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广西首例心脏移植术后环孢素A的药物监测
引用本文:熊凤英,吴敏,吴洪文,梁陈方.广西首例心脏移植术后环孢素A的药物监测[J].中国现代应用药学,2005,22(6):477-479.
作者姓名:熊凤英  吴敏  吴洪文  梁陈方
作者单位:广西医科大学第四附属医院药剂科,广西,柳州,545005
摘    要:目的 建立我院首例心脏移植术后环孢素A血药浓度监测方法,分析药物浓度与剂量、疗效的关系,建立最佳给药方案。方法 运用高效液相色谱法以环孢素B为内标、214nm处紫外检测,对心脏移植受者进行环孢素A血药浓度监测,并及时给予用药剂量调整。结果 该患者至今存活,生活质量良好,环孢素A血药浓度控制得很好。结论 高效液相色谱法能满足环孢素A的临床常规血药浓度监测需求。

关 键 词:心脏移植  环孢素A  药物浓度监测  高效液相色谱法
文章编号:1007-7693(2005)06-0477-03
收稿时间:2004-05-19
修稿时间:2004-05-19

Therapeutic drug monitoring of cyclosporin-A after the first heart transplantation in GUANGXI
XIONG Feng-ying,WU Min,WU Hong-wen,LIANG Chen-fang.Therapeutic drug monitoring of cyclosporin-A after the first heart transplantation in GUANGXI[J].The Chinese Journal of Modern Applied Pharmacy,2005,22(6):477-479.
Authors:XIONG Feng-ying  WU Min  WU Hong-wen  LIANG Chen-fang
Institution:Department of Pharmacy, Fourth Affiliated Hospital, Guangxi Medical University, Liuzhou 545005, China
Abstract:OBJECTIVE To develop a method for determination of cyclosporine-A in blood after the first heart transplanation in our hospital,and analyse the relation between dosage,clinical effect and concentration,finally to develop a best curing scheme.METHODS An HPLC was used with cyclosporine-B as the internal standard and detected at 214 nm.Determinate the patient's blood concentration of cyclosporine-A and adjust the dosage in time. RESULTS The patient is still alive with a good life and the blood concentration of cyclosporine-A was under well control.CONCLUSION HPLC can satisfy the demand of general clinic determination of blood concentration of cyclosporine-A.
Keywords:heart transplantation  cyclosporine-A  TDM  HPLC
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