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[氨茶碱治疗72例患者的药物监测]

[Drug monitoring in the treatment of 72 patients with aminophylline].

作者信息

Ye Z M

机构信息

Beijing Tong Ren Hospital.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 1991 Feb;14(1):22-4, 62.

PMID:1879006
Abstract

The drug monitoring of serum concentration of Aminophylline by means of HPLC and FPIA to 72 patients suffering from bronchial asthma and asthmatic bronchitis; the relations among the quantities, serum drug concentrations, effects and side-effects of Aminophylline were reported. The results showed that it is necessary to take Aminophylline individually under the guide of drug monitoring. The monitoring should be combined with clinical observation and comprehensive treatment of the diseases. The major values of effective serum concentration of Aminophylline range from 8 to 20 mg/L, while above the value of 20 mg/L, its side-effects will significantly increase. It is safe and effective for asthmatic adult patients (over 55 Kg weight) if the oral dose of Aminophylline is not more than 200 mg Q8h, or for others with continuous asthmatic attacks to be given with 250 mg of Aminophylline intravenously in drip followed by oral dose of the drug 200 mg Bid.

摘要

采用高效液相色谱法(HPLC)和荧光偏振免疫分析法(FPIA)对72例支气管哮喘和喘息性支气管炎患者进行氨茶碱血药浓度监测,并报道了氨茶碱的用量、血药浓度、疗效及副作用之间的关系。结果表明,在药物监测指导下个体化使用氨茶碱很有必要。监测应与临床观察及疾病的综合治疗相结合。氨茶碱有效血药浓度的主要范围为8~20mg/L,超过20mg/L时,其副作用将显著增加。对于体重超过55kg的成年哮喘患者,若氨茶碱口服剂量不超过200mg,每8小时1次是安全有效的;对于其他持续哮喘发作患者,可先静脉滴注250mg氨茶碱,随后口服该药,剂量为200mg,每日2次。

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