Escorihuela R, Llerena P, Royo F, Lillo Lillo M, de la Morena E, Borges Domingo T, López-Linares M
An Esp Pediatr. 1982 Dec;17(6):461-5.
Serum levels of theophylline were determined in 54 asthmatics children aged 3,92 +/- 2,45 years, who were taken oral theophylline at doses of 4,99 +/- 0,45 mg. The serum levels at 0 hours (9,22 +/- 4,90 mcg/ml) and at 2 hours (15,22 +/- 5,5 mcg/ml) showed a great variation, although they were taken similar doses. Two hours after ingestion, 34 patients showed levels between 10-20 mcg/ml in 10 children were less than 10 mcg/ml, and another 10 shown serum levels over 20 mcg/ml without symptoms. There was a good correlation between levels at 0 and 2 hours (p less than 0,002). These data may support the utility of doses employed. It is advisable knowing the individual response to theophylline for managing episodes of asthma in children, that can be made by only one determination 2 hours after ingestion.
对54名年龄为3.92±2.45岁的哮喘儿童测定了血清茶碱水平,这些儿童口服茶碱的剂量为4.99±0.45毫克。尽管服用的剂量相似,但0小时时的血清水平(9.22±4.90微克/毫升)和2小时时的血清水平(15.22±5.5微克/毫升)差异很大。服药两小时后,34名患者的血药浓度在10至20微克/毫升之间,10名儿童的血药浓度低于10微克/毫升,另有10名儿童的血清水平超过20微克/毫升但无症状。0小时和2小时时的血药浓度之间存在良好的相关性(p<0.002)。这些数据可能支持所采用剂量的效用。为了治疗儿童哮喘发作,了解个体对茶碱的反应是可取的,这可以通过服药后两小时的单次测定来实现。