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老年人丁胺卡那霉素药物动力学研究 被引量:1

Pharmacokinetic studies of amikacin in the aged
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摘要 6名老年与6名年轻健康志愿者肌内注射丁胺卡那霉素7.5mg/kg后,老年组经1.04g达血药峰深度23.54±2.98μg/ml,年轻组经0.99h达峰浓度20.7722.38μg/ml,老年组与年轻组7h后血浆中浓度分别为5.24μg/ml和1.97μg/ml,按开放一室模型拟合算得,消除半衰期分别为2.31±0.56h和1.58±0.28h(P<0.05),表观分布容积分别为0.235±0.026L/kg和0.239±0.010L/kg,老年组和年轻组24h尿排泄原药分别为74.3±12.2%和75.4±8.1%,肾清除3率分别为61.93±24.30ml/min和84.63±25.41ml/min。结果表明,丁胺卡那霉素老年人消除比年轻人要慢。 Pharmacokinetic parameters of amikacinwere determined in 6 aged. and 6 young healthyvolunteers after single intramuscular injectionof 7.5mg/kg. The aged had a peak serum le-vel of 23.54 ± 2.98μg/ml after 1.04 hours, wher-eas the young men had a peak serum level of20.77 ± 2.38μg/ml after 0.99 hours. In the agedand young groups, serum level was 5.24μg/ml and 1.97μg/ml respectively after 7 hours.After calculation with one-compartment openmodel, the elimination half-life (t_(1/2)) for thetwo groups was 2.31 ± 0.56 and 1.58 ± 0.28 hours respectively (P<0.05) and the apparentvolume of distribution was 0.235 ± 0.026 and0.239 ± 0.010L/kg respectively. The urinary rec-overy rate by 24 hours after injection in the ag-ed and young groups was 74.3 ± 12.2% and 75.4± 8.1% respectively, and the renal clearancewas 61.93 ± 24.30 and 84.63 ± 25.41ml/min. Theresults demonstrated that the elimination ofamikacin was slower in the aged than in theyoung.
出处 《中国药学杂志》 CAS CSCD 北大核心 1990年第1期18-21,共4页 Chinese Pharmaceutical Journal
关键词 丁胺卡那霉素 药物动力学 老年人 实验研究 amikacin pharmacokinetics aged
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