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[丁丙诺啡术前及术后镇痛:对心血管循环和呼吸的影响]

[Per- and postoperative buprenorphine analgesia: cardiocirculatory and respiratory effects].

作者信息

Rifat K, Magnin C, Morel D

出版信息

Cah Anesthesiol. 1984 Jan-Feb;32(1):33-6.

PMID:6529632
Abstract

In 25 non-premedicated patients, buprénorphine (5 micrograms/kg - 1) has been injected i.v. 30 mn before coelioscopic sterilization under general anaesthesia. Following the i.v. injection there no significant modification of the arterial systolic and diastolic blood pressure was observed but post-operative bradycardia. Tidal volume and minute/ventilation decreased whereas the respiratory rate remained stable. Arterial blood gaz analysis showed slightly hypoxaemia and a significant rise of PaCO2 with post-operative acidosis similar to that in the control group. Good postoperative analgesia was achieved but with profound sedation and a high incidence of nausea and vomiting.

摘要

在25例未进行术前用药的患者中,在全身麻醉下进行腹腔镜绝育术前30分钟静脉注射丁丙诺啡(5微克/千克 - 1)。静脉注射后,未观察到动脉收缩压和舒张压有明显变化,但出现术后心动过缓。潮气量和分钟通气量下降,而呼吸频率保持稳定。动脉血气分析显示轻度低氧血症,PaCO2显著升高,术后酸中毒与对照组相似。术后镇痛效果良好,但伴有深度镇静以及恶心和呕吐的高发生率。

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