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静脉注射替马西泮:理论与临床考量

I.v. temazepam: theoretical and clinical considerations.

作者信息

Halliday N J, Dundee J W, Carlisle R J, McClean E

出版信息

Br J Anaesth. 1987 Apr;59(4):465-7. doi: 10.1093/bja/59.4.465.

DOI:10.1093/bja/59.4.465
PMID:2882767
Abstract

Two injectable forms of temazepam, in 90% propylene glycol or 40% salicylic acid, were studied in volunteers, and before surgery in healthy patients. The volunteers also received two forms (capsule and elixir) by mouth. The salicylate preparation was painful on injection and both i.v. formulations caused an unacceptably high incidence of venous thrombosis. Temazepam was detected in plasma earlier following the elixir preparation than the capsule. Plasma concentrations were similar following both injectable preparations. The potency of i.v. temazepam in inducing drowsiness in patients was much less than expected and doses greater than 0.6 mg kg-1 were required to produce adequate sedation. There was a significant reduction in thiopentone induction dose in patients receiving temazepam i.v.

摘要

研究人员在志愿者以及健康患者手术前,对两种注射用替马西泮制剂进行了研究,这两种制剂分别含90%丙二醇或40%水杨酸。志愿者还口服了两种剂型(胶囊和酏剂)。水杨酸盐制剂注射时会引起疼痛,并且两种静脉注射制剂导致静脉血栓形成的发生率高得令人无法接受。与胶囊相比,服用替马西泮酏剂制剂后,血浆中更早检测到替马西泮。两种注射制剂后的血浆浓度相似。静脉注射替马西泮诱导患者嗜睡的效力远低于预期,需要大于0.6mg/kg-1的剂量才能产生足够的镇静作用。接受静脉注射替马西泮的患者硫喷妥钠诱导剂量显著降低。

相似文献

1
I.v. temazepam: theoretical and clinical considerations.静脉注射替马西泮:理论与临床考量
Br J Anaesth. 1987 Apr;59(4):465-7. doi: 10.1093/bja/59.4.465.
2
Comparison of sedation with temazepam by mouth and diazemuls i.v. for dental surgery. Variability in absorption may influence clinical effect.口服替马西泮与静脉注射地西泮乳剂用于牙科手术的镇静效果比较。吸收的变异性可能会影响临床效果。
Br J Anaesth. 1988 Jan;60(1):18-23. doi: 10.1093/bja/60.1.18.
3
A comparison of the soft gelatin capsule and the tablet form of temazepam.替马西泮软胶囊剂与片剂的比较。
Acta Pharmacol Toxicol (Copenh). 1986 Jan;58(1):49-54. doi: 10.1111/j.1600-0773.1986.tb00069.x.
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Sedation for upper gastro-intestinal endoscopy. A comparison of oral temazepam and i.v. diazepam.上消化道内镜检查的镇静:口服替马西泮与静脉注射地西泮的比较
Br J Anaesth. 1980 Aug;52(8):811-5. doi: 10.1093/bja/52.8.811.
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Oral sedation with temazepam: controlled comparison of a soft gelatin capsule formulation with intravenous diazepam.替马西泮口服镇静:软胶囊制剂与静脉注射地西泮的对照比较。
Br Dent J. 1987 Apr 25;162(8):297-301. doi: 10.1038/sj.bdj.4806106.
6
Temazepam in fast dispensing dosage form as a premedication for children.速释剂型替马西泮用于儿童术前用药。
Anaesthesia. 1985 Apr;40(4):368-71. doi: 10.1111/j.1365-2044.1985.tb10792.x.
7
Sedation in outpatient oral surgery. Comparison of temazepam by mouth and diazepam i.v.门诊口腔外科手术中的镇静。口服替马西泮与静脉注射地西泮的比较。
Br J Anaesth. 1986 Apr;58(4):378-84. doi: 10.1093/bja/58.4.378.
8
Bioavailability of temazepam in soft gelatin capsules.替马西泮软胶囊的生物利用度。
Br J Clin Pharmacol. 1979;8(1):31S-35S. doi: 10.1111/j.1365-2125.1979.tb00452.x.
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The use of temazepam elixir in surgical dental sedation: a comparison with intravenous midazolam.替马西泮酏剂在牙科手术镇静中的应用:与静脉注射咪达唑仑的比较。
Br Dent J. 1992 Feb 22;172(4):153-7. doi: 10.1038/sj.bdj.4807798.
10
Oral sedation with temazepam: a practical alternative for use in dentistry?使用替马西泮进行口腔镇静:牙科领域的一种实用替代方法?
Br Dent J. 1987 Mar 7;162(5):190-3. doi: 10.1038/sj.bdj.4806060.

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