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评估老年人胃肠道吸收的“木糖试验”:文献的药代动力学评价

The "Xylose test" to assess gastrointestinal absorption in the elderly: a pharmacokinetic evaluation of the literature.

作者信息

Mayersohn M

出版信息

J Gerontol. 1982 May;37(3):300-5. doi: 10.1093/geronj/37.3.300.

DOI:10.1093/geronj/37.3.300
PMID:7069153
Abstract

A pharmacokinetic evaluation has been made of the literature that has examined xylose absorption as a function of age. Urinary xylose recovery during a 5-hour collection declines with age after oral and intravenous dosing. Calculated values for xylose renal clearance and elimination rate constant display a similar dependence upon age. The ratio of urinary recoveries after oral compared with intravenous dosing remains constant up to age 65 years but decreases after 70 years. Age appears to explain most of the variation associated with the above parameters. This analysis supports the suggestion made previously by several investigators that the xylose test as currently used to assess absorption in the elderly has not been properly interpreted.

摘要

已对研究木糖吸收随年龄变化情况的文献进行了药代动力学评估。口服和静脉给药后,5小时收集期间的尿木糖回收率随年龄增长而下降。木糖肾清除率和消除速率常数的计算值显示出对年龄的类似依赖性。口服与静脉给药后尿回收率的比值在65岁之前保持恒定,但在70岁之后下降。年龄似乎可以解释与上述参数相关的大部分变化。该分析支持了几位研究人员之前提出的建议,即目前用于评估老年人吸收情况的木糖试验尚未得到正确解读。

相似文献

1
The "Xylose test" to assess gastrointestinal absorption in the elderly: a pharmacokinetic evaluation of the literature.评估老年人胃肠道吸收的“木糖试验”:文献的药代动力学评价
J Gerontol. 1982 May;37(3):300-5. doi: 10.1093/geronj/37.3.300.
2
Xylose disposition in humans as a function of age.人类木糖代谢与年龄的关系。
Clin Pharmacol Ther. 1986 Jun;39(6):697-702. doi: 10.1038/clpt.1986.121.
3
Gastrointestinal absorption as a function of age: xylose absorption in healthy adults.
Clin Pharmacol Ther. 1985 Sep;38(3):331-5. doi: 10.1038/clpt.1985.181.
4
The influence of age on the xylose absorption test.年龄对木糖吸收试验的影响。
Gut. 1970 Jun;11(6):498-501. doi: 10.1136/gut.11.6.498.
5
D-xylose absorption and disposition in patients with moderately impaired renal function.中度肾功能受损患者体内D-木糖的吸收与代谢
Clin Pharmacol Ther. 1987 Mar;41(3):351-7. doi: 10.1038/clpt.1987.38.
6
[D-xylose absorption test. A pharmacokinetic and statistical study].[D-木糖吸收试验。一项药代动力学与统计学研究]
Schweiz Med Wochenschr. 1978 Feb 11;108(6):206-14.
7
[Enteral resorption kinetics in the aging process].[衰老过程中的肠内吸收动力学]
Z Gesamte Inn Med. 1986 Mar 1;41(5):152-8.
8
Age-dependent alterations of intestinal absorption. II. A clinical study using a modified D-xylose absorption test.肠道吸收的年龄依赖性改变。II. 一项使用改良D-木糖吸收试验的临床研究。
Arch Gerontol Geriatr. 1984 Jul;3(2):97-108. doi: 10.1016/0167-4943(84)90002-5.
9
[Age dependence of the intestinal absorption of D-xylose].[D-木糖肠道吸收的年龄依赖性]
Z Alternsforsch. 1972;25(4):365-76.
10
Xylose test: effect of aspirin and indomethacin.木糖试验:阿司匹林和吲哚美辛的作用
Br Med J. 1971 Mar 6;1(5748):533-6. doi: 10.1136/bmj.1.5748.533.

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Front Oncol. 2014 Jul 10;4:178. doi: 10.3389/fonc.2014.00178. eCollection 2014.
2
Drug treatment of epilepsy in elderly people: focus on valproic Acid.老年人癫痫的药物治疗:聚焦丙戊酸
Drugs Aging. 2003;20(2):141-52. doi: 10.2165/00002512-200320020-00005.
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Pharmacokinetics in the elderly.老年人的药代动力学。
Environ Health Perspect. 1994 Dec;102 Suppl 11(Suppl 11):119-24. doi: 10.1289/ehp.94102s11119.