏成分对慢性湿疹体外细胞模型HaCaT细胞的凋亡率,研究慢性湿疹体外细胞模型的建立及湿疹纳米乳膏成分治疗慢性湿疹的作用机制,为慢性湿疹体外细胞模型的建立及临床用药提供实验依据。
     方法:
     通过正交设计实验探索建立淋巴细胞和HaCaT细胞共培养的最佳凋亡模型,模拟慢性湿疹体外细胞的部分发病机制,采用MTT实验观察湿疹纳米乳膏主要成分对HaCaT细胞活力影响的浓度,流式细胞仪和TUNEL法检测药物干预细胞共培养模型后HaCaT细胞的凋亡率。
     结果:
     慢性湿疹患者淋巴细胞与HaCaT细胞以1:1、1:3、3:1的比例接种分别共培养24h、48h、72h,淋巴细胞均可诱导HaCaT细胞凋亡;淋巴细胞和HaCaT细胞以共培养72h,接种比例Lymphocyte:HaCaT=3:1为最佳共培养凋亡模型;Mat在50ug/mL及以下浓度对HaCaT细胞生长无明显抑制作用,12.5ug/mL浓度对共培养凋亡模型有促进作用,25ug/mL浓度逆转作用不明显,50ug/mL浓度逆转作用明显。Oxy在50ug/mL及以下浓度对HaCaT细胞活力无影响,12.5ug/mL浓度对共培养凋亡模型有促进作用,25ug/mL.50ug/mL浓度均有逆转作用。Oxy对共培养凋亡模型的促进、逆转作用均较Mat强;Ber在1.5mg/L浓度对HaCaT细胞的增殖无明显影响,Ber对共培养凋亡模型有逆转作用并与Ber浓度呈剂量依赖性;Pae在15.625mg/L的浓度对HaCaT细胞的增殖无明显影响,75mg/L.15mg/L对共培养凋亡模型无影响,7.5mg/L浓度对共培养凋亡模型有促进作用;Bor在125umol/L浓度对HaCaT细胞的增殖无明显影响,Bor对共培养凋亡模型有逆转作用并与Bor浓度呈剂量依赖性;Men在9.38mg/L浓度对HaCaT细胞的增殖无明显影响,Men对共培养凋亡模型有逆转作用并与Men浓度呈剂量依赖性。
     结论:
     1.慢性湿疹患者淋巴细胞与HaCaT细胞共培养,淋巴细胞均可诱导HaCaT细胞凋亡,接种比例Lymphocyte:HaCaT=3:1为最佳共培养凋亡模型。
     2.Mat在12.5ug/mL浓度对共培养凋亡模型有促进作用,50ug/mL浓度逆转作用明显。Oxy在12.5ug/mL浓度对共培养凋亡模型有促进作用,25ug/mL.50ug/mL浓度均有逆转作用。Oxy对共培养凋亡模型的促进、逆转作用均较Mat强。
     3.Ber在1.5mg/L浓度对HaCaT细胞的增殖无明显影响,Ber对共培养凋亡模型有逆转作用并与Ber浓度呈剂量依赖性。
     4.Pae在15.625mg/L勺浓度对HaCaT细胞的增殖无明显影响,75mg/L.15mg/L对共培养凋亡模型无影响,7.5mg/L浓度对共培养凋亡模型有促进作用。
     5.Bor在125umol/L浓度对HaCaT细胞的增殖无明显影响,Bor对共培养凋亡模型有逆转作用并与Bor浓度呈剂量依赖性。
     6.Men在9.38mg/L浓度对HaCaT细胞的增殖无明显影响,Men对共培养凋亡模型有逆转作用并与Men浓度呈剂量依赖性。
Background and Objective:
     Chronic eczema is a common clinical disease, frequently-occurring disease, its etiology is complex, a variety of skin lesions, recurrent, severe itching, the treatment of difficult, seriously affect the patient's physical and mental health. The results confirmed that the cytokine induced by chronic eczema patients with the differentiation of Thl∨Th2cells imbalance secretion affects the development of eczema, the skin lesions of patients with chronic eczema hints of infiltration of T lymphocytes play an important role in the pathogenesis of chronic eczema, forming cell keratinocytes induced activation of T cells apoptosis as the turning point of eczema chronicity, blocking occurs horny the formation of cell apoptosis can reduce chronic eczema process. HaCaT cell lines maintained normal human keratinocyte differentiation and proliferation characteristics of cells, formation of cell physiological function of horny generic model, exploring the use of lymphocytes and HaCaT cells were cultured in vitro cell model to establish chronic eczema, efficacy for chronic eczema experiment and drug screening test has important significance.
