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用微透析法研究肺炎大鼠灌胃左氧氟沙星的肺部药动学
引用本文:李奕,周佳,王卓,华翔,肖和平,黄怡.用微透析法研究肺炎大鼠灌胃左氧氟沙星的肺部药动学[J].药学服务与研究,2013(5):365-368.
作者姓名:李奕  周佳  王卓  华翔  肖和平  黄怡
作者单位:[1]解放军第411医院呼吸内科,上海200081 [2]第二军医大学长海医院呼吸内科,上海200433 [3]上海交通大学医学院附属新华医院药剂科,上海200092 [4]第二军医大学长海医院药学部,上海200433 [5]第二军医大学长海医院2006级实习生队,上海200433 [6]同济大学附属上海市肺科医院结核科,上海200433
基金项目:国家科技重大专项资助项目(2008ZX10003-015)
摘    要:目的:观察肺炎大鼠模型灌胃左氧氟沙星后在肺组织中的药动学特点.方法:以肺炎链球菌诱导肺炎大鼠模型,之后灌胃左氧氟沙星42 mg/kg.采用微透析技术对大鼠血液和肺组织同步取样,以HPLC法测定血液和肺组织中的药物浓度,计算左氧氟沙星的主要药动学参数和肺组织穿透率.结果:血液和肺组织中的药物浓度变化趋势一致.从第20 min开始,肺组织中的药物浓度始终高于血药浓度.左氧氟沙星的肺组织穿透率为(1.17±0.06).在血液和肺组织的主要药动学参数分别为:tmax(46.67±20.82)和(43.33±23.09) min,cmax(1.29±0.41)和(1.56±0.70) μg/ml,t12(534.38±381.64)和(591.38±416.08) min,AUCinf(920.33±473.56)和(1196.23±992.35) μg·min·ml-1,在肺组织的分布系数为(1.22±0.56).结论:肺炎大鼠模型灌胃左氧氟沙星后具有良好的肺组织穿透率和分布系数.

关 键 词:左氧氟沙星  肺炎  药代动力学  微透析  大鼠

Study on lung pharmacokinetics of gavage levofloxacin in pneumonia rats by microdialysis method
LI Yi;ZHOU Jia;WANG Zhuo;HUA Xiang;XIAO HePing;HUANG Yi.Study on lung pharmacokinetics of gavage levofloxacin in pneumonia rats by microdialysis method[J].Pharmaceutical Care and Research,2013(5):365-368.
Authors:LI Yi;ZHOU Jia;WANG Zhuo;HUA Xiang;XIAO HePing;HUANG Yi
Institution:LI Yi;ZHOU Jia;WANG Zhuo;HUA Xiang;XIAO HePing;HUANG Yi(Department of Respiratory Diseases,No.411 Hospital of PLA,Shanghai 200081 ,China;Department of Respiratory Diseases,Changhai Hospital,Second Military Medical University, Shanghai 200433, China;Department of Pharmacy, Xinhua Hospital Affiliated to School of Medicine,Shanghai Jiaotong University,Shanghai 200092,China;Department of Pharmacy,Changhai Hospital, Second Military Medical University,Shanghai 200433, China;Intern Team of Grade 2006, Changhai Hospital, Second Military Medical University,Shanghai 200433 ,China;Department of Tuberculosis,Shanghai Pulmonary Hospital Affiliated to Tongji University, Shanghai 200433, China)
Abstract:Objective:To study the pharmacokinetic characteristics of lung tissue in pneumonia rats by gavage levofloxacin.Methods.Pneumonia rat model was induced by Streptococcus pneumoniae.The rats were then gavaged levofloxacin at a dose of 42 mg/kg.Blood and lung tissue were sampled in vivo by microdialysis method simultaneously.The concentrations of levofloxacin in blood and lung were measured by HPLC method.Then,main pharmacokinetic parameters and pulmonary penetration rate were calculated.Results:Changes in the concentrations of levofloxacin in the blood and lung tissue were identical.At min 20,the concentration of levofloxacin in the lung tissue was higher than that in the blood.The pulmonary penetration rate of levofloxacin was (1.17±0.06).The main pharmacokinetic parameters of levofloxacin in the blood and lung tissue were as follows:tmax(46.67±20.82) and (43.33±23.09) min,cmax(1.29±0.41) and (1.56±0.70) μg/ml,t12 (534.38±381.64) and (591.38±416.08) min,AUC0-inf (920.33 ± 473.56) and (1196.23 ± 992.35) μg · min · ml-1,respectively.The distribution coefficient in the lung tissue was (1.22±0.56).Conclusion:Gavage levofloxacin exhibits good pulmonary penetration rate and distribution coefficient in pneumonia rats.
Keywords:levofloxacin  pneumonia  pharmacokinetics  microdialysis  rat
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