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西咪替丁作为剖宫产术前麻醉剂:对围产期婴儿的影响、西咪替丁的胎盘转运及其在婴儿体内的消除

Cimetidine as pre-anesthetic agent for cesarean section: perinatal effects on the infant, the placental transfer of cimetidine and its elimination in the infants.

作者信息

Qvist N, Storm K, Holmskov A

出版信息

J Perinat Med. 1985;13(4):179-83. doi: 10.1515/jpme.1985.13.4.179.

DOI:10.1515/jpme.1985.13.4.179
PMID:4057034
Abstract

In a prospective randomized study of 39 consecutive cesarean sections, 20 patients received cimetidine 400 mg intramuscularly as a pre-anesthetic, an 19 control patients were given NaCl. No perinatal effects on the infants were observed by cardiotocography before delivery, and K, Na, pH, PCO2, HCO-3 and glucose values in capillary blood were nearly identical in the two groups 2 hours after birth, the difference being non-significant (p greater than 0.05). No respiratory effects or arrhythmias were observed. In another study comprising 8 elective cesarean sections in patients with uncomplicated pregnancies, cimetidine was found to cross the placenta at a maternal/cord blood ratio of 3:1. The drug could not be detected in any of the infants 2 hours after delivery.

摘要

在一项对39例连续剖宫产的前瞻性随机研究中,20例患者在麻醉前接受400mg西咪替丁肌肉注射,19例对照患者给予氯化钠。分娩前通过胎心监护未观察到对婴儿的围产期影响,出生后2小时两组毛细血管血中的钾、钠、pH、PCO₂、HCO₃⁻和葡萄糖值几乎相同,差异无统计学意义(p>0.05)。未观察到呼吸影响或心律失常。在另一项包括8例无并发症妊娠患者择期剖宫产的研究中,发现西咪替丁以3:1的母体/脐血比例穿过胎盘。分娩后2小时在任何婴儿中均未检测到该药物。

相似文献

1
Cimetidine as pre-anesthetic agent for cesarean section: perinatal effects on the infant, the placental transfer of cimetidine and its elimination in the infants.西咪替丁作为剖宫产术前麻醉剂:对围产期婴儿的影响、西咪替丁的胎盘转运及其在婴儿体内的消除
J Perinat Med. 1985;13(4):179-83. doi: 10.1515/jpme.1985.13.4.179.
2
The placental transfer of cimetidine.西咪替丁的胎盘转运。
Anaesthesia. 1981 Apr;36(4):371-5. doi: 10.1111/j.1365-2044.1981.tb10240.x.
3
Cimethidine pre-anesthetic. A prophylactic method against Mendelson's syndrome in cesarean section.西咪替丁麻醉前用药。剖宫产中预防孟德尔森综合征的一种方法。
Acta Obstet Gynecol Scand. 1983;62(2):157-9. doi: 10.3109/00016348309155782.
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Comparison of cimetidine (Tagamet) with antacid for safety and effectiveness in reducing gastric acidity before elective cesarean section.西咪替丁(泰胃美)与抗酸剂在择期剖宫产术前降低胃酸度的安全性和有效性比较。
Anesthesiology. 1983 Aug;59(2):86-90. doi: 10.1097/00000542-198308000-00003.
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Low clearance of cimetidine across the human placenta.西咪替丁经人胎盘的清除率较低。
J Pharmacol Exp Ther. 1987 Jun;241(3):1006-9.
6
Lack of influence of cimetidine on bupivacaine levels during parturition.
Anesth Analg. 1987 Oct;66(10):986-90.
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Placental transfer and fetal metabolic effects of phenylephrine and ephedrine during spinal anesthesia for cesarean delivery.剖宫产脊髓麻醉期间去氧肾上腺素和麻黄碱的胎盘转运及胎儿代谢效应
Anesthesiology. 2009 Sep;111(3):506-12. doi: 10.1097/ALN.0b013e3181b160a3.
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MATERNAL AND CORD BLOOD AT DELIVERY. II. PARAMETERS OF RESPIRATORY EXCHANGE: ELECTIVE CESAREAN SECTION.分娩时的母血与脐血。II. 呼吸交换参数:择期剖宫产
Am J Obstet Gynecol. 1965 Sep 1;93:37-43. doi: 10.1016/0002-9378(65)90292-9.
9
Prophylaxis for Mendelson's syndrome before elective caesarean section. A comparison of cimetidine and magnesium trisilicate mixture regimens.择期剖宫产术前预防 Mendelson 综合征。西咪替丁与三硅酸镁合剂方案的比较。
Br J Obstet Gynaecol. 1980 Jul;87(7):565-70. doi: 10.1111/j.1471-0528.1980.tb05004.x.
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[Comparative studies of placentar diffusion of propanidid (Sombrevin) and barbiturate in premature pregnancies and cesarean sections].[丙泮尼地(索米痛)与巴比妥酸盐在早产及剖宫产中胎盘扩散的比较研究]
Zentralbl Gynakol. 1977;99(6):343-7.

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Effect of cimetidine on maternal and fetal prolactin secretion during labor.
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