天地一沙鸥 发表于 2007-8-29 21:34

强心药清晨服用药效最佳

<FONT size=4>多数药物一般情况下在<SPAN id=S__699_ADDIV_3 onmouseover="S__699.SHOWFLOW(饭后,3,event);this.style.textDecoration=none;" style="CURSOR: pointer; COLOR: #6600ff; BORDER-BOTTOM: #6600ff 1px dotted; BACKGROUND-COLOR: transparent; TEXT-DECORATION: underline" onclick="S__699.SHOWFLOW(饭后,3,event);" onmouseout="S__699.hidden(3);;this.style.textDecoration=underline;" oncontentextmenu="return false">饭后</SPAN>服用,<SPAN id=S__699_ADDIV_7 onmouseover="S__699.SHOWFLOW(特别是,7,event);this.style.textDecoration=none;" style="CURSOR: pointer; COLOR: #6600ff; BORDER-BOTTOM: #6600ff 1px dotted; BACKGROUND-COLOR: transparent; TEXT-DECORATION: underline" onclick="S__699.SHOWFLOW(特别是,7,event);" onmouseout="S__699.hidden(7);;this.style.textDecoration=underline;" oncontentextmenu="return false">特别是</SPAN>对胃有刺激的药物(如吲哚美辛、阿司匹林、铁剂等),应在饭后服。有的药如抗酸药、胃肠解痉药多数在<SPAN id=S__699_ADDIV_2 onmouseover="S__699.SHOWFLOW(饭前,2,event);this.style.textDecoration=none;" style="CURSOR: pointer; COLOR: #6600ff; BORDER-BOTTOM: #6600ff 1px dotted; BACKGROUND-COLOR: transparent; TEXT-DECORATION: underline" onclick="S__699.SHOWFLOW(饭前,2,event);" onmouseout="S__699.hidden(2);;this.style.textDecoration=underline;" oncontentextmenu="return false">饭前</SPAN>服效果好。药物的服用时间,须<SPAN id=S__699_ADDIV_9 onmouseover="S__699.SHOWFLOW(根据,9,event);this.style.textDecoration=none;" style="CURSOR: pointer; COLOR: #6600ff; BORDER-BOTTOM: #6600ff 1px dotted; BACKGROUND-COLOR: transparent; TEXT-DECORATION: underline" onclick="S__699.SHOWFLOW(根据,9,event);" onmouseout="S__699.hidden(9);;this.style.textDecoration=underline;" oncontentextmenu="return false">根据</SPAN>具体药物而定。以下是由河南省人民医院药剂科赵红卫博士列出的常用药物的最佳服用时间(供读者参考):</FONT><P><FONT size=4>  铁剂:铁剂的<SPAN id=S__699_ADDIV_0 onmouseover="S__699.SHOWFLOW(吸收,0,event);this.style.textDecoration=none;" style="CURSOR: pointer; COLOR: #6600ff; BORDER-BOTTOM: #6600ff 1px dotted; BACKGROUND-COLOR: transparent; TEXT-DECORATION: underline" onclick="S__699.SHOWFLOW(吸收,0,event);" onmouseout="S__699.hidden(0);;this.style.textDecoration=underline;" oncontentextmenu="return false">吸收</SPAN>有明显的昼夜节律,贫血患者补充铁剂晚上7时服用比早上7时服用有效利用度高。</FONT></P><!--advertisement code begin--><!--advertisement code end--><P><FONT size=4>  钙剂:<SPAN id=S__699_ADDIV_4 onmouseover="S__699.SHOWFLOW(人体,4,event);this.style.textDecoration=none;" style="CURSOR: pointer; COLOR: #6600ff; BORDER-BOTTOM: #6600ff 1px dotted; BACKGROUND-COLOR: transparent; TEXT-DECORATION: underline" onclick="S__699.SHOWFLOW(人体,4,event);" onmouseout="S__699.hidden(4);;this.style.textDecoration=underline;" oncontentextmenu="return false">人体</SPAN>的血钙水平在<SPAN id=S__699_ADDIV_8 onmouseover="S__699.SHOWFLOW(午夜,8,event);this.style.textDecoration=none;" style="CURSOR: