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PK/PD理论对晚期癌痛患者应用阿片类药物的指导意义

Guilding Significance of PK /PD Theory on the Use of Opioid Drugs in Patients with Advanced Cancer
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摘要 晚期癌痛患者应用阿片类药物可以解决80%以上的疼痛;而阿片类药物由于剂型因素、药物本身的特点存在较大的药动学和药效学的差距,特别是癌痛治疗时的给药途径、药物转换等环节与药物动力学息息相关。本文主要以吗啡药动学和药效学为数据,解读阿片类药物应用于晚期癌痛患者时,按照PK/PD理论使用的合理性和重要性,达到合理使用阿片类药物的目的。 Objective:To explain the rationality and importance according to the PK/ PD theory on the use of opi-oid drugs in patients with advanced cancer based on morphine pharmacokinetics and pharmacodynamics so as to reasona-bly use opioid drugs. Methods:More than 80% of the pain could be reduced when opioid drugs were taken by patients with advanced cancer. Results and Conclusion:There was significant difference between pharmacokinetics and phar-macodynamics in opioid drugs because of dosage forms and own medical characteristic. Especially,for reducing cancer pain,route of drug administration and drug conversion have been associated with pharmacokinetics.
机构地区 山西省肿瘤医院
出处 《山西职工医学院学报》 CAS 2014年第2期4-6,共3页 Journal of Shanxi Medical College for Continuing Education
关键词 药动学 药效学 阿片类药物 癌痛 pharmacokinetics pharmacodynamics opioid drugs cancer pain
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