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丙泊酚与美索比妥在区域阻滞下手术麻醉中的比较。

Comparison of propofol with methohexitone in the provision of anaesthesia for surgery under regional blockade.

作者信息

Mackenzie N, Grant I S

出版信息

Br J Anaesth. 1985 Dec;57(12):1167-72. doi: 10.1093/bja/57.12.1167.

Abstract

Propofol was compared with methohexitone for provision of light general anaesthesia in patients undergoing surgery under spinal analgesia. Intermittent bolus administration of both agents proved a feasible way of maintaining anaesthesia, a mean infusion rate of 0.13 mg kg-1 min-1 being required for propofol and 0.089 mg kg-1 min-1 for methohexitone. Propofol produced smoother anaesthesia with significantly fewer excitatory side effects and less pain on injection, but cardiovascular and respiratory depression occurred commonly. Recovery was rapid with both agents, but minor postoperative sequelae occurred more frequently after methohexitone.

摘要

在接受脊髓镇痛下手术的患者中,比较了丙泊酚和甲己炔巴比妥用于提供轻度全身麻醉的效果。两种药物的间歇性推注给药被证明是维持麻醉的可行方法,丙泊酚维持麻醉所需的平均输注速率为0.13mg·kg⁻¹·min⁻¹,甲己炔巴比妥为0.089mg·kg⁻¹·min⁻¹。丙泊酚产生的麻醉更平稳,兴奋副作用明显更少,注射时疼痛也更少,但心血管和呼吸抑制常见。两种药物的恢复都很快,但甲己炔巴比妥后术后轻微后遗症更频繁发生。

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