CN110075148A - Arasaponin extract is preparing the application in eye medicinal preparation - Google Patents
Arasaponin extract is preparing the application in eye medicinal preparation Download PDFInfo
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Abstract
本发明公开了三七皂苷提取物在制备防治干眼症、眼部外伤、眼部血管性疾病或眼部神经性疾病药物中的应用,所述干眼症、眼部外伤、眼部血管性疾病或眼部神经性疾病,包括但不限于干眼症、视网膜退行性病症、视网膜静脉阻塞、视网膜静脉周围炎、前房出血、玻璃体出血、角膜损伤、视网膜挫伤、青光眼性视神经萎缩、玻璃膜疣、年龄相关性黄斑变性和糖尿病视网膜病变。本发明采用的眼部局部给药的模式有用药剂量少,安全性高,不良反应少,患者顺应性好等诸多优势,避免了注射给药带来的安全风险,且改变给药途径后,其代谢途径、作用机制等方面均与注射剂不同,具有较好的临床应用前景。The invention discloses the application of Panax notoginseng saponin extract in the preparation of medicines for preventing and treating dry eye, ocular trauma, ocular vascular disease or ocular neurological disease. The dry eye, ocular trauma, ocular vascular disease Disease or neurological disease of the eye, including but not limited to dry eye, retinal degenerative disorders, retinal vein occlusion, periretinal phlebitis, hyphema, vitreous hemorrhage, corneal injury, retinal contusion, glaucomatous optic atrophy, vitreous membrane Warts, age-related macular degeneration, and diabetic retinopathy. The mode of topical ocular administration adopted by the present invention has many advantages such as less dosage, high safety, less adverse reactions, and good patient compliance, and avoids the safety risk brought by injection administration, and after changing the route of administration, Its metabolic pathway and mechanism of action are different from those of injections, and it has a good clinical application prospect.
Description
技术领域technical field
本发明属于天然药物技术,特别是涉及一种三七皂苷提取物在制备眼用药物制剂中的应用。The invention belongs to natural medicine technology, and in particular relates to the application of a notoginseng saponin extract in the preparation of ophthalmic pharmaceutical preparations.
背景技术Background technique
目前用眼不当现象普遍存在,干眼症发病率增加;随着生活水平的提高,视网膜静脉阻塞、糖尿病性视网膜病变、脉络膜视网膜病变、年龄相关性黄斑病变、青光眼性视神经萎缩等致盲性疾病也严重困扰着中老年人的日常生活;前房出血与玻璃体出血等眼外伤虽然发病率不高,但其带来的疼痛感与急性反应也严重影响着患者的生活质量。At present, improper use of eyes is common, and the incidence of dry eye syndrome is increasing; with the improvement of living standards, retinal vein occlusion, diabetic retinopathy, chorioretinopathy, age-related macular degeneration, glaucomatous optic atrophy and other blinding diseases It also seriously plagues the daily life of middle-aged and elderly people; although the incidence of ocular trauma such as anterior chamber hemorrhage and vitreous hemorrhage is not high, the pain and acute reaction they bring seriously affect the quality of life of patients.
现代研究证明,人参皂苷和三七皂苷类成分,能显著降低血小板表面活性、抑制血小板黏附和聚集、达到抗血栓形成、改善微循环等作用;能通过降低缺血再灌注后血清IL-8的产生和释放,阻断中性粒细胞激活、浸润和聚集,减轻缺血组织的炎症反应,对缺血再灌注损伤有保护作用;能增强GluR2阳性表达,抑制caspase-3 mRNA的转录及caspase-3蛋白的裂解活化,促进bcl-2mRNA的转录与Bcl-2蛋白的表达,减少细胞凋亡,促进神经元的存活及损伤修复;能明显缩短出血和凝血时间,具有良好的止血功效;能显著抑制实验性动脉粥样硬化家兔的主动脉内膜斑块形成;能对急性炎症引起的毛细血管通透性增加、炎性渗出、组织水肿、白细胞游走以及后期肉芽组织增生均有明显的抑制作用,并能抑制UV诱导的成纤维细胞MMP-1高分泌,促进血管内皮生长因子与碱性成纤维生长因子的表达,促进创伤组织的愈合。Modern studies have proved that ginsenosides and notoginseng saponins can significantly reduce platelet surface activity, inhibit platelet adhesion and aggregation, achieve anti-thrombosis, improve microcirculation, etc.; can reduce serum IL-8 levels after ischemia-reperfusion. Produce and release, block the activation, infiltration and aggregation of neutrophils, reduce the inflammatory response of ischemic tissue, and have a protective effect on ischemia-reperfusion injury; it can enhance the positive expression of GluR2, inhibit the transcription of caspase-3 mRNA and caspase- The cleavage and activation of 3 proteins can promote the transcription of bcl-2 mRNA and the expression of Bcl-2 protein, reduce cell apoptosis, and promote the survival and damage repair of neurons; it can significantly shorten the bleeding and coagulation time, and has a good hemostatic effect; it can significantly Inhibit the formation of aortic intima plaque in rabbits with experimental atherosclerosis; it can significantly improve the capillary permeability increase, inflammatory exudation, tissue edema, leukocyte migration and late granulation tissue hyperplasia caused by acute inflammation It can inhibit UV-induced high secretion of fibroblast MMP-1, promote the expression of vascular endothelial growth factor and basic fibroblast growth factor, and promote the healing of wound tissue.
