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氟烷麻醉期间维库溴铵和泮库溴铵的神经肌肉阻滞作用。

Neuromuscular blocking effects of vecuronium and pancuronium during halothane anaesthesia.

作者信息

Engbaek J, Ording H, Viby-Mogensen J

出版信息

Br J Anaesth. 1983 Jun;55(6):497-500. doi: 10.1093/bja/55.6.497.

Abstract

The neuromuscular blocking properties of vecuronium (Org NC 45) and pancuronium were compared in 40 patients during halothane anaesthesia. Onset time was found to be dose-dependent, but no significant difference was found between the two drugs. The duration of action of vecuronium was significantly shorter than pancuronium. Times to 90% recovery of twitch height following vecuronium 0.03 mg kg-1 and 0.057 mg kg-1 were 32.0 min and 44.9 min, respectively, compared with 72.9 min and 124.7 min following equipotent doses of pancuronium (0.042 mg kg-1 and 0.08 mg kg-1). Recovery indices following both doses of vecuronium (10.0 min and 11.8 min) were significantly shorter than after pancuronium (31.0 min and 46.9 min). The reversal times of vecuronium (times from 10% to 90% twitch height recovery) were significantly shorter than those of pancuronium (7.9 min and 7.3 min, respectively, compared with 17.1 min and 17.7 min).

摘要

在40例接受氟烷麻醉的患者中,比较了维库溴铵(Org NC 45)和泮库溴铵的神经肌肉阻滞特性。发现起效时间呈剂量依赖性,但两种药物之间未发现显著差异。维库溴铵的作用持续时间明显短于泮库溴铵。维库溴铵0.03 mg/kg和0.057 mg/kg后,颤搐高度恢复至90%的时间分别为32.0分钟和44.9分钟,而等效剂量的泮库溴铵(0.042 mg/kg和0.08 mg/kg)后分别为72.9分钟和124.7分钟。两种剂量维库溴铵后的恢复指数(10.0分钟和11.8分钟)明显短于泮库溴铵后(31.0分钟和46.9分钟)。维库溴铵的恢复时间(从颤搐高度恢复10%至90%的时间)明显短于泮库溴铵(分别为7.9分钟和7.3分钟,而泮库溴铵为17.1分钟和17.7分钟)。

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