Keda B I
Farmakol Toksikol. 1985 Jan-Feb;48(1):39-43.
Gas liquid chromatography was used to study and compare the changes in pentrane and halothane concentrations in the blood of patients with general surgical diseases under the conditions of monopentrane and combined (pentrane plus nitrous oxide) anesthesia (19 children aged 1-14 years), monohalothane anesthesia with different types of premedication (18 children aged 6-12 years) and with different types of the general anesthesia maintenance (24 patients aged 20-52 years). The use of combined anesthesia and premedication with suppositories containing phentanyl, methacin and etaperazine under the conditions of monohalothane anesthesia makes it possible, upon the attainment of stage III1 anesthesia, to reduce the concentration of the fluorine-containing anesthetics in the venous blood of the children by 1.7-1.8 times on an average. The maintenance of the general anesthesia by subanesthetic concentrations of a mixture of halothane, pentrane, nitrous oxide and phentanyl provides for adequate general anesthesia with substantially reduced concentrations of the fluorine-containing anesthetics in the arterial and venous blood of patients at the main stage of surgical intervention: halothane concentration is reduced 1.6 and 1.7-fold, that of pentrane 2.6- and 3.6-fold, respectively.
采用气相液相色谱法,研究并比较了普外科疾病患者在单戊烷麻醉和联合(戊烷加氧化亚氮)麻醉条件下(19名1至14岁儿童)、不同类型术前用药的单氟烷麻醉(18名6至12岁儿童)以及不同类型全身麻醉维持方式下(24名20至52岁患者)血液中戊烷和氟烷浓度的变化。在单氟烷麻醉条件下,使用含芬太尼、甲氯芬那酸和乙哌嗪的栓剂进行联合麻醉和术前用药,在达到Ⅲ1期麻醉时,儿童静脉血中含氟麻醉剂的浓度平均可降低1.7至1.8倍。通过亚麻醉浓度的氟烷、戊烷、氧化亚氮和芬太尼混合物维持全身麻醉,在手术干预主要阶段,患者动脉血和静脉血中含氟麻醉剂的浓度大幅降低,可实现充分的全身麻醉:氟烷浓度分别降低1.6倍和1.7倍,戊烷浓度分别降低2.6倍和3.6倍。