该类型天然产物的多种药理活性已被用于各类心脑血管疾病的治疗,其提取物被制成“血塞通”、“冠心宁”和“血栓通”等药物上市。然而一直没有一款针对眼部外伤、眼部血管性疾病与眼部神经性疾病等眼部问题的安全有效产品问市。血栓通、血塞通注射剂也在临床被广泛地用于治疗视网膜静脉栓塞,该类注射剂用药剂量大,疗程长(一个月),注射给药存在较高的安全风险;且国家药品不良反应检测中心每年都会收到大量的有关不良反应报告,包括全身性损害:发热、寒战、过敏样反应、过敏性休克等;呼吸系统损害:胸闷、呼吸困难、呼吸急促、哮喘、喉水肿等;皮肤及其附件损害:皮疹、瘙痒、剥夺性皮炎等;心率及心律紊乱:心悸、心动过速等;中枢及外周神经系统损害:头晕、头痛、抽搐、震颤等;胃肠系统损害:恶心、呕吐等;心血管系统损害:紫绀、潮红、血压下降、血压升高等;其他损害包括血尿、肝功能异常等。中国专利CN102688479B公开了一种以多聚谷氨酸与细胞生长因子为主要有效成分的眼贴膜能预防干眼症;中国专利CN102512433B公开了一种木犀草素葡萄糖醛酸苷用于治疗视网膜静脉阻塞的用途;中国专利公开了一个该类型天然产物针对视疲劳的专利,即专利CN107898816A,公布了“眼用药物制剂及其应用”,其组合物三七皂苷R1、三七皂苷R2、人参皂苷Rg1、人参皂苷Rg2、人参皂苷Re、人参皂苷Rb1、人参皂苷Rb2、人参皂苷Rd、人参皂苷Rf、人参皂苷Rc、人参皂苷Rh1和七叶胆苷Ⅸ等,用于缓解视疲劳有较好的效果;中国专利CN102813666A“三七皂苷R1在防治神经眼科疾病的药物中的应用”指出通过静脉注射的给药方式,单体化合物三七皂苷R1对许多眼部神经性疾病均有较好的治疗效果。目前,未见使用该类天然产物组合物通过眼部局部给药用于防治眼部外伤、眼部血管性疾病与眼部神经性疾病等的药物制剂及其新剂型。The various pharmacological activities of this type of natural product have been used in the treatment of various cardiovascular and cerebrovascular diseases, and its extracts have been made into drugs such as "Xuesaitong", "Guanxinning" and "Xueshuantong". However, there has never been a safe and effective product for ocular problems such as ocular trauma, ocular vascular diseases and ocular neurological diseases. Xueshuantong and Xuesaitong injections are also widely used clinically to treat retinal vein embolism. The dosage of these injections is large, the course of treatment is long (one month), and there is a high safety risk in injection administration; and the national adverse drug reaction detection The center receives a large number of adverse reaction reports every year, including systemic damage: fever, chills, anaphylaxis, anaphylactic shock, etc.; respiratory system damage: chest tightness, dyspnea, shortness of breath, asthma, laryngeal edema, etc.; skin and Damage to its appendages: rash, itching, exfoliative dermatitis, etc.; heart rate and rhythm disorders: palpitations, tachycardia, etc.; damage to the central and peripheral nervous system: dizziness, headache, convulsions, tremors, etc.; damage to the gastrointestinal system: nausea, vomiting, etc. Cardiovascular system damage: cyanosis, flushing, blood pressure drop, blood pressure rise, etc.; other damages include hematuria, abnormal liver function, etc. Chinese patent CN102688479B discloses an eye patch with polyglutamic acid and cell growth factor as the main active ingredients to prevent dry eye; Chinese patent CN102512433B discloses a kind of luteolin glucuronide for the treatment of retinal vein occlusion Chinese patent discloses a patent of this type of natural product for visual fatigue, that is, patent CN107898816A, which publishes "ophthalmic pharmaceutical preparations and their applications", the composition of which is notoginsenoside R1, notoginsenoside R2, and ginsenoside Rg1 , ginsenoside Rg2, ginsenoside Re, ginsenoside Rb1, ginsenoside Rb2, ginsenoside Rd, ginsenoside Rf, ginsenoside Rc, ginsenoside Rh1 and aescin Ⅸ, etc., have a good effect on relieving visual fatigue ; Chinese patent CN102813666A "Application of Notoginsenoside R1 in Drugs for the Prevention and Treatment of Neuro-ophthalmological Diseases" pointed out that the monomer compound Notoginsenoside R1 has a good therapeutic effect on many ocular neurological diseases through intravenous injection. . At present, there are no pharmaceutical preparations and new dosage forms using such natural product compositions for the prevention and treatment of ocular trauma, ocular vascular diseases and ocular neurological diseases through topical ocular administration.
发明内容SUMMARY OF THE INVENTION
发明目的:针对上述现有技术,本申请提供了一种三七皂苷提取物在制备眼用药物制剂中的应用。Purpose of the invention: Aiming at the above-mentioned prior art, the application provides the application of a notoginseng saponin extract in the preparation of ophthalmic pharmaceutical preparations.
技术方案:本发明所述的三七皂苷提取物在制备防治干眼症、眼部外伤、眼部血管性疾病或眼部神经性疾病药物中的应用。Technical solution: the application of the notoginseng saponin extract of the present invention in the preparation of drugs for the prevention and treatment of dry eye, ocular trauma, ocular vascular disease or ocular neurological disease.
其中,所述干眼症、眼部外伤、眼部血管性疾病或眼部神经性疾病,包括但不限于干眼症、视网膜退行性病症、视网膜静脉阻塞、视网膜静脉周围炎、前房出血、玻璃体出血、角膜损伤、视网膜挫伤、青光眼性视神经萎缩、玻璃膜疣、年龄相关性黄斑变性和糖尿病视网膜病变。Wherein, the dry eye, ocular trauma, ocular vascular disease or ocular neurological disease, including but not limited to dry eye, retinal degenerative disease, retinal vein occlusion, retinal periphlebitis, hyphema, Vitreous hemorrhage, corneal injury, retinal contusion, glaucomatous optic atrophy, drusen, age-related macular degeneration, and diabetic retinopathy.
所述干眼症尤其指那些蒸发过强型干眼症(泪液缺乏型干眼症),但本发明对所有疾病带来的眼表干涩症状均有缓解作用。其中,所述的眼部外伤尤其指那些各种原因造成的前房出血与玻璃体出血,也包括但不限于角膜挫伤、巩膜挫伤、视网膜震荡与挫伤、脉络膜破裂、眼化学伤、眼部热烧伤与辐射性眼损伤。其中,所述的眼部血管性疾病尤其指那些视网膜静脉阻塞与糖尿病视网膜病变,也包括但不限于视网膜动脉阻塞与视网膜静脉周围炎(视网膜血管炎)。其中,所述的眼部神经性疾病尤其指那些青光眼性视神经萎缩,也包括但不限于视网膜退行变性、多种脉络膜视网膜病变(中心性浆液性脉络膜视网膜病变)与年龄相关性黄斑变性。Said dry eye especially refers to those evaporative dry eye (tear deficiency type dry eye), but the present invention has alleviating effects on ocular surface dryness caused by all diseases. Wherein, the eye trauma mentioned especially refers to hyphema and vitreous hemorrhage caused by various reasons, including but not limited to corneal contusion, scleral contusion, retinal concussion and contusion, choroidal rupture, ocular chemical injury, ocular thermal burn and radiation eye damage. Wherein, the ocular vascular diseases especially refer to retinal vein occlusion and diabetic retinopathy, including but not limited to retinal artery occlusion and retinal periphlebitis (retinal vasculitis). Wherein, the neurological diseases of the eye especially refer to glaucomatous optic atrophy, including but not limited to retinal degeneration, various chorioretinopathy (central serous chorioretinopathy) and age-related macular degeneration.
进一步的,所述三七皂苷提取物通过抑制眼部血栓形成,改善眼部微循环,抑制眼部神经细胞凋亡、止血与促进眼部创伤组织愈合。Furthermore, the extract of notoginseng saponins inhibits ocular thrombus formation, improves ocular microcirculation, inhibits ocular nerve cell apoptosis, stops bleeding and promotes healing of ocular wound tissues.
