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1. 重庆医科大学附属第一医院麻醉科
2. 重庆医科大学附属第一医院麻醉科,重庆,400016
纸质出版日期:2008,
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[1]杨贵英,闵苏.不同剂量顺式阿曲库铵在3种体温兔体内的代谢动力学的变化[J].重庆医科大学学报,2008(04):446-449.
YANG Gui-yin, et al. Pharmacokinetics of cisatracurium with different dose in rabbits undergoing three kinds of body temperature[J]. Journal of Chongqing Medical University, 2008,(4):446-449.
目的:比较不同剂量顺式阿曲库铵在3种体温兔体内的药物代谢动力学的变化。方法:72只健康成年新西兰大白兔
随机分成保温组(C组)、高体温组(H组)和低体温组(L组)
n=24
C、H和L组的直肠温度分别是38.5、41.8和34.5℃
并将每组再随机分为4组(n=6)
即CⅠ~Ⅳ、HⅠ~Ⅳ和LⅠ~Ⅳ组
Ⅰ~Ⅳ组分别静脉注射顺式阿曲库铵0.33、0.66、0.99和1.32mg/kg。静脉给药后2、4、6、8、10、12、15、20、30、60、90、120min各取血2ml
并按标准制作标本。采用高效液相色谱仪测定药物浓度
并用3p97药代动力学软件借助计算机计算药物的消除半衰期(t1/2β)、清除速率常数(kβ)。结果:(1)不同体温相同剂量间的比较:与C组相比
kβH组延长、L组缩短(P<0.01);t1/2βH组缩短、L组延长(P<0.01);Cmax H组降低
L组升高(P<0.05
P<0.01)。(2)相同体温不同剂量间的比较:kβ和t1/2β差异无统计学意义(P>0.05)
其kβ和t1/2β与剂量无关;Cmax差异有统计学意义(P<0.01)
每增加1倍初始剂量
Cmax增加。结论:体温变化会影响肌松药在兔体内的药代动力学及其降解代谢过程
高体温时其降解速度加快
消除半衰期缩短;低体温则相反。在0.33~1.32mg/kg剂量范围内
顺式阿曲库铵在兔体内的kβ和t1/2β与剂量无关
药代动力学特征可预测性好。
Objective:To comparing the pharmacokinetics of cisatracurium with different dose in rabbits undergoing three kinds of body temperature.Methods:72 healthy rabbits weighing 2.0~2.3 kg were used in this study.They were randomly allocated to normothermia group(C)
hyperthermia group(H)
hypothermia group(L)
each was with 24 rabbits.rectal temperature of C
H and L groups were 38.5
41.8 and 34.5℃.Each group was also allocated to group Ⅰ
Ⅱ
Ⅲ and Ⅳrandomly(n=6).The doses in Ⅰ~Ⅳ groups were 0.33
0.66
0.99and1.32 mg/kg cisatracurium respectively.Blood samples were taken from jugular vein at 2
4
6
8
10
12
15
20
30
60
90
120 min after injection.The plasma concentration of cisatracurium was detected by HPLE.Elimination half life(t1/2β) and elimination rate constant(kβ) were calculated by 3p97 pharmacokinetics software.Results:The t1/2β and maximum concentration(Cmax) were significantly increased in L group and were significantly decreased in H group(P<0.05
P<0.01).The kβ was significantly decreased in L group and increased in H group(P<0.01).The t1/2β and kβ were not significantly distinct among different dose groups.Following to initial dose of rabbits steping up
Cmax was increased(P<0.05
P<0.01).Conclusion:The Pharmacokinetics of cisatracurium in rabbit are changed by body temperature.Following to body temperature of rabbits steping up
the degradation rate of cisatracurium is speeded up
while the t1/2β is cut down.The t1/2β and kβ are not significantly distinct among doses range from 0.33 to 1.32mg/kg.The pharmacokinetics characteristic of cisatracurium is predictablely well.
顺式阿曲库铵神经肌肉阻滞体温
Cisatracuriumneuromuscular blockadeBody temperature
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