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[使用异丙嗪和加兰他敏进行术前用药对丁卡因硬膜外麻醉过程的影响]

[The effect of premedication using promedol and galanthamine on the course of epidural anesthesia with trimecaine].

作者信息

Ugol'nikov V A, Furer I M, Chikina A N

出版信息

Anesteziol Reanimatol. 1991 Mar-Apr(2):17-9.

PMID:1862978
Abstract

The course of epidural anesthesia with a 2% trimecaine solution has been studied in 93 patients (mean age 56.5 years) upon premedication with promedol (20 mg) and galanthamine (10 mg). It has been established that promedol promotes mainly to a reduction in the time of anesthesia onset (by 26.5%) and to the enhancement of the antihypertensive reaction (by 15.7%). Premedication with galanthamine is accompanied by a 13% decrease in the initial anesthetic dose, a 34.5% shortening of the time of anesthesia onset and the attenuation of negative hemodynamic shifts. Upon premedication with both drugs, the total trimecaine expenditure decreases by 25% and the time of anesthesia onset shortens more than by half.

摘要

在93例患者(平均年龄56.5岁)中,研究了在使用丙哌利多(20毫克)和加兰他敏(10毫克)进行术前用药后,使用2%三甲卡因溶液进行硬膜外麻醉的过程。已确定丙哌利多主要促进麻醉起效时间缩短(缩短26.5%)和增强降压反应(增强15.7%)。加兰他敏术前用药可使初始麻醉剂量减少13%,麻醉起效时间缩短34.5%,并减轻负面血流动力学变化。两种药物术前用药时,三甲卡因总用量减少25%,麻醉起效时间缩短超过一半。

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