| 影响西罗莫司药动学、疗效及不良反应的因素分析 |
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| 引用本文： | 王彦娥,林美钦,林立敏,宋洪涛.影响西罗莫司药动学、疗效及不良反应的因素分析[J].中国医院药学杂志,2015,35(11):1043-1047. |
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| 作者姓名： | 王彦娥 林美钦 林立敏 宋洪涛 |
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| 作者单位： | 1. 南京军区福州总医院药学科, 福建 福州 350025;
2. 沈阳药科大学药学院, 辽宁 沈阳 110016 |
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| 摘 要： | 目的:分析各影响西罗莫司的体内药动学参数、临床疗效及不良反应的因素,为临床个体化用药提供参考。方法:通过国内外文献分析,归纳个体差异、患者状态、共服药物及用药方案等因素对西罗莫司药动学参数、临床疗效及不良反应的影响。结果:西罗莫司的治疗窗窄、个体差异化大,可致高脂血症、贫血、白细胞及血小板减少等不良反应。结论:多种因素共同影响西罗莫司的临床应用,需综合考虑以实现个体化用药及确保用药安全。
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| 关 键 词： | 西罗莫司 药动学 疗效 不良反应 影响因素 |
| 收稿时间： | 2014-10-22 |
Analysis of influencing factors for pharmacokinetics,therapeutic efficacy and adverse effects of sirolimus |
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| WANG Yan-e,LIN Mei-qin,LIN Li-min,SONG Hong-tao.Analysis of influencing factors for pharmacokinetics,therapeutic efficacy and adverse effects of sirolimus[J].Chinese Journal of Hospital Pharmacy,2015,35(11):1043-1047. |
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| Authors: | WANG Yan-e LIN Mei-qin LIN Li-min SONG Hong-tao |
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| Institution: | 1. Department of Pharmacy, Fuzhou General Hospital of Nanjing Military Region Medicine Discipline, Fujian Fuzhou 350025, China;
2. College of Pharmacy, Shenyang Pharmaceutical University, Liaoning Shenyang 110016, China |
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| Abstract: | OBJECTIVE To analyze factors that affected pharmacokinetic parameters, therapeutic efficacy and adverse effects of sirolimus for clinical personalized medication. METHODS Influencing factors like individual differences, patient conditions, coadministration and therapeutic regimens were concluded through referring to a great quantity of internal and overseas literatures. RESULTS CONCLUSION Various factors can affect clinical use of sirolimus, and all of these factors should be taken into account to realize individualized medication and to ensure medication safety. |
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| Keywords: | sirolimus pharmacokinetics therapeutic efficacy adverse effects influencing factors |
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