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新加坡亚洲儿童血浆苯巴比妥浓度的变异性

Variability of plasma phenobarbitone concentration in Asian children in Singapore.

作者信息

Lee H S

出版信息

Ther Drug Monit. 1984;6(2):182-8. doi: 10.1097/00007691-198406000-00009.

DOI:10.1097/00007691-198406000-00009
PMID:6740737
Abstract

In a study with 113 Asian children in which phenobarbitone was used as the sole antiepileptic drug in 75 children, including Chinese, Malays, and Indians, the mean phenobarbitone dosage required to produce a plasma level of 15 micrograms/ml was 5.2 mg/kg/day. While the mean plasma level/dose ratio varied, the differences between the three ethnic groups were not statistically significant. Also of little difference were the ratios between the male and female groups. For those patients with poor seizure control, however, the mean plasma level/dose ratio was significantly lower than in those whose seizures were controlled. Using additional anticonvulsant drugs concurrently with phenobarbitone in 40 children raised the mean plasma level/dose ratios significantly in each ethnic group. Further, the greater age level in those given additional antiepileptic drugs might have contributed slightly to a higher mean plasma level/dose ratio.

摘要

在一项针对113名亚洲儿童的研究中,75名儿童(包括中国人、马来人和印度人)将苯巴比妥作为唯一的抗癫痫药物,产生15微克/毫升血浆水平所需的苯巴比妥平均剂量为5.2毫克/千克/天。虽然平均血浆水平/剂量比有所不同,但三个种族群体之间的差异无统计学意义。男性和女性群体之间的比例也几乎没有差异。然而,对于那些癫痫控制不佳的患者,平均血浆水平/剂量比明显低于癫痫得到控制的患者。在40名儿童中同时使用苯巴比妥和其他抗惊厥药物,显著提高了每个种族群体的平均血浆水平/剂量比。此外,使用其他抗癫痫药物的儿童年龄较大,这可能对较高的平均血浆水平/剂量比有轻微影响。

相似文献

1
Variability of plasma phenobarbitone concentration in Asian children in Singapore.新加坡亚洲儿童血浆苯巴比妥浓度的变异性
Ther Drug Monit. 1984;6(2):182-8. doi: 10.1097/00007691-198406000-00009.
2
Phenytoin and phenobarbitone plasma level-dose relationships in Chinese epileptic children in Singapore.新加坡华裔癫痫儿童苯妥英钠和苯巴比妥的血药浓度-剂量关系
Ther Drug Monit. 1981;3(3):247-52. doi: 10.1097/00007691-198103000-00004.
3
The effects of phenobarbitone dose on plasma phenobarbitone levels in epileptic patients.苯巴比妥剂量对癫痫患者血浆苯巴比妥水平的影响。
Proc Aust Assoc Neurol. 1976;13:89-96.
4
[Plasma levels of phenobarbital in epileptic children. Effect of combination with other anticonvulsants].[癫痫患儿苯巴比妥的血浆水平。与其他抗惊厥药联合使用的效果]
Arch Fr Pediatr. 1979 Jul-Aug;36(7):686-90.
5
Phenobarbitone in previously untreated epilepsy.苯巴比妥用于既往未治疗的癫痫。
J Neurol Neurosurg Psychiatry. 1980 Apr;43(4):365-8. doi: 10.1136/jnnp.43.4.365.
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Factors influencing plasma phenobarbitone levels in epileptic patients.影响癫痫患者血浆苯巴比妥水平的因素。
Br J Clin Pharmacol. 1977 Oct;4(5):541-7. doi: 10.1111/j.1365-2125.1977.tb00783.x.
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Monitoring of phenobarbitone in epileptic children.癫痫患儿苯巴比妥的监测
Int J Clin Pharmacol Ther Toxicol. 1987 Jan;25(1):18-22.
8
Experience with the EMIT method of determining anticonvulsant levels in serum.采用酶放大免疫测定技术(EMIT)测定血清中抗惊厥药物水平的经验。
S Afr Med J. 1977 Jan 29;51(5):137-9.
9
Determination of phenobarbitone population clearance values for physically and mentally handicapped Chinese children with epilepsy.
J Clin Pharm Ther. 1997 Oct-Dec;22(5-6):399-403. doi: 10.1111/j.1365-2710.1997.tb00023.x.
10
[Plasma levels of diphenylhydantoin (DPH) and phenobarbitone (PB) in epileptic patients resistant to drug treatment (author's transl)].抗药物治疗的癫痫患者的血浆二苯妥英(DPH)和苯巴比妥(PB)水平(作者译)
Riv Patol Nerv Ment. 1977 Nov-Dec;98(6):363-75.

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Therapeutic drug monitoring in a developing country: an overview.发展中国家的治疗药物监测:概述
Br J Clin Pharmacol. 1999 Nov;48(5):649-54. doi: 10.1046/j.1365-2125.1999.00088.x.