CN105797133A - 一种治疗子宫肌瘤的片剂及其制备方法 - Google Patents
一种治疗子宫肌瘤的片剂及其制备方法 Download PDFInfo
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- CN105797133A CN105797133A CN201610287131.1A CN201610287131A CN105797133A CN 105797133 A CN105797133 A CN 105797133A CN 201610287131 A CN201610287131 A CN 201610287131A CN 105797133 A CN105797133 A CN 105797133A
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Abstract
本发明公开了一种治疗子宫肌瘤的片剂及其制备方法,所述片剂是主要由以下成分组成:芦荟大黄素、阿马里新、原阿片碱、猕猴桃提取物、三苯氧胺、美登普林、N‑乙酰氨基葡萄糖、澳洲茄碱、藻青素、泛酸钙、β‑谷甾醇、猴头菌多糖、香豆精、川陈皮素、云芝菌体多糖、复合维生素;所述片剂还包括辅料:填充剂、崩解剂、粘合剂、润滑剂。本发明的片剂是给多种西药的有效成分中加入纯天然的提取物,合理配比,具有有活血止痛、消肿散结、抑制肿瘤增长,抵抗肿瘤组织癌变的功效,由于激素刺激可快速的改善增生子宫内膜的血液循环,使肌层的增生结缔组织逐渐软化、变小、消失,本发明片剂制备工艺简单,经临床验证,安全有效,使用方便,具有很好的临床推广意义。
Description
技术领域
本发明涉及肿瘤用药技术领域,具体是涉及一种治疗子宫肌瘤的片剂及其制备方法。
背景技术
子宫肌瘤是女性生殖器官中最常见的一种良性肿瘤,也是人体中最常见的肿瘤之一,又称为纤维肌瘤、子宫纤维瘤。由于子宫肌瘤主要是由子宫平滑肌细胞增生而成,其中有少量纤维结缔组织作为一种支持组织而存在,故称为子宫平滑肌瘤较为确切,简称子宫肌瘤。子宫肌瘤的具体原因目前尚不十分明确,多数研究表明,激素分泌过于旺盛,是导致子宫肌瘤的最普遍原因,而女性的这三种行为模式,是造成内分泌紊乱,导致激素分泌过剩的罪魁祸首,也可能涉及到正常肌层的细胞突变、性激素及局部生长因子间的较为复杂的相互作用。根据大量临床观察和实验结果表明子宫肌瘤是一种激素依赖性肿瘤。雌激素是促使肌瘤生长的主要因素,还有学者认为生长激素(GH)与肌瘤生长亦有关,GH能协同雌激素促进有丝分裂而促进肌瘤生长,并推测人胎盘催乳素(HPL)也能协同雌激素促有丝分裂作用,认为妊娠期子宫肌瘤生长加速除与妊娠期高激素环境有关外,可能HPL也参加了作用。此外卵巢功能、激素代谢均受高级神经中枢的控制调节,故神经中枢活动对肌瘤的发病也可能起重要作用。因子宫肌瘤多见于育龄、丧偶及性生活不协调的妇女。长期性生活失调而引起盆腔慢性充血也可能是诱发子宫肌瘤的原因之一。总之,子宫肌瘤的发生发展可能是多因素共同作用的结果。
