期刊文献+

肾移植术后监测环孢素A血药浓度峰值(C2)的临床意义 被引量:2

下载PDF
导出
摘要 目的探讨肾移植术后早期监测环孢素血药浓度峰值(C2)的临床意义。方法回顾性分析28例肾移植受者,采用单抗免疫荧光偏振法(TDX)同步监测CsA全血谷浓度(C0)和峰浓度(C2),比较研究C0和C2的监测在预测肾移植术后早期急性排异反应、药物性肝损害以及肾毒性中的价值。结果 8例患者发生急性排异反应,6例发生药物性肝损害,6例发生肾中毒。术后各时间段发生急性排异患者CsA谷浓度C0与未发生的相比无统计学差异(P﹥0.05),而发生急性排斥反应患者CsA峰浓度C2明显低于正常组C2(P<0.05)。结论监测CsA峰值浓度(C2)能有效预测肾移植术后急性排异反应的发生。
作者 耿浴尘
出处 《中国现代药物应用》 2012年第9期91-92,共2页 Chinese Journal of Modern Drug Application
  • 相关文献

参考文献3

二级参考文献9

  • 1邵丽佳,徐瑞龙,朱以军.肾移植患者口服环孢素A的血药浓度监测分析[J].中国现代应用药学,2007,24(3):247-248. 被引量:12
  • 2Kahan BD, Dunn J, Fitts C, el al. Reduced inter- and intrasubject variability in cyclosporine phar,nacokinetics in renal transplant recipients treated with a microemulsion formulation in conjunction with fasting, low-fat meals, or high-fat meals. Transplantation, 1995,59( 4 ) :505
  • 3Mahalati K, Belitsky P, Sketris I, et al. Neoral monitoring by simplified sparse sampling area under the concentrationtime carve: its relationship to acute rejection and cyelosporine nephrotoxicity early after kidney transplantation. Transplantation, 1999,68 ( 1 ) :55
  • 4Thervet E, Pfeffer P, Scolari MP, et al. Clinical outcomes during the first three months posttransplant in renal allograft recipients managed by C2 monitoring of cyclosporine microemulsion. Transplantation, 2003, 76 (6) :903
  • 5Di Paolo S, Teutonico A, Schena A, et al. Conversion to C2 monitoring of cyclosporine A exposure in maintenance kidney transplant recipients: results at 3 years. Am J Kidney Dis,2004,44( 5 ) :886
  • 6Vincenti F, Mendez R, Curtis J, et al. A multicenter, prospective study of C:monitored cyclosporine microemulsion in a U, S. population of de novo renal transplanted recipients.Transplantation, 2005,80(7 ) :910
  • 7Feutren G, Mihatseh MJ. Risk factors for eyclosporine induced nephropathy in patients with autoimmune diseases. International kidney biopsy registry of cyclosporine in autoimmune diseases. N Engl J Med, 1992, 326(25):1 654
  • 8张维明,李克儒,樊均明,许国章.环孢素的肾毒性及防治研究进展[J].国外医学(泌尿系统分册),2000,20(1):19-21. 被引量:12
  • 9曹川,李世荣,尹锐,孙志成,王珍祥,吴军.外用环孢素A对异体移植鼠耳郎格罕细胞的影响及延长存活的实验研究[J].重庆医学,2002,31(4):274-276. 被引量:3

共引文献10

同被引文献13

引证文献2

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部