本申请所述药物的剂型包括眼用溶液、眼用凝胶、眼用软膏、眼用洗剂或眼内注射剂。本发明的化合物可局部施用于眼,例如,局部、结膜下、眼球后、眼周、视网膜下、脉络膜上或眼内施用。对于直接施用于眼睛特别有用的药物组合物包括配制成滴眼剂的水溶液和/或悬浮液和配制成眼用凝胶(包括凝胶形成溶液)或软膏的增稠溶液和/或悬浮液,其为眼用溶液、眼用软膏、眼用洗剂、眼内注射剂与眼用凝胶等。用于眼用药物递送的其他剂型包括眼用插入物(ocular insert)、玻璃体内注射剂和植入物。可注射溶液可使用细针直接注入角膜、晶状体和玻璃体或其临近组织中。The dosage form of the drug described in this application includes ophthalmic solution, ophthalmic gel, ophthalmic ointment, ophthalmic lotion or intraocular injection. Compounds of the invention may be administered topically to the eye, eg, topically, subconjunctivally, retrobulbarly, periocularly, subretinally, suprachoroidally or intraocularly. Pharmaceutical compositions particularly useful for direct administration to the eye include aqueous solutions and/or suspensions formulated as eye drops and thickened solutions and/or suspensions formulated as ophthalmic gels (including gel-forming solutions) or ointments, It is an ophthalmic solution, an ophthalmic ointment, an eye lotion, an intraocular injection, an ophthalmic gel, and the like. Other dosage forms for ophthalmic drug delivery include ocular inserts, intravitreal injections and implants. Injectable solutions can be injected directly into the cornea, lens, and vitreous, or adjacent tissues, using a fine needle.
本申请还公开了所述三七皂苷提取物联合其他具有治疗作用的眼用制剂在制备防治干眼症、眼部外伤、眼部血管性疾病或眼部神经性疾病药物中的应用。The application also discloses the application of the notoginseng saponin extract in combination with other ophthalmic preparations with therapeutic effects in the preparation of drugs for the prevention and treatment of dry eye, ocular trauma, ocular vascular disease or ocular neurological disease.
其他眼用制剂包括但不限于抗感染成分、消炎药、抗过敏药(包括抗组胺药)、人工泪液血管收缩剂、血管扩张剂、局部麻醉剂、镇痛药、眼压降低剂、免疫调节剂、抗氧化剂、维生素和矿物质、酶抑制剂和肽酶、细胞因子抑制剂等。Other ophthalmic agents include, but are not limited to, anti-infective agents, anti-inflammatory agents, anti-allergic agents (including antihistamines), artificial tears vasoconstrictors, vasodilators, local anesthetics, analgesics, intraocular pressure lowering agents, immunomodulatory agents agents, antioxidants, vitamins and minerals, enzyme inhibitors and peptidases, cytokine inhibitors, etc.
进一步的,所述可联合使用的眼部治疗剂选自安贺拉(Acular)(酮咯酸氨丁三醇眼用溶液)0.5%、Acuvail(酮咯酸氨丁三醇)、AK-Con-A(萘甲唑啉眼药)、Akten(盐酸利多卡因)、Alamast、Alphagan(溴莫尼定)、Alrex、Astepro(盐酸氮斯汀鼻喷雾剂)、AzaSite(阿奇霉素)、Bepreve(苯磺酸贝他斯汀眼用溶液)、Besivance(贝西沙星眼用悬浮液)、Betaxon、BSS无菌灌洗液、Cosopt、Durezol(二氟泼尼酯)、Eylea(阿柏西普)、Lotemax、Lucentis(雷珠单抗)、Lumigan(比马前列素眼用溶液)、Macugen(哌加他尼)、Ocuflox(氧氟沙星眼用溶液)0.3%、OcuHist、Ozurdex(地塞米松)、Quixin(左氧氟沙星)、Rescula(乌诺前列酮异丙基眼用溶液)0.15%、Restasis(环孢菌素眼用乳液)、Salagen片剂、Travatan(曲伏前列素眼用溶液)、Valcyte(盐酸缬更昔洛韦)、三氟胸苷(Viroptic)、Vistide(西多福韦)、Visudyne(注射用维替泊芬)、Vitrasert植入物、福米韦生注射剂、ZADITOR、Zioptan(他氟前列素眼用溶液)、Zirgan(更昔洛韦眼用凝胶)、Zymaxid(加替沙星眼用溶液)、阿托品、氟比洛芬、毒扁豆碱(Physostimine)、派立明(Azopt)、庆大霉素、匹鲁卡品(Proparacaine)、杆菌肽、羟丙甲纤维素眼液(Goniosol)、多粘菌素B、聚维酮碘(Betadine)、短杆菌肽、泼尼松龙、倍他洛尔、Humorsol、丙美卡因、倍他洛尔眼液(Betoptic)、Hylartin、Propine、布林佐胺、高渗NaCl、Puralube、BSS、吲哚菁绿(Indocycanine Green)、玫瑰红(Rose Bengal)、卡巴胆碱、伊曲康唑、透明质酸钠、头孢唑啉、拉坦前列素、舒洛芬、潇莱威(Celluvisc)、甘露糖醇、土霉素、氯霉素、醋甲唑胺、噻吗洛尔、Ciloxan、咪康唑、妥布霉素、环丙沙星、Miostat、曲安西龙、Cosopt、Muro 128、三氟尿苷、Demecarium、新霉素、托吡卡胺、地塞米松、甲醋唑胺(Neptazane)、Trusopt、地匹福林、Ocuflox、阿糖腺苷、多佐胺、氧氟沙星、Vira-A、肾上腺素、氧四环素、三氟胸苷、荧光素、苯肾上腺素和适利达(Xalatan)。Further, the eye treatment agent that can be used in combination is selected from Acular (ketorolac tromethamine ophthalmic solution) 0.5%, Acuvail (ketorolac tromethamine), AK-Con -A (naphazoline ophthalmic), Akten (lidocaine hydrochloride), Alamast, Alphagan (brimonidine), Alrex, Astepro (azelastine hydrochloride nasal spray), AzaSite (azithromycin), Bepreve (benzene Bepotastine Sulfonate Ophthalmic Solution), Besivance (Besifloxacin Ophthalmic Suspension), Betaxon, BSS Sterile Irrigation Solution, Cosopt, Durezol (Difluprednate), Eylea (Aflibercept), Lotemax, Lucentis (ranibizumab), Lumigan (bimatoprost ophthalmic solution), Macugen (pigatanib), Ocuflox (ofloxacin ophthalmic solution) 0.3%, OcuHist, Ozurdex (dexamethasone) , Quixin (levofloxacin), Rescula (unoprostone isopropyl ophthalmic solution) 0.15%, Restasis (cyclosporine ophthalmic emulsion), Salagen tablets, Travatan (travoprost ophthalmic solution), Valcyte ( Valganciclovir Hydrochloride), Trifluridine (Viroptic), Vistide (Cidofovir), Visudyne (Verteporfin for Injection), Vitrasert Implant, Fomivirxen Injection, ZADITOR, Zioptan (He Fluprostin Ophthalmic Solution), Zirgan (Ganciclovir Ophthalmic Gel), Zymaxid (Gatifloxacin Ophthalmic Solution), Atropine, Flurbiprofen, Physostimine, Azopt ), gentamicin, pilocarpine (Proparacaine), bacitracin, hypromellose eye solution (Goniosol), polymyxin B, povidone iodine (Betadine), gramicidin, prednisone Dragon, Betaxolol, Humorsol, Proparacaine, Betaxolol Eye Drops (Betoptic), Hylartin, Propine, Brinzolamide, Hypertonic NaCl, Puralube, BSS, Indocycanine Green, Rose Bengal, Carbachol, Itraconazole, Sodium Hyaluronate, Cefazolin, Latanoprost, Suprofen, Celluvisc, Mannitol, Oxytetracycline, Chloramphenicol , Methazolamide, Timolol, Ciloxan, Miconazole, Tobramycin, Ciprofloxacin, Miostat, Triamcinolone, Cosopt, Muro 128, Trifluridine, Demecarium, Neomycin, Tropone Piracamide, Dexamethasone, Methazolamide (Neptazane), Trusopt, Dipiforin, Ocuflox, Vidarabine, Dorzolamide, Ofloxacin, Vira-A, Epinephrine, Oxytetracycline, Trifluorothymidine, Fluorescein, Phenylephrine, and Xalatan.