     Eczema nano cream for Professor Yang Zhibo based on years of clinical experience in the treatment of chronic eczema, external preparation of the combination of nanotechnology, preclinical studies demonstrate efficacy. This study intends to explore the lymphocytes and HaCaT cells, apoptosis of eczema nano cream composition on chronic eczema in vitro cell model of HaCaT cells was established and eczema, mechanism of nano cream constituents of chronic eczema cell model in vitro for the treatment of chronic eczema, provide the basis for establishing the in vitro cell model of chronic eczema and the clinical medication.
     Method:
     Through the orthogonal design experiments to explore the best model to establish apoptosis of lymphocytes and HaCaT cells co-culture of pathogenesis of chronic eczema, simulation of cells in vitro, concentrations of MTT are used to study the eczema nano cream main component of the cell viability of HaCaT, drug intervention in cells was detected by flow cytometry and TUNEL co-culture apoptosis rate of HaCaT cells model.
     Results:
     Chronic lymphocyte in patients with eczema and HaCaT cells to1:1,1:3,3:1ratio were inoculated separately co-culture of24h,48h,72h, lymphocytes could induce apoptosis of HaCaT cells; Lymphocytes and HaCaT cells in a co-culture of72h, inoculation ratio of Lymphocyte:HaCaT=3:1is the best co-culture apoptosis model; Mat in50ug/mL and concentration on the growth of HaCaT cells had no obvious inhibitory effect, the concentration of12.5ug/mL can promote the apoptosis of co-cultured model, the concentration of25ug/mL reversal effect is not apparent, the concentration of50ug/mL reversal effect. Oxy in50ug/mL and HaCaT cell activity had no effect on the concentration,12.5ug/mL concentration had a stimulating effect on co-culture apoptosis model,25ug/mL,50ug/mL levels were reversal effect. Promote, reversal effect of Oxy on apoptosis in the co-culture model was more strong than Mat; Ber in the concentration of1.5mg/L on the proliferation of HaCaT cells had no obvious effect, Ber has the reverse effect on the co-culture apoptosis model was dose dependent and Ber concentration; No significant influence of concentration of Pae in the15.625mg/L proliferation of HaCaT cells,75mg/L,15mg/L had no effect on the apoptosis of co-cultured model,7.5mg/L concentration had a stimulating effect on co-culture apoptosis model; Bor in the concentration of125umol/L on the proliferation of HaCaT cells had no obvious effect, Bor has the reverse effect on the co-culture apoptosis model was dose dependent and Bor concentration; Men in the concentration of9.38mg/L on the proliferation of HaCaT cells had no obvious effect, Men has the reverse effect on the co-culture apoptosis model was dose dependent and Men concentration.
     Conclusion:
     1.Eczema patients with chronic lymphocytes co-cultured with HaCaT cells, lymphocytes can induce the apoptosis of HaCaT cells, Lymphocyte:HaCaT=3:1is the best inoculation proportion co-culture apoptosis model.
     2.Mat can promote the apoptosis of co-culture model in12.5ug/mL concentration,50ug/mL concentration reversal effect. Oxy can promote the apoptosis of co-cultured model when the concentration of12.5ug/mL,25ug/mL,50ug/mL levels were reversal effect. Promote, reversal effect of Oxy on apoptosis in the co-culture model was more strong than Mat.
     3.Ber in the concentration of1.5mg/L on the proliferation of HaCaT cells had no obvious effect, Ber has the reverse effect on the co-culture apoptosis model was dose dependent and Ber concentration.
     4.Pae in the concentration of15.625mg/L on the proliferation of HaCaT cells had no obvious effect,75mg/L,15mg/L had no effect on apoptosis model of co-culture,7.5mg/L concentration had a stimulating effect on co-culture apoptosis model.
     5.Bor in the concentration of125umol/L on the proliferation of HaCaT cells had no obvious effect, Bor has the reverse effect on the co-culture apoptosis model was dose dependent and Bor concentration.
     6.Men in the concentration of9.38mg/L on the proliferation of HaCaT cells had no obvious effect, Men has the reverse effect on the co-culture apoptosis model was dose dependent and Men concentration.
引文
[1]李林峰.接触性皮炎与皮肤变态反应[M].第2版.北京:北京大学医学出版社.2003:179.
