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罗库溴铵的起效时间及插管条件评估。

Evaluation of the onset and intubation conditions of rocuronium bromide.

作者信息

De Mey J C, Debrock M, Rolly G

机构信息

Department of Anaesthesiology, University Hospital, Ghent, Belgium.

出版信息

Eur J Anaesthesiol Suppl. 1994;9:37-40.

PMID:7925206
Abstract

Rocuronium 0.6, 0.75, or 0.9 mg kg-1, was given after supramaximal train-of-four stimulation of the ulnar nerve, measuring the compound action potential of the hypothenar muscles, Intubation conditions, onset time, recovery to 25% and recovery index of the three doses of rocuronium bromide were determined in 60 ASA I or II consenting patients, who were receiving propofol, alfentanil and N2O/O2 for ophthalmic surgery. Intubation conditions were randomly assessed either 45 s or 60 s after injection. In general, intubation conditions were excellent or good; in only three patients were poor conditions obtained, always at 45 s. For total intubation score a borderline difference was found in favour of the 60 s subgroups. No difference could be shown between the three dose groups. The onset time was longer (P < 0.01) in the 0.6 mg kg-1 group, compared to that in the 0.9 mg kg-1 group. The recovery to 25% and spontaneous recovery index were shorter in the 0.6 mg kg-1 group (P < 0.01).

摘要

在对尺神经进行超强四个成串刺激后,分别给予患者罗库溴铵0.6、0.75或0.9毫克/千克,同时测量小鱼际肌的复合动作电位。在60例接受丙泊酚、阿芬太尼和N2O/O2用于眼科手术的美国麻醉医师协会(ASA)I或II级且同意参与的患者中,测定了三种剂量罗库溴铵的插管条件、起效时间、恢复至25%的时间以及恢复指数。在注射后45秒或60秒随机评估插管条件。总体而言,插管条件为优或良;仅3例患者条件差,且均在45秒时出现。对于总插管评分,发现60秒亚组有微弱优势。三个剂量组之间未显示出差异。与0.9毫克/千克组相比,0.6毫克/千克组的起效时间更长(P < 0.01)。0.6毫克/千克组恢复至25%的时间和自主恢复指数更短(P < 0.01)。

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