pointer; COLOR: #6600ff; BORDER-BOTTOM: #6600ff 1px dotted; BACKGROUND-COLOR: transparent; TEXT-DECORATION: underline" onclick="S__699.SHOWFLOW(午夜,8,event);" onmouseout="S__699.hidden(8);;this.style.textDecoration=underline;" oncontentextmenu="return false">午夜</SPAN>至清晨最低,因此,<SPAN id=S__699_ADDIV_5 onmouseover="S__699.SHOWFLOW(临睡前,5,event);this.style.textDecoration=none;" style="CURSOR: pointer; COLOR: #6600ff; BORDER-BOTTOM: #6600ff 1px dotted; BACKGROUND-COLOR: transparent; TEXT-DECORATION: underline" onclick="S__699.SHOWFLOW(临睡前,5,event);" onmouseout="S__699.hidden(5);;this.style.textDecoration=underline;" oncontentextmenu="return false">临睡前</SPAN>服用补钙药可使钙得到充分的吸收和利用。</FONT></P><P><FONT size=4>  降压药:根据人体生物钟的节律,一日三次服用的降压药,应分别于早上7时、下午3时和晚上7时服用,早晚两次的用药量要适当少些。某些每日一次服药的降压药则宜晨服,因为高血压、心绞痛、心肌梗塞的发作时间多为清晨和上午。晚上临睡前一般不宜服用降压药,以防血压过低和心动过缓,致脑血栓形成;但原发性高血压患者在晚上10时服用依那普利较上午10时服用时咳嗽不良反应低。</FONT></P><P><FONT size=4>  降糖药:糖尿病患者在凌晨对胰岛素最敏感,这时注射胰岛素用量小,效果好。对需要多次注射胰岛素的病人,每日胰岛素总量的分配也应早餐前最多,依次为晚餐前、中餐前及睡前。对口服降糖药,要根据血糖情况来定,多数在餐前服用,胃肠反应明显者可在进餐时服药。</FONT></P><P><FONT size=4>  抗菌药:多数抗菌药物在饭前服,更利于吸收,头孢菌素类、青霉素类应每隔6~8小时服药一次,喹诺酮类大多每12小时服药一次,阿奇霉素一天一次就够了。</FONT></P><P><FONT size=4>  强心药:心脏病患者对洋地黄、地高辛和西地兰等药物,在凌晨时最为敏感,故在晨6~8时服药,疗效倍增。</FONT></P><P><FONT size=4>  抗哮喘药:夜里12时到次日凌晨2时,是哮喘病人对引起<SPAN id=S__699_ADDIV_1 onmouseover="S__699.SHOWFLOW(支气管,1,event);this.style.textDecoration=none;" style="CURSOR: pointer; COLOR: #6600ff; BORDER-BOTTOM: #6600ff 1px dotted; BACKGROUND-COLOR: transparent; TEXT-DECORATION: underline" onclick="S__699.SHOWFLOW(支气管,1,event);" onmouseout="S__699.hidden(1);;this.style.textDecoration=underline;" oncontentextmenu="return false">支气管</SPAN>痉挛的乙酰胆碱及组织胺反应最敏感的时间,大多数病人也往往在凌晨发病。为预防和减轻哮喘病的发作,临睡前服稍大剂量的平喘药最好;氨茶碱宜在早上7时左右服用,效果更佳。</FONT></P><P><FONT size=4>  抗过敏药:苯海拉明、异丙嗪、氯苯那敏(扑尔敏)、特非那定、塞庚啶、酮替芬等服后易出现嗜睡、困乏,睡前服有助于睡眠。但有实验证明,服用同剂量抗过敏药,若早上7时服用疗效可持续15~17小时,若晚上7时服用只能持续6~8小时。因此<SPAN id=S__699_ADDIV_6 onmouseover="S__699.SHOWFLOW(对于,6,event);this.style.textDecoration=none;" style="CURSOR: pointer; COLOR: #6600ff; BORDER-BOTTOM: #6600ff 1px dotted; BACKGROUND-COLOR: transparent; TEXT-DECORATION: underline" onclick="S__699.SHOWFLOW(对于,6,event);" onmouseout="S__699.hidden(6);;this.style.textDecoration=underline;" oncontentextmenu="return false">对于</SPAN>白天症状较重者,早上服药效果更佳。</FONT></P><P><FONT size=4>  激素类药:人体对激素类药物的反应也有时间节律。由于人体肾上腺皮质激素的分泌高峰在早上7时左右,故在每天早上7时左右服药,对人体肾上腺皮质激素的正常分泌干扰最小。</FONT></P><P><FONT size=4>  解热镇痛药:如阿司匹林在早上7时左右(餐后)服用疗效高而持久,减少对胃肠道刺激,若在下午6时和晚上10时服用,则效果差。</FONT></P>

兴安北极熊 发表于 2007-8-30 07:35

最好。,没有病

KTW 发表于 2012-6-8 15:18

:lol

金色三点半 发表于 2012-6-8 18:06

:victory::victory:

如意小舟 发表于 2012-6-9 21:04

认真拜读!谢謝版主!:handshake:handshake

渤海辽河 发表于 2012-6-10 18:46

支持
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