其中,抑制、预防或逆转功能障碍并不需要100%抑制、预防、消灭或逆转。该类型天然产物的眼用药物组合物的“有效量”为抑制、预防或逆转个体所述多种眼科疾病的量。本发明的眼用药物组合物以治疗视觉障碍的有效量施用于有需要的受试者。如本文所用的,“治疗有效量”意指减轻个体所述多种眼科疾病的体征、症状或病因或任何其他所需生物系统改变中的至少一种的剂量。在预防性应用中,术语“预防有效量”意指施用于易患特定疾病或处于特定疾病风险下的患者的剂量,其可以是与治疗有效量相同或不同的剂量。用于特定个体的组合物的有效量可取决于个体、个体状况的严重程度、施加的制剂的类型、给药频率和治疗持续时间。根据本发明,本发明的眼用药物制剂即使在液体滴剂中以相对较低的浓度,例如10-9M至103M内的任何浓度施用,也可以通过每日仅一次、两次、三次或多次施加来逆转这样的视觉障碍,并且如此快速地进行。Herein, inhibiting, preventing or reversing dysfunction does not require 100% inhibition, prevention, eradication or reversal. An "effective amount" of an ophthalmic pharmaceutical composition of this type of natural product is an amount that inhibits, prevents or reverses said various ophthalmic diseases in a subject. The ophthalmic pharmaceutical compositions of the present invention are administered to a subject in need thereof in an amount effective to treat visual disorders. As used herein, "therapeutically effective amount" means a dose that alleviates at least one of the signs, symptoms, or causes of the various ophthalmic diseases or any other desired alteration of the biological system in an individual. In prophylactic applications, the term "prophylactically effective amount" means a dose administered to patients susceptible to or at risk of a particular disease, which may be the same or different than the therapeutically effective amount. The effective amount of the composition for a particular individual may depend on the individual, the severity of the individual's condition, the type of formulation administered, the frequency of dosing and the duration of treatment. According to the present invention, even if the ophthalmic pharmaceutical preparation of the present invention is administered at a relatively low concentration, for example, any concentration within 10 −9 M to 10 3 M in liquid drops, it can be administered by only once, twice, Three or more applications reverse such visual disturbances, and so quickly.
进一步的,所述三七皂苷提取物选自三七皂苷R1、三七皂苷R2、人参皂苷Rg1、人参皂苷Rg2、人参皂苷Re、人参皂苷Rb1、人参皂苷Rb2、人参皂苷Rd、人参皂苷Rf、人参皂苷Rc、人参皂苷Rh1和七叶胆苷Ⅸ中的一种或多种。Further, the notoginsenoside extract is selected from the group consisting of notoginsenoside R1, notoginsenoside R2, ginsenoside Rg1, ginsenoside Rg2, ginsenoside Re, ginsenoside Rb1, ginsenoside Rb2, ginsenoside Rd, ginsenoside Rf, One or more of ginsenoside Rc, ginsenoside Rh1 and escin IX.
优选的,所述三七皂苷提取物中含有含量总和为60~90%的以下成分:三七皂苷R1、三七皂苷R2、人参皂苷Rg1、人参皂苷Rg2、人参皂苷Re、人参皂苷Rb1、人参皂苷Rb2、人参皂苷Rd、人参皂苷Rf、人参皂苷Rc、人参皂苷Rh1和七叶胆苷Ⅸ。Preferably, the notoginsenoside extract contains the following components with a total content of 60-90%: notoginsenoside R1, notoginsenoside R2, ginsenoside Rg1, ginsenoside Rg2, ginsenoside Re, ginsenoside Rb1, ginseng Saponin Rb2, Ginsenoside Rd, Ginsenoside Rf, Ginsenoside Rc, Ginsenoside Rh1 and Aescin IX.
进一步优选的,所述三七皂苷提取物中,三七皂苷R1含量为3.0%以上、人参皂苷Rg1含量为20.0%以上、人参皂苷Re含量为1.5%以上、人参皂苷Rb1含量为25.0%以上、人参皂苷Rd含量为2.5%以上。Further preferably, in the notoginsenoside extract, the content of notoginsenoside R1 is more than 3.0%, the content of ginsenoside Rg1 is more than 20.0%, the content of ginsenoside Re is more than 1.5%, and the content of ginsenoside Rb1 is more than 25.0%, The content of ginsenoside Rd is more than 2.5%.
所述三七皂苷提取物的药材来源包括但不限于三七、人参与西洋参等。其中三七选自中药五加科植物三七Panax notoginseng(Burk.)F.H Chen的干燥根、根茎、茎、花以及果。The sources of medicinal materials for the extract of notoginseng saponins include but not limited to notoginseng, ginseng and American ginseng. Wherein, Radix Notoginseng is selected from the dried roots, rhizomes, stems, flowers and fruits of Panax notoginseng (Burk.) F.H Chen, a plant of the family Araliaceae.
