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[氨茶碱剂量计算微机软件的临床试验]

[A clinical trial of microcomputer software for calculation of aminophylline dosages].

作者信息

Morikawa T

出版信息

Arerugi. 1989 Sep;38(9):1093-102.

PMID:2589989
Abstract

I made microcomputer software for the pharmacokinetic calculation of appropriate administration doses of aminophylline for the treatment of status asthmaticus. It consists of three programs for determination of initial doses, four for determination of maintenance doses, and four for calculation of the pharmacokinetics parameters (Vd, Ke, CL, T1/2). The parameters were estimated 376 times during 151 attacks in 84 patients with bronchial asthma. Vd, Ke, and CL were calculated as below, and the wide variation in the values suggests that individual programs for theophylline therapy should be made for each patient. I concluded that these microcomputer programs were useful in creating an individual administration program. Distribution volume (Vd): 385 +/- 106 ml/kg (n = 115) Elimination rate constant (Ke): 0.155 +/- 0.0878/h (n = 176) Clearance (CL): 61.8 +/- 14.3 ml/kg.h (n = 85)

摘要

我制作了用于计算治疗哮喘持续状态时氨茶碱合适给药剂量的药代动力学的微型计算机软件。它由三个用于确定初始剂量的程序、四个用于确定维持剂量的程序以及四个用于计算药代动力学参数(Vd、Ke、CL、T1/2)的程序组成。在84例支气管哮喘患者的151次发作期间,这些参数被估算了376次。Vd、Ke和CL按以下方式计算,数值的广泛差异表明应针对每位患者制定个体化的茶碱治疗方案。我得出结论,这些微型计算机程序有助于制定个体化给药方案。分布容积(Vd):385±106 ml/kg(n = 115)消除速率常数(Ke):0.155±0.0878/h(n = 176)清除率(CL):61.8±14.3 ml/kg·h(n = 85)

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