目前针对子宫肌瘤的治疗手术仍然是主要手段,子宫肌瘤的手术主要指子宫切除术(包括全切和半切)、子宫肌瘤剔除术,最新的子宫动脉血管结扎或血管栓塞法治疗会使肌瘤缩小,但仍存在。因此手术对于女性患者身体的损坏也是很大的,而以药物为主的保守治疗,疗效确切,免除了部分患者的手术痛苦,见效快、治愈率高,有很好临床应用前景。
发明内容
本发明解决的技术问题是,提供一种治疗子宫肌瘤的片剂及其制备方法。
本发明的技术方案是,一种治疗子宫肌瘤的片剂,所述片剂是主要由以下重量份的成分组成:芦荟大黄素5-8份、阿马里新0.3-0.5份、原阿片碱0.1-0.3份、猕猴桃提取物2-3份、三苯氧胺0.5-0.8份、美登普林0.2-0.4份、N-乙酰氨基葡萄糖3-5份、澳洲茄碱0.6-0.8份、藻青素1-1.5份、泛酸钙0.8-1.6份、β-谷甾醇2-4份、猴头菌多糖1-3份、香豆精0.3-0.6份、川陈皮素1.5-2.5份、云芝菌体多糖2.4-3.6份、复合维生素0.3-0.5份;所述片剂还包括辅料:填充剂30-50份、崩解剂3-5份、粘合剂20-40份、润滑剂2-4份。
进一步的,所述的猕猴桃提取物制备方法为:猕猴桃提取物的制备方法为:取成熟的新鲜猕猴桃,去皮去核后加入5-8倍量的纯净水,置于榨汁机榨汁,挤压过滤后得到猕猴桃汁,再将给滤渣中加入3-5倍的质量浓度为65-85%的乙醇溶液,搅拌均匀后室温静置6-8h,然后再次过滤得到滤液,将猕猴桃汁和滤液合并,减压浓缩析出晶体,将晶体粉碎,过150-200目筛,即得到猕猴桃提取物,猕猴桃中含有一种抗突变成分谷胱甘肽,有利于抑制诱发癌症基因的突变,含有较多的膳食纤维和寡糖、蛋白质分解酵素,可快速清除体内堆积的有害代谢产物,防治、预防大便秘结、防治结肠癌及动脉硬化,含有大量的VC和抗氧化物质可以有效增强肌体的免疫功能。
进一步的,所述的复合维生素是指将维生素B12、维生素C、维生素E按照1:5:2的重量比混合而成的,维生素B12的促进骨髓红细胞的产生从而防止子宫肌瘤出血过多引起的恶性贫血;维生素C能阻断致癌物亚硝酸铵的形成从而抵抗肿瘤细胞癌变;维生素E可以保护T淋巴细胞、保护红细胞、抗自由基氧化、抑制血小板聚集,使末梢血管扩张,改善血液循环。
进一步的,所述的填充剂为乳糖、糊精、微晶纤维素中的任意一种或两种以上的任意组合,此类填充剂是相对无毒和无刺激性的物质,流动性、可压性好,结合力强,对药物的有效成分具有很大的容纳性。
进一步的,所述的崩解剂为交联聚维酮、交联羧甲基纤维素钠、羧甲基纤维素钙中的任意一种或两种以上的任意组合,此类崩解剂性能优越,有非常显著的吸水膨胀作用,颗粒非常细小,有利于药物的溶出。
进一步的,所述的粘合剂为羟乙基纤维素、淀粉1500、聚乙烯吡咯烷酮中的任意一种或两种以上的任意组合,此类粘合剂在水中溶解性优异,粘度强,便于吸收。
进一步的,所述的润滑剂为硬脂酸钙、硬脂富马酸钠、二氧化硅中的任意一种或两种以上的任意组合,此类润滑剂能有效的降低颗粒之间的摩擦,改善粉末流动性,便于药物制粒中的均匀性。
一种治疗子宫肌瘤的片剂的制备方法为:
