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[氟硝西泮、曲唑酮和舒必利用于氯胺酮麻醉后恢复反应的治疗]

[Flunitrazepam, trazodone and sulpiride in the treatment of recovery reactions after ketamine anesthesia].

作者信息

Manani G, Osti M P, Simini G, Costa G, Piccinni P, Giron G P

出版信息

Ann Anesthesiol Fr. 1977;18(10):783-90.

PMID:23018
Abstract

The authors studied the effects of flunitrazepam, trazodone and sulpiride on recovery reactions following ketamine anaesthesia, in male patients aged between 15 and 25 years, following minor orthopaedic surgery. Only flunitrazepam and trazodone proved to be effective, whilst sulpiride was quite useless in the prevention of recovery reactions. The authors nevertheless feel that trazodone is preferable to flunitrazepam since it reduces all recovery reactions and, in particular, because it reduces the agitation induced by ketamine, rendering the pseudo-hallucinations pleasant, and because it is free of the hypnotic component of flunitrazepam, often inconstant and sometimes responsible for the patient swallowing his tongue.

摘要

作者研究了氟硝西泮、曲唑酮和舒必利对15至25岁男性患者在接受小骨科手术后氯胺酮麻醉后恢复反应的影响。结果表明,只有氟硝西泮和曲唑酮有效,而舒必利在预防恢复反应方面毫无用处。然而,作者认为曲唑酮比氟硝西泮更可取,因为它能减轻所有恢复反应,特别是能减轻氯胺酮引起的躁动,使假性幻觉变得令人愉悦,而且它没有氟硝西泮的催眠成分,氟硝西泮的催眠成分往往不稳定,有时还会导致患者咬舌。

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1
[Flunitrazepam, trazodone and sulpiride in the treatment of recovery reactions after ketamine anesthesia].[氟硝西泮、曲唑酮和舒必利用于氯胺酮麻醉后恢复反应的治疗]
Ann Anesthesiol Fr. 1977;18(10):783-90.
2
[Flunitrazepam-pretreatment for prevention of adverse cardiovascular effects following ketamine].[氟硝西泮预处理预防氯胺酮后的不良心血管效应]
Anaesthesist. 1979 Oct;28(10):468-73.
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[Flunitrazepam (Ro 5-4200): a new benzodiazepinic derivative. Comparative double blind study with diazepam to control the psychomotor reactions of ketamine].[氟硝西泮(Ro 5-4200):一种新型苯二氮䓬衍生物。与地西泮进行双盲对照研究以控制氯胺酮的精神运动反应]
Rev Esp Anestesiol Reanim. 1977 Jul;24(4):356-76.
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[Effects of diazepam and flunitrazepam on the undesired postoperative side-effects of ketamine anaesthesia (author's transl)].地西泮和氟硝西泮对氯胺酮麻醉术后不良副作用的影响(作者译)
Anaesthesist. 1978 Jun;27(6):302-8.
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Reduction of psychotomimetic side effects of Ketalar (ketamine) by Rohypnol (flunitrazepam). A randomized, double-blind trial.用氟硝西泮减轻氯胺酮的拟精神病副作用。一项随机双盲试验。
Acta Anaesthesiol Scand. 1976;20(2):97-103. doi: 10.1111/j.1399-6576.1976.tb05015.x.
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[Anesthesia with flunitrazepam-ketamine combination in continuous perfusion].[氟硝西泮 - 氯胺酮联合用于持续灌注麻醉]
Rev Esp Anestesiol Reanim. 1978 Sep;25(5):437-44.
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[Trazodone versus flunitrazepam in premedication in day-care surgery].曲唑酮与氟硝西泮用于日间手术术前用药的比较
Minerva Anestesiol. 1994 Mar;60(3):115-21.
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[Use of sulpiride in ketamine anesthesia].舒必利在氯胺酮麻醉中的应用
Minerva Anestesiol. 1976 Mar;42(3):171-6.
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[Ketamine/flunitrazepam--an alternative intravenous anesthesia].氯胺酮/氟硝西泮——一种替代静脉麻醉法
Anaesthesist. 1986 Oct;35(10):616-22.
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[The trazodone-ketamine combination in orthopedic surgery].[曲唑酮-氯胺酮联合用药在骨科手术中的应用]
Clin Ter. 1979 Dec 15;91(5):515-20.