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口服抗凝药药效学相互作用研究中的误导性结果。

Misleading results in studying pharmacodynamic interaction with oral anticoagulants.

作者信息

de Feo G, Lisciani R, Del Vecchio A, Orticelli G, Valeri P, Noli G, Mazzanti G

机构信息

Institute of Pharmacology and Pharmacognosy, School of Pharmacy, University La Sapienza, Rome, Italy.

出版信息

Boll Chim Farm. 1990 Apr;129(4):166-8.

PMID:2245005
Abstract

An experimental conditions is described in which the i.p. administration to rats of irritants produces a misleading increase of the anticoagulant effect of warfarin. Groups of 10 adult Wistar rats were treated i.p. or i.v. with HCl 0.1N plus warfarin p.o.; 24 hr after warfarin administration, prothrombin time was determined on citrate blood specimens and the animals were submitted to autopsy. When HCl is given i.p., a significant increase of prothrombin time is observed. On the contrary following i.v. administration no interference with the anticoagulant effect of warfarin is observed. Abdomen exploration of rats shows the presence of serum exudate following i.p. but not i.v. administration of HCl. The synergistic effect of i.p. administration of HCl on anticoagulant effect of warfarin appears an experimental artifact, probably attributable to a non-specific local irritating effect. This result stresses the need of caution in interpreting animal data indicating a synergism with oral anticoagulants.

摘要

本文描述了一种实验条件,即向大鼠腹腔注射刺激物会导致华法林抗凝作用出现误导性增强。将10只成年Wistar大鼠分为几组,分别经腹腔注射或静脉注射0.1N盐酸加口服华法林;给药24小时后,测定枸橼酸盐血标本的凝血酶原时间,并对动物进行尸检。当腹腔注射盐酸时,可观察到凝血酶原时间显著延长。相反,静脉注射后未观察到对华法林抗凝作用的干扰。对大鼠进行腹部探查发现,腹腔注射盐酸后会出现血清渗出,而静脉注射则不会。腹腔注射盐酸对华法林抗凝作用的协同效应似乎是一种实验假象,可能归因于非特异性局部刺激作用。这一结果强调了在解释表明与口服抗凝剂存在协同作用的动物数据时需要谨慎。

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