Background technology
Hydroxycamptothecin (being called for short HCPT) is a kind of natural alkaloid that from China endemic plant Fructus seu radix camptothecae acuminatae (Fructus Camptothecae Acuminatae), extracts; Be the antineoplastic agent of China in the independent development seventies in 20th century; Because this medicine clinical efficacy is reliable, safety is good, and HCPT has obtained extensive clinical practice in many countries.
HCPT is two-compartment model, t in vivo
1/2 αBe 0.0523-0 613h, t
1/2 βBe 1.03-2.42h, Vd:5.4-11.40 L, plasma protein binding rate is 65%~99%.Bone marrow depression is the dose limitation property untoward reaction of HCPT, shows as granulocyte and descends, and is dose dependent, and 1-2 all interior granulocytes return to normal level after the drug withdrawal.Digestive tract reaction: feel sick, vomit I one II degree, mostly the persistent period is 2-3d.Diarrhoea increases with dosage, and the generation ratio is dose dependent, and low middle dosage degree is lighter.Part patient has abnormal liver function, and hematuria, erythra appear in few patients.
The pharmacology of hydroxycamptothecin different modes of administration compares, clinical dosage 12mg/m
2d
-1HCPT is dissolved in 0.9% sodium chloride injection by the body surface area conversion.Constant speed intravenous drip in 30 minutes, logotype 5 days; Constant speed intravenous drip in 4 hours, logotype 10 days; Constant speed intravenous drip in 8 hours, logotype 10 days.In these three kinds of medications, the instillation time is that 4,8 hours rate of adverse reactions was than 30 minutes lacked.
Administration a period of time; Stop the mode of this administration at intermittence of a period of time; Can reach effective blood drug concentration fast; Avoid blood drug level occurring with situation more than the minimum toxic dose below the MEC, improved the curative effect of hydroxycamptothecin, reduced untoward reaction generation and poisonous side effect of medicine.
But; Existing automatic chemical feeding system; Generally be the even administration within a certain period of time of certain dosage, and be not suitable for the mode of this administration at intermittence of hydroxycamptothecin, in order to improve curative effect; Reduce untoward reaction, need a kind of spy to be used for the intermittently automatic chemical feeding system of administration of hydroxycamptothecin administration.
Summary of the invention
The present invention is directed to the deficiency of prior art; A kind of automatic chemical feeding system and medication thereof of hydroxycamptothecin injection are provided, have controlled instillation time and blanking time automatically, infusion monitoring is crossed title in real time; Noresidue liquid is the administration implementation of a kind of high accuracy, high safety.
The automatic chemical feeding system of hydroxycamptothecin injection of the present invention comprises infusion module, human-computer interaction module, display module, timing module, motor execution module, alarm monitoring module, computer processing module;
Infusion module is to store the hydroxycamptothecin medicinal liquid prepare, infuse to the disposable operative installations of human body, packs through sterilization, connects with motor execution module and alarm monitoring module;
Human-computer interaction module is used for the setting or the affirmation of dosage regimen, the operation of equipment, the setting of warning and only ring;
Display module is used for the demonstration of device content, comprises operating demonstration on-screen-display messages such as " which time administration, remaining times ", and the information of warning shows;
Timing module is used for timing instillation time and interval dwell time;
The motor execution module is used for the infusion pipeline that the motor running drives cam extruding infusion module;
The alarm monitoring module is used in the running monitoring whether cautions such as bubble, obstruction, aneroid, battery electric quantity deficiency being arranged, as long as accomplish monitoring by optocoupler, touch force sensor, reports to the police when information warning occurring, and reporting to the police the back drug-supplying system can be out of service automatically;
Computer processing module is used to receive all command informations of whole drug-supplying system, comprises human-computer interaction module, display module, motor execution module, alarm monitoring module, timing module, and described functional module is given in concurrent load instruction;
Human-computer interaction module, display module, timing module, motor execution module, alarm monitoring module connect with computer processing module respectively, the continuous recursive call human-computer interaction module of computer processing module, display module, timing module, motor execution module, alarm monitoring module.
And, the automatic chemical feeding system of described hydroxycamptothecin injection, wherein, described human-computer interaction module includes keyboard button.
And, the automatic chemical feeding system of described hydroxycamptothecin injection, wherein, described alarm monitoring module is provided with buzzer.
And, the automatic chemical feeding system of described hydroxycamptothecin injection, wherein, but the display screen display reminding is reported to the police and the buzzer call warning during warning.
And; The user uses for ease; For the user who always uses a kind of dosage regimen, computer processing module also has memory function, can remember the parameter that was provided with when moving last time; Before memory function can continue until and effectively revises parameter next time, shutdown or outage did not influence the memory of parameter yet.
And the affirmation of described dosage regimen comprises information such as confirming administration total amount, administration time, intermittent time, administration number of times, warning.
And described dosage regimen is administration total amount 100 ~ 200ml, administration time 20 ~ 40min, intermittent time 20 ~ 40min, administration number of times 5 ~ 15 times.
