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舒更葡糖钠对凝血酶原及活化部分凝血活酶时间的影响。

The Effect of Sugammadex on Prothrombin and Activated Partial Thromboplastin Time.

作者信息

Samara Evangelia, Stamatiou Konstantinos, Balanika Marina, Tzimas Petros

机构信息

Department of Anaesthesiology, Onassis Cardiac Surgery Center, Athens, GRC.

Department of Urology, Tzaneio General Hospital of Piraeus, Piraeus, GRC.

出版信息

Cureus. 2021 Apr 16;13(4):e14521. doi: 10.7759/cureus.14521.

DOI:10.7759/cureus.14521
PMID:34012734
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8126340/
Abstract

Sugammadex is routinely used as an effective neuromuscular blockade reversal agent. Several studies have indicated that it may prolong the prothrombin time (PT) and the activated partial thromboplastin time (aPTT). This review gathers the relevant studies to accumulate knowledge on the subject. Nine studies were included. According to the results, sugammadex seems to lead to a transient increase in aPTT and PT values, compared to standard care. However, the clinical impact seems to be trivial. Nevertheless, the trials' findings reveal great heterogeneity, preventing a meta-analysis. Therefore, more well-designed studies are needed to lead to prudent conclusions.

摘要

舒更葡糖钠通常用作有效的神经肌肉阻滞逆转剂。多项研究表明,它可能会延长凝血酶原时间(PT)和活化部分凝血活酶时间(aPTT)。本综述收集了相关研究,以积累该主题的知识。纳入了9项研究。结果显示,与标准治疗相比,舒更葡糖钠似乎会导致aPTT和PT值短暂升高。然而,临床影响似乎微不足道。尽管如此,试验结果显示出很大的异质性,无法进行荟萃分析。因此,需要更多设计良好的研究才能得出审慎的结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b40/8126340/4f021efe6b4a/cureus-0013-00000014521-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b40/8126340/4f021efe6b4a/cureus-0013-00000014521-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b40/8126340/4f021efe6b4a/cureus-0013-00000014521-i01.jpg

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本文引用的文献

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Sci Rep. 2020 Jul 7;10(1):11179. doi: 10.1038/s41598-020-68164-2.
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Interactions of sugammadex with various anticoagulants
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Int J Clin Pharmacol Ther. 2020 Jul;58(7):395-403. doi: 10.5414/CP203733.
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Anaphylaxis Induced by Sugammadex in a Patient with Papillary Serous Carcinoma of the Uterine Adnexa Undergoing Exploratory Laparotomy.在一名接受剖腹探查术的子宫附件乳头状浆液性癌患者中,舒更葡糖钠诱发过敏反应。
阿曲库铵诱导的深度神经肌肉阻滞逆转用氨甲酰基葡萄糖的疗效和安全性:一项多中心、随机、Ⅱb 期研究。
Clin Transl Sci. 2024 Jan;17(1):e13691. doi: 10.1111/cts.13691.
4
Sugammadex Efficacy and Dosing for Rocuronium Reversal Outside of Perioperative Settings.围手术期以外使用舒更葡糖钠逆转罗库溴铵作用的疗效与剂量
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5
Comparison of the Efficacy and Safety of Adamgammadex with Sugammadex for Reversal of Rocuronium-Induced Neuromuscular Block: Results of a Phase II Clinical Trial.Adamgammadex与舒更葡糖钠用于逆转罗库溴铵诱导的神经肌肉阻滞的疗效和安全性比较:一项II期临床试验的结果
J Clin Med. 2022 Nov 25;11(23):6951. doi: 10.3390/jcm11236951.
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BMC Anesthesiol. 2018 May 24;18(1):56. doi: 10.1186/s12871-018-0519-3.
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