• 中国核心期刊(遴选)数据库收录期刊
  • 中文科技期刊数据库收录期刊
  • 中国期刊全文数据库收录期刊
  • 中国学术期刊综合评价数据库统计源期刊等

• 药品评价-安全性研究 • 上一篇    下一篇

肝移植患者中他克莫司血药浓度影响因素

张阳,宋沧桑,李兴德,陆维   

  1. 昆明市第一人民医院,昆明市第一人民医院药学部
  • 收稿日期:2014-09-02 修回日期:2014-09-30 出版日期:2014-10-25 发布日期:2014-10-25

Factors affecting the blood concentration of tacrolimus in livertransplantation patients

宋沧桑,李兴德 and 陆维   

  1. First hospital of Kunming city
  • Received:2014-09-02 Revised:2014-09-30 Online:2014-10-25 Published:2014-10-25

摘要: 目的:通过分析服用他克莫司(FK506)肝移植患者的血药浓度监测结果,探讨他克莫司血药浓度的影响因素。方法:根据患者住院号筛选我院2010-2012年接受肝移植的患者,统计患者的性别、年龄、实际住院天数,以及主要诊断及其它诊断、FK506的血药浓度及剂量。分析术后时间、用药剂量、性别、年龄等因素与他克莫司血药浓度的关系。结果:术后14天内与14天后的剂量有明显差异,血药浓度无明显差异(P<0.05);在同一时间内,性别对他克莫司的血药浓度有一定的影响(p<0.05);在术后14天内,A组剂量小于B组和C组(p>0.05),血药浓度C组高于A组和B组(p<0.05);在大于14天,C组剂量大于A组和B组(p<0.05),血药浓度C组高于A组和B组(p<0.05)。结论:他克莫司血药浓度影响因素众多,在使用时应该综合考虑多种因素,以控制血药浓度在理想范围。有利于提高肝移植患者的存活率。

Abstract: Abstaract Objective:By analyzing the results blood concentration monitoring of taking tacrolimus(FK506) in liver transplantation patients,to explore the factors affecting the tacrolimus blood concentrations. Methods: According to the ID of patients in the hospital, screening the patients undergoing liver transplantation in our hospital from 2010 to 2012, collecting the gender, age, the actual number of days in hospital, main diagnosis and other diagnosis and FK506 blood drug concentration and dose of the patients.Results: There are significant difference between the group within 14 days and 14 days later after liver transplantation, no difference between the blood drug concentration(p<0.05); Gender has a certain effect on the plasma blood concentration of tacrolimus in the same time(p<0.05); Within 14 days after transplantation, the dose of group A is less than group B and C, blood drug concentration in group C is less than group A and group B; In 14 days later after transplantation, the dose of group B more than group A and C, blood drug concentration in group C is less than group A and group B. Conclusion:There are many factors affecting the tacrolimus blood concentrations liver transplantation patients. The various factors of tacrolimus blood concentration should be taken into account in order to control the blood concentration in a ideal range, in favor of improving the survival rate of liver transplant patients.