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[慢性非特异性肠道疾病患者中茶碱的药代动力学特征及其经胃肠道给药途径的相关性]

[The pharmacokinetic characteristics of theophylline in patients with chronic nonspecific intestinal diseases in relation to its routes of administration into the gastrointestinal tract].

作者信息

Kukes V G, Fazylov A V, Kirkin B V, Kurapov A P, Blinov I L

出版信息

Ter Arkh. 1993;65(2):52-4.

PMID:9133013
Abstract

Theophylline pharmacokinetics was investigated upon introduction of euphylline (0.15 g) at four levels of gastrointestinal tract: orally (20 patients), into the jejunum (15 patients) at enterogastroduodenoscopy, in the ileocecal area (8 patients) at colonoscopy and rectally (9 patients). Absorption speed depended on the variant of the gastrointestinal introduction rather than on the variant of chronic nonspecific intestinal disease, and appeared maximal in the drug introduction into the jejunum. Concentration and area under curve became maximal in minor participation of the liver in primary capture and biotransformation of theophylline. Reduced theophylline doses are recommended in lower hepatic metabolism of the drug, in hepatic hypofunction, in rectal route of administration.

摘要

在胃肠道的四个部位引入优喘平(0.15 g)后研究了茶碱的药代动力学:口服(20例患者)、在胃肠十二指肠镜检查时注入空肠(15例患者)、在结肠镜检查时注入回盲部(8例患者)以及直肠给药(9例患者)。吸收速度取决于胃肠道给药的方式,而非慢性非特异性肠道疾病的类型,并且在药物注入空肠时吸收速度最快。当肝脏对茶碱的初次摄取和生物转化参与较少时,血药浓度和曲线下面积达到最大值。在药物肝脏代谢降低、肝功能减退以及直肠给药途径时,建议减少茶碱剂量。

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