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氧化亚氮是否会影响丙泊酚麻醉诱导的血流动力学效应?

Does nitrous oxide affect the hemodynamic effects of anesthesia induction with propofol?

作者信息

Carlier S, Van Aken H, Vandermeersch E, Thorniley A, Byttebier G

机构信息

Department of Anesthesiology, University Hospital, Katholike Universiteit Leuven, Belgium.

出版信息

Anesth Analg. 1989 Jun;68(6):728-33.

PMID:2567583
Abstract

Anesthesia was induced in 20 patients, ASA physical status I and II, with either propofol (2.5 mg.kg-1), vecuronium (100 micrograms.kg-1), and 100% oxygen (Group A), or with equal doses of propofol and vecuronium but with 70% nitrous oxide in oxygen (Group B). All patients were premedicated with lorazepam 2 mg orally. In both groups systolic arterial pressure decreased after 3 minutes (P less than 0.05) due to decreases in cardiac output and stroke volume (P less than 0.05). Systemic vascular resistance in both groups did not change immediately after administration of propofol but increased (P less than 0.05) following intubation. Addition of nitrous oxide did not alter hemodynamic parameters associated with propofol induction.

摘要

对20例ASA身体状况为I级和II级的患者进行麻醉诱导,A组使用丙泊酚(2.5mg·kg-1)、维库溴铵(100μg·kg-1)和100%氧气,B组使用等量的丙泊酚和维库溴铵,但氧气中加入70%氧化亚氮。所有患者术前口服2mg劳拉西泮进行预处理。两组患者在3分钟后收缩压均下降(P<0.05),原因是心输出量和每搏输出量减少(P<0.05)。两组患者在给予丙泊酚后全身血管阻力没有立即改变,但在插管后增加(P<0.05)。加入氧化亚氮并没有改变与丙泊酚诱导相关的血流动力学参数。

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