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年龄对支气管镜检查局部麻醉期间氟硝西泮所致失忆和镇静作用的影响。

Effect of age on amnesia and sedation induced by flunitrazepam during local anaesthesia for bronchoscopy.

作者信息

Korttila K, Saarnivaara L, Tarkkanen J, Himberg J J, Hytönen M

出版信息

Br J Anaesth. 1978 Dec;50(12):1211-8. doi: 10.1093/bja/50.12.1211.

Abstract

Bronchoscopy was undertaken in 79 outpatients using local anaesthesia plus an i.v. injection of flunitrazepam 0.01 mg kg-1. The co-operation of the patients and the ease of bronchoscopy were good regardless of the age of the patient. There was an increase in amnesia for the bronchoscopy with increasing age, but the most distinct difference between different age groups was that the amnesic action of flunitrazepam was evident earlier and persisted longer in patients of more than 60 yr. Eye co-ordination and ability to stand steadily and walk on a line returned to normal more slowly in patients more than 60 than in those less than 60 yr, but no differences in recovery were noted between patients less than 40 and those of 40--59 yr, or between those 60--69 and those more than 70 yr.

摘要

对79名门诊患者进行了支气管镜检查,采用局部麻醉加静脉注射0.01 mg/kg氟硝西泮。无论患者年龄大小,患者的配合度和支气管镜检查的操作便利性都很好。随着年龄的增长,对支气管镜检查的遗忘作用增强,但不同年龄组之间最明显的差异是,氟硝西泮的遗忘作用在60岁以上患者中出现得更早且持续时间更长。60岁以上患者的眼协调能力、站稳能力和沿直线行走能力恢复正常的速度比60岁以下患者慢,但40岁以下患者与40 - 59岁患者之间、60 - 69岁患者与70岁以上患者之间在恢复方面未发现差异。

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