步骤一:猕猴桃提取物的制备方法为:取成熟的新鲜猕猴桃,去皮去核后加入5-8倍量的纯净水,置于榨汁机榨汁,挤压过滤后得到猕猴桃汁,再将给滤渣中加入3-5倍的质量浓度为65-85%的乙醇溶液,搅拌均匀后室温静置6-8h,然后再次过滤得到滤液,将猕猴桃汁和滤液合并,减压浓缩析出晶体,将晶体粉碎,过150-200目筛,即得到猕猴桃提取物,猕猴桃中含有一种抗突变成分谷胱甘肽,有利于抑制诱发癌症基因的突变,含有较多的膳食纤维和寡糖、蛋白质分解酵素,可快速清除体内堆积的有害代谢产物,防治、预防大便秘结、防治结肠癌及动脉硬化,含有大量的VC和抗氧化物质可以有效增强肌体的免疫功能。;
步骤二:将所述重量组份的芦荟大黄素、阿马里新、原阿片碱、猕猴桃提取物、三苯氧胺、美登普林、N-乙酰氨基葡萄糖、澳洲茄碱、藻青素、泛酸钙、β-谷甾醇、猴头菌多糖、香豆精、川陈皮素、云芝菌体多糖、复合维生素使用机械搅拌,置于搅拌机以180-240r/min,搅拌15-30min后得到混合药粉,再将混合药粉研磨粉碎,过150-200目筛,制成混合药物细粉,备用;
步骤三:将所述重量组份的粘合剂和质量浓度为50-65%的乙醇溶液按照1:3-5的重量比混合溶解配制成粘合剂溶液,备用;
步骤四:将步骤二制备的混合药物细粉和所述重量组份的填充剂混合均匀,加入步骤三制备的粘合剂溶液中,制备成湿颗粒,过30目筛,再将湿颗粒于40-50℃干燥并整粒得到干颗粒,给干颗粒中加入所述重量组份的崩解剂、润滑剂,混合均匀后压制成片剂,即制备治疗子宫肌瘤的片剂。
本发明的片剂有益效果体现在:具有活血止痛、消肿散结,提高淋巴细胞活性,促进蛋白质、脂肪、糖在体内的新陈代谢,抗菌及镇静的作用,可有效的增强人体免疫系统的功能,抑制癌细胞或纤维细胞的过度生长,可快速的改善增生子宫内膜的血液循环,使肌层的增生结缔组织逐渐软化、变小、消失,从而消除子宫肌瘤。
本发明所述片剂的原辅料重量比例及制备方法是经过大量严格筛选试验,工艺验证,稳定性研究后才得到的,并非通过制剂教材或其它参考资料就可以直接得到的,经过筛选试验,工艺验证,稳定性研究证实本发明原辅料比例合理,制备工艺稳定,成品制剂稳定,符合制剂学以及国家食品药品监督管理局对于口服片剂的制剂指导原则要求,本发明片剂制备工艺简单,经临床验证,安全有效,使用方便,具有很好的临床推广意义。
具体实施方式
实施例1:
一种治疗子宫肌瘤的片剂,所述片剂是主要由以下重量份的成分组成:芦荟大黄素5份、阿马里新0.3份、原阿片碱0.1份、猕猴桃提取物2份、三苯氧胺0.5份、美登普林0.2份、N-乙酰氨基葡萄糖3份、澳洲茄碱0.6份、藻青素1份、泛酸钙0.8份、β-谷甾醇2份、猴头菌多糖1份、香豆精0.3份、川陈皮素1.5份、云芝菌体多糖2.4份、复合维生素0.3份;所述片剂还包括辅料:填充剂30份、崩解剂3份、粘合剂20份、润滑剂2份。
其中,所述的猕猴桃提取物制备方法为:猕猴桃提取物的制备方法为:取成熟的新鲜猕猴桃,去皮去核后加入5倍量的纯净水,置于榨汁机榨汁,挤压过滤后得到猕猴桃汁,再将给滤渣中加入3倍的质量浓度为65%的乙醇溶液,搅拌均匀后室温静置6h,然后再次过滤得到滤液,将猕猴桃汁和滤液合并,减压浓缩析出晶体,将晶体粉碎,过150目筛,即得到猕猴桃提取物,猕猴桃中含有一种抗突变成分谷胱甘肽,有利于抑制诱发癌症基因的突变,含有较多的膳食纤维和寡糖、蛋白质分解酵素,可快速清除体内堆积的有害代谢产物,防治、预防大便秘结、防治结肠癌及动脉硬化,含有大量的VC和抗氧化物质可以有效增强肌体的免疫功能。