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神经外科手术病人血及脑脊液中左氟沙星药动学的研究

张如鸿, 雷嘉川, 李荣凌, 罗顺德, 何文, 蔡鸿生, 周延安   

  1. 1. 湖北医科大学附一院临床药学研究室, 武汉 430060;
    2. 湖北省人民医院药学部, 武汉 430060
  • 收稿日期:1998-11-11 修回日期:1999-02-23 出版日期:2000-06-15 发布日期:2000-06-15

Determination of Levofloxacin in Patients' Plasma and Cerebrospinal Fluid(CSF) by HPLC and its Pharmacokinetics

Zhang Ruhong, Lei Jiachuan, Li Rongling, Luo Shunde, He Wen, Cai Hongsheng, Zhou Yan'an   

  1. 1. Clinical Pharmacy Laboratory First Affiliated Hospital of Hubei Medical University Wuhan 430060;
    2. Pharmacy Department, People's General Hospital of Hubei, Wuhan 430060
  • Received:1998-11-11 Revised:1999-02-23 Online:2000-06-15 Published:2000-06-15

摘要: 本文对10例神经外科手术病人中左氟沙星片的血及脑脊液中药动学进行研究, HPLCC18H37, 流动相为10 mmol·L-1 KH2PO410 mmol·L-1(C4H9)4NBr-CH3CN (45:45:10 v/v pH3.0) 监测在295 nm处的紫外吸收, 以环丙沙星为内标。平均回收率74.76%(血浆中), 82.43%(脑脊液中)日间日内误差小于5%10例病人单剂口服左氟沙星药动学符合一室模型,药动学参数为血液中Ke 0.125±0.042 h-1, T1/2 6.054±1.680 h, Tpeak 1.049±0.288 h, Cmax 3.670±0.416 mg·L-1, AUC 33.427±7.316 mg·h·L-1, Cls 9.463±2.531 L·h-1, Vd 77.486±7.393 L, 脑脊液中Ke 0.109±0.041h-1, T1/2 6.946±1.883 h, Tpeak 3.555±1.235 h, Cmax 1.682±0.249 mg·L-1, AUC 23.697±5.615mg·h·L-1, Cls 13.702±5.110 L·h-1, Vd 126.606±13.198 L

关键词: 反相HPLC, 左氟沙星, 脑脊液, 药动学

Abstract:

The blood and cerebrospinal fluid concentrations of levofloxacin in patients undergoing neurosurgical operations were determined by RP-HPLC and its pharmacokinetics was studied. C18H37 column was eluted with the mobile phase of mmol·L-1 KH2PO4-10 mmol·L-1(C4H9)4NBr-CH3CN (45:45: 10 v/v, pH 3.0) and the ultraviolet absorbance was monitored at 295nm. Ciprofloxacin was used as internal standard. The mean extractionrecoveries were 74.76% in plasma and 82.43% in CSF, with the lowest detectable limits of 10 μg·L-1 and 6 μg·L-1 respectively. The intra-day and inter-day RSD were less than 5%. A single oral dose of 300 mg·LVFX tablets was taken by 10 patients undergoing neurosurgical operations. The pharmacokinetic parameters in plasma and in CSF could be described by one compartment open model. The pharmacokinetic parameters were: plasma Ke 0.125±0.042 h-1, T1/2 6.054±1.680 h, Tpeak l.049±0.288 h, Cmax 3.670±0.416 mg.L-1, AUC 33.427±7.316 mg·h·L-1, Cls 9.463±2.531 L·h-1, Vd 77.486±7.393 L, CSF Ke 0.109±0.041 h-1, T1/2 6.946±1.883 h, Tpeak 3.555±1.235 h, Cmax 1.682±0.249 mg·L-1, AUC 23.697±5.615 mg·h·L-1, Cls 13.702±5.110 L·h-1, Vd 126.606±13.198 L.

Key words: RP-HPLC, RP-HPLC, Levofloxacin, Levofloxacin, Plasma, Cerebrospinal fluid, Pharmacokinetics, Plasma, Cerebrospinal fluid, Pharmacokinetics

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