    [2]唐曙,赵佩云.合理选择和正确外用皮质类固醇激素治疗儿童皮肤病[J].中华皮肤科杂志,1997,30(5):291-293.
    [3]郭庆,曾凡钦,毕志刚,等.特应性皮炎和湿疹患者血清白介素4和干扰素y水平的检测[J].中华皮肤科杂志,2005,38(6):354-256.
    [4]Meagher LI, Wines NY, Cooper AJ. Atopic dermatitis:review of immunopathogenesis and advances in immunosupressive therapy[J].Australas J Dermatol,2002,43(4):247-254.
    [5]何春涤,王雅坤,陈红铎.几种皮肤病中角朊细胞表达ICAM-1(CD50)和HLA-DR抗原的研究[J].中华皮肤科杂志,1996,29(3):183-185.
    [6]Trautmann A, Disch R, Brocker EB. et al. How does eczema arise?J Dtsch Dermatol Ges, 2003,1(1):8-11.
    [7]司徒镇强,吴军正.细胞培养[M],西安:世界图书出版社,2007:200-201.
    [8]吴鹏,刘映峰,梁东辉,等.提高人外周血单核细胞分离率的方法探讨[J].实用医学杂志,2008,24(5):707-708.
    [9]刘明芝,周仁郁.中医药统计学与软件应用[M].北京:中国中医药出版社.2007:308-310.
    [10]朱启星,沈彤.角质形成细胞凋亡的研究进展[J].安徽医科大学学报,2003,38(6):411-424.
    [11]Weisfelner ME, Gottlieb AB. The role of apoptosis in human epidermal keratinocytes. J Drugs Dermatol,2003,2(4):91-385.
    [12]Ebihala N, Funaki T, Matsuda H, et al.Cornealabnormalifies in the NC/Nga mouse atopic dermatitis model[J].Comce,2008,27(8):923-929.
    [13]Chan LS, Robinson N, Xu L.Expression of interleuk il-4 in the epidermis of transgenic mice results in a pruritic inflammatory skin disease:an experimental animal modelto study atopic dermatitis[J].Invest Dermatol 2001,117:977—983.
    [14]Dillon SR, Sprecher C, H ammond A, et al.Interleukin 31, a cytokine produced by activated T cells, induces dermatitisin mice[J].Nat Immunol 2004,5:752-760.
    [15]Murakami T, Yamanaka K, Tokime K et al.Topical suplatast tosilate(IPD)ameliorates Th2 cyokine-mediated dermatitis in caspase-1 transgenic mice by down regulating interlenldn-4 and interleukin-5[J].Br Dennatol 2006,155(1):27-32.
    [16]Yamanaka Konishi H, Tsutsui H, Murakami T, Yumikura Futatsugi S, Yamanaka KTanaka M, et al.IL-18contributes to the spontaneous development of atopic dermatitis-like Inflammatory skin lesion independently of IgE/st at6 under specific pathogen flee conditions [J].Proc Natl Acad Sci USA,2002,99:5-11340.
    [17]Boyera N, Cavey D, Bouclier M, et al.Repeated application of dinitrochlorobenzene to the ear of sensitized guinea pigs:a preliminary characmrization of a pot ential new animal model for contact eczema in humans[J].Skin Pharmacol,1992,5(3):184-188.
    [18]Friberg D, Bryant J, Shannon W.Invitro cytokine production by normal human peripheral blood mononuclear cells as a measure of immunocompetence or the state of activation [J].Clin Diagn Lab Immunol,1999,1(3):261-268.
    [19]MutisT, De Bueger M, Bakker A, et al.HLA class Ⅱ+human keratinocytes present Mycobacterium leprae antigens to CD4+Thl-like cells[J].Scand J Immunol,1993,37(1): 43-51.
    [20]Simon J C, Cruz P J, Bergstresser P R, et al.Phorbol myristate acetate-activated keratinocytes stimulate proliferation of resting peripheral blood mononuclear lymphocytes via a MHC-independent, but protein kinase C-and intercellular adhesion molecule-1-dependent, mechanism.[J].J Immunol,1991,146(2):476-484.
    [21]Barker J N, Mitra R S, Griffiths C E, et al.Keratinocytes as initiators of inflammation[J].Lancet,1991,337(8735):211-214.
    [22]Gilhar A, Pillar T, Etzioni A.Possible role of cytokines in cellular proliferation of the skin transplanted onto nude mice[J].Arch Dermatol,1995,131(1):38-42.
