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抗药物治疗的癫痫患者的血浆二苯妥英(DPH)和苯巴比妥(PB)水平(作者译)

[Plasma levels of diphenylhydantoin (DPH) and phenobarbitone (PB) in epileptic patients resistant to drug treatment (author's transl)].

作者信息

Zaccara G, Galli A, Rossi L, Zappoli R, Zatelli L, Amaducci L

出版信息

Riv Patol Nerv Ment. 1977 Nov-Dec;98(6):363-75.

PMID:754251
Abstract

The Authors present and discuss the results obtained by assaying plasma DPH and PB in 123 patients chronically treated with antiepileptic drugs. The subjects examined were considered resistant to medical therapy and were all at their first laboratory control. The data obtained show: 1) the very poor correlation existing between the doses of drugs administered and their actual plasma levels; 2) the very high percentage of patients with DPH and PB plasma levels not in the therapeutic range of these drugs. The Authors discuss some of the most frequent errors in planning chronic therapy with DPH and barbiturates due to the lack of knowledge of drug blood levels.

摘要

作者介绍并讨论了对123例长期接受抗癫痫药物治疗的患者进行血浆双苯乙内酰脲(DPH)和苯巴比妥(PB)检测所获得的结果。所检查的对象被认为对药物治疗耐药,且均处于首次实验室检查阶段。所获得的数据显示:1)所服用药物剂量与其实际血浆水平之间存在极差的相关性;2)DPH和PB血浆水平不在这些药物治疗范围内的患者比例非常高。作者讨论了由于对药物血药浓度缺乏了解,在制定DPH和巴比妥类药物长期治疗方案时一些最常见的错误。

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