Johnston J, Reich S, Bailey A, Sluetz J
Shiley INFUSAID, Inc., Norwood, Massachusetts 02062.
Ann N Y Acad Sci. 1988;531:57-65. doi: 10.1111/j.1749-6632.1988.tb31812.x.
Totally implantable drug delivery devices have been shown to be safe and effective in the delivery of drugs both systemically and regionally. Applications have been developed for continuous infusions of drugs and are currently being developed for variable flow rates with more sophisticated programmable pumps. Some of the potential benefits of such devices include improved drug efficacy with reduced systemic toxicities, more controlled dosing of drugs, improved quality of life, delivery of proteins and peptides, and individualized patient dosing. The potential exists for creating biofeedback closed loop therapies for diabetes, cardiovascular diseases, and some central nervous system diseases in the future.
完全植入式给药装置已被证明在全身和局部给药方面都是安全有效的。已经开发出用于持续输注药物的应用,并且目前正在开发具有更复杂可编程泵的可变流速应用。此类装置的一些潜在益处包括提高药物疗效并降低全身毒性、更精确地控制药物剂量、改善生活质量、蛋白质和肽的递送以及个体化患者给药。未来有可能为糖尿病、心血管疾病和一些中枢神经系统疾病创建生物反馈闭环疗法。