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肌酐清除率对大剂量甲氨蝶呤化疗中血药浓度的影响

林晓雯 邵宏 聂小燕 孙迎琪 张乐萍 李玉珍 顾健

中国临床药理学与治疗学2009,Vol.14Issue(3):319-322,4.
中国临床药理学与治疗学2009,Vol.14Issue(3):319-322,4.

肌酐清除率对大剂量甲氨蝶呤化疗中血药浓度的影响

Influence of creatinine clearance on serum methotrexate concentration in high-dose methotrexate therapy

林晓雯 1邵宏 1聂小燕 1孙迎琪 1张乐萍 2李玉珍 3顾健3

作者信息

  • 1. 北京大学药学院药事管理与临床药学系,北京,100191
  • 2. 北京大学人民医院儿科,北京100044
  • 3. 北京大学人民医院药剂科,北京,100044
  • 折叠

摘要

Abstract

AIM: To study the influence of creati-nine clearance on serum methotrexate ( MTX) concentration in high-dose methotrexate ( HDMTX) therapy. METHODS: The data was collected from 44 children who were diagnosed of acute lymphocytic leukemia (ALL) or non-Hodgkin lymphoma (NHL), and were administered with 106 doses of HDMTX from Feb, 2006 to May, 2008. The association between creatinine clearance and serum methotrexate concentration at 24 and 42 h were retrospectively analyzed, by SPSS 12.0 format. RESULTS: There was a significant correlation between creatinine clearance and 24 h serum methotrexate concentration (P < 0.05) . while was no significant correlation between creatinine clearance and 42 h serum methotrexate concentration( P > 0.05) . CONCLUSION: Creatinine clearance can be related with 24 h serum methotrexate concentration, and can be referenced in estimating 24 h serum methotrexate concentration .

关键词

化疗/ 大剂量甲氨蝶呤/ 肌酐清除率/ 血药浓度

Key words

chemotherapy/ high-dose methotrexate therapy/ creatinine clearance/ serum concentrati

分类

医药卫生

引用本文复制引用

林晓雯,邵宏,聂小燕,孙迎琪,张乐萍,李玉珍,顾健..肌酐清除率对大剂量甲氨蝶呤化疗中血药浓度的影响[J].中国临床药理学与治疗学,2009,14(3):319-322,4.

中国临床药理学与治疗学

OACSCDCSTPCD

1009-2501

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