所述的复合维生素是指将维生素B12、维生素C、维生素E按照1:5:2的重量比混合而成的,维生素B12的促进骨髓红细胞的产生从而防止子宫肌瘤出血过多引起的恶性贫血;维生素C能阻断致癌物亚硝酸铵的形成从而抵抗肿瘤细胞癌变;维生素E可以保护T淋巴细胞、保护红细胞、抗自由基氧化、抑制血小板聚集,使末梢血管扩张,改善血液循环。所述的填充剂为乳糖,此类填充剂是相对无毒和无刺激性的物质,流动性、可压性好,结合力强,对药物的有效成分具有很大的容纳性。所述的崩解剂为交联聚维酮,此类崩解剂性能优越,有非常显著的吸水膨胀作用,颗粒非常细小,有利于药物的溶出。所述的粘合剂为羟乙基纤维素,此类粘合剂在水中溶解性优异,粘度强,便于吸收。所述的润滑剂为硬脂酸钙,此类润滑剂能有效的降低颗粒之间的摩擦,改善粉末流动性,便于药物制粒中的均匀性。
一种治疗子宫肌瘤的片剂的制备方法为:
步骤一:猕猴桃提取物的制备方法为:取成熟的新鲜猕猴桃,去皮去核后加入5倍量的纯净水,置于榨汁机榨汁,挤压过滤后得到猕猴桃汁,再将给滤渣中加入3倍的质量浓度为65%的乙醇溶液,搅拌均匀后室温静置6h,然后再次过滤得到滤液,将猕猴桃汁和滤液合并,减压浓缩析出晶体,将晶体粉碎,过150目筛,即得到猕猴桃提取物,猕猴桃中含有一种抗突变成分谷胱甘肽,有利于抑制诱发癌症基因的突变,含有较多的膳食纤维和寡糖、蛋白质分解酵素,可快速清除体内堆积的有害代谢产物,防治、预防大便秘结、防治结肠癌及动脉硬化,含有大量的VC和抗氧化物质可以有效增强肌体的免疫功能。;
步骤二:将所述重量组份的芦荟大黄素、阿马里新、原阿片碱、猕猴桃提取物、三苯氧胺、美登普林、N-乙酰氨基葡萄糖、澳洲茄碱、藻青素、泛酸钙、β-谷甾醇、猴头菌多糖、香豆精、川陈皮素、云芝菌体多糖、复合维生素使用机械搅拌,置于搅拌机以180r/min,搅拌15min后得到混合药粉,再将混合药粉研磨粉碎,过150目筛,制成混合药物细粉,备用;
步骤三:将所述重量组份的粘合剂和质量浓度为50%的乙醇溶液按照1:3的重量比混合溶解配制成粘合剂溶液,备用;
步骤四:将步骤二制备的混合药物细粉和所述重量组份的填充剂混合均匀,加入步骤三制备的粘合剂溶液中,制备成湿颗粒,过30目筛,再将湿颗粒于40℃干燥并整粒得到干颗粒,给干颗粒中加入所述重量组份的崩解剂、润滑剂,混合均匀后压制成片剂,即制备治疗子宫肌瘤的片剂。
实施例2:
一种治疗子宫肌瘤的片剂,所述片剂是主要由以下重量份的成分组成:芦荟大黄素6.5份、阿马里新0.4份、原阿片碱0.2份、猕猴桃提取物2.5份、三苯氧胺0.65份、美登普林0.3份、N-乙酰氨基葡萄糖4份、澳洲茄碱0.7份、藻青素1.25份、泛酸钙1.2份、β-谷甾醇3份、猴头菌多糖2份、香豆精0.45份、川陈皮素2份、云芝菌体多糖3份、复合维生素0.4份;所述片剂还包括辅料:填充剂40份、崩解剂4份、粘合剂30份、润滑剂3份。
