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[支气管哮喘患儿氨茶碱的个体化调整剂量]

[Individually-adjusted dosages of aminophylline in children with bronchial asthma].

作者信息

Paditz E, Gramatté T, Leupold W, Richter K, Feller K

机构信息

Klinik für Kinderheilkunde, Medizinischen Hochschule Carl Gustav Carus, Dresden.

出版信息

Kinderarztl Prax. 1990 Nov;58(11):567-74.

PMID:2098615
Abstract

Theophylline concentrations in serum between 10 to 20 micrograms/ml cannot be obtained with usual dosage of theophylline in children with individual very short elimination half time of theophylline. Multiple corrections of dosage and repeated controls of theophylline concentrations in serum are necessary for empirical adjustment of individual optimal dosage. Pharmacokinetic investigations were made to shorten this management. 12 patients with bronchial asthma, 6 to 18 years of age, received 1.5 to 3 tablets of Aminophyllin under conditions of steady state. Blood samples were taken up to 6 hours after oral application. As a result of statistical analysis we found that the biological half time of theophylline could be determined from 2 to 3 blood samples. Estimation of optimal individual dosage is possible by simple mathematical pharmacokinetic formulas.

摘要

对于茶碱消除半衰期极短的儿童,使用常规剂量的茶碱无法使血清中的茶碱浓度达到10至20微克/毫升。为了经验性调整个体最佳剂量,需要多次调整剂量并反复检测血清中的茶碱浓度。进行了药代动力学研究以缩短这一管理过程。12名6至18岁的支气管哮喘患者在稳态条件下服用了1.5至3片氨茶碱。口服给药后6小时内采集血样。通过统计分析,我们发现从2至3份血样中即可确定茶碱的生物半衰期。通过简单的数学药代动力学公式可以估算个体最佳剂量。

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