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[氨基糖苷类抗生素(阿米卡星、庆大霉素、西索米星、妥布霉素)的药理学研究]

[Pharmacologic studies or aminoglycoside antibiotics (amikacin, gentamicin, sisomicin, tobramycin)].

作者信息

Lode H, Grunert K, Kemmerich B, Koeppe P

出版信息

Adv Clin Pharmacol. 1978;15:35-44.

PMID:676877
Abstract

In a randomized study of 12 healthy subjects, the pharmacokinetics of gentamicin, sisomicin and tobramycin were determined after a one-hour infusion of each drug (1.0 mg/kg body-weight). There were no pharmacokinetic differences of therapeutic significance between the three drugs. The mean serum concentrations at the end of infusion were 3.85 microgram/ml for gentamicin and 4.66 microgram/ml for sisomicin, falling to 0.12 and 0.26 microgram/ml, respectively, after eight hours. The biological half-life varied between 96 and 122 min and the apparent volumes of distribution corresponded closely to the size of the extracellular space.--The pharmacokinetic data of amikacin were determined after a one-hour constant infusion, the mean amikacin serum concentration was 37.5 microgram/ml and, 8 hours later, decreased to an average of 1.3 microgram/ml. The biological half-life amounted to a mean of 114.2 +/- 16.7 min, and the apparent volume of distribution could be calculated with 18.1 +/- 1.81/100 kg body weight.

摘要

在一项针对12名健康受试者的随机研究中,在分别静脉输注每种药物(1.0毫克/千克体重)1小时后,测定了庆大霉素、西索米星和妥布霉素的药代动力学。三种药物之间在治疗意义上没有药代动力学差异。输注结束时庆大霉素的平均血清浓度为3.85微克/毫升,西索米星为4.66微克/毫升,8小时后分别降至0.12微克/毫升和0.26微克/毫升。生物半衰期在96至122分钟之间变化,表观分布容积与细胞外液空间大小密切相关。——在持续静脉输注1小时后测定了阿米卡星的药代动力学,阿米卡星的平均血清浓度为37.5微克/毫升,8小时后降至平均1.3微克/毫升。生物半衰期平均为114.2±16.7分钟,表观分布容积可计算为18.1±1.81/100千克体重。

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