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恩氟烷用于门诊牙科麻醉时的心律失常。“β受体阻滞剂”的作用

Cardiac dysrhythmias during outpatient dental anaesthesia with enflurane. The role of "beta blockade".

作者信息

Rollason W N, Bennetts F E, Clarke I

出版信息

Acta Anaesthesiol Scand. 1984 Oct;28(5):497-502. doi: 10.1111/j.1399-6576.1984.tb02106.x.

DOI:10.1111/j.1399-6576.1984.tb02106.x
PMID:6496008
Abstract

In a study of 120 unpremedicated outpatients presenting for outpatient dental anaesthesia, the incidence of dysrhythmias was lower with enflurane than had previously been found with halothane (1). The intravenous use of the cardioselective beta adrenergic blocking agents practolol and metoprolol, in a dose of 0.05-0.22 and 0.16-0.17 mg/kg body weight, respectively, proved effective in the treatment of sinus tachycardia in excess of 150 beats/min and/or ventricular dysrhythmias. Although metoprolol, unlike practolol, has no intrinsic sympathetic activity, there were no side-effects related to either beta-blocker in the dosages used during enflurane anaesthesia.

摘要

在一项针对120名未使用术前药的门诊牙科麻醉患者的研究中,恩氟烷导致心律失常的发生率低于先前使用氟烷时的发生率(1)。静脉注射剂量分别为0.05 - 0.22毫克/千克体重和0.16 - 0.17毫克/千克体重的心脏选择性β肾上腺素能阻滞剂心得宁和美托洛尔,被证明对治疗心率超过150次/分钟的窦性心动过速和/或室性心律失常有效。尽管美托洛尔与心得宁不同,没有内在交感活性,但在恩氟烷麻醉期间使用的剂量下,两种β受体阻滞剂均未产生副作用。

相似文献

1
Cardiac dysrhythmias during outpatient dental anaesthesia with enflurane. The role of "beta blockade".恩氟烷用于门诊牙科麻醉时的心律失常。“β受体阻滞剂”的作用
Acta Anaesthesiol Scand. 1984 Oct;28(5):497-502. doi: 10.1111/j.1399-6576.1984.tb02106.x.
2
Intravenous metoprolol and cardiac dysrhythmias. An evaluation in the management of dysrhythmias in outpatient dental anaesthesia.
Anaesthesia. 1980 Aug;35(8):783-9. doi: 10.1111/j.1365-2044.1980.tb03920.x.
3
Dysrhythmias during oral surgery. A comparison between halothane and enflurane anaesthesia.
Anaesthesia. 1980 Aug;35(8):775-8. doi: 10.1111/j.1365-2044.1980.tb03918.x.
4
Cardiac arrhythmias during outpatient dental anaesthesia: comparison of halothane with enflurane.
Br J Anaesth. 1983 May;55(5):399-403. doi: 10.1093/bja/55.5.399.
5
Halothane and enflurane in dental anaesthesia.氟烷和恩氟烷在牙科麻醉中的应用。
Anaesthesia. 1981 May;36(5):492-7. doi: 10.1111/j.1365-2044.1981.tb10285.x.
6
A comparison of the incidence and nature of cardiac dysrhythmias occurring during enflurane and isoflurane anaesthesia for dental surgery.
Anaesth Intensive Care. 1987 May;15(2):179-84. doi: 10.1177/0310057X8701500211.
7
[Cardiac dysrhythmias during halothane and enflurane anesthesia for dental procedures: a comparison].
S Afr Med J. 1983 Sep 17;64(12):448-50.
8
'Cardiac dysrhythmias during dental surgery'.牙科手术期间的心律失常
Br Dent J. 1985 Feb 23;158(4):120. doi: 10.1038/sj.bdj.4805549.
9
Metoprolol in anaesthesia for oral surgery. The effect of pretreatment on the incidence of cardiac dysrhythmias.
Anaesthesia. 1980 Aug;35(8):779-82. doi: 10.1111/j.1365-2044.1980.tb03919.x.
10
Dysrhythmias during inhalational anaesthesia for oral surgery. Incidence and prevention and treatment with practolol.口腔外科吸入麻醉期间的心律失常。发生率以及心得宁的预防和治疗
Anaesthesia. 1973 Mar;28(2):139-45. doi: 10.1111/j.1365-2044.1973.tb00305.x.

引用本文的文献

1
Analysis of cardiovascular changes and arterial blood gases in patients resistant to methohexital anesthesia.对耐甲己炔巴比妥麻醉患者心血管变化及动脉血气的分析。
Anesth Prog. 1987 Mar-Apr;34(2):51-7.
2
Cardiac dysrhythmias with general anesthesia during dental surgery.牙科手术期间全身麻醉引起的心律失常
Anesth Prog. 1988 May-Jun;35(3):102-15.