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["半衰期”和“清除率”概念在实践及药代动力学中的应用]

[The use of the concepts of "half-life" and "clearance" in practice and in pharmacokinetics].

作者信息

Raaflaub J

出版信息

Schweiz Med Wochenschr. 1981 Sep 19;111(38):1406-11.

PMID:7280641
Abstract

The elimination of drugs from the body and the different modes of dealing with this process on a quantitative scale are discussed. The concepts of half-life and clearance are briefly reviewed. It is shown that with the term "half-life" the investigator focuses upon the elimination of the drug from the whole of the body. With the term "clearance" the interest is focused on the drug-clearing organs or on the effectiveness of these organs in eliminating the drug from the blood stream. As a consequence of this situation, the half-life is the truly useful parameter for the physician since it enables him to establish appropriate drug administration schedules for his patients. Clearance values, on the other hand, are chiefly of use to the pharmacokineticist in establishing the kinetic profile of a new drug.

摘要

本文讨论了药物从体内的消除以及在定量尺度上处理这一过程的不同方式。简要回顾了半衰期和清除率的概念。结果表明,使用“半衰期”一词时,研究者关注的是药物从整个身体的消除情况。而使用“清除率”一词时,关注点则在于药物清除器官或这些器官从血流中清除药物的有效性。鉴于这种情况,半衰期对医生来说是真正有用的参数,因为它能使医生为患者制定合适的给药方案。另一方面,清除率值主要对药代动力学家确定新药的动力学特征有用。

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