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甲硝唑在组织中的渗透情况。

Penetration of metronidazole to tissues.

作者信息

Holter O, Bergan T, Flørenes T, Leinebø O

出版信息

J Antimicrob Chemother. 1983 Apr;11(4):357-60. doi: 10.1093/jac/11.4.357.

DOI:10.1093/jac/11.4.357
PMID:6853405
Abstract

One dose of 500 mg metronidazole (M) was given to 21 patients before appendectomy and the concentrations of the parent compound and the major metabolite hydroxymetronidazole (OH-M), assayed in serum and tissue homogenates of appendix and subcutaneous tissues by high pressure liquid chromatography. Based on determinations in one specimen per patient during the initial 1.25-4 h after end of the 50 min infusion, the levels of M in relation to serum were 60.8% (+/- S.D. 19.8) for the appendix and 29.0% +/- 8.7 for subcutaneous tissue. The corresponding values for OH-M were 103.9 +/- 28.2 and 57.0% +/- 16.8. The slope of the log-linear regression curves of M corresponded to elimination half-life (T 1/2) values of 5.2 h in serum, 2.7 h in appendix and 2.6 h in subcutis tissue, but the differences were not statistically significant. The values of OH-M were similar for serum and appendix. OH-M had T 1/2 of 7.9 and 6.1 h for serum and subcutaneous tissue and 21.3 h in the appendix, but the values were not significantly different.

摘要

在阑尾切除术前,给21例患者服用一剂500毫克甲硝唑(M),然后通过高压液相色谱法测定血清以及阑尾和皮下组织匀浆中母体化合物和主要代谢产物羟基甲硝唑(OH-M)的浓度。根据在50分钟输注结束后的最初1.25 - 4小时内对每位患者的一个样本进行的测定,与血清相比,阑尾中M的水平为60.8%(±标准差19.8),皮下组织中为29.0%±8.7。OH-M的相应值分别为103.9±28.2和57.0%±16.8。M的对数线性回归曲线斜率对应的血清消除半衰期(T 1/2)值为5.2小时,阑尾中为2.7小时,皮下组织中为2.6小时,但差异无统计学意义。血清和阑尾中OH-M的值相似。OH-M在血清和皮下组织中的T 1/2分别为7.9和6.1小时,在阑尾中为21.3小时,但这些值差异不显著。

相似文献

1
Penetration of metronidazole to tissues.甲硝唑在组织中的渗透情况。
J Antimicrob Chemother. 1983 Apr;11(4):357-60. doi: 10.1093/jac/11.4.357.
2
Comparative pharmacokinetics of metronidazole and tinidazole and their tissue penetration.甲硝唑和替硝唑的比较药代动力学及其组织穿透性。
Scand J Gastroenterol. 1985 Oct;20(8):945-50. doi: 10.3109/00365528509088853.
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Pharmacokinetics of metronidazole and its metabolites in reduced renal function.甲硝唑及其代谢产物在肾功能减退患者中的药代动力学。
Chemotherapy. 1986;32(4):305-18. doi: 10.1159/000238429.
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The pharmacokinetics of one single preoperative dose of metronidazole or tinidazole.
Scand J Gastroenterol Suppl. 1984;90:89-96.
5
Inappropriate use of metronidazole in gastrointestinal surgery.甲硝唑在胃肠外科手术中的不当使用。
Aliment Pharmacol Ther. 1989 Jun;3(3):277-84. doi: 10.1111/j.1365-2036.1989.tb00214.x.
6
Pharmacokinetics of metronidazole and its major metabolite after a high intravenous dose.
Scand J Gastroenterol Suppl. 1984;91:113-23.
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Scand J Gastroenterol Suppl. 1984;90:97-106.
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Penetration of clindamycin and metronidazole into the appendix and peritoneal fluid in children.克林霉素和甲硝唑在儿童阑尾及腹腔液中的渗透情况。
Eur J Clin Pharmacol. 1989;37(2):209-10. doi: 10.1007/BF00558235.
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Evaluation of two different dosage regimens of clindamycin and the penetration into human appendix.克林霉素两种不同给药方案的评估及其在人体阑尾中的渗透情况。
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10
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引用本文的文献

1
Prophylactic regimens in colorectal surgery: comparisons between metronidazole used alone or with ampicillin for one or three days.结直肠手术中的预防性用药方案:单独使用甲硝唑或与氨苄西林联合使用一日或三日的比较。
World J Surg. 1985 Aug;9(4):626-32. doi: 10.1007/BF01656069.
2
Metronidazole uptake in the cholesteatomatous membrane in chronic otitis media.
Arch Otorhinolaryngol. 1986;243(1):47-9. doi: 10.1007/BF00457908.
3
Prophylactic regimens in colorectal surgery: an open, randomized, consecutive trial on metronidazole used alone or in combination with ampicillin or doxycycline.结直肠手术中的预防性用药方案:一项关于单独使用甲硝唑或联合氨苄西林或强力霉素的开放性、随机、连续试验。
World J Surg. 1986 Dec;10(6):1003-8. doi: 10.1007/BF01658658.