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老年病房中地高辛的处方——药物的运动与再分布

Prescribing digoxin in geriatric units--exercise and redistribution of drug.

作者信息

Meghee S, Mooney C, Deshmukh A A, O'Neill C J, Bowes S, Royston J P, Dobbs S M, Dobbs R J

机构信息

School of Pharmacy, London, U.K.

出版信息

J Clin Pharm Ther. 1987 Dec;12(6):415-8. doi: 10.1111/j.1365-2710.1987.tb00555.x.

DOI:10.1111/j.1365-2710.1987.tb00555.x
PMID:3440813
Abstract

In subjects capable of normal everyday activity, exercise has been shown to lower the serum digoxin concentration by increasing uptake into skeletal muscle. A randomized cross-over study of the effect on the serum digoxin concentration of treatments consisting of rest for, or exercise during, 30 min was carried out in 20 elderly patients undergoing rehabilitation. In one patient exercise was associated with a marked (40%) reduction in the serum digoxin concentration. In the remainder there was a very small, but statistically significant, fall in concentration in the exercise as compared with the rest period. Unexpectedly low serum digoxin concentrations in in-patients of geriatric units, may occasionally be an artefact due to temporary redistribution of digoxin.

摘要

在能够进行正常日常活动的受试者中,运动已被证明可通过增加骨骼肌摄取来降低血清地高辛浓度。对20名正在接受康复治疗的老年患者进行了一项随机交叉研究,该研究观察了30分钟休息或运动治疗对血清地高辛浓度的影响。在一名患者中,运动使血清地高辛浓度显著降低(40%)。在其余患者中,与休息期相比,运动期血清地高辛浓度有非常小但具有统计学意义的下降。老年病房住院患者血清地高辛浓度意外降低,偶尔可能是由于地高辛暂时重新分布造成的假象。

相似文献

1
Prescribing digoxin in geriatric units--exercise and redistribution of drug.老年病房中地高辛的处方——药物的运动与再分布
J Clin Pharm Ther. 1987 Dec;12(6):415-8. doi: 10.1111/j.1365-2710.1987.tb00555.x.
2
Effect of physical activity on the day-to-day variation in serum digoxin concentration.体力活动对血清地高辛浓度每日变化的影响。
Clin Physiol. 1994 Nov;14(6):627-32. doi: 10.1111/j.1475-097x.1994.tb00419.x.
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Influence of physical exercise on serum digoxin concentration and heart rate in patients with atrial fibrillation.体育锻炼对心房颤动患者血清地高辛浓度及心率的影响。
Br Heart J. 1991 Jun;65(6):337-41. doi: 10.1136/hrt.65.6.337.
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Exercise heart rates at different serum digoxin concentrations in patients with atrial fibrillation.心房颤动患者在不同血清地高辛浓度下的运动心率。
Br Med J (Clin Res Ed). 1985 Jan 5;290(6461):9-11. doi: 10.1136/bmj.290.6461.9.
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Serum digoxin determination in outpatients--need for standardization.门诊患者血清地高辛测定——标准化的必要性。
Br J Clin Pharmacol. 1983 Jan;15(1):55-8. doi: 10.1111/j.1365-2125.1983.tb01463.x.
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Physical exercise and digoxin binding to skeletal muscle: relation to exercise intensity.
Eur J Clin Pharmacol. 1983;25(5):585-8. doi: 10.1007/BF00542343.
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The effect of everyday exercise on steady state digoxin concentrations.日常锻炼对稳态地高辛浓度的影响。
J Clin Pharmacol. 1989 Dec;29(12):1083-8. doi: 10.1002/j.1552-4604.1989.tb03283.x.
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Physical exercise and binding of digoxin to skeletal muscle--effect of muscle activation frequency.体育锻炼与地高辛对骨骼肌的结合——肌肉激活频率的影响
Eur J Clin Pharmacol. 1984;27(5):567-70. doi: 10.1007/BF00556893.
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The effect of age and everyday exercise on steady-state plasma digoxin concentrations.年龄和日常锻炼对稳态血浆地高辛浓度的影响。
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Digoxin prescribing for heart failure in elderly residents of long-term care facilities.长期护理机构老年居民心力衰竭的地高辛处方
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