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环丙沙星对严重肺心病患者茶碱动力学的影响及两药合用后茶碱剂量的调整
引用本文:徐丽婷,蒋淼,贾正平,谢景文,解好群,张绍仪. 环丙沙星对严重肺心病患者茶碱动力学的影响及两药合用后茶碱剂量的调整[J]. 兰州大学学报(医学版), 1996, 0(4)
作者姓名:徐丽婷  蒋淼  贾正平  谢景文  解好群  张绍仪
作者单位:兰州军区总医院药材科(徐丽婷,蒋淼,贾正平,谢景文),兰州军区总医院胸内科(解好群),兰州军区总医院胸内科(张绍仪)
摘    要:本文应用萤光偏振免疫法分别测定了六名严重肺心病患者单独静滴茶碱达稳态及达稳态后合用环丙沙星2d后茶碱的血药浓度,对药一时数据以PDPK程序按静滴一室模型进行处理,并对结果进行统计分析,结果发现环丙沙星能抑制茶碱的正常代谢,明显延长了茶碱的半衰期(P<0.01),使茶碱稳态血药浓度明显升高(P<0.01),而对分布容积及清除率均无明显影响(P>0.05)。根据实验结果我们对本院临床上几十例合用环丙沙星病人的茶碱给药剂量进行了调整,减少了茶碱的不良反应,获得了满意的临床治疗效果。

关 键 词:环丙沙星  茶碱  药物动力学

The Effect of Ciprofloxacin on Theophylline Pharmacokinectics in Seriously Corpulmonale Patients and Theophylline Dosage be Adjusted when the Two Drugs are Combined
Xu Liting. The Effect of Ciprofloxacin on Theophylline Pharmacokinectics in Seriously Corpulmonale Patients and Theophylline Dosage be Adjusted when the Two Drugs are Combined[J]. Journal of Lanzhou University (Medical Sciences), 1996, 0(4)
Authors:Xu Liting
Abstract:The theophylline serum concentrations of 6 seriously corpulmonale patients who VD aminophylline to steady state and then were accompanied aminophylline, ciprofloxacine for 2 days were detected by FPIA. Data were conducted in one compartment VD model by PKPD program on computer. The results indicated that ciprofloxacin inhibit the normal metabolism of theophylline,the ciprofloxacin made the elimination hafl life of theophylline prolong and the concentration of theophylline increasing markedly(P<0. 01),there was' t significant statistical difference in both the apparent volume of distribution and clearance (P>0.05). By results in this study ,we adjusted theophylline dosage to clinical patients in ours hospital when the two drugs are combined,avoid theophylline adverse effects,and got favorable clinical curative effects.
Keywords:Ciprofloxacin  Theophylline  Pharmacokinetics
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