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三种抗生素对肾功能影响的对比研究

Comparative study of the effect of three antibiotics on renal function.

作者信息

Caldwell A D, Martin A J, Trigger D J

出版信息

Br J Pharmacol. 1969 Sep;37(1):283-93. doi: 10.1111/j.1476-5381.1969.tb09545.x.

Abstract
  1. Therapeutic doses of colistin sulphomethate sodium B.P. (Colomycin), pento-N sulphomethylpolymyxin B sodium (Thiosporin) and ampicillin B.P. (Penbritin) as well as normal saline have been given to volunteers with normal kidney function.2. A blind crossover technique was used and the effects of the compounds on blood levels and clearances of urea and creatinine studied.3. All four treatments resulted in some changes in the parameters measured but were reversible. The most marked changes were found with pento-N sulphomethylpolymyxin B sodium and were also associated with severe side-effects.4. In contrast to penicillins it is established that the process of tubular secretion sensitive to probenecid block plays no part in the renal excretion of polymyxins.
摘要
  1. 已将英国药典规定剂量的硫酸多粘菌素B钠(可洛迈仙)、戊-N-磺甲基多粘菌素B钠(硫孢霉素)、氨苄青霉素(青霉素V)以及生理盐水给予肾功能正常的志愿者。

  2. 采用了盲法交叉技术,并研究了这些化合物对尿素和肌酐血药浓度及清除率的影响。

  3. 所有四种治疗均导致所测参数出现一些变化,但这些变化是可逆的。戊-N-磺甲基多粘菌素B钠引起的变化最为显著,且还伴有严重的副作用。

  4. 与青霉素不同,已证实对丙磺舒阻滞敏感的肾小管分泌过程在多粘菌素的肾排泄中不起作用。

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