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阿芬太尼对日间手术中丙泊酚麻醉诱导和苏醒的影响。

Effects of alfentanil on induction and recovery from propofol anaesthesia in day surgery.

作者信息

Wall R J, Zacharias M

机构信息

Southland Hospital, Kew, Invercargill, New Zealand.

出版信息

Anaesth Intensive Care. 1990 May;18(2):214-8. doi: 10.1177/0310057X9001800210.

DOI:10.1177/0310057X9001800210
PMID:2368896
Abstract

The influence of alfentanil on induction and recovery characteristics of propofol was examined in women presenting as day cases for minor gynaecological surgery. Alfentanil reduced the incidence of pain on injection and the induction and maintenance requirements of propofol. This was at the expense of more prolonged apnoea. Immediate recovery characteristics were similar in each group although changes in Critical Flicker Fusion Threshold as a measure of psychomotor impairment were more pronounced after alfentanil. Such differences were insignificant at three hours by which time Critical Flicker Fusion Threshold had returned to baseline and patients were ready for discharge home.

摘要

在因小型妇科手术而作为日间手术患者的女性中,研究了阿芬太尼对丙泊酚诱导和恢复特征的影响。阿芬太尼降低了注射时的疼痛发生率以及丙泊酚的诱导和维持需求量。但代价是呼吸暂停时间延长。尽管作为精神运动功能损害指标的临界闪烁融合阈值在使用阿芬太尼后变化更为明显,但每组的即时恢复特征相似。在三小时时,这些差异不显著,此时临界闪烁融合阈值已恢复至基线,患者已准备好出院回家。

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1
Effects of alfentanil on induction and recovery from propofol anaesthesia in day surgery.阿芬太尼对日间手术中丙泊酚麻醉诱导和苏醒的影响。
Anaesth Intensive Care. 1990 May;18(2):214-8. doi: 10.1177/0310057X9001800210.
2
Awakening and recovery of simple cognitive and psychomotor functions 2 h after anaesthesia for day-case surgery--total intravenous anaesthesia with propofol-alfentanil versus thiopentone-alfentanil.日间手术麻醉2小时后简单认知和精神运动功能的苏醒与恢复——丙泊酚-阿芬太尼全静脉麻醉与硫喷妥钠-阿芬太尼麻醉的比较
Eur J Anaesthesiol. 1991 May;8(3):219-25.
3
Alfentanil used to supplement propofol infusions for oesophagoscopy and bronchoscopy.阿芬太尼用于补充丙泊酚输注以进行食管镜检查和支气管镜检查。
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[Propofol and alfentanil in total intravenous anesthesia].[丙泊酚与阿芬太尼用于全静脉麻醉]
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Recovery from day-case anaesthesia: comparison of total i.v. anaesthesia using propofol with an inhalation technique.日间手术麻醉后的恢复:丙泊酚全静脉麻醉与吸入麻醉技术的比较。
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Pharmacodynamic stability of a mixture of propofol and alfentanil.丙泊酚与阿芬太尼混合物的药效学稳定性。
Br J Anaesth. 1992 Aug;69(2):168-71. doi: 10.1093/bja/69.2.168.
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Acta Anaesthesiol Scand. 1994 Oct;38(7):662-6. doi: 10.1111/j.1399-6576.1994.tb03974.x.
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Propofol anaesthesia versus paracervical blockade with alfentanil and midazolam sedation for outpatient abortion.丙泊酚麻醉与阿芬太尼和咪达唑仑镇静的宫颈旁阻滞用于门诊人工流产的比较
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Propofol and alfentanil total intravenous anaesthesia: a comparison of techniques for major thoracic surgery.丙泊酚与阿芬太尼全静脉麻醉:重大胸科手术技术比较
Acta Anaesthesiol Scand. 1998 Apr;42(4):452-9. doi: 10.1111/j.1399-6576.1998.tb05141.x.
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Opioid supplementation during propofol anaesthesia. The effects of fentanyl or alfentanil on propofol anaesthesia in daycase surgery.丙泊酚麻醉期间补充阿片类药物。芬太尼或阿芬太尼对日间手术中丙泊酚麻醉的影响。
Anaesthesia. 1989 Aug;44(8):644-7. doi: 10.1111/j.1365-2044.1989.tb13584.x.

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