所述药物可以以三七皂苷提取物作为唯一有效成分。其中,三七皂苷提取物的质量百分含量为0.02~30.0%,优选为0.1%-10.0%,其余60.0~99.9%为药学上可接受的载体和/或辅料。Said medicine can use notoginseng saponin extract as the only active ingredient. Wherein, the mass percent content of notoginsenoside extract is 0.02-30.0%, preferably 0.1-10.0%, and the remaining 60.0-99.9% is pharmaceutically acceptable carrier and/or auxiliary material.
所述药学上可接受的载体为水、缓冲液或氯化钠溶液。在一些实施方案中,该药学上可接受的载体是无菌的。在其他实施方案中,该药学上可接受的载体为软膏。在其他实施方案中,该药学上可接受的载体为凝胶。凝胶可以使用本领域公知的凝胶配制材料进行配制。The pharmaceutically acceptable carrier is water, buffer or sodium chloride solution. In some embodiments, the pharmaceutically acceptable carrier is sterile. In other embodiments, the pharmaceutically acceptable carrier is an ointment. In other embodiments, the pharmaceutically acceptable carrier is a gel. Gels can be formulated using gel formulation materials known in the art.
本发明中所述三七皂苷提取物还可以替换成其对应的药学上可接受的游离酸、游离碱、盐(例如,酸或碱加成盐)、水合物或前药等。所述“药学上可接受的盐”或“药学上可接受的酸”分别是指该类型天然产物药学上可接受的有机或无机盐或酸。反荷离子可为稳定母体化合物上的电荷的任何有机或无机部分。此外,药学上可接受的盐(或酸)可在其结构中具有多于一个带电原子。多个带电原子为药学上可接受的盐(或酸)的一部分的实例可具有多个反荷离子。因此,药学上可接受的盐(酸)可具有一个或多个带电原子和/或一个或多个反荷离子。The notoginseng saponin extract in the present invention can also be replaced by its corresponding pharmaceutically acceptable free acid, free base, salt (for example, acid or base addition salt), hydrate or prodrug, etc. The "pharmaceutically acceptable salt" or "pharmaceutically acceptable acid" refers to the pharmaceutically acceptable organic or inorganic salt or acid of this type of natural product, respectively. The counterion can be any organic or inorganic moiety that stabilizes the charge on the parent compound. Furthermore, a pharmaceutically acceptable salt (or acid) can have more than one charged atom in its structure. Examples where multiple charged atoms are part of a pharmaceutically acceptable salt (or acid) can have multiple counter ions. Thus, a pharmaceutically acceptable salt (acid) may have one or more charged atoms and/or one or more counterions.
也可以通过将本发明组合物溶解在适当的溶剂中来制备药物组合物。适当的溶剂包括但不限于水、盐溶液(例如,NaCl)、缓冲溶液、软膏、凝胶或其他溶剂。在制备滴眼剂中使用的用于悬浮液的水溶液和稀释剂可包括蒸馏水、生理盐水等。这些药物组合物可通过以下方式配制:根据常规方法将化合物任选地与适当的药物添加剂如赋形剂、崩解剂、粘合剂、润滑剂、稀释剂、缓冲剂、防腐剂、润湿剂、乳化剂、分散剂、稳定剂和溶解助剂一起混合、稀释或溶解,并根据剂型以常规方式配制。多种添加剂可根据需要被包含在滴眼剂、眼用凝胶和/或眼用软膏中。这些添加剂可包括适于接触眼或在眼周围使用而没有过度毒性、不相容性、不稳定性、刺激性、变态反应等的附加成分、添加剂或载体。可在适当情况下向制剂中加入添加剂如溶剂、基质、助溶剂、悬浮剂、增稠剂、乳化剂、稳定剂、缓冲剂、等渗性调节剂、pH调节剂、螯合剂、舒缓剂、防腐剂、矫味剂、调味剂、着色剂、赋形剂、粘合剂、润滑剂、表面活性剂、吸收促进剂、分散剂、防腐剂、增溶剂等。Pharmaceutical compositions can also be prepared by dissolving the composition of the present invention in an appropriate solvent. Suitable solvents include, but are not limited to, water, saline solutions (eg, NaCl), buffer solutions, ointments, gels, or other solvents. Aqueous solutions and diluents for suspensions used in the preparation of eye drops may include distilled water, physiological saline and the like. These pharmaceutical compositions can be formulated in the following manner: Compounds are optionally mixed with appropriate pharmaceutical additives such as excipients, disintegrants, binders, lubricants, diluents, buffers, preservatives, wetting agents, Agents, emulsifiers, dispersants, stabilizers and dissolution aids are mixed, diluted or dissolved, and formulated in a conventional manner according to the dosage form. Various additives may be contained in the eye drops, ophthalmic gel and/or ophthalmic ointment as required. These additives may include additional ingredients, additives or carriers suitable for use in or around the eye without undue toxicity, incompatibility, instability, irritation, allergic response, and the like. Additives such as solvents, bases, solubilizers, suspending agents, thickeners, emulsifiers, stabilizers, buffers, isotonicity regulators, pH regulators, chelating agents, soothing agents, Preservatives, flavoring agents, flavoring agents, colorants, excipients, binders, lubricants, surfactants, absorption promoters, dispersants, preservatives, solubilizers, etc.
例如,可通过将化合物溶解在溶有表面活性剂的无菌水中并任选地添加适当的药物添加剂如防腐剂、稳定剂、缓冲剂、抗氧化剂和粘度改善剂来配制滴眼剂。例如,添加缓冲剂以保持pH恒定,并且该缓冲剂可包括药学上可接受的缓冲剂,如硼酸盐缓冲液、柠檬酸盐缓冲液、酒石酸盐缓冲液、磷酸盐缓冲液等。除了缓冲液之外,还可以向滴眼剂中添加等渗剂以制备与泪液等渗的制剂。等渗剂包括但不限于糖类,多元醇,以及盐。以使滴眼剂的渗透压等于泪液渗透压的量添加等渗剂。可以添加防腐剂以维持滴眼剂和/或眼用软膏的完整性。在一些实施方案中,使用增稠剂来增加眼用制剂如滴眼剂、眼用凝胶和/或眼用软膏的粘度。滴眼剂、眼用凝胶和/或眼用软膏可通过无菌操作来制备,或者可替代地在制备的合适阶段进行灭菌。例如,无菌药物组合物可以通过无菌地混合无菌成分来制备。或者,该无菌药物组合物可通过先将成分混合随后将最终制剂灭菌来制备。灭菌方法可包括但不限于热灭菌、辐射和过滤。眼用软膏(眼膏)可通过将活性成分混合至用于制备眼膏的基质中,随后采用本领域已知的任何方法配制成药物制剂来无菌制备。For example, eye drops can be formulated by dissolving the compound in sterile water dissolved in a surfactant and optionally adding appropriate pharmaceutical additives such as preservatives, stabilizers, buffers, antioxidants and viscosity improvers. For example, buffers are added to keep the pH constant, and the buffers may include pharmaceutically acceptable buffers such as borate buffers, citrate buffers, tartrate buffers, phosphate buffers, and the like. In addition to buffers, isotonic agents may be added to eye drops to make preparations isotonic with tear fluid. Isotonic agents include, but are not limited to, sugars, polyols, and salts. The isotonic agent is added in such an amount that the osmotic pressure of the eye drops is equal to that of tear fluid. Preservatives may be added to maintain the integrity of the eye drops and/or ophthalmic ointments. In some embodiments, thickeners are used to increase the viscosity of ophthalmic formulations, such as eye drops, ophthalmic gels, and/or ophthalmic ointments. Eye drops, ophthalmic gels and/or ophthalmic ointments may be prepared by aseptic manipulation or alternatively sterilized at a suitable stage of manufacture. For example, sterile pharmaceutical compositions can be prepared by aseptically admixing sterile ingredients. Alternatively, the sterile pharmaceutical composition can be prepared by admixing the ingredients followed by sterilization of the final formulation. Sterilization methods may include, but are not limited to, heat sterilization, radiation, and filtration. Ophthalmic ointments (ointments) may be prepared aseptically by incorporating the active ingredient into the base used for ointment preparations, followed by formulation into a pharmaceutical formulation by any method known in the art.
