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异丙嗪对脑电图的影响。对17例患者的研究(作者译)

[Eeg-effects of promethazine. study on 17 patients (author's transl)].

作者信息

Pichlmayr I, Lips U

出版信息

Anaesthesist. 1980 Jan;29(1):18-25.

PMID:7396169
Abstract

Changes in EEG and cEEG were studied in two groups of patients premedicated with promethazine in a dosage of 50 mg iv; study group A consisted of patients whose age ranged from 20-50 years and study group B of patients whose age was above 70 years. The observation time was 15 min but in a few patients only it was extended to 60 min. Changes in behaviour were clinically controlled. Blood pressure and pulse-rate measurements were taken at regular intervals. The first taken base line electroencephalogram patterns of the patients in group A were unremarkable. The recordings of the patients in group B showed a high percentage of deviation from normal. The sedative effect of promethazine showed a widespread individual variation as did also the characteristic changes in EEG frequency bands. Psychomotor side-effects were frequently seen. Characteristic changes in EEG were found to be a continuing 20%-50% decline of alpha amplitude mostly combined with an alternation of stability, or a narrowing of the frequency range in the higher beta band. In addition a light increase of delta and theta activity was observed. Blood pressure and pulse-rate showed a light increase.

摘要

在两组预先静脉注射50毫克异丙嗪进行术前用药的患者中研究了脑电图(EEG)和连续脑电图(cEEG)的变化;A研究组由年龄在20至50岁之间的患者组成,B研究组由年龄在70岁以上的患者组成。观察时间为15分钟,但少数患者的观察时间延长至60分钟。对行为变化进行了临床监测。定期测量血压和脉搏率。A组患者最初记录的基线脑电图模式无明显异常。B组患者的记录显示偏离正常的比例很高。异丙嗪的镇静作用表现出广泛的个体差异,脑电图频段的特征性变化也是如此。经常可见精神运动性副作用。发现脑电图的特征性变化是α波幅持续下降20%至50%,大多伴有稳定性改变,或较高β频段频率范围变窄。此外,还观察到δ波和θ波活动略有增加。血压和脉搏率略有升高。

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