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短小手术中递增剂量丙泊酚的应用。

Incremental propofol for short procedures.

作者信息

Redfern N, Stafford M A, Hull C J

出版信息

Br J Anaesth. 1985 Dec;57(12):1178-82. doi: 10.1093/bja/57.12.1178.

DOI:10.1093/bja/57.12.1178
PMID:3878719
Abstract

Propofol was used to induce and maintain anaesthesia in patients undergoing minor gynaecological procedures. Quality of anaesthesia, the rate of recovery and the influence of different methods of premedication were assessed. Unpremedicated patients required a higher induction dose than those premedicated with either lorazepam or papaveretum and hyoscine, but maintenance dose requirements were comparable. Regardless of premedication, there were similar decreases in mean arterial pressure, although respiratory function recovered more rapidly in patients premedicated with lorazepam. No significant changes in heart rate were noted in any group. The overall incidence of pain on injection was 3.7% (lignocaine 0.5 mg added to each 9.5 mg of propofol) and a skin rash occurred in 6% of patients. All patients recovered rapidly and uneventfully.

摘要

丙泊酚用于接受小型妇科手术患者的麻醉诱导和维持。评估了麻醉质量、恢复速度以及不同术前用药方法的影响。未进行术前用药的患者诱导剂量高于使用劳拉西泮或哌替啶与东莨菪碱进行术前用药的患者,但维持剂量需求相当。无论术前用药情况如何,平均动脉压均有类似程度的下降,不过使用劳拉西泮进行术前用药的患者呼吸功能恢复得更快。任何组均未观察到心率有显著变化。注射时疼痛的总体发生率为3.7%(每9.5毫克丙泊酚中添加0.5毫克利多卡因),6%的患者出现皮疹。所有患者均迅速且平稳地恢复。

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1
Incremental propofol for short procedures.短小手术中递增剂量丙泊酚的应用。
Br J Anaesth. 1985 Dec;57(12):1178-82. doi: 10.1093/bja/57.12.1178.
2
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引用本文的文献

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Recurrent unilateral lung ventilation disorder in a patient that experienced rocuronium-induced anaphylactic bronchospasm during laparoscopic rectal surgery -A case report-.腹腔镜直肠手术后罗库溴铵诱导过敏样支气管痉挛患者反复出现单侧肺通气障碍:一例报告。
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2
A comparison of propofol and thiopentone as induction agents in outpatient surgery.丙泊酚与硫喷妥钠作为门诊手术诱导剂的比较。
Can J Anaesth. 1987 Mar;34(2):110-6. doi: 10.1007/BF03015326.
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New intravenous anaesthetics and neuromuscular blocking drugs. A review of their properties and clinical use.
新型静脉麻醉药和神经肌肉阻滞药。其特性及临床应用综述。
Drugs. 1987 Jul;34(1):98-135. doi: 10.2165/00003495-198734010-00004.
4
Comparative evaluation of propofol and thiopentone for total intravenous anaesthesia.丙泊酚与硫喷妥钠用于全静脉麻醉的比较评价
Can J Anaesth. 1990 Mar;37(2):170-6. doi: 10.1007/BF03005465.