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两种用于麻醉诱导的苯二氮䓬类药物的比较:咪达唑仑和地西泮。

Comparison of two benzodiazepines for anaesthesia induction: midazolam and diazepam.

作者信息

Reves J G, Corssen G, Holcomb C

出版信息

Can Anaesth Soc J. 1978 May;25(3):211-4. doi: 10.1007/BF03004881.

DOI:10.1007/BF03004881
PMID:656993
Abstract

Ro 21-3981 is a newly synthesized water soluble benzodiazepine derivative. Its pharmacological properties are similar to diazepam. This investigation was designed to establish the effective induction dosage of Ro 21-3981 and to compare it with diazepam for induction of anaesthesia. The ED50 for Ro 21-3981 induction is 0.15 mg/kg and ED 100 is 0.2 mg/kg. Ro 21-3981 is one and one-half times as potent as diazepam (0.3 mg/kg) and more rapid in action. There is significantly less pain on injection with Ro 21-3981 as compared to diazepam. Cardiovascular stability and apnoea were observed with both drugs. Ro 21-3981 is a promising anaesthetic induction drug that merits further human study.

摘要

Ro 21-3981是一种新合成的水溶性苯二氮䓬衍生物。其药理特性与地西泮相似。本研究旨在确定Ro 21-3981的有效诱导剂量,并将其与地西泮用于麻醉诱导进行比较。Ro 21-3981诱导的半数有效剂量(ED50)为0.15毫克/千克,完全有效剂量(ED100)为0.2毫克/千克。Ro 21-3981的效力是地西泮(0.3毫克/千克)的1.5倍,且起效更快。与地西泮相比,注射Ro 21-3981时的疼痛明显减轻。两种药物均观察到心血管稳定性和呼吸暂停。Ro 21-3981是一种有前景的麻醉诱导药物,值得进一步开展人体研究。

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Comparison of two benzodiazepines for anaesthesia induction: midazolam and diazepam.两种用于麻醉诱导的苯二氮䓬类药物的比较:咪达唑仑和地西泮。
Can Anaesth Soc J. 1978 May;25(3):211-4. doi: 10.1007/BF03004881.
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COMPARISON OF MIDAZOLAM AND THIOPENTONE AS INDUCTION AGENTS IN GENERAL ANAESTHESIA.咪达唑仑与硫喷妥钠作为全身麻醉诱导剂的比较
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Flumazenil does not antagonize the cardiac effects of midazolam in the isolated rat heart-lung preparation.氟马西尼不能拮抗咪达唑仑在离体心肺制备中的心脏效应。
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Noninvasive assessment of cardiac performance of intravenous benzodiazepines by systolic time intervals.通过收缩期时间间期对静脉注射苯二氮䓬类药物的心脏功能进行无创评估。
J Anesth. 1990 Jul;4(3):253-9. doi: 10.1007/s0054000040253.
9
Influence of serum protein, serum albumin concentrations and dose on midazolam anaesthesia induction times.血清蛋白、血清白蛋白浓度及剂量对咪达唑仑麻醉诱导时间的影响。
Can Anaesth Soc J. 1981 Nov;28(6):556-60. doi: 10.1007/BF03007152.
10
Comparison of thiopentone and midazolam for induction of anaesthesia: influence of diazepam premedication.硫喷妥钠与咪达唑仑用于麻醉诱导的比较:地西泮术前用药的影响
Can Anaesth Soc J. 1982 May;29(3):227-30. doi: 10.1007/BF03007121.
The benzodiazepines. A review of their actions and uses relative to anaesthetic practice.
苯二氮䓬类药物。关于其与麻醉实践相关的作用及用途的综述。
Br J Anaesth. 1970 Mar;42(3):217-34. doi: 10.1093/bja/42.3.217.
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Memory under diazepam-morphine neuroleptanesthesia in male surgical patients.
Anesth Analg. 1974 Jul-Aug;53(4):488-95.
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Effect of diazepam on myocardial blood flow of patients with and without coronary artery disease.地西泮对有无冠状动脉疾病患者心肌血流的影响。
Br Heart J. 1973 Jun;35(6):626-30. doi: 10.1136/hrt.35.6.626.
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Cardiopulmonary effects of diazepam.地西泮对心肺的影响。
Clin Pharmacol Ther. 1973 Mar-Apr;14(2):182-9. doi: 10.1002/cpt1973142182.
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Systemic and coronary hemodynamic effects of diazepam in patients with normal and diseased coronary arteries.地西泮对冠状动脉正常及病变患者的全身和冠状动脉血流动力学影响。
Circulation. 1974 Dec;50(6):1210-6. doi: 10.1161/01.cir.50.6.1210.
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Diazepam metabolism in normal man. I. Serum concentrations and clinical effects after intravenous, intramuscular, and oral administration.正常人地西泮的代谢。I. 静脉注射、肌肉注射及口服给药后的血清浓度及临床效应
Clin Pharmacol Ther. 1974 Sep;16(3):479-84.