本发明的某些实施方案还涉及包含可用于治疗和/或预防与多种眼科疾病相关的症状的组分的试剂盒。这样的试剂盒包含含有在药学上可接受的载体中的本发明天然产物组合物的容器,以及关于施用本发明天然产物组合物使得与干眼症、眼部外伤、眼部血管性疾病与眼部神经性疾病等相关的至少一种症状得到改善或预防的说明。包含在本文涉及的一些试剂盒中的容器是用于施用滴眼剂的滴管。在其他实施方案中,该容器是用于分配软膏或凝胶的管。在其他实施方案中,该容器是用于药物递送的任何合适的容器,包括但不限于注射器或适于药物的眼部递送或局部施用的其他容器。除非另有定义,本文使用的所有技术和科学术语均具有与本发明所属领域的普通技术人员通常所理解的含义相同的含义。虽然与本文所述的那些类似或等同的任何方法、装置和材料可用于本发明的实施或测试,但现在描述的是优选的方法、装置和材料。Certain embodiments of the invention also relate to kits comprising components useful for the treatment and/or prevention of symptoms associated with various ophthalmic diseases. Such kits comprise a container comprising a natural product composition of the invention in a pharmaceutically acceptable carrier, and methods for administering the natural product composition of the invention for the treatment of dry eye, ocular trauma, ocular vascular disease and ocular Statement that at least one symptom related to neurological diseases and the like has been improved or prevented. The container included in some of the kits referred to herein is a dropper for administering eye drops. In other embodiments, the container is a tube for dispensing ointments or gels. In other embodiments, the container is any suitable container for drug delivery, including but not limited to a syringe or other container suitable for ocular delivery or topical administration of a drug. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although any methods, devices and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention, the preferred methods, devices and materials are now described.
有益效果:本发明应用了该类型天然产物具有的抗血栓形成、改善微循环、促进神经元的存活及损伤修复、止血与促进创伤组织愈合等活性,制成专门针对眼部疾患用药的剂型,药理实验证明该药物对干眼症、眼部外伤、眼部血管性疾病与眼部神经性疾病等对眼睛及视力造成的损伤有治愈作用。同时,本发明采用的眼部局部给药的模式有用药剂量少,安全性高,不良反应少,患者顺应性好等诸多优势,避免了注射给药带来的安全风险,且改变给药途径后,其代谢途径、作用机制等方面均与注射剂不同,具有较好的临床应用前景。Beneficial effects: the present invention utilizes the anti-thrombosis, microcirculation improvement, neuron survival and damage repair promotion, hemostasis and wound tissue healing activities of this type of natural product to make a dosage form specially for eye diseases. Pharmacological experiments have proved that the drug has a healing effect on damage to the eyes and vision caused by dry eye, eye trauma, ocular vascular diseases and ocular neurological diseases. At the same time, the mode of topical ocular administration adopted by the present invention has many advantages such as less dosage, high safety, less adverse reactions, and good patient compliance, avoiding the safety risks brought by injection administration, and changing the route of administration Finally, its metabolic pathway and mechanism of action are different from injections, and it has a good clinical application prospect.
附图说明Description of drawings
图1是实施例十二的光学显微结果,其中图1a是视网膜试验结果,图1b是脉络膜试验结果;Fig. 1 is the optical microscopic result of embodiment 12, and wherein Fig. 1 a is retina test result, and Fig. 1 b is choroid test result;
图2是本申请药物缓解眼部干涩感的统计图示。Fig. 2 is a statistical representation of the relief of eye dryness by the drug of the present application.
具体实施方式Detailed ways
下面结合具体实施例对本申请作出详细说明。The present application will be described in detail below in conjunction with specific embodiments.
实施例一Example 1
该类型天然化合物多剂量滴眼液(一)This type of natural compound multi-dose eye drops (1)
取该类型天然化合物10克,溶于300毫升生理盐水,0.22μm膜精滤,稀释定容至1000毫升,密封,高温灭菌,分装至滴眼瓶,每瓶10毫升,得100只滴眼液。Take 10 grams of this type of natural compound, dissolve it in 300 milliliters of normal saline, filter it with a 0.22 μm membrane, dilute to 1000 milliliters, seal it, sterilize it at high temperature, dispense it into eye drops bottles, each bottle is 10 milliliters, and get 100 drops eye drops.
实施例二Embodiment 2
该类型天然化合物多剂量滴眼液(二)This type of natural compound multi-dose eye drops (2)
取该类型天然化合物5克,溶于300毫升生理盐水,0.22μm膜精滤,稀释定容至1000毫升,密封,高温灭菌,分装至滴眼瓶,每瓶10毫升,得100只滴眼液。Take 5 grams of this type of natural compound, dissolve it in 300 milliliters of normal saline, filter it with a 0.22 μm membrane, dilute to 1000 milliliters, seal it, sterilize it at high temperature, dispense it into eye drops bottles, each bottle is 10 milliliters, and get 100 drops eye drops.
实施例三Embodiment 3
该类型天然化合物单剂量滴眼液(一)This type of natural compound single-dose eye drops (1)
取该类型天然化合物10克,溶于300毫升生理盐水,0.22μm膜精滤,稀释定容至1000毫升,密封,高温灭菌,分装至滴眼瓶,每瓶0.4毫升,得25000只滴眼液。Take 10 grams of this type of natural compound, dissolve it in 300 milliliters of normal saline, filter it with a 0.22 μm membrane, dilute to 1000 milliliters, seal it, sterilize it at high temperature, dispense it into eye drops bottles, 0.4 milliliters per bottle, and get 25000 drops eye drops.
