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阿托品或格隆溴铵与5毫克新斯的明:一项比较剂量反应研究。

Atropine or glycopyrrolate with neostigmine 5 mg: a comparative dose-response study.

作者信息

Salem M G, Ahearn R S

出版信息

J R Soc Med. 1986 Jan;79(1):19-21. doi: 10.1177/014107688607900107.

DOI:10.1177/014107688607900107
PMID:3944815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1290140/
Abstract

One hundred and fifteen patients, separated into 4 groups, received neostigmine 5 mg with either atropine 1.2 mg or 1.8 mg, or glycopyrrolate 0.6 mg or 0.9 mg. Those receiving 0.9 mg glycopyrrolate had insignificant changes in heart rate in the immediate postreversal period. It is recommended that when glycopyrrolate is used with 5 mg neostigmine, the optimum dose is 0.9 mg.

摘要

115名患者被分成4组,分别接受新斯的明5毫克与阿托品1.2毫克或1.8毫克,或格隆溴铵0.6毫克或0.9毫克的治疗。接受0.9毫克格隆溴铵治疗的患者在逆转后即刻心率变化不明显。建议当格隆溴铵与5毫克新斯的明联用时,最佳剂量为0.9毫克。

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本文引用的文献

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PREVENTION AND TREATMENT OF d-TUBOCURARINE POISONING.
Science. 1944 Nov 24;100(2604):474-5. doi: 10.1126/science.100.2604.474.
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Comparison of the effects of atropine and glycopyrrolate on various end-organs.阿托品与格隆溴铵对各终末器官作用的比较。
J R Soc Med. 1980 Oct;73(10):727-30.
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Reversal of neuromuscular blockade: dose determination studies with atropine and glycopyrrolate given before or in a mixture with neostigmine.神经肌肉阻滞的逆转:在新斯的明之前或与新斯的明混合使用时给予阿托品和格隆溴铵的剂量确定研究。
Anesth Analg. 1981 Aug;60(8):557-62.
4
Glycopyrrolate-neostigmine and atropine-neostigmine mixtures affect postanesthetic arousal times differently.格隆溴铵-新斯的明合剂与阿托品-新斯的明合剂对麻醉后苏醒时间的影响不同。
Anesth Analg. 1980 Jun;59(6):431-4.
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Acta Anaesthesiol Scand. 1982 Dec;26(6):620-5. doi: 10.1111/j.1399-6576.1982.tb01827.x.
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Glycopyrrolate: pharmacology and clinical use.格隆溴铵:药理学与临床应用
Anaesthesia. 1983 Dec;38(12):1195-204. doi: 10.1111/j.1365-2044.1983.tb12525.x.
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Response to tubocurarine chloride and its reversal by neostigmine methylsulfate in man.
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Duration of action of neostigmine in man.
Can Anaesth Soc J. 1976 Jan;23(1):80-4. doi: 10.1007/BF03004997.
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Comparative penetration of glycopyrrolate and atropine across the blood--brain and placental barriers in anesthetized dogs.
Anesthesiology. 1978 May;48(5):339-44. doi: 10.1097/00000542-197805000-00007.
10
Glycopyrrolate-neostigmine mixture for antagonism of neuromuscular block: comparison with atropine-neostigmine mixture.用于拮抗神经肌肉阻滞的格隆溴铵-新斯的明合剂:与阿托品-新斯的明合剂的比较。
Br J Anaesth. 1977 Aug;49(8):825-9. doi: 10.1093/bja/49.8.825.