Kudoh A, Murakawa T, Isihara H, Matsuki A
Department of Anesthesiology, University of Hirosaki School of Medicine.
Masui. 1992 Mar;41(3):320-5.
The RR intervals on ECG and the coefficient of variation of R-R interval (CV) and perioperative plasma catecholamine levels were measured in patients receiving long-term administration of antipsychotic drugs. CV was significantly reduced (P less than 0.05) in patients on antipsychotic drugs. Preoperative plasma catecholamine levels increased significantly and elevation of plasma catecholamine levels on the first postoperative day was less than that of the control group. These findings suggest that the patients on antipsychotic drugs have disturbed autonomic nervous function. Therefore, a careful perioperative care is mandatory.
对长期服用抗精神病药物的患者测量其心电图上的RR间期、R-R间期变异系数(CV)以及围手术期血浆儿茶酚胺水平。服用抗精神病药物的患者CV显著降低(P<0.05)。术前血浆儿茶酚胺水平显著升高,且术后第一天血浆儿茶酚胺水平的升高幅度小于对照组。这些发现提示服用抗精神病药物的患者存在自主神经功能紊乱。因此,围手术期进行仔细护理是必不可少的。