在施用西米蒂丁时的肌素清除值用于测量球透率
B A van Acker1, G C Koomen, M G Koopman
1Department of Medicine, Academic Medical Centre, Amsterdam, Netherlands.
Lancet (London, England)
|November 28, 1992
概括
齐米蒂丁可以提高肌素清除精度,以估计球透率 (GFR) 在病患者. 适当的剂量是关键,由于西米蒂丁的使用,建议短暂的清除期.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 药理学 药理学是指药理学的学科.
- 临床化学 临床化学
背景情况:
- 肌素清除率 (CrCl) 往往高估了由于管状分泌的真实膜过率 (GFR).
- 精确的GFR测量对于管理脏疾病至关重要.
研究的目的:
- 为了评估口服赛米提丁在提高GFR估计的CrCl精度方面的疗效.
- 为了确定抑制管状肌素分泌的最佳cimetidine剂量.
主要方法:
- 在16名病患者同时测量胰岛素和肌素清除值.
- 在清除研究期间给药西米蒂丁 (400毫克初始剂量,200毫克每3小时).
- 在一小部分患者中进行剂量调整,以达到完全抑制管状分泌.
主要成果:
- 在8/16名患者中,西米提丁使CRCl/胰岛素清除率正常化.
- 在非响应者中,较高的西米蒂丁脏清除表明血度不足.
- 增加cimetidine剂量成功抑制了管状分泌,使 CrCl 等于 GFR.
结论:
- 适当的西米蒂丁剂量可以通过脏疾病的24小时CrCl进行准确的GFR测量.
- 建议短暂的清除期 (3小时) 是由于cimetidine的最大每日剂量.
- 齐米蒂丁是一种可行的补充剂,可以提高GFR估计的准确性.
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