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局部和全身给药后泼尼松龙在外淋巴液中的浓度分析

The different levels of prednisolone in perilymph after local and systemic treatment

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【作者】 苏纪平Bachmann G唐安洲Zumegen CMichel OWittekindt C

【Author】 SU Jiping 1 Bachmann G 2 TANG Anzhou 1 Zumegen C 2 Michel O 2 Wittekindt C 2 ( 1Department of Otolaryngology, First Affiliated Hospital, Guangxi Medical University, Nanning 530021; 2Klinik und Poliklinik für Hals , Nasen , Ohrenheilkunde, der Universitt zu Kln)

【机构】 广西医科大学第一附属医院耳鼻咽喉科德国科隆大学耳鼻咽喉头颈外科德国科隆大学耳鼻咽喉头颈外科 南宁530021南宁530021

【摘要】 目的 :比较局部和全身给药后 2 1 氢化琥珀酸 泼尼松龙在外淋巴液中的药物动力学。方法 :将实验豚鼠分组 ,局部用药 (局部组 ) :将 0 .5 %的 2 1 氢化琥珀酸 泼尼松龙液在直视下置于圆窗龛 ;全身用药 (全身组 ) :按 6 0mg/kg腹腔内注药 ;两组均以生理盐水作为对照。分别于给药后不同时间段采集外淋巴液标本 ,采用高压液相色谱法 (HPLC)测定药物浓度。结果 :局部组药物最高浓度出现在给药后 180min ,为 (95 2 .3± 382 .7)mg/L ,并在 96 0min后维持在 (18.72± 16 .97)mg/L。全身组药物最高峰时间在给药后 15 0min ,为 (14 .71± 7.0 5 )mg/L。结论 :局部给予 2 1 氢化琥珀酸 泼尼松龙 ,可以获得长时间、高浓度的药物水平。

【Abstract】 Objective:The present study was to analysis the pharmacokinetics of prednisolone 21 hydrogensuccinate in the perilymph after local and systemic application.Method:On the local application, 5% prednisolone 21 hydrogensuccinate was directly applied into the round window niche under the microscopy. On the systemic application, the drug (60 mg/kg) was used intraperitoneal. Perilymphatic samples were obtained after variable periods of application. Levels of prednisolone 21 hydrogensuccinate in perilymph were measured by using HPLC.Result:The highest level of the drug was on ( 952.3 ± 382.7 ) mg/L after 180 min. And remained on ( 18.72 ± 16.97 ) mg/L after 960 min in the local application groups.In the systemic application group, the highest level of the drug was on( 14.71 ± 7.05 ) mg/L after 150 min.Conclusion:The results demonstrate that high levels and long time remain of prednisolone 21 hydrogensuccinate in perilymph are achievable by a single dose local application into the round window niche.

  • 【文献出处】 临床耳鼻咽喉科杂志 ,Journal of Clinical Otorhinolaryngology , 编辑部邮箱 ,2003年10期
  • 【分类号】R764.3
  • 【被引频次】24
  • 【下载频次】178
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