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山莨菪碱临床应用进展

Review of Clinical Application of Anisodamine

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【作者】 张景媛吴嘉瑞周唯肖浩李丽嫱杨庆文刘晔成云芳金有豫郭思宇贾珊珊

【Author】 ZHANG Jingyuan;WU Jiarui;ZHOU Wei;XIAO Hao;LI Liqiang;YANG Qingwen;LIU Ye;CHENG Yunfang;JIN Youyu;GUO Siyu;JIA Shanshan;School of Chinese Materia Medica, Beijing University of Chinese Medicine;Dept. of Emergency, the Second Hospital of Hebei Medical University;Dept. of Pediatrics, Beijing Tiantan Hospital, Capital Medical University;Dept. of Otorhinolaryngology, Beijing Tongren Hospital, Capital Medical University;Dept. of Emergency, the First Affiliated Hospital of Xi’an Medical University;Dept. of Medical Affairs, Chengdu the First Pharmaceutical Co., Ltd.;Basic Medical College, Capital Medical University;

【通讯作者】 吴嘉瑞;

【机构】 北京中医药大学中药学院河北医科大学第二医院急诊科首都医科大学附属北京天坛医院儿科首都医科大学附属北京同仁医院耳鼻喉科西安医学院第一附属医院急诊科成都第一制药有限公司医学事务部首都医科大学基础医学院

【摘要】 山莨菪碱是从我国特产茄科植物山莨菪中提取分离得到的抗胆碱药,为M胆碱受体阻断剂,在临床上主要被用于治疗感染性休克,平滑肌痉挛,周围血管性疾病(血栓闭塞性脉管炎、糖尿病周围血管病变等),各种神经痛、眩晕病以及眼底疾患(中心性视网膜炎、视网膜动脉血栓)等。本研究通过系统检索中国知网、万方数据库和维普数据库等数据库,对山莨菪碱临床应用文献进行梳理,进而开展综述分析。研究结果显示,山莨菪碱主要用于感染性休克、平滑肌痉挛、眩晕病、急性胰腺炎、结石性肾绞痛和支气管哮喘等疾病;同时,山莨菪碱在糖尿病足、妊娠期高血压疾病、麻醉和内镜检查等方面也有应用。希望本研究可以为山莨菪碱的临床应用和进一步深入研究提供参考和借鉴。

【Abstract】 Anisodamine is an anticholinergic drug isolated from the Chinese Solanaceae. It is an M choline receptor blocker and is mainly used in the treatment of septic shock, smooth muscle spasm, peripheral vascular disease(thromboangiitis obliterans, diabetic peripheral vascular disease, etc.), various neuralgia, vertigo and fundus diseases(central retinitis, retinal arterial thrombosis). In this study, the clinical application literature of anisodamine was reviewed and analyzed by systematically searching databases such as CNKI, Wanfang database and VIP database. The results showed that anisodamine was mainly used for septic shock, smooth muscle spasm, vertigo, acute pancreatitis, calculous renal colic and bronchial asthma; in the meantime, anisodamine was also used in diabetic foot, gestational hypertension, anesthesia and endoscopy. It is hoped that this study can provide reference for the clinical application and further study of anisodamine.

【关键词】 山莨菪碱临床应用综述
【Key words】 AnisodamineClinical applicationReview
【基金】 国家自然科学基金项目(No.81673829);北京中医药大学与成都第一制药有限公司合作课题
  • 【文献出处】 中国医院用药评价与分析 ,Evaluation and Analysis of Drug-Use in Hospitals of China , 编辑部邮箱 ,2019年04期
  • 【分类号】R285.6
  • 【被引频次】25
  • 【下载频次】886
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