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可变方向滞后最小化药效学方法的验证:阿芬太尼的心血管效应

Validation of a variable direction hysteresis minimization pharmacodynamic approach: cardiovascular effects of alfentanil.

作者信息

Modi N B, Veng-Pedersen P

机构信息

University of Iowa, College of Pharmacy, Iowa City 52242.

出版信息

Pharm Res. 1994 Jan;11(1):128-35. doi: 10.1023/a:1018966232183.

DOI:10.1023/a:1018966232183
PMID:8140044
Abstract

An important goal in therapeutics is the quantitative prediction of drug effects. Although several comprehensive pharmacodynamic models have been proposed, relatively few of these have attempted to assess objectively the application of the models to predict pharmacologic responses. A variable-direction hysteresis minimization approach was proposed recently that allowed the pharmacodynamics of drugs to be modeled using information about drug input. The application and validation of this approach are demonstrated using the pharmacodynamic effect of alfentanil, a short-acting narcotic analgesic agent, in New Zealand White rabbits. A parameter is proposed to assess the ability of the pharmacodynamic model to predict responses.

摘要

治疗学的一个重要目标是对药物效应进行定量预测。尽管已经提出了几种全面的药效学模型,但其中相对较少的模型试图客观地评估这些模型在预测药理反应方面的应用。最近提出了一种可变方向滞后最小化方法,该方法允许利用药物输入信息对药物的药效学进行建模。本文利用短效麻醉镇痛药阿芬太尼对新西兰白兔的药效学效应,展示了该方法的应用和验证。提出了一个参数来评估药效学模型预测反应的能力。

相似文献

1
Validation of a variable direction hysteresis minimization pharmacodynamic approach: cardiovascular effects of alfentanil.可变方向滞后最小化药效学方法的验证:阿芬太尼的心血管效应
Pharm Res. 1994 Jan;11(1):128-35. doi: 10.1023/a:1018966232183.
2
Application of a variable direction hysteresis minimization approach in describing the central nervous system pharmacodynamic effects of alfentanil in rabbits.可变方向滞后最小化方法在描述阿芬太尼对兔中枢神经系统药效学作用中的应用。
J Pharm Sci. 1994 Mar;83(3):351-6. doi: 10.1002/jps.2600830317.
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Pharmacodynamic system analysis of the biophase level predictor and the transduction function.
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Pharmacokinetic-pharmacodynamic modelling of the analgesic effect of alfentanil in the rat using tooth pulp evoked potentials.使用牙髓诱发电位对大鼠中阿芬太尼镇痛作用进行药代动力学-药效学建模。
J Pharmacol Toxicol Methods. 1998 Feb;39(1):19-27. doi: 10.1016/s1056-8719(97)00101-9.
5
A system approach to pharmacodynamics. Input-effect control system analysis of central nervous system effect of alfentanil.
J Pharm Sci. 1993 Mar;82(3):266-72. doi: 10.1002/jps.2600820310.
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Pharmacodynamic model for acute tolerance development to the electroencephalographic effects of alfentanil in the rat.大鼠对阿芬太尼脑电图效应急性耐受形成的药效学模型。
J Pharmacol Exp Ther. 1995 Dec;275(3):1185-94.
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Pharmacokinetics of alfentanil and clinical responses during cardiac surgery.心脏手术期间阿芬太尼的药代动力学及临床反应
Can J Anaesth. 1990 Jan;37(1):52-7. doi: 10.1007/BF03007484.
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Pharmacokinetic-pharmacodynamic modelling of the EEG effect of alfentanil in rats: assessment of rapid functional adaptation.阿芬太尼对大鼠脑电图影响的药代动力学-药效学建模:快速功能适应性评估
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Comparative study of the pharmacokinetics of alfentanil in rabbits, sheep, and dogs.
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Pharmacodynamic interaction between propofol and alfentanil when given for induction of anesthesia.丙泊酚与阿芬太尼用于麻醉诱导时的药效学相互作用。
Anesthesiology. 1996 Feb;84(2):288-99. doi: 10.1097/00000542-199602000-00006.

引用本文的文献

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A 'bottom-up' approach for endo-PK/PD analysis.一种用于内镜药代动力学/药效学分析的“自下而上”方法。
Biopharm Drug Dispos. 2006 Oct;27(7):313-27. doi: 10.1002/bdd.508.

本文引用的文献

1
A system approach to pharmacodynamics. Input-effect control system analysis of central nervous system effect of alfentanil.
J Pharm Sci. 1993 Mar;82(3):266-72. doi: 10.1002/jps.2600820310.
2
Simultaneous modeling of pharmacokinetics and pharmacodynamics with a nonparametric pharmacodynamic model.使用非参数药效学模型对药代动力学和药效学进行同步建模。
Clin Pharmacol Ther. 1984 Jun;35(6):733-41. doi: 10.1038/clpt.1984.104.
3
Cardiovascular and some respiratory effects of high doses of alfentanil in dogs.高剂量阿芬太尼对犬心血管及部分呼吸功能的影响。
Eur J Pharmacol. 1984 Apr 13;100(1):79-84. doi: 10.1016/0014-2999(84)90317-0.
4
Dissociation between the effects of fentanyl and alfentanil on spontaneous and reflexly evoked cardiovascular responses in the dog.芬太尼和阿芬太尼对犬自发性和反射性诱发心血管反应的影响之间的解离。
Br J Anaesth. 1983 Feb;55(2):155-61. doi: 10.1093/bja/55.2.155.
5
Alfentanyl (R39209): initial clinical experience with a new narcotic analgesic.阿芬太尼(R39209):一种新型麻醉性镇痛药的初步临床经验。
Anaesthesia. 1980 Dec;35(12):1197-201. doi: 10.1111/j.1365-2044.1980.tb05078.x.
6
Human volunteer studies of Alfentanyl (R39209), a new short-acting narcotic analgesic.新型短效麻醉性镇痛药阿芬太尼(R39209)的人体志愿者研究。
Anaesthesia. 1980 Oct;35(10):952-6. doi: 10.1111/j.1365-2044.1980.tb04992.x.
7
Respiratory effects of a new opiate analgesic, R 39209, in the rabbit: comparison with fentanyl.新型阿片类镇痛药R 39209对家兔的呼吸影响:与芬太尼的比较。
Br J Anaesth. 1980 Nov;52(11):1101-6. doi: 10.1093/bja/52.11.1101.
8
An approach to the modeling of the tolerance mechanism in the drug effect. I: The drug effect as a disturbance of regulations.药物效应中耐受机制的建模方法。I:作为调节紊乱的药物效应
J Theor Biol. 1987 Aug 21;127(4):413-26. doi: 10.1016/s0022-5193(87)80139-x.
9
A system approach to pharmacodynamics. I: Theoretical framework.
J Pharm Sci. 1988 Jan;77(1):39-47. doi: 10.1002/jps.2600770108.
10
A note regarding curve fitting with a sum of exponentials.关于用指数和进行曲线拟合的说明。
Biopharm Drug Dispos. 1988 Nov-Dec;9(6):579-86. doi: 10.1002/bod.2510090608.