在接受Ringer乳酸盐溶液的健康志愿者中,年龄对体积运动参数的影响
Seong-Mi Yang1, Junik Park2, Junyoung Jo3
1Clinical Assistant Professor, Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
年龄显著影响林格的乳酸体积动力学,老年人清除率下降. 在健康志愿者中,体重没有影响这些药理动力学参数.
科学领域:
- 药理动力学 药理动力学
- 临床药理学 临床药理学
- 流体管理流体管理
背景情况:
- 了解年龄和体重对体积动力学的影响对于有效的液体管理至关重要.
- 这项研究研究了年龄和体重如何影响健康个体体积动力学参数.
研究的目的:
- 量化年龄和体重对林格的乳酸体积动态参数的影响.
- 建立针对特定年龄的流体管理指南的参考数据.
主要方法:
- 18名健康的志愿者接受了林格的乳酸盐溶液 (30-40毫升/公斤).
- 对血稀释,血红蛋白和血红素进行了监测.
- 使用NONMEM 7.5.5进行了群体药理动力学分析.
主要成果:
- 年龄显著影响了林格的乳酸盐药理动力学,老年人中分布的中心体积和分布性清除量下降.
- 在60岁及以上的个体 (50.2毫升/分钟) 中,排泄清除值 (kr) 与年轻个体 (156毫升/分钟) 相比,明显较低.
- 没有发现体重是影响体积运动参数的重要因素.
结论:
- 年龄是林格的乳酸体积动力学的关键决定因素.
- 这些发现为在临床环境中根据患者年龄量身定制液体给药提供了必要的参考数据.
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