Utting H J, Pleuvry B J
Br J Anaesth. 1975 Sep;47(9):987-92. doi: 10.1093/bja/47.9.987.
A double-blind trial has been performed to investigate the respiratory effects of low oral doses of benzoctamine, and to compare them with diazepam and a placebo. The displacement of the carbon dioxide response curves indicated that whilst diazepam caused respiratory depression, benzoctamine had a variable effect. Some volunteers showed depression, but most showed stimulation. Peak respiratory effects were seen 1 hr after oral administration, returning to normal 2-3 hr after administration. It is suggested that oral drugs given for premedication need to be administered at least 2 hr before operation to obtain maximum sedative effects at a time when respiratory effects are returning to normal. In animal experiments it has been shown that the analgesic actions of morphine are diminished by concurrent administration of benzoctamine, and that the depression of respiratory rate caused by morphine is enhanced.
已进行了一项双盲试验,以研究口服低剂量苄胺唑啉对呼吸的影响,并将其与地西泮和安慰剂进行比较。二氧化碳反应曲线的位移表明,地西泮会引起呼吸抑制,而苄胺唑啉的作用则有所不同。一些志愿者表现出抑制,但大多数表现出兴奋。口服给药后1小时出现最大呼吸效应,给药后2 - 3小时恢复正常。建议用于术前用药的口服药物至少在手术前2小时给药,以便在呼吸效应恢复正常时获得最大镇静效果。在动物实验中已表明,同时给予苄胺唑啉会减弱吗啡的镇痛作用,并且会增强吗啡引起的呼吸频率抑制。