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采用高效液相色谱法测定了抗心律失常药劳卡胺(Lor)及其活性代谢产物去甲劳卡胺(NL)血药浓度。线性范围分别为0·025~0·8mg·L-1和0.031~lmg·L-1,最低检测浓度均为0.005mg·L-1,方法回收率分别为98.05%±4.ZI%和98.70%±6.89%,两者天内和天间变异系数皆小于5%。对6例室性早搏(VPCs)患者PoLor150mg·d-1或300mg·d-12wk血药浓度测定及临床观察,结果表明:连续给药1wk,Lor及NL血药浓度基本达稳态水平;Lor连续po给药,其活性代谢产物NL在血液中蓄积,达到或甚至超过其母体药物浓度;4例有效者Lor及NL稳态血浓均大于0.1mg·L-1。该HPLC法稳定可靠,适于临床分析。
The plasma concentration of antiarrhythmic drug Lor and its active metabolite demethylcalacarine (NL) was determined by high performance liquid chromatography (HPLC). The linear range was 0.025-0.8 mg · L-1 and 0.031-1 mg · L-1, respectively, and the lowest detection concentration was 0.005 mg · L-1. The recoveries were 98.05% ± 4 . ZI% and 98.70% ± 6.89% respectively, both of them were less than 5%. The plasma concentrations of PoLor 150 mg · d-1 or 300 mg · d-12wk in 6 patients with ventricular premature beats (VPCs) were measured. The results showed that the plasma concentrations of Lor and NL reached steady state at 1 wk, Continuous po administration, the active metabolite NL accumulation in the blood, reaching or even exceeding the concentration of its parent drug; 4 cases of effective Lor and NL steady-state blood concentrations were greater than 0.1mg · L-1. The HPLC method is stable and suitable for clinical analysis.