其中,所述的猕猴桃提取物制备方法为:猕猴桃提取物的制备方法为:取成熟的新鲜猕猴桃,去皮去核后加入6.5倍量的纯净水,置于榨汁机榨汁,挤压过滤后得到猕猴桃汁,再将给滤渣中加入4倍的质量浓度为75%的乙醇溶液,搅拌均匀后室温静置7h,然后再次过滤得到滤液,将猕猴桃汁和滤液合并,减压浓缩析出晶体,将晶体粉碎,过175目筛,即得到猕猴桃提取物,猕猴桃中含有一种抗突变成分谷胱甘肽,有利于抑制诱发癌症基因的突变,含有较多的膳食纤维和寡糖、蛋白质分解酵素,可快速清除体内堆积的有害代谢产物,防治、预防大便秘结、防治结肠癌及动脉硬化,含有大量的VC和抗氧化物质可以有效增强肌体的免疫功能。所述的复合维生素是指将维生素B12、维生素C、维生素E按照1:5:2的重量比混合而成的,维生素B12的促进骨髓红细胞的产生从而防止子宫肌瘤出血过多引起的恶性贫血;维生素C能阻断致癌物亚硝酸铵的形成从而抵抗肿瘤细胞癌变;维生素E可以保护T淋巴细胞、保护红细胞、抗自由基氧化、抑制血小板聚集,使末梢血管扩张,改善血液循环。所述的填充剂为糊精,此类填充剂是相对无毒和无刺激性的物质,流动性、可压性好,结合力强,对药物的有效成分具有很大的容纳性。所述的崩解剂为交联羧甲基纤维素钠,此类崩解剂性能优越,有非常显著的吸水膨胀作用,颗粒非常细小,有利于药物的溶出。所述的粘合剂为淀粉1500,此类粘合剂在水中溶解性优异,粘度强,便于吸收。所述的润滑剂为硬脂富马酸钠,此类润滑剂能有效的降低颗粒之间的摩擦,改善粉末流动性,便于药物制粒中的均匀性。
一种治疗子宫肌瘤的片剂的制备方法为:
步骤一:猕猴桃提取物的制备方法为:取成熟的新鲜猕猴桃,去皮去核后加入6.5倍量的纯净水,置于榨汁机榨汁,挤压过滤后得到猕猴桃汁,再将给滤渣中加入4倍的质量浓度为75%的乙醇溶液,搅拌均匀后室温静置7h,然后再次过滤得到滤液,将猕猴桃汁和滤液合并,减压浓缩析出晶体,将晶体粉碎,过175目筛,即得到猕猴桃提取物,猕猴桃中含有一种抗突变成分谷胱甘肽,有利于抑制诱发癌症基因的突变,含有较多的膳食纤维和寡糖、蛋白质分解酵素,可快速清除体内堆积的有害代谢产物,防治、预防大便秘结、防治结肠癌及动脉硬化,含有大量的VC和抗氧化物质可以有效增强肌体的免疫功能;
步骤二:将所述重量组份的芦荟大黄素、阿马里新、原阿片碱、猕猴桃提取物、三苯氧胺、美登普林、N-乙酰氨基葡萄糖、澳洲茄碱、藻青素、泛酸钙、β-谷甾醇、猴头菌多糖、香豆精、川陈皮素、云芝菌体多糖、复合维生素使用机械搅拌,置于搅拌机以210r/min,搅拌22.5min后得到混合药粉,再将混合药粉研磨粉碎,过175目筛,制成混合药物细粉,备用;
步骤三:将所述重量组份的粘合剂和质量浓度为57.5%的乙醇溶液按照1:4的重量比混合溶解配制成粘合剂溶液,备用;
步骤四:将步骤二制备的混合药物细粉和所述重量组份的填充剂混合均匀,加入步骤三制备的粘合剂溶液中,制备成湿颗粒,过30目筛,再将湿颗粒于45℃干燥并整粒得到干颗粒,给干颗粒中加入所述重量组份的崩解剂、润滑剂,混合均匀后压制成片剂,即制备治疗子宫肌瘤的片剂。
实施例3:
一种治疗子宫肌瘤的片剂,所述片剂是主要由以下重量份的成分组成:芦荟大黄素8份、阿马里新0.5份、原阿片碱0.3份、猕猴桃提取物3份、三苯氧胺0.8份、美登普林0.4份、N-乙酰氨基葡萄糖5份、澳洲茄碱0.8份、藻青素1.5份、泛酸钙1.6份、β-谷甾醇4份、猴头菌多糖3份、香豆精0.6份、川陈皮素2.5份、云芝菌体多糖3.6份、复合维生素0.5份;所述片剂还包括辅料:填充剂50份、崩解剂5份、粘合剂40份、润滑剂4份。
