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胰高血糖素对巴比妥类药物诱导麻醉期间收缩期时间间期的影响。

Influence of glucagon on systolic time intervals during induction of anaesthesia with barbiturate.

作者信息

Ibler M, Dalsgaard M

出版信息

Acta Anaesthesiol Scand. 1975;19(3):206-9. doi: 10.1111/j.1399-6576.1975.tb05242.x.

Abstract

The systolic time intervals and calculated parameters of PEP/LVET (pre-injection period/left ventricular ejection time-ratio) and 1/PEP2 before and after induction of anaesthesia with the barbiturate enibomal (Narcodorm) were studied noninvasively in eight surgical patients after pre-treatment with a bolus dose of glucagon. The mean difference between the PEP/LVET-ratio before and after induction was 0.06, and the mean difference between 1/PEP2 before and after induction was -8. The corresponding values in the control group consisting of 12 patients were 0.09 and -28, respectively, suggesting a somewhat greater depression of cardiac function in this group. However, no statistically significant difference at the 5% level was found between changes in the glucagon group and controls. The influence of barbiturates and glucagon on cardiac function is discussed.

摘要

在用巴比妥类药物依尼博马尔(纳可多姆)诱导麻醉前后,对8例手术患者在静脉推注胰高血糖素预处理后,进行了收缩期时间间期以及计算得出的PEP/LVET(预注射期/左心室射血时间比值)和1/PEP2参数的无创研究。诱导前后PEP/LVET比值的平均差异为0.06,诱导前后1/PEP2的平均差异为-8。由12例患者组成的对照组中的相应值分别为0.09和-28,表明该组心脏功能的抑制程度略大。然而,在5%的水平上,未发现胰高血糖素组和对照组的变化之间存在统计学上的显著差异。文中讨论了巴比妥类药物和胰高血糖素对心脏功能的影响。

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