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[瞳孔测量法,一种临床药理学模型;阐述其优势与局限性]

[Pupillometry, a clinical-pharmacologic model; statement of its strengths and limitations].

作者信息

Kraus M, Lücker P W, Breuel H P

出版信息

Methods Find Exp Clin Pharmacol. 1982;4(7):543-7.

PMID:7169840
Abstract

A new non-invasive clinical pharmacological model, developed at out Institut, is reported. The principle of the model is the photographic determination of the diameter of the pupil before and after administration of drugs active at the pupilr muscle. The area of the pupilla as a parameter of drug effect can be predicted mathematically. With the reported model the area under the area time curve, the pupillar index and the mean myotic or mydriatic time is determined. The area under the curve gives information about the extent of the drug effect. The pupillar index takes the maximum diameter into account and is even more sensitive than the area under the curve, correcting steep and flat profiles of the area time curve. The mean mydriatic or myotic time gives a robust measurement concerning the duration of the drug effect. To prove the relevance of our model we used treptilamine hydrochloride in four different formulations orally and intravenously. The results show: 1. The model is appropriate to show the effect of drugs on the smooth pupillar muscle concerning rate and extent; 2. The drug treptilamine hydrochloride does change the diameter of the pupils; 3. The drug is active after oral application.

摘要

本文报道了一种由我们研究所开发的新型非侵入性临床药理学模型。该模型的原理是通过拍照测定在瞳孔肌肉上起作用的药物给药前后瞳孔的直径。瞳孔面积作为药物效应的参数可以通过数学方法预测。利用所报道的模型可以确定面积-时间曲线下的面积、瞳孔指数以及平均散瞳或缩瞳时间。曲线下面积提供了有关药物效应程度的信息。瞳孔指数考虑了最大直径,比曲线下面积更敏感,可校正面积-时间曲线的陡峭和平缓轮廓。平均散瞳或缩瞳时间给出了关于药物效应持续时间的可靠测量值。为了证明我们模型的相关性,我们口服和静脉注射了四种不同制剂的盐酸曲普利明。结果表明:1. 该模型适用于显示药物对瞳孔平滑肌的作用,包括速率和程度;2. 盐酸曲普利明确实会改变瞳孔直径;3. 该药物口服后有活性。

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