其中,所述的猕猴桃提取物制备方法为:猕猴桃提取物的制备方法为:取成熟的新鲜猕猴桃,去皮去核后加入8倍量的纯净水,置于榨汁机榨汁,挤压过滤后得到猕猴桃汁,再将给滤渣中加入5倍的质量浓度为85%的乙醇溶液,搅拌均匀后室温静置8h,然后再次过滤得到滤液,将猕猴桃汁和滤液合并,减压浓缩析出晶体,将晶体粉碎,过200目筛,即得到猕猴桃提取物,猕猴桃中含有一种抗突变成分谷胱甘肽,有利于抑制诱发癌症基因的突变,含有较多的膳食纤维和寡糖、蛋白质分解酵素,可快速清除体内堆积的有害代谢产物,防治、预防大便秘结、防治结肠癌及动脉硬化,含有大量的VC和抗氧化物质可以有效增强肌体的免疫功能。所述的复合维生素是指将维生素B12、维生素C、维生素E按照1:5:2的重量比混合而成的,维生素B12的促进骨髓红细胞的产生从而防止子宫肌瘤出血过多引起的恶性贫血;维生素C能阻断致癌物亚硝酸铵的形成从而抵抗肿瘤细胞癌变;维生素E可以保护T淋巴细胞、保护红细胞、抗自由基氧化、抑制血小板聚集,使末梢血管扩张,改善血液循环。所述的填充剂为微晶纤维素,此类填充剂是相对无毒和无刺激性的物质,流动性、可压性好,结合力强,对药物的有效成分具有很大的容纳性。所述的崩解剂为羧甲基纤维素钙,此类崩解剂性能优越,有非常显著的吸水膨胀作用,颗粒非常细小,有利于药物的溶出。所述的粘合剂为聚乙烯吡咯烷酮,此类粘合剂在水中溶解性优异,粘度强,便于吸收。所述的润滑剂为二氧化硅,此类润滑剂能有效的降低颗粒之间的摩擦,改善粉末流动性,便于药物制粒中的均匀性。
一种治疗子宫肌瘤的片剂的制备方法为:
步骤一:猕猴桃提取物的制备方法为:取成熟的新鲜猕猴桃,去皮去核后加入8倍量的纯净水,置于榨汁机榨汁,挤压过滤后得到猕猴桃汁,再将给滤渣中加入5倍的质量浓度为85%的乙醇溶液,搅拌均匀后室温静置8h,然后再次过滤得到滤液,将猕猴桃汁和滤液合并,减压浓缩析出晶体,将晶体粉碎,过200目筛,即得到猕猴桃提取物,猕猴桃中含有一种抗突变成分谷胱甘肽,有利于抑制诱发癌症基因的突变,含有较多的膳食纤维和寡糖、蛋白质分解酵素,可快速清除体内堆积的有害代谢产物,防治、预防大便秘结、防治结肠癌及动脉硬化,含有大量的VC和抗氧化物质可以有效增强肌体的免疫功能。;
步骤二:将所述重量组份的芦荟大黄素、阿马里新、原阿片碱、猕猴桃提取物、三苯氧胺、美登普林、N-乙酰氨基葡萄糖、澳洲茄碱、藻青素、泛酸钙、β-谷甾醇、猴头菌多糖、香豆精、川陈皮素、云芝菌体多糖、复合维生素使用机械搅拌,置于搅拌机以240r/min,搅拌30min后得到混合药粉,再将混合药粉研磨粉碎,过200目筛,制成混合药物细粉,备用;
步骤三:将所述重量组份的粘合剂和质量浓度为65%的乙醇溶液按照1:5的重量比混合溶解配制成粘合剂溶液,备用;
步骤四:将步骤二制备的混合药物细粉和所述重量组份的填充剂混合均匀,加入步骤三制备的粘合剂溶液中,制备成湿颗粒,过30目筛,再将湿颗粒于50℃干燥并整粒得到干颗粒,给干颗粒中加入所述重量组份的崩解剂、润滑剂,混合均匀后压制成片剂,即制备治疗子宫肌瘤的片剂。
动物毒性试验
