在手术患者的活体流动吸收
Saangyoung E Lee1, Elizabeth Ritter1, Tuong T Nguyen2
1Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
鼻腔内皮质类固醇在全鼻腔中被吸收,特别是在下轮状鼻腔和鼻状鼻腔上. 这项研究揭示了药物吸收超出了当前计算模型预测.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 药理学 药理学是指药理学的学科.
- 生物医学工程 生物医学工程
背景情况:
- 鼻内皮质类固醇 (INCS) 对于治疗慢性鼻炎和过敏鼻炎至关重要.
- 现有的计算模型不准确地预测INCS沉积,高估了下层轮机头部和鼻度.
- 这些模型忽略了粘膜细胞清除和药物吸收动态.
研究的目的:
- 准确地确定INCS吸收在鼻腔内的解剖位置.
- 在接受鼻腔外科手术的患者中调查流动的吸收模式.
主要方法:
- 招募了患有慢性鼻炎/过敏性鼻炎的患者,接受手术前的流他.
- 从特定的解剖部位获得的手术内鼻腔组织样本.
- 使用质谱测量量量化流他的吸收.
主要成果:
- 在前下轮 (5.7 ng/mL) 观察到的流动的最高吸收率,其次是ethmoid sinus (4.4 ng/mL).
- 在后下轮 (3.7 ng/mL) 和大鼻腔 (1.3 ng/mL) 中也发现了显著的流动吸收.
- 在接受修复手术的患者中,相比于在手术上天真的人,吸收水平显著更高.
结论:
- 计算流体动态模型是有限的,因为它们不考虑粘膜细胞清除.
- 酸的吸收在鼻腔中广泛发生,超过了当前模型的预测.
- 了解实际的吸收点对于优化INCS传递和疗效至关重要.
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