The medication of the automatic chemical feeding system of hydroxycamptothecin of the present invention may further comprise the steps:
(1) the hydroxycamptothecin medicinal liquid for preparing is put into infusion module;
(2) pass through human-computer interaction module setting or affirmation administration total amount, administration time, intermittent time, administration number of times, warning message;
(3) whether monitoring has information warnings such as bubble, stopping state, just takes corresponding measure to get rid of earlier if having, and like the administration for the first time that then do not bring into operation, timing module picks up counting simultaneously;
When (4) reaching the administration time of setting, the motor operation suspension gets into low-power consumption mode, and timing does not stop;
When (5) reaching the intermittent time of setting, administration number of times adds 1 automatically, and motor module turns round again and begins administration next time;
(6) when the administration number of times in when operation during greater than the administration number of times of initial setting, administration finishes.
And whole process is monitored by the alarm monitoring module, can set the situation that needs warning as required before the administration; When appearance needed the caution situation of warning, computer processing module control motor module was out of service, timing pause TP; The display module display reminding is reported to the police and buzzer call is reported to the police; After these situation were got rid of, motor reruned administration, and timing begins.
The intermittently administration of this hydroxycamptothecin automatic chemical feeding system divides administration instillation time and dwell time at intermittence, most preferably 1 of injection hydroxycamptothecin (specification 10mg) is dissolved in 0.9% sodium chloride injection of 100ml; Inject infusion module; Each administration 30 minutes stops 30 minutes, administration 10 times; Amount to 5 hours instillation time, logotype 5 days.The administration of this kind method can reach effective blood drug concentration fast, and effective blood drug concentration can stable maintenance, drug effect is able to continue, give full play to, and has avoided blood drug level occurring with situation more than the minimum toxic dose below the MEC; Simultaneously, can improve the curative effect of hydroxycamptothecin, reduce poisonous side effect of medicine, reaching increases the toleration of human body to medicine, improves patient's quality of life.
In addition, this automatic chemical feeding system also has memory function, can remember the parameters that be provided with last time automatically, need not to use all Reparametrizations at every turn, and is also very convenient for the patient of a kind of dosage regimen of life-time service.
And the automatic chemical feeding system and the medication administration thereof of hydroxycamptothecin injection of the present invention are even, easy and simple to handle, flexible, automaticity is higher, safe and reliable.
The specific embodiment
Below in conjunction with specific embodiment the present invention is further described.
Be dissolved in 100ml 0.9% sodium chloride injection with 1 of injection hydroxycamptothecin (specification 10mg), administration 30 minutes stops 30 minutes, and administration is for ten times an example.
With reference to the module diagram of Fig. 1 and the administration schematic flow sheet of Fig. 2, as shown in the figure, the hydroxycamptothecin medicinal liquid for preparing is put into infusion module, the keyboard button through human-computer interaction module is confirmed dosage regimen: the administration total amount is 100ml, administration 30 minutes, stop 30 minutes, administration ten times, mechanical disorder, obstruction, bubble, aneroid, battery electric quantity is not enough, transfusion will finish, infuse, and end is all reported to the police; Computer processing module receives signal, and storage dosage regimen, alarm monitoring module begin to detect whether information warnings such as bubble or obstruction are arranged; If then the motor execution module does not bring into operation, cam extruding pipeline carries out administration first time, the timing of starting working of while timing module; When administration reaches 30 minutes, send signal, computer processing module control motor module operation suspension to computer processing module; Get into low-power consumption mode, begin to wait for that timing module does not stop timing; When timing reached 1 hour, administration number of times added 1, motor operation beginning administration for the second time; Constantly circulation in this way, when administration number of times during greater than 10 times, administration finishes; Motor module is out of service, and whole process is monitored by the alarm monitoring module, when mechanical disorder, obstruction, bubble, aneroid occur, battery electric quantity is not enough, transfusion will finish, infuse end etc. warned situation; Computer processing module control motor module is out of service, and timing pause TP, display module display reminding are reported to the police and buzzer call is reported to the police; After these situation were got rid of, motor reruned administration, and timing begins.
And the user uses for ease, for use for a kind of user of dosage regimen always; Computer processing module also has memory function, can remember the parameter when moving last time, before memory function can continue until and effectively revises parameter next time; Shutdown does not influence the memory of operational factor yet, and with above-mentioned dosage regimen, still can remember total amount when next drug-supplying system moves is 100ml; Administration 30 minutes stops 30 minutes, administration ten times; Only need but this scheme is confirmed just administration, and need not to reset again the adjustment data.
In addition, before the administration, can close or open some warning function, when closing certain warning function, this kind situation drug-supplying system occur, display prompts and buzzing can not take place yet report to the police still by setting operation according to user's needs.
The HCPT half-life is short, and metabolism is very fast in vivo; Apparent volume of distribution is little, and it is limited to distribute, and organizes affinity low; High with plasma protein binding rate, medicine is difficult in people's cell.The pharmacokinetics character of HCPT has limited it again to a certain extent in Clinical Application.Therefore adopt above-mentioned automatic chemical feeding system to continue medication to reduce drug toxicity, improve curative effect, enlarge clinical application range.
Above embodiment only supplies to explain the present invention's usefulness, but not limitation of the present invention, the technical staff in relevant technologies field under the situation that does not break away from the spirit and scope of the present invention, can also make various conversion or variation.Therefore, all technical schemes that are equal to also should belong to category of the present invention, should be limited each claim.