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新生儿咖啡因与茶碱的研究。

Studies of caffeine and theophylline in the neonate.

作者信息

Soyka L F, Neese A L, Main D, Main E

出版信息

Semin Perinatol. 1981 Oct;5(4):332-6.

PMID:7302608
Abstract

About 50% of 327 umbilical cord sera from infants born at the Medical Center Hospital of Vermont contained 1.0 microgram/ml or more of caffeine; about 25% contained equivalent concentrations of theophylline. Cord concentrations of caffeine greater than 3.0 micrograms/ml were associated with a significantly increased incidence of birthweights greater than 4 kg and a decrease in the incidence of 1-minute Apgar scores of less than seven. Cord blood caffeine concentrations of 69 infants born in Marburg, West Germany had a mean of 1.6 micrograms/ml, with 64% greater than 1 microgram/ml. Caffeine accumulated in the serum of infants treated with aminophylline for apnea of prematurity, apparently from methylation of theophylline.

摘要

佛蒙特医学中心医院出生的327名婴儿的脐带血清中,约50%含有1.0微克/毫升或更高浓度的咖啡因;约25%含有同等浓度的茶碱。脐带中咖啡因浓度高于3.0微克/毫升与出生体重超过4千克的发生率显著增加以及1分钟阿氏评分低于7分的发生率降低有关。在西德马尔堡出生的69名婴儿的脐带血咖啡因浓度平均为1.6微克/毫升,其中64%高于1微克/毫升。接受氨茶碱治疗早产儿呼吸暂停的婴儿血清中会积累咖啡因,显然是由茶碱甲基化产生的。

相似文献

1
Studies of caffeine and theophylline in the neonate.新生儿咖啡因与茶碱的研究。
Semin Perinatol. 1981 Oct;5(4):332-6.
2
Pharmacokinetics of theophylline and caffeine after intravenous administration of aminophylline to premature neonates in Korea.韩国早产新生儿静脉注射氨茶碱后茶碱和咖啡因的药代动力学
Res Commun Mol Pathol Pharmacol. 1999;105(1-2):105-13.
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[Analysis and importance of levels of caffeine and theophylline in cord blood of premature newborn infants].[早产新生儿脐血中咖啡因和茶碱水平的分析及重要性]
Boll Soc Ital Biol Sper. 1988 Feb;64(2):181-8.
4
[Detection of caffeine, theophylline and theobromine in the umbilical cord blood and breast milk].
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Conversion of theophylline to caffeine by the human fetus.人类胎儿将茶碱转化为咖啡因。
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[The choice between theophylline and caffeine in the treatment of apnea in premature infants].[在治疗早产儿呼吸暂停中茶碱与咖啡因的选择]
Arch Fr Pediatr. 1990 Jun-Jul;47(6):461-5.
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Use of salivary concentrations in the prediction of serum caffeine and theophylline concentrations in premature infants.唾液浓度在预测早产儿血清咖啡因和茶碱浓度中的应用。
J Pediatr. 1980 Mar;96(3 Pt 1):494-9. doi: 10.1016/s0022-3476(80)80708-6.
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Theophylline concentration following equal doses of intravenous aminophylline and oral theophylline in preterm infants.早产儿静脉注射氨茶碱和口服茶碱等量剂量后的茶碱浓度。
Am J Perinatol. 1997 Mar;14(3):147-9. doi: 10.1055/s-2007-994116.
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Base deficit estimation in umbilical cord blood is influenced by gestational age, choice of fetal fluid compartment, and algorithm for calculation.脐血中碱剩余的估计受胎龄、胎儿体液腔室的选择以及计算算法的影响。
Am J Obstet Gynecol. 2006 Dec;195(6):1651-6. doi: 10.1016/j.ajog.2006.05.043. Epub 2006 Sep 25.
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Prophylactic theophylline infusion for prevention of apnea of prematurity.预防性输注氨茶碱用于预防早产儿呼吸暂停。
Indian Pediatr. 1992 Nov;29(11):1359-63.

引用本文的文献

1
Principles of drug biodisposition in the neonate. A critical evaluation of the pharmacokinetic-pharmacodynamic interface (Part II).新生儿药物生物转化原理。药代动力学-药效学界面的批判性评估(第二部分)
Clin Pharmacokinet. 1988 May;14(5):261-86. doi: 10.2165/00003088-198814050-00001.
2
Salivary caffeine and neonatal behavior: assay modification and functional significance.
Psychopharmacology (Berl). 1988;94(1):64-8. doi: 10.1007/BF00735882.