    [23]Florian Sporl, Katja Schellenberg, Thomas Blatt, et al.A Circadian Clock in HaCaT Keratinocytes.Journal of Investigative Dermatology.2011,131:338-348.
    [24]Cao Y, Zhou H, Tao J, et al. Keratinocytes induce local tolerance to skin graft by activating interleukin-10-secreting T cells in the context of costimulation molecule B7-H1.Transplantation 2003,75(8):1390-1396.
    [25]Verhagen J, Akdis M, Traidl-Hoffmann C, et al.Absence of T-regulatory cell expression and function in atopic dermatitis skin.J Allergy Clin Immunol 2006,117(1):176-183.
    [26]Trautmann A, Akdis M, Schmid-Grendelmeier P, et al.Targeting keratinocyte apoptosis in the treatment of atopic dermatitis and allergic contact dermatitis.J Allergy Clin Immunol 2001,108(5):839-846.
    [27]Yanai F, Ishii E, Kojima K, et al.Essential roles of perforin in antigen-specific cytotoxicity mediated by human CD4+T lymphocytes:analysis using the combination of hereditary perforin-deficient effector cells and Fas-deficient target cells.J Immunol 2003,170(4): 2205-2213.
    [28]方蓉,李芳秋,武建国.MTT比色法的条件探讨[J].临床检验杂志,2003,21(1):34-35.
    [29]王俊学,王国俊.苦参碱及氧化苦参碱的药理作用及临床应用[J].(Chinese Hepatology, 2000,5(2):116-117.
    [30]刘梅,刘雪英,程建峰.苦参碱的药理研究进展[J].中国中药杂志,2003,28(9):801-803.
    [31]刘继勇,胡晋红,朱全刚,等.苦参碱对P物质诱导HaCaT细胞表达IFN-γ和IL-10的影响[J].药学服务与研究,2006,6(2):94-97.
    [32]王晓丽.苦参碱对类风湿关节炎外周血淋巴细胞生长、细胞周期及IFN-γ、IL-4水平影响的研究[D].太原:山西医科大学,2010:6-14.
    [33]LIU T, SONG Y, CHEN H, et al.Matrine inhibits proliferation and induces apoptosis of pancreatic cancer cells in vitro and in vivo[J].Biol Pharm Bull,2010,33(10):1740-1745.
    [34]张峻岭,陈学荣,殷金珠.氧化苦参碱诱导角质形成细胞凋亡研究[J].中国皮肤性病学杂志,2000,14(6):367-368.
    [35]张峻岭,毛舒和,乔树芳,等.氧化苦参碱上调角质形成细胞Fas抗原介导细胞凋亡[J].天津医药,2002,30(4):228-229.
    [36]解士海,黄壮峰,杨观招,等.氧化苦参碱对细胞共培养体系中酪氨酸酶及黑素的影响[J].中国热带医学,2008,8(8):1291-1292.
    [37]王会贤,章灵华,杜守英,等.氧化苦参碱对淋巴细胞增殖的影响[J].中草药,1994,25(7):362-389.
    [38]王会贤,喻学忠,钱玉昆.氧化苦参碱对淋巴细胞第二信使的影响[J].中国免疫学杂志,1993,9(5):315-317.
    [39]伍斌,曾耀英,蔡小嫦,等.氧化苦参碱对淋巴细胞增殖和调节性T细胞(Tr)数量的影响[J].中国病理生理杂志,2007,23(7)1368-1372.
    [40]韩春雷,陈学荣,马俊江.氧化苦参碱对大鼠变应性接触性皮炎药效学作用[J].北京医科大学学报,1996,28(1):59-61.
    [41]马俊江,陈学荣,斯拉甫,等.氧化苦参碱对I-IV型过敏反应的抑制作用[J].北京医科大学学报,1991,23(6):445
    [42]张凤玲,唐永,张景梅.苦参碱、氧化苦参碱的药理作用及其制剂的研究进展[J].河南中医学院学报,2004,19(3):84
    [43]Wu B, Xie HF, Li LS, et al.Two-ways effects of oxymatrine on lymphocyte proliferation in mouse lymph node stimulated by Con A[J].Chin J Mod Med,2006,16(4):492
    [44]李正蓉.苦参素的药理与临床研究进展[J].华西药学杂志,2003,18(6):435-437.
    [45]赵宝中,荣大齐,王秀军,等.苦参碱和氧化苦参碱电子结构和药性的关系[J].分子科学学报,2000,16(2):88-93
    [46]Ivanovska N, Philipov S, HIistova M. Influence of berberine on T-cell mediated immumty[J].Immunopharmacol Immunotoxicol.1999,21(4):771-786.
