在肝功能障碍中增强伏利可纳治疗:探索给药方案和最低度和疗效的预测因素
Yichang Zhao1,2, Huaiyuan Liu1,3, Chenlin Xiao1,2
1Department of Clinical Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, China.
Frontiers in pharmacology
|January 19, 2024
概括
在肝功能障碍中使用沃里康纳的剂量需要谨慎使用,因为药物度会变化. 淋巴细胞百分比在这些患者中显著影响伏利康纳的疗效.
科学领域:
- 药理学 药理学是指药理学的学科.
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
背景情况:
- 对于肝功能障碍患者的沃里可纳的药理动力学数据有限.
- 以往基于总胆红素的剂量建议需要临床验证.
- 在这个人群中影响伏利可纳疗效的因素尚未得到充分确定.
研究的目的:
- 为了评估voriconazole的疗效和目标度最低水平在患有肝功能障碍的患者.
- 确定影响伏利康纳的最低度和临床疗效的因素.
主要方法:
- 对157名患有肝功能障碍的患者进行了回顾性分析,这些患者接受了voriconazole.
- 收集基线信息和实验室数据.
- 评估伏利康纳的最低度和临床结果;进行共变量分析.
主要成果:
- 60.5%的患者需要调整剂量或频率.
- 每日剂量,直接胆红素,淋巴细胞计数/百分比,血小板,BUN和肌素显著影响了沃里康纳的最低度.
- 淋巴细胞百分比被确定为影响伏利康纳疗效的重要因素 (OR 1.138).
结论:
- 伏利康纳的最低度的显著变化需要在肝功能障碍时谨慎处方.
- 临床医生在给药沃里康纳时应考虑已识别的因素,特别是淋巴细胞百分比.
- 进一步的研究可能会在肝功能受损的患者中改进沃里康纳的剂量策略.
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