Nalda M A, Fernández C, Hernández C, Villalonga A, Valero R
Departamento de Anestesiología, Hospital Clínic i Provincial, Barcelona.
Rev Esp Anestesiol Reanim. 1991 May-Jun;38(3):146-8.
We have compared propofol and sodium thiopental in two groups of 20 women undergoing curettage. Patients received premedication with diazepam and were randomly allotted to propofol group (2 mg/kg, intravenously) or sodium thiopental group (5 mg/kg, intravenously). Anesthesia maintenance was carried out with spontaneous ventilation with 0(2)-N2O. When complementary doses were required, 20% of the initial dose was administered. There were no significant differences with respect to base arterial blood pressure and heart rate on induction, 2 minutes after induction and at the end of the operation. The time from the end of the operation to the patient began to respond to the order of open eyes and to the patient was aware enough to establish a coherent talk and to seat without help was similar in both groups. Adverse effects were minor in bith groups and significantly more frequent in propofol group. We conclude that propofol is a particularly interesting new anesthetic agent for short duration anesthesia.
我们比较了丙泊酚和硫喷妥钠在两组各20名接受刮宫术的女性中的应用情况。患者术前使用地西泮进行预处理,并被随机分配到丙泊酚组(静脉注射2mg/kg)或硫喷妥钠组(静脉注射5mg/kg)。采用0₂-N₂O自主通气维持麻醉。当需要追加剂量时,给予初始剂量的20%。诱导时、诱导后2分钟及手术结束时,两组患者的基础动脉血压和心率无显著差异。两组患者从手术结束到开始对睁眼指令做出反应以及患者意识清醒到能够连贯交谈并在无帮助情况下坐起的时间相似。两组的不良反应均较轻,但丙泊酚组的不良反应明显更频繁。我们得出结论,丙泊酚是一种特别适用于短时间麻醉的新型麻醉剂。