选取SD大鼠60只,雌雄兼用,体重200-230g,分成三组,每组20只,每组分别按照15ml/kg的用量分别使用本发明实施例1、实施例2、实施例3制备的片剂;给药方式为将本发明制备的片剂研磨成细粉后与细粉5倍量的纯净水混合均匀进行灌胃给药,每天两次,连服20天,每天观察给药反应,未出现大鼠死亡,并且发现三组大鼠活动、饮食正常,解剖后对大鼠体内肝、胃等主要器官进行检验,未发现任何损伤,因此断定本发明制备的片剂暂未发现任何明显的毒副作用。
临床试验
1.临床病例选择并分组:发明人共收集120例确诊的子宫肌瘤患者,随机分为四组,每组30人,三组实验组,一组对照组,四组年龄、病情等资料均无显著性差异,具有可比性。
2.试验方法:分别给实验组患者服用实施例1、实施例2、实施例3制备的片剂,每天服用2次,每次0.5g,7天为一个疗程,实验周期为三个疗程;对照组服用达那唑,每日3次,每次100mg,10天为1个疗程,连续服用4个疗程。
3.疗效标准与治疗结果
3.1疗效标准
显效:临床症状消失,子宫肌瘤消失,子宫明显缩小,各项体征恢复正常;
好转:临床症状明显好转,子宫肌瘤减小,子宫缩小,体征逐步恢复;
无效:临床症状未缓解或加重,子宫肌瘤大小无改变。
3.2治疗统计结果
表1—三组疗效比较
服用的药物 | 病例人数 | 显效 | 好转 | 无效 | 不良反应 | 总有效率% |
实施例1 | 30 | 12 | 16 | 2 | 0 | 93.3 |
实施例2 | 30 | 17 | 13 | 0 | 0 | 100.0 |
实施例3 | 30 | 13 | 16 | 1 | 0 | 96.7 |
对照组 | 30 | 11 | 14 | 4 | 1 | 83.3 |
4.结论:临床试验过程中,接受本发明片剂治疗的患者未发现有任何不良反应,由表1数据可见,本发明片剂对治疗子宫肌瘤的总有效率达93.3%以上,是治疗子宫肌瘤的安全有效药物,具有很好的临床意义。
6.临床个体病例
病例1:牛某某,36岁,患者因阴道不规则流血去医院检查确诊为肌壁间肌瘤,瘤体5×6.3×4.8cm,服用本发明实施例1制备的片剂,1个疗程后,B超检查,肌瘤明显缩小,继续服用2个疗程后,B超检查,肌瘤消失。
病例2:韩某,45岁,患者因左下腹痛,月经紊乱,左下腹痛如针刺,漏下就多,血色黑褐,经医院确诊为子宫肌瘤,服用本发明实施例2制备的片剂,两个疗程后,月经恢复正常,继续使用2个疗程后,子宫肌瘤消失。
病例3:宋某,42岁,患者每次月经来潮时都淋漓不断,经色紫黯,有黑色淤血块,在医院检查后B超显示:子宫肌瘤4cm×5cm,服用本发明实施例3制备的片剂2个疗程后,月经正常,继续服用了两个疗程,子宫肌瘤减小至3cm×2cm,继续服用2个疗程后,B超检查子宫肌瘤消失。
尽管已参照其具体实施方案描述和阐明了本发明,但本领域技术人员会认识到,可以在不背离本发明的精神和范围的情况下对其作出各种改变、修改和取代。例如,由于被治疗特定病症的人的响应能力的变化,如上阐述的优选剂量以外的有效剂量可能适用。同样地,观察到的药理学响应可能根据和依赖所选特定活性化合物或是否存在药用载体以及制剂类型和所用给药模式而变,根据本发明的目的和实践预想到结果中的这类预期变化或差异。因此,本发明意在仅受下列权利要求的范围限制且这些权利要求应在合理的程度上尽可能广义地解释。
Claims (7)
