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孕妇口服和静脉治疗期间的血清沙丁胺醇浓度。

Serum salbutamol concentrations during oral and intravenous treatment in pregnant women.

作者信息

Haukkamaa M, Gummerus M, Kleimola T

出版信息

Br J Obstet Gynaecol. 1985 Dec;92(12):1230-3. doi: 10.1111/j.1471-0528.1985.tb04867.x.

DOI:10.1111/j.1471-0528.1985.tb04867.x
PMID:4084465
Abstract

The serum concentration of salbutamol was determined in 29 pregnant women during oral treatment (4 mg five times per day) and in seven during intravenous infusion (6-30 micrograms/min) because of premature labour. The concentration of salbutamol was determined by combined gas-liquid chromatography mass spectrometry. The mean concentration of serum salbutamol was twice as high during intravenous treatment (24; SD 9 ng/ml), than during oral treatment (12; SD 3 mg/ml). During oral treatment, the salbutamol levels were not correlated to maternal height, weight or the incidence or severity of side-effects. The serum concentrations of salbutamol in patients with twin pregnancies did not differ from those with singleton pregnancies. After stopping intravenous treatment, serum salbutamol levels remained high for several hours and oral treatment can be started 4-6 h after stopping intravenous infusion.

摘要

对29名接受口服治疗(每日5次,每次4毫克)的孕妇以及7名因早产接受静脉输注(6 - 30微克/分钟)的孕妇测定了沙丁胺醇的血清浓度。沙丁胺醇浓度通过气液色谱 - 质谱联用测定。静脉治疗期间血清沙丁胺醇的平均浓度(24;标准差9纳克/毫升)是口服治疗期间(12;标准差3毫克/毫升)的两倍。口服治疗期间,沙丁胺醇水平与产妇身高、体重或副作用的发生率或严重程度无关。双胎妊娠患者的血清沙丁胺醇浓度与单胎妊娠患者无异。停止静脉治疗后,血清沙丁胺醇水平在数小时内仍保持较高,停止静脉输注后4 - 6小时可开始口服治疗。

相似文献

1
Serum salbutamol concentrations during oral and intravenous treatment in pregnant women.孕妇口服和静脉治疗期间的血清沙丁胺醇浓度。
Br J Obstet Gynaecol. 1985 Dec;92(12):1230-3. doi: 10.1111/j.1471-0528.1985.tb04867.x.
2
Decrease of serum oestriol during intravenous hexoprenaline or salbutamol treatment.静脉注射己丙肾上腺素或沙丁胺醇治疗期间血清雌三醇水平降低。
Br J Obstet Gynaecol. 1982 Nov;89(11):917-20. doi: 10.1111/j.1471-0528.1982.tb05057.x.
3
Failure to prevent preterm labour and delivery in twin pregnancy using prophylactic oral salbutamol.使用预防性口服沙丁胺醇未能预防双胎妊娠的早产和分娩。
Br J Obstet Gynaecol. 1990 Oct;97(10):878-82. doi: 10.1111/j.1471-0528.1990.tb02441.x.
4
Determination of salbutamol in plasma by high-performance liquid chromatography with fluorescence detection.采用高效液相色谱-荧光检测法测定血浆中的沙丁胺醇。
J Chromatogr. 1983 Oct 14;277:423-6. doi: 10.1016/s0378-4347(00)84870-7.
5
Letter: Hypotension with intravenous salbutamol in premature labour.信件:早产时静脉注射沙丁胺醇导致的低血压
Br Med J. 1974 Jul 27;3(5925):257. doi: 10.1136/bmj.3.5925.257-b.
6
Is there a need to treat hypokalaemia associated with intravenous salbutamol infusion?是否需要治疗与静脉输注沙丁胺醇相关的低钾血症?
J Obstet Gynaecol Res. 1997 Aug;23(4):381-7. doi: 10.1111/j.1447-0756.1997.tb00862.x.
7
Pharmacokinetics and metabolism of salbutamol in premature labour.沙丁胺醇在早产中的药代动力学与代谢
Br J Clin Pharmacol. 1987 Jul;24(1):69-75. doi: 10.1111/j.1365-2125.1987.tb03138.x.
8
Ventricular ectopics after salbutamol infusion for preterm labour.用于早产的沙丁胺醇静脉输注后的室性异位搏动
Lancet. 1979;2(8156-8157):1383-4. doi: 10.1016/s0140-6736(79)92880-0.
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Long-term salbutamol infusion to prevent premature labour.长期输注沙丁胺醇以预防早产。
Lancet. 1981 Jan 3;1(8210):42-3. doi: 10.1016/s0140-6736(81)90145-8.
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Pharmacokinetics of salbutamol in the pregnant woman after subcutaneous administration with a portable pump.使用便携式泵皮下给药后沙丁胺醇在孕妇体内的药代动力学。
Obstet Gynecol. 1992 Aug;80(2):182-5.

引用本文的文献

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Terbutaline versus salbutamol for suppression of preterm labor: a randomized clinical trial.特布他林与沙丁胺醇用于抑制早产:一项随机临床试验。
Ann Saudi Med. 2010 Sep-Oct;30(5):370-5. doi: 10.4103/0256-4947.67079.
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Pharmacokinetics and metabolism of salbutamol in premature labour.沙丁胺醇在早产中的药代动力学与代谢
Br J Clin Pharmacol. 1987 Jul;24(1):69-75. doi: 10.1111/j.1365-2125.1987.tb03138.x.
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