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[单次给药后高血压患者静息状态下长效β受体阻滞剂纳多洛尔的药代动力学和药效学]

[The pharmacokinetics and pharmacodynamics of the prolonged-action beta-adrenoblocker nadolol at rest after a single administration to hypertension patients].

作者信息

Poteshnykh A V, Filatova N P, Metelitsa V I, Piotrovskiĭ V K, Malysheva N V, Ignat'ev A Iu

出版信息

Eksp Klin Farmakol. 1992 Sep-Oct;55(5):25-8.

PMID:1305446
Abstract

The pharmacokinetics and pharmacodynamics of nadolol given in a single dose of 80 mg to 17 patients with mild hypertension were studied by echocardiography at rest. The major pharmacokinetic parameters for nadolol did not differ greatly from those reported in the literature and obtained from volunteers. No correlation was found between endogenous creatine clearance and renal nadolol clearance. How the hemodynamic effect developed and whether it was related to blood nadolol concentrations in time after single administration were followed up and discussed. There was a significant decline in blood pressure 2 hours after the drug. There was a clock-wise hysteresis in the relationship between the changes in cardiac output and nadolol levels. Changes in blood pressure were shown to significantly correlate with those in cardiac output.

摘要

对17例轻度高血压患者单次给予80毫克纳多洛尔后,通过静息超声心动图研究了其药代动力学和药效学。纳多洛尔的主要药代动力学参数与文献报道的以及从志愿者身上获得的参数没有太大差异。内源性肌酐清除率与肾脏纳多洛尔清除率之间未发现相关性。对单次给药后血流动力学效应如何发展以及是否与血中纳多洛尔浓度随时间的变化相关进行了跟踪和讨论。给药2小时后血压显著下降。心输出量变化与纳多洛尔水平之间的关系呈顺时针滞后。血压变化与心输出量变化显著相关。

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