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丙泊酚:预防注射疼痛的临床策略。

Propofol: clinical strategies for preventing the pain of injection.

作者信息

Scott R P, Saunders D A, Norman J

机构信息

University Department of Anaesthetics, Southampton General Hospital.

出版信息

Anaesthesia. 1988 Jun;43(6):492-4. doi: 10.1111/j.1365-2044.1988.tb06641.x.

DOI:10.1111/j.1365-2044.1988.tb06641.x
PMID:3261547
Abstract

Eight modes of administration of propofol were assessed in order to minimise the pain of injection. An intravenous bolus injection in the antecubital fossa was the only approach that caused no pain. When administered intravenously in the dorsum of the hand the pain score and the number of patients who experienced pain was reduced significantly by mixing the agent with lignocaine when compared with a bolus injection. Slowing the speed of injection caused the greatest discomfort. An indirect biochemical mechanism for the pain is proposed.

摘要

为了尽量减少丙泊酚注射时的疼痛,对其八种给药方式进行了评估。在前臂肘窝进行静脉推注是唯一不会引起疼痛的方法。与推注相比,当将丙泊酚与利多卡因混合后经手背静脉给药时,疼痛评分和经历疼痛的患者数量显著降低。减慢注射速度会引起最大程度的不适。本文提出了疼痛的间接生化机制。

相似文献

1
Propofol: clinical strategies for preventing the pain of injection.丙泊酚:预防注射疼痛的临床策略。
Anaesthesia. 1988 Jun;43(6):492-4. doi: 10.1111/j.1365-2044.1988.tb06641.x.
2
The reduction of pain on injection of propofol: the effect of addition of lignocaine.丙泊酚注射时疼痛的减轻:利多卡因添加的效果。
Acta Anaesthesiol Scand. 1988 Aug;32(6):502-4. doi: 10.1111/j.1399-6576.1988.tb02774.x.
3
Propofol as an induction agent in children: pain on injection and pharmacokinetics.
Acta Anaesthesiol Scand. 1989 Feb;33(2):152-5. doi: 10.1111/j.1399-6576.1989.tb02879.x.
4
Effect of lignocaine on pain caused by propofol injection.利多卡因对丙泊酚注射所致疼痛的影响。
Anaesthesia. 1985 Jan;40(1):91-2. doi: 10.1111/j.1365-2044.1985.tb10530.x.
5
Pain on i.v. injection of propofol (ICI 35 868) in emulsion formulation. Short communication.丙泊酚(ICI 35 868)乳剂静脉注射时的疼痛。简短通讯。
Acta Anaesthesiol Scand. 1985 Aug;29(6):651-2. doi: 10.1111/j.1399-6576.1985.tb02274.x.
6
[Efficacy of simultaneous bolus injection of lidocaine with propofol on pain caused by propofol injection].[利多卡因与丙泊酚同时推注对丙泊酚注射所致疼痛的疗效]
Masui. 2001 Nov;50(11):1196-200.
7
Modulating effects of lignocaine on propofol.利多卡因对丙泊酚的调节作用。
Anaesth Intensive Care. 1995 Apr;23(2):154-7. doi: 10.1177/0310057X9502300204.
8
[Pain-free injection of propofol].[丙泊酚无痛注射]
Masui. 1998 Jul;47(7):835-8.
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Assessment and modification of pain on induction with propofol (Diprivan).丙泊酚(得普利麻)诱导时疼痛的评估与处理
Anaesthesia. 1985 Nov;40(11):1117-20. doi: 10.1111/j.1365-2044.1985.tb10615.x.
10
Effect of diluting propofol on the incidence of pain on injection and venous sequelae.丙泊酚稀释对注射痛发生率及静脉后遗症的影响。
Br J Anaesth. 1989 Feb;62(2):202-3. doi: 10.1093/bja/62.2.202.

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