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吗啡诱导呼吸抑制的拮抗剂。一项针对术后患者的研究。

Antagonists of morphine-induced respiratory depression. A study in postoperative patients.

作者信息

Gairola R L, Gupta P K, Pandley K

出版信息

Anaesthesia. 1980 Jan;35(1):17-21. doi: 10.1111/j.1365-2044.1980.tb03714.x.

Abstract

This double blind study showed the effect of four drugs, levallorphan, naloxone, doxapram and amiphenazole, an opiate-induced analgesia and respiratory depression. Satisfactory analgesia was induced by administration of morphine intravenously in a dose of up to 0.33 mg/kg; such a dose, however, produced significant depression of respiration. Administration of levallorphan, naloxone, and amiphenazole produced reversal of respiratory depression and analgesia. Doxapram reversed the respiratory depression but did not alter analgesia.

摘要

这项双盲研究显示了四种药物,即左洛啡烷、纳洛酮、多沙普仑和阿米苯唑对阿片类药物诱导的镇痛和呼吸抑制的作用。静脉注射高达0.33mg/kg剂量的吗啡可产生满意的镇痛效果;然而,这样的剂量会导致明显的呼吸抑制。给予左洛啡烷、纳洛酮和阿米苯唑可逆转呼吸抑制和镇痛作用。多沙普仑可逆转呼吸抑制,但不改变镇痛效果。

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