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本文引用的文献

1
EFFECTS OF CHLORDIAZEPOXIDE AND DIAZEPAM ON THE INFLUENCE OF MEPERIDINE ON THE RESPIRATORY RESPONSE TO CARBON DIOXIDE.氯氮䓬和地西泮对哌替啶影响二氧化碳呼吸反应的作用
J New Drugs. 1965 Mar-Apr;5(2):121-4. doi: 10.1002/j.1552-4604.1965.tb00236.x.
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Rebreathing method for measurement of mixed venous PCO2.用于测量混合静脉血二氧化碳分压的重呼吸法。
Br Med J. 1962 Sep 8;2(5305):630-3. doi: 10.1136/bmj.2.5305.630.
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A clinical method for assessing the ventilatory response to carbon dioxide.一种评估对二氧化碳通气反应的临床方法。
Australas Ann Med. 1967 Feb;16(1):20-32. doi: 10.1111/imj.1967.16.1.20.
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The effect of diazepam on the respiratory response to carbon dioxide.地西泮对二氧化碳呼吸反应的影响。
Can Anaesth Soc J. 1966 Jul;13(4):374-7. doi: 10.1007/BF03002179.
5
Effect of diazepam and meperidine, alone and in combination, on respiratory response to carbon dioxide.地西泮和哌替啶单独及联合使用对二氧化碳呼吸反应的影响。
Anesth Analg. 1969 May-Jun;48(3):353-5.
6
The effects of diazepam on respiration in patients with obstructive pulmonary disease.地西泮对阻塞性肺疾病患者呼吸的影响。
Anesthesiology. 1971 Jan;34(1):14-8. doi: 10.1097/00000542-197101000-00006.
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Nitrazepam in chronic obstructive bronchitis.硝西泮用于慢性阻塞性支气管炎的治疗。
Br Med J. 1972 Aug 5;3(5822):352. doi: 10.1136/bmj.3.5822.352-c.
8
Effect of nitrazepam in chronic obstructive bronchitis.硝西泮对慢性阻塞性支气管炎的作用。
Br Med J. 1972 Jun 17;2(5815):688-9. doi: 10.1136/bmj.2.5815.688.
9
Nitrazepam--a safe hypnotic.硝西泮——一种安全的催眠药。
Br Med J. 1969 Jul 5;3(5661):23-5. doi: 10.1136/bmj.3.5661.23.
10
Nitrazepam induced respiratory depression in chronic obstructive lung disease.硝西泮可诱发慢性阻塞性肺疾病患者出现呼吸抑制。
Br J Dis Chest. 1973 Apr;67(2):128-30. doi: 10.1016/0007-0971(73)90042-9.

硝西泮和氟西泮对二氧化碳通气反应的影响。

Effect of nitrazepam and flurazepam on the ventilatory response to carbon dioxide.

作者信息

Geddes D M, Rudolf M, Saunders K B

出版信息

Thorax. 1976 Oct;31(5):548-51. doi: 10.1136/thx.31.5.548.

DOI:10.1136/thx.31.5.548
PMID:11571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC470473/
Abstract

Ventilatory response to CO2 was measured before and after two different benzodiazepine hypnotics in both chronic bronchitics and patients without chest disease. Flurazepam, but not nitrazepam, produced a significant decrease in CO2 sensitivity, although there was no significant change in FEV1 or mixed venous PCO2. This is the first unequivocal evidence of central depression of respiration by a benzodiazepine and may be the mechanism by which benzodiazepines cause deterioration in patients with respiratory failure.

摘要

在慢性支气管炎患者和无胸部疾病的患者中,分别测量了两种不同苯二氮䓬类催眠药使用前后对二氧化碳的通气反应。氟西泮而非硝西泮,使二氧化碳敏感性显著降低,尽管第一秒用力呼气量(FEV1)或混合静脉血二氧化碳分压(PCO2)无显著变化。这是苯二氮䓬类药物对呼吸中枢抑制作用的首个明确证据,可能是苯二氮䓬类药物导致呼吸衰竭患者病情恶化的机制。