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儿童期总茶碱清除率:代谢和消除中年龄依赖性变化的影响。

Total theophylline clearance in childhood: the influence of age-dependent changes in metabolism and elimination.

作者信息

Berdel D, Süverkrüp R, Heimann G, von Berg A, Liappis N, Stühmer A

出版信息

Eur J Pediatr. 1987 Jan;146(1):41-3. doi: 10.1007/BF00647281.

DOI:10.1007/BF00647281
PMID:3582403
Abstract

Theophylline metabolism and elimination during childhood are age-dependent. The total clearance, which is the sum of metabolic and renal clearances is highest in infants and young children. To differentiate between the two pathways, theophylline concentrations were measured in both serum and urine in 16 children aged 2 weeks-16 years using the fluorescence polarization immunoassay. It was found that both partial clearances assume maximal values at about the same age, but the fraction of total clearance attributable to the renal route decreases continuously.

摘要

儿童期茶碱的代谢和消除存在年龄依赖性。总清除率是代谢清除率和肾脏清除率之和,在婴儿和幼儿中最高。为区分这两种途径,采用荧光偏振免疫分析法对16名年龄在2周龄至16岁的儿童的血清和尿液中的茶碱浓度进行了测定。结果发现,两种部分清除率在大约相同的年龄达到最大值,但肾脏途径在总清除率中所占的比例持续下降。

相似文献

1
Total theophylline clearance in childhood: the influence of age-dependent changes in metabolism and elimination.儿童期总茶碱清除率:代谢和消除中年龄依赖性变化的影响。
Eur J Pediatr. 1987 Jan;146(1):41-3. doi: 10.1007/BF00647281.
2
Developmental changes in the liver weight- and body weight-normalized clearance of theophylline, phenytoin and cyclosporine in children.儿童体内茶碱、苯妥英和环孢素经肝脏重量和体重标准化后的清除率的发育变化。
Int J Clin Pharmacol Ther. 2002 Nov;40(11):485-92. doi: 10.5414/cpp40485.
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Pharmacokinetics of theophylline in infants with bronchiolitis.支气管炎患儿中茶碱的药代动力学
Eur J Clin Pharmacol. 1982;23(2):123-7. doi: 10.1007/BF00545965.
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[Peculiarities of the pharmacokinetics and pharmacodynamics of theophylline in children].[儿童体内茶碱的药代动力学和药效学特性]
Wien Klin Wochenschr. 1984 Aug 31;96(16):616-21.
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Theophylline metabolism during the first month of life and development.出生后第一个月内茶碱的代谢与发育
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Temporal variation in the disposition of theophylline and its metabolites.茶碱及其代谢物处置的时间变化。
Clin Pharmacol Ther. 1985 Jul;38(1):89-95. doi: 10.1038/clpt.1985.140.
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Aspects of theophylline clearance in children.儿童体内茶碱清除率的相关方面。
Anaesth Intensive Care. 1997 Oct;25(5):497-501. doi: 10.1177/0310057X9702500508.
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Effect of age on patterns of theophylline metabolism.年龄对茶碱代谢模式的影响。
Clin Pharmacol Ther. 1980 Oct;28(4):456-62. doi: 10.1038/clpt.1980.188.
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[A comparative study between urinary metabolites of sustained-release theophylline and theophylline clearance in clinical use].[缓释茶碱的尿代谢产物与临床应用中茶碱清除率的比较研究]
Arerugi. 1993 Feb;42(2):115-22.
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Comparison of theophylline and theobromine metabolism in man.人体中茶碱与可可碱代谢的比较。
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引用本文的文献

1
Evaluation of theophylline pharmacokinetics in a pediatric population using mixed effects models.使用混合效应模型评估儿科人群中的茶碱药代动力学。
J Pharmacokinet Biopharm. 1989 Apr;17(2):141-68. doi: 10.1007/BF01059025.
2
Renal clearance of theophylline and its major metabolites: age and urine flow dependency in paediatric patients.小儿患者中茶碱及其主要代谢产物的肾清除率:年龄及尿流依赖性
Eur J Clin Pharmacol. 1989;36(2):145-50. doi: 10.1007/BF00609186.

本文引用的文献

1
Factors affecting theophylline pharmacokinetics in premature infants with apnea.影响呼吸暂停早产儿茶碱药代动力学的因素。
Dev Pharmacol Ther. 1980;1(1):6-15.
2
Effect of age on patterns of theophylline metabolism.年龄对茶碱代谢模式的影响。
Clin Pharmacol Ther. 1980 Oct;28(4):456-62. doi: 10.1038/clpt.1980.188.
3
Theophylline metabolism during the first month of life and development.出生后第一个月内茶碱的代谢与发育
Pediatr Res. 1981 Apr;15(4 Pt 1):304-8. doi: 10.1203/00006450-198104000-00003.
4
[Theophylline therapy in obstructive respiratory diseases. 1. Bioavailability and pharmacokinetics of various theophylline preparations (author's transl)].[阻塞性呼吸道疾病的茶碱治疗。1. 各种茶碱制剂的生物利用度和药代动力学(作者译)]
Prax Klin Pneumol. 1981 Jan;35(1):36-41.
5
Pharmacologic considerations in the therapy of neonatal apnea.新生儿呼吸暂停治疗中的药理学考量
Pediatr Clin North Am. 1981 Feb;28(1):113-33. doi: 10.1016/s0031-3955(16)33965-7.
6
Developmental aspects of theophylline metabolism in premature infants.早产儿茶碱代谢的发育方面
Clin Pharmacol Ther. 1983 Apr;33(4):522-8. doi: 10.1038/clpt.1983.71.
7
Clinical pharmacology of theophylline in children.茶碱在儿童中的临床药理学
Br J Clin Pract Suppl. 1984;35:29-36.
8
Aminophylline.氨茶碱
Anesth Analg. 1981 Aug;60(8):587-602.
9
Pharmacokinetics of theophylline. Application to adjustment of the clinical dose of aminophylline.茶碱的药代动力学。在氨茶碱临床剂量调整中的应用。
Clin Pharmacol Ther. 1972 May-Jun;13(3):349-60. doi: 10.1002/cpt1972133349.
10
Pharmacokinetics of intravenous theophylline.静脉注射氨茶碱的药代动力学
Clin Pharmacol Ther. 1973 Jul-Aug;14(4):509-13. doi: 10.1002/cpt1973144part1509.