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[亚麻醉浓度氧化亚氮诱导的镇痛和麻醉]

[Analgesia and anesthesia induced by subanesthetic concentrations of nitrous oxide].

作者信息

Yagi M, Tashiro C, Tomi K, Yoshiya I

出版信息

Masui. 1989 Jun;38(6):724-9.

PMID:2795837
Abstract

This study was aimed to determine 1) the changes of the anesthetic and analgesic actions of inhalation of subanesthetic concentration of nitrous oxide, and 2) the possible antagonism by naloxone of these actions. Auditory response time (anesthetic action) and pain threshold (analgesic action) were examined before, during and after inhalation of subanesthetic concentration of nitrous oxide in six normal volunteers who were treated with or without intravenous administration of naloxone 1.4 mg. Analgesic action remained at 30 min after nitrous oxide inhalation, while auditory response time returned to control values. Both anesthetic and analgesic effects were unchanged during 100 min inhalation or administration of naloxone. These results indicate that the acute tolerance to these actions of nitrous oxide will not occur, and that naloxone will not show a significant antagonistic action as is observed with morphine.

摘要

本研究旨在确定

1)吸入亚麻醉浓度一氧化二氮时麻醉和镇痛作用的变化;2)纳洛酮对这些作用可能产生的拮抗作用。对6名正常志愿者在吸入亚麻醉浓度一氧化二氮之前、期间及之后进行听觉反应时间(麻醉作用)和痛阈(镇痛作用)检测,这些志愿者接受了1.4毫克纳洛酮静脉注射,部分接受,部分未接受。一氧化二氮吸入后30分钟镇痛作用仍存在,而听觉反应时间恢复到对照值。在吸入或注射纳洛酮100分钟期间,麻醉和镇痛效果均未改变。这些结果表明,不会出现对一氧化二氮这些作用的急性耐受性,且纳洛酮不会像吗啡那样表现出显著的拮抗作用。

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