Mazo V, Bertrán C, Llorente C, Salvadores M, Roca G, Vidal F
Servicio de Anestesiología, Hospital Germans Trias i Pujol, Badalona.
Rev Esp Anestesiol Reanim. 1991 May-Jun;38(3):149-52.
Forty healthy females, 18 to 65 years, undergoing diagnostic or therapeutic uterine curettage were studied with the purpose of comparing anesthetic characteristics of thiopental and propofol as induction agents. They were randomly allocated in two groups: A propofol induction group (2.5 mg/kg), and a thiopental induction group (4-5 mg/kg). Fentanyl (2 micrograms/kg), was administered 2 minutes before anaesthesia, and N2O/O2 (66%/33%) by mask was maintained during surgery. Changes in systolic and diastolic BP were not significantly different in two groups. The HR decreased more significantly in the propofol group (20% vs 10%; p less than 0.005). Apnea was significantly greater in the propofol group, in term of incidence (50% vs 15%; p = 0.025), and duration (92 seg vs 17 seg; p = 0.20). The lapses of time to opening the eyes and response to a command were not significantly different, but the time to be able to seat was significantly lower in the propofol group (12 min vs 21 min; p = 0.0003). Anaesthesia was clinically satisfactory for most patients in both treatment groups.
选取40名年龄在18至65岁之间、正在接受诊断性或治疗性刮宫术的健康女性,旨在比较硫喷妥钠和丙泊酚作为诱导剂的麻醉特性。她们被随机分为两组:丙泊酚诱导组(2.5毫克/千克)和硫喷妥钠诱导组(4 - 5毫克/千克)。麻醉前2分钟给予芬太尼(2微克/千克),手术期间通过面罩维持N2O/O2(66%/33%)。两组收缩压和舒张压的变化无显著差异。丙泊酚组心率下降更为显著(20%对10%;p小于0.005)。就发生率(50%对15%;p = 0.025)和持续时间(92秒对17秒;p = 0.20)而言,丙泊酚组的呼吸暂停更为显著。睁眼时间和对指令的反应时间无显著差异,但丙泊酚组能够坐起的时间显著更短(12分钟对21分钟;p = 0.0003)。两个治疗组的大多数患者临床麻醉效果均令人满意。