CN115054611B - Medicine for treating infantile pneumonia and application thereof - Google Patents

Medicine for treating infantile pneumonia and application thereof Download PDF

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CN115054611B
CN115054611B CN202210848707.2A CN202210848707A CN115054611B CN 115054611 B CN115054611 B CN 115054611B CN 202210848707 A CN202210848707 A CN 202210848707A CN 115054611 B CN115054611 B CN 115054611B
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pneumonia
medicine
luteolin
group
infantile pneumonia
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CN115054611A (en
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韩丽萍
谭子强
赵东旭
张强
李海燕
李岩
肖韩艳
刘勇
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Mudanjiang Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7048Compounds having saccharide radicals and heterocyclic rings having oxygen as a ring hetero atom, e.g. leucoglucosan, hesperidin, erythromycin, nystatin, digitoxin or digoxin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
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  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Pulmonology (AREA)
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  • Molecular Biology (AREA)
  • Virology (AREA)
  • Communicable Diseases (AREA)
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  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
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Abstract

The invention relates to a medicine for treating infantile pneumonia and application thereof, wherein the active ingredient of the medicine is a combination of arbidol or pharmaceutically acceptable salt thereof and luteolin. According to the invention, the arbidol or the pharmaceutically acceptable salt thereof and the luteolin are combined according to a specific proportion, and the addition of the luteolin is beneficial to improving the treatment effect of the arbidol on treating the infantile pneumonia (especially viral infantile pneumonia).

