CN101069683A - Meclofenoxate hydrochloride medicine use - Google Patents

Meclofenoxate hydrochloride medicine use Download PDF

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Publication number
CN101069683A
CN101069683A CN 200710052352 CN200710052352A CN101069683A CN 101069683 A CN101069683 A CN 101069683A CN 200710052352 CN200710052352 CN 200710052352 CN 200710052352 A CN200710052352 A CN 200710052352A CN 101069683 A CN101069683 A CN 101069683A
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China
Prior art keywords
meclofenoxate hydrochloride
group
meclofenoxate
injection
femur head
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CN 200710052352
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CN100515417C (en
Inventor
刘遵路
李润宝
余辉
陈雪红
杨旸
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Zhuhai morning Ann Pharmaceutical Co., Ltd.
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TONGYUAN PHARMACEUTICAL IND CO Ltd WUHAN
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Abstract

The present invention relates to a new application of meclofenoxate hydrochloride for preparing medicine for curing necrosis of femoral head with good therapeutic effect. The invented medicine can be made into injection preparation, also can be made into oral preparation, for example meclofenoxate hydrochloride capsule, etc. Said invention also provides its application method.

Description

The new medical use of meclofenoxate hydrochloride
Technical field
The present invention relates to the new medical use of meclofenoxate hydrochloride, i.e. the application of meclofenoxate hydrochloride in the medicine of preparation treatment femur head necrosis belongs to medical technical field.
Background technology
Femur head necrosis is that composition alive (osteocyte, myeloid element and the adipose cell) death with bone is the main pathological process that changes.Femur head necrosis is world's pertinacious disease, because its cause of disease complexity, and the treatment difficulty, it is very high to treat untimely disability rate, seriously jeopardizes patient's live and work, thereby is called " not dead cancer " by people, and as seen its harm has much.Osteonecrosis is the most common with femur head necrosis.It is reported that the annual new cases of China's femur head necrosis are between 15~200,000, accumulation needs the case of treatment between 5,000,000~7,500,000.State's Ministry of Public Health such as Japan, the U.S. are classified this disease as unsolved refractory disease, drop into huge fund research, but it are to be solved to still have many difficult problems to have.The femur head necrosis onset is slow, and the course of disease is longer, at a very long time patient non-evident sympton.Modal clinical symptoms is hip discomfort or pain, and pain is obvious behind tired back or the walking for a long time, and the back of having a rest is alleviated.In the femur head necrosis pathogenic process, the lumbosacral region or the gonalgia often appear, easily the mistaken diagnosis lumbar intervertebral disc deviate from, spinal canal stenosis, sciatica, rheumatic arthritis, synovitis etc.The weight that the outstanding feature of primary disease is a subjective symptoms is not directly proportional with the femur head necrosis destructiveness, and patient will pay special attention to.Along with walking lamely and pain increases the weight of, hip joint function is limited gradually, can make late period hip joint stiff and disable.In recent years, along with adrenocortical hormone extensive use clinically, the femur head necrosis that causes thus is much accounted of day by day.Because of primary disease mainly involves young and middle-aged people, and bilateral is seen serious harm patient's labour force and life quality more.About 80% untreated femur head necrosis patient can generation collapse of the femoral head in 1~4 year after morbidity.In a single day femoral head subsides, then hip joint severe osteoarthritis takes place inevitably and make patient's arthralgia, joint motion is limited and the pedestrian worker's joint replacement of having to.But present level, long-term (more than 15~20 years) good curative effect of young and middle-aged artificial joint replacement are still certainly difficult.Therefore, how reducing the incidence rate of this type of osteonecrosis, can obtain early diagnosis and effectively treatment in case necrose, make the patient keep self femoral head as far as possible, avoid or postpone the prosthetic replacement, is the problem that presses for solution at present.
