瞿志祥, 曹翠玉, 庄怡华. 常咯啉给药速率对血药浓度和心电图的影响J. 药学学报, 1980, 15(8): 449-455.
引用本文: 瞿志祥, 曹翠玉, 庄怡华. 常咯啉给药速率对血药浓度和心电图的影响J. 药学学报, 1980, 15(8): 449-455.
Qu Zhixiang, Gao Cuiyu , Zhuang Yihua, . THE EFFECTS OF INFUSION RATE OF CHANGROLIN ON DRUG CONCENTRATION IN BLOOD AND ECGJ. Acta Pharmaceutica Sinica, 1980, 15(8): 449-455.
Citation: Qu Zhixiang, Gao Cuiyu , Zhuang Yihua, . THE EFFECTS OF INFUSION RATE OF CHANGROLIN ON DRUG CONCENTRATION IN BLOOD AND ECGJ. Acta Pharmaceutica Sinica, 1980, 15(8): 449-455.

常咯啉给药速率对血药浓度和心电图的影响

THE EFFECTS OF INFUSION RATE OF CHANGROLIN ON DRUG CONCENTRATION IN BLOOD AND ECG

  • 摘要: 本文采用三种速率(A组10mg/kg/min×2分;B组1mg/kg/min×30分;C组0.13mg/kg/min×120分)静脉给药,观察给药速率对麻醉犬血浆药物浓度和心电图改变的影响。结果表明:以C组速率给药,可避免A组给药时血浓度急骤上升和下降的缺点,剂量虽比A组增加一半,但心电图改变稍轻;与B组相比,剂量降低一倍,心电图改变明显好转(P<0.05),而维持一定血浓度值的时间却显著延长(P<0.05),因此,临床以低速率滴注为宜。在C组给药初期,心率稍有加快,达5μg/ml浓度时,心率开始变慢并出现P-R延长和QRS综合波增宽,显示常咯啉有“奎尼丁样”作用;浓度在8μg/ml以下时,P-R和QRS阻滞未超过Ⅰ度;心电图改变与血浓度呈线性关系,其线性方程为y1=0.00484X+0.0652(P-R间期);y2=0.00190X+0.0456(QRS综合波),显示常咯啉对房室传导较室内传导为敏感。本文就血浓度和心电图改变的关系,对常咯啉和奎尼丁进行了讨论。

     

    Abstract: Changrolin is a new antiarrhythmic drug discovered by our institute. It has an inhibitory effect on the myocardial electrical conduction. The purpose of this paper is to report the effects of 3 different infusion rates (group A: 5mg/kg/min for 2 min; group B: 1mg/kg/min for 30min; group C: 0.13 mg/kg/min for 120 min) on the plasma drug concentration and ECG changes in anesthesized dogs.The low infusion rate of C group possesses a lot of benefits: It can avoid the abrupt ascending and. descending of the drug concentration in blood, which are observed in group A. The ECG changes are lighter, ahhough the total dosage is higher than group A by 1/2 times. In comparison with group B, the total dosage of group C is only one half of that of group B, but the drug concentration in blood is maintained at a definite level for a longer time. Therefore, it is advisable to use the low infusion rate in the clinic.During the course of infusion in group C, the heart rate increased slightly at the beginning. And, as the drug concentration rose to above 5μg/ml, the heart rate decreased gradually and the ECG changed with a prolongation of P-R interval and a widening of QRS complex. These exhibitions are "quinidine-like". The linear relations of the plasma Changrolin concentration to the length of P-R interval and to the width of QRS obey the following mathematical equations:Y1=0.00484X+0.0652Y2=0.00190X+0.0456 where Y1 is the length of P-R interval, Y2 is the width of QRS complex and X is the plasma Changrolin concentration.From these 2 equations, it can be shown that the A-V conduction is more sensitive to Changrolin than intraventricular conduction.At the drug concentration lower than 8μg/ml, the changes of the ECG did not exceed the first degree block.

     

/

返回文章
返回