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[外用泼尼松龙治疗优化的实验结果]

[Experimental results of the optimization of external prednisolone therapy].

作者信息

Wohlrab W, Taube K M, Wozniak K D

机构信息

Klinik und Poliklinik für Hautkrankheiten, Martin-Luther-Universität Halle-Wittenberg.

出版信息

Pharmazie. 1987 Jun;42(6):400-2.

PMID:3671461
Abstract

The initial steps of any topical therapy are characterized by the degree of liberation of the agent from the ointment base and their penetration into different skin layers. A high percentage of the topically applied prednisolone does not penetrate into the skin and may be removed from the skin surface even after some time. By altering the functional structure of the horny layer and considerably increase of prednisolone liberation from ointment bases urea is a effective penetration promotor also for prednisolone. The increased prednisolone penetration into human skin from urea containing ointment correspond with the degree of blanching results by vasoconstriction test under in vivo conditions. The resulting penetration optimation of prednisolone has two possible applications in topical therapy: an increased therapeutic effect for a given prednisolone concentration and a given therapeutic effect could be obtained with a reduced prednisolone concentration.

摘要

任何局部治疗的初始步骤都具有药物从软膏基质中释放的程度及其渗透到不同皮肤层的特点。局部应用的泼尼松龙有很大比例不会渗透到皮肤中,甚至经过一段时间后仍可能从皮肤表面被清除。通过改变角质层的功能结构并显著增加泼尼松龙从软膏基质中的释放,尿素是泼尼松龙有效的渗透促进剂。泼尼松龙从含尿素软膏中向人体皮肤的渗透增加与体内条件下血管收缩试验产生的变白程度相对应。泼尼松龙由此产生的渗透优化在局部治疗中有两种可能的应用:在给定的泼尼松龙浓度下提高治疗效果,以及在降低泼尼松龙浓度的情况下获得给定的治疗效果。

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