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丹参注射液给药时间对预防顺铂耳毒性作用的影响
引用本文:钱茂华,马莉,丁小燕,施勇,管沛,黄志俊,汪晓雷.丹参注射液给药时间对预防顺铂耳毒性作用的影响[J].中国血液流变学杂志,2009,19(3):352-354.
作者姓名:钱茂华  马莉  丁小燕  施勇  管沛  黄志俊  汪晓雷
作者单位:1. 南通大学第二附属医院,耳鼻喉科,江苏南通,226001
2. 南通大学第二附属医院,药剂科,江苏南通,226001
基金项目:江苏省中医药资助课题 
摘    要:目的探索丹参注射液给药时间对预防顺铂耳毒性作用的影响。方法健康杂色豚鼠40只。随机均分为4组。1.对照组:腹腔注射顺铂1mg/kg/d。2.实验Ⅰ组:腹腔注射顺铂1mg/kg/d,6h后腹腔注射丹参注射液8mL/kg/d。3.实验Ⅱ组:腹腔同时注射顺铂和丹参注射液,剂量同上。4.空白组:腹腔注射生理盐水0.8mL/kg/d。各组连续6d。各组动物在实验前及结束后各做一次BAEP检测。以ABRⅢ波反应阈为检测听阈。结果对照组与实验组听阈在实验前后同组内相比均有提高,分别为:42.6±4.32dB、33±3dB、36.6±2.16dB,空白组为31.5±2.25dB。但实验Ⅰ组和实验Ⅱ组听阈分别比对照组低,差别显著。实验前后同组内相比听阈增加率:实验Ⅰ组〈实验Ⅱ组〈对照组,分别为:(6±8.4)%、(19.67±4.53)%、(39±17.4)%,差别显著。实验Ⅰ组与空白组相比无显著性差别。结论丹参注射液预防顺铂耳毒性作用与给药时间有关;认为丹参在顺铂使用后6h给药其预防顺铂耳毒性的作用更为显著。

关 键 词:丹参注射液  顺铜  耳毒性  预防作用  药物动力学

Effects of Administration Time of Salvia Miltiorrhiza Injection on Precaution the Ototoxicity of Cisplatin
Institution:QIAN Mao-h ua, MA Li, DING Xiao-yan, SHI Yong, G UAN Pei, HUANG Zh i-jun, WANG Xiao-lei (Department of Otorhinolaryngology,Second Hospital ofNantong University,Nantong,Jiangsu,226001,China)
Abstract:Objective To explore the effects of Administration time of Salvia miltiorrhiza injection on precaution the ototoxicity of Cisplatin.Methods 40 guinea pigs were randomly divided into 4 groups: control group, experiment group Ⅰ, experiment group Ⅱ and empty group. Control group were injected Cisplatin 1 mg/kg/d by intraperitoneal. Eexperiment group Ⅰ ,6 hours after injection ofCisplatin1mg/kg/d by intrapefitoneal,were injected Salvia miltiorrhiza injection 8mL/kg/d by intraperitoneal. Experiment group Ⅱ were injected Cisplatin 1 mg/kg/d and Salvia miltiorrhiza injection 8mL/kg/d by intraperitoneal simultaneously.And empty group were injected normal sodium 0.8mL/kg/d by intraperitoneal. One time everyday, 6 days in all. Before and after the injection,BEAP was detected,and reaction threshold of ABR Ⅲ was taken as detected audibility threshold(dB).Results Audibility thresholds from control group,experiment group Ⅰ and experiment group Ⅱ were all rised,and they were (42.6 ± 4.32)dB,(33.0 ± 3.00) dB and (36.6 ± 2.16)dB respectively.Audibility thresholds from empty group was (31.5 ± 2.25)dB.Experiment group Ⅰ and experiment group Ⅱ were lower than control group,P〈0.05. The augmented rate: experiment group Ⅰ 〈 experiment group Ⅱ 〈 control group, ang they were (6 ±8.4)%,(19.67 ±4.53)% and (39 ± 17.4)%, P〈 0.05.There was no significant defference between experiment group Ⅰ and empty group.Conclusion It is related with administration time that the effect of Salvia miltiorrhiza injection on precaution the ototoxicity of Cisplatin;and 6 hours after Cisplatin using Salvia miltiorrhiza injection, the effect is more significant.
Keywords:Salvia miltiorrhiza injection  Cisplatin  ototoxicity  precaution  pharmacokinetics
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