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高压液相色谱法测定血清茶碱的临床应用

Clinical applications of serum theophylline measurement by high pressure liquid chromatography.

作者信息

McKenzie S A, Edmunds A T, Baillie E, Meek J H

出版信息

Arch Dis Child. 1978 Apr;53(4):322-5. doi: 10.1136/adc.53.4.322.

DOI:10.1136/adc.53.4.322
PMID:646444
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1544863/
Abstract

Serum theophylline concentration was measured in children both during treatment of status asthmaticus with intravenous aminophylline, and as outpatients while they were taking oral theophylline compounds for long-term management of asthma. The clinical value of the measurements was assessed. Measurement using high-pressure liquid chromatography is simple and requires only a small volume of blood. Knowledge of serum theophylline concentration facilitates careful control of dosage of both intravenous aminophylline during treatment of status asthmaticus, and of oral theophylline in outpatients. It is useful in the evaluation of symptoms which may be due to toxic side effects of treatment. It also makes possible an assessment of patient compliance with prescribed treatment among those whose symptoms have not improved.

摘要

在儿童静脉注射氨茶碱治疗哮喘持续状态期间以及作为门诊患者服用口服茶碱化合物进行哮喘长期管理时,均测定了血清茶碱浓度。对这些测量的临床价值进行了评估。使用高压液相色谱法进行测量很简单,只需要少量血液。了解血清茶碱浓度有助于在哮喘持续状态治疗期间仔细控制静脉注射氨茶碱的剂量,以及门诊患者口服茶碱的剂量。它有助于评估可能由治疗毒性副作用引起的症状。对于症状未改善的患者,它还可以评估患者对规定治疗的依从性。

相似文献

1
Clinical applications of serum theophylline measurement by high pressure liquid chromatography.高压液相色谱法测定血清茶碱的临床应用
Arch Dis Child. 1978 Apr;53(4):322-5. doi: 10.1136/adc.53.4.322.
2
[Theophylline in the treatment of childhood asthma].[茶碱在儿童哮喘治疗中的应用]
Monatsschr Kinderheilkd. 1982 Sep;130(9):696-703.
3
Intravenous administration of aminophylline in asthmatic children taking theophylline orally.对口服茶碱的哮喘儿童进行氨茶碱静脉给药。
J Pediatr. 1980 Aug;97(2):301-3. doi: 10.1016/s0022-3476(80)80501-4.
4
The use of theophylline clearance in pediatric status asthmaticus. II. The choice of appropriate dose for the intravenous theophylline infusion.
Am J Dis Child. 1987 Mar;141(3):288-91. doi: 10.1001/archpedi.1987.04460030066026.
5
Theophylline blood levels as a guide to intravenous therapy in children.
Am J Dis Child. 1982 Oct;136(10):928-30. doi: 10.1001/archpedi.1982.03970460058012.
6
Intravenous aminophylline dosage. Use of serum theophylline measurement for guidance.
JAMA. 1976 May 10;235(19):2110-3. doi: 10.1001/jama.235.19.2110.
7
The design of oral sustained-release theophylline dosing after conversion from intravenous to oral therapy.从静脉给药转换为口服治疗后口服缓释茶碱的给药设计。
Int J Clin Pharmacol Ther. 1994 Nov;32(11):625-31.
8
Pharmacokinetics of theophylline in acute asthma.氨茶碱在急性哮喘中的药代动力学
J Med. 1978;9(1):81-90.
9
[Chronic asthma in children: comparison between a delayed-action theophylline preparation and a prompt-release aminophylline preparation].[儿童慢性哮喘:长效茶碱制剂与速释氨茶碱制剂的比较]
Pediatr Med Chir. 1984 Sep-Oct;6(5):645-9.
10
Evaluation of long-term oral administration of a sustained release theophylline preparation in children with chronic asthma.长效茶碱制剂长期口服给药治疗儿童慢性哮喘的评估
Allergol Immunopathol (Madr). 1983 Jan-Feb;11(1):11-4.

引用本文的文献

1
Cardiovascular response during severe acute asthma and its treatment in children.儿童重症急性哮喘期间的心血管反应及其治疗
Thorax. 1981 Jul;36(7):534-40. doi: 10.1136/thx.36.7.534.
2
Sustained release oral aminophylline in patients with airflow obstruction.气流阻塞患者口服缓释氨茶碱
Thorax. 1981 Apr;36(4):303-7. doi: 10.1136/thx.36.4.303.
3
Drug level monitoring in paediatric practice.儿科临床中的药物浓度监测
Arch Dis Child. 1980 Feb;55(2):89-98. doi: 10.1136/adc.55.2.89.
4
Controlled trial of slow-release aminophylline in childhood asthma: are short-term trials valid?儿童哮喘缓释氨茶碱对照试验:短期试验是否有效?
Br Med J (Clin Res Ed). 1982 Mar 20;284(6319):863-6. doi: 10.1136/bmj.284.6319.863.
5
Lack of influence of an intensive antacid regimen on theophylline bioavailability.强化抗酸治疗方案对茶碱生物利用度无影响。
J Pharmacokinet Biopharm. 1984 Jun;12(3):315-31. doi: 10.1007/BF01061723.
6
Drug interferences with plasma assays in therapeutic drug monitoring.治疗药物监测中药物对血浆分析的干扰。
Clin Pharmacokinet. 1984 Jan-Feb;9(1):67-87. doi: 10.2165/00003088-198409010-00004.
7
A once daily theophylline preparation in prevention of nocturnal symptoms in childhood asthma.一种每日一次的茶碱制剂用于预防儿童哮喘的夜间症状。
Eur J Pediatr. 1987 Sep;146(5):524-7. doi: 10.1007/BF00441609.
8
Aminophylline dosage in acute severe asthma.急性重症哮喘中氨茶碱的剂量
Eur J Pediatr. 1989 Apr;148(6):577-8. doi: 10.1007/BF00441563.
9
Serum theophylline levels in asthmatic children after oral administration of two slow-release theophylline preparations.口服两种缓释茶碱制剂后哮喘儿童的血清茶碱水平
Arch Dis Child. 1978 Dec;53(12):943-6. doi: 10.1136/adc.53.12.943.
10
Dosage schedule for intravenous aminophylline in apnoea of prematurity, based on pharmacokinetic studies.基于药代动力学研究的早产儿呼吸暂停静脉注射氨茶碱的给药方案。
Arch Dis Child. 1979 Mar;54(3):190-3. doi: 10.1136/adc.54.3.190.

本文引用的文献

1
An ultraviolet spectrophotometric method for the determination of theophylline and theobromine in blood and tissues.一种用于测定血液和组织中茶碱和可可碱的紫外分光光度法。
J Pharmacol Exp Ther. 1949 Nov;97(3):283-91.
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Study of theophylline plasma levels after oral administration of new theophylline compounds.新型茶碱化合物口服给药后茶碱血药浓度的研究。
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Evaluation of oral bronchodilator therapy in asthmatic children. Bronchodilators in asthmatic children.哮喘儿童口服支气管扩张剂治疗的评估。哮喘儿童使用的支气管扩张剂。
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Pharmacokinetics of theophylline in children with asthma.哮喘患儿中茶碱的药代动力学
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Effect of practical timing of dosage on theophylline blood levels in asthmatic children treated with choline theophyllinate.用药实际时间对用胆茶碱治疗的哮喘儿童茶碱血药浓度的影响。
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Comparison of cromoglycate (cromolyn) and theophylline in controlling symptoms of chronic asthma. A collaborative study.
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