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[可乐定治疗酒精性谵妄期间的体感诱发电位监测]

[SEP monitoring during clonidine therapy of alcohol delirium].

作者信息

Lorenz M, Verner L, Hartmann M, Gaab M R

机构信息

Neurochirurgische Klinik, Medizinische Hochschule Hannover.

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1991 Sep;22(3):168-71.

PMID:1765028
Abstract

In 12 patients with developing alcohol withdrawal syndrome after abdomino-thoracic surgical procedures who were treated with Clonidine, short latency somatosensory evoked potentials were recorded. Clonidine leads to a good sedation, anxiolysis and moderated the psychotic symptoms. However, there was no significant correlation between the Clonidine medication and the SEP results over the time of drug administration concerning the primary cortical response N20 and the following N20/P25 wave. Therefore, the short-latency SEP-recording cannot provide a reliable monitoring of the good sedative effect of Clonidine in alcoholic withdrawal. The SEP responses after Clonidine are like those of morphine and are thought to have a similar central mode of action.

摘要

在12例接受腹部-胸部手术后出现酒精戒断综合征并接受可乐定治疗的患者中,记录了短潜伏期体感诱发电位。可乐定可产生良好的镇静、抗焦虑作用,并减轻精神症状。然而,在给药期间,就主要皮层反应N20及随后的N20/P25波而言,可乐定用药与体感诱发电位结果之间无显著相关性。因此,短潜伏期体感诱发电位记录不能可靠监测可乐定在酒精戒断中的良好镇静效果。可乐定后的体感诱发电位反应与吗啡相似,被认为具有类似的中枢作用模式。

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