Warran P, Radford P, Manford M L
Br J Anaesth. 1981 Dec;53(12):1273-6. doi: 10.1093/bja/53.12.1273.
The effects of glycopyrrolate 10 microgram kg-1 i.v. given at induction of anaesthesia were compared with those of atropine 20 microgram kg-1 i.v. given at induction and oral atropine 30 microgram kg-1 given 90 min before operation. Antisialagogue effect, changes in axillary temperature, heart rate, frequency of cardiac arrhythmia and postoperative restlessness were determined. Patients who had received oral atropine had more pharyngeal secretions, a lower heart rate and a greater frequency of cardiac arrhythmia than when either atropine or glycopyrrolate was given i.v. Secretions were significantly less during operation when i.v. glycopyrrolate was used.
将麻醉诱导时静脉注射10微克/千克的格隆溴铵的效果,与麻醉诱导时静脉注射20微克/千克的阿托品以及术前90分钟口服30微克/千克阿托品的效果进行比较。测定了抗唾液分泌作用、腋窝温度变化、心率、心律失常频率和术后躁动情况。接受口服阿托品的患者比静脉注射阿托品或格隆溴铵时,有更多的咽部分泌物、更低的心率和更高的心律失常频率。使用静脉注射格隆溴铵时,术中分泌物明显减少。