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肝癌介入治疗药动学及其临床意义探讨
引用本文:刘平,曾伟华,李后炳,潘云艳,杜运生. 肝癌介入治疗药动学及其临床意义探讨[J]. 介入放射学杂志, 1995, 0(2)
作者姓名:刘平  曾伟华  李后炳  潘云艳  杜运生
作者单位:湖南湘潭市中心医院,湖南湘潭市中心医院,湖南湘潭市中心医院,湖南湘潭市中心医院,湖南湘潭市中心医院
摘    要:本研究通过测定血清阿霉素浓度,分析了原发性肝癌阿霉素肝动脉灌注(A 组)、阿霉素碘油乳化后栓塞(B 组)及阿霉素微囊栓塞化疗(C 组)后药动学变化及其临床意义。A 组药动学变化与静脉给药相似,但峰值浓度高。B 组峰浓度低,半衰期延长,显示缓释和降低血浓度的作用。C 组峰浓度不明显,表现为长时、稳定的释放,血浓度低,具有保持局部长时间高浓度作用。结果揭示了肝癌介入治疗不同给药方法疗效差异的药动学依据。

关 键 词:肝癌  动脉  栓塞  阿霉素  微囊  药动学

Study on Pharmacokinetics of Adriamycin(ADR)and Its Clinical Significance in Interventional Therapy for Hepatocellular Carcinoma
Liu Ping Xiang Tan City Centre Hospital,Hunan Province. Study on Pharmacokinetics of Adriamycin(ADR)and Its Clinical Significance in Interventional Therapy for Hepatocellular Carcinoma[J]. Journal of Interventional Radiology, 1995, 0(2)
Authors:Liu Ping Xiang Tan City Centre Hospital  Hunan Province
Abstract:Studies of pharmacokinetics and its clinical significance were done on adriamycin(ADR)introduced by interventional procedures for hepatocellular carcinoma. Patients were divided into 3 groups;group A,for hepatic arterial infusion of ADR;group B,for hepatic arterial embolization with ADR-lipiodol emulsion;group C,for hepatic arteri- al embolization with ADR-microcapsule.The results showed the pharmacokinetics in group A was similar to that of intravenous injection with high peak concentration;the peak serum concentration of ADR in group B was much lower than that in group A,with prolonged half-life attenation slowing the benefits of sustained-releases and reduction of blood drug concentration fabourable for reducing toxicity-side effect.Serum concentration of ADR in group C appeared in a"static state"of steady release.With low blood concentration favor- able for keeping high concentration in target tissue,reducing toxicity-side effects and en- hancing anticancer effect.
Keywords:Liver cancer  Artery embolization  Adriamycin  Microcapsule  Pharmacokinetics
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