1.一种治疗子宫肌瘤的片剂,其特征在于,所述片剂是主要由以下重量份的成分组成:芦荟大黄素5-8份、阿马里新0.3-0.5份、原阿片碱0.1-0.3份、猕猴桃提取物2-3份、三苯氧胺0.5-0.8份、美登普林0.2-0.4份、N-乙酰氨基葡萄糖3-5份、澳洲茄碱0.6-0.8份、藻青素1-1.5份、泛酸钙0.8-1.6份、β-谷甾醇2-4份、猴头菌多糖1-3份、香豆精0.3-0.6份、川陈皮素1.5-2.5份、云芝菌体多糖2.4-3.6份、复合维生素0.3-0.5份;所述片剂还包括辅料:填充剂30-50份、崩解剂3-5份、粘合剂20-40份、润滑剂2-4份。
2.如权利要求1所述的一种治疗子宫肌瘤的片剂,其特征在于,所述的猕猴桃提取物制备方法为:猕猴桃提取物的制备方法为:取成熟的新鲜猕猴桃,去皮去核后加入5-8倍量的纯净水,置于榨汁机榨汁,挤压过滤后得到猕猴桃汁,再将给滤渣中加入3-5倍的质量浓度为65-85%的乙醇溶液,搅拌均匀后室温静置6-8h,然后再次过滤得到滤液,将猕猴桃汁和滤液合并,减压浓缩析出晶体,将晶体粉碎,过150-200目筛,即得到猕猴桃提取物。
3.如权利要求1所述的一种治疗子宫肌瘤的片剂,其特征在于,所述的填充剂为乳糖、糊精、微晶纤维素中的任意一种或两种以上的任意组合。
4.如权利要求1所述的一种治疗子宫肌瘤的片剂,其特征在于,所述的崩解剂为交联聚维酮、交联羧甲基纤维素钠、羧甲基纤维素钙中的任意一种或两种以上的任意组合。
5.如权利要求1所述的一种治疗子宫肌瘤的片剂,其特征在于,所述的粘合剂为羟乙基纤维素、淀粉1500、聚乙烯吡咯烷酮中的任意一种或两种以上的任意组合。
6.如权利要求1所述的一种治疗子宫肌瘤的片剂,其特征在于,所述的润滑剂为硬脂酸钙、硬脂富马酸钠、二氧化硅中的任意一种或两种以上的任意组合。
7.如权利要求1-6任意一项所述的一种治疗子宫肌瘤的片剂,其特征在于制备方法为:
步骤一:猕猴桃提取物的制备方法为:取成熟的新鲜猕猴桃,去皮去核后加入5-8倍量的纯净水,置于榨汁机榨汁,挤压过滤后得到猕猴桃汁,再将给滤渣中加入3-5倍的质量浓度为65-85%的乙醇溶液,搅拌均匀后室温静置6-8h,然后再次过滤得到滤液,将猕猴桃汁和滤液合并,减压浓缩析出晶体,将晶体粉碎,过150-200目筛,即得到猕猴桃提取物;
步骤二:将所述重量组份的芦荟大黄素、阿马里新、原阿片碱、猕猴桃提取物2-3份、三苯氧胺、美登普林、N-乙酰氨基葡萄糖、澳洲茄碱、藻青素、泛酸钙、β-谷甾醇、猴头菌多糖、香豆精、川陈皮素、云芝菌体多糖、复合维生素使用机械搅拌,置于搅拌机以180-240r/min,搅拌15-30min后得到混合药粉,再将混合药粉研磨粉碎,过150-200目筛,制成混合药物细粉,备用;
步骤三:将所述重量组份的粘合剂和质量浓度为50-65%的乙醇溶液按照1:3-5的重量比混合溶解配制成粘合剂溶液,备用;
步骤四:将步骤二制备的混合药物细粉和所述重量组份的填充剂混合均匀,加入步骤三制备的粘合剂溶液中,制备成湿颗粒,过30目筛,再将湿颗粒于40-50℃干燥并整粒得到干颗粒,给干颗粒中加入所述重量组份的崩解剂、润滑剂,混合均匀后压制成片剂,即制备治疗子宫肌瘤的片剂。
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