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目的:探讨索它洛尔的稳态血药浓度及其稳态药动学特征。方法:10例室性期前收缩者口服索它洛尔,分别为106/mg/d(n=5)和240mg/d(n=5),连服11剂。160mg/d组在每次用药后3h、两组均于末剂后0、3、4.5、6.5、9、12、16、24、36h测血药浓度。结果:服药第7剂后血药浓度达稳态,稳态血药浓度的峰值和谷值均与体重剂量呈线性正相关(r=0.846或0.734,P<0.05)。160mg/d组T1/2β为(18.18±6.32)h,VC/F为(1.81±0.34)L/kg;240mg/ d组分别为(13.27±2.46)h和(2.14±0.55)L/kg。结论:药-时曲线符合二房室开放模型;稳态血药浓度峰值和谷值与体重剂量呈正相关;体内药量一定时,血药浓度波动不大。
Objective: To investigate the steady-state plasma concentration of sotalol and its steady-state pharmacokinetic characteristics. Methods: Ten cases of ventricular discomfort were preterm ventricular contractions, with 106 / mg / d (n = 5) and 240 mg / d (n = 5), respectively. 160mg / d group 3h after each treatment, the two groups were measured after the last dose of 0,3,4.5,6.5,9,12,16,24,36 h plasma concentration. Results: After administration of the seventh dose, the plasma concentration reached a steady state. The peak and the trough of the steady state plasma concentration were positively correlated with the body weight dose (r = 0.846 or 0.734, P <0.05). T1 / 2β in 160mg / d group was (18.18 ± 6.32) h and VC / F was (1.81 ± 0.34) L / kg in group 160mg / d and (13.27 ± 2.46 ) H and (2.14 ± 0.55) L / kg. Conclusion: The drug-time curve accords with the two-compartment open model. The steady-state plasma concentration peaks and troughs are positively correlated with the body weight dose. When the drug dose is constant in vivo, the plasma concentration fluctuates little.