Librodo Paul, Buckley Mitchell, Luk Marilyn, Bisso Andrea
Department of Pharmacy, Banner Good Samaritan Medical Center, Phoenix, Arizona 85006, USA.
J Infus Nurs. 2012 Sep-Oct;35(5):329-34. doi: 10.1097/NAN.0b013e31826597d3.
Living organisms follow a circadian rhythm in which physiological processes such as hormonal secretion, metabolism, heart rate, and renal output are affected by the time of day. Chronotherapy coordinates drug delivery with the circadian rhythm to enhance effectiveness and mitigate adverse effects and is achieved by delivering a drug when the system is most susceptible. Cancer is a chronotherapeutic disorder. Cancer treatment requires high doses of intravenous medication to kill cancerous cells; however, normal cells are also killed, creating intolerable side effects. This review shows that chronotherapy can play a vital role in the quality of life and survival rate for oncology patients.
生物遵循昼夜节律,在这种节律中,诸如激素分泌、新陈代谢、心率和肾输出等生理过程会受到一天中不同时间的影响。时间治疗法将药物递送与昼夜节律相协调,以提高疗效并减轻不良反应,这是通过在系统最敏感时递送药物来实现的。癌症是一种适合时间治疗的疾病。癌症治疗需要高剂量的静脉内药物来杀死癌细胞;然而,正常细胞也会被杀死,从而产生难以忍受的副作用。这篇综述表明,时间治疗法在肿瘤患者的生活质量和生存率方面可以发挥至关重要的作用。