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关于非去极化神经肌肉阻滞药物的作用时间过程(作者译)

[On the time course of action of nondepolarizing neuromuscular blocking drugs (author's transl)].

作者信息

Schuh F T

出版信息

Anaesthesist. 1981 Sep;30(9):440-6.

PMID:6456677
Abstract
  1. Time of onset and duration of action of various doses of pancuronium, tubocurarine, alcuronium , metocurine or dimethyltubocurarine, gallamine and fazadinium were studied by means of mechanomyograms of the hand muscles (twitch) following supramaximal electrical stimulation of the ulnar nerve (100-120 V, 0.2 ms, 0.2 Hz) in 293 patients during neurolept anaesthesia. -2. With an intravenous injection rate of about 5s there was no difference in latency time, however, the time of onset was found to be dose dependent. At equipotent conditions (ED95) the onset time correlated with the molecular weight of the muscle relaxants. -3. As expected the duration of action was dose-dependent. Following equi-effective doses (ED95) the duration of action correlated closely with the molecular weight. -4. The relation between the duration of action and the dosage of a muscle relaxant could sufficiently be described by the equation Y = a x Yb and straightened applying a double-logarithmic plot. The values of a and b for various degrees of recovery were obtained by regression analysis. Thus, the duration of action can be predicted by substituting of dose values into the above equation.
摘要
  1. 在293例接受神经安定麻醉的患者中,通过对尺神经进行超强电刺激(100 - 120V,0.2ms,0.2Hz)后手部肌肉的机械肌电图(颤搐),研究了不同剂量的泮库溴铵、筒箭毒碱、阿库氯铵、美索曲明或二甲筒箭毒碱、加拉明和法扎溴铵的起效时间和作用持续时间。

  2. 静脉注射速度约为5s时,潜伏期无差异,但起效时间呈剂量依赖性。在等效条件(ED95)下,起效时间与肌肉松弛剂的分子量相关。

  3. 正如预期的那样,作用持续时间呈剂量依赖性。给予等效剂量(ED95)后,作用持续时间与分子量密切相关。

  4. 肌肉松弛剂的作用持续时间与剂量之间的关系可以用方程Y = a x Yb充分描述,并通过双对数图进行线性化处理。通过回归分析获得不同恢复程度下的a和b值。因此,通过将剂量值代入上述方程,可以预测作用持续时间。

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