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[氟哌利多及芬太尼术前用药的脑电图效应。16例患者的临床研究(作者译)]

[EEG effects of premedication with thalamonal. a clinical study on 16 patients (author's transl)].

作者信息

Pichlmayr I, Lips U

出版信息

Anaesthesist. 1980 Jul;29(7):360-5.

PMID:7425262
Abstract

Changes of EEG and cEEG have been studied in two groups of patients (n=16) premedicated with 2 ml Thalamonal iv. (dosage: 5 mg droperidol; 0.1 mg fentanyl). Study group A consisted of patients, whose age ranged from 20 to 50 years, in study group B the patients' ages were avove 70 years. EEG and cEEG observation time was 15 min in general; in a few cases on hour. Changes in clinical behaviour were registered; blood pressure and pulse-rate measurements were taken at regular intervals. The base line electroencephalogram of twelve patients was unremarkable. Four elder patients of group B showed deviations from normal. Characteristic changes in the electroencephalogram after the tested premedication were: a decent accentuation and a light shifting to lower frequency of alpha-activity; in addition a light increase of delta-frequency. In good correlation to these findings were the clinical effects of sedation and light sleep. Light side effects in behaviour were seen in one patient. The tested disage of Thalamonal i.v. lowered the blood pressure particularly in younger patients.

摘要

对两组患者(每组16例)进行了脑电图(EEG)和连续脑电图(cEEG)变化的研究,这些患者静脉注射2ml氟哌利多/芬太尼合剂(剂量:5mg氟哌利多;0.1mg芬太尼)进行术前用药。A研究组患者年龄在20至50岁之间,B研究组患者年龄在70岁以上。EEG和cEEG的观察时间一般为15分钟;少数情况下为1小时。记录临床行为的变化;定期测量血压和脉搏率。12例患者的基线脑电图无明显异常。B组4例老年患者脑电图有异常。经测试的术前用药后脑电图的特征性变化为:α波活动有适度增强且轻度向低频偏移;此外,δ波频率略有增加。这些发现与镇静和浅睡眠的临床效果密切相关。1例患者出现轻度行为副作用。经测试的静脉注射氟哌利多/芬太尼合剂剂量使血压降低,尤其是年轻患者。

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