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单剂量肌肉注射甲氨喋呤治疗异位妊娠的药物动力学 被引量:3

Pharmacokinetics of single-dose intramuscular injection of Methotrexate for the treatment of ectopic pregnancy
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摘要 目的研究单剂量肌注甲氨喋呤(MTX)治疗异位妊娠(EP)的药动学特点,并计算其参数。方法给予9例输卵管异位妊娠患者im MTX(1 mg·kg^-1),分别于给药0-24 h内多点采静脉血,用荧光偏振免疫法测定MTX的浓度,用3p97软件计算药动学参数。结果MTX的药动学符合一级吸收的二室模型。结论单剂肌注MTX的药动学研究有助于深入分析EP治疗成功与否的相关因素。 OBJECTIVE To study the pharmacokinetics of single - dose intramuscular injection of Methotrexate in patients with EP (ectopic pregnancy)and calculate the pharmacokinetic parameters. METHODS After a single intramuscular dose ( 1 mg·kg^-1 )was given to nine patients with EP, the serum samples were withdrawn from 0 to 24 h and the blood drug concentration was assayed by fluorescence polarigation immunoassay. The pharmacokinetic parameters were calculated with 3p97 program. RESULTS The pharmacokinetics of single - dose intramuscular of methotrexate(MTX) in patients with EP conformed to two compartment with 1 st order absorption. CONCLUSION The results would be helpful for the analysis of the factors contributed to the successful treatment rate.
出处 《华西药学杂志》 CAS CSCD 北大核心 2007年第3期315-316,共2页 West China Journal of Pharmaceutical Sciences
基金 深圳市科学技术局项目(编号:200204066)
关键词 甲氨喋呤 肌注 异位妊娠 药动学 Methotrexate Intramuscular Ectopic pregnancy Pharmacokinetics
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  • 1Vaissade L,Gerbaud L,Pouly JL,et al.Cost-effectiveness analysis of laparoscopic surgery versus methotrexate:comparison of data recorded in all ectopic pregnancy registry[J].J Gynecol Obstet Biol Reprod(Paris),2003,32(5):447-458.
  • 2Morlock RJ,Lafata JE,Eiserstein D.Cost-effectiveness of singledose methotrexate compared with laparoscopie treatment of ectopic pregnancy[J].Obstet Gyneed,2000,95(3):407-412.
  • 3岳晓燕.输卵管妊娠治疗现状与趋势[J].实用妇产科杂志,2002,18(3):149-151. 被引量:261
  • 4王娟,梁健健.小剂量甲氨蝶呤治疗银屑病的药动学[J].中国医院药学杂志,2004,24(5):288-289. 被引量:4

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