König H J, Honkisch R, Rose A, Mittendorf M
Abteilung für Anästhesie und Intensivtherapie, Einheit Kreiskrankenhaus/Kreispoliklinik Burg.
Anaesthesiol Reanim. 1990;15(5):311-20.
In a randomized prospective study of 206 children aged between one and 14, the influence of oral praemedication on the psychic condition and with regard to anaesthesiologic measures was investigated. Heart rate, inhibition of salivation and the kind and frequency of side-effects were also examined. The praemedication was carried out using diazepam (0.3 mg/kg), promazin (1.0 mg/kg), promethazin (1.0 mg/kg) and chlorphenaethazin (1.0 mg/kg). It was not possible to determine statistically relevant differences between the various drugs concerning the fixed criteria. In general, however, diazepam seems to achieve the best results. In the younger children (1 to 6 years) a frequent and insufficient effect of praemedication was noted immediately. Oral praemedication proved to be a valuable and practicable method which was well tolerated by the great majority of the children.
在一项针对206名年龄在1至14岁儿童的随机前瞻性研究中,研究了口服术前用药对心理状况以及麻醉措施的影响。还检查了心率、唾液分泌抑制情况以及副作用的种类和发生率。术前用药采用地西泮(0.3毫克/千克)、丙嗪(1.0毫克/千克)、异丙嗪(1.0毫克/千克)和氯吩嗪(1.0毫克/千克)。就固定标准而言,无法在统计学上确定不同药物之间的显著差异。然而,总体而言,地西泮似乎取得了最佳效果。在年幼儿童(1至6岁)中,立即注意到术前用药经常效果不佳。口服术前用药被证明是一种有价值且可行的方法,绝大多数儿童对其耐受性良好。