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一种新型地西泮制剂的副作用评估:兔静脉注射地西泮乳剂后静脉后遗症的减少

Side-effect evaluation of a new diazepam formulation: venous sequela reduction following intravenous (i.v.) injection of a diazepam emulsion in rabbits.

作者信息

Levy M Y, Langerman L, Gottschalk-Sabag S, Benita S

机构信息

Department of Pharmacy, School of Pharmacy, Hebrew University of Jerusalem, Israel.

出版信息

Pharm Res. 1989 Jun;6(6):510-6. doi: 10.1023/a:1015928825882.

DOI:10.1023/a:1015928825882
PMID:2762228
Abstract

Diazepam has been incorporated into a stable, submicronized injectable emulsion. Venous sequela induction in rabbits following iv administration of diazepam in a marketed hydroalcoholic solution and in the emulsion were determined and compared over a 5-day period. There was a marked difference in the local reactions induced by the iv administration of the marketed diazepam hydroalcoholic solution and the diazepam emulsion, even on the first postinjection day. This difference was confirmed by pathological analysis. The highest mean venous sequela score was reached by the rabbit group injected with the marketed diazepam solution. It should be noted that no statistical difference was observed between the saline and the diazepam emulsion rabbit groups during the 5 days of the observation period. The moderate increase in the venous sequela score values compared to that for the saline solution should be attributed to the intrinsic effect produced by diazepam itself, and not to the emulsion vehicle, which was shown not to induce any vascular reaction in the present study.

摘要

地西泮已被制成一种稳定的、亚微米化的注射用乳剂。测定并比较了市售含醇水溶液中的地西泮和乳剂静脉注射后5天内家兔静脉后遗症的诱发情况。即使在注射后的第一天,静脉注射市售地西泮含醇水溶液和地西泮乳剂所引起的局部反应也存在显著差异。这一差异通过病理分析得到了证实。注射市售地西泮溶液的家兔组静脉后遗症平均得分最高。应当指出,在观察期的5天内,生理盐水组和地西泮乳剂组家兔之间未观察到统计学差异。与生理盐水相比,静脉后遗症得分值的适度增加应归因于地西泮本身产生的内在效应,而不是乳剂载体,在本研究中已表明该载体不会诱发任何血管反应。

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本文引用的文献

1
Local reactions to i.v. diazepam in three different formulations.三种不同剂型静脉注射地西泮后的局部反应。
Br J Anaesth. 1980 Jun;52(6):609-11. doi: 10.1093/bja/52.6.609.
2
Reduction of venous sequelae of i.v. diazepam with a fat emulsion as solvent.
Br J Anaesth. 1981 Dec;53(12):1265-8. doi: 10.1093/bja/53.12.1265.
3
Sequelae following intra-arterially injected diazepam formulations.动脉内注射地西泮制剂后的后遗症。
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Pharm Res. 1991 Jan;8(1):76-9. doi: 10.1023/a:1015834407748.
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Intravenous premedication with diazepam. A comparison between two vehicles.静脉注射地西泮进行术前用药。两种溶媒的比较。
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Thrombophlebitis with diazepam used intravenously.静脉使用地西泮导致的血栓性静脉炎。
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Diazepam in emulsion form for intravenous usage.
Acta Anaesthesiol Scand. 1976;20(3):221-4. doi: 10.1111/j.1399-6576.1976.tb05033.x.
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Sequelae after the intravenous injection of three benzodiazepines--diazepam, lorazepam, and flunitrazepam.静脉注射三种苯二氮䓬类药物(地西泮、劳拉西泮和氟硝西泮)后的后遗症。
Br Med J. 1977 Nov 26;2(6099):1384-5. doi: 10.1136/bmj.2.6099.1384.