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[毛发中药物分析方法的建立及其在确定患者依从性方面的应用]

[Establishment of a method to analyze drugs in the hair and its application for determining patient compliance].

作者信息

Uematsu T

机构信息

Department of Pharmacology, Hamamatsu University School of Medicine, Japan.

出版信息

Nihon Yakurigaku Zasshi. 1992 Dec;100(6):475-83. doi: 10.1254/fpj.100.475.

Abstract

The human scalp hair is a useful tissue that retains the past dosage history over a rather long period of time, acting like a "tape-recorder". It should be emphasized that the sampling of hair can be made noninvasively by cutting a few to several pieces of hair nearest to the scalp. Because the hair continues to grow at the rate of about 1 cm/month, each 1-cm hair length contains the drug corresponding to the amount ingested over a 1-month period when the hair is cut into 1-cm lengths successively from the scalp end. However, the hair growth rate is variable both within and between individuals, and the hair has its own growth cycle, i.e., 2 to 8 years or more of the growing stage and a few months of the resting stage. Therefore, the validity of the obtained results must always be considered cautiously, especially in relation to whether a resting phase hair might have been sampled. For obtaining information on the growth rate and stage of a hair, a drug that can be detected in the hair even after a short-term exposure to the drug has been found. These drugs are antimicrobial quinolones such as ofloxacin. By analyzing the axial distribution of ofloxacin along the hair shaft, we can expect to determine the so-called "tape-speed" and "uniformity of tape-running" of a single hair.

摘要

人类头皮毛发是一种有用的组织,它能在相当长的一段时间内保留过去的剂量历史,就像一台“录音机”。应该强调的是,毛发采样可以通过剪下靠近头皮的几根至几根毛发以非侵入性的方式进行。由于毛发以大约1厘米/月的速度持续生长,当从头皮端将毛发依次剪成1厘米长时,每1厘米的毛发长度包含对应于1个月内摄入药物量的药物。然而,个体内部和个体之间的毛发生长速度是可变的,并且毛发有其自身的生长周期,即2至8年或更长的生长期和几个月的休止期。因此,必须始终谨慎考虑所获得结果的有效性,特别是关于是否可能采集到了休止期毛发。为了获取关于毛发的生长速度和阶段的信息,已经发现了一种即使在短期接触药物后仍能在毛发中检测到的药物。这些药物是抗菌喹诺酮类,如氧氟沙星。通过分析氧氟沙星沿毛干的轴向分布,我们有望确定单根毛发的所谓“磁带速度”和“磁带运行均匀性”。

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