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环孢素A血药浓度的影响因素探讨 被引量:23

Study on the Factors that Affect the Blood Concentration of Cyclosporine A
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摘要 目的:对影响CsA血药浓度的因素进行初步探讨。方法:采用FPIA法测定132例肾移植受者的CsA血药浓度,观察肝功能等对CsA血药浓度的影响。结果:肝功能异常,合并应用酮康唑、氟康唑、地尔硫、异烟肼及雷尼替丁等药物均可使CsA血药浓度显著升高,腹泻、喝浓茶等可使CsA血药浓度显著降低。此外,在术后早期部分患者CsA血药浓度与血RBC及HGB含量有显著正相关。结论:监测CsA血药浓度必须结合患者的实际情况具体分析,及时调整用药方案。 OBJECTIVE:To study some factors that affect the blood concentration of cyclosporine A (CsA).METHODS:The bloodconcentrations of CsA were detected with FPIA method in 132 renal transplanted recipients.The liver function and so on that mightaffect the blood concentration of CsA were observed. RESULTS: The concentration of CsA increased in the patients with abnormalliver functions and in combined-use with ketoconazole , nuconazole , diltiazem, isoniazid and ranitidine, decrsased significantly inpatients complicated diarrhea or after drinking strong tea.Besides above-mentioned factors,the blood concentration of CsA waspositively related with the count of red blood cells and the hemoglobin of the recipinets during early postoperativeperiod. CONCLUSION:In evaluating the blood concentration of CsA, we must link it with the actnal situatin of recipients toregulate the dosage of CsA on time.
出处 《中国药房》 CAS CSCD 1998年第6期272-273,共2页 China Pharmacy
关键词 环孢素A 血药浓度 药理 cyclosporine A blood concentration of drug affecting factor
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