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口服地西泮进行术前用药可降低琥珀酰胆碱后肌肉疼痛的发生率。

Oral diazepam premedication reduces the incidence of post-succinylcholine muscle pains.

作者信息

Davies A O

出版信息

Can Anaesth Soc J. 1983 Nov;30(6):603-6. doi: 10.1007/BF03015230.

DOI:10.1007/BF03015230
PMID:6640397
Abstract

In a prospective, double-blind placebo controlled trial, the effect of oral diazepam premedication on post-succinylcholine fasciculations and myalgia was studied. Forty patients undergoing septoplasty procedures received orally identical capsules containing either 10 mg of diazepam or a placebo 90 minutes preoperatively. A standardized anaesthetic regimen included induction with 5 mg X kg-1 of thiopental and 1 mg X kg-1 of succinylcholine. The diazepam and control groups did not differ significantly in extent of fasciculations or ease of intubation. However, only 15 per cent of the diazepam premedicated patients had myalgias postoperatively compared to 50 per cent of the control patients, a statistically significant difference (p = 0.04).

摘要

在一项前瞻性、双盲、安慰剂对照试验中,研究了口服地西泮进行术前用药对琥珀酰胆碱后肌束震颤和肌痛的影响。40例接受鼻中隔成形术的患者在术前90分钟口服相同的胶囊,其中包含10毫克地西泮或安慰剂。标准化麻醉方案包括用5毫克/千克硫喷妥钠和1毫克/千克琥珀酰胆碱诱导麻醉。地西泮组和对照组在肌束震颤程度或插管难易程度上无显著差异。然而,地西泮术前用药的患者术后仅有15%出现肌痛,而对照组患者为50%,差异有统计学意义(p = 0.04)。

相似文献

1
Oral diazepam premedication reduces the incidence of post-succinylcholine muscle pains.口服地西泮进行术前用药可降低琥珀酰胆碱后肌肉疼痛的发生率。
Can Anaesth Soc J. 1983 Nov;30(6):603-6. doi: 10.1007/BF03015230.
2
Diazepam does not prevent succinylcholine-induced fasciculations and myalgia. A comparative evaluation of the effect of diazepam and d-tubocurarine pretreatments.
Acta Anaesthesiol Scand. 1984 Oct;28(5):523-8. doi: 10.1111/j.1399-6576.1984.tb02112.x.
3
Diazepam and succinylcholine-induced muscle pains.地西泮和琥珀酰胆碱引起的肌肉疼痛。
Anesth Analg. 1978 May-Jun;57(3):295-7. doi: 10.1213/00000539-197805000-00002.
4
Decreasing post-succinylcholine myalgia in outpatients.减轻门诊患者琥珀酰胆碱后肌痛
Can J Anaesth. 1987 May;34(3 ( Pt 1)):238-41. doi: 10.1007/BF03015159.
5
Differential effects of neuromuscular blocking agents on suxamethonium-induced fasciculations and myalgia.神经肌肉阻滞剂对琥珀酰胆碱诱发的肌束颤动和肌痛的不同作用。
Br J Anaesth. 1988 Mar;60(4):367-71. doi: 10.1093/bja/60.4.367.
6
Attenuation of suxamethonium myalgias. Effect of midazolam and vecuronium.
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Diazepam and suxamethonium muscle pain (a dose-response study).地西泮与琥珀酰胆碱所致肌肉疼痛(一项剂量反应研究)
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[Use of atracurium for the prevention of fasciculations and succinylcholine myalgia in athletes undergoing orthopedic surgery].
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Calcium gluconate pretreatment for prevention of succinylcholine-induced myalgia.葡萄糖酸钙预处理预防琥珀酰胆碱诱发的肌痛。
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Rocuronium pretreatment reduces suxamethonium-induced myalgia: comparison with vecuronium.罗库溴铵预处理可减轻琥珀胆碱诱导的肌痛:与维库溴铵的比较。
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引用本文的文献

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Drugs for preventing postoperative nausea and vomiting.预防术后恶心呕吐的药物。
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本文引用的文献

1
Failure of divided doses of succinylcholine to reduce the incidence of muscle pains.琥珀酰胆碱分次给药未能降低肌肉疼痛的发生率。
Anesthesiology. 1980 Mar;52(3):273-5. doi: 10.1097/00000542-198003000-00018.
2
Postoperative muscle pains and suxamethonium.术后肌肉疼痛与琥珀胆碱
Br J Anaesth. 1980 Feb;52(2):215-8. doi: 10.1093/bja/52.2.215.
3
Diazepam and suxamethonium muscle pain (a dose-response study).地西泮与琥珀酰胆碱所致肌肉疼痛(一项剂量反应研究)
Anaesthesia. 1982 Jun;37(6):688-90. doi: 10.1111/j.1365-2044.1982.tb01284.x.
4
Does diazepam pretreatment prevent succinylcholine-induced fasciculations?--a double-blind comparison of diazepam and tubocurarine pretreatments.地西泮预处理能否预防琥珀酰胆碱诱导的肌束颤动?——地西泮与筒箭毒碱预处理的双盲比较。
Anesth Analg. 1980 Dec;59(12):932-4.
5
"Self-taming" with succinylcholine and muscle pain.琥珀酰胆碱“自我驯服”与肌肉疼痛
Anesthesiology. 1983 May;58(5):487. doi: 10.1097/00000542-198305000-00025.
6
Effects of diazepam on succinylcholine-induced myalgia, potassium increase, creatine phosphokinase elevation, and relaxation.地西泮对琥珀酰胆碱诱导的肌痛、血钾升高、肌酸磷酸激酶升高及肌肉松弛的影响。
Anesth Analg. 1979 Jul-Aug;58(4):314-7. doi: 10.1213/00000539-197907000-00011.
7
Relation of precurarization to suxamethonium to provide ease of intubation and to prevent post-suxamethonium muscle pains.预箭毒化与琥珀酰胆碱的关系,以实现插管顺利并预防琥珀酰胆碱后肌痛。
Can Anaesth Soc J. 1979 Mar;26(2):94-8. doi: 10.1007/BF03013776.
8
Suxamethonium pains and fasciculations.琥珀胆碱引起的疼痛和肌束震颤。
Proc R Soc Med. 1975 Feb;68(2):105-8. doi: 10.1177/003591577506800219.
9
Sequelae after the intravenous injection of three benzodiazepines--diazepam, lorazepam, and flunitrazepam.静脉注射三种苯二氮䓬类药物(地西泮、劳拉西泮和氟硝西泮)后的后遗症。
Br Med J. 1977 Nov 26;2(6099):1384-5. doi: 10.1136/bmj.2.6099.1384.