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大鼠脊髓舒芬太尼:第三部分:稀释液体积对硬膜外舒芬太尼的影响。

Spinal sufentanil in rats: Part III: Effect of diluent volume on epidural sufentanil.

作者信息

Vercauteren M, Meert T, D'Hooghe R, Boersma F, Melis W

机构信息

Department of Anaesthesiology, University Hospital Antwerp, Edegem, Belgium.

出版信息

Acta Anaesthesiol Scand. 1992 May;36(4):305-8. doi: 10.1111/j.1399-6576.1992.tb03472.x.

Abstract

Male Wistar rats were injected epidurally with various doses of sufentanil in 3 different dilution volumes, in order to determine differences in the lowest ED50 values for analgesia and side-effects. The lowest ED50 for both a TWR latency greater than 6 and greater than or equal to 10 s was significantly lower in the 20-microliters group as compared to the 2-microliters group. With an injection of 5 microliters, intermediate values were obtained. With regard to the side-effects, there was a trend towards increased systemic resorption with larger diluent volumes in spite of a better and more selective spinal effect, as evidenced by increasing specificity ratios. In terms of duration of analgesia at fixed doses of sufentanil, different results were obtained. At low doses of sufentanil, a pronounced diluent volume effect was present and the duration of analgesia increased as a function of the volume. At higher doses of sufentanil, however, the volume effect faded away and no differences were observed as a function of the diluent.

摘要

为了确定不同稀释体积下舒芬太尼镇痛和副作用的最低半数有效剂量(ED50)值的差异,将不同剂量的舒芬太尼以3种不同的稀释体积硬膜外注射给雄性Wistar大鼠。与2微升组相比,20微升组中导致尾甩反射(TWR)潜伏期大于6秒和大于或等于10秒的最低ED50显著更低。注射5微升时,得到的是中间值。关于副作用,尽管脊髓作用更好且更具选择性,但随着稀释剂体积增大,全身吸收有增加的趋势,特异性比增加证明了这一点。就固定剂量舒芬太尼的镇痛持续时间而言,得到了不同的结果。在低剂量舒芬太尼时,存在明显的稀释剂体积效应,镇痛持续时间随体积增加而延长。然而,在高剂量舒芬太尼时,体积效应消失,未观察到随稀释剂变化的差异。

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