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癫痫患者单用卡马西平和合用其他抗痉药时卡马西平10,11-环氧化物的血浓度
引用本文:潘以正,阮邹荣. 癫痫患者单用卡马西平和合用其他抗痉药时卡马西平10,11-环氧化物的血浓度[J]. 临床神经病学杂志, 1998, 0(5)
作者姓名:潘以正  阮邹荣
作者单位:浙江医科大学临床药理研究所
摘    要:目的研究癫痫患者单用卡马西平(CBZ)和合用其他抗痉药时卡马西平10,11-环氧化物(CBZ-E)的血浓度。方法采用高效液相色谱法(HPLC)对67例癫痫患者测定稳态时CBZ和CBZ-E浓度。其中36例接受单一CBZ治疗;31例联合其它抗惊厥剂:苯妥因钠(PHT)14例,丙戊酸钠(VPA)17例。结果CBZ-E浓度和CBZ-E/CBZ比率在联合治疗组比单一治疗组高,尤其CBZ+VPA组比单一治疗组显著增高(P<0.01)。结论在CBZ血浓度监测中,常规CBZ-E浓度测定具有较大临床价值

关 键 词:癫痫  卡马西平  卡马西平10.11-环氧化物

The plasma carbamazepine 10,11-epoxide concentration in epileptics on carbamazepine alone and in combination with other anticonvulsants
Pan Yizheng,Ruan Zourong. The plasma carbamazepine 10,11-epoxide concentration in epileptics on carbamazepine alone and in combination with other anticonvulsants[J]. Journal of Clinical Neurology, 1998, 0(5)
Authors:Pan Yizheng  Ruan Zourong
Affiliation:Pan Yizheng,Ruan Zourong. Institute of Clinical Pharmacology,Zhejiang Medical University,Hangzhou 310009
Abstract:objective To study measure the plasma carbamazepine 10,11 epoxide(CBZ E)level in epileptics who are taking carbamazepine (CBZ) monotherapy or taking CBZ combined with other anticonvulsants.Methods We measured the plasma steady state CBZ and CBZE level of 67 patients by HPLC method, 36 in CBZ monotherapy group and 31 in combined therapy group (14 with CBZ phenytoin and 17 with CBZ valproic acid). Results The plasma CBZ E level and the ratio of CBZ E to CBZ combined therapy group was significantly higher than those of monotherapy group, especially CBZ valproic acid subgroup ( P <0.01). Conclusions The routine plasma CBZ E level measurement may provide more clinical value to the treatment of epilepsy.
Keywords:Epilepsy Carbamazepine Carbamazepine 10  11 epoxide  
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