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说明:
摘要 目的:寻找国人肾移植受者术后早期CsA峰值(C2)的理想治疗窗浓度范围。方法:用特异性荧光偏振免疫法测定58例肾移植受者全血CsA峰值浓度,并按术后不同时间和临床诊断分组比较。结果:肾移植后应用三联免疫抑制治疗中,理想的CsA峰值治疗窗浓度范围为:术后1月内1274.51±271.25ng/ml,术后2月内1328.59±197.25ng/ml,术后3月内1117.05±182.46ng/ml,4月以上964.07±136.52ng/ml。结论:该浓度范围免疫抑制效果满意,排斥反应与药物中毒的发生率相对较少,可作为国人肾移植受者CsA峰值的理想治疗窗浓度范围的参考。
关键词 环孢素A;肾移植;血药浓度监测;治疗窗.
Clinical research of CsA -C2 therapeutic window concentration in renal transplant
recipients
WANG Yiru,LIU Shikun,LIU Yulan,PENG Xiaozhi(The Third Xiangya Hospital of Central
South University,Changsha 410013)
ABSTRACT OBJECTIVE:To search for the proper therapeutic window concentration of CsA in Chinese renal transplant recipients. METHODS: The concentration of CsA 2 hours after its oral administration was determined by FPIA method and analysised by the use of specific monoclone reagent kits. RESULTS:The ideal satisfactory immunosuppressive CsA- C2 was found as follows:The CsA- C2 was 1274.51±271.25ng/ml within the first month after transplantation,1328.59±197.25ng/ml in the second month,1117.05±182.46ng/ml in the third month and within the range of 964.07±136.52ng/ml four months latter. CONCLUSION:The above mentioned range of therapeutic window concentration of CsA- C2 was claimed to be ideal for Chinese renal transplant recipients with no marked toxic effects to the liver and kidney.
KEY WORDS: Cyclosporine A;renal transplantation; therapeutic drug monitoring.
目录:
1 材料与方法
2 结果
3 讨论 环孢素A