硝酸益康唑脂质体凝胶剂的研究
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摘要
考察了硝酸益康唑的基本理化性质,通过正交设计筛选硝酸益康唑脂
    质体的处方;用微型柱离心法和超速离心法测定药物包封率,分析脂质体
    中硝酸益康唑的分布状态。
     建立了一种测定皮肤表皮和真皮中药物含量的高效液相色谱法,用立
    式扩散池考察基质对脂质体释药性的影响和pH、脂质体的粒径、乙醇的含
    量、磷脂类型、基质对用药24小时后硝酸益康唑在皮肤表皮和真皮中含量
    的影响,并分别与市售软膏作了比较。结果表明,HPMC对脂质体的释药
    性影响小,释药速度快;脂质体溶液的pH、乙醇的含量、磷脂和基质类型
    对药物在表皮和真皮中的滞留量有显著性影响;以HPMC为基质的脂质体
    凝胶剂比市售软膏的释药速度大,药物在表皮和真皮中滞留量高。
     研究了硝酸益康唑脂质体凝胶剂在体皮肤用药3天后的表皮和真皮中药
    物消除过程,求出消除过程中的AUC值,并与市售软膏作了比较。结果表
    明脂质体凝胶剂表皮和真皮中最大药物浓度大大高于市售软膏的最大药物
    浓度:表皮中AUC_(脂质体凝胶剂)/AUC_(市售软膏)为4.87,而真皮中AUC_(脂质体凝胶剂)/AUC_(市售软膏)为
    1.30,脂质体凝胶剂能显著提高药物在表皮中的滞留时间,不能增加在真
    皮中滞留时间,因此硝酸益康唑脂质体凝胶剂比较适合用于治疗病灶在表
    皮的皮肤真菌感染。
     考察了硝酸益康唑脂质体的理化性质、稳定性、皮肤刺激性和初步临
    床疗效。电镜扫描观察、偏光显微镜观察、X衍射证明硝酸益康唑脂质体凝
    胶剂中无药物结晶,市售软膏中有大量药物结晶。制备的硝酸益康唑脂质
    体凝胶剂稳定性好,皮肤刺激性小,具有显著的临床疗效。
The basic physical-phemical properties of Econazole Nitrate
     were studied and the formulation was optimized by orthogonal design.
     The two different entrapment efficiencies were determined by
     mincolumn centrifugation method and ultraceritrifugation method,
     which demonstrated the distribution of Econazole Nitrate in
     1 ipo some.
    
     A high-performance liquid chromatographic method for the
     quantitative determination of Econazole nitrate in epidermis and
     dermis was developed. The effects of the additives on the drug release
     from liposomal gel and the effects of pH, liposome size, ethanol
     content, phospholipid sorts and the additives on the content of drug
     in epidermis and dermis 24 hours after application were studied,
     which were compared with the ointment on sale. The results showed
     that pH, ethanol content, phospholipid sorts and the additives had
     significant effects on the content of drug in epidermis and dermis
    
     and HPMCiposome gel had a higher rate of drug release and a more
     content of Econazole nitrate in epidermis and dermis than other
     liposomal gels ,furthermore, much higher than the ointment on sale
    
     The clearance procedures of Econazole nitrate in rat back
     skin (epidermis and dermis) 3 days after application were studied and
     AUC were calculated by trapezoidal rule, which were compared with
    
    
    
    
    
    
     the marketed Econazole nitrate ointment. The results showed that the
     C of Econazole nitrate from the prepared liposomal gel in epidermis
     and dermis 3 days after application were significantly higher than
     that from the ointment on sale. The ratios of AUCLP. to AUC0. in
     epidermis and dermis were 4.87 and 1.30 respectively, which showed
     that liposomal gel could prolong duration time of Econazole nitrate
     in epidermis but not in dermis. It demonstrated Econazole nitrate
     liposomal gel was adapted to fungal skin infections whose focus is
     in epidermis.
    
     The physical-phemical properties, stability, skin irritation
     and preliminary clinical pharmacological action of prepared
     liposomal gel were investigated. The results of polarizing
     microscope observation scanning microscope observation and X-way
     diffraction test showed a lot of crystal of Econazole nitrate in the
     ointment on sale ,but no crystal in prepared liposomal gel. The
     irritation test and preliminary clinical investigation showed the
     prepared liposomal gel had no irritation for application and had
     significant pharmacological action for fungal skin infections.
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