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孕期静脉输注利托君的代谢效应

Metabolic effects of intravenous ritodrine infusion during pregnancy.

作者信息

Schreyer P, Caspi E, Ariely S, Herzianu I, User P, Gilboa Y, Zaidman J L

出版信息

Eur J Obstet Gynecol Reprod Biol. 1979 Apr;9(2):97-103. doi: 10.1016/0028-2243(79)90005-4.

DOI:10.1016/0028-2243(79)90005-4
PMID:400866
Abstract

The effect of intravenous administration of ritodrine on blood glucose, insulin, free fatty acids and electrolytes in 17 third-trimester gravidas was investigated. A highly significant increase in blood glucose, insulin and free fatty acids and a marked decrease in serum potassium levels were registered. No significant changes during ritodrine infusion were recorded in serum levels of sodium, chloride, calcium, phosphorus and magnesium. No cardiac arrhythmias or electrocardiographic deteriorations occurred. While intravenous ritodrine administration seems to be safe in normal pregnancy, there may be a risk in diabetic patients, digitalized cases and those patients being treated with diuretics.

摘要

研究了静脉注射利托君对17例孕晚期孕妇血糖、胰岛素、游离脂肪酸和电解质的影响。结果显示血糖、胰岛素和游离脂肪酸显著升高,血清钾水平明显降低。利托君输注期间,血清钠、氯、钙、磷和镁水平无显著变化。未发生心律失常或心电图恶化。虽然静脉注射利托君在正常妊娠中似乎是安全的,但糖尿病患者、使用洋地黄的患者以及正在接受利尿剂治疗的患者可能存在风险。

相似文献

1
Metabolic effects of intravenous ritodrine infusion during pregnancy.孕期静脉输注利托君的代谢效应
Eur J Obstet Gynecol Reprod Biol. 1979 Apr;9(2):97-103. doi: 10.1016/0028-2243(79)90005-4.
2
Metabolic effects of intravenous ritodrine infusion in pregnancy.
Acta Obstet Gynecol Scand. 1980;59(3):197-201. doi: 10.3109/00016348009155395.
3
Metabolic disturbances during intravenous use of ritodrine: increased insulin levels and hypokalemia.
Obstet Gynecol. 1985 Mar;65(3):356-60.
4
Blood anions and electrolytes during ritodrine infusion in preterm labor.早产时使用利托君静脉滴注期间的血液阴离子和电解质
Am J Obstet Gynecol. 1980 Nov 1;138(5):523-7. doi: 10.1016/0002-9378(80)90280-x.
5
The effect of ritodrine on carbohydrate and lipid metabolism in normal and diabetic pregnant women.利托君对正常及糖尿病孕妇碳水化合物和脂质代谢的影响。
Acta Endocrinol (Copenh). 1979 Dec;92(4):669-79. doi: 10.1530/acta.0.0920669.
6
Effects of ritodrine and isoxsuprine with and without dexamethasone during late pregnancy.利托君和异克舒令在妊娠晚期单独及联合地塞米松使用的效果。
Obstet Gynecol. 1978 Mar;51(3):288-92. doi: 10.1097/00006250-197803000-00007.
7
Metabolic effects of intramuscular and oral administration of ritodrine in pregnancy.
Obstet Gynecol. 1981 Jun;57(6):730-3.
8
Ritodrine- and terbutaline-induced hypokalemia in preterm labor: mechanisms and consequences.利托君和特布他林诱发早产时的低钾血症:机制与后果
Kidney Int. 1997 Jun;51(6):1867-75. doi: 10.1038/ki.1997.255.
9
Metabolic effects of ritodrine hydrochloride in the pregnant sheep.盐酸利托君对妊娠绵羊的代谢影响。
Asia Oceania J Obstet Gynaecol. 1984 Sep;10(3):403-9. doi: 10.1111/j.1447-0756.1984.tb00704.x.
10
The influence of intravenous solution content on ritodrine-induced metabolic changes.静脉溶液成分对利托君所致代谢变化的影响。
Obstet Gynecol. 1987 Dec;70(6):892-5.

引用本文的文献

1
A risk-benefit assessment of therapies for premature labour.早产治疗的风险效益评估。
Drug Saf. 1999 Jul;21(1):35-56. doi: 10.2165/00002018-199921010-00004.
2
Randomized trial of two beta-mimetic drugs (ritodrine and fenoterol) in acute intra-partum tocolysis.两种β-拟交感神经药物(利托君和羟苄羟麻黄碱)用于急性分娩期宫缩抑制的随机试验。
Eur J Clin Pharmacol. 1980 Nov;18(6):443-8. doi: 10.1007/BF00874653.