纤维支气管镜检查的术前用药。
Premedication for fibreoptic bronchoscopy.
作者信息
Rees P J, Hay J G, Webb J R
出版信息
Thorax. 1983 Aug;38(8):624-7. doi: 10.1136/thx.38.8.624.
Abstract
A randomised, double-blind trial of atropine, atropine plus papaveretum, and atropine plus diazepam given intramuscularly as premedication for fibreoptic bronchoscopy in 60 patients showed no difference between the three regimens as assessed by bronchoscopist or patient. Bronchoscopists frequently attributed a sedative action to atropine alone and their assessment of tolerance and sedation was more optimistic than that of the patients. In a second study comparing intravenous diazepam (10 mg) with saline, after prior intramuscular atropine (0.6 mg), both the bronchoscopists and the patients noted a significant sedative effect of diazepam, and coughing was reduced by diazepam.
摘要
一项针对60例患者进行的随机双盲试验，比较了肌肉注射阿托品、阿托品加罂粟碱以及阿托品加地西泮作为纤维支气管镜检查术前用药的效果。结果显示，支气管镜检查医师或患者评估发现，这三种用药方案之间并无差异。支气管镜检查医师常认为阿托品本身具有镇静作用，他们对耐受性和镇静效果的评估比患者更为乐观。在第二项研究中，先肌肉注射阿托品（0.6毫克），然后比较静脉注射地西泮（10毫克）和生理盐水的效果。结果发现，支气管镜检查医师和患者均指出地西泮具有显著的镇静作用，且地西泮可减少咳嗽。
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本文引用的文献
1
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Br Med J. 1980 Sep 20;281(6243):779-80. doi: 10.1136/bmj.281.6243.779.
2
The response to atropine sulfate given by aerosol and intramuscular routes to patients undergoing fiberoptic bronchoscopy.
Chest. 1981 May;79(5):512-5. doi: 10.1378/chest.79.5.512.
3
Plasma concentrations of lignocaine during fibreoptic bronchoscopy.纤维支气管镜检查期间利多卡因的血浆浓度。
Thorax. 1982 Jan;37(1):68-71. doi: 10.1136/thx.37.1.68.
4
Response of patients to upper gastrointestinal endoscopy: effect of inherent personality traits and premedication with diazepam.患者对上消化道内镜检查的反应：内在人格特质及地西泮预处理的影响
Br Med J (Clin Res Ed). 1982 Jul 24;285(6337):251-2. doi: 10.1136/bmj.285.6337.251.
5
Simple device for laryngeal anesthesia at fibreoptic bronchoscopy.
Lancet. 1982 Oct 30;2(8305):989. doi: 10.1016/s0140-6736(82)90189-1.
6
Patients appreciate premedication for endoscopy.
Lancet. 1980 Aug 30;2(8192):469-70. doi: 10.1016/s0140-6736(80)91899-1.
7
Psychological preparation for an endoscopic examination.
Gastrointest Endosc. 1973 May;19(4):180-2. doi: 10.1016/s0016-5107(73)73995-x.
8
Premedication for gastrointestinal endoscopy.
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9
Comparison of diazepam and morphine as premedication for gastrointestinal endoscopy.
Lancet. 1971 Dec 25;2(7739):1397-9. doi: 10.1016/s0140-6736(71)90671-4.
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