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[持续性复发性支气管哮喘患儿血液中的茶碱浓度]

[Theophylline concentration in the blood of children with persistently recurring bronchial asthma].

作者信息

Gusel' V A, Zisel'son A D, Verbov V N, Gorshkova Iu G

出版信息

Farmakol Toksikol. 1986 Sep-Oct;49(5):29-31.

PMID:3770170
Abstract

An antirecurrence effect of theophylline was studied in 32 children aged 3 to 12 years suffering from severe bronchial asthma. The drug dosage was determined by means of a stepwise increase of a daily dose in the range of 10-30 mg/kg/day under control of the patient's general condition and parameters of external respiratory function. Blood theophylline concentration was measured by an immunofluorescent method. The drug individual biotransformation was revealed. Euphylline proved to be a highly effective and safe antirecurrence agent in an individual selection of doses and administration regimens. Combination of theophylline with inhalation beta-adrenomimetics and corticosteroids potentiates its clinical effect without influencing biotransformation.

摘要

对32名3至12岁患有重度支气管哮喘的儿童进行了茶碱抗复发作用的研究。通过在患者一般状况和肺通气功能参数的监测下,将每日剂量在10 - 30mg/kg/天范围内逐步增加的方式来确定药物剂量。采用免疫荧光法测定血中茶碱浓度。揭示了药物个体生物转化情况。在个体化选择剂量和给药方案时,氨茶碱被证明是一种高效且安全的抗复发药物。茶碱与吸入性β-肾上腺素能激动剂和皮质类固醇联合使用可增强其临床效果,且不影响生物转化。

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