    [47]Marinova EK:Nikolova DB, Nopova DN, et al. Suppression of ecperimental autoimmune tubulointerstitial nephritis in BALB/c mice by berberine[J]. Immunopharmacology,2000, 48(1):6-16.
    [48]吕燕宁,邱全瑛.小檗碱对小鼠DTH及其体内几种细胞因子的影响[J].中国免疫学杂志,2000,16(3):139-141.
    [49]Ckless K, Schlottfeldt JL, Pasqual M, et al. Inhibition of in vitri lymphocyte transformation by the isiquinolinealkaloid berberine[J]. J Pharm Pharmacol,1995,47(12A):1029-1031.
    [50]何贤辉,曾耀英,徐丽慧.黄连素对T细胞活化和增殖的抑制作用[J].中国病理生理杂志,2002,(10):1183.
    [51]巫冠中,杭秉茜,杭静霞,等.丹皮酚的抗变态反应作用[J].中国药科大学学报。。1990,21(2):103-186.
    [52]李逢春,周晓玲,磨红玲,等.丹皮酚注射增强免疫功能的实验研究[J].中国中西医结合杂志,1994,14(1):37-38.
    [53]应康,王玉珍.丹皮酚对小鼠淋巴细胞转化的影响[J].包头医学院学报,2001,17(2):92-93.
    [54]朱作金,蔡福盛,杨志平,等.丹皮酚雾化吸人对大鼠免疫功能的影响[J].广西医科大学学报,1994,11(4):386-387.
    [55]章灵华.丹皮酚抗炎免疫调节作用及其机制[D].北京:中国协和医科大学,1995:40-44.
    [56]魏楚蓉,伍赶球.冰片的药理作用及其机制研究进展[J].国际病理科学与临床杂志,2010,30(4):447-451.
    [57]郭源源.薄荷醇的促透皮吸收作用及其对角质形成细胞的影响[D].湛江:广东医学院,2007:34-68.
    [58]陈丽.薄荷醇的皮肤毒性作用[D].湛江:广东医学院,2006:30-49.
    [1]徐蓉,李福伦,张琳玲,等.槐虎乳膏治疗慢性湿疹的随机对照临床研究[J].中西医结合学报,2008,6(12):1246-1249.
    [2]丁世伟,张丽,刘育文.湿疹中医药治疗概况[J].中医中药.2007,4(1):206-207.
    [3]李建广,杨占迎,梁丽英.洗浴方治疗手部慢性湿疹疗效观察[J].陕西中医,2010,31(4):442-443.
    [4]刘岩,王晓华,闵仲生,等-黄芩油膏治疗血虚风燥型湿疹79例临床观察[J].中华实用中西医杂志,2010,23(3):12-13.
    [5]张一辉.外用冰片霜治疗慢性肛门湿疹62例[J].江苏中医,2001,22(5):30.
    [6]王樱.中西医结合治疗手部慢性湿疹50例分析.实用中医内科杂志[J].2005,19(3):89.
    [7]张琴.地栀膏治疗慢性湿疹苔癣样变[J].四川中医.2008,26(8):99.
    [8]于霞,徐宝国,周光.华佗外敷麻药神方加减方治疗慢性湿疹的疗效观察[J].天津中医药,2010,27(1):84.
    [9]刘宇.黄柏止痒洗剂治疗肛周湿疹180例疗效观察[J].山东医药,2010,50(9): 102.
    []0]李建广,杨占迎.润肤汤洗浴治疗手部慢性湿疹38例[J].可北中医,2010,32(2):192.
    [11]余念文,李秀超,张少如,等.复方止痒搽剂治疗神经性皮炎、慢性湿疹临床观察[J]. 中国麻风皮肤病杂志,2007,23(6):540.
    [12]李文胜,严丽华,张胜才,等.皮洗1号洗液的研制及临床应用[J].2008,3(23):65-66.
    [13]王占威.中药外洗治疗肛门湿疹40例临床观察[J].中国现代药物应用,2010,4(9):128.
    [14]李仙.中药薰洗治疗双手湿疹18例[J].中华中西医学杂志,2010,8(5):33.
    [15]李玮.自拟湿疹膏治疗外耳湿疹108例[J].浙江中医杂志,2008,43(2):74.
