de Jong R H, Eger E I
Anesthesiology. 1975 Apr;42(4):384-9.
Two important measures may be derived from patient responses to a range of anesthetic doses. The AD50, corresponding to MAC, estimates the median anesthetic concentration--that dose where half the patients are anesthetized and half are not. The AD95 approaches the theoretical "minimum" anesthetic concentration by estimating the dose that anesthetizes 95 per cent of a patient population. The AD50 and AD95 are logical extensions of the MAC concept and can be evaluated with current experimental methodology. Recomputed from available data , the AD50's of nine inhaled anesthetics proved to be numerically identical to their MAC values. The AD95's of nine inhaled anesthetics proved to be numerically identical to their MAC values. The AD95's were 5 to 40 per cent greater than the AD50's.)Key workd: Potency, anesthetic, MAC, AD50, AD95; Pharmacology, dose-response curves.)
从患者对一系列麻醉剂量的反应中可以得出两项重要指标。与MAC相对应的AD50可估算麻醉浓度中位数,即一半患者被麻醉而另一半未被麻醉时的剂量。AD95通过估算使95%的患者群体被麻醉的剂量来接近理论上的“最小”麻醉浓度。AD50和AD95是MAC概念的合理延伸,并且可以用当前的实验方法进行评估。根据现有数据重新计算得出,九种吸入麻醉剂的AD50在数值上与其MAC值相同。九种吸入麻醉剂的AD95在数值上与其MAC值相同。AD95比AD50大5%至40%。(关键词:效能、麻醉剂、MAC、AD50、AD95;药理学、剂量反应曲线。)