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一项前瞻性随机双盲研究,以评估输注富含氨基酸溶液对神经肌肉阻滞恢复的影响。

A prospective randomized double blind study to evaluate the effect of infusion of amino Acid enriched solution on recovery from neuromuscular blockade.

作者信息

Gupta Nishkarsh, Sehgal Raminder, Kumar Rakesh, Sharma Kavita Rani, Gupta Anju, Agrawal Nidhi

机构信息

Junior Consultant Max, Saket, New Delhi.

出版信息

Indian J Anaesth. 2009 Jun;53(3):318-23.

Abstract

Hypothermia is a common occurrence under anaesthesia and may prolong the duration of action of neuromuscular blockade. By limiting fall in temperature, an infusion of amino acid enriched solution may speed the recovery from neuromuscular blockade. We studied 60 ASA Grade - I/II patients of aged between 20 to 60 years scheduled for elective surgery under general anaesthesia. The patients were randomly divided into four groups to receive amino acid infusion with vecuronium bromide AV, normal saline with vecuronium bromide(CV), amino acid with atracurium besylate(A-At) and normal saline with atracurium besylate(C-At). Although there was a significantly lesser decrease in the core temperature from the baseline in all the patients receiving amino acid infusion (p<0.05), it significantly reduced the time to 25% recovery from the time of injection of vecuronium only. (60.59 +/- 11.39 in CV vs 51 +/- 14.72 min in AV) (P < 0.05), and not for atracurium.

摘要

体温过低是麻醉过程中的常见现象,可能会延长神经肌肉阻滞的作用时间。通过限制体温下降,输注富含氨基酸的溶液可能会加速神经肌肉阻滞的恢复。我们研究了60例年龄在20至60岁之间、计划在全身麻醉下进行择期手术的ASA I/II级患者。患者被随机分为四组,分别接受氨基酸与维库溴铵(AV)、生理盐水与维库溴铵(CV)、氨基酸与苯磺顺阿曲库铵(A-At)以及生理盐水与苯磺顺阿曲库铵(C-At)。尽管所有接受氨基酸输注的患者核心体温较基线的下降幅度显著较小(p<0.05),但仅在维库溴铵注射后,它显著缩短了恢复至25%的时间。(CV组为60.59±11.39分钟,AV组为51±14.72分钟)(P<0.05),而对于阿曲库铵则没有这种效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6642/2900123/7edfaa82487f/IJA-53-318-g001.jpg

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