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关于间歇性正压通气给予瑞米特罗和沙丁胺醇的进一步研究,以及对使用贝内特呼吸机技术的一项重要观察。

Further studies of rimiterol and salbutamol administered by intermittent positive-pressure ventilation, and an important observation on the technique of using the Bennett ventilator.

作者信息

Paterson I C, Willey R F, Shotter M V, Crompton G K

出版信息

Br J Clin Pharmacol. 1977 Oct;4(5):605-9. doi: 10.1111/j.1365-2125.1977.tb00793.x.

Abstract
  1. Using the same technique of administering drugs by intermittent positive-pressure ventilation as used in previous studies a source of contamination of solutions nebulized was discovered. This was rectified by using a new ventilator and completely separate patient circuits for each solution nebulized. 2 Salbutamol 0.5% and 0.25% solutions achieved the same degree of bronchodilatation, but there was a significantly greater increase in heart rate produced by salbutamol 0.5%. 3 Rimiterol 0.5% and salbutamol 0.25% produced similar peak mean improvements in FEV and also induced the same degree of tachycardia, but the duration of these effects were significantly shorter in the case of rimiterol. 4 The sustained degree of bronchodilatation achieved by salbutamol 0.25% could not be mirrored by giving two doses of rimiterol 0.5%, the second dose 2 h after the first. 5 Rimiterol 0.5% induced a degree of tachycardia which was similar in peak effect to that observed after salbutamol 0.25%. However, in the controls the second dose of rimiterol, given 2 h after the first, was responsible for only a small increase in heart rate which was not significantly different than that after saline in the other three treatment groups.
摘要
  1. 使用与先前研究相同的通过间歇性正压通气给药的技术,发现了雾化溶液的一个污染源。通过使用一台新的呼吸机以及为每种雾化溶液配备完全独立的患者回路,这一问题得到了纠正。2. 0.5%和0.25%的沙丁胺醇溶液实现了相同程度的支气管扩张,但0.5%的沙丁胺醇导致的心率显著升高幅度更大。3. 0.5%的利米特罗和0.25%的沙丁胺醇在第一秒用力呼气容积(FEV)方面产生了相似的峰值平均改善,并且诱发了相同程度的心动过速,但利米特罗的这些效应持续时间显著更短。4. 给予两剂0.5%的利米特罗(第一剂后2小时给予第二剂)无法模拟0.25%的沙丁胺醇所实现的持续支气管扩张程度。5. 0.5%的利米特罗诱发的心动过速程度在峰值效应上与0.25%的沙丁胺醇后观察到的相似。然而,在对照组中,第一剂后2小时给予的第二剂利米特罗仅导致心率小幅增加,与其他三个治疗组中给予生理盐水后的心率增加无显著差异。

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