不同类型麻醉下给予维库溴铵后反射运动开始时的强直后计数和单刺激颤搐高度。
Post-tetanic count and single twitch height at the onset of reflex movement after administration of vecuronium under different types of anaesthesia.
作者信息
Saitoh Y, Kaneda K, Toyooka H, Amaha K
机构信息
Department of Anaesthesiology and Critical Care Medicine, Faculty of Medicine, Tokyo Medical and Dental University, Japan.
出版信息
Br J Anaesth. 1994 Jun;72(6):688-90. doi: 10.1093/bja/72.6.688.
We have studied post-tetanic count (PTC) and single twitch height at the onset of reflex movement to carinal stimulation after administration of vecuronium with five different types of anaesthesia. Seventy-five adult patients were allocated randomly to five groups of 15 patients each, to receive one of the following anaesthetics: neuroleptanaesthesia (fentanyl and droperidol) or 1 MAC of either halothane, isoflurane, enflurane or sevoflurane with 66% nitrous oxide in oxygen. During spontaneous recovery from vecuronium-induced neuromuscular block, the carina was stimulated with a suction catheter every 150 s. Single twitch heights at the onset of reflex movement were similar (2.0-2.7% of control values) between the five groups. In contrast, PTC at the onset of reflex movement to carinal stimulation differed (7.4-17.0) between groups.
我们研究了在使用五种不同类型麻醉剂给予维库溴铵后，对隆突刺激引发反射运动开始时的强直后计数（PTC）和单刺激颤搐高度。75名成年患者被随机分为五组，每组15名患者，分别接受以下麻醉剂之一：神经安定麻醉（芬太尼和氟哌利多）或1个最低肺泡有效浓度（MAC）的氟烷、异氟烷、恩氟烷或七氟烷，并在氧气中加入66%的氧化亚氮。在维库溴铵诱导的神经肌肉阻滞自然恢复过程中，每隔150秒用吸引导管刺激隆突。五组之间反射运动开始时的单刺激颤搐高度相似（为对照值的2.0 - 2.7%）。相比之下，对隆突刺激引发反射运动开始时的PTC在各组之间有所不同（7.4 - 17.0）。
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