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[芬太尼和舒芬太尼的催眠作用。脑电图比较(作者译)]

[The hypnotic effect of fentanyl and sulfentanil. An electro-encephalographic comparison (author's transl)].

作者信息

Kugler J, Grote B, Laub M, Doenicke A, Dick E

出版信息

Anaesthesist. 1977 Jul;26(7):343-8.

PMID:196518
Abstract
  1. Electroencephalographic activity was registered in healthy subjects before, during and 90 minutes after intravenous injections of sufentanil and fentanyl. 2. With a dosage of ratio of 1:10, i.e., 0.025 mg/70 kg body weight sufentanil: 0.25 mg/70 kg body weight fentanyl as well as 0.015 mg/70 kg body weight sufentanil: 0.15 mg/70 kg body weight fentanyl, sufentanil was hypnotically more potent from fentanyl. 3. Sufentanil acts more powerfully on the respiratory regulation than does fentanyl. Periods of apnoea occur more frequently but can be interrupted by external psychophysiological stimulation. 4. The evaluation of indices of certain EEG-waves, characterizing well defined electroencephalographic stages corresponding to the waking-sleeping-behaviour confirmed the visual over-all analysis of the EEG-stages. 5. Physiological observations on heartrate, systemic blood pressure, rapid eye movements during wakefulness, and slow eye movements during sleepiness showed no reliable differences between sufentanil and fentanil. The systematically documented symptoms and vegetative signs of subjects also showed neither differences nor side-effects.
摘要
  1. 在健康受试者静脉注射舒芬太尼和芬太尼之前、期间及注射后90分钟记录脑电图活动。2. 当剂量比例为1:10,即0.025毫克/70千克体重的舒芬太尼比0.25毫克/70千克体重的芬太尼,以及0.015毫克/70千克体重的舒芬太尼比0.15毫克/70千克体重的芬太尼时,舒芬太尼的催眠作用比芬太尼更强。3. 舒芬太尼对呼吸调节的作用比芬太尼更强。呼吸暂停期更频繁出现,但可被外部心理生理刺激打断。4. 对某些脑电图波指标的评估,这些指标表征了与清醒-睡眠行为相对应的明确脑电图阶段,证实了对脑电图阶段的视觉总体分析。5. 对心率、全身血压、清醒时的快速眼动以及困倦时的慢速眼动的生理观察表明,舒芬太尼和芬太尼之间没有可靠的差异。系统记录的受试者症状和植物神经体征也未显示出差异或副作用。

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