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[纳洛酮对术后镇痛的影响]

[Effects of naloxone on postoperative analgesia].

作者信息

Abou-madi M N, Chin S P, Yaboub J M, Keszler H

出版信息

Anesth Analg (Paris). 1976 Sep-Oct;33(5):757-62.

PMID:12685
Abstract

Two comparable groups of ten patients were studied. After nitrous oxide-oxygen fentanyl-pancuronium anesthesia, half the patients were reversed with a titrated dose of naloxone. Even in titrated doses naloxone rapidly abolished residual post-operative fentanyl analgesia in 80 p. 100 of the patients. In the control group none of the patients complained of pain for an average of six to eight hours. Blood gases in the recovery room were practically the same in reversed and non-reversed patients and were satisfactory.

摘要

对两组各十名患者进行了研究。在氧化亚氮 - 氧气 - 芬太尼 - 潘库溴铵麻醉后,一半患者用滴定剂量的纳洛酮进行逆转。即使是滴定剂量的纳洛酮,也能迅速消除80%的患者术后残留的芬太尼镇痛作用。在对照组中,平均六至八小时内没有患者抱怨疼痛。逆转组和未逆转组患者在恢复室的血气情况基本相同,且都令人满意。

相似文献

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[Effects of naloxone on postoperative analgesia].[纳洛酮对术后镇痛的影响]
Anesth Analg (Paris). 1976 Sep-Oct;33(5):757-62.
2
Effect of naloxone infusion on analgesia and respiratory depression after epidural fentanyl.
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Naloxone and pentazocine given after morphine.吗啡给药后给予纳洛酮和喷他佐辛。
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[High doses of fentanyl as the sole anaesthetic agent and naloxone as its antagonist (author's transl)].[高剂量芬太尼作为唯一麻醉剂及纳洛酮作为其拮抗剂(作者译)]
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Effects of intravenous patient-controlled analgesia with buprenorphine and morphine alone and in combination during the first 12 postoperative hours: a randomized, double-blind, four-arm trial in adults undergoing abdominal surgery.术后12小时内单独及联合使用丁丙诺啡和吗啡静脉自控镇痛的效果:一项针对接受腹部手术的成年人的随机、双盲、四臂试验。
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An ultra-low dose of naloxone added to lidocaine or lidocaine-fentanyl mixture prolongs axillary brachial plexus blockade.在利多卡因或利多卡因-芬太尼混合液中添加超低剂量的纳洛酮可延长腋路臂丛神经阻滞时间。
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Naloxone reversal of opioid anesthesia revisited: clinical evaluation and plasma concentration analysis of continuous naloxone infusion after anesthesia with high-dose fentanyl.纳洛酮对阿片类麻醉的逆转作用再探讨:大剂量芬太尼麻醉后持续输注纳洛酮的临床评估及血浆浓度分析
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[Combination of morphine with low-dose naloxone for intravenous patient-controlled analgesia].吗啡与低剂量纳洛酮联合用于静脉自控镇痛
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Combined spinal-epidural analgesia vs. intermittent bolus epidural analgesia for pain relief after major abdominal surgery. A prospective, randomised, double-blind clinical trial.腰麻-硬膜外联合镇痛与间歇性推注硬膜外镇痛用于腹部大手术后疼痛缓解的比较。一项前瞻性、随机、双盲临床试验。
Int J Clin Pract. 2008 Feb;62(2):255-62. doi: 10.1111/j.1742-1241.2007.01642.x. Epub 2007 Nov 20.

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Core Evid. 2010 Jun 15;4:247-58. doi: 10.2147/ce.s8556.
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Intrathecal delivery of a mutant micro-opioid receptor activated by naloxone as a possible antinociceptive paradigm.鞘内给予纳洛酮激活的突变型μ阿片受体作为一种可能的抗伤害感受范式。
J Pharmacol Exp Ther. 2010 Sep 1;334(3):739-45. doi: 10.1124/jpet.109.165399. Epub 2010 Jun 16.
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Search for the "ideal analgesic" in pain treatment by engineering the mu-opioid receptor.
通过工程改造μ阿片受体寻找疼痛治疗中的“理想镇痛剂”。
IUBMB Life. 2010 Feb;62(2):103-11. doi: 10.1002/iub.292.