Meclofenoxate hydrochloride, its chemical name is: 2-(dimethylamino) ethyl parachlorophen-oxyacetic acid ester hydrochloride, this product can promote the oxidoreduction metabolism of brain cell, increases the utilization to saccharide, maincenter is suppressed the patient excitation; Traumatic stupor, alcoholism, anoxia neonatorum disease, child's enuresis there is certain curative effect [referring to the meclofenoxate hydrochloride injection description of (sino-america joint-venture) SHANXI POWERDONE PHARMACEUTICAL.,LTD and Hunan WZT Pharmaceutical Co., Ltd].But do not see the report that has meclofenoxate hydrochloride femur head necrosis to be had medical function.
Summary of the invention
Problem to be solved by this invention provides the new medical use of meclofenoxate hydrochloride, and the medicine for preparing with meclofenoxate hydrochloride has curative effect preferably to femur head necrosis.
Technical scheme provided by the invention is: the application of meclofenoxate hydrochloride in the medicine of the femur head necrosis of preparation treatment treatment.
The present invention stays with meclofenoxate hydrochloride treatment femur head necrosis has curative effect preferably.Medicine of the present invention (as meclofenoxate hydrochloride injection) can give by intramuscular injection, intravenous injection or intravenous drip etc., also can adopt oral formulations (example hydrochloric acid meclofenoxate capsule etc.) orally give.Its consumption generally can give according to the routine dose of meclofenoxate hydrochloride injection in the prior art.The present invention recommends usage and dosage: intravenous injection or intravenous drip, every day 2-3 time, each 0.06~0.25g; Intramuscular injection, a 0.06-0.25, per 2 hours are once.
The specific embodiment
The present invention further specifies effect of the present invention by following experimental data.
1. experiment material:
1.1 animal
Laboratory animal: the Japan large ear rabbit of growing up, 2.1~3.0kg is provided by institute for drug control, Hunan Province Experimental Animal Center, quality certification SYXK (Hunan) 2003-0006 number.
1.2 medicine and reagent
Meclofenoxate hydrochloride injection: (sino-america joint-venture) SHANXI POWERDONE PHARMACEUTICAL.,LTD, specification: 0.25g/ bottle; Lot number: 030901; Face with preceding stand-by with the water for injection dilution.
Predniso lone acetate: Hubei Pharmaceutic Works produces, specification: 125mg/5ml lot number: 20040918.
Benzylpenicillin sodium for injection Xinan Pharmaceutical Co., Ltd., specification: 800,000 U, lot number: 20040309 face with preceding stand-by with the water for injection dilution.
2. experimental technique and data
2.1 animal grouping
Get 24 of Japan large ear rabbits, respectively get 8 at random and be divided into normal control group, model group and meclofenoxate hydrochloride group.
Normal control group: intragluteal injection normal saline;
Model group: every 2 intragluteal injection 6mg predniso lone acetate/kg and 80,000 U penicillins/only weekly, 12 weeks;
Meclofenoxate hydrochloride group: every 2 intragluteal injection 6mg predniso lone acetate/kg and 80,000 U penicillins/only, inject 60mg meclofenoxate hydrochloride injection/kg, 12 weeks simultaneously every day weekly;
2.2 test item and method:
2.2.1 lipids detection:
3 treated animals are in blood sampling on an empty stomach.Get 3ml blood, after waiting to separate out serum, adopt the automatic biochemistry analyzer enzyme-linked method to survey serum total cholesterol and triglyceride.
2.2.2 histopathological examination:
Each treated animal takes out bilateral femoral head in the back execution of 12 weeks, fixes with 10% formalin buffer, and 5% salpeter solution decalcification, specimen is vertically cut in the flowing water flushing after the decalcification, through step concentration ethanol solution dehydrates, does specimens paraffin embedding slices, HE dyeing.When observing the skeleton section, optional 10 high power fields of femoral head cartilage inferior segment, 50 lacunas of every visual field counting are counted clearancen bone lacuna number respectively, obtain meansigma methods.
2.2.3 the femoral head bone density detects:
Use the light quantum bone density meter and measure the capital bone density of 3 treated animals.
2.3 the processing of experimental data:
Adopt the t method of inspection that compares between mean to carry out statistical procedures.
3. result
3.1 blood fat:
Table 1 meclofenoxate hydrochloride is to the influence of laboratory animal serum cholesterol and triglyceride (X ± S)
Group n Serum total cholesterol Triglyceride
The normal control group 8 1.52±0.41 0.90±0.31
Model group 8 4.60±0.88 ** 3.84±0.82 **
The meclofenoxate hydrochloride group 8 2.26±0.42 △△ 1.42±0.29 △△
Annotate: *For comparing P<0.01 with normal group; △ △For comparing P<0.01 with model group.
Table 1 shows that the serum cholesterol of model group and triglyceride all are significantly higher than normal control group and meclofenoxate hydrochloride group; Though the normal matched group of meclofenoxate hydrochloride group raises not statistically significant (P>0.05) to some extent.