Description

Medicine for treating infantile pneumonia and application thereof
Technical Field
The invention belongs to the technical field of medicines, and particularly relates to a medicine for treating infantile pneumonia and application thereof.
Background
The infantile pneumonia (pneumonia) is lung inflammation caused by pathogens (such as bacteria, viruses and the like) and other factors (such as inhalation of amniotic fluid, meconium and the like), is a respiratory disease most common in the childhood period, and mainly shows symptoms of fever, cough, shortness of breath, dyspnea, lung wetting and the like.
Pneumonia is a common disease in infants and is the first cause of death in children under 5 years old, and the pneumonia is well developed in winter and spring. According to the world health organization data, the death number of children under 5 years old caused by pneumonia in 2016 is up to 92 ten thousand, 98% of the deaths occur in developing countries, and the pneumonia is also a main cause of death of children under 5 years old in China.
Viral pneumonia is the most common type of infant pneumonia. Respiratory syncytial virus is the first viral pathogen causing childhood pneumonia, followed by parainfluenza virus (type I, type II, type III) and influenza virus (type a, type B). The drug treatment of common viral pneumonia mainly comprises: for influenza virus, neuraminidase inhibitors can be applied, and are effective on both influenza A virus and influenza B virus. Patients with severe or severe influenza high risk factors should be given anti-influenza virus therapy as early as possible within 48 hours without waiting for virus detection results. Antiviral treatment is still helpful to the infant for severe patients over 48 hours.
Abidol is an antiviral drug, is developed by the research center of Soviet Union pharmaceutical chemistry, and has the main indications of influenza caused by influenza A and B viruses and antiviral activity on other respiratory tract virus infections. Abidol is suitable for the prevention and treatment of influenza A, influenza B, acute viral respiratory infections, severe acute respiratory syndromes, including concurrent bronchitis and pneumonia, in adults and children. Abidol hydrochloride is used in early stage after influenza is developed, so that the duration of the disease can be obviously shortened, the severity of symptoms can be reduced, the cough, headache, fever, chill, sweating, sore throat, muscle soreness, fatigue and other symptoms of influenza patients can be improved, and the oral liquid has good safety and is suitable for clinical popularization and use. The usage amount is 100 mg/granule, which is orally taken, 2 granules for children over 13 years old and adults, 1 granule for children 6-12 years old and 50mg for children 2-6 years old. Treatment: 3 times a day, taking 3-5 d. Prevention of: the influenza is taken 1 time every 3 days in the running period and continuously taken for 3 weeks; the high risk group who is in contact with the patient takes the medicine 1 time a day for 2 weeks. However, the use of arbidol for the treatment of viral pediatric pneumonia has not been reported in the literature, probably because of the limited targeting and therapeutic efficacy of arbidol for viral pediatric pneumonia. Therefore, how to obtain a drug that can be effectively used for treating infantile pneumonia is still a technical problem to be solved by those skilled in the art.
Disclosure of Invention
Based on the background technology, the technical problem to be solved by the invention is to provide a pharmaceutical composition for treating infantile pneumonia and application thereof. In order to achieve the aim of the invention, the following technical scheme is adopted:
in one aspect, the invention relates to a medicament for treating infantile pneumonia, wherein the active ingredient of the medicament is a combination of arbidol or pharmaceutically acceptable salt thereof and luteolin. Although luteolin alone has little effect on the treatment of pediatric pneumonia (particularly viral pediatric pneumonia), it helps to improve the efficacy of arbidol in the treatment of pediatric pneumonia when combined with arbidol.
In a preferred embodiment of the present invention, the weight ratio of the arbidol or a pharmaceutically acceptable salt thereof and luteolin is 4:1-3; preferably 4:1.5-2.5; particularly preferably 4:1.8-2.2. The invention is beneficial to further improving the effect of treating the infantile pneumonia by controlling the weight ratio of the arbidol to the luteolin in the preferred range of the invention.
In a preferred embodiment of the invention, the medicament contains or does not contain other active ingredients.
In another preferred embodiment of the invention, the medicament further comprises pharmaceutically acceptable excipients.
In a preferred embodiment of the present invention, the drug is an oral formulation including, but not limited to, syrups, tablets, capsules, etc.; preferably, the oral formulation is a syrup. The pharmaceutical composition is prepared into syrup, so that the syrup is more favorable for children to accept, and the compliance of patients can be improved.
The invention also relates to the application of the medicine, and the medicine is used for preparing medicines for treating infantile pneumonia.
In a preferred embodiment of the invention, the medicament is for the treatment of viral pediatric pneumonia.
Advantageous effects
According to the invention, the arbidol or the pharmaceutically acceptable salt thereof and the luteolin are combined according to a specific proportion, and the addition of the luteolin is beneficial to improving the treatment effect of the arbidol on treating the infantile pneumonia (especially viral infantile pneumonia).
Detailed Description
In order to further understand the present invention, a technical solution in the embodiments of the present invention will be clearly and completely described below in conjunction with the embodiments of the present invention, and it is apparent that the described embodiments are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Unless otherwise specified, all reagents involved in the examples of the present invention are commercially available products and are commercially available.
Example 1: animal experiments.
1 Material
1.1 laboratory animals and groups
60 adult Wistar rats with a body mass of 180-230g are provided by the laboratory animal center of the medical college of Paeonia suffruticosa. Randomly divided into blank group, model group, abidol and luteolin group 1, abidol and luteolin group 2, abidol and luteolin group 3.
1.2 pharmaceutical products and reagents
Abidol and luteolin were purchased from reagent company.
2 Experimental methods
2.1 grouping and administration of animals
After the experimental rats were adaptively bred for 3 days, 60 experimental rats were randomly divided into a blank group, a model group, an Abidol group (4 mg/kg/d), an Abidol (4 mg/kg/d) and luteolin (1 mg/kg/d) combination group 1, an Abidol (4 mg/kg/d) and luteolin (2 mg/kg/d) combination group 2, an Abidol (4 mg/kg/d) and luteolin (3 mg/kg/d) combination group 3, 10 animals each. Except for the blank groups, each group of animals was subcutaneously injected with cyclophosphamide at 100mg/kg body weight. On day 4 after dosing, rats were lightly anesthetized with diethyl ether, with drops of influenza a H1N1 virus, each 60 μl, except for the blank group. Weighing the weight of the rat on the 20 th day after infection, and freezing and preserving the dead rat if the rat dies in advance; whole lung was dissected and weighed, and lung index inhibition were calculated.
2.2 statistical treatment
Lung index = wet lung weight/body weight
Pulmonary index inhibition = (model group lung weight-treatment group lung weight)/(model group lung weight-blank group lung weight) ×100%
The death of the experimental rats within 20 days after infection was observed, and mortality, mortality protection, average survival days, and life extension were calculated.
Life extension = (treatment group survival days-model group survival days)/model group survival days x 100%.
The statistical software SPSS 25.0 was used for t-test or analysis of variance, with P <0.05 being statistically significant, and the results are shown in table 1.
TABLE 1 animal model test results
Experimental results show that the lung index is extremely significantly increased (P < 0.01) in the model group compared to the blank group; the lung index was very significantly reduced (P < 0.01) for each treatment group compared to the model group. The Abidol and luteolin combined group 1-3 has significant difference (P < 0.01) from the model group, and particularly the Abidol and luteolin combined group 2 can obviously reduce the lung index of a rat with pneumonia and can also obviously prolong the life of the infected rat.
Example 2: clinical pharmacodynamic experiments
1 data and method
1.1 general data: the method comprises the steps of selecting a total of 40 cases of viral pneumonia infants treated by pediatric inpatients of a second hospital attached to the Paeonia suffruticosa medical college from 1 month of 2022 to 6 months of 2022 as study objects, randomly dividing the infants into a treatment group and a control group according to a random digital table method, wherein the total number of the infants is 40. The average age, course and body weight of the two groups of infants were compared, and the differences were not statistically significant (P > 0.05) and were comparable, as shown in table 2.
Table 2 patient general data comparison
1.2 treatment method:
control group: erythromycin 20 mg/(kg.d) was used for 2 intravenous instillations;
treatment group: the medicine composition (containing Abidol 4mg/mL, luteolin 2mg/mL, sucrose 0.1 g/mL) is added for 15-30 mL/time based on the control group treatment, and is orally taken for 3 times a day.
1.3 observations index:
observing the symptoms (cough and fever) of two groups of traditional Chinese medicine before and after treatment, the lung function changes, the clinical curative effect and the like.
1.4 clinical efficacy decision criteria:
formulation of "Chinese medical condition diagnosis efficacy Standard" is referred to:
and (3) healing: the symptoms disappear or basically disappear, the integral of symptoms is reduced by more than or equal to 95%, and the X-ray review of the lung is normal;
the effect is shown: the symptoms and signs are obviously improved, the integral of symptoms and signs is reduced by more than 70%, and the focus of X-ray examination of the lung is not completely absorbed yet;
the method is effective: the symptoms and signs are improved, the integral of symptoms and signs is reduced by between 70 and 30 percent, and the focus of X-ray examination of the lung is still partially absorbed;
invalidation: the symptoms and signs are not obviously improved or even aggravated, the integral of symptoms and signs is reduced by <30%, and the focus of X-ray examination of the lung is unabsorbed or even increased.
2 results
2.1 two groups of symptoms of cough and fever before and after treatment are compared in integral form as shown in Table 3.
TABLE 3 integral comparison of cough symptoms and fever symptoms before and after treatment (x+ -s) for patients
As can be seen from table 3, the cough symptoms and fever symptoms integral of the two groups of infants after treatment are significantly reduced compared with those before treatment, and the difference is statistically significant (P < 0.05), and the cough symptoms and fever symptoms integral reduction value of the infants after treatment is higher than that of the control group, and the difference is statistically significant (P < 0.05).
2.2 comparison of the two groups of comprehensive curative effects is shown in Table 4.
Table 4 comparison of patient's overall treatment effects
Group of n Healing of the wound Has obvious effect Effective and effective Invalidation of Rate of more visible (%) Total effective rate (%)
Treatment group 20 12 5 3 1 85 95
Control group 20 8 4 3 5 60 75
Compared with the total effective rate of the two groups of children, the treatment group has significantly higher curative rate (83%) and total effective rate (97%) than the control group, and the difference has statistical significance (P < 0.05).
The foregoing describes preferred embodiments of the present invention, but is not intended to limit the invention thereto. Modifications and variations to the embodiments disclosed herein may be made by those skilled in the art without departing from the scope and spirit of the invention.

