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儿童直肠pH值。

Rectal pH in children.

作者信息

Jantzen J P, Tzanova I, Witton P K, Klein A M

机构信息

Department of Anaesthesiology, Johannes Gutenberg, University Medical School, Mainz, F.R.G.

出版信息

Can J Anaesth. 1989 Nov;36(6):665-7. doi: 10.1007/BF03005418.

DOI:10.1007/BF03005418
PMID:2582564
Abstract

In an attempt to establish normal values for rectal pH in children, we have measured pH in 100 paediatric patients. Measurement of rectal pH was performed in 25 infants and 75 children (27 girls and 73 boys) using a monocrystalline antimony electrode. Rectal pH was 9.6 +/- 0.9 (mean +/- SD, range 7.2 to 12.1) and was independent of sex, age and nutrition. This wide range of rectal pH values offers a possible explanation for the widely scattered bioavailability of drugs administered by the rectal route. Mean rectal pH was considerably higher than that reported for adults; this unexpected alkalinity should be taken into account, when drug formulations are considered for rectal administration in children.

摘要

为了确定儿童直肠pH值的正常范围,我们对100例儿科患者进行了pH值测量。使用单晶锑电极对25名婴儿和75名儿童(27名女孩和73名男孩)进行直肠pH值测量。直肠pH值为9.6±0.9(平均值±标准差,范围7.2至12.1),且与性别、年龄和营养状况无关。直肠pH值的这种广泛范围为经直肠途径给药的药物生物利用度广泛分散提供了一种可能的解释。平均直肠pH值明显高于成人报告的值;在考虑儿童直肠给药的药物制剂时,应考虑到这种意外的碱性。

相似文献

1
Rectal pH in children.儿童直肠pH值。
Can J Anaesth. 1989 Nov;36(6):665-7. doi: 10.1007/BF03005418.
2
[The effect of rectal pH values on the absorption of methohexital].[直肠pH值对甲己炔巴比妥吸收的影响]
Anaesthesist. 1986 Aug;35(8):496-9.
3
Rectal pH in well and unwell infants.健康和不适婴儿的直肠 pH 值。
J Trop Pediatr. 2012 Aug;58(4):311-3. doi: 10.1093/tropej/fmr088. Epub 2011 Oct 7.
4
[Normal pH value of human skin].[人体皮肤的正常pH值]
Hautarzt. 1986 Mar;37(3):126-9.
5
Diurnal variation in intragastric pH in children with and without peptic ulcers.患有和未患有消化性溃疡的儿童胃内pH值的昼夜变化。
Pediatr Res. 1996 Oct;40(4):528-32. doi: 10.1203/00006450-199610000-00003.
6
Concentrations of serum insulin-like growth factor-I (IGF-I) in normal Chinese children and children with growth hormone deficiency.正常中国儿童与生长激素缺乏症儿童的血清胰岛素样生长因子-I(IGF-I)浓度。
J Formos Med Assoc. 1993 Jul;92(7):614-7.
7
Nutritional support for hospitalized children.住院儿童的营养支持
Hosp Pract (Off Ed). 1986 Apr 15;21(4):179-90.
8
Energy requirements of infants and children.婴幼儿的能量需求
Nestle Nutr Workshop Ser Pediatr Program. 2006;58:19-32; discussion 33-7. doi: 10.1159/000094842.
9
Growth and nutritional status of pre-school children in India: rural-urban and gender differences.印度学龄前儿童的生长发育与营养状况:城乡及性别差异
Coll Antropol. 2009 Mar;33(1):7-21.
10
Protein requirements of infants and children.婴幼儿的蛋白质需求
Eur J Clin Nutr. 1996 Feb;50 Suppl 1:S119-47; discussion S147-50.

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Sol-moiety: Discovery of a water-soluble prodrug technology for enhanced oral bioavailability of insoluble therapeutics.Sol-部分:发现一种水溶性前药技术,可提高难溶性治疗药物的口服生物利用度。
Nat Commun. 2024 Oct 1;15(1):8487. doi: 10.1038/s41467-024-52793-6.
2
Physiological and Pharmaceutical Considerations for Rectal Drug Formulations.直肠给药制剂的生理学和药学考量
Front Pharmacol. 2019 Oct 16;10:1196. doi: 10.3389/fphar.2019.01196. eCollection 2019.
3
Screening paediatric rectal forms of azithromycin as an alternative to oral or injectable treatment.

本文引用的文献

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On the mechanism of intestinal absorption of drugs.论药物的肠道吸收机制。
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The gastric secretion of drugs: a pH partition hypothesis.药物的胃分泌:pH分配假说
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Rectal pH in well and unwell infants.健康和不适婴儿的直肠 pH 值。
J Trop Pediatr. 2012 Aug;58(4):311-3. doi: 10.1093/tropej/fmr088. Epub 2011 Oct 7.
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Review of paediatric gastrointestinal physiology data relevant to oral drug delivery.儿科胃肠道生理学数据与口服药物传递相关的综述。
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Premedication for ambulatory surgery in preschool children: a comparison of oral midazolam and rectal thiopentone.
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Techniques for induction of general anesthesia in the pediatric dental patient.小儿牙科患者全身麻醉诱导技术。
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Characteristics of drug absorption via the rectal route.经直肠途径的药物吸收特性。
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Drug absorption in the gut.药物在肠道中的吸收。
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Rectal drug administration: clinical pharmacokinetic considerations.直肠给药:临床药代动力学考量
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Absorption and exretion of drugs. XXXIV. An aspect of the mechanism of drug absorption from the intestinal tract in rats.药物的吸收与排泄。三十四。大鼠肠道药物吸收机制的一个方面。
Chem Pharm Bull (Tokyo). 1969 Feb;17(2):255-61. doi: 10.1248/cpb.17.255.
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[Problems of rectal application of drugs].[药物直肠给药的问题]
Dtsch Med Wochenschr. 1970 Jul 10;95(28):1494-6. doi: 10.1055/s-0028-1108676.
9
Drug absorption IV: influence of pH on absorption kinetics of weakly acidic drugs.药物吸收IV:pH对弱酸性药物吸收动力学的影响
J Pharm Sci. 1971 Aug;60(8):1160-3. doi: 10.1002/jps.2600600809.
10
Absorption of salicylic acid from the perfused human rectum.水杨酸从灌注的人体直肠中的吸收。
Acta Pharmacol Toxicol (Copenh). 1973;33(2):129-37.