    [16]蒋玲.46例中药熏蒸治疗慢性湿疹的疗效观察及护理[J].当代护理2007,7(1):71.
    [17]陈进荣.硼硫散治急慢性湿疹1173例[J].中国民间疗法1996,2(37):37.
    [18]郑雄彦,杜文敏,文焕琛.消炎止痒喷雾剂治疗肛周湿疹48例疗效观察[J].护理研究,2009,9(297):2307.
    [19]李军,汤长明,庞晓东.湿疹净喷雾剂治疗湿疹的效果[J].实用医药杂志,2003,3(3):198.
    [20]王显超,韩寿英,王晓蔷.乌蛇酊治疗慢性湿疹30例[J].中医药信息2001,18(5):33.
    [21]魏江玲.湿疮酊治疗慢性湿疹40例临床疗效观察[J].中国民族民间医药杂志2006(79):92.
    [22]来文华,顾科峰,高宜云.四物消风汤加中药熏蒸汽治疗慢性湿疹[J].浙江中西医结合杂志2010,20(6):368.
    [23]黄国坚,贺祖秀,苏敏.中西药内服外用治疗慢性湿疹100例临床分析[J].CJTCM,2007,10(19):476.
    [24]李炫谕.祛湿汤熏洗联合外用药膏治疗慢性手足湿疹疗效观察[J].实用中西医结合临床,2010,1(10): 34.
    [25]郭茂华,王心吉,陈兰芳.三联疗法治疗肛周慢性湿疹临床观察[J].结直肠肛门外科,2009,15(1)23.
    [26]钟江,付兰兰,方刚,等.甘草润肤洗剂合多磺酸粘多糖乳膏治疗手部角化性湿疹50例临床研究[J].浙江中医杂志,2010,45(9):635-636.
    [27]唐红兵.卤米松三氯生软膏联合含马齿苋及牛油果树提取物护肤品治疗慢性湿疹的疗效观察[J].医学临床研究,2010,27(8):1547-1548.
    [28]王丽.中药内服配合熏洗治疗慢性湿疹73例临床观察[J].中国社区医师,2007,24(23):34.
    [29]李咏梅,李晓睿.青石软膏对小鼠慢性皮炎一湿疹模型的影响[J].中西医结合学报,20)09,7(12):1164-1166.
    [30]郭庆,米向斌,曾凡钦,等.青蒿琥酯对慢性湿疹患者外周血淋巴细胞功能的影响[J].中国实用医药,2008,3(35):17-18.
    [31]王成玉.冰黄肤乐软膏的体外抗茵活性观察[J].山东医药,2010,50(33):18.
    [32]李丽,甄莉.黄芪对湿疹大鼠皮损中白细胞介素-4和干扰素-γ影响的实验研究[J].中国药物与临床,2010,10(1):53-54.
    [33]李丽,甄莉.黄芪对湿疹治疗机制的研究[J].山东医药杂志,2010,39(5):422423.
    [34]尤立平,白彦平,刘永生.复方甘草甜素治疗亚急性、慢性湿疹疗效观察[J].中国药房,2003,14(1):37.
    [35]冯丹红,李亚平,郭秀颖.丹皮酚软膏治疗湿疹、皮炎64例疗效观察[J].中国实用医药,2008,11(33):148.
    [36]滕瑞芝,解信章,张丰森.氧化苦参碱注射液治疗慢性湿疹48例疗效观察[J].山东医药,2007,47(11):79.
    [37]王浴生,邓文龙,薛春生.中药药理与应用[M].2版.北京:人民卫生出版社,1998:114,989,1011.
    [38]夏丽英.现代中药毒理学[M].天津:天津科技翻译出版社,2005.10:138-141.
    [39]夏丽英.现代中药毒理学[M].天津:天津科技翻译出版社,2005.10:293-295.
    [40]夏丽英.现代中药毒理学[M].天津:天津科技翻译出版社,2005.10:645-648.
    [41]夏丽英.现代中药毒理学[M].天津:天津科技翻译出版社,2005.10:664-665.
    [42]Eccles R.Menthol and relating cooling compounds[J]. JPharm Phar-maco,1994,46: 618-630.
    [43]Wang H, Chen L, ZhangR T, eta.1 The evaluation ofmenthol on cu-taneous safety[J].Pharmacology And Clinics of Chinese MateriaMedica,2008,24(3):32-34.
    [44]陈平,杨志波,杨光艳,等.外用中药治疗慢性湿疹研究进展[J].中华中医药学刊,2012,10(3):68-70.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700