3.2 histopathology result:
Table 2 meclofenoxate hydrochloride is to the influence of laboratory animal pulp cavity fat cell hypertrophy hyperplasia degree and osteonecrosis
Group n The adipose cell proliferation degree Medullary cavity osteonecrosis kitchen range
The normal control group 8 A little Do not have
Model group 8 Obviously Many
The meclofenoxate hydrochloride group 8 A little Few
Table 3 meclofenoxate hydrochloride is to the influence of laboratory animal femoral head bone lacuna number (X ± S)
Group n The bone lacuna number
The normal control group 8 12.7±3.38
Model group 8 33.5±7.83 **
The meclofenoxate hydrochloride group 8 21.9±4.95 △△
Annotate: *For comparing P<0.01 with normal group; △ △For comparing P<0.01 with model group.
Normal control group and the gross anatomy of meclofenoxate hydrochloride treated animal femoral head show no obvious abnormalities; To a certain degree sclerotin evacuation all appears in model group and meclofenoxate hydrochloride group, and model group is particularly evident.The bone lacuna number increases under the model group light microscopic, and the adipose cell number increases, and the interior blood vessel of marrow that closes on subcartilaginous osseous lamella is very thin, and the sinusoid blood vessel is thick in the epiphysis portion pulp cavity, coincide to be netted, and district's trunk is arranged along the line of force bearing a heavy burden.Transmission electron microscope partial femoral head osteocyte volume-diminished, karyopycnosis, more osteocyte necrolysis fragmentates; Medullary cell in the pulp cavity of non-necrotic area is replaced by adipose cell substantially; Chondrocyte is arranged in order under the normal control group light microscopic, and the shallow district of cartilage following table sclerotin is domes, and transitional areas and the stringer of central area bone trabecula are arranged towards articular surface.The visible small amount of bone lacuna of meclofenoxate hydrochloride group light microscopic inferior segment, but the bone lacuna number is than model group few (P<0.01), and the bone marrow fat cell hypertrophy increases not obvious, visible point-like necrosis region in the pulp cavity, the sinusoid blood vessel is oppressed to some extent in the epiphysis portion pulp cavity, compares but with model group obviously to alleviate.
3.3 histopathology result:
Table 4 meclofenoxate hydrochloride is to the influence of laboratory animal femoral head bone density (X ± S)
Group n Femoral head bone density (g/cm 3)
The normal control group 8 0.878±0.148
Model group 8 0.839±0.186 **
The meclofenoxate hydrochloride group 8 0.868±0.131 △△
Annotate: *For comparing P<0.01 with normal group; △ △For comparing P<0.01 with model group.
Experiment shows that meclofenoxate hydrochloride group femoral head bone density is apparently higher than model group (P<0.01), and is near with the normal control winding.Illustrate that the present invention adopts the meclofenoxate hydrochloride treatment that certain positive role is played in the progress that prevents femur head necrosis, the reparation of promotion bone.
4. conclusion
The present invention shows that by the experiment to the effect of laboratory animal femur head necrosis meclofenoxate hydrochloride of the present invention is used for the treatment of femur head necrosis and has effect preferably.Disclose the medicine that meclofenoxate hydrochloride of the present invention can be used as the treatment femur head necrosis.

Claims (1)

1. the new medical use of meclofenoxate hydrochloride is characterized in that: the application of meclofenoxate hydrochloride in the medicine of preparation treatment femur head necrosis.
CNB2007100523521A 2007-06-01 2007-06-01 Applicaiton of meclofenoxate hydrochloride in preparing medicine for treating femoral head necrosis Active CN100515417C (en)

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CN100515417C CN100515417C (en) 2009-07-22

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113332271A (en) * 2021-03-31 2021-09-03 中山大学孙逸仙纪念医院 Application of meclofenoxate hydrochloride in preparation of medicine for preventing or treating Parkinson's disease

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113332271A (en) * 2021-03-31 2021-09-03 中山大学孙逸仙纪念医院 Application of meclofenoxate hydrochloride in preparation of medicine for preventing or treating Parkinson's disease

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Denomination of invention: Applicaiton of meclofenoxate hydrochloride in preparing medicine for treating femoral head necrosis

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Granted publication date: 20090722

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