Claims (4)

1. An application of a medicine for treating infantile pneumonia in preparing the medicine for treating infantile pneumonia, wherein the active ingredients of the medicine for treating infantile pneumonia are the combination of arbidol or pharmaceutically acceptable salt thereof and luteolin; the weight ratio of the arbidol or the pharmaceutically acceptable salt thereof to the luteolin is 4:1.8-2.2; the infantile pneumonia is viral infantile pneumonia.
2. The use according to claim 1, wherein the medicament for treating pediatric pneumonia further comprises a pharmaceutically acceptable adjuvant.
3. The use according to claim 2, wherein the medicament for treating pediatric pneumonia is an oral formulation selected from the group consisting of syrups, tablets, capsules.
4. The use according to claim 3, wherein the oral formulation is a syrup.
CN202210848707.2A 2022-07-19 2022-07-19 Medicine for treating infantile pneumonia and application thereof Active CN115054611B (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1552321A (en) * 2003-06-05 2004-12-08 中奇制药技术(石家庄)有限公司 Use of Abidol in preparing medicines for treating and preventing SARS virus
CN111904959A (en) * 2020-08-21 2020-11-10 牡丹江医学院 Application of alpha-L-fucosidase inhibitor in preparation of medicine for treating infantile pneumonia
CN112546046A (en) * 2020-12-15 2021-03-26 天津济坤医药科技有限公司 Application of arbidol hydrochloride in preparation of medicine for treating pulmonary fibrosis diseases
CN114504571A (en) * 2022-04-11 2022-05-17 黑龙江中医药大学 Pharmaceutical composition for treating infantile pneumonia and application thereof

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1552321A (en) * 2003-06-05 2004-12-08 中奇制药技术(石家庄)有限公司 Use of Abidol in preparing medicines for treating and preventing SARS virus
CN111904959A (en) * 2020-08-21 2020-11-10 牡丹江医学院 Application of alpha-L-fucosidase inhibitor in preparation of medicine for treating infantile pneumonia
CN112546046A (en) * 2020-12-15 2021-03-26 天津济坤医药科技有限公司 Application of arbidol hydrochloride in preparation of medicine for treating pulmonary fibrosis diseases
CN114504571A (en) * 2022-04-11 2022-05-17 黑龙江中医药大学 Pharmaceutical composition for treating infantile pneumonia and application thereof

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
盐酸阿比朵尔胶囊抗甲型H1N1流感病毒的体外实验研究;刘强等;中国药学杂志;第46卷(第02期);第108-112页 *
黄芩苷和木犀草苷在体外对流感病毒H1N1感染A549细胞中NF-κB信号通路的调控作用;刘晓婷等;中华中医药杂志;第31卷(第05期);第1937-1941页 *

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