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中国临床药理学与治疗学 ›› 2009, Vol. 14 ›› Issue (4): 465-470.

• 综述与讲座 • 上一篇    下一篇

基因诊断在苯妥英治疗癫痫病中的应用

刘扬1, 宋亚娟2, 丁国华1   

  1. 1黑龙江省第二医院, 哈尔滨150010, 黑龙江;
    2黑龙江中医药大学, 哈尔滨150040, 黑龙江
  • 收稿日期:2009-03-11 修回日期:2009-04-19 发布日期:2020-10-29
  • 通讯作者: 丁国华,女,博士,研究员,主要从事药动学研究。 E-mail:dinggh1955@126.com
  • 作者简介:刘扬,女,硕士研究生,主要从事药动学研究。Tel:15945667811 E-mail:liu-yang1977@tom.com

Application of gene diagnosis in treatment of phenytoin for epilepsy

LIU Yang1, SONG Ya-juan2, DING Guo-hua1   

  1. 1Heilongjiang Provincial Second Hospital, Harbin 150010,Heilongjiang, China;
    2Heilongjiang University of Chinese Medicine, Harbin 150040, Heilongjiang, China
  • Received:2009-03-11 Revised:2009-04-19 Published:2020-10-29

摘要: 以近期发表的文献为依据,从分析苯妥英的体内代谢过程和基因诊断的基本理论,以及介绍成功应用基因诊断于苯妥英临床合理应用的实例入手,对利用基因诊断提高苯妥英合理应用水平的理论依据、临床意义、具体方法及适用范围等进行全面的阐述。基因多态是影响苯妥英药效学、药动学和药物不良反应的重要因素。基因诊断可成为提高苯妥英合理应用的有效方法,在苯妥英钠治疗癫痫病中应得到广泛的应用。

关键词: 苯妥英, 基因多态, 基因诊断

Abstract: To analyze in vivo the metabolic process of phenytoin and the basic theories of gene diagnosis, and introduce the examples of successful application of gene diagnosis in clinical phenytoin usage , and thoroughly expound the theoretical basis , clinical relevance, specific methods , and fields of application of using gene diagnosis to improve the usage of phenytoin ,using recently published literature as a basis.The genetic polymorphism is an important factor that affects the pharmacodynamics , pharmacokinetics , and drug adverse reaction of phenytoin.Gene diagnosis may become an effective way of improving usage of phenytoin and should be used widely in treating epilepsy with phenytoin.

Key words: phenytoin, genetic polymorphism, gene diagnosis

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