实施例四Embodiment 4
该类型天然化合物单剂量滴眼液(二)This type of natural compound single-dose eye drops (2)
取该类型天然化合物5克,溶于300毫升生理盐水,0.22μm膜精滤,稀释定容至1000毫升,密封,高温灭菌,分装至滴眼瓶,每瓶0.4毫升,得25000只滴眼液。Take 5 grams of this type of natural compound, dissolve it in 300 milliliters of normal saline, filter it with a 0.22 μm membrane, dilute to 1000 milliliters, seal it, sterilize it at high temperature, dispense it into eye drop bottles, each bottle is 0.4 milliliters, and get 25000 drops eye drops.
实施例五Embodiment five
该类型天然化合物眼内注射剂(一)This type of natural compound intraocular injection (1)
取该类型天然化合物4克,溶于300毫升生理盐水,0.22μm膜精滤,稀释定容至1000毫升,分装至安瓿瓶,每瓶2毫升,密封,高温灭菌,得500只眼内注射剂。Take 4 grams of this type of natural compound, dissolve it in 300 milliliters of normal saline, filter it with 0.22 μm membrane, dilute to 1000 milliliters, dispense it into ampoules, 2 milliliters per bottle, seal it, and sterilize at high temperature to obtain 500 eyes injection.
实施例六Embodiment six
该类型天然化合物眼内注射剂(二)This type of natural compound intraocular injection (2)
取该类型天然化合物8克,溶于300毫升生理盐水,0.22μm膜精滤,稀释定容至1000毫升,分装至安瓿瓶,每瓶2毫升,密封,高温灭菌,得500只眼内注射剂。Take 8 grams of this type of natural compound, dissolve it in 300 milliliters of normal saline, filter it with 0.22 μm membrane, dilute to 1000 milliliters, dispense it into ampoules, 2 milliliters per bottle, seal it, and sterilize at high temperature to obtain 500 eyes injection.
实施例七Embodiment seven
该类型天然化合物眼内注射剂(冻干)This type of natural compound intraocular injection (lyophilized)
取该类型天然化合物配制成冻干原液,除去热原,微滤后分装,灭菌,在-80℃冰箱预冻6h,冷冻干燥12h,即得该类型天然化合物眼内注射剂冻干粉针。Take this type of natural compound and make it into a lyophilized stock solution, remove the pyrogen, microfilter, subpackage, sterilize, pre-freeze in a -80°C refrigerator for 6 hours, and freeze-dry for 12 hours to obtain the lyophilized powder for intraocular injection of this type of natural compound. .
实施例八Embodiment Eight
该类型天然化合物眼内用眼膏This type of natural compound ophthalmic ointment
取医用黄凡士林、甘油、羊毛脂,按8:2:1比例混合均匀,制成眼药膏基质。取3000克基质,加入该类型天然化合物30克,混匀,得到该类型天然化合物眼药膏,无菌分装,每支3克,得1000支。Take medical yellow vaseline, glycerin, and lanolin, and mix them evenly in a ratio of 8:2:1 to make an eye ointment base. Take 3000 grams of matrix, add 30 grams of this type of natural compound, and mix well to obtain this type of natural compound ophthalmic ointment, which is aseptically divided into 3 grams for each, and 1000 branches are obtained.
实施例九Embodiment nine
该类型天然化合物外用眼霜This type of natural compound topical eye cream
取泊洛沙姆188乳化,加入甘油、丙二醇混合均匀制成眼药膏基质。取3000克基质,加入该类型天然化合物30克,混匀,得到该类型天然化合物眼药膏,无菌分装,每支3克,得1000支。Take poloxamer 188 to emulsify, add glycerin and propylene glycol and mix evenly to make ophthalmic ointment base. Take 3000 grams of matrix, add 30 grams of this type of natural compound, and mix well to obtain this type of natural compound ophthalmic ointment, which is aseptically divided into 3 grams for each, and 1000 branches are obtained.
实施例十Embodiment ten
该类型天然化合物眼用洗剂This type of natural compound eye lotion
按照中国药典第四部洗剂规定,取该类型天然化合物20克,加注射用水配置的等渗溶液至1000毫升,搅匀,分装于100毫升盐水瓶中,加塞,铝盖封口,100℃流通蒸汽消毒30min即可。According to the provisions of Chinese Pharmacopoeia Part IV lotion, take 20 grams of this type of natural compound, add water for injection to make an isotonic solution to 1000 ml, stir well, divide into 100 ml saline bottles, stopper, seal with aluminum cap, 100 °C Sterilize with circulating steam for 30 minutes.
实施例十一Embodiment Eleven
渗透压测定Osmometry
分别取上述实施例一到实施例七中产品,按照《中国药典》第四部0632规定,测得渗透压在296.000—308.000mOsm/l之间。Take the products in the above-mentioned Example 1 to Example 7 respectively, according to the provisions of the fourth part of the "Chinese Pharmacopoeia" 0632, the measured osmotic pressure is between 296.000-308.000mOsm/l.
实施例十二Embodiment 12
治疗视网膜静脉栓塞实验Treatment of retinal vein thrombosis experiment
(一)实验动物及分组:新西兰兔7只,分为3组,正常组2只兔(编号为A、B),共四只眼球,剩余5只兔(编号为C、D、E、F、G),左眼给予生理盐水为模型组,右眼给予该类型天然化合物滴眼液为给药组。(1) Experimental animals and grouping: 7 New Zealand rabbits, divided into 3 groups, 2 rabbits in the normal group (numbered A, B), a total of four eyeballs, and the remaining 5 rabbits (numbered C, D, E, F , G), the left eye was given normal saline as the model group, and the right eye was given this type of natural compound eye drops as the administration group.
(二)实验材料:1%阿托品、2%普鲁卡因、该类型天然化合物滴眼液、生理盐水。(2) Experimental materials: 1% atropine, 2% procaine, this type of natural compound eye drops, and normal saline.
(三)送检脏器:兔眼底组织。(3) Viscera submitted for inspection: fundus tissues of rabbits.
