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氟烷和异氟烷麻醉的心理效应。

Psychological eff-cts of halothane and isoflurane anesthesia.

作者信息

Davison L A, Steinhelber J C, Eger E I, Stevens W C

出版信息

Anesthesiology. 1975 Sep;43(3):313-24. doi: 10.1097/00000542-197509000-00008.

Abstract

Psychological effects of halothane (16 subjects) and isoflurane (24 subjects) anesthesia on healthy young men were assessed prior to and 2,3,4,6,8, and 30 days after anesthesia. The results with each agent were compared with each other and with the results for 41 unanesthetized controls. Both agents altered psychological function. Changes in function were greatest 2 days after anesthesia; function had returned to near preanesthesia values 8 days after anesthesia. Only slight symptom and mood effects and no intellectual effect attributable to anesthesia remained 30 days after anesthesia. Halothane produced greater negative effects on moodds and symptoms and tended to produce greater negative effects on intellectural function than did isoflurane. The differences between the two anesthetics are consistent with differences in their solubilities and metabolism.

摘要

在麻醉前以及麻醉后2天、3天、4天、6天、8天和30天,对16名使用氟烷和24名使用异氟烷麻醉的健康年轻男性的心理效应进行了评估。将每种药物的结果相互比较,并与41名未麻醉对照组的结果进行比较。两种药物均改变了心理功能。麻醉后2天功能变化最大;麻醉后8天功能已恢复至接近麻醉前的值。麻醉后30天,仅残留轻微的症状和情绪影响,且无麻醉所致的智力影响。与异氟烷相比,氟烷对情绪和症状产生更大的负面影响,且往往对智力功能产生更大的负面影响。两种麻醉剂之间的差异与其溶解度和代谢差异一致。

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