Takazawa T, Murakawa T, Kimura K, Maeda A, Wakayama S, Nagao H, Jin T, Toyota M, Sato Y, Matsuki A
Department of Anesthesiology, Hirosaki National Hospital.
Masui. 1992 May;41(5):791-8.
The effects of prostaglandin E1 (PGE1) on blood pressure during anesthesia and the postoperative changes in organ functions were examined and compared in 358 cases. Two hundred and eighty patients were under 64 years of age and 128 patients were over 65 years. It was possible to control blood pressure satisfactorily with PGE1 in both non-elderly and elderly groups. However in the elderly group, it was more difficult to control blood pressure with PGE1 under NLA as compared with enflurane anesthesia. In both groups, urinary flow increased during and after the administration of PGE1, and the livers and kidneys showed neither dysfunction nor deterioration after operation. We had very few incidences of side effects with this drug. PGE1 is also considered safe and useful for elderly people during and after surgery.
在358例患者中,研究并比较了前列腺素E1(PGE1)对麻醉期间血压的影响以及术后器官功能的变化。280例患者年龄在64岁以下,128例患者年龄在65岁以上。在非老年组和老年组中,使用PGE1均可令人满意地控制血压。然而,在老年组中,与恩氟烷麻醉相比,在NLA下使用PGE1控制血压更困难。在两组中,PGE1给药期间及给药后尿流量均增加,术后肝脏和肾脏均未出现功能障碍或恶化。使用该药物的副作用发生率极低。PGE1在手术期间及术后对老年人也被认为是安全且有用的。