(四)检查方法:兔静脉或腹腔注射10%水合氯醛全麻,麻醉后,眼睑内滴注1%阿托品5μL扩瞳,15min后滴加2%普鲁卡因5μL进行角膜麻醉。静脉注射虎红20mg·kg-1,体积1m L·kg,1min后在手术前置镜与离体定位仪介导下进行冷激光照射视网膜静脉,制备视网膜静脉栓塞模型。正常组不做处理。给药组使用浓度为1.25%该类型天然化合物滴眼液(生理盐水溶解)滴眼一周,一日一次,每次35μl,模型组平行给予生理盐水。实验结束后剖取眼球,固定后取材,脱水,石蜡包埋,制片(4μm厚),HE染色,在光学显微镜下观察视网膜与脉络膜各部位,检查有无病变及病变类型、程度。(4) Examination method: Rabbits were given general anesthesia by intravenous or intraperitoneal injection of 10% chloral hydrate. After anesthesia, 5 μL of 1% atropine was instilled in the eyelids to dilate the pupil, and 5 μL of 2% procaine was added 15 minutes later for corneal anesthesia. Intravenous injection of tiger bengal 20 mg·kg-1, volume 1m L·kg, 1 min later, the retinal vein was irradiated with cold laser under the guidance of pre-operative mirror and in vitro positioner to prepare retinal vein embolism model. The normal group was not treated. The administration group was instilled with 1.25% natural compound eye drops of this type (dissolved in physiological saline) for a week, once a day, 35 μl each time, and the model group was given normal saline in parallel. After the experiment was over, the eyeballs were dissected, fixed and collected, dehydrated, embedded in paraffin, made into slices (4 μm thick), stained with HE, and observed the retina and choroid under an optical microscope to check whether there were lesions, the type and degree of lesions.
(五)检查结果:结果见图1a、图1b,根据图示可见,给药组内核层水肿消失、空泡减少,核固缩现象减轻;脉络膜血管内血栓块消失或变小。由此可见,本产品对实验性视网膜静脉栓塞有较好的治疗作用。(5) Examination results: the results are shown in Figure 1a and Figure 1b. According to the illustrations, the edema of the inner core layer disappeared, the vacuoles decreased, and the nuclear pyknosis phenomenon was alleviated in the administration group; the thrombus in the choroidal vessels disappeared or became smaller. It can be seen that this product has a good therapeutic effect on experimental retinal vein embolism.
实施例十三Embodiment Thirteen
缓解干眼症实验一Relieve dry eye syndrome experiment 1
(一)实验方法:荧光素钠标记法或泪液定性定量分析法(有条件下进行)初步表征本产品的眼部药代动行为。(1) Experimental method: sodium fluorescein labeling method or tear fluid qualitative and quantitative analysis method (under conditions) to initially characterize the ocular pharmacokinetic behavior of this product.
(二)实验动物及分组:新西兰兔4只,分为4组,每只兔左右眼为一组(编号为A、B、C、D),左眼给予生理盐水为模型组,右眼给予该类型天然化合物滴眼液为给药组。(2) Experimental animals and grouping: 4 New Zealand rabbits, divided into 4 groups, the left and right eyes of each rabbit were divided into one group (numbered A, B, C, D), the left eye was given normal saline as the model group, and the right eye was given This type of natural compound eye drops is the administration group.
(三)实验材料:该类型天然化合物滴眼液、生理盐水。(3) Experimental materials: this type of natural compound eye drops, physiological saline.
(四)实验过程:(4) Experimental process:
荧光素钠标记法Sodium fluorescein labeling method
(五)检查方法:每组在相同多个时间段,在紫外灯下连续观测荧光层强弱。(5) Inspection method: Each group continuously observed the strength of the fluorescent layer under the ultraviolet light at the same multiple time periods.
(六)检查结果:(6) Inspection results:
根据上述统计可见,该类型天然化合物滴眼液眼表的滞留时间是生理盐水的五倍以上,生物利用度较高,显著增加泪膜稳定性,缓解眼表干燥。According to the above statistics, the ocular surface residence time of this type of natural compound eye drops is more than five times that of normal saline, the bioavailability is high, the stability of the tear film is significantly increased, and the dryness of the ocular surface is relieved.
实施例十四Embodiment Fourteen
缓解干眼症实验二Relieve dry eye syndrome experiment 2
(一)实验方法:试用体验调查(1) Experimental method: trial experience survey
(二)实验材料:该类型天然化合物滴眼液、珍视明滴眼液(2) Experimental materials: this type of natural compound eye drops, Zhenshiming eye drops
(三)试用人员:男女比例均等、年龄在18~60岁之间、近期未曾使用眼部制剂45人,将试用者分为两组,分别为短期试用组及长期试用组,其中,短期试用组40人,长期试用组5人。(3) Trial personnel: 45 people with an equal ratio of male to female, aged between 18 and 60 years old, and who have not used eye preparations recently. The trial participants were divided into two groups, namely the short-term trial group and the long-term trial group. Among them, the short-term trial group 40 people in the group and 5 people in the long-term trial group.
(四)实验过程:(4) Experimental process:
1.短期试用组:试用者长期注视电子产品屏幕感到不适后使用本产品,在间隔相同时段后多次填写调查问卷,内容包括是否使用舒适度,是否有刺激感,是否对视疲劳有改善,是否有副作用等。1. Short-term trial group: Trial users use this product after staring at the electronic product screen for a long time and feel uncomfortable, and fill out the questionnaire several times after the same interval, including whether it is comfortable to use, whether there is stimulation, whether it improves visual fatigue, Whether there are side effects, etc.
2.长期试用组:依据短期组试用者试用情况,长期组试用者在一个月内长期使用本产品,对其跟踪随访,了解本产品的有效性,保证试用者用药安全。2. Long-term trial group: According to the trial situation of the short-term group trial users, the long-term group trial users use this product for a long time within one month, follow up with them, understand the effectiveness of this product, and ensure the drug safety of the trial users.
(五)试用者调查结果:(5) Survey results of the trial users:
1、试用该类型天然化合物滴眼液后,干眼症缓解效果强,同时使用感和顺应性好,统计结果见下表:1. After trying this type of natural compound eye drops, the effect of relieving dry eye syndrome is strong, and the feeling of use and compliance are good at the same time. The statistical results are shown in the following table:
观测的指标症状:视物模糊感、眼部肌肉酸痛感、眼部干涩感、异样分泌物、眼部灼烧感、眼部瘙痒、眼部有异物感、流泪等;项目用评分进行描述,分为0-5分,0分为无症状,1-2分为有轻微症状,3-4分为有明显症状,5分为出现严重症状;将志愿者反馈信息进行方差分析,P<0.05为有缓解,P<0.01为显著缓解。The observed index symptoms: blurred vision, eye muscle soreness, eye dryness, strange secretions, eye burning sensation, eye itching, foreign body sensation in the eyes, tears, etc.; the items are described by scoring, Divided into 0-5 points, 0 points as no symptoms, 1-2 points as mild symptoms, 3-4 points as obvious symptoms, 5 points as severe symptoms; ANOVA analysis was performed on the feedback information of volunteers, P<0.05 For remission, P<0.01 was significant remission.
2、图2为对适用者使用本申请滴眼液缓解眼部干涩感的效果统计,根据图示可见,试用该类型天然化合物滴眼液一段时间后,能够明显改善眼部干涩。2. Figure 2 shows the statistics on the effect of using the eye drops of this application to relieve eye dryness. According to the diagram, it can be seen that after using this type of natural compound eye drops for a period of time, eye dryness can be significantly improved.
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