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接受治疗的孕妇和新生儿的地塞米松水平。

Dexamethasone levels in treated pregnant women and newborn infants.

作者信息

Osathanondh R, Tulchinsky D, Kamali H, Fencl M, Taeusch H W

出版信息

J Pediatr. 1977 Apr;90(4):617-20. doi: 10.1016/s0022-3476(77)80383-1.

DOI:10.1016/s0022-3476(77)80383-1
PMID:839379
Abstract

Dexamethasone concentration was measured in plasma and amniotic fluid by radioimmunoassay using a rabbit antiserum raised against DX-hemisuccinate-albumin. Recoveries of added tracers averaged 70% after paper chromatography. The within- and between-assay coefficients of variation averaged 10%. The lower limit of detection was 0.2 mug/dl when 0.4 ml of plasma was assayed. Ten healthy pregnant women at term had cesarean sections 8 to 11 hours following administration of 8 mg of DX orally. DX levels in maternal vein, in umbilical vein and artery, and in amniotic fluid averaged 2.2, 2.9, 2.6, and 2.5 mug/dl, respectively. Although cortisol levels were markedly suppressed, the total relative glucocorticoid activity in blood of fetuses treated with DX far exceeded that of the untreated group.

摘要

使用针对半琥珀酸地塞米松 - 白蛋白产生的兔抗血清,通过放射免疫分析法测定血浆和羊水中的地塞米松浓度。纸层析后,添加示踪剂的回收率平均为70%。测定内和测定间变异系数平均为10%。当检测0.4ml血浆时,检测下限为0.2μg/dl。10名足月健康孕妇在口服8mg地塞米松后8至11小时进行剖宫产。母体静脉、脐静脉和动脉以及羊水中的地塞米松水平分别平均为2.2、2.9、2.6和2.5μg/dl。虽然皮质醇水平受到明显抑制,但接受地塞米松治疗的胎儿血液中的总相对糖皮质激素活性远远超过未治疗组。

相似文献

1
Dexamethasone levels in treated pregnant women and newborn infants.接受治疗的孕妇和新生儿的地塞米松水平。
J Pediatr. 1977 Apr;90(4):617-20. doi: 10.1016/s0022-3476(77)80383-1.
2
[Cortisol levels in maternal blood, amniotic fluid and umbilical cord blood of premature infants with respiratory distress syndrome].
Pediatr Pol. 1982 Dec;57(12):1047-50.
3
Respiratory distress syndrome: steroid and peptide hormone levels in maternal venous blood and the umbilical vein and artery.呼吸窘迫综合征:母体静脉血、脐静脉血和脐动脉血中的类固醇和肽类激素水平
Acta Paediatr Hung. 1987;28(1):17-21.
4
Dexamethasone in prevention of respiratory distress syndrome.地塞米松预防呼吸窘迫综合征
Am J Obstet Gynecol. 1976 Jun 15;125(4):574-5. doi: 10.1016/0002-9378(76)90389-6.
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Disporition of synthetic glucocorticoids. II. Dexamethasone in parturient women.
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Cortisol in amniotic fluid and cord blood in relation to prenatal betamethasone load and delivery.羊水和脐血中的皮质醇与产前倍他米松负荷及分娩的关系。
Am J Obstet Gynecol. 1976 Jan 1;124(1):43-50. doi: 10.1016/0002-9378(76)90009-0.
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Determination of plasma dexamethasone in the mother and the newborn after administration of the hormone in a clinical trial.在一项临床试验中,对给予激素后的母亲和新生儿血浆地塞米松进行测定。
J Clin Endocrinol Metab. 1983 Jan;56(1):127-33. doi: 10.1210/jcem-56-1-127.
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Effect of steroid prophylaxis and of elective caesarean section on maternal and fetal cortisol values.类固醇预防和选择性剖宫产对母体及胎儿皮质醇值的影响。
Acta Med Acad Sci Hung. 1980;37(4):365-72.
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Carcinoembryonic antigen (CEA) in normal and pre-eclamptic pregnancies (values in maternal blood, amniotic fluid and umbilical cord blood).
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10
Prophylaxis of respiratory distress syndrome in premature calves by administration of dexamethasone or a prostaglandin F2 alpha analogue to their dams before parturition.在分娩前给早产犊牛的母牛注射地塞米松或前列腺素F2α类似物以预防呼吸窘迫综合征。
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Optimisation of antirheumatic drug treatment in pregnancy.孕期抗风湿药物治疗的优化
Clin Pharmacokinet. 1994 Dec;27(6):486-503. doi: 10.2165/00003088-199427060-00006.
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Plasma protein binding of drugs in pregnancy.孕期药物的血浆蛋白结合
Clin Pharmacokinet. 1982 Jul-Aug;7(4):336-52. doi: 10.2165/00003088-198207040-00004.
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The significance of plasma protein binding on the fetal/maternal distribution of drugs at steady-state.血浆蛋白结合对药物在稳态时胎儿/母体分布的意义。
Clin Pharmacokinet. 1988 Mar;14(3):156-70. doi: 10.2165/00003088-198814030-00004.
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Treatment of asthma.哮喘的治疗。
Br Med J (Clin Res Ed). 1987 Jan 10;294(6564):103-5. doi: 10.1136/bmj.294.6564.103.
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Plasma protein binding of drugs in pregnancy and in neonates.孕期